This document is posted to help you gain knowledge. Please leave a comment to let me know what you think about it! Share it to your friends and learn new things together.
究所。[Yu, A. B., & Yu, D. H. (2008). Indigenous culture
and psychological healing. In A. B. Yu (Ed.). Indigenous
psychology and culture healing: The possibility of ordering
(pp. 1-56). Taipei City, Taiwan, ROC: Institute of Ethnol-
ogy, Academia Sinica.]
汪文聖(2001).現象學方法與理論之反思:一個質性方法
之介紹.應用心理研究,12,49-76。[Wang, W. S.
(2001). A reflection on the phenomenological method and
theory: Introduction to a qualitative method. Research in
Applied Psychology, 12, 49-76.]
林遠澤(2008).療癒性的交談—論交互主體性的護病互動
關係.護理雜誌,55(1),14-19。[Lin, Y. T. (2008).
Therapeutic discourse: On the intersubjective nurse-pa-
tient relationship. The Journal of Nursing, 55(1), 14-
19.]
施素真(1999).護理人員對病患死亡的衝擊及其影響因素
之探討.榮總護理雜誌,16(4),380-384。[Shih, S. T.
(1999). Study on risk factors related to impact from patient
death on nurses. VGH Nursing, 16(4), 380-384.]
陳雅惠、陳月枝、駱麗華、林東燦、王建得(2008).兒
科急重症病房護理人員照護臨終兒童之困境.長庚護
理,19(4),450-460。[Chen, Y. H., Chen, Y. C., Lo,
L. H., Lin, D. T., & Wang, J. D. (2008). Acute pediatric
nursing barriers of caring for terminally ill children. Chang
Gung Nursing, 19(4), 450-460.]
陳瑞娥、吳讚美(2008).護理人員死亡恐懼與臨終照護之
探討.安寧療護雜誌,13(1),14-29。[Chen, J. O.,
& Wu, C. M. (2008). Fear of death and terminal care in
nurses. Taiwan Journal of Hospice Palliative Care, 13(1),
14-29.]
黃俊雄(2007).反思國內生命教育之重要.安寧照顧會訊,
66,2。[Huang, C. H. (2007). An important reflection of
domestic life education. Hospice Newsletter, 66, 2.]
穆佩芬(2000).現象學研究法.於陳月枝等編著,質性護
理研究方法(一版,59-86頁),台北市:護望。[Mu, P.
F. (2000). Phenomenological research methodology. In Y. C.
Chen (Eds.), Qualitative research methodologies (1st ed.,
59-86.). Taipei City, Taiwan, ROC: Howan.]
蔡昌雄、蔡淑玲、劉鎮嘉(2006).死亡焦慮下的自我照
顧.生死學研究,3,133-164。[Tsai, C. H., Tsai, S.
L., & Liu, C. J. (2006). Self-care under death anxiety: Take
hospice nurses as Example. Journal of Life-and-Death
Studies, 3, 133-164.]
蔡淑玲、蔡昌雄、楊麗靜(2007).安寧護理人員對臨終照
顧情境的知覺感受.安寧療護雜誌,12(1),1-11。
[Tsai, S. L., Tsai, C. H., & Yang, L. C. (2007). The percep-
tions and feelings of hospice nurses toward the situations
of terminal care. Taiwan Journal of Hospice Palliative
Care, 12(1), 1-11.]
簡淑慧(1999).癌症病人死亡對護理人員之衝擊及護理
人員之應對策略.長庚護理,10(2),36-41。[Jian,
S. H. (1999). Nurses of the coping strategies and impact
from nurses on cancer patient death. Chang Gung Nursing,
10(2), 380-384.]
盧璧珍、張靜安、白玉珠、蔡欣玲(2008).臨床護理人員
面對死亡事件的心理反應與處理方式之探討.榮總護
理,25(3),268-275。[Lu, P. C., Chang, J. A., Pai, Y.
C., & Tsai, S. L. (2008). A study of psychological response
and management of the clinical nurses dealing with death.
VGH Nursing, 25(3), 268-275.]
