O'Reilly Louise, Cara Chantal
Ecole des sciences infirmières, Campus de Longueuil, Université de Sherbrooke, Quebec, Canada.
Rech Soins Infirm. 2010 Dec(103):46-66.
Due to the relational nature of nursing, "being with" the person that is being cared for is an essential phenomenon in the nursing profession. Furthermore, this concept lies at the very core of the philosophy of Caring, which is, according to various authors, the essence of nursing. Using Watson's Human Caring philosophy as the disciplinary perspective, this phenomenological study has explored, with nurses working in rehabilitation (n=17), the meaning of the experience of "being with" the person cared for, as well as the nurses' perception of the contribution of this experience in the rehabilitation of the cared-for person. A total of 51 interviews, three for every participant, were analyzed using the Relational Caring Inquiry phenomenological method developed by Cara (1997). Through data analysis five eidos-themes have emerged; the following four related to the significance of "being with" the cared-for person: the importance of humanistic values at the core of care; the involvement of the nurse and the cared-for person; the reciprocal and relational dimensions of care, and the irreplaceable care experience of contextual complexity. The fifth and last eidos-theme--enhancing the body-soul-spirit harmony of the person cared-for and of the nurse--leads participants to perceive the therapeutic contribution of the experience of "being with" the cared-for person during their rehabilitation process. These results have contributed to the emergence of the meaning of the phenomenon studied: "a deep, therapeutic, and transforming human relationship". All the results lead to innovative implications and suggest possible interventions that can serve as guides to renew the clinical practice of nurses in rehabilitation, as well as the education and research in nursing science.
由于护理工作的关联性，“陪伴”被护理者是护理行业的一种基本现象。此外，这一概念处于关怀哲学的核心位置，根据不同作者的观点，关怀是护理的本质。本现象学研究以沃森的人文关怀哲学为学科视角，与从事康复护理工作的护士（n = 17）一同探讨了“陪伴”被护理者这一经历的意义，以及护士对这一经历在被护理者康复过程中所做贡献的认知。使用卡拉（1997年）开发的关系性关怀探究现象学方法，对总共51次访谈（每位参与者3次）进行了分析。通过数据分析，出现了五个本质主题；以下四个与“陪伴”被护理者的重要性相关：人文价值在护理核心中的重要性；护士与被护理者的参与；护理的互惠和关系维度，以及情境复杂性带来的不可替代的护理体验。第五个也是最后一个本质主题——增强被护理者以及护士的身心灵和谐——使参与者认识到“陪伴”被护理者的经历在其康复过程中的治疗作用。这些结果促成了所研究现象的意义的浮现：“一种深刻、具有治疗作用且能带来转变的人际关系”。所有结果都产生了创新性的影响，并提出了可能的干预措施，可作为更新康复护士临床实践以及护理科学教育与研究的指南。
