Use of hermeneutic research in understanding the meaning of desire for euthanasia

被引:21
作者
Mak, Y
Elwyn, G
机构
[1] Bradbury Hospice, Shatin, Hong Kong, Peoples R China
[2] Cardiff Univ, Swansea Clin Sch, Primary Care Res Grp, Cardiff CF1 3NS, S Glam, Wales
关键词
communication; euthanasia; Gadamer; hermeneutics; palliative care; reflective practice;
D O I
10.1191/0269216303pm775oa
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
The philosophy of palliative care is holistic, paying attention to the multidimensional needs of the terminally ill in promoting quality of life and relieving suffering. These needs have to be viewed within their cultural, temporal and social contexts. Thus in conducting patient need-based research, the patients` perspectives are vital data in providing intimate insight into the core issues of any phenomenon under study. This paper aims to illustrate the usefulness of hermeneutic philosophy in palliative care research, as demonstrated in a study to understand the meaning of desire for euthanasia directly from the terminally ill. Two particular aspects of the study are emphasized, namely the research methodology and research process, rather than its findings regarding the meaning of desire for euthanasia. Hermeneutic philosophy parallels that of palliative care, as it also values human experience and social contexts. This approach allows in-depth understanding into a phenomenon in a humane and holistic manner, with adherence to methodological and scientific rigour. The process of hermeneutic interpretation can also promote evidence-based reflective practice. The adoption of a hermeneutic attitude in clinical practice can refine professional self-development in the art of communication and caring.
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页码:395 / 402
页数:8
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