Bond Mary Ellen
College of the Rockies, Cranbrook, British Columbia, Canada.
J Nurs Educ. 2009 Mar;48(3):132-40. doi: 10.3928/01484834-20090301-02.
Shame is identified as a universal dynamic in education. Brain-based learning theory suggests negative emotions like shame have a powerfully detrimental effect on learning. Shame theory may explain why students have difficulty identifying with professional nursing culture. Yet shame has neither been directly described nor referred to in the context of clinical nursing education. Accordingly, the aim of this article is to raise awareness among nurse educators about shame and its potential effect on students' ability to learn in clinical nursing education. This article examines shame in its many manifestations; the power to shame inherent in the clinical context; the consequences of shame on students' ability to learn; and, finally, the knowledge, skills, and attitudes needed by nurse educators to heal and prevent shaming in clinical nursing education.
羞耻感被认为是教育中的一种普遍现象。基于大脑的学习理论表明，像羞耻感这样的负面情绪对学习有极其有害的影响。羞耻理论或许可以解释为什么学生难以认同专业护理文化。然而，在临床护理教育的背景下，羞耻感既未被直接描述，也未被提及。因此，本文的目的是提高护理教育工作者对羞耻感及其在临床护理教育中对学生学习能力潜在影响的认识。本文探讨了羞耻感的多种表现形式；临床环境中固有的羞辱力量；羞耻感对学生学习能力的影响；最后，还探讨了护理教育工作者在临床护理教育中治愈和预防羞辱所需的知识、技能和态度。
