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专业发展:伊朗和瑞典护士照顾临终患者的经历。

Professional development: Iranian and Swedish nurses' experiences of caring for dying people.

作者信息

Iranmanesh Sedigheh, Ghazanfari Zahra, Sävenstedt Stefan, Häggström Terttu

机构信息

Razi Faculty of Nursing and Midwifery, Kerman Medical University, Haft Bagh Boulevard, Kerman, Iran.

出版信息

J Palliat Care. 2011 Autumn;27(3):202-9.

Abstract

Our world is rapidly becoming a global community. This creates a need for us to further understand the universal phenomena of death and professional care for dying persons. A transcultural study was undertaken using a phenomenological approach to illuminate the meaning of nurses' experiences of professional development in the contexts of Iran and Sweden. Eight registered nurses working in oncology units in Tehran, Iran, and eight working in the context of a hospital and private homes in northern Sweden were interviewed. The interviews were analyzed using the principles of phenomenological hermeneutics inspired by Paul Ricoeur. A naive reading guided a structural analysis, which yielded four main themes: coping with existential, organizational, and cultural contexts; sharing knowledge, experiences, and responsibilities; using embodied knowledge; and developing personal competence. The interpreted comprehensive understanding revealed that the meaning of professional development is that it actualizes other-oriented values and self-oriented values. Caring professionally for dying people was a learning process that could help nurses to develop their personal and professional lives when they were supported by teamwork, reflective practice, and counselling.

摘要

我们的世界正迅速成为一个全球共同体。这使我们有必要进一步了解死亡这一普遍现象以及对临终者的专业护理。我们采用现象学方法进行了一项跨文化研究,以阐明在伊朗和瑞典背景下护士专业发展经历的意义。对伊朗德黑兰肿瘤科室工作的八名注册护士以及瑞典北部一家医院和私人住宅环境中工作的八名护士进行了访谈。访谈采用受保罗·利科启发的现象学诠释学原理进行分析。初步阅读指导了结构分析,得出四个主要主题:应对生存、组织和文化背景;分享知识、经验和责任;运用身体知识;以及发展个人能力。诠释后的全面理解表明,专业发展的意义在于它实现了他人导向的价值观和自我导向的价值观。当护士得到团队合作、反思性实践和咨询的支持时,专业护理临终患者是一个有助于他们发展个人和职业生活的学习过程。

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