Li Xia, Kongsuwan Waraporn, Barry Charlotte D
PhD Candidate in Nursing Science (International Program), Faculty of Nursing, Prince of Songkla University, Songkhla, Thailand.
Faculty of Nursing, Prince of Songkla University, Songkhla, Thailand.
J Adv Nurs. 2025 Mar 25. doi: 10.1111/jan.16897.
When providing end-of-life care, nurses are faced with challenges related to the dying process. Aesthetic concepts exert a more profound influence than empirical evidence or logical reasoning. However, while the aesthetic aspect in end-of-life care demonstrates the inherent beauty of nursing, there are few manifestations of aesthetics to express the professional challenges in end-of-life care as experienced by nurses.
This study aimed to investigate and elucidate the lived experiences of the professional challenges encountered by nurses in end-of-life care.
A hermeneutic phenomenological qualitative study was employed.
This study was conducted from September to December 2023 in China. The purposive sampling method was used to recruit ten registered hospice nurses engaged in end-of-life care in a hospital. Data collection involved 'Storytelling and Drawing Technique' followed by focus group discussion. van Manen's hermeneutic phenomenological approach was used in the data analysis.
Essential themes were grouped based on existential themes of van Manen's four lived worlds, delineating: (1) Lived body: insufficient comprehension depth; (2) Lived space: unfavourable ambiance within the ward setting; (3) Lived time: negative impact of traditional culture; and (4) Lived human relations: intricacies inherent in decision-making dynamics.
After understanding the challenges of nurses in end-of-life care reflected by aesthetic expressions, proactive steps can be taken to address these issues and thereby facilitate a positive transformation.
The authors have adhered to Consolidated Criteria for Reporting Qualitative Research(COREQ) Standards.
No patient or public contribution.
在提供临终关怀时，护士面临着与死亡过程相关的挑战。美学概念比经验证据或逻辑推理产生的影响更为深远。然而，尽管临终关怀中的美学层面展现了护理的内在美，但却很少有美学表现来表达护士在临终关怀中所经历的专业挑战。
本研究旨在调查并阐明护士在临终关怀中遇到的专业挑战的生活经历。
采用诠释现象学质性研究。
本研究于2023年9月至12月在中国进行。采用目的抽样法招募了10名在一家医院从事临终关怀的注册临终关怀护士。数据收集采用“故事讲述与绘画技巧”，随后进行焦点小组讨论。数据分析采用范曼恩的诠释现象学方法。
基本主题是根据范曼恩四个生活世界的存在主义主题进行分组的，分别为：（1）生活身体：理解深度不足；（2）生活空间：病房环境氛围不佳；（3）生活时间：传统文化的负面影响；（4）生活人际关系：决策动态中固有的复杂性。
在了解了美学表达所反映的护士在临终关怀中的挑战后，可以采取积极措施来解决这些问题，从而促进积极转变。
作者遵循了定性研究报告统一标准（COREQ）。
无患者或公众贡献。
