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題名:與初生生命的道別--護理人員面對死嬰護理的不安與行動
書刊名:護理雜誌
作者:林千惠鄭凱元蔣欣欣
作者(外文):Lin, Chien-huiCheng, Kai-yuanChiang, Hsien-hsien
出版日期:2015
卷期:62:1
頁次:頁29-38
主題關鍵詞:團體互動護理感知逝嬰護理Group interactiveNurse perceptionStillbirth care
原始連結:連回原系統網址new window
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  • 被引用次數被引用次數:期刊(0) 博士論文(0) 專書(0) 專書論文(0)
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  • 共同引用共同引用:149
  • 點閱點閱:62
背景 產房護理人員必須面對死嬰的情境,是無法逃避的現實,但其深層意涵需要釐清。目的 本研究目的在於探討產房護理人員面對死嬰護理的經驗。方法 採用質性研究法,以自由談的團體分析方式,曾有護理死嬰經驗的產房護理人員彼此對話與互動之過程記錄,成為本研究分析的文本。結果 護理人員從內在不安與護理行動,萃取主要主題有無法救治的不安以及面對生命的道別。無法救治的不安包括不能做什麼的罪惡感及終止生命的情緒糾葛;面對生命的道別包括母親與嬰兒間的道別以及自身與嬰兒間的道別;母親與嬰兒間的道別有關注母親的目光及承擔母嬰最後的相處,自身與嬰兒間的道別有為嬰體祈福及尊重逝去的嬰體。結論/實務應用 產房護理人員的團體對話助於展現其主體經驗,建立死嬰護理的實踐知識。
Background: Facing the death of newborns is an inescapable part of the professional responsibilities of delivery room nurses. The meaning of the inner conflict of these nurses and their nursing experience in handling newborn death is poorly addressed in nursing practice. Purpose: This research explores the stillbirth care experiences of delivery room nurses. Methods: A qualitative approach was used to investigate the stillbirth-care experiences of nurse participants. Results: The results elicited the experiences of participants with inner conflict and their resulting action caring. Main themes extracted from data include: feeling unease about being unable to provide effective treatment and the need to say goodbye to the deceased newborn. The former includes the subthemes of: guilt about doing nothing and feeling conflicted about ending a life. The latter includes: caring about and empathizing with the mother and accompanying the mother as she says goodbye to her baby. Additionally, the theme of saying a personal goodbye to the newborn baby includes praying for the baby and respecting baby's body. Conclusions/Implications for Practice: The findings of this study enhance the nursing practice knowledge of stillbirth nursing in the delivery room.
期刊論文
1.Balaguer, A.、Martín-Ancel, A.、Ortigoza-Escobar, D.、Escribano, J.、Argemi, J.(2012)。The model of palliative care in the perinatal setting: A review of the literature。BMC Pediatrics,12(1),25。  new window
2.Barlem, E. L. D.、Lunardi, V. L.、Lunardi, G. L.、Tomaschewski-Barlem, J. G.、da Silveira, R. S.、de Lima Dalmolin, G.(201309)。Moral distress in nursing personnel。Revista Latino-Americana de Enfermagem,21,79-87。  new window
3.Breeze, A. C. G.、Lees, C. C.、Kumar, A.、Missfelder-Lobos, H. H.、Murdoch, E. M.(2007)。Palliative care for prenatally diagnosed lethal fetal abnormality。Archives of Disease in Childhood- Fetal and Neonatal Edition,92(1),F56-F58。  new window
4.Buber, M.(1957)。Guilt and guilt feelings。Psychiatry,20(2),114-129。  new window
5.Cherin, D.、Enguidanos, S.、Brumley, R.(2001)。Reflection in action in caring for the dying: Applying organizational learning theory to improve communications in terminal care。Home Health Care Services Quarterly,19(4),65-78。  new window
