Rosa William, Estes Tarron, Watson Jean
1 Palliative Care Medicine Fellow, Memorial Sloan Kettering Cancer Center, NY, USA.
2 Founder, Conscious Dying Institute, CO, USA.
Nurs Sci Q. 2017 Jan;30(1):58-64. doi: 10.1177/0894318416680538.
Caring science is an extant theory of human relationship, guiding the profession of nursing with the understanding and application of a moral-ethical praxis that promotes, protects, and provides human dignity throughout the life continuum. Over the past 30 or more years, caring science has transformed nursing by calling for a heightened ethical perspective of human dignity in how nurses practice, educate, research, and evolve the profession. Conscious dying is a framework rooted in a human caring ontology, which strives to deepen the nurse healer's awareness in tending to a patient's dying and death, returning death to its sacred place in the cycle of life. Reflective inventories are self-reflection tools that have been used to encourage nurses' personal growth and development and may be utilized in individual or group settings. The purpose herein is to introduce an emerging metaparadigm that links self to system, interweaving and integrating the teachings of caring science and conscious dying through the use of reflective inventories for both the individual nurse and collective of nursing.
关怀科学是一种现存的人际关系理论，通过理解和应用一种道德伦理实践来指导护理专业，这种实践在生命的整个连续过程中促进、保护并赋予人类尊严。在过去30多年里，关怀科学通过呼吁在护士的实践、教育、研究及职业发展中提升对人类尊严的伦理视角，改变了护理行业。有意识的死亡是一个植根于人类关怀本体论的框架，它努力加深护士治疗者在照顾患者死亡方面的意识，使死亡回归到其在生命循环中的神圣位置。反思清单是用于鼓励护士个人成长和发展的自我反思工具，可用于个人或团体环境。本文的目的是引入一种新兴的元范式，该范式将自我与系统联系起来，通过为个体护士和护理集体使用反思清单，将关怀科学和有意识的死亡的教义相互交织并整合在一起。
