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      Dying and caring on the edge: Taiwan's surviving nurses' reflections on taking care of patients with severe acute respiratory syndrome

      research-article
      , RN, DNSc a , , RN, PhD b , , RN, MSN c , , RN, MSN d , , PhD e , , RN, MSN f , g , * , , RN, PhD h
      Applied Nursing Research
      Elsevier Inc.

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          Abstract

          In 2003, Taiwan's nurses were terrified by severe acute respiratory syndrome (SARS), and four of them sacrificed their life in the course of their work with SARS patients. This study attempted to identify the stage-specific difficulties encountered by Taiwan's surviving frontline nurses during the anti-SARS process. A two-step within-method qualitative triangulation research design was used to obtain the in-depth and confidential thoughts of 200 participants during the precaring, tangible caring, and postcaring stages. Six major types of stage-specific difficulties with and threats to the quality of care of SARS patients were identified according to each specific stage of the caring process. Four themes were further explored; these are discussed to provide a background context in obtaining better understanding of the multifaceted needs of nurses during this crisis. Consequently, a conceptual framework was developed to depict this complex phenomenon.

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          Most cited references28

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          Reconceptualization of the Uncertainty in Illness Theory

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            Ethics and SARS: lessons from Toronto.

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              Talking and Listening from Women's Standpoint: Feminist Strategies for Interviewing and Analysis

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                Author and article information

                Contributors
                Journal
                Appl Nurs Res
                Appl Nurs Res
                Applied Nursing Research
                Elsevier Inc.
                0897-1897
                1532-8201
                13 November 2007
                November 2007
                13 November 2007
                : 20
                : 4
                : 171-180
                Affiliations
                [a ]College of Nursing, National Yang-Ming University, Taipei 11221, Taiwan, R.O.C.
                [b ]Graduate Institute of Nurse Midwifery, National Taipei College of Nursing, Taipei, Taiwan, R.O.C.
                [c ]Department of Nursing, Taipei Medical University–Municipal Wan-Fang Hospital, Taipei 110, Taiwan, R.O.C.
                [d ]Department of Nursing, Taipei Medical University Hospital, Taipei, Taiwan, R.O.C.
                [e ]Department of Clinical and Counseling Psychology, National Dong Hwa University, Hualien 97401, Taiwan, R.O.C.
                [f ]Graduate Institute of Medical Science, College of Medicine, Taipei Medical University, Taipei, Taiwan, R.O.C.
                [g ]Department of Nursing, Shin Kong Wu Ho-Su Memorial Hospital, Taipei, Taiwan 111, R.O.C.
                [h ]School of Nursing, National Yang-Ming University, Taipei 11221, Taiwan, R.O.C.
                Author notes
                [* ]Corresponding authors. Yen-Chi Liao is to be contacted at Graduate Institute of Medical Science, College of Medicine, Taipei Medical University, Taipei, Taiwan, R.O.C., and Department of Nursing, Shin Kong Wu Ho-Su Memorial Hospital, Taipei, Taiwan 111, R.O.C. Tel.: +886 2 2833 2211x2351. Shuh-Jen Sheu, School of Nursing, National Yang-Ming University, Taipei 11221, Taiwan. Tel.: +886 2 2826×7271; fax: +886 2 2822×9973. r000221@ 123456ms.skh.org.tw
                Article
                S0897-1897(07)00098-5
                10.1016/j.apnr.2006.08.007
                7127079
                17996803
                c525f718-dff0-4659-ad05-e730683180d0
                Copyright © 2007 Elsevier Inc. All rights reserved.

                Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.

                History
                : 19 August 2005
                : 19 May 2006
                : 10 August 2006
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