初任癌症照護護理人員之主觀經驗與調適

The Living Experience of the Novice Oncology Nurses for Cancer Patient Care

照顧癌症病患是護理人員重要挑戰，本研究目的在瞭解初任護理人員照顧癌症病患之主觀經驗。研究方法採跨量性、質性三角交叉檢視法的研究。研究對象以某醫學中心癌症治療單位兩年以內的護理人員為焦點母群體，採立意取樣，共計19位護理人員均參與研究。另由19位護理人員中，隨機抽樣訪談樣本，共計6名接受訪談。量性資料以結構式問卷收集，包含護理人員壓力量表、靈性觀評量表，及因應策略量表；貿性部分採半結構式深度訪談，探討臨床護理人員照顧癌症病患之主觀經驗與調適。量性資料顯示護理人員壓力主要為神經緊繃覺；靈性觀以相信人有善良與愛的潛能；因應策略上為使用放鬆心情的方法。訪談結果發現護理人員照顧病患的經驗呈現出:認識癌症病患、護理人員對癌症的想法與感觸、護理人員與病患的思緒交流、照護行動及調適。護理人員與病患以夥伴關係共同分享而與分擔癌症處置的決策過程，促進護理專業內涵的延伸。

Nurses work together with the cancer patients experiencing the complexity of the cancer. The purpose of this study was to explore the subjective experience of the novice oncology nurses. Questionnaires and interviews were used to collect data. The quantitative instruments included the Nurse Stress Checklist, Jalowiec Coping Scale and the Spiritual Orientation Inventory. The qualitative method was an indepth interview. Nineteen nurses were invited to answer the questionnaires; 6 randomly selected nurses were interviewed. The major areas that nurses identified in the categories of stress, spiritual domain, and coping strategies were nerves, the human potential for kindness and love, and relaxation. Five major domains emerged from the interview data: Knowing the cancer patients, thoughts and feelings about cancer; interaction between nurses and patients, caring actions and coping strategies. The professional relationship transited from helping to partnership. This content extends the development of the nursing profession.