篇名 | 照護行動的立場——護理倫理課堂之對話 |
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卷期 | 63:6 |
並列篇名 | The Positionality of Caring Action: Small Group Dialogue in a Course on Nursing Ethics |
作者 | 蔣欣欣 |
頁次 | 069-076 |
關鍵字 | 照護的立場 、 護理倫理 、 小組教學 、 對話 、 反思 、 positionality of caring 、 nursing ethics 、 small group learning 、 dialogue 、 reflection 、 MEDLINE 、 Scopus 、 TSCI |
出刊日期 | 201612 |
DOI | 10.6224/JN.63.6.69 |
背景 護理倫理教育通常著重外在行為規範,較未提及個體的內在體驗與倫理態度的關係。
目的 本文目的是由小組教學的對話情境,探究照護行動的內在體驗,找出照護立場的內容,以充實護理倫理教育的內涵。
方法 研究者以參與觀察的方式,擔任某次護理倫理課程的主要負責設計與任課教師。以反思分析方法處理的文本資料,包括小組對話紀錄、教師反思團體紀錄、及10位學生的30份心得作業。
結果 照護行動立場包含三類項目,分別為:(一)相信的態度,包括選擇相信與深層理解;(二)價值的 釐清,包括情感的覺知與立場的覺察;( 三)自我的陶養,源自自我對話與人我對話。
結論/實務應用 「相信的態度」可促進人際間的信任關係;「價值的釐清」使照護經驗獲得整體的意義;「自我的陶養」鍛鍊出倫理的自我。
Background: The content of nursing-ethics education has typically focused on the external standards of caring behavior and neglected the relationship between the ethical attitudes and internal experiences of caregivers.
Purpose: To explore the embodied experience in order to define the positionality of caring action, which is necessary to enrich the content of nursing ethics through small-group-learning-based dialogue.
Methods: The researcher, as a participant observer, teaches a course on nursing ethics. Reflective analysis was used to analyze the data from the process of small group learning, a reflective group of faculty members, and 30 reflective journals submitted by 10 students.
Results: The results identified three items that were related to the positionality of caring action: the attitudes of belief, including the choice to belief and deep understanding; articulating the value system, including exploring affectivity and positionality; and cultivating the self through self-dialogues and dialogues with others.
Conclusion: The attitudes of belief promote trust in interpersonal relationships. Articulating the value system deepens the meaning of caring. Cultivating the self may facilitate the ethical self.