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題名：以焦點團體探討臺灣南部護理人員照顧愛滋病患者的經驗
書刊名：護理雜誌
作者：柯乃熒／潘純媚／馮明珠／張瑞玲／馬先芝／劉長安
作者(外文)：Ko, Nai-ying／Pan, Shung-mei／Feng, Ming-chu／Chang, Rose／Ma, Hsien-jy／Liou, Chang-an
出版日期：2002
卷期：49:3
頁次：頁37-44
主題關鍵詞：愛滋病；焦點團體；護理經驗；照顧意願；AIDS；Focus group；Experience of caring；Willingness to 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(9) 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:9
  • 共同引用共同引用:16
  • 點閱點閱:35
　　　　　本研究旨在探討護理人員照顧愛滋病患的經驗，及影響其照顧意願的因素。研究對象含三家衛生署指定愛滋病治療醫院中，28位曾經照顧過愛滋病患一年以上之護理人員。本研究採焦點團體研究法，透過團體會談及參與式觀察進行資料收集，再以內容分析法分析會談之資料，並導出質性結論。護理人員照顧愛滋病患之經驗共可分為「從恐慌、害怕到平常心對待」、「害怕在非預期的情況下被感染」、「照顧經驗的不足」、「被其他醫療團隊成員孤立」及「面臨治療團隊的推託」。影響繼續留守崗位照顯愛滋病患的理由分別為「病人的背景」、「角色模範的帶領」、「機關及行政主管的支持」及「在職教育」。護理人員在照顧愛滋病患時經歷著情緒及工作上的壓力，反而在醫療團隊中的招致與愛滋病患相同的社會歧視與隔離。研究結果可作為醫院主管規劃在職教育及提供護理人員行政支持等之參考，以促進醫護人員照顧愛滋病患的意願。
　　　　　The purpose of this research was to ascertain nurses'experiences of taking care of HIV/AIDS patients, and to identify their reasons for being willing to care for persons with AIDS. Five tape-recorded focus group interviews were conducted at three hospitals in Taiwan. Twenty-eight nurses from three medical centers in southern Taiwan participated. All of them had more than one year experience of caring for HIV/AIDS patients. The principal themes suggest that nurses'subjective experience of caring for HIV/AIDS patients are "a change from panic and fear, to some relief","fear of contagion in unexpected situations","limited experience in managing patients'care","being marginalized by other medial disciplines", and "being abandoned by other team members". Nurses also indicated reasons for being willing to care for HIV/AIDS patients, including"patient's characteristics","led by a role model","support from institutions", and"continuing education". Nurses are still experiencing the emotional stresses of AIDS care that occurred in the early years of the AIDS epidemic. Ironically, nurses encounter the same feelings of being stigmatized and marginalized by their colleagues as did HIV/AIDS patients.
期刊論文
1.丁志音、涂醒哲(19970600)。愛滋病風險、醫師的臨床防護及照護意願。中華公共衛生雜誌，16(3)，231-243。new window  延伸查詢new window
2.Reed, J.、Payton, V. R.(1997)。Focus group: Issues of analysis and interpretation。Journal of Advanced Nursing，26(4)，765-771。  new window
3.Twinn, S.(1998)。An analysis of the effectiveness of focus group as a method of qualitative data collection with Chinese populations in nursing research。Journal of Advanced Nursing，28(3)，654-661。  new window
4.葉素梅、阮慧沁、葛應欽(19900800)。Factors Related to the Willingness of Nurses to Care for AIDS Patient in Taiwan。高雄醫學科學雜誌，6(8)，422-427。  延伸查詢new window
5.McCaxin, T. V.(1997)。Willingness to provide care and treatment for patients with HIV/AIDS。Journal of Advanced Nursing，25(5)，1033-1039。  new window
6.黃子庭、簡瓊惠(19950300)。臺北市某醫學中心傳染科病房與非傳染科病房護理人員對愛滋病／HIV感染相關之知識、態度、採取保護措施行為與其相關因素之探討。護理研究，3(1)，27-40。new window  延伸查詢new window
7.Bennett, J.(1998)。Fear of contagion: A response to stress。Advances in Nursing Science，21(1)，46-87。  new window
8.Tierney, A. J.(1995)。HIV/AIDS-knowledge, attitudes and education of nurses: a review of the research。Journal of Clinical Nursing，4(1)，13-21。  new window
