Arbon Paul
Acute Care Nursing, University of Canberra and Canberra Hospital, Woden Act, Australia.
J Clin Nurs. 2004 Feb;13(2):150-7. doi: 10.1046/j.1365-2702.2003.00861.x.
This paper reviews research that considered the life stories of experienced nurses and the relationships between life experience, the way in which people find meaning in their experience(s), the development of nursing knowledge, and the influence of these events and understandings on the characteristics and clinical practice of experienced nurses.
The dominant perspectives in nursing about the place of experience in the development of nurses' practice are considered and the paper argues for a broader understanding of experience; placing experience within the context of nurses' lives, connection with others and their individual understandings about nursing care.
The place of experience in the development of nurses has not been well understood although the nursing discourse continues to value clinical experience highly. Becoming experienced as a nurse is described as a progressive and continuous interaction between experience, meaning and the lived world resulting in a personal and unique understanding of practice. The culture and discourse of nursing have tended to exclude or dampen individual difference and the paper considers a more expansive understanding of the place of experience and individual difference in nursing and the relevance of this perspective for the education of nurses.
本文回顾了相关研究,这些研究探讨了经验丰富的护士的人生经历,以及人生经历、人们从自身经历中寻找意义的方式、护理知识的发展,以及这些事件和认知对经验丰富的护士的特质和临床实践的影响。
考量了护理领域中关于经验在护士实践发展中的地位的主流观点,本文主张对经验有更广泛的理解;将经验置于护士生活、与他人的联系以及他们对护理的个人理解的背景中。
尽管护理话语一直高度重视临床经验,但经验在护士发展中的地位尚未得到充分理解。成为一名经验丰富的护士被描述为经验、意义与生活世界之间不断进步且持续的互动,从而形成对实践的个人独特理解。护理的文化和话语往往会排除或抑制个体差异,本文探讨了对经验和个体差异在护理中的地位有更广泛理解,以及这一观点对护士教育的相关性。