HCA Hospice Care, 12 Jalan Tan Tock Seng, Singapore 308437.
Singapore Med J. 2011 Mar;52(3):151-7.
Homecare nurses had been and still are the backbone of palliative care services in Singapore. Although extensively documented by overseas researchers, the local perspective of their identity has not been evaluated. We aimed to uncover the lived experience of palliative homecare nurses so as to understand the meaning and interpretation of their experience of being homecare nurses.
The research methodology was underpinned by the tenets of hermeneutic phenomenology. Two focus group discussions were held to gather responses from a purposive sample of ten nurses who belonged to five agencies that provide palliative homecare in Singapore. The discourses were audiotaped and transcribed verbatim for qualitative analysis.
The common themes that emerged were organised into six domains: Introduction to palliative care; Initial experiences; Challenges; Working in a team; Working with the doctor; and Support. Despite the different settings, most of the experiences were consistent with those described elsewhere.
The palliative homecare nurse assumes a prominent role as part of a team, since she often has in-depth connections with her patients. Although it can be depressing and trying at times, she grows to see this role as both a privilege and a calling.
在新加坡，居家护士一直是姑息治疗服务的中流砥柱。尽管海外研究人员对此进行了广泛的记录，但他们对自身身份的本地观点尚未得到评估。我们旨在揭示姑息治疗居家护士的生活体验，以便了解他们作为居家护士的体验的意义和解释。
研究方法的基础是解释学现象学的原则。通过目的抽样，从新加坡五个提供姑息治疗居家护理的机构中选取了十名护士参加了两次焦点小组讨论，以收集他们的回应。对讨论内容进行了录音，并逐字转录进行定性分析。
出现的共同主题被组织成六个领域：姑息治疗介绍；初始经验；挑战；团队合作；与医生合作；和支持。尽管环境不同，但大多数体验与其他地方描述的一致。
姑息治疗居家护士作为团队的一部分扮演着突出的角色，因为她通常与她的患者有着深入的联系。尽管有时会令人沮丧和困难，但她逐渐将这个角色视为一种特权和使命。
