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唤起对老年护理实践中关怀理论的思考。

Eliciting reflections on caring theory in elderly caring practice.

机构信息

Department of Health, Care and Social Welfare, Division of Caring Sciences, University of Mälardalen, Eskilstuna, Sweden.

出版信息

Int J Qual Stud Health Well-being. 2011;6(3). doi: 10.3402/qhw.v6i3.7296. Epub 2011 Aug 19.

DOI:10.3402/qhw.v6i3.7296
PMID:21866232
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3160806/
Abstract

Caring theories are the description and conceptualization of the care that is given in caring practise by nurses and other professional caregivers with the aim of verbalizing and communicating caring phenomena. Intermittently, a theory -practice gap is given expression- that theory does not go along with clinical practice in caring.The aim of this study was an investigation into the possible disparity between theory and practice in caring by analysing nurses' lived experience of the understanding of caring theory in practice in the context of municipal elderly care.Hermeneutical phenomenology was the research approach used to explore the lived experience of caring science theories in caring practice from the perspective of 12 nurses working in municipal care for elderly.The findings shows that the nurses Impulsively described their experience of detachment to caring theory, but when describing their caring intentions, the relationship to theory became apparent, and even confirmed their practice. As such, a seedbed exists for caring theory to be reflected on and cultivated in caring praxis. However, as the nurses describe, the caring theory must be sensitive enough for the nursing practitioners to accept.The gap revealed itself on an organisational level, as the nurses' commission in municipal care did not correspond with their caring intention.We believe it is important to seriously consider what we want to achieve as a caring profession. We have to reflect on our responsibility as culture carriers and knowledge developers. We must make the disparate forces of intention and organisation become one intertwining force.

摘要

关怀理论是对护士和其他专业护理人员在关怀实践中给予的关怀的描述和概念化,旨在将关怀现象进行言语化和交流。偶尔会出现理论与实践之间的差距,即理论与关怀实践不一致。本研究旨在通过分析护士在市政老年护理背景下实践中对关怀理论的理解的亲身体验,调查关怀理论与实践之间可能存在的差异。诠释现象学是一种研究方法,用于从 12 名在市政老年护理工作的护士的角度探索关怀科学理论在关怀实践中的亲身体验。研究结果表明,护士们本能地描述了他们对关怀理论的脱节体验,但在描述他们的关怀意图时,与理论的关系变得明显,甚至证实了他们的实践。因此,为关怀理论在关怀实践中得到反思和培养提供了一个温床。然而,正如护士们所描述的,关怀理论必须足够敏感,以便护理从业者能够接受。差距在组织层面上显现出来,因为护士在市政护理中的任务与他们的关怀意图不一致。我们认为,认真考虑我们作为关怀专业人员想要实现的目标是很重要的。我们必须反思我们作为文化载体和知识开发者的责任。我们必须使意图和组织的不同力量成为一个交织的力量。

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'Caring? It's the little things we are not supposed to do anymore'.关心?是那些我们不再被允许做的小事。
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Care and caring culture as experienced by nurses working in different care environments: a phenomenological-hermeneutic study.不同护理环境下护士所体验到的护理与关怀文化:一项现象学-诠释学研究
Int J Nurs Stud. 2009 May;46(5):689-98. doi: 10.1016/j.ijnurstu.2008.12.005. Epub 2009 Jan 21.
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Lifeworld-led healthcare is more than patient-led care: an existential view of well-being.以生活世界为导向的医疗保健不仅仅是患者主导的护理:一种关于幸福的存在主义观点。
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What characterises nursing care? A hermeneutical philosophical inquiry.护理关怀的特点是什么?一项诠释学哲学探究。
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Lifeworld-led healthcare: revisiting a humanising philosophy that integrates emerging trends.以生活世界为导向的医疗保健:重新审视一种融合新趋势的人性化理念。
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