Reframing the meaning of life and professional values: A theoretical framework of facilitating professional care for terminally ill patients

被引:5
作者
Pan, Si [1 ,2 ]
Li, Xianhong [2 ]
Shen, Yan [2 ]
Chen, Jia [2 ]
Koniak-Griffin, Deborah [3 ]
机构
[1] Cent South Univ, Xiangya Hosp 2, Changsha, Peoples R China
[2] Cent South Univ, Xiangya Nursing Sch, 172 Tong Zi Rd, Changsha 410013, Hunan, Peoples R China
[3] Univ Calif Los Angeles, Los Angeles Sch Nursing, Los Angeles, CA USA
关键词
ethics; grounded theory; Chinese nurse; nursing; end of life care; values cross cultural care; NURSES EXPERIENCES; QUALITATIVE RESEARCH; PALLIATIVE CARE; DEATH; CHINA;
D O I
10.1111/nhs.12792
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
Professional values reflect nurses' understanding of how to deliver professional care, which might influence nurses' attitudes and caring behaviors during end-of-life care. However, limited research has been conducted to explore nurses' experiences of professional development during end-of-life care, and theoretical explanations are scarce about how nurses enact their professional values during the caring process. This study explored the social process of professional values involved in end-of-life care in the Chinese cultural context by adopting a constructivist grounded theory approach. Twenty semi-structured in-depth interviews with 15 nurses from three hospitals in southeastern China were conducted. A theoretical framework emerged when focusing on the social process of "reframing the meaning of life and professional values" to facilitate professional care for terminally ill patients. Three main categories were sequentially identified as "recognizing the dilemmas when caring for terminally ill patients," "applying strategies to deal with values conflict," and "reconstructing values." This theoretical framework may be applied as a practical framework for equipping nurses with effective strategies to cultivate professional values, including the provision of adequate end-of-life knowledge, and a supportive workplace environment.
引用
收藏
页码:167 / 175
页数:9
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