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研究者还是护士?就敏感话题进行半结构化访谈的困难。

Researcher or nurse? Difficulties of undertaking semi-structured interviews on sensitive topics.

作者信息

Ashton Susan

机构信息

Liverpool John Moores University, faculty of health and applied social sciences Liverpool, UK.

出版信息

Nurse Res. 2014 Sep;22(1):27-31. doi: 10.7748/nr.22.1.27.e1255.

Abstract

AIM

To reflect on the author's personal and professional journey when undertaking semi-structured interviews on sensitive topics with potentially vulnerable people.

BACKGROUND

When discussing care at the end of life, researchers must accept that some participants may become distressed or emotional, depending on their previous experiences. Interviews that involve sensitive topics require careful planning.

DATA SOURCES

The semi-structured interviews were conducted as part of the author's PhD study examining the experiences of advance care planning among family caregivers of people with advanced dementia.

REVIEW METHODS

A reflection on my personal and professional journey when undertaking semi-structured interviews on sensitive topics with potentially vulnerable people.

DISCUSSION

The frustration and tragedy of dementia, as experienced by the family caregivers, were powerful and required the author to exert self-control to avoid being overly sympathetic and offering words of reassurance, agreement and comfort.

CONCLUSION

This blurring of roles between researcher and nurse has implications for all nurse researchers who undertake qualitative interviews, particularly when an intense emotional response is likely.

IMPLICATIONS FOR RESEARCH/PRACTICE: Nurse researchers should plan and prepare for potential blurring of roles during emotional interviews and should never automatically assume that they are sufficiently prepared as a result of their previous experience and nurse training.

摘要

目的

反思作者在与可能处于弱势的人群就敏感话题进行半结构化访谈时的个人及职业历程。

背景

在讨论临终护理时,研究人员必须认识到,一些参与者可能会因自身过往经历而感到痛苦或情绪激动。涉及敏感话题的访谈需要精心策划。

数据来源

半结构化访谈是作者博士研究的一部分,该研究旨在考察晚期痴呆患者家庭照护者的预立医疗照护计划体验。

综述方法

反思作者在与可能处于弱势的人群就敏感话题进行半结构化访谈时的个人及职业历程。

讨论

家庭照护者所经历的痴呆症的挫败与悲剧十分强烈,这要求作者进行自我控制,避免过度同情并给予安慰、认同和慰藉之词。

结论

研究者与护士角色的这种模糊对所有进行定性访谈的护士研究者都有影响,尤其是在可能出现强烈情绪反应时。

对研究/实践的启示:护士研究者应针对情感访谈中可能出现的角色模糊进行规划和准备,绝不应因以往经验和护士培训就想当然地认为自己已做好充分准备。

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