Dalhousie University, School of Nursing & Psychosocial Oncology Team, Cancer Care Program, Capital District Health Authority, 5869 University Avenue, Halifax, Nova Scotia B3H 3J5, Canada.
Eur J Oncol Nurs. 2011 Apr;15(2):103-11. doi: 10.1016/j.ejon.2010.06.006. Epub 2010 Jul 27.
Within oncology, working with patients who are suffering or at end-of-life has been recognized repeatedly as stress-inducing, yet there is little agreement on what specifically nurses may experience as a result of their work. Further, research focused on caring work within the context of hematopoietic stem cell transplant (HSCT) nursing is almost non-existent. In light of the gap, this interpretative phenomenological study focused on enhancing the knowledge and understanding of the effect(s) of nursing work on the psychosocial health and well being of HSCT nurses.
An interpretative phenomenological design grounded in the work of Heidegger and van Manen was used to explore nursing work among HSCT nurses. Twelve nurses from three Canadian tertiary healthcare facilities participated in multiple interviews and focus groups.
Thematic analysis resulted in the emergence of four core themes and one overarching novel theme, compassionate presence. The discussion provides an overview of the novel finding, compassionate presence, which challenges the notion that working with individuals who are suffering or at end-of-life inevitably leads to adverse psychosocial effects. Implications for practice, education and research are also provided.
Compassionate presence emerged to suggest a potential buffering effect against adverse consequences of HSCT nursing work. This finding underscored the value of the relationship as an integral component of nursing work.
在肿瘤学领域，与正在受苦或临终的患者合作已被反复认为会带来压力，但对于护士因工作而可能经历的具体情况，几乎没有达成共识。此外，几乎没有研究关注造血干细胞移植（HSCT）护理背景下的护理工作。鉴于这一差距，本解释现象学研究侧重于增强对护理工作对 HSCT 护士的心理社会健康和福祉的影响的认识和理解。
采用扎根于海德格尔和范梅南工作的解释现象学设计，探索 HSCT 护士的护理工作。来自加拿大三个三级保健设施的 12 名护士参加了多次访谈和焦点小组。
主题分析产生了四个核心主题和一个总体新主题，即同情的存在。讨论提供了对新发现的同情存在的概述，该发现挑战了与正在受苦或临终的人一起工作必然会导致负面心理社会影响的观点。还提供了对实践、教育和研究的影响。
同情的存在出现表明对 HSCT 护理工作的负面后果具有潜在的缓冲作用。这一发现强调了关系作为护理工作不可或缺的组成部分的价值。
