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一位資深臨床佛教宗教師的臨終關懷經驗敘說研究=A Narrative Research on the Terminal Care Experience of a Clinical Buddhist Chaplain
Author 張瑜芳 (著)=Chang, Yu-fang (au.)
Date2021
Pages102
Publisher南華大學
Publisher Url https://www3.nhu.edu.tw
Location嘉義縣, 臺灣 [Chia-i hsien, Taiwan]
Content type博碩士論文=Thesis and Dissertation
Language中文=Chinese
Degreemaster
Institution南華大學
Department生死學系碩博士班
Advisor蔡昌雄=Tsai, Chang-hsiung
Publication year109
Keyword臨終關懷=Terminal Care; 臨床佛教宗教師=Clinical Buddhist Chaplain; 靈性照顧=Spiritual Care
Abstract本研究想探討臨終關懷場域中的臨床佛教宗教師是如何接受培訓、提供靈性關懷時的置身處境及其挑戰以及如何因應挑戰的過程。為達研究目的,本研究透過半結構式訪談大綱,訪談一位資深臨床佛教宗教師,並以Lieblich所提出的「整體─內容」敘事分析方法,進行文本的分析與描寫。研究結果如下:
一、探詢存在的真諦:不斷存在的孤獨感促使持續的追尋、死亡帶來對人際更深的理解以及臨終場域中確認服務使命。
二、臨床實踐中的磨合與挑戰:與團隊人際文化不同而難以融入、不止關懷病人也要支持與教導安寧團隊以及體會病人的苦。
三、聖俗往返揭覺察:宗教師本身有其宗教修行,但在醫院中卻需要學習與團隊溝通,其中包含以出家人身分與在家人互動的關係拿捏,然後在陪伴病人的過程中,也會遭遇各種考驗,故在服務過程中需要不斷的自我覺察。
四、苦行中找到天命:在陪伴病人中一面覺察自我一面回饋社會以及在奉獻中確認使命感。
期許本研究能擴展對臨終關懷的視野,並關注臨床宗教師的養成。最後依據研究發現及結論,提出相關建議。

This study examines how clinical Buddhist chaplains are trained to provide spiritual care in terminal care, their situatedness and its challenges, and how they cope with these challenges. For this study, a semi-structured interview outline was used to interview a senior clinical Buddhist chaplain. In addition, a narrative analysis method named whole-content proposed by Lieblich was used to analyze the narrative. The research findings are as follows:
(1)Inquiry into the true meaning of existence: the constant feeling of loneliness motivates the continuous search, death brings a deeper understanding of the human world, and the recognition of the mission of service in the Hospice.
(2)The challenges of clinical practice: the difficulty of engagement from different cultures within the team, the need to support and teach the hospice team while caring for the patient, and the need to understand the patient's suffering.
(3)The "sacred" and "secular" transition and consciousness: religious teachers have their own religious practice, but in the hospital, they need to learn to communicate with the hospice team, trying to find balance of the interaction relationship between a monk and the secular people, also in the process of accompanying patients, they will encounter various kinds of challenges, so they need to constantly being self-awareness within the process of hospice care.
(4)Find mission and calling during severe practices: in being with the patient, one is aware of oneself, and one is giving back to the community, and one affirms a sense of mission in giving.
It is my wish that the study will expand the vision of terminal care and focus on the formation of a clinical Buddhist chaplain. Finally, based on the findings and conclusions of the study, we propose relevant recommendations.
Table of contents謝誌 I
摘要 II
ABSTRACT III
目錄 IV
圖目錄 VI
表目錄 VI
第一章 緒論1
第一節 研究背景與動機 1
第二節 研究目的 4
第三節 研究問題 4
第四節 名詞釋義 5
第二章 文獻回顧 7
第一節 安寧療護與臨終關懷 7
第二節 宗教師的相關研究探討 14
第三節 靈性關懷相關研究探討 25
第三章 研究方法 29
第一節 研究取向 29
第二節 研究參與者 34
第三節 研究工具 35
第四節 研究流程 37
第五節 資料蒐集與分析 39
第六節 研究嚴謹度與研究倫理 41
第四章 結果分析與討論 43
第一節 初入臨終關懷前的生命情境 43
第二節 行走於臨終場域的修練 48
第三節 摸索靈性關懷的奧秘 60
第四節 回首臨床宗教師的實踐 71
第五節 研究討論 83
第五章 研究結論與建議 90
第一節 研究結論 90
第二節 研究建議 91
參考文獻 92
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Created date2023.05.02
Modified date2023.05.02



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