Giles Tracey M, Williamson Victoria
School of Nursing & Midwifery, Flinders University, Adelaide, SA, Australia.
J Clin Nurs. 2015 Nov;24(21-22):3095-106. doi: 10.1111/jocn.12900. Epub 2015 Jul 27.
To understand and interpret the experiences of nurse-family members when a family member or loved one is hospitalised in a critical condition.
Having a family member hospitalised with a critical illness is a traumatic stressor, often with long-term sequelae. Providing holistic care for family members who are also nurses makes the provision of care more complex because of their professional expertise; yet few studies have explored this issue.
In this descriptive study, qualitative data were collected using a questionnaire and analysed using van Manen's (Researching Lived Experience: Human Science for an Action Sensitive Pedagogy, 1990, State University of New York Press, London, ON) six-step approach.
Twenty nurse-family members completed an online questionnaire in June 2013. Qualitative findings from 19 participants were included in the analysis. The phenomenological analysis approach described by van Manen (Researching Lived Experience: Human Science for an Action Sensitive Pedagogy, 1990, State University of New York Press, London, ON) was used to describe and interpret nurse-family member experiences.
Nurse-family members experience significant dual role conflicts between their personal and professional personas due to their specialised knowledge, need for watchfulness and competing expectations. Our findings describe how dual role conflicts developed and were managed, and reveal the resultant emotional toll and psychological distress as nurse-family members struggled to resolve these conflicts.
Nurse-family members require a different type of care than general public family members, yet their unique needs are often unmet, leading to increased anxiety and distress that could potentially be minimised. An increased awareness and emphasis on the nurse-family member experience can ensure health care professionals are better placed to provide appropriate and targeted care to minimise distressing dual role conflicts.
There is a need for targeted and specialised communication appropriate to each nurse-family members' needs and level of understanding, and to clarify expectations to ensure nurse-family members' professional knowledge and skills are recognised and respected without being exploited.
了解并解读当家庭成员或爱人因危重症住院时护士家属的经历。
家庭成员因危重症住院是一种创伤性应激源，往往会产生长期后遗症。为身为护士的家庭成员提供整体护理会因他们的专业知识而使护理工作变得更加复杂；然而，很少有研究探讨过这个问题。
在这项描述性研究中，通过问卷调查收集定性数据，并采用范曼恩（《研究生活体验：行动敏感教学法的人文科学》，1990年，纽约州立大学出版社，安大略省伦敦）的六步法进行分析。
20名护士家属于2013年6月完成了一份在线问卷。分析纳入了19名参与者的定性研究结果。采用范曼恩（《研究生活体验：行动敏感教学法的人文科学》，1990年，纽约州立大学出版社，安大略省伦敦）描述的现象学分析方法来描述和解读护士家属的经历。
由于其专业知识、警惕性需求和相互冲突的期望，护士家属在个人角色和职业角色之间经历了重大的双重角色冲突。我们的研究结果描述了双重角色冲突是如何产生和处理的，并揭示了护士家属在努力解决这些冲突时所产生的情感代价和心理困扰。
护士家属需要的护理类型与普通公众家属不同，然而他们的独特需求往往未得到满足，导致焦虑和困扰加剧，而这些本可被尽量减少。提高对护士家属经历的认识并加以重视，可确保医护人员能更好地提供适当且有针对性的护理，以尽量减少令人痛苦的双重角色冲突。
需要根据每位护士家属的需求和理解水平进行有针对性的专业沟通，并明确期望，以确保护士家属的专业知识和技能得到认可和尊重，而不会被滥用。
