West Virginia University School of Nursing, 64 Medical Center Drive, P.O. Box 9600, Morgantown, WV 26505-9600, USA.
Appl Nurs Res. 2022 Jun;65:151586. doi: 10.1016/j.apnr.2022.151586. Epub 2022 Apr 20.
The purpose of this paper is to demonstrate the process of building the concept transition to peace which will provide a foundation for continued research and understanding of the experience of making difficult decisions for loved ones at the end of life.
The development of this concept was guided by an established 10-phase process. The process began with a practice story about a family's experience of withdrawing medical care from a loved one at the end of life. A phenomenon of interest was derived from a practice story and developed into an emerging concept when linked to a theoretical lens. Preliminary core qualities to support the emerging concept were derived from the literature and a reconstructed story was obtained to demonstrate experiential support of the core qualities. Development of a mini-saga and refinement of core qualities with definitions followed. A model was constructed to demonstrate the relationship among the concepts. A mini-synthesis was then created to pull together the population of interest, definition of the concept, and a plan for future research.
End of life decision making for loved ones can result in feelings of fear and uncertainty for family members. As a concept, transition to peace will provide the foundation for a future program of research to gain further understanding of bringing a family to a place of peace when confronted with life changing decisions.
本文旨在展示建立向和平过渡的概念的过程，为进一步研究和理解在生命末期为亲人做出艰难决策的体验提供基础。
该概念的发展遵循既定的 10 个阶段过程。该过程始于一个关于家庭在生命末期停止为亲人提供医疗护理的实践故事。从实践故事中得出一个感兴趣的现象，并将其与理论视角联系起来，发展为一个新兴概念。初步核心品质源自文献，并通过重构故事获得，以展示对核心品质的经验支持。随后发展了一个迷你传奇，并对核心品质进行了定义和细化。构建了一个模型来展示概念之间的关系。然后创建了一个迷你综合，以将感兴趣的人群、概念的定义以及未来研究的计划联系起来。
为亲人做临终决策可能会让家庭成员感到恐惧和不确定。作为一个概念，向和平的过渡将为未来的研究计划奠定基础，以进一步理解当面临改变生活的决策时，如何让一个家庭达到和平的状态。
