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Nurses Experience of Caring for Dying Patients in Hospitals  

이명선 (서울대학교 간호대학교수, 서울대학교 간호과학 연구소)
Publication Information
Journal of Korean Academy of Nursing / v.33, no.5, 2003 , pp. 553-561 More about this Journal
Abstract
Purpose: To develop a substantive theory that represents hospital nurses' experience on caring for dying patients. Method: Grounded theory method guided the data collection and analysis. A purposeful sample of 15 hospital nurses participated during the period of 2001-2002. The data were collected by semi-structured individual interviews. All interviews were audio taped and transcribed verbatim. Constant comparative analysis was employed to analyze the data. Result: 'Putting oneself into shape while being faithful to feelings and emotions' emerged as the basic social-psychological process. Three different phases were identified: being faithful to own feelings and behaviors; putting oneself into shape; and mourning death. The first phase includes the categories of 'establishing trust relationships' and 'sympathizing with dying patients and their family members.' The second phase consists of 'controlling feelings,' 'adjusting ethical conflicts,' and 'providing best patient-care,' and 'helping family accept the jeath.' And the third phase consists of 'overcoming sadness' and 'releasing other negative feelings.' Conclusion: The result of this study will help health professionals develop efficient support programs that support nurses caring for dying patients in hospitals. Further study needs to be done to verify findings.
Keywords
Nurses; Terminal Care; Empathy;
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  • Reference
1 Benoliel, J. Q. (1985). Loss and terminal illness. Nurs Clin North Am, 20(2), 439-447
2 Choi, J. H., Byeon, J. J., Lee, S., & Han, S. H. (2001). Preferred place of death of elderly women in Seoul. J Korean Acad Fam Med, 22(6), 939-945
3 Jo, K., & Han, H. (2001). Nurses' painful experience through terminal patient. J Korean Acad Nurs, 31(6), 1055-1066
4 Kim, H. S. (1999). Critical reflective inquiry for knowledge development in nursing practice. J Adv Nurs, 29, 1205-1212   DOI   PUBMED   ScienceOn
5 Saunders, J. M., & Valente S. M. (1994). Nurses' grief. Cancer Nurs, 17(4), 318-325
6 Zack, M. V. (1991). The experience of loneliness in adult, hospitalized, dying persons. Case Western Reserve University. Ph. D. Thesis
7 Cho, Y. S., Kim, S., Martinson, I. (1992). The experience of parents whose child is dying with cancer. J Korean Aca Nurs, 22(4), 491-506
8 McCracken, G. (1988). The long interview. Newbury Park: Sage Publication Inc
9 Haberman, M. R., Germino, B. B., Maliski S., Stafford-Fox, V., & Rice, K. (1994). What makes oncology nursing special? Walking the road together. Oncol Nurs Forum, 21, 41-7
10 Jo, K., & Kim, M. J. (2001). The perception of suffering by hospice nurses. J Korean Acad Funda Nurs, 8, 35-50
11 Patton, M. Q. (1990). Qualitative evaluation and research methods (2nd ed.). Sage Publications, Ltd
12 Glaser, B., & Strauss, A. (1967). The discovery of grounded theory. Chicago: Aldine
13 Cruchet, D. (1994). Peer support helps oncology nurses deal with dying patients. Can Oncol Nurs J, 4(4). 164-7
14 Downey, V., Bengiamin, M., Heuer, L., & Juhl, N, (1995). Dying babies and associated stress in NICU nurses. J Neonatal Nurs, 14(1), 41-6
15 Munley, S. A. (1985). Sources of hospice staff stress and how to cope with it. Nurs Clin North Am, 20(2), 343-355
16 Astrom, G., Jansson, L., Norberg, A., & Hallberg, I. R. (1993). Experienced nurses' narratives of their being in ethically difficult care situations. Cancer Nurs, 16(3), 179-187
17 Raeside, L. (2000). Caring for dying babies: Perceptions of neonatal nurses. J Neonatal Nurs, 6(3), 93-9
18 Vachon, M. L. S. (1987). Team stress in palliative/hospice care. Hospice Journal- Physical, Psychosocial and Pastoral Care of the Dying, 3, 75-103
19 Yasko, J. M. (1983). Variables which predict burnout experienced by oncology nurse specialists. Cancer Nurs, 6(2), 109-116
20 Yoon, H. K., Yun, Y. H., Ou, S. W., Koh, H. J., & Huh, B. Y. (2001). Factors associated with the place of death in Korea: A population-based study. J Korean Acad Fam Med, 22(7), 1077-1085
21 Spradley, J. P. (1979). The ethnographic interview, Orlando, FL: Holt, Rinehart and Winston, Inc
22 Rasmussen, B. H., Norbery, A., & Sandman, P. O. (1995). Stories about becoming a hospice nurse. Cancer Nurs, 18(5), 344-354
23 Sand, R. B., Blackall, G. F., Abrahm, J. L., & Healey, K. (1998). A survey of physicians' education in caring for the dying: Identified training needs. J Caner Educ, 13(4), 242-247
24 Kubler-Ross, E. (1969). On death and dying. New York, NY: Simon & Schuster
25 Miles, M. B., & Huberman, A. M. (1994). Qualitative data analysis (2nd ed.). Thousand Oaks: CA, Sage Publications, Ltd
26 Benoliel, J. Q. (1967). The nurse and dying patient New York, NY: MacMillan
27 Strauss, A., & Corbin, J. (1990). Basics of qualitative research: Grounded theory procedures and techniques. Newbury Park: Sage Publications