同儕支持團體對安寧病房護理人員助益之研究

The Beneficial Effects of The Peer Support Group for Nursing Staffs in the Hospice Ward Setting

許正眉(Jeng-Mei Hsu) ； 蔡佩渝(Pei-Yu Tsai) ； 鄭適芬(Shih-Fen Cheng) ； 李佩怡(Pei-Yi Li)

《安寧療護雜誌》 17卷2期 (2012/07) Pp. 162-172

https://doi.org/10.6537/TJHPC.2012.17(2).3

摘要

研究目的：旨在探討於台灣中部某醫院安寧病房持續運作三年的同儕支持團體，對該安寧病房護理人員的效益。材料與方法：採質性研究法，立意取樣5位參與過十次（含）以上的護理人員為研究對象，邀請他們針對自己參與團體後的改變，以自我陳述的方式進行深入書寫，之後再進行文本資料的內容分析及詮釋。結果：發現同儕支持團體對護理人員的助益可歸納為兩大部分，一是內在心靈提升，分別是：覺察與接納真實的自己、設立心理界限、與他人經驗交融，體會同理人生多樣貌、關心照顧自己的情緒和靈性，及以正向態度回應困境。第二部份是外在行動改變，包含有：適當時機尋求協助、人際關係更協調，及成為別人生命中的天使。結論：同儕支持團體能協助安寧護理人員從自我的成長帶動到工作的成長，進而影響護理人員對自身的生命態度產生質變。本結果可提供醫院對安寧護理人員身心靈關懷與成長之教育訓練參考。

關鍵字

安寧療護 ； 護理人員 ； 支持團體 ； 心理成長

並列摘要

Purpose: This study explored the beneficial effects of the peer support group running for consecutive three years for the nursing staffs of the hospital-based hospice ward in Central Taiwan. Material and Method: This qualitative study recruited five nurses who had participated at least ten times among the support group members by a purposive sampling. They were invited to write down the experiences of transformation after they had participated the group using in-depth self-statements descriptions. We then did a qualitative analysis and interpretation of the contents. Results: The results were indicated that the beneficial effects of the peer support group on the nursing staffs can be summarized into two parts. The first part is the intrinsic and spiritual improvements which include awareness and acceptance of real-self, establishment of psychological boundaries, experience-blending with another, experiencing and empathizing the multi-facets of life, taking care of emotional and spiritual selves, and positive attitudes towards adversity. The second part is the external action changes which comprise seeking helps at appropriate time, smoother interpersonal relationship, and becoming an angel in another person's life. Conclusions: In summary, peer support group helped a hospice nurse advances from self-growth to better performance of works, furthermore, it played an influential role to produce an intrinsic transformation of the nurses' attitude towards life. The results may provide a learning mirror to the education and training in the aspects of personal growth and spiritual care for hospice nurses in certain hospitals.

並列關鍵字

hospice care ； nurses ； psychological growth ； support group