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叙事关怀中老年人的嬉戏必要性与可能性。

The necessity and possibilities of playfulness in narrative care with older adults.

机构信息

Department of Health and Care Sciences, Faculty of Health Sciences, Centre for Care Research North, UiT The Arctic University of Norway, Tromso, Norway.

Independent Researcher, Edmonton, AB, Canada.

出版信息

Nurs Inq. 2021 Jan;28(1):e12373. doi: 10.1111/nin.12373. Epub 2020 Jul 13.

DOI:10.1111/nin.12373
PMID:32662183
Abstract

For us, narrative care is grounded in pragmatist philosophy and focused on experience. Narrative care is not merely about acknowledging or listening to people's experiences, but draws attention to practical consequences. We conceptualize care itself as an intrinsically narrative endeavour. In this article, we build on Lugones' understanding of playfulness, particularly to her call to remain attentive to a sense of uncertainty, and an openness to surprise. Playfulness cultivates a generative sense of curiosity that relies on a close attentiveness not only to the other, but to who we each are within relational spaces. Generative curiosity is only possible if we remain playful as we engage and think with experiences and if we remain responsive to the other. Through playfulness, we resist dominant narratives and hold open relational spaces that create opportunities of retelling and reliving our experiences. Drawing on our work alongside older adults, as well as people who work in long-term care, we show the possibilities of playfulness in the co-composition of stories across time. By intentionally integrating playfulness, narrative care can be seen as an intervention, as well as a human activity, across diverse social contexts, places and times.

摘要

对我们来说,叙事护理的基础是实用主义哲学,关注的是体验。叙事护理不仅仅是承认或倾听人们的经历,而是要关注实际后果。我们将护理本身概念化为一种内在的叙事努力。在本文中,我们借鉴了卢贡内斯对游戏性的理解,特别是她呼吁关注不确定性和对惊喜的开放性。游戏性培养了一种富有创造力的好奇心,这种好奇心不仅依赖于对他人的密切关注,也依赖于我们在关系空间中各自的身份。只有当我们在与经验互动和思考时保持游戏性,并对他人保持反应性,才能产生生成性的好奇心。通过游戏性,我们抵制主导叙事,开放关系空间,为重新讲述和重新体验我们的经验创造机会。通过我们与老年人以及长期护理工作者一起开展的工作,我们展示了在跨越时间的故事共同创作中游戏性的可能性。通过有意地融入游戏性,叙事护理可以被视为一种干预,也是一种跨越不同社会背景、地点和时间的人类活动。

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