第六章 結論與建議
6.2 後續研究建議
一、不同的安寧緩和醫師如何面對自己與親人的死亡
本研究此次並未探討安寧緩和醫師面對自己死亡的態度、準備與看法。另 外,醫師面對親人死亡時的經驗與想法如何,若能夠知道不同的安寧緩和醫師本 身面對死亡的態度、經驗與看法,將更有助於未來協助病人做死亡準備。
二、其他科醫師如何協助病人面對死亡
本研究為從安寧緩和醫師出發之死亡準備觀點,其他科醫師未必適用,若未 來有機會可以再進行相關研究。
三、死亡準備與靈性照顧之間的關係
本研究發現對於安寧緩和醫師而言,死亡準備過程可適用於與靈性照顧之天 人物我關係和諧模式,但是否適用於其他職類,或其他專科醫師、其他民眾等,
還續後續研究探討。
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附 錄 附錄一 訪談指引(interview guide)
訪談前
□ 根據取樣之對象寄送邀請函並私下詢問意願
□ 與受訪者確認受訪時間與地點,並將受訪同意書與訪談大綱先寄送至受訪者 電子信箱
□ 準備相關文件(受訪同意書、訪談大綱)、準備器材(錄音筆、手機、隨身筆 記、筆)
□ 準備受訪者之訪談費用 1000 元與領據 訪談當日
□ 填寫受訪同意書與受訪者基本資料
□ 填寫計畫核銷領據、給予受訪者訪談費用
□ 進行訪談 (30 分-60 分)
□ 先進行暖場式問題(從事安寧的初衷、現在工作的類型..)
□ 再詢問訪談大綱主要問題內容
□ 結束訪談
□ 確認資料蒐集完畢
□ 感謝受訪者 訪談後
□ 請研究助理謄寫逐字稿
□ 逐字稿校對(研究者)與初步分析
□ 寄送逐字稿給受訪者檢核校對
□ 請受訪者填寫基本資料表與逐字稿校對回傳
□ 逐字稿編碼及去辨識化
□ 確認最後訪談逐字稿文本
附錄二 訪談大綱
1. 您投入安寧的契機與緣由?
2. 對您而言,甚麼是死亡準備?
3. 您如何對病人或家屬做死亡準備?在您照顧末期病人的經驗中,
有讓您印象深刻的死亡準備過程嗎?
4. 您認為何時開始做死亡準備是適當的?
5. 您覺得在死亡準備的過程中有哪些關鍵因素? 哪些是阻礙? 哪 些是助力?
6. 您覺得甚麼樣的死亡準備對您而言是完備的,您都如何確認病 人或家屬是否準備好了?
7. 面對想法不同的家屬,您如何做溝通協調,使不同成員的意見 能趨於一致,共同進入死亡準備的過程?
8. 您覺得醫師在死亡準備過程中所扮演的角色為何? 跟其他團隊
成員有何不同?
附錄三 受訪者基本資料表 1. 年齡:_____歲
2. 性別:□男 □女
3. 婚姻:□未婚 □已婚 □離婚 □分居 □鰥寡 4. 專科:□家庭醫學科 □放射腫瘤科 □血液腫瘤科
□其他 __________
5. 宗教信仰:□無 □佛教 □道教 □基督教 □天主教 □其他 _________
6. 工作年資:______年,臨床參與安寧緩和醫療工作時間 ____ 年
7. 工作醫院型態:□醫學中心 □區域醫院 □地區醫院 □診所
□其他_____
附錄四 受訪同意書
附錄五 研究倫理審查通過證明
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