精神科護士生涯專業意義敘說研究

Narrative Research on the Meaning of Professional Development in the Psychiatric Nurse Profession

廖珮君(Pei-Chun Liao)

《護理雜誌》 58卷4期 (2011/08) Pp. 58-68

https://doi.org/10.6224/JN.58.4.58

摘要

背景　臨床資深護士安身立命在自己護理崗位的工作歷程，可以成為護理臨床新手護士生涯發展的學習與反思。目的　透過精神科護理工作的生命故事敘說，建構其專業意義與台灣精神護理發展圖像。方法　敘說研究訪談一位在臨床近三十年的精神科護士，分析與詮釋理解個案置身在變遷的社會文化脈絡中，建構與交織護理專業的意義。結果　分為三階段：啟蒙－助人的事情、型塑－哪裡需要護士、傳承－靈性照護；並輪廓出台灣精神科護士的專業發展圖像，從以「個人」為照護效力轉型為以「專業」為照護效力。結論　個案精神護理專業意義必須透過自身與社會互動型塑而現身，個案故事可作為精神護理教育的客觀參照與省思。

關鍵字

精神科 ； 護理專業 ； 敘說研究

並列摘要

Background: The extensive clinical experience of senior nurses is a valuable resource to assist new nurses to prepare for their professional future in the clinical environment.Purpose: This study employed the professional life narratives of psychiatric nurses in Taiwan to establish professional meaning and create a development image for Taiwan psychiatric nurses.Methods: This study used a narrative approach to interview a psychiatric nurse with nearly thirty years of clinical experience. Researchers analyzed findings and constructed a new meaningful vision in light of social and cultural changes.Results: Results identified three periods, namely Enlightenment, Shaping, and Spiritual Care. Enlightenment focuses on the nurse as a helper; Shaping focuses on the fundamental need for nurses; and Transmitting focuses on spiritual care. These periods outline a development image for psychiatric care in which effectiveness of care shifts from ”individual” to ”professional”.Conclusions: The significance of caring for psychiatric patients should be perceived through shaping, which is generated by social interaction. This case study may be applied to enhance psychiatric nursing education.

並列關鍵字

psychiatry ； nursing profession ； narrative research