School of Nursing and Midwifery, Monash University, Melbourne, Victoria, Australia.
Nurs Health Sci. 2012 Mar;14(1):25-31. doi: 10.1111/j.1442-2018.2011.00653.x. Epub 2012 Jan 30.
This paper explores the methodological challenges associated with undertaking qualitative observation in the clinical setting at end of life. The authors reflect on their experiences of using non-participant observation to explore the nursing care delivered to dying patients in acute hospital wards. The challenges of observation as a method, clearly defining the participant group and involving vulnerable populations, such as the dying patients and their families, will be discussed. Consideration is also given to defining and working within the observational field, the researchers' dual roles, cost versus benefit, impact of culture, religion and ethnicity, and the determination of research limits/boundaries, with reflections from the authors' own experiences used to exemplify the issues.
本文探讨了在生命末期的临床环境中进行定性观察所面临的方法学挑战。作者反思了他们使用非参与式观察来探索急性病房中临终患者护理的经验。本文将讨论观察作为一种方法的挑战，包括如何明确界定参与群体以及如何涉及到脆弱人群，如临终患者及其家属。还考虑了定义和在观察领域内工作、研究人员的双重角色、成本与效益、文化、宗教和种族的影响，以及研究限制/边界的确定，作者自身经验的反思用于举例说明这些问题。
