:::

詳目顯示

回上一頁
題名:死亡相關經驗對護理人員執行臨終照護能力之探討
書刊名:榮總護理
作者:周筱茵詹瑞君方圓媛蔡璧玲李芸湘
作者(外文):Chou, Xiao-yinChan, Jui-chunFang, Yuan-yuanTsai, Pi-lingLee, Yun-hsiang
出版日期:2019
卷期:36:3
頁次:頁266-276
主題關鍵詞:死亡相關經驗臨終照護能力Death-related experienceEnd-of-life nursing care
原始連結:連回原系統網址new window
相關次數:
  • 被引用次數被引用次數:期刊(1) 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:1
  • 共同引用共同引用:56
  • 點閱點閱:2
「死亡」在課程教育中,不是容易遇到與學習的經驗,但是護理人員透過經歷死亡相關的經驗,則有助於自身的臨終照護能力及面臨照護瀕死病人時之因應與調適。本研究目的為護理人員經歷死亡相關經驗對執行臨終照護能力之探討,進而提出教育策略及方向。研究方法以學者曾於中央研究院學術調查研究資料庫之144份死亡教育對護理畢業學生照護臨終病人的行為調查,分析死亡相關經驗對護理人員臨終照護能力之探討。結果顯示:一、死亡相關經驗中,93.0%參加過葬禮及91.7%曾照護臨終病人。二、臨終照護能力在死亡處理能力項目,以生命省察能力最佳,處理失落能力最差;在臨終照護行為項目中,以臨終祥和處理行為最佳。三、曾修習生死學、參加臨終講習、書寫生前預囑之經驗者,在死亡處理能力的表現皆優於無經驗者且達統計顯著差異(p < .05),且曾書寫生前預囑之經驗者,臨終照護行為項目之臨終祥和處理行為及維護瀕死品質表現較好並達統計顯著差異(p < .05)。建議增加死亡相關知識合併體驗課程,使護理人員在面對臨終病人時,能確實展現合宜的死亡處理能力與臨終照護行為。
Death-related issues are difficult to learn in the formal school curriculum; however, personal experiences with death can help nurses to improve their ability to provide end-of-life care and to cope and adapt when caring for an individual approaching the end of life in clinical settings. The purpose of this study was to (1) explore the correlation between end-of-life care ability and personal experiences with death among clinical nurses and (2) propose educational strategies and directions for nurses. Data were gathered from a study of the Research Center for Humanities and the Social Sciences database. A survey of "Death Education on Nursing College Students' Attitudes toward Death and Their Nursing Behaviors in Caring for the Dying Patients" was completed by144 clinical nurses and analyzed. Results showed that (1) commonly reported death-related experiences included subjects attended funerals (93.0%) and subjects had experience of caring for dying patients (91.7%). The best quality for providing end-of-life care for death competence is self-observation skills, whereas the most difficult quality is coping with grief. In addition, the best end-of-life care behavior is to make end-of-life care as peaceful as possible and (2) death-related experience factors that influenced the ability to provide end-of- life care included obtaining death education from lectures or at school, participating in end-of-life workshops, and drafting living wills. Nurses who had the above experiences had better abilities were more equipped to provide end-of-life care for death competence than those who did not, and this was statistically significant (p < .05). Furthermore, factors that influenced end-of-life nursing care behaviors included participants having drafted living wills; again, this was statistically significant (p < .05). It is recommended that lectures or workshops that include death education and simulation experience be increased, and the appropriate attitude toward death competence and the abilities of end-of-life care behaviors among nursing staff in clinics be improved when caring for dying patients.
