Byrne D, McMurray A
School of Nursing, Edith Cowan University, Western Australia.
Aust J Adv Nurs. 1997 Sep-Nov;15(1):4-11.
This article reports on a phenomenological study of nurses' experiences of caring for dying patients in a Western Australian hospice. Data obtained from indepth interviews with nine experienced hospice nurses were analysed using Colaizzi's method. The five major themes that emerged from the data indicated that: nurses were transformed by the experience of caring for dying patients; the hospice context influenced caring; caring was embodied in nurse-patient interactions; caring extended to patients' families and nurses developed strategies to cope with their experience. The implications of the findings are that awareness of the effects of their caring activities on patients, their families and themselves is essential to nurses' maintenance of self and to their ability to enable patients to make choices. Suggestions are made for future research of the importance of caring contexts in both comforting patients and in preparing them for death.
本文报道了一项关于西澳大利亚一家临终关怀机构中护士照顾临终患者经历的现象学研究。通过对九名经验丰富的临终关怀护士进行深度访谈获得的数据，采用科莱齐的方法进行了分析。从数据中浮现出的五个主要主题表明：护士因照顾临终患者的经历而发生转变；临终关怀环境影响护理；护理体现在护患互动中；护理延伸至患者家属，并且护士制定了应对自身经历的策略。研究结果的启示是，护士意识到其护理活动对患者、患者家属以及自身的影响，对于护士维持自我以及使患者能够做出选择的能力至关重要。针对未来研究，就护理环境在安慰患者以及帮助他们面对死亡方面的重要性提出了建议。
