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具身实践:重新发现护理的“核心”

Embodied practice: rediscovering the 'heart' of nursing.

作者信息

Draper Jan

机构信息

Faculty of Health and Social Care, Department of Nursing, The Open University, Milton Keynes, UK.

出版信息

J Adv Nurs. 2014 Oct;70(10):2235-44. doi: 10.1111/jan.12406. Epub 2014 Mar 27.

Abstract

AIM

This article explores the importance of embodiment in nursing. It examines different sources of authoritative knowledge concerning the body and embodiment. It argues that dominant scientific and medical epistemologies of the body have displaced and marginalized embodied epistemologies, creating only a partial understanding of the embodied experiences of our patients and our own embodiment as nurses.

BACKGROUND

Over the last 20 years, there has been a rapid expansion of theoretical literature concerning the body and embodiment, spanning a range of disciplines. The potential of these insights to the essentially 'body-based' practice of nursing is highly significant. However, although work in this area is now increasing, theoretical and empirical investigation of the body and embodiment in nursing has remained relatively neglected.

DESIGN

Discussion paper.

DATA SOURCES

Conventional approaches to systematic searching of the literature were not adopted for this conceptual paper. Seminal texts predominantly from nursing and sociology accompanied by more recent sources were used as a platform for theoretical reflection and to inform development of the conceptual arguments.

IMPLICATIONS FOR NURSING

The paper proposes a corporeal (re)turn to nursing practice, one that recognizes the lived embodied experience of the patient and the embodied skill and knowledge of the nurse and examines the implications for contemporary person-centred nursing practice, research and education.

CONCLUSION

At a significant juncture in nursing's history, when there is greater international focus on delivering higher standards of care, the paper calls for a repositioning of the place of embodiment in nursing.

摘要

目的

本文探讨了身体体验在护理中的重要性。它审视了有关身体和身体体验的不同权威知识来源。文章认为,占主导地位的关于身体的科学和医学认识论已经取代并边缘化了具身认识论,导致对患者的身体体验以及我们作为护士自身的身体体验只有部分理解。

背景

在过去20年里,涉及身体和身体体验的理论文献迅速扩展,涵盖了一系列学科。这些见解对于本质上基于身体的护理实践具有重大潜力。然而,尽管该领域的研究工作目前在增加,但护理中关于身体和身体体验的理论与实证研究仍相对被忽视。

设计

讨论文件。

数据来源

本概念性论文未采用传统的系统文献检索方法。主要来自护理和社会学领域的开创性文本以及近期的资料被用作理论反思的平台,并为概念论证的发展提供信息。

对护理的启示

本文提议护理实践回归身体层面,承认患者的身体体验以及护士的身体技能和知识,并审视其对当代以患者为中心的护理实践、研究和教育的影响。

结论

在护理历史的一个重要关头,当国际上更加关注提供更高标准的护理时,本文呼吁重新定位身体体验在护理中的地位。

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