Centre of Dialogue and Organization, Department of Communication, Aalborg University, Aalborg, Denmark.
Department of Clinical Medicine, University of Aarhus, Aarhus, Denmark.
J Clin Nurs. 2020 Jun;29(11-12):1797-1807. doi: 10.1111/jocn.15272. Epub 2020 Apr 30.
To critically discuss the ontological framework of Fundamentals of Care (FoC), as developed by Uhrenfeldt, et al. (2018), Journal of Clinical Nursing, 27, 3197-3204; to suggest theoretical improvements by taking a wonder-based approach; and to show how this approach can be applied in healthcare sectors.
Based on a critical discussion of a discursive study on the ontology of FoC, studies in phenomenology of wonder and two action research projects involving "Wonder Labs," this article discusses whether the ontology and reflective practices behind FoC can be qualified further by an existential phenomenology of wonder and with practices of "Wonder Labs."
This is a discursive study critically discussing Uhrenfeldt et al.'s primary focus on dyadic and relational openness and person-oriented attentiveness in a nurse-patient relationship. This is done by unfolding the phenomenology of wonder and wonder experiences at a hospice and a hospital, and by critically examining the psychologically influenced interpretation of Heidegger.
The first attempts by Uhrenfeldt et al. to identify the philosophical roots and ontology of FoC by pointing to existential phenomenology and philosophy are acknowledged. However, in this article, we further elaborate this attempt by focusing on the phenomenology of wonder. We show that Heidegger speaking about "existential homecoming" referred to a philosophical practice focusing on the resonance with being, rather than on interpersonal and psychological relations. In conclusion, the article recognises the importance of integrating these two approaches described on the one hand as a person-oriented and lifeworld-led approach, and on the other hand as a being- and phenomenon-oriented approach to the nurse-patient relationship.
To be open to the "musicality" of the being dimension, as the core values of FoC, a wonder-based approach to value clarifications and phenomenological dialogues is pivotal for the presence of openness, trust and attentiveness of the nurse-patient relationship. The practices of the "Wonder Lab" may be an approach for training nurses in hearing the call of this "ontological resonance."
批判性地讨论 Uhrenfeldt 等人（2018 年）发表的《护理基础》（FoC）的本体论框架，该框架发表于《临床护理杂志》，第 27 卷，3197-3204 页；通过基于惊奇的方法提出理论改进，并展示如何将这种方法应用于医疗保健领域。
基于对 FoC 本体论的话语研究的批判性讨论、对惊奇现象学的研究以及涉及“惊奇实验室”的两个行动研究项目，本文探讨了 FoC 背后的本体论和反思实践是否可以通过存在主义惊奇现象学和“惊奇实验室”的实践来进一步限定。
这是一项话语研究，批判性地讨论了 Uhrenfeldt 等人的主要关注点，即护士-患者关系中二元和关系开放性以及面向人的关注。这是通过展开对临终关怀和医院的惊奇现象学和惊奇体验，并批判性地审查海德格尔的受心理学影响的解释来实现的。
承认 Uhrenfeldt 等人首次尝试通过指向存在主义现象学和哲学来确定 FoC 的哲学根源和本体论。然而，在本文中，我们通过关注惊奇现象学进一步阐述了这一尝试。我们表明，海德格尔所说的“存在性返乡”指的是一种哲学实践，侧重于与存在的共鸣，而不是人际和心理关系。总之，本文认识到将这两种方法结合起来的重要性，一方面将其描述为以人为导向和生活世界主导的方法，另一方面将其描述为护士-患者关系的存在和现象导向的方法。
为了对 FoC 的核心价值观即存在维度的“音乐性”保持开放，基于惊奇的价值澄清和现象学对话方法对于护士-患者关系的开放性、信任和关注至关重要。“惊奇实验室”的实践可能是一种培训护士倾听这种“本体论共鸣”的方法。
