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題名:臨床護理人員之死亡態度
書刊名:健康促進暨衛生教育雜誌
作者:郭美璋林昭光洪栩隆
作者(外文):Kuo, Mei-changLin, Chao-kuangHong, Hsu-lung
出版日期:2011
卷期:31
頁次:頁17-38
主題關鍵詞:個人建構理論現象學死亡態度臨床護理人員Personal construct theoryPheonomenologyDeath attitudeClinical nurses
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(2) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:2
  • 共同引用共同引用:83
  • 點閱點閱:5
本研究旨在了解國內臨床護理人員的死亡相關建構,以供往後醫學與護理人員臨床教育中死亡學課程的設計與國內量表研發之參考。本研究以個人建構理論為基礎,採用三角比較法,對21名招募自台北地區醫院的臨床護理人員進行半結構式的訪談。蒐集到的資料,應用「個人建構理論」與現象學的方法,來分析臨床護理人員的死亡態度。由本研究的結果顯示,臨床護理人員會因為病人的死亡或自身的存在威脅,而引起死亡焦慮。她們初期會採用自然現象、年紀、身體狀況等來確定死亡的「與我無關」,一旦有年輕人、小孩、至親好友的罹患致命疾病或死亡,這樣的防衛機轉將會崩解。臨床護理人員通常必須與病人快速建立起互相信賴關係,卻也因而更難接受病人的死亡。也不知如何面對瀕死病人的家屬、死亡的病人以及自身因而引起的負向情緒,只得形塑自己的獨特性與建立生命意義感以因應死亡。因此需要在怎麼面對自己的死亡焦慮、悲傷情緒、助人的技巧、以及與病人及其家屬的溝通技巧等事情上,多給予關懷、協助與教育。
The present study aimed to explore death attitude among clinical nurses which may be used as reference for developing death education as well as designing death attitude scale for clinical nurses and nursing school students. The theory and methodology of both Personal Construct Theory and Pheonomenology were applied to analyze semi-structured interview texts contributed by 21 clinical nurses recruited from the hospitals in Taipei area. Content analysis of these texts found that clinical nurses' death anxiety arose from facing the death of patients and threat of their own existence. At first, they used natural phenomena, age and health status as unrelated defense mechanism which collapsed when the young, children and relatives were dying or dead. They ought to build-up reliable relationship rapidly with patients and their families that made it more difficult for them to face those patients' death. Since they did not know how to deal with dying patients' families, dead patients and their own negative emotion arisen therefore, they have to shape up their own uniqueness and the meaning of their life to cope with it. Thus, it is necessary to educate and assist them how to solve their personal death anxiety and death grief, and to strengthen their skills on helping and communicating with dying patients and their families.
期刊論文
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2.Bonanno, G. A.、Wortman, C. B.、Nesse, R. M.(2004)。Prospective patterns of resilience and maladjustment during widowhood。Psychology and Aging,19(2),260-271。  new window
3.洪栩隆、張利中(20050600)。面對臨終病人之角色扮演課程對醫學院學生個人死亡建構之影響。醫學教育,9(2),162-174。new window  延伸查詢new window
4.Krieger, S. R.、Epting, F. R.、Leitner, L. M.(1974)。Personal constructs, threat, and attitudes toward death。Omega,5,299-310。  new window
5.洪栩隆、翁慧卿、張利中(20020300)。某醫學院學生之個人死亡建構。醫學教育,6(1),26-38。new window  延伸查詢new window
6.Al-Sabwah, M. N.、Abdel-Khalek, A. M.(2006)。Religiosity and death distress in arabic college students。Death Studies,30(4),365-375。  new window
7.Ott, C. H.(2003)。The impact of complicated grief on mental and physical health at various points in the bereavement process。Death Studies,27,249-272。  new window
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學位論文
1.蘇秋雲(2002)。安寧照顧志工照護經驗及其生命意義之探討(碩士論文)。慈濟大學,花蓮市。  延伸查詢new window
2.周志建(2002)。敘事治療的理解與實踐--以一個諮商個案為例之敘說研究(碩士論文)。國立臺灣師範大學。  延伸查詢new window
3.林素琴(2004)。癌末病患臨終階段照顧之現象學探討--從躁動不安到擬象轉換(碩士論文)。南華大學。  延伸查詢new window
圖書
1.趙可式、沈錦惠(1995)。活出意義來:從集中營說到存在主義。臺北:光啟文化。  延伸查詢new window
2.Rogers, Carl R.(1980)。A way of being。Boston, MA:Houghton Mifflin Company。  new window
3.張淑美(1996)。死亡學與死亡教育。高雄:復文書局。  延伸查詢new window
4.Kübler-Ross, Elisabeth(1969)。On death and dying。New York, NY:The Macmillan Company。  new window
5.鈕則誠(20030000)。醫護生死學。臺北:華杏。new window  延伸查詢new window
6.Maslow, A. H.(1968)。Toward a psychology of being。New York:Van Nostrand Reinhold Company Inc.。  new window
7.Erikson, Erik H.、Erikson, Joan M.、Kivnick, Helen Q.、周怜利(2006)。Erikson 老年研究報告--人生八大階段。台北:張老師文化。  延伸查詢new window
8.余德慧、石世明、王英偉、李維倫(2006)。臨終過程心理質變論述的探討。台北:心靈工坊。  延伸查詢new window
9.余德慧、石佳儀(2005)。生死學十四講。台北:心靈工坊。new window  延伸查詢new window
10.Kelly, G. A.(1955)。A theory of personality the psychology of personal constructs。New York:Norton。  new window
11.Landy, J. R.(1994)。Drama therapy: concepts, theories and practices。Illinois:Charles C. Thomas。  new window
12.Parkes, C. M.(1996)。Bereavement: Studies of grief in adult life。Routledge。  new window
13.Yalom, I. D.(1989)。Existential Psychotherapy。New York:Basic Books。  new window
14.Moran, D.、蔡錚雲(2005)。現象學導論。臺北:桂冠圖書公司。  延伸查詢new window
15.Maslow, Abraham Harold(1970)。Motivation and personality。Harper & Row Publishers。  new window
16.歐文.亞隆、易之新(2003)。存在心理治療。張老師。  延伸查詢new window
圖書論文
1.Neimeyer, R. A.、Epting, F. R.(1992)。Measuring personal meanings of death: 20 years of research using the Threat Index。Advances in personal construct psychology。Greenwich:JAI。  new window
2.Rosenthal, N. R.(1986)。Death education: Developing a course study for adolescents。Adolescence and death。New York:Springer Publishing。  new window
3.Rogers, C. R.(1959)。A theory of therapy, personality and interpersonal relationships as developed in the client centered framework。Psychology: A study of a science。New York:McGraw-Hill。  new window
4.Prigerson, H. G.、Jacobs, S. C.(2001)。Diagnostic criteria for traumatic grief。Handbook of bereavement research。Washington, DC:American Psychological Association。  new window
 
 
 
 
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