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三年级护理专业学生照顾临终患者的生活体验:一种诠释现象学方法。

Third-year nursing students' lived experience of caring for the dying: a hermeneutic phenomenological approach.

作者信息

Ranse Kristen, Ranse Jamie, Pelkowitz Mikayla

机构信息

a School of Nursing & Midwifery, Gold Coast Campus , Griffith University , Southport , Queensland , Australia.

b School of Nursing & Midwifery, Faculty of Health , University of Canberra , Canberra , Australia.

出版信息

Contemp Nurse. 2018 Apr;54(2):160-170. doi: 10.1080/10376178.2018.1461572. Epub 2018 Apr 18.

DOI:10.1080/10376178.2018.1461572
PMID:29669455
Abstract

BACKGROUND

In preparation for practice as a Registered Nurse, it is essential that students are equipped to care for the dying patient and their family.

AIM

To explore nursing students' lived experience of caring for a dying patient and their family.

DESIGN

Hermeneutic phenomenology.

METHODS

Students who had cared for a dying patient in their final year of study were invited to participate in an interview. Participants' narratives (n = 6) were thematically analysed.

FINDINGS

Analysis revealed three themes: being caring, unexpectedness in witnessing an expected death and experiencing loss. Students demonstrated family-centred care but recounted unexpectedness in both the dying trajectory and physical changes in the dying patient. When reflecting on experiencing loss, students questioned their own actions, acknowledged the value of relationships and identified ways to cope.

CONCLUSIONS

Engaging students in the care of dying patients and providing appropriate preparation/support can influence their experience and the care they provide in the future.

摘要

背景

在为成为注册护士做准备的过程中,让学生具备照顾临终患者及其家属的能力至关重要。

目的

探讨护理专业学生照顾临终患者及其家属的亲身经历。

设计

诠释现象学。

方法

邀请在学习最后一年照顾过临终患者的学生参加访谈。对参与者的叙述(n = 6)进行了主题分析。

结果

分析揭示了三个主题:关怀他人、见证预期死亡时的意外情况以及经历失落感。学生们表现出以家庭为中心的护理,但讲述了临终过程和临终患者身体变化中的意外情况。在反思经历失落感时,学生们质疑自己的行为,认可人际关系的价值,并确定了应对方法。

结论

让学生参与临终患者的护理并提供适当的准备/支持,可以影响他们的经历以及他们未来提供的护理。

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