透過團體對話進行護理關懷的反思學習

The Reflective Learning and Caring Attitude through Group Dialogue

蔣欣欣(Hsien-Hsien Chiang) ； 許樹珍(Shuh-Jen Sheu) ； 曾雯琦(Wen-Chii Tzeng) ； 余玉眉(Yu-Mei (Yu) Chao)

《Journal of Medical Education》 15卷1期 (2011/03) Pp. 10-20

https://doi.org/10.6145/jme.201103_15(1).0002

摘要

團體對話雖然有助於學習者思辨力的發展，但對於課堂中小組對話與學習護理關懷態度的研究相當有限。本研究目的在探討團體對話促進形成關懷態度的反思學習歷程。以參與觀察方法，參與設計與執行護理導論課程，根據教師紀錄與學生反映資料，進行內容分析。結果發現團體對話中產生關懷自身與他者的反思學習歷程，包括驚奇、身陷其中、啟發三個學習的經歷階段。處於驚奇階段，學習者注意到不同於以往的學與教，激發探索的動機，身陷其中的階段，學生孕育出主動探索、相互學習與思考訓練，對自己負起責任；啟發階段，學生認識對話的價值、省察護理活動中的關懷與設定人生的目標，學習關懷他人。最後根據此反思學習歷程，討論學習者的自主性、學習的親身性以及互為主體性，對產生關懷態度的影響。

關鍵字

小組教學 ； 團體對話 ； 反思學習 ； 關懷 ； 啟發

並列摘要

While it is claimed in the nursing education that group dialogue instigates and extends students' thinking in the classroom, only few empirical studies have been undertaken to date exploring the effect of a caring attitude in this area. The aim of this study was to explore the process of reflective learning with respect to the caring attitude of students as part of the course ”Introduction to Nursing”. A qualitative designed was used based upon participant observation. The processes of reflective learning associated with the group were wondering, falling into, and enlightenment. The wondering stage facilitated students exploration of issues related to teaching and learning, which helped learning motivation. The falling into stage helped student to develop themselves, to become mutually cooperative, and to develop critical thinking. These changes enabled the student to be able to be self-responsible. The enlightening stage showed the students the essence of dialogue, the spirit of ethical care, and the meaning of life. This created students who were able to take care of others. These findings expand our knowledge of reflective learning and the attitude of caring towards self and others. This occurs through the development of learner autonomous competence, by the embodiment of experience and by intersubjectivity during learning.

並列關鍵字

small group learning ； group dialogue ； reflective learning ； caring ； illumination

參考文獻

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