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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
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