- 期刊
以病人為中心的照護實踐－真人圖書於精神衛生護理教育之應用
Patient-Centered Care: Implementation of Human Library in Psychiatric Mental Health Nursing Education
摘要
「以病人為中心」的照護理念是全世界醫療品質的指標，也是台灣醫療照護發展的目標之一。近年來在醫護教育中，培育學生具備提供以病人為中心的照護能力為提升未來醫療品質的重要目標。真人圖書於2000年在丹麥首次提出，是一種透過對話消除偏見，讓人們與平時不會遇到的人進行對話提升相互理解、消除隔閡的活動。這個概念涉及創造一個環境，讓來自不同背景和文化的人可以聚在一起分享他們的故事和經歷。精神衛生護理的學習經驗中，護理學生難以理解病人的疾病經驗，以及面對疾病治療甚或復健歷程的困難。為了實踐以病人為中心的照護，「以病人為師」，能夠協助護生在同理心的基礎上，理解病人罹病經驗，進而提供「以病人為中心」的照護。真人圖書成為近年來醫護教育的一種策略，提供護生獨特的學習體驗，除了提升同理心、文化敏感度、人際互動能力，亦能促進專業團隊間的協同合作能力。缺乏願意擔任真人圖書的資源、如何保護真人圖書的隱私、以及擔任真人圖書之前的準備，為護理教育介入真人圖書教學策略所面臨之挑戰。透過真人圖書讓學生與真人圖書互動，藉由完善設計的教學策略，可以幫助學生更好地了解病人的需求和經驗，提高護理人員的照護品質。
並列摘要
Patient-centered care, a global indicator of medical quality, is a key component in the improvement of health-care quality in Taiwan. To improve the quality of future medical care, current medical education prioritizes cultivating students' ability to provide patient-centered care. The Human Library project, which was first introduced in Denmark in 2000, focuses on combating prejudice by promoting dialogue between individuals who might not typically interact; the project's objective is to improve mutual understanding and overcome barriers. This concept involves the creation of an environment in which people from diverse backgrounds and cultures can gather to share their stories and experiences. Nursing students often face challenges in understanding the disease experiences of patients with mental health problems and the difficulties associated with the treatment and rehabilitation of these patients. To provide patient-centered care, nursing students should practice empathy and "learn from patients" to understand their disease experiences. In nursing education, human library has recently emerged as a strategy for providing students with a unique learning experience. This strategy improves students' empathy, cultural sensitivity, and interpersonal interaction skills and promotes collaboration among professionals. However, the implementation of this strategy in nursing education is challenging because of some obstacles. Finding individuals who are willing to serve as human books is difficult. Furthermore, protecting their privacy and training them to serve as human books must be addressed. Nevertheless, creating a human library and designing effective teaching strategies may improve the understanding of nursing students about patients' needs and experiences and enhance the quality of nursing care.