篇名 | 由後現代主義的中心概念反思護病關係 |
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卷期 | 59:1 |
並列篇名 | Reflecting on Nurse-Patient Relationships Using Core Postmodernist Concepts |
作者 | 郭嘉琪 、 金繼春 、 周汎澔 |
頁次 | 072-076 |
關鍵字 | 解構 、 去中心 、 多元 、 互為主體性 、 夥伴關係 、 deconstruction 、 de-centralization 、 multiplicity 、 inter-subjectivity 、 partnership 、 MEDLINE 、 Scopus 、 TSCI |
出刊日期 | 201202 |
自有護理以來,護病關係的詮釋、維護與因應,始終是護理所關注的。隨著歷史的演變、典範的轉移,護病關係也跟著在轉變。現今醫療體系大都強調「以病人為中心」建立護病的「夥伴關係」,其代表的意涵為何?適合於所有護病情境嗎?對護病關係可能帶來什麼樣的衝擊?以及護理應該如何因應護病關係的轉變?本文試圖以後現代主義「解構(deconstruction)」、「去中心(decentralization)」、「多元(multiplicity)」、「互為主體性(inter-subjectivity)」的中心概念,剖析與反思護病關係,並衍生以病人的疾病管理為中心,以尊重與關懷為核心,以解放(emancipation)、啟蒙(enlightenment)、充能(empowerment)為方法的「雙主動」、「雙專家」之護病「夥伴關係」。
The task of defining, maintaining, and mutually adapting the nurse-patient relationship has been ongoing since modern nursing’s earliest days. The nurse-patient relationship changes with social changes
and paradigm shifts. Most medical centers today strive to incorporate the concept of partnership into the nurse-patient relationship in response to patient-centered medical care. What is the implication of this relationship? Is it suitable for all nurse-patient situations? What are the impacts on nurses and patients? How should nurses adapt to change in nurse-patient relationships? This article analyzes and reflects upon the nurse-patient relationship within a postmodernist framework guided by concepts of“deconstruction”, “de-centralization”, “multiplicity”, and “inter-subjectivity.” We derive a “dual-active”and “dual-expert” partnership between nurses and patients that centers on patient disease management.Core values of this partnership are respect and caring, and strategies include emancipation, enlightenment,and empowerment.