Practice and Reflection on Hospice Care for Health Personnel to Family Members

• Main Authors: Yin-Chi Yang, 楊茵淇
• Other Authors: Si-Chi Chen
• Format: Others
• Language: zh-TW
• Published: 2018
• Online Access: http://ndltd.ncl.edu.tw/handle/x8t2qc

碩士 === 國立臺北教育大學 === 教育學系生命教育碩士班 === 106 === This study focuses on the practice and reflection of the health personnel and the family members in the conception of “good death”. It is hoped that the results will help to understand the caretaking experience and role adaptation of the family members of health personnel. Through the multiple perspectives of the researcher, the conception of “good death” is reflected on the patients and their family members. Therefore, the purposes of this study were: (1) understand the the practical caretaking experience of the health personnel. (2) understand the role and experiences of health personnel and what they do to help their patients prepare for a “good death.” (3) analyze the impact of health personnel and their influence ideas about the “good death.”The research object picks decides sampling (purposive sampling), and the researcher invited three health personnel to conduct in-depth interviews. Based on data analysis results, the present study reached the following conclusions: 1.Health personnel’s understanding of and experiences in hospice care before having Family Members as end-of-life patients (1) Nursing education provides the student with adequate understanding of hospice care, but students’ understanding lacks context. (2) The role played by health care professionals is embedded in a family-centered understanding of hospice care in its psycho-social and spiritual aspects. 2. Health personnel’s administering of and experiences in hospice care after having Family Members as end-of-life patients   (1) Health personnel volunteer to care for end-of-life Family Members with the intention of reducing the physical pain and mental pain experienced by the patients. (2) Health personnel naturally become the primary caregivers in their families because of their medical training, and their role transition to hospice care occurs through providing related care and meeting expectations regarding this role. (3) When health personnel, who assume a dual role, face restrictions imposed by the patients’ conditions or are overwhelmed by the burden, they become selective regarding implementing hospice care concepts. 3. Reflections on the implementation of hospice care while assuming dual roles (1) Administering hospice care to close relatives is an expression of love and care that deals with assisting patients with completing the journey of life, thereby bringing about a change in attitude toward life. (2) The experience of assuming dual roles will change professional roles and career behavior, resulting in clinical ability to be co-educated, accepted, and pioneered. (3) The dual-role family members become the communication bridge between the medical system and their own families, and it is inevitable that cognitive conflicts will occur in the mutual arteries of various relationships. (4) Assuming these dual roles tends to entrap health personnel in intra-role and inter-role conflicts; colleagues in the medical team must be capable of perceiving the presence of such conflicts to be able to provide sufficient support.