KMID : 1003020180190020112
|
|
Qualitative Research 2018 Volume.19 No. 2 p.112 ~ p.130
|
|
Nurses¡¯ Presence with Patients Dying in Intensive Care Units
|
|
Kim Ji-Young
Kim Myo-Sung
|
|
Abstract
|
|
|
Purpose: This interpretive phenomenological study explored the nurses¡¯ experiences of presence with their dying patients within the limited situation of contextual barriers imposed by ICU (intensive care unit) settings.
Methods: The Research question was ¡®What are the components and process involved in achieving a presence experience?¡¯ The 5 participants had over 3 years clinical experience in two different ICUs. Data from 9 cases of dying were obtained between December, 2017 and June, 2018 using autobiographical self-description, interviews, participation as observer method, and collected documents. Data were analyzed based on post-intentional phenomenological approach and this involved initial noting, cluster initial thematic meaning and develop thematic structure, and subsequent interpretation.
Results: The experience of presence was primary triggered by the recognition of a patient¡¯s impending death. Participants re-constructed the meaning of a patient¡¯s death and the context of an ICU. The meaning and value of nursing care were also re-constructed. The nursing presence was constructed by the intention to and sharing with the proximal time and space of patients¡¯ world.
Conclusion: Presences with patients is an essential component of the nursing practice especially in acute healthcare setting. These results will facilitate the nursing presence with their dying patients.
|
|
KEYWORD
|
|
Interpretive phenomenology, Presence, Intensive care unit, Dying
|
|
FullTexts / Linksout information
|
|
|
|
Listed journal information
|
|
|