治療性人際關係養成歷程要素之探討

背景　「關懷」為護理專業核心的價值，然而「關懷」的態度是需要護理人員透過自我反思，激發內在力量進而實踐。而成長團體經由彼此分享過程可以促進自我反思及期許。目的　本研究目的旨在探討精神科護理人員參與關懷(Concern)、照顧(Care)、悲憫(Compassion)(3C)成長團體後，對於治療性人際關係護理實務能力要素的成長。方法　應用質性研究法及半結構式訪談方法進行；研究對象：採立意取樣，共有八位精神科護理人員在參與(3C)成長團體後接受訪談。結果　依質性研究中內容分析法進行分析，顯示護理人員參與「3C成長團體」後，對於治療性人際關係護理實務能力的現象呈現出二個主軸層面：⑴柔軟：內在聲音、3C啟動及自我的放空。⑵促成：和病患的困難共舞、引導病患開放。結論／實務應用　結果顯示護理人員藉由「3C成長團體」，自我省思成長，在與病患建立治療性人際關係時能強化以病患為中心，落實關懷照護行為。

關鍵字

3C成長團體；治療性人際關係

並列摘要

Background: Caring is a core value of the nursing profession. While acknowledging the importance of a caring attitude, reflection is a critical skill to empowering nurses to care from their own ”inner energy”. A learning group format may facilitate reflection and inspiration through a process of sharing and practice. Purpose: The main purpose of this research was to explore the essential elements of therapeutic interpersonal relationships for psychiatric mental health nurses who had attended a 3C (concern, care and compassion) reflection group. Methods: A qualitative research method and semi-structured interview were applied in this study. Study subjects, eight psychiatric mental health nurses, were selected by purposive sampling. Interviews were conducted after subjects had participated in a 3C reflection group. Result: Content analysis was used to record the process, and rigor was assessed. Results revealed two essential elements, including (1) soften: listening to the inner voice, 3 C inspiration and self emptiness; and (2) facilitate: accompanying patients to help them to open up. Conclusions/Implications for practice: Results may provide psychiatric mental health nurses with a helpful reference concerning therapeutic nursing in terms of the patient relationship process and enhancement of interpersonal interactions.

並列關鍵字

3C learning group ； therapeutic interpersonal relationship

國際替代計量

治療性人際關係養成歷程要素之探討

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