探討醫院安寧療護團隊成員工作調適之歷程

施勝烽

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Health & Medical Care > Hospital Administration & Medical Affair Management
College of Public Health > Master's Program, Graduate Institute of Health Services Administration
Social Sciences > Management

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探討醫院安寧療護團隊成員工作調適之歷程

The Adjusting Process of Members in a Hospice Care Team

施勝烽 , Masters　　Advisor：賴俊雄　　Co-advisor ：龍紀萱

繁體中文

安寧療護團隊；工作調適；質性研究；焦點團體訪談；安寧四重奏； Hospice Care Team ； Work Adjustments ； Qualitative Research Method ； Focus Group Interviews ； Quartet of Hospice

Abstract │ Reference (143) │ Times Cited (1) │ Altmetrics

Abstract 〈TOP〉

Parallel Abstract 〈TOP〉

Objectives: The correlation between practitioners and their works in a hospice care team was mainly concerned in this study. According to clinic experiences, we analyzed what these practitioners could adopt in their work adjustments while facing psychic approaches and mental changes of patients and their families, suffering from impending death or even death.
Methods: This study introduced qualitative research method. We chose five hospitals as our focus group interviews from Taiwan hospitals by purposive sampling, which had instituted palliative care wards and had practitioners with experiences of hospice care for more than half a year. Successively, we edited these amended full transcripts of interviews and further coded the raw data into significant one according to the category of the interview outline to catch the connotation of education and training.
Results: With different learning environments in growth and various affairs in works, a practitioner would adjust himself/herself to daily care assignments differently from others. The study found that it could put practitioners under more stress unconsciously to not only face patient’s predictable death, unknown fears, body-mind-spirit needs and emotional fluctuations but also give patient’s families affected by death of loved one supports in minds and responding emotions. Therefore, practitioners should often repair their own values of life and share the replications of clinic experiences with others to help families adapt themselves to the overwhelmed grief and further live from it.
Conclusions: This study summarized the key of practitioner’s work adjustments and associated dimensions, which was called “quartet of hospice”, included self-consciousness, self-modulation, the transduction of experiences and the sharing of knowledge. In detail, we obtained four important conclusions as the following: Firstly, practitioner’s negative affected emotions would be decreasing with the injection of education and training. Secondly, near ninety percents of these practitioners thought that spiritual issues (needs, care, distress and growth) should have meaningful faiths such as various interpretations of life deriving from different religions. Thirdly, the emotion-regulation activities for  practitioner’s negative/positive emotions, stressors (duty assignments) and respondence of stress included leaving from workplaces for relaxation, accepting education and training, sharing with others, participating in study groups, seeking support groups and discussing clinical experiences through the electronic media. Fourthly, except for building a high degree of trust and interaction between practitioners, a practitioner should modulate individual self such as strengthening confidence in professional field in order to promote the sharing of knowledge. As a result, practitioners should be concentrated on improving the quality of care rather than patient’s good death with not only the clinic experiences but also education and training.

Reference ( 143 ) 〈TOP〉

Anderson, C. (2002). Past Victim Future Victim. Nursing Management, 33(3), 26-30.
連結：
Bensley, K. B. (1975). Death Education as A Learning Experence. Washington, D. C. Clearinghouse on Teacher Education. (ERIC Document Reproduction Service No.ED115850)
連結：
Dein, S. (2005). The stresses of volunteering in a hospice: a Qualitative study. Palliative Medicine, 19, 58-64.
連結：
Elisabeth, K. R. (2006). On Death and Dying. California: Putnam Press.
連結：
Hannigan, B., Edwards, D., & Burnard, P. (2004). Stress and management in psychology: Findings from a systematic review. Journal of Mental Health, 13(3), 235-245.
連結：

Times Cited (1) 〈TOP〉

李美芬(2010)。護理人員照護癌末病患身心困擾及相關因子探討。中山醫學大學護理學系學位論文。2010。1-94。

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