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分享创伤性事件:双重关系中的倾听者和讲述者的体验。

Sharing a traumatic event: the experience of the listener and the storyteller within the dyad.

机构信息

The Graduate Center, City University of New York, USA.

出版信息

Nurs Res. 2011 Nov-Dec;60(6):386-92. doi: 10.1097/NNR.0b013e3182348823.

Abstract

BACKGROUND

: Individuals who have experienced traumatic events often share their experiences in story form. This sharing has consequences for both storytellers and listeners. Understanding the experience of both members of the listener-storyteller dyad is of value to nurses who are often the listener within the nurse-patient dyad.

OBJECTIVE

: The aim of this study was to illuminate the experiences of the listener and the storyteller when a traumatic event is shared within the dyad.

METHODS

: The phenomenon was explored using an interpretive phenomenological approach. Participants consisted of 12 dyads, each with a storyteller and a listener. The storytellers were individuals who had been involved in U.S. Airways Flight 1549 when it crash-landed in the Hudson River in January 2009. Each storyteller identified a listener who had listened to them share their story of this event, dubbed The Miracle on the Hudson. In-depth interviews were conducted with each storyteller and each listener.

RESULTS

: Five essential themes emerged from the data: Theme 1, The Story Has a Purpose; Theme 2, The Story as a Whole May Continue to Change as Different Parts Are Revealed; Theme 3, The Story Is Experienced Physically, Mentally,Emotionally, and Spiritually; Theme 4, Imagining the "What" as well as the "What If"; and Theme 5, The Nature of the Relationship Colors the Experience of the Listener and the Storyteller. Roy's Adaptation Model of Nursing was found to be applicable to the findings of this study.

DISCUSSION

: For the participants in this study, the experience of sharing a traumatic event involved facts, feelings, and images. The story evolved as it was remembered, told, and listened to in a nonlinear, multifaceted way. The listener and the storyteller collaborated, adapted, and responded physically, mentally, emotionally, and spiritually.

摘要

背景

经历过创伤性事件的人通常会以故事的形式分享他们的经历。这种分享对讲述者和倾听者都有影响。了解听众-讲述者二人组中双方的经历,对于经常在护患二人组中充当倾听者的护士来说是有价值的。

目的

本研究旨在阐明在二人组中分享创伤性事件时倾听者和讲述者的体验。

方法

采用解释性现象学方法探讨这一现象。参与者包括 12 对讲述者和倾听者,其中讲述者是 2009 年 1 月美国航空公司 1549 号航班坠入哈德逊河时的参与者。每位讲述者都选择了一位曾倾听过他们分享这一事件的人,这一事件被称为“哈德逊奇迹”。对每位讲述者和每位倾听者进行了深入访谈。

结果

从数据中出现了五个基本主题:主题 1,故事有目的;主题 2,随着不同部分的揭示,故事可能会整体继续变化;主题 3,故事在身体、心理、情感和精神上都有体验;主题 4,想象“什么”以及“如果”;主题 5,关系的性质影响倾听者和讲述者的体验。发现罗伊的护理适应模式适用于本研究的结果。

讨论

对于本研究的参与者来说,分享创伤性事件的经历涉及事实、感受和图像。故事以非线性、多方面的方式随着记忆、讲述和倾听而演变。讲述者和倾听者在身体、心理、情感和精神上进行合作、适应和反应。

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