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建構照顧情境中的專業自我-自身與他者之間

Constructing One's Professional Self in the Caring Context: Between Self and Others

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摘要


本研究旨在探討照顧關係中專業自我呈現的面貌,找出形成專業自我的脈絡結構。研究者以參與觀察的方式,主持護理人員成長團體,此團體分別在精神科與腫瘤科病房會議室舉行,各進行十二次,共計二十四次。本研究將團體互動內容之錄音轉錄為文字,採用繼續比較分析的方式,找出專業角色執行的四種型態:保存自己、以己度人、由人觀己、超越自身;並且經由對四種角色型態的分析,討論科技、歷史、召喚與形構專業自我的關係,構成專業自我的概念架構。本研究結果可做為健康專業人員檢視自己的參考,使其能適時調整自己,開展合於倫理的照顧活動。

並列摘要


The purpose of this qualitative study was to encourage discussion and team reflection on working as a nurse and to develop the self-knowledge of the participants by group dialogue. The authors, as facilitators of the group, conducted 12 sessions for supportive groups made up of nurses in psychiatric and oncological units of a teaching general hospital. All of the groups, 24 sessions in all, were held for the nurses immediately after the nurses had observed the interactional process of an inpatients' group. The data were collected through the tape-recording of the group interactions and were analyzed using constant comparative analysis. Results revealed four different states of professional self among the nurses: self-preservation, self-interpretation, self-mirroring and self-transcendence. These states of professional self provide a framework that can be reflected upon and they challenge the traditional approach to nursing practice. The results are discussed in term of the influence of personal life history, technology and the professional ”calling”, as part of the participants' exploration of their professional self.

參考文獻


Barnard, A.(2002).Philosophy of Technology and Nursing.Nursing Philosophy.3
Bowden, P.(2000).An 'Ethic of Care' in Clinical Settings: Encompassing 'Feminine ' and 'Feminist' Perspectives.Nursing Philosophy.1
Canales, M. K.(2000).Othering: Toward An Understanding of Difference.Advances in Nursing Science.22(4)
Chinn, P. L., Kramer, M. K.(1999).Theory and Nursing: Integrated Knowledge Development.Missouri:Mosby.
Denzin, N. K.(1989).Interpretive Interactionism.London:Sage.

被引用紀錄


歐美、劉盈君、黃靖淇、招雁翔、李作英、蔣欣欣(2013)。護理人員在護持與承擔中的轉化-以臨終照護反思團體為例護理雜誌60(3),31-39。https://doi.org/10.6224/JN.60.3.31

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