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明智的医疗保健专业人员:从关怀伦理视角看护理人员在情绪波动的医疗实践中的角色

The sensible health care professional: a care ethical perspective on the role of caregivers in emotionally turbulent practices.

作者信息

Baur Vivianne, van Nistelrooij Inge, Vanlaere Linus

机构信息

Universiteit voor Humanistiek, Kromme Nieuwegracht 29, 3512 HD, Utrecht, The Netherlands.

RHIZO, Kortrijk, Belgium.

出版信息

Med Health Care Philos. 2017 Dec;20(4):483-493. doi: 10.1007/s11019-017-9770-5.

Abstract

This article discusses the challenging context that health care professionals are confronted with, and the impact of this context on their emotional experiences. Care ethics considers emotions as a valuable source of knowledge for good care. Thinking with care ethical theory and looking through a care ethical lens at a practical case example, the authors discern reflective questions that (1) shed light on a care ethical approach toward the role of emotions in care practices, and (2) may be used by practitioners and facilitators for care ethical reflection on similar cases, in the particular and concrete context where issues around emotional experiences arise. The authors emphasize the importance of allowing emotions to exist, to acknowledge them and to not repress them, so that they can serve as a vehicle for ethical behavior in care practices. They stress the difference between acknowledging emotions and expressing them limitlessly. Formational practices and transformational research practices are being proposed to create moral space in care institutions and to support health care professionals to approach the emotionally turbulent practices they encounter in a way that contributes to good care for all those involved.

摘要

本文探讨了医疗保健专业人员所面临的具有挑战性的环境,以及这种环境对他们情感体验的影响。关怀伦理学将情感视为优质护理的宝贵知识来源。通过运用关怀伦理理论进行思考,并从关怀伦理的视角审视一个实际案例,作者辨别出一些反思性问题,这些问题:(1)有助于阐明在护理实践中对待情感作用的关怀伦理方法;(2)从业者和护理伦理促进者可用于在围绕情感体验问题出现的特定具体背景下,对类似案例进行护理伦理反思。作者强调允许情感存在、承认情感且不压抑情感的重要性,以便它们能成为护理实践中道德行为的载体。他们强调承认情感与无节制地表达情感之间的区别。文中提出了形成性实践和变革性研究实践,以在护理机构中创造道德空间,并支持医疗保健专业人员以有助于为所有相关人员提供优质护理的方式,应对他们所遇到的情感动荡的实践。

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