與初生生命的道別－－護理人員面對死嬰護理的不安與行動

Saying Goodbye to the Newborn: The Unease and Actions of Nursing Professionals in Handling Stillbirth Care

背景：產房護理人員必須面對死嬰的情境，是無法逃避的現實，但其深層意涵需要釐清。目的：本研究目的在於探討產房護理人員面對死嬰護理的經驗。方法　採用質性研究法，以自由談的團體分析方式，曾有護理死嬰經驗的產房護理人員彼此對話與互動之過程記錄，成為本研究分析的文本。結果　護理人員從內在不安與護理行動，萃取主要主題有無法救治的不安以及面對生命的道別。無法救治的不安包括不能做什麼的罪惡感及終止生命的情緒糾葛；面對生命的道別包括母親與嬰兒間的道別以及自身與嬰兒間的道別；母親與嬰兒間的道別有關注母親的目光及承擔母嬰最後的相處，自身與嬰兒間的道別有為嬰體祈福及尊重逝去的嬰體。結論／實務應用　產房護理人員的團體對話助於展現其主體經驗，建立死嬰護理的實踐知識。

Background: Facing the death of newborns is an inescapable part of the professional responsibilities of delivery room nurses. The meaning of the inner conflict of these nurses and their nursing experience in handling newborn death is poorly addressed in nursing practice. Purpose: This research explores the stillbirth care experiences of delivery room nurses. Methods: A qualitative approach was used to investigate the stillbirth-care experiences of nurse participants. Results: The results elicited the experiences of participants with inner conflict and their resulting action caring. Main themes extracted from data include: feeling unease about being unable to provide effective treatment and the need to say goodbye to the deceased newborn. The former includes the subthemes of: guilt about doing nothing and feeling conflicted about ending a life. The latter includes: caring about and empathizing with the mother and accompanying the mother as she says goodbye to her baby. Additionally, the theme of saying a personal goodbye to the newborn baby includes praying for the baby and respecting baby's body. Conclusions/Implications for Practice: The findings of this study enhance the nursing practice knowledge of stillbirth nursing in the delivery room.