Career Choice Process for Hospice Nurses：A Narrative Research

• Main Author: 林智偉
• Other Authors: 李佩怡
• Format: Others
• Language: zh-TW
• Published: 2011
• Online Access: http://ndltd.ncl.edu.tw/handle/32482273940385646867

碩士 === 國立臺灣師範大學 === 教育心理與輔導學系碩士在職專班 === 99 === 　The purpose of this study was to uncover (1) the life themes obtained from hospice nurses’ stories and how they influenced their career choice process, (2) the factors affecting these nurses in making decisions in their career choice process, (3) the factors sustaining them in the hospice field, and (4) how the society and culture interfered in the hospice nurse career choice process. A narrative research format was employed in this study with three female hospice nurses recruited by a snowball sampling. Each participant was interviewed twice for three hours in total. Afterwards, the interview data were analyzed with holistic-content and category-content modes according to Lieblich et al. (1998). 　The various findings in this study were as follows: 1. The life themes of the three participants in this study were “looking on the bright sides of life”, ” making a breakthrough”, and ”seeking the reason for my existence”. Further, the ways in which hospice nurses’ life themes influenced their career choice process were as follows: (1) Childhood experiences acted as a key to the life theme. (2) Life themes played a crucial role in the hospice nurses’ career choice process. (3) Key events and significant others highlighted the life theme. 2. Factors affecting the hospice nurses in making decisions in their career choice process were: (1) Their decision to apply for a nursing curriculum was a compromised decision. (2) Nurses entered nursing because they wanted to have a stable career. (3) A positive attitude cultivated towards hospice nursing during the nursing education contributed to the nurses’ decision of working in hospice. 3. Factors sustaining nurses in hospice were: (1) Interpersonal support in their work and nurses’ self-preparation for nursing helped new nurses to sustain in hospice nursing. (2) Nurses had to cope with the frustrations of the profession by experiencing a period of “construction–deconstruction–reconstruction” to sustain in hospice. (3) It was helpful for nurses to remain in hospice nursing when they created their own professional concepts of nursing. (4) Encouragement by role models in nursing education could lead to nurses’ entering and staying in the hospice profession. (5) A sound supporting system helped keep nurses in hospice. (6) Satisfaction acquired in work inspired nurses to stay in hospice. (7) Experienced hospice nurses’ career arrangements were altered due to the shift and expectation of their own work. 4. The answers to the question of how the society and culture interfered in the hospice nurses’ career choice process were: (1) The image of the nursing profession has been neglected based on sexual discrimination. (2) The concepts of pursuing a diploma greatly influenced the nurses’ career choice process. (3) The public resisted hospice care due to their fear toward death. 5. Based on the findings of this study, the following conclusions could be drawn : (1) After working in hospice, nurses learned to appreciate themselves and their profession of nursing. (2) The concept of hospice helped nurses to sustain in hospice nursing. For example, to admit the personal and medical limitations in hospice nursing, is to accept one’s uniqueness. (3) Differences to which society and culture pay attention are limited in hospice care where everyone is equally treated. 　Finally, practical suggestions were proposed based on the findings of the study.