Senior Lecturer, Department of Caring Sciences and Sociology, University of Gävle, Gävle, SwedenMSc Student, Department of Public Health and Caring Sciences, Section of Caring Sciences, Uppsala University, Uppsala, SwedenMSc Student, Department of Public Health and Caring Sciences, Section of Caring Sciences, Uppsala University, Uppsala, SwedenMSc Student, Department of Public Health and Caring Sciences, Section of Caring Sciences, Uppsala University, Uppsala, Sweden.
Int J Older People Nurs. 2007 Dec;2(4):241-9. doi: 10.1111/j.1748-3743.2007.00095.x.
Aims. The overall aim of this study was to gain knowledge about how nursing staff treat and communicate with residents who talk about death and about their reasons for their treatment as well as to investigate how staff explain residents' reasons for talking about death. Background. Studies have established that nursing staff have problems in dealing with patients who talk about death and that staff do not know how they should relate to talking about death. Method. A qualitative explorative design. Interviews with staff were performed and analysed using a qualitative content analysis. Findings. Staff descriptions of their various ways of dealing with a situation in which residents talk about death could be divided into two qualitatively different main categories: 'allow and facilitate talk about death' and 'avoid talk about death'. The most common explanation provided by staff in all categories was that they acted the way they did because they did not know how to address discussions about death. Staff members' descriptions of residents' reasons for talking about death were quite different. Conclusions. The study indicates that nursing staff need to reflect on their own attitudes towards death and that they need to develop further. Their behaviour may depend on each staff member's individual attitudes and development. Nursing staff need training in and knowledge about how to communicate with residents who talk about death. This knowledge could be acquired through training, guidance and joint reflection in groups.
目的。本研究的总体目的是了解护理人员如何对待和与谈论死亡的居民以及他们对待居民谈论死亡的原因的沟通方式，并调查工作人员如何解释居民谈论死亡的原因。背景。研究表明，护理人员在处理谈论死亡的患者方面存在问题，并且不知道如何应对谈论死亡。方法。采用定性探索性设计。对工作人员进行访谈，并采用定性内容分析法进行分析。结果。工作人员对居民谈论死亡时各种处理方式的描述可分为两个不同的主要类别：“允许和促进谈论死亡”和“避免谈论死亡”。在所有类别中，工作人员最常见的解释是，他们之所以这样做，是因为他们不知道如何处理有关死亡的讨论。工作人员对居民谈论死亡原因的描述则大不相同。结论。研究表明，护理人员需要反思自己对死亡的态度，并进一步发展。他们的行为可能取决于每个工作人员的个人态度和发展。护理人员需要接受有关如何与谈论死亡的居民进行沟通的培训和知识。这些知识可以通过培训、指导和小组共同反思来获得。
