Landeweer Elleke G M, Abma Tineke A, Widdershoven Guy A M
Department of Medical Humanities, VU University Medical Center, Amsterdam, the Netherlands.
ANS Adv Nurs Sci. 2010 Oct-Dec;33(4):E31-42. doi: 10.1097/ANS.0b013e3181fb2ef9.
In this article, we focus on core values of psychiatric nurses in relation to coercion and constraint. We analyze changes that took place in a project aiming at reducing coercion at a closed inpatient ward of a psychiatric hospital. Using the philosophy of Hans-Georg Gadamer and Margaret Urban Walker, we analyze both the process of moral changes through dialogue and the outcome in terms of new identities and moral responsibilities. We conclude that the project stimulated nurses to redefine their roles and develop a deeper intersubjective understanding of core values of their profession.
在本文中，我们关注精神科护士在强制与约束方面的核心价值观。我们分析了一家精神病医院封闭住院病房开展的旨在减少强制行为的项目中所发生的变化。运用汉斯-格奥尔格·伽达默尔和玛格丽特·厄本·沃克的哲学思想，我们既分析了通过对话实现道德转变的过程，也分析了在新身份和道德责任方面的成果。我们得出结论，该项目促使护士重新定义其角色，并对其职业核心价值观形成更深入的主体间理解。
