Chen Chuqian, Chow Amy Yin Man, Xu Ke
Department of Medical Humanities, School of Humanities, Southeast University, Nanjing, China.
Department of Social Work and Social Administration, The University of Hong Kong, Hong Kong SAR, China.
Omega (Westport). 2023 Feb;86(3):788-808. doi: 10.1177/0030222821992194. Epub 2021 Feb 2.
In order to achieve an in-depth understanding of professional caregivers' experiences of bereavement after patient deaths in Mainland China, qualitative description was employed. 24 physicians and nurses from hospitals in Nanjing, China, participated in one-to-one, semi-structured interviews. Thematic analysis was adopted for data analysis. Five themes were generated: the nature of professional bereavement experiences, the meaning of patient deaths, immediate bereavement reactions, long-term changes, and coping strategies. Each theme included personal and professional dimensions. Professional bereavement experiences in Mainland China were found to be influenced by workplace violence against professional caregivers, traditional Chinese medical ethics, the strong death taboo, and inadequacies of the healthcare system. Professional bereavement experiences are meaning-driven, comprehensive, and usually disenfranchised. They involve multidimensional reactions and have both short-term and long-lasting, both event-specific and accumulated impacts. Cultural and systemic factors could shape professional bereavement experiences.
为了深入了解中国大陆专业护理人员在患者死亡后的丧亲经历，采用了质性描述法。来自中国南京医院的24名医生和护士参与了一对一的半结构式访谈。数据分析采用了主题分析法。生成了五个主题：专业丧亲经历的本质、患者死亡的意义、即时丧亲反应、长期变化和应对策略。每个主题都包括个人和专业层面。研究发现，中国大陆的专业丧亲经历受到针对专业护理人员的工作场所暴力、传统中医伦理、强烈的死亡禁忌以及医疗系统不足的影响。专业丧亲经历是由意义驱动的、全面的，且通常不被认可。它们涉及多维度反应，具有短期和长期、特定事件和累积的影响。文化和系统因素会塑造专业丧亲经历。
