Mak Yim Wah, Chiang Vico Chung Lim, Chui Wai To
Assistant Professor, School of Nursing, The Hong Kong Polytechnic University, Hung Hom, Hong Kong SAR.
Int J Palliat Nurs. 2013 Sep;19(9):423-31. doi: 10.12968/ijpn.2013.19.9.423.
This study aimed to explore the experiences and perceptions of nurses caring for dying patients and their families in the acute medical admission setting.
A qualitative interpretive descriptive methodology was used to explore the experiences and perceptions of 15 nurses recruited via purposive sampling from three acute medical wards of a hospital in Hong Kong.
The nurses perceived insufficiency and experienced great mental and physiological strain regarding their caring roles in this setting. Four themes were derived from the findings: lack of preparedness for patients' deaths, reflecting on their own nursing roles for dying patients, reflecting on the meaning of death and their personal experiences of the death of their own family members, and coping with caring for dying patients.
There are similarities between these experiences and those of nurses in similar settings in different cultures. There is a need for further research into and educational preparation of nurses in bereavement care and means of coping with somatic, cognitive, behavioural, and emotional responses in an environment where the emphasis is on curing people who are dying rather than caring for them.
本研究旨在探讨护士在急性内科入院环境中照顾临终患者及其家属的经历和看法。
采用定性解释性描述方法，以目的抽样的方式从香港一家医院的三个急性内科病房招募了15名护士，以探讨他们的经历和看法。
护士们认为在这种环境下他们的护理角色存在不足，并经历了巨大的身心压力。研究结果得出了四个主题：对患者死亡缺乏准备、反思自己对临终患者的护理角色、反思死亡的意义以及自己家庭成员死亡的个人经历，以及应对照顾临终患者的问题。
这些经历与不同文化中类似环境下护士的经历有相似之处。有必要进一步研究丧亲护理方面的护士教育准备情况，以及在强调治愈临终患者而非照顾他们的环境中应对身体、认知、行为和情绪反应的方法。
