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김지영 ( Kim Ji-Young ) - 동의대학교 간호학과
김묘성 ( Kim Myo-Sung ) - 동의대학교 간호학과
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Abstract
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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.
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KeyWords
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해석학적 현상학, 임재, 중환자실, 임종
Interpretive phenomenology, Presence, Intensive care unit, Dying
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원문 및 링크아웃 정보
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등재저널 정보
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