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探索厌恶感:从事姑息治疗的护士的经历叙事研究。

Explorations of disgust: A narrative inquiry into the experiences of nurses working in palliative care.

机构信息

Philosophisch-Theologische Hochschule Vallendar (PTHV), Vallendar, Germany.

Faculty of Nursing, 5-021 Edmonton Clinic Health Academy, University of Alberta, Edmonton, alberta, Canada.

出版信息

Nurs Inq. 2019 Jul;26(3):e12290. doi: 10.1111/nin.12290. Epub 2019 Feb 28.

Abstract

While feelings of disgust and repulsion are experienced and accepted as part of care practices of nurses who work in palliative care, they are often silenced. Working alongside two palliative care nurses in a hospice setting, we engaged in a narrative inquiry to inquire into their experiences of disgust. The study took place in a palliative care setting in a large urban city in Germany. We understand care practices as actions that follow a logic of care. According to a logic of care, actions are situated within a social context, given by specific relationships including power, and individual needs. Various aspects of disgust are visible in the experiences of the participants and highlighted in the narrative threads of disgust and silence, disgust and protection, and disgust and boundaries. Embedded in the experience of disgust of nurses working in palliative care, we see that there are borderlands of care that challenge who we are and are becoming. Opening discussion about disgust in nursing makes visible the complexity of care.

摘要

虽然在姑息治疗护理工作的护士的护理实践中,会经历和接受厌恶和反感等感觉,但这些感觉往往被压抑了。我们与两名姑息治疗护士在临终关怀环境中合作,进行了叙事研究,以探究他们对厌恶的体验。这项研究在德国一个大城市的姑息治疗环境中进行。我们将护理实践理解为遵循关怀逻辑的行动。根据关怀逻辑,行动处于特定关系(包括权力和个人需求)构成的社会背景中。参与者的经历中可以看到厌恶的各个方面,并在厌恶和沉默、厌恶和保护以及厌恶和边界的叙事线索中得到强调。在姑息治疗护理工作的护士的厌恶体验中,我们看到有护理的边界地带,挑战着我们现在是谁以及将来会成为谁。在护理中讨论厌恶,可以使护理的复杂性变得显而易见。

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