顧艷秋(2001).護理人員的死亡態度.安寧療護雜誌,6(2),32-40。[Ku, Y. C. (2001). Nurse’s attitudes toward
death. Taiwan Journal of Hospice Palliative Care, 6(2),
32-41.]
Barbara, B., & Martha, J. F. (1991). Death anxiety and job stress
in hospice and medical-surgical nurse. The Hospice Jour-
nal, 7(3), 25-41.
Colaizzi, P. F. (1978). Psychological research as the phenom-
enologist view it. In R. Valle & M. King (Eds). Existential-
phenomenological alternatives for psychology. New York:
Oxford University Press.
Clark-Steffen, L. (1998). The meaning of peak and nadir experi-
ences of pediatric oncology nurses: Secondary analysis.
Journal of Pediatric Oncology Nursing, 15(1), 25-33.
Docherty, S. L., Miles, M. S., & Brandon, D. (2007). Searching
for “the dying point”: Providers’ experiences with pallia-
tive care in pediatric acute care. Pediatric Nursing, 33(4),
335-341.
Feldstein, M. A., & Gemma, P. B. (1995). Oncology nurses and
chronic compounded grief. Cancer Nursing, 18(3), 228-
236.
Frommelt, K. H. (1991). The effects of death education on
護理雜誌 58卷 4期‧中華民國 100年 8月
45照顧癌症病童臨終
nurses’ attitudes toward caring of terminally ill persons and
their families. The American Journal of Hospice & Pallia-
tive Care, 8(5), 37-43.
Lincoln, Y. S., & Guba, E. G. (1985). Naturalistic inquiry. Lon-don: Sage.
Papadatou, D., Martinson, I. M., & Chung, P. M. (2001). Caring for dying children: A comparative study of nurses’ experi-ences in Greece and Hong Kong. Cancer Nursing, 24(5),
402-412.Saunders, J. M., & Valente, S. M. (1994). Nurses’ grief. Cancer
Nursing, 17(4), 318-325.Sulmasy, D. P. (2002). A biopsychosocial-spiritual model for the
care of patients at the end of life. Gerontologist, 42(Spec. 3), 24-33.
Watson, J. (1985). Nursing: Human science and human care: A
theory of nursing. Norwalk, CT: Appleton-Century-Crofts.
護理雜誌 58卷 4期‧中華民國 100年 8月
Care of Children With Cancer at End-of-Life46
Providing End-of-Life Nursing Care to Children With Cancer
Chi-Wen Lu1 • Tai-Tong Wong2 • Pei-Fan Mu3*
1RN, MS, Department of Nursing, Taipei Veterans General Hospital; 2MD, Chief, Department of Pediatric Neurosurgery, Taipei Veterans General Hospital; Professor, National Yang-Ming University; 3RN, PhD,
Professor, Institute of Clinical and Community Health Nursing, National Yang-Ming University.
Abstract
Background: There has been little qualitative research in Taiwan on the experiences of nurses who encounter the moment of child’s death from their own perspective.
Purpose: Using a phenomenological approach, this study worked to understand the essence of the caring experience for nurses at the moment of a cancer child’s death from the nurses’ own perspectives.
Methods: Researchers used Colaizzi’s (1978) phenomenological method and collected data using purposive sampling and in-depth, tape-recorded interviews. Data were analyzed using the Colaizzi (1978) method. Ten registered nurses from a medical center participated into this study. The trustworthiness of the study was examined using Lincoln and Guba (1985) principles.
Results: Five major themes emerged, including introspection on caring for dying children after their death; coping patterns of nurses; toleration and ability to help to ensure the child has a good death; facing death and consoling the soul; and accompanying parents though the moment of death.
Conclusion: Study findings provide evidence-based information on nurses to care for cancer children and their fami-lies facing the moment of death.
Accepted for publication: May 30, 2011*Address correspondence to: Pei-Fan Mu, No. 155, Li-Nong St. Sec. 2, Beitou District, Taipei City 11221, Taiwan, ROC.Tel: +886-910-087630; E-mail: [email protected]