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一项关于经历亲属死亡的中国医生和护士冲突经历的定性研究:双重角色的影响。

A qualitative study of conflict experiences of Chinese physicians and nurses experiencing death of relatives: effects of dual roles.

作者信息

Xin SiYing, Liang GuanMian, Miao QunFang, Lyu Wei, Fan SiYao, Ning HanYi, Zhang JingXuan

机构信息

School of Nursing, Hangzhou Normal University, Hangzhou, Zhejiang, China.

Nursing Department, Zhejiang Cancer Hospital, Hangzhou Institute of Medicine (HIM), Chinese Academy of Sciences, Hangzhou, Zhejiang, China.

出版信息

Front Psychiatry. 2025 Jul 22;16:1615027. doi: 10.3389/fpsyt.2025.1615027. eCollection 2025.

Abstract

INTRODUCTION

This study explored experiences of conflict among Chinese Physicians and Nurses following the loss of a loved one. This study aimed to examine the mechanisms behind these conflicting experiences as perceived by Chinese Physicians and Nurses.

METHODS

This qualitative exploratory study was conducted in three Chinese hospitals. Semi-structured in-depth interviews were conducted with 16 Physicians and Nurses members using a descriptive phenomenological analysis. Colaizzi's seven-step analysis was used to analyze the interview data.

RESULTS

The following three themes and six sub-themes were identified: terminal stage (the responsibility exacerbates the burden of medical decision-making and professional expertise exacerbating internal conflict); acute loss stage (the experience of bereavement disrupts the professional values of medical personnel and emotional projection and avoidance of similar operations); bereavement recovery (reflection on the meaning of the profession and reconceptualization of death).

CONCLUSION

These dual roles place significant psychological pressure on the Chinese Physicians and Nurses and lead to emotional fluctuations and complex internal conflicts when facing the death of their loved ones. Hospital administrators should recognize these contradictions, understand their complex emotions, and provide appropriate social support to address the needs of the Physicians and Nurses.

摘要

引言

本研究探讨了中国医生和护士在失去亲人后的冲突经历。本研究旨在探究中国医生和护士所感受到的这些冲突经历背后的机制。

方法

这项定性探索性研究在三家中国医院进行。使用描述性现象学分析方法,对16名医生和护士成员进行了半结构化深度访谈。采用科莱齐的七步分析法对访谈数据进行分析。

结果

确定了以下三个主题和六个子主题:终末期(责任加重了医疗决策负担,专业知识加剧了内心冲突);急性丧失期(丧亲经历扰乱了医务人员的职业价值观,情感投射以及对类似手术的回避);丧亲恢复期(对职业意义的反思和对死亡概念的重新认识)。

结论

这些双重角色给中国医生和护士带来了巨大的心理压力,导致他们在面对亲人死亡时出现情绪波动和复杂的内心冲突。医院管理人员应认识到这些矛盾,理解他们复杂的情绪,并提供适当的社会支持以满足医生和护士的需求。

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