Smythe Elizabeth, Payne Deborah, Wilson Sally, Paddy Ann, Heard Kate
1Auckland University of Technology, Auckland, New Zealand.
Qual Health Res. 2014 Feb;24(2):163-71. doi: 10.1177/1049732313519704. Epub 2014 Jan 21.
In this article, we explore the nature of good postnatal care through a hermeneutic unpacking of the notion of tact, drawing on the philosophical writings of Heidegger, Gadamer, and van Manen. The tactful encounters considered were from a hermeneutic research study within a small, rural birthing center in New Zealand. Insights drawn from the analysis were as follows: the openness of listening, watching and being attuned that builds a positive mode of engagement, recognizing that the distance the woman needs from her nurse/midwife is a call of tact, that tact is underpinned by a spirit of care, within tact there are moods and tact might require firmness, and that all of these factors come together to build trust. We conclude that the attunement of tact requires that the staff member has time to spend with a woman, enough energy to engage, and a spirit of care. Women know that tactful practice builds their confidence and affects their mothering experience. Tact cannot be assumed; it needs to be nurtured and sheltered.
在本文中，我们通过对“得体”概念进行诠释学剖析，借鉴海德格尔、伽达默尔和范·曼宁的哲学著作，探讨优质产后护理的本质。所考虑的得体互动来自于新西兰一个小型乡村分娩中心的一项诠释学研究。分析得出的见解如下：倾听、观察和调适的开放性构建了一种积极的互动模式，认识到女性与护士/助产士保持的距离是得体的一种诉求，得体以关怀精神为支撑，得体之中存在情绪且得体可能需要坚定，所有这些因素共同作用以建立信任。我们得出结论，得体的调适要求工作人员有时间陪伴女性，有足够的精力参与互动，并有关怀精神。女性知道得体的做法能增强她们的信心并影响她们的育儿体验。得体不能被想当然；它需要被培育和呵护。