6.Clinton, M.(1998)。On reflection in action: Unaddressed issues in refocusing the debate on reflective practice。International Journal of Nursing Practice,4(3),10-1046。  new window
7.Fenwick, J.、Jennings, B.、Downie, J.、Butt, J.、Okanaga, M.(2007)。Providing perinatal loss care: Satisfying and dissatisfying aspects for midwives。Women and Birth,20(4),153-160。  new window
8.Gold, K. J.、Kuznia, A. L.、Hayward, R. A.(2008)。How physicians cope with stillbirth or neonatal death: A national survey of obstetricians。Obstetrics and Gynecology,112(1),29-34。  new window
9.Platzer, H.、Blake, D.、Ashford, D.(2000)。An evaluation of process and outcomes from learning through reflective practice groups on a post-registration nursing course。Journal of Advanced Nursing,31(3),689-695。  new window
10.Stockhausen, L.(2006)。Metier artistry: Revealing reflection-in-action in everyday practice。Nurse Education Today,26(1),54-62。  new window
11.Varcoe, C.、Doane, G.、Pauly, B.、Rodney, P.、Storch, J. L.、Mahoney, K.、Starzomski, R.(2004)。Ethical practice in nursing: Working the in-betweens。Journal of Advanced Nursing,5(3),316-325。  new window
12.Wallbank, S.、Robertson, N.(2013)。Predictors of staff distress in response to professionally experienced miscarriage, stillbirth and neonatal loss: A questionnaire survey。International Journal of Nursing Studies,50(8),1090-1097。  new window
13.Wool, C.(2013)。State of the science on perinatal palliative care。Journal of Obstetric Gynecologic and Neonatal Nursing,42(3),372-382。  new window
會議論文
1.蔡錚雲(2014)。護理倫理的哲學省思。護理與哲學的對話研習會,國立陽明大學護理學院主辦 。臺北市:國立陽明大學。  延伸查詢new window
圖書
1.蔣欣欣(2013)。團體心理治療。臺北市:五南圖書出版股份有限公司。  延伸查詢new window
2.陳月枝、劉淑娟、穆佩芬、趙可式、盧孳艷、徐亞瑛(2000)。質性護理研究方法。臺北:護望出版社。  延伸查詢new window
3.Nishida, K.、吳文宏(2013)。自覺中的直觀與反省。臺北市:聯經。  延伸查詢new window
4.蔣欣欣(2006)。護理照顧的倫理實踐。臺北:心理。  延伸查詢new window
5.Gadamer, H.、陳榮華(2011)。高達美詮釋學。臺北市:三民書局。  延伸查詢new window
6.Benner, Patricia(1994)。Interpretive phenomenology: Embodiment, caring, and ethics in health and illness。Thousand Oaks, CA:London:Sage。  new window
7.Moustakas, C.(1994)。Phenomenological Research Methods。Sage。  new window
8.Schön, Donald A.、夏林清、鄭村棋(2004)。反映的實踐者:專業工作者如何在行動中思考。台北:遠流。  延伸查詢new window
9.Osterman, K. F.、Kottkamp, R. B.(1993)。Reflective Practice for Educators: Improving Schooling Through Professional Development。Corwin Press, Inc.。  new window
10.Merleau-Ponty, M.、羅國祥(20080400)。可見的與不可見的。北京:商務印書館。  延伸查詢new window
11.Krueger, Richard A.、Casey, Mary A.(2000)。Focus Groups: A Practical Guide For Applied Research。Sage。  new window
12.陳來(2010)。宋明理學。臺北:允晨文化實業股份有限公司。  延伸查詢new window
13.余德慧(20010000)。詮釋現象心理學。臺北:心靈工坊文化。new window  延伸查詢new window
14.Yalom, Irvin D.(1995)。The theory and practice of group psychotherapy。Basic Books。  new window
圖書論文
1.Nelson, R. M.(2005)。Ethical decisions in the neonatal-perinatal period。Avery's diseases of the newborn。Philadephia, PA:Elsevier Saunders。  new window
 
 
 
 
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