关键词: Ambulance clinicians lived experience phenomenological hermeneutical suicidal process suicide prevention

Mesh : Humans Female Male Ambulances Adult Middle Aged Qualitative Research Loneliness / psychology Hope Communication Suicidal Ideation Suicide / psychology Attitude of Health Personnel

来  源:   DOI:10.1080/17482631.2024.2374751   PDF(Pubmed)

Abstract:
UNASSIGNED: The suicidal process contains both observable and non-observable phases, and patients have described the process as characterized by loneliness and darkness. Ambulance clinicians encounter patients in all phases of the suicidal process but little is known on what meaning this encounter has to the patients. The aim of this study was to elucidate meanings of encountering ambulance clinicians while being in a suicidal process.
UNASSIGNED: Data were collected through fifteen individual interviews with eight participants who had lived experiences of encountering ambulance clinicians. Inductive design using phenomenological hermeneutical approach was used.
UNASSIGNED: Patients are impacted by the clinicians, both in how they find their value in the situation, but also in expected trajectory. Three themes; \'Being impacted by representatives of society\', \'Being unsure of one´s own value\' and \'Regaining hope in moments of togetherness\' generated the main theme ´Navigating oneself through the eyes of the other´.
UNASSIGNED: The way ambulance clinicians communicate impacts how patients navigate themselves in the ambivalence about living or dying, and the encounter either consolidate a feeling of being a burden, or instil hope of an endurable life. Through conversation, clinicians could support the patients in taking the first steps in the journey of recovery.
摘要:
自杀过程包含可观察和不可观察的阶段,患者将这一过程描述为孤独和黑暗。救护车临床医生在自杀过程的各个阶段都会遇到患者,但对这种遭遇对患者的意义知之甚少。这项研究的目的是阐明在自杀过程中遇到救护车临床医生的含义。
数据是通过对八名参与者的15次个人访谈收集的,这些参与者曾遇到过救护车临床医生。使用现象学诠释学方法进行归纳设计。
患者受到临床医生的影响,他们如何在这种情况下找到自己的价值,但也在预期的轨迹中。三个主题;“受到社会代表的影响”,\“不确定自己的价值\”和\“在团结的时刻重新获得希望\”产生了主题“通过对方的眼睛导航自己”。
救护车临床医生的沟通方式影响了患者在生与死的矛盾情绪中如何导航,相遇要么巩固了一种负担的感觉,或者灌输持久生活的希望。通过谈话,临床医生可以支持患者在康复过程中迈出第一步.
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