Department of Research, Copenhagen University Hospital, Hillerød, Denmark.
Centre for Nursing, University College Absalon, Roskilde, Denmark.
J Adv Nurs. 2022 Dec;78(12):4165-4176. doi: 10.1111/jan.15384. Epub 2022 Aug 17.
The aim was to explore the experiences of relatives seeing and saying goodbye to brought in dead persons in a Danish emergency department.
This was a qualitative study based on interpretive description methodology.
Data were collected through semi-structured individual interviews with relatives (n = 11) of brought in dead persons and 30 h of participatory observations of these relatives visiting the emergency department to see and say goodbye to the deceased. Data were collected between February 2019 and December 2020.
Our analyses revealed internal and external chaos as an overarching theme, covering 4 themes and 10 subthemes. The four themes were traumatic events, restricted access, briefly being together again, and final goodbyes and departures.
Emergency departments were highly acute and busy settings that prioritized survival more than the care of deceased people and their relatives. The relatives were, in every way, affected by internal and external chaos; the external chaos in the emergency department reinforced the feeling of internal chaos. It is necessary for managers and nurses in emergency departments to organize and practice care for relatives, whilst bringing in deceased individuals in a less chaotic and more caring manner.
This study contributes to the knowledge of relatives' experiences regarding brought in dead persons, underpinning the need to care for this subpopulation in emergency departments. Care for relatives of brought in dead individuals has the potential to relieve suffering and prevent diseases, which are core elements of nursing.
本研究旨在探讨丹麦急诊科中亲属探视和与死者作别时的体验。
本研究采用阐释性描述方法的定性研究。
数据收集通过对 11 名死者亲属（带入死者的亲属）进行半结构化个体访谈和 30 小时的参与式观察，以了解这些亲属到急诊科探视和与死者作别。数据收集于 2019 年 2 月至 2020 年 12 月进行。
我们的分析揭示了内部和外部混乱是一个贯穿全文的主题，包括 4 个主题和 10 个副主题。这四个主题是创伤性事件、受限的探视、再次短暂相聚以及最后的道别和离开。
急诊科是高度急性和繁忙的环境，更侧重于抢救生命而非死者及其亲属的关怀。亲属在各个方面都受到内部和外部混乱的影响；急诊室内的外部混乱加剧了内部混乱的感觉。急诊科的管理人员和护士有必要以不那么混乱和更关怀的方式组织和实践对亲属的关怀，同时妥善处理带入的死者。
本研究有助于了解亲属对带入死者的体验，强调了在急诊科中需要关怀这一亚群体。对带入死者的亲属的关怀有可能减轻痛苦和预防疾病，这是护理的核心要素。
