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首页> 外文期刊>Journal of advanced nursing >Critical care nurses' experiences of grief in an adult intensive care unit
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Critical care nurses' experiences of grief in an adult intensive care unit

机译：重大关心护士在成人重症监护单位悲伤的经历

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Critical care nurses' experiences of grief in an adult intensive care unit. Aim. This paper is a report a study of critical care nurses' experiences of grief and their coping mechanisms when a patient dies. Background. The goal of patients entering critical care is survival and recovery. However, despite application of advanced technologies and intensive nursing care, many patients do not survive their critical illness. Nurses experience death in their everyday work, exposing them to the emotional and physical repercussions of grief. Method. This study adopted a Heideggerian phenomenological approach, interviewing eight critical care nurses. Data collection occurred in 2007/8. Interviews were transcribed verbatim and themes generated through Colaizzi's framework. Findings. Participants reported feelings of grief for patients they had cared for. The death of a patient was reported as being less traumatic if the participant had perceived the death to be a 'good death', incorporating expectedness and good nursing care. They described how a patient's death was more significant if it 'struck a chord', or if they had developed 'meaningful engagement' with the patient and relatives. They denied accessing formal support: however, informal conversations with colleagues were described as a means of coping. Participants exhibited signs of normalizing death and described how they disassociated themselves emotionally from dying patients. Conclusion. There are many predisposing factors and circumstantial occurrences that shape both the nature of care of the dying and subsequent grief. Repeated exposure to death and grief may lead to occupational stress, and ultimately burn out. Emotional disengagement from caring for the dying may have an impact on the quality of care for both the dying patient and their family.
机译：重症监护护士在成人重症监护单位悲伤的经历。目的。本文是一份报告患者死亡时悲伤的悲伤及其应对机制的经验。背景。进入关键护理的患者的目标是生存和恢复。然而，尽管应用了先进的技术和密集的护理护理，但许多患者不会在他们的危重疾病中生存。护士在他们的日常工作中经历了死亡，将它们暴露在悲伤的情感和身体上。方法。这项研究采用了海德格氏人的现象学方法，采访了八个关键护理护士。数据收集发生在2007/8。采访是通过Colaizzi框架逐字转录的逐字和主题。发现。参与者报告了他们关心的患者的悲伤感受。如果参与者认为死亡是“良好的死亡”，纳入预期和良好的护理，则报告患者的死亡是更少的创伤。他们描述了如果患者的死亡是如何更重要的，如果它“击中了和弦”，或者如果他们与患者和亲戚建立了“有意义的参与”。他们否认访问正式支持：然而，与同事的非正式对话被描述为应对方式。参与者表现出正常化死亡的迹象，并描述了它们如何从死亡患者情绪化的方式。结论。存在许多易受造成垂死和随后悲伤的关怀本质的因素和间接发生。反复接触死亡和悲伤可能会导致职业压力，最终烧坏。关心垂死的情感脱离可能对垂死的患者及其家人的照顾质量产生影响。

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