School of Nursing, Faculty of Health, York University, Toronto, Ontario, Canada.
J Adv Nurs. 2012 Sep;68(9):1944-55. doi: 10.1111/j.1365-2648.2011.05877.x. Epub 2011 Nov 14.
The aim of this article is to report research findings describing phenomenological shifts, that is, changes in patterns of lived experience, for healthcare professionals who attended a performance of a research-based drama, called I'm Still Here.
The research drama, based on six studies, was created to help change the ways persons understand, think about and relate with persons living with dementia.
In 2006-2007, 50 healthcare professionals from various disciplines and eight nursing students participated in this study. Participants were recruited from four Canadian cities in the province of Ontario where focus groups were held before and after engaging in a live performance of I'm Still Here.
Analysis of focus group transcripts showed shifts in patterns of lived experience for the healthcare professional participants as evident in the participants' descriptions. The phenomenological shifts reflected a move from descriptions of 'diminishing humanness to discerning humanness', from 'disengaged care/mundane relating to reflexive relating in the now', and 'terrifying portrayals of loss to awakening to hopeful possibility'. The shifts described herein are supported with examples from the focus group transcripts.
Findings reveal the power of drama as a vibrant and meaningful means of shifting understandings, images and intended actions of healthcare professions which have the potential to affect the lived experiences, relationships and quality of life of persons with dementia.
本文旨在报告研究结果，描述现象学转变，即参加基于研究的戏剧《我还在这儿》的医护人员的生活体验模式的变化。
该研究戏剧基于六项研究，旨在帮助改变人们理解、思考和与痴呆症患者相处的方式。
2006-2007 年，来自安大略省四个加拿大城市的 50 名医护专业人员和 8 名护理学生参加了这项研究。参与者是从四个加拿大城市招募的，在观看《我还在这儿》的现场表演之前和之后，他们参加了焦点小组讨论。
对焦点小组转录本的分析表明，医护专业人员的生活体验模式发生了转变，这在参与者的描述中显而易见。这些现象学转变反映了从“人类性的逐渐丧失”到“辨别人类性”，从“非参与性护理/平凡关系”到“现在的反思性关系”，以及从“可怕的失落描绘”到“对充满希望的可能性的觉醒”的转变。本文所述的转变得到了焦点小组转录本中例子的支持。
研究结果表明戏剧作为一种生动而有意义的手段具有强大的力量，可以改变医护人员的理解、形象和预期行为，从而有可能影响痴呆症患者的生活体验、人际关系和生活质量。
