Chang Hsin-Yi, Feng Jui-Ying, Tseng Ren-Mei
MSN, RN, Doctoral Student, International Doctoral Program in Nursing, Department of Nursing, College of Medicine, National Cheng Kung University, Taiwan, ROC.
DNS, RN, Professor, Department of Nursing and Institute of Allied Health Sciences, College of Medicine, National Cheng Kung University, and Adjunct Supervisor, Department of Nursing, National Cheng Kung University Hospital, Taiwan, ROC.
Hu Li Za Zhi. 2018 Jun;65(3):47-57. doi: 10.6224/JN.201806_65(3).08.
Child physical abuse impacts the physical and psychological health of survivors. Healing child abuse is an essential process that helps survivors reorganize the meaning of the trauma and pursue a normal life. Considering the trauma of child physical abuse within the social context allows the experiences of individual survivors to be reflected in their process of healing.
To explore the social interaction and construction process of healing experienced by survivors of child physical abuse.
A qualitative research design using grounded theory was applied. Purposive and theoretical sampling was used to recruit survivors of childhood physical abuse who had experienced healing. Semi-structured, in-depth interviews were used and data were analyzed using open, axial, and selective coding.
The process of healing child physical abuse in this study was a process of sprouting and twining. Three core categories emerged: thriving, relationships, and ethics. The healing process was analogous to a seed growing in poor soil, sprouting out from the ground, and striving to live by seeking support. The survivors constantly established interactive relationships with their selves and with others and struggled to keep family bonds grounded and growing within the frame of ethics.
CONCLUSIONS / IMPLICATIONS FOR PRACTICE: The healing process of sprouting and twining for child physical abuse survivors in Taiwan integrates thriving, relationships, and ethics. Professionals working with child-physical-abuse survivors must recognize conflicts in ethics. Strategies should be developed to assist survivors to cope with the impact of childhood trauma in order to facilitate the healing process.
儿童身体虐待会影响幸存者的身心健康。治愈儿童虐待创伤是一个至关重要的过程，有助于幸存者重新梳理创伤的意义并追求正常生活。在社会背景下考量儿童身体虐待创伤，能使个体幸存者的经历在其治愈过程中得以体现。
探讨儿童身体虐待幸存者所经历的治愈过程中的社会互动与建构过程。
采用扎根理论的质性研究设计。运用目的抽样和理论抽样方法招募经历过治愈过程的童年期身体虐待幸存者。采用半结构化深度访谈，并运用开放编码、主轴编码和选择性编码对数据进行分析。
本研究中儿童身体虐待的治愈过程是一个萌芽与缠绕的过程。出现了三个核心类别：茁壮成长、人际关系和伦理道德。治愈过程就如同种子在贫瘠土壤中生长，破土而出，通过寻求支持努力生存。幸存者不断与自己及他人建立互动关系，并努力在伦理框架内维系和发展家庭纽带。
结论/实践启示：台湾地区儿童身体虐待幸存者的萌芽与缠绕治愈过程融合了茁壮成长、人际关系和伦理道德。与儿童身体虐待幸存者打交道的专业人员必须认识到伦理冲突。应制定策略帮助幸存者应对童年创伤的影响，以促进治愈过程。
