BackgroundDeath and dying remain taboo subjects in society today and therefore people may come to the end of their life without having thought about what death and dying might be like and what it is to have a good death. The purpose of this qualitative study was to understand the experience of death and dying in a hospital emergency department. Culturally, some individuals are unprepared for death, and when death occurs in an emergency setting it can be particularly shocking.MethodsA phenomenological study was undertaken, based on the existential phenomenology of Merleau‐Ponty; and framed by the nurse theorist Hildegard Peplau. Bereaved relatives and registered nurses gave in‐depth interviews describing their experiences and the interviews were analysed using an adaptation of the work of Thomas and Pollio (2002) and Hycner (1985), consistent with Merleau‐Ponty's theories.ResultsThe study brings new understanding of what it is like to die in an emergency setting through new understanding of what the accompanying relatives/friends of the deceased person experience, aided by new understanding of the experiences of emergency nurses.ConclusionsA nursing model based both on the work of Peplau (Parse et al. 2000) and on the work of the nurse theorists Ruland and Moore (1998) and Zaccara et al. (2017) was devised for use in the emergency department when death occurs. It is hoped that this model will help nurses improve the care given to this group of patients and their loved ones.

中文翻译：

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急诊科的死亡和垂死：临终关怀的新模式


背景死亡和垂死仍然是当今社会的禁忌话题，因此人们可能在没有考虑死亡和垂死可能是什么样子以及善终意味着什么的情况下走到生命的尽头。这项定性研究的目的是了解医院急诊科的死亡和垂死经历。从文化上讲，有些人对死亡毫无准备，当死亡发生在紧急情况下时，可能会特别令人震惊。方法根据 Merleau-Ponty 的存在主义现象学进行了现象学研究;并由护士理论家希尔德加德·佩普劳 （Hildegard Peplau） 构建。死者亲属和注册护士进行了深入的访谈，描述了他们的经历，并使用 Thomas 和 Pollio （2002） 以及 Hycner （1985） 的工作改编来分析访谈，这与 Merleau-Ponty 的理论一致。结果该研究通过对死者随行亲属/朋友的经历的新理解，以及对急诊护士经历的新理解，对在紧急情况下死亡的感觉有了新的理解。结论基于 Peplau 的工作（Parse 等人，2000 年）以及护士理论家 Ruland 和 Moore （1998） 以及 Zaccara 等人（2017 年）的工作，设计了一个护理模型，用于死亡发生时的急诊科。希望这种模式能帮助护士改善对这群患者及其亲人的护理。