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A Study of the Empowerment Process for Cancer Patients Using Freire's Dialogical Interviewing

運用Freire 對話式會談探討癌症患者之授能過程研究

Abstracts


本文目的在了解運用Freire 對話式會談的方式,進行癌症患者授能過程之經驗,15位癌症患者接受為期3 個月時間之對話式會談,會談過程歸納出五個主題,包括建立信任關係、確認喪失能力之議題、刺激批判思考、相互創造、資源聯結與正向回饋。以開放式問題與參與式觀察,輔以個案省思雜記方式進行資料收集,以持續性比較與內容分析法進行資料分析。結果發現癌症患者授能的結果主題包括:「有信心」、「重新詮釋健康」、「重塑自我/為自己活」、「主動參與」、「協商照護目標」與「助人力量」。期望藉由本文對授能過程之洞悉經驗以做為腫瘤照護之參考。

Parallel abstracts


The aim of this study was to illustrate the empowering process for cancer patients through Freire’s dialogical interviewing. Fifteen interviewees participated in interviews over a period of three months. Five themes of dialogical interviewing for the empowering process were adopted including building rapport, assessing disempowerment issues, facilitating critical thinking, joint creation, resource connecting and positive feedback. Open-ended questions and participatory observation with reflective notes written by participants were used for data collecting. Constant comparison and content analysis were used for data analysis. The empowered outcomes at a personal level included redefining health, being confident, active involvement, revitalizing the sense of self, and the desire to live for themselves, negotiating the goals of one’s care plan and having the strength to help others. On the basis of the empowered outcomes achieved through dialogical interviewing in this study, health professionals should apply this process to build partnerships with patients and help them to overcome the suffering caused by cancer.

References


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Chally, P. S.(1992).Empowerment through teaching.Journal of Nursing Education.31(3),117-120.
Cox, K.,Minkler, M.(1980).Creating critical consciousness in health: Applications of Freire's philosophy and methods to the health care setting.International Journal Health Service.10(2),311-322.
Davison, B. J.,Degner, L. F.(1997).Empowerment of men newly diagnosed with prostate cancer.Cancer Nursing.20(3),187-196.
Ellis-Stoll, C. C.,Popkess-Vawter, S.(1998).A concept analysis on the process of empowerment.Advances in Nursing Science.20(2),62-68.

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