期刊論文
1.黃國禎(20120600)。行動與無所不在學習的發展與應用。T&D飛訊,22,52-61。  延伸查詢new window
2.藍育慧、趙淑員、陳淑齡、莊照明、郭容美(20070500)。非安寧單位護理人員安寧認知、死亡恐懼與情緒困境之探討。安寧療護,12(2),156-171。new window  延伸查詢new window
3.陳玉黛、林佩芬(20041200)。影響加護單位護理人員面對瀕死病患態度之因素探討。慈濟護理雜誌,3(4),49-59。  延伸查詢new window
4.胡文郁、曾建寧、王浴、翁瑞萱(20040200)。護理系學生接受安寧緩和醫療臨床實習教育介入之成效。安寧療護,9(1),1-20。new window  延伸查詢new window
5.陳瑞娥、吳讚美(20080200)。護理人員死亡恐懼與臨終照護之探討。安寧療護,13(1),14-29。new window  延伸查詢new window
6.Hu, W.-Y.、Chiu, T.-Y.、Dai, Y.-T.、Chang, M.、Jaing, T.-H.、Chen, C. Y.(2003)。Nurses' willingness and the predictors of willingness to provide palliative care in rural communities of Taiwan。Journal of Pain and Symptom Management,26(2),760-768。  new window
7.盧璧珍、張靜安、白玉珠、蔡欣玲(20080900)。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。new window  延伸查詢new window
8.吳秀碧(20160300)。傳統喪禮儀式在哀傷諮商的省思和啟發。輔導季刊,52(1),1-13。new window  延伸查詢new window
9.陳錫琦(20030600)。某大學學生印象深刻的死亡或感覺接近死亡經驗之探討。學校衛生,42,39-58。new window  延伸查詢new window
10.陳錫琦(20041200)。大學生印象深刻的接觸死亡或感覺接近死亡經驗及其意義之探討。健康促進暨衛生教育雜誌,24,15-39。new window  延伸查詢new window
11.孫嘉玲、顏慶雲、陳施妮、郭素青、陳佩英、黃美瑜(20051200)。安寧療護課程對二專在職班護生死亡恐懼與態度之影響。元培學報,12,53-66。  延伸查詢new window
12.劉盈君、蔡育倫、蔣欣欣(20170400)。生命中可承受之重--探究臨終照護護理人員的倫理自我。護理雜誌,64(2),34-43。new window  延伸查詢new window
13.邱珍琬(20060700)。生死學討論會對準諮商員生命態度影響研究。生死學研究,4,119-162。new window  延伸查詢new window
14.胡曉玲、蔡慈儀、王凱微(20140600)。新進護理人員面對死亡之照護經驗。榮總護理,31(2),196-207。new window  延伸查詢new window
15.梁天麗、莊夢萍、陳語婷、劉文婷、劉瑗筠、謝佩芸(20111200)。護生照護瀕死病患經驗之探討。弘光學報,65,93-108。new window  延伸查詢new window
16.許玉嬌、蔡明昌(20140600)。大學護生人格特質與死亡因應能力關係之研究。學校衛生,64,25-46。  延伸查詢new window
17.陳怡潓、曾煥棠(20170700)。加護病房護理人員死亡處理能力之探討。健康科技期刊,4(1),21-43。  延伸查詢new window
18.Bugen, L. A.(1981)。Coping: Effects of death education。OMEGA-Journal of Death and Dying,11(2),175-183。  new window
19.Croxon, L.、Deravin, L.、Anderson, J.(2018)。Dealing with end of life-New graduated nurse experiences。Journal of Clinical Nursing,27(1/2),337-344。  new window
20.Dadfar, M.、Farid, A. A. A.、Lester, D.、Vahid, M. K. A.、Birashk, B.(2016)。Effectiveness of death education program by methods of didactic, experiential, and 8A model on the reduction of death distress among nurses。International Journal of Medical Research & Health Sciences,5(1),60-71。  new window
21.Ellershaw, J.、Ward, C.(2003)。Care of the dying patient: The last hours or days of life。British Medical Journal,326(7379),30-34。  new window
22.Robbins, R. A.(1991)。Bugen's coping with death scale: Reliability and further validation。Omega-Journal of Death and Dying,22(4),287-299。  new window
23.曾煥棠(19990600)。生死學對護理學院畢業生的死亡處理態度與臨終照護行為之效果探討。中華心理衛生學刊,12(2),1-21。new window  延伸查詢new window
研究報告
1.內政部戶政司、統計處(2019)。出生數、出生率、死亡數、死亡率。  延伸查詢new window
其他
1.曾煥棠(2000)。死亡教育對護理學院畢業學生照護臨終病人行為影響之研究,台北。,https://srda.sinica.edu.tw/datasearch_detail.php?id=1389。  延伸查詢new window
 
 
 
 
第一頁 上一頁 下一頁 最後一頁 top
QR Code
QRCODE