NURSES’ SPIRITUAL DISTRESS DURING END OF LIFE DECISION MAKING: A PHENOMENOLOGICAL STUDY

A. Hidayat, W. Kongsuwan, K. Nilmanat, A. S. Siwi
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Abstract

Objectives: This study describes the meaning of Muslim nurses ’ lived experience during their involvement in End of Life (EOL) decision making in Intensive Care Unit (ICU) Methods: This study was conducted in an ICU of a government hospital in Central Java, Indonesia. Fourteen nurses were recruited as participants after they met the inclusion criteria: Muslims, working at least three years in the ICU, and willing to share their experience. Data were collected using in-depth interviews. Van Manen's hermeneutic phenomenological approach was used to analyze the data transcription. Results: Experiences of nurses' involvement in EOL decision making revealed four thematic categories. Feeling spiritual distress, understanding family’s feelings as a killer, respecting privacy, and continuing time of caring. These themes reflecting van Manen's four lived world of body, time, relation, and space. Conclusions: This study described the meaning of Muslim nurses ’ EOL decision making in ICU and influence nursing policies regarding education in EOL decision making in ICU settings.
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护士临终决策中的精神痛苦:现象学研究
目的:本研究描述了穆斯林护士在参与重症监护病房(ICU)生命终结(EOL)决策时的生活经验的意义。方法:本研究在印度尼西亚中爪哇一家政府医院的ICU进行。14名护士在符合纳入标准后被招募为参与者:穆斯林,在ICU工作至少三年,并愿意分享他们的经验。数据是通过深度访谈收集的。采用范曼南的解释学现象学方法对数据转录进行分析。结果:护士参与EOL决策的经历呈现出四个主题类别。感受精神上的痛苦,理解家人作为杀手的感受,尊重隐私,持续的关怀。这些主题反映了范马南的四个生活世界:身体、时间、关系和空间。结论:本研究描述了穆斯林护士在ICU环境下的EOL决策的意义,以及对ICU环境下的EOL决策教育的影响。
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