Sahlgrenska Academy, Institute of Health and Care Sciences, University of Gothenburg, Gothenburg, Sweden.
Psychooncology. 2014 May;23(5):562-8. doi: 10.1002/pon.3456. Epub 2013 Dec 9.
Encountering dying patients with implicit existential questions requires the nurses to have positive and comfortable attitude to talking about existential issues. This paper describes the nurses' reflections on existential issues in their communication with patients close to death.
Nurses (n = 98) were recruited from a hospital, hospices and homecare teams. Each nurse participated in five group reflection sessions that were recorded, transcribed and analysed using qualitative content analysis.
Three domains and nine themes emerged. The content domain of the existential conversation covered living, dying and relationships. The process domain dealt with using conversation techniques to open up conversations, being present and confirming. The third domain was about the meaning of existential conversation for nurses. The group reflections revealed a distinct awareness of the value of sensitivity and supportive conversations.
This study supports the assertion that experience of talking about existential issues and supporting environment make nurses comfortable when counselling patients close to death. It was obvious from this study that having the courage to be present and confirming, having time and not trying to 'solve' every existential problem were the most important factors in conversations with the patients close to death.
遇到有潜在存在问题的临终患者要求护士对谈论存在问题持积极和舒适的态度。本文描述了护士在与临近死亡的患者沟通时对存在问题的反思。
从医院、临终关怀和家庭护理团队中招募了 98 名护士。每位护士参加了五次小组反思会议，会议内容被记录、转录，并使用定性内容分析进行了分析。
出现了三个领域和九个主题。存在对话的内容领域涉及生活、死亡和人际关系。过程领域涉及使用对话技巧来开启对话、在场和确认。第三个领域是关于存在对话对护士的意义。小组反思清楚地表明，对敏感性和支持性对话的价值有明显的认识。
本研究支持这样一种说法，即谈论存在问题的经验和支持环境使护士在为临近死亡的患者提供咨询时感到舒适。从这项研究中可以明显看出，与临近死亡的患者进行对话时，最重要的因素是要有勇气在场并给予肯定、有时间且不试图“解决”每个存在问题。
