Phillips Brian
Graduate School of Nursing & Midwifery, Victoria University of Wellington and Hutt Valley District Health Board, Lower Hutt, New Zealand.
Nurs Inq. 2007 Mar;14(1):89-94. doi: 10.1111/j.1440-1800.2007.00324.x.
A personal and professional issue that confronts all nurses is that of attempting to understand the experiences of our patients or clients. The position taken here is that understanding another person as a human being is much more than being able to explain their experience according to a particular model of ill-health. Rather, it is an issue of human dignity and respectfulness. Gadamerian hermeneutics has been used in nursing research to articulate the process of understanding and to develop interpretations of particular experiences. Gadamer's exposition of understanding shows that we need to be aware that our understanding of other people is developed through a fusion of our own history, language and culture with that of the other person. This occurs through a hermeneutic question-answer dialogue in which we put our ideas at risk of being modified or rejected in the process. Understanding then, is a perceptual and conceptual process in which we fully participate. In this way, the experience of understanding those we nurse increases our understanding of ourselves as well as enhancing our ability to further understand others.
所有护士都面临的一个个人和职业问题是试图理解我们患者或客户的经历。这里所持的观点是，将另一个人理解为一个人，远不止是能够根据特定的健康不佳模式来解释他们的经历。相反，这是一个关乎人类尊严和尊重的问题。伽达默尔诠释学已被用于护理研究，以阐明理解的过程并对特定经历进行解读。伽达默尔对理解的阐述表明，我们需要意识到，我们对他人的理解是通过我们自己的历史、语言和文化与他人的历史、语言和文化相融合而形成的。这是通过一种诠释学的问答对话发生的，在这个过程中，我们将自己的想法置于可能被修改或拒绝的风险之中。因此，理解是一个我们充分参与的感知和概念过程。通过这种方式，理解我们所护理的人的经历，既能增进我们对自己的理解，也能增强我们进一步理解他人的能力。
