임종 환자를 간호하는 중환자실 간호사의 임재 경험
Nurses’ Presence with Patients Dying in Intensive Care Units
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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.
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.
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