A Study on the Caring Process of Nurses'' Boundary situations in the Infectious Ward--Cases of An Infectious Ward in A Medical Center

• Main Authors: Wan-yun Cheng, 鄭椀云
• Other Authors: Chang-hsiung Tsai
• Format: Others
• Language: zh-TW
• Published: 2010
• Online Access: http://ndltd.ncl.edu.tw/handle/03448983832023295209

碩士 === 南華大學 === 生死學研究所 === 99 === 　　This study aims to investigate the care experience of infectious ward nurses, through in-depth interview with ten participants of the study and the medical field observation to collect the data, and then with hermeneutic phenomenological research method in order to understand the exposed situation, death anxiety, pressure coping, and nursing-patient relationship of the nursing staffs in the course of each stage. 　 　　This study found that general pressure of nursing staffs in the Department of Infectious Disease broadly divided into the interpersonal loneliness, the pressure of class stigma, unfamiliar knowledge, the uncertainty of space situation, the pressure of walking on thin ice, and the impact resulting from critical experience, in which "the pressure of walking on thin ice" was derived from their own death anxiety, running from the initial scope of "diffusion" to the dimension of "impermanence" and "invisible". 　 　　The study found that their death attitude generally were: 1. "put into the future tense"; 2. "did not want to think about"; 3. " orally expressed they didn''t like "; 4. "established the meaning of life", etc. Their ways to coping were: 1. support of interpersonal relationships; 2."seek recognition of their families"; 3. " learn something new"; 4. engage in or perform activities conducive to health; 5. nourish themselves by being alone; 6. the accumulation of experience; 7. pay attention to the inner contemplation of the self. 　 　　The Bliks phenomenon in the field caused by death anxiety of nurses, in the actual care situation, caused nurses for their own fear of death. The researcher especially called the situation of the staff who undertook a high-risk task as "Facing Boundary Situation", and its existent characteristic showed an inauthentic existent state. Although the encountering critical experience of the "Facing Boundary Situation" opened their "conscience" , that made the being towards an authentic state. Because that death was a strong topic and would reverse osmosis to the "Facing Boundary Situation", therefore it showed a sort of free state between authentic and inauthentic. 　 　　The findings of this study showed that care course of infectious ward nurses divided into three stages-the cautious phase, the integrated phase and the escapable phase. Their nursing care was from the back status in the beginning, to "the considerate type" in the medium, and then in the late showed the care of "mercy". Finally, the researcher proposed related suggestions to provide clinical reflection and awareness for medical institutions, health care education as well as nurses.