Please use this identifier to cite or link to this item:
The Hospice-Palliative Physician’s Understanding and Experience on Death Preparation - An Exploratory
death preparation,hospice and palliative care,relationship,
|Publication Year :||2019|
This study aimed to understand the experience and understanding of hospice-palliative physicians on death preparation, and intent to construct a death preparation model based on the perspective of hospice-palliative physicians. A qualitative design with semi-structured in-depth interviews was used to elicit the experience and understanding of hospice-palliative physicians on death preparation. Through criterion sampling and maximum variation sampling, a total of 11 physicians who had experience in death preparation and had more than 2-year hospice-palliative practice in medical centers, large regional or regional hospitals in Taiwan were invited. The interview data was converted into a draft by the recording file, and analyzed through the qualitative analysis method of the editing.
The formation of four themes includes the personal background of the physician, the connotation of death preparation, the barriers and coping of the death preparation process, and the assist of the death preparation process. After continuous reflection and immersion and crystallization combined with the analysis, it is found that death preparation is a process of relationship management, including dealing with the relationship between ones and oneself (self), the relationship between oneself and others (person), and the relationship between oneself and time and space (environment), and the relationship between oneself and spirituality, religion, faith, and belief (high-being). So called the model of relationship between high-being, person, environment and oneself.
This process is dynamic, with individualized preparation of the content and the way according to each person's relationship. This model must be constructed on the basis of a trust doctor-patient relationship. Physicians should have the ability of self-awareness and reflection, if a physician can understand the relationship between his four characters, he can also use these four elements to find similar points to each other, and then establish a relationship of trust. And then start death preparation.
The results of this study can be provided for other specialists, residents, and medical students in the care of the patients and helping patients and their families in the face of death.
|Appears in Collections:||醫學教育暨生醫倫理學科所|
Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.