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探讨临终关怀中 Hospice 工作人员的影响和生活体验:一种阐释现象学分析(IPA)。

Exploring the Impact and Lived Experiences of Hospice Staff Working in End-of-Life Care: An Interpretative Phenomenological Analysis (IPA).

机构信息

Aberystwyth University Ringgold Standard Institution, Aberystwyth, UK.

出版信息

Omega (Westport). 2024 Sep;89(4):1320-1344. doi: 10.1177/00302228221085467. Epub 2022 Apr 26.

Abstract

Current research surrounding the experiences of hospice staff is significantly underdeveloped. Additionally, the stigmatisation of death in Western society has formed delusions of hospice care amongst the general public. These findings gained an insight of the lived experiences of six hospice staff across England and Wales, through an interpretative phenomenological analysis. Eight superordinate themes were identified; 'COVID-19 as a barrier to care delivery', 'Discomfort is key for personal growth', 'Self-preservation is paramount', 'Psychological impact of hospice environment', 'Internal conflict surrounding life and death', 'Complexities of a firm belief system', 'Utopian view of hospices' and 'Colleagues are a pillar of support'. All narratives shared overarching themes on growth, acceptance, and morality. These findings have future implications at the organisational level, identifying areas for adjustment for employee wellbeing. Furthermore, this may also educate aspiring end-of-life care staff in preparation for the reality of hospice environments.

摘要

目前,围绕临终关怀工作人员的体验的研究还远远不够。此外,西方社会对死亡的污名化使公众对临终关怀存在误解。这些发现通过解释性现象学分析深入了解了英格兰和威尔士六名临终关怀工作人员的生活体验。确定了八个上位主题;“COVID-19 是提供护理的障碍”、“不适是个人成长的关键”、“自我保护至关重要”、“临终关怀环境的心理影响”、“围绕生死的内心冲突”、“坚定信仰体系的复杂性”、“对临终关怀的乌托邦式看法”和“同事是支持的支柱”。所有的叙述都有关于成长、接受和道德的总体主题。这些发现对组织层面具有未来意义,确定了员工福利调整的领域。此外,这也可能为临终关怀环境的现实情况为有志于从事临终关怀工作的人员提供教育。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fcaf/11453031/579de0ec92ed/10.1177_00302228221085467-fig1.jpg

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