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老人安養護機構工作人員處理機構住民死亡態度之研究-以臺北市立浩然敬老院為例

A Research on the Staff's Attitudes toward Dealing with the Death of the Residents in Long Term Care Facilities-A Case Study of Hau-Jen Senior Citizen Home in Taipei

摘要


老人安養護機構為老人群居住宿場所,死亡流動現象較社區而言高出許多,在該場域之工作人員亦無可避免地需處理服務對象死亡議題。國內現並無針對安養護機構工作人員之死亡態度做過調查,但仍可從醫療機構臨床工作者之死亡態度窺視出一般面臨瀕死者,所帶來對身、心、靈的影響。爰身處於高死亡率場域之工作人員是如何看待死亡議題?在協助處理機構住民瀕死或善後過程中,又將如何地面對其他住民及處理自己對死亡的態度與感受,是本研究關注焦點。本研究採以深度訪談方法,實地進入個案研究機構訪談八位工作人員,研究發現工作人員面對住民死亡事件有著「解脫」的認知歷程,同時也有著失落的情緒反應,工作人員除要調適失落情緒外,其角色表現亦會要求自己不能害怕、擔心在世住民的情緒受到影響。同時,工作人員對在世住民的悲傷覺知也會影響著死亡告知行為,住民死亡事件也會對工作人員產生信念與態度的轉變。研究建議機構應重視工作人員死亡教育,並提供紓解情緒管道。也建議工作人員應增加自我覺察能力,以適時提供住民死亡情緒的支持,及個別性處理住民的死亡議題,工作人員也應尋求支持系統,以提供個人之情緒紓發管道。

關鍵字

死亡態度 死亡告知

並列摘要


Long term care facilities are group residential settings for the elderly. The occurring rate of death is higher in long term care facilities than that in communities. The research focused on how the staff, who work in settings where death occurring rate were high, confronted such issues. It also tried to explore how the staff dealt with their own feeling and attitudes, and how they interacted with other elders when assisting those who were dying or those who were dead.The research interviewed 8 workers in the facility where the case study was conducted. It found that the staff went through a process of ”being relief” cognitively but felt ”loss” emotionally when dealing with death issues. The staff not only needed to deal with their own feelings of loss, but also forced themselves to be strong in order to fit into the job roles. Any effects on the emotions of other residents' were also their concerns. In addition, how the elders dealt with the feeling of loss had effects on how the staff informed the news of the death. Incidences of such could change the staff's believes and attitudes.

參考文獻


Allen, L. R.(1991).Dying Death, and Bereavement.Boston:Allyn and Bacon.
Beck, C. T.(1997).Nursing students` experiences caring for dying patients.Journal of Nursing Education.36(9),408-415.
Bitzan, J. E.,Kruzich, J. M.(1990).Interpersonal relationships of nursing home residents.The Gerontologist.30(3),385-390.
Collets, L.J.,Lester, D.(1969).The fear of death anti the fear of dying.The Journal of Psychology.12,179-181.
Depaola. S.J.,Neimeyer. R.A,Ross. S.K(1994).Death concern and attitudes toward the elderly in nursing home personnel as a function of training.Omega.29(3),231-248.

被引用紀錄


黃馨儀(2015)。照顧服務員面對照顧對象死亡之調適歷程─以某榮民之家為例〔碩士論文,長榮大學〕。華藝線上圖書館。https://doi.org/10.6833%2fCJCU.2015.00010
黃秀梅(2016)。臺北市公立安養護機構照顧工作人員執行安寧照顧經驗分享〔碩士論文,國立臺灣大學〕。華藝線上圖書館。https://doi.org/10.6342%2fNTU201602257
徐玉雪(2008)。安養機構老人對服務品質的感受及其生活適應之研究〔碩士論文,國立臺灣師範大學〕。華藝線上圖書館。https://www.airitilibrary.com/Article/Detail?DocID=U0021-0804200910291831
羅耀明(2013)。高齡者參與善終課程後善終觀點轉化之探討〔碩士論文,國立中正大學〕。華藝線上圖書館。https://www.airitilibrary.com/Article/Detail?DocID=U0033-2110201613534588
余易儒(2016)。新進醫務社工經歷個案死亡之經驗〔碩士論文,國立臺北大學〕。華藝線上圖書館。https://www.airitilibrary.com/Article/Detail?DocID=U0023-1303201714245654

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