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護理雜誌 MEDLINEScopus

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篇名 照護行動的立場——護理倫理課堂之對話
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 caringnursing ethicssmall group learningdialoguereflectionMEDLINEScopusTSCI
出刊日期 201612
DOI 10.6224/JN.63.6.69

中文摘要

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。

英文摘要

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.

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