9.Jemmott, J. B. III、Freleicher, J.、Jemmott, L. S.(1992)。Perceived risk of infection and attitudes toward risk group: Determinants of nurses' behavioral intentions regarding AIDS patients。Research in Nursing & Health，15(4)，295-301。  new window
10.Wissen, K. V.、Woodman, K.(1994)。Nurses' attitudes and concerns to HIV/AIDS: A focus group approach。Journal of Advanced Nursing，20(6)，1141-1147。  new window
11.Atchison, B. J.、Beard, B. J.、Lester, L. B.(1990)。Occupational therapy personnel and AIDS: Attitudes, knowledge, and fears。American Journal of Occupational Therapy，44(3)，212-217。  new window
12.Blumenfield, M.、Smith, P. J.、Milazzo, J.、Seropian, S.、Wormser, G. P.(1987)。Survey of attitudes of nurses working with AIDS patients。General Hospital Psychiatry，9(1)，58-63。  new window
13.Bolle, J. L.(1988)。Supporting the deliverers of care: Strategies to support nurses and prevent bumout。Nursing Clinics of North America，23(4)，843-850。  new window
14.Forrester, D. A.、Murphy, P. A.(1992)。Nurses' attitudes toward patient with AIDS and AIDS-related risk factors。Journal of Advanced Nursing，17(10)，1260-1266。  new window
15.Hayward, R. A.、Weissfeld, J. L.(1993)。Coming to terms with the era of AIDS: Attitudes of physicians in residency programs。Journal of General Internal Medicine，8(1)，10-18。  new window
16.Meisenhelder, J. B.、LaCharite, C. L.(1989)。Fear of contagion: A stress response to acquired immunodeficiency syndrome。Advances in Nursing Science，11(2)，29-38。  new window
17.Millar, B.、Maggs, C.、Warner, V.、Whale, Z.(1996)。Creating consensus about nursing outcomes II Nursing outcomes as agreed by patients, nurses and other health professionals。Journal of Clinical Nursing，5(4)，263-267。  new window
18.Rae, D.、Brown, Y.、Calder, B.(1992)。Nurses' knowledge and attitudes toward patients with AIDS。Journal of Continuing Education in Nursing，23(2)，69-75。  new window
19.Roberts, P.(1997)。Planning and running a focus group。Nurse Researcher，4(4)，78-82。  new window
20.Sherman, D. W.(1996)。Nurses1 willingness to care for AIDS patients and spirituality, social support, and death anxiety。Image: Journal of Nursing Scholarship，28(3)，205-213。  new window
21.Sherman, D. W.(2000)。AIDS-dedicated nurses: What can be learned from their perceptions and experiences。Applied Nursing Research，13(3)，115-124。  new window
22.Siminoff, L. A.、Erlen, J. A.、Lidz, C. W.(1991)。Stigma, AIDS and quality of nursing care: State of the science。Journal of Advanced Nursing，16(3)，262-269。  new window
23.Valimaki, M.、Suominen, T.、Peate, I.(1998)。Attitudes of professionals, students and the general public to HIV/AIDS and people with HIV/AIDS: A review of the research。Journal of Advanced Nursing，27(4)，752-759。  new window
24.蘇逸玲(19921200)。某教學醫院護理人員對愛滋病的知識與態度之探討。榮總護理，9(4)，429-440。new window  延伸查詢new window
圖書
1.Kreuger, R.(1988)。Focus group: A practice guide for applied research。London：Sage。  new window
2.行政院衛生署防疫處(2001)。台灣地區後天免疫缺乏症候群統計表。台北：行政院衛生署防疫處。  延伸查詢new window
3.Morgan, David L.(1988)。Focus Group as Qualitative Research。Sage。  new window
4.胡幼慧、姚美華(1996)。質性研究：理論、方法及本土女性研究實例。巨流。  延伸查詢new window
 
 
 
 
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