Gustafsson Lena-Karin, Wiklund-Gustin Lena, Lindström Unni Å
Department of Social and Caring Science, Åbo University, Åbo, Finland.
Scand J Caring Sci. 2011 Sep;25(3):525-32. doi: 10.1111/j.1471-6712.2010.00859.x. Epub 2010 Dec 16.
Grief can be seen as a form of suffering. In this study grief was not only defined as loss, but as the process of inner suffering caused of some kinds of loss. We must recognise the importance of increased understanding for patient reconciliation with grief to expand earlier formulated knowledge about health and suffering. The aim of this study was to illuminate the meaning of reconciliation among women suffering from grief.
A qualitative explorative design with a hermeneutic narrative approach was used to analyse and interpret the interviews. Caring theory about health, suffering and hermeneutical philosophy about understanding provided the point of departure for the analysis. The study was approved by an ethical research committee.
Findings reveal different plots that give light to the meaning of reconciliation in the different phases of analysis. In the women's narratives the meaning of reconciliation is a process to a new way of seeing, but also to opening and transition from the experience of grief and suffering to the experience of health and wholeness.
Reconciliation has a progressive form and the meaning of reconciliation cannot be seen as synonymous or homogenous but an understanding of reconciliation as a heterogenic synthesis of health and suffering. Understanding the reconciliation process will enable nurses to plan and provide professional care, based on caring science.
悲伤可被视为一种痛苦形式。在本研究中，悲伤不仅被定义为丧失，还被定义为因某种丧失而引发的内心痛苦过程。我们必须认识到增进对患者与悲伤和解的理解的重要性，以拓展先前关于健康与痛苦的既定知识。本研究的目的是阐明悲伤女性中和解的意义。
采用质性探索性设计和诠释性叙事方法来分析和解释访谈内容。关于健康、痛苦的关怀理论以及关于理解的诠释学哲学为分析提供了出发点。该研究获得了伦理研究委员会的批准。
研究结果揭示了不同的情节，这些情节揭示了分析不同阶段和解的意义。在女性的叙述中，和解的意义是一个走向新视角的过程，也是从悲伤和痛苦的体验向健康和完整的体验的开启与转变。
和解具有渐进的形式，和解的意义不能被视为同义或同质的，而应理解为健康与痛苦的异质综合。理解和解过程将使护士能够基于关怀科学来规划和提供专业护理。
