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通过护理人员、福利工作者和患有严重智力多重残疾的人士（儿童）在日托中心的沟通创造关怀：摆脱日本的“羞耻文化”。

Creation of Care Through Communication by Nurses, Welfare Workers, and Persons (Children) With Profound Intellectual Multiple Disabilities at a Day Care Center: Emancipation From the Japanese "Shame Culture".

机构信息

Department of Pediatric Nursing, Graduate School of Medicine, Yokohama City University, Yokohama City, Kanagawa Pref, Japan.

出版信息

ANS Adv Nurs Sci. 2022;45(2):E69-E93. doi: 10.1097/ANS.0000000000000386. Epub 2021 Jun 11.

DOI:10.1097/ANS.0000000000000386
PMID:34121065
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9048620/
Abstract

This study aimed to demonstrate how persons with profound intellectual multiple disabilities (PIMD) and nurses, together with welfare workers, communicate with one another and create care at a day care center for persons with PIMD in Japan. The ethnographic method was used. The research participants were persons with PIMD and their mothers, nurses, and welfare workers. The results indicated that care aims at autonomy based on intentions in response to signs. These findings suggest that this practice emancipated persons with PIMD and their mothers from the Japanese "culture of shame" and enable their autonomy.

摘要

本研究旨在展示在日本，智障多重残疾者（PIMD）、护士、福利工作者如何在日托中心进行交流，并为 PIMD 者创造护理。采用民族志方法，研究参与者包括 PIMD 者及其母亲、护士和福利工作者。结果表明，护理以回应迹象的意图为基础，旨在实现自主性。这些发现表明，这种实践使 PIMD 者及其母亲摆脱了日本的“羞耻文化”，并实现了他们的自主性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b546/9048620/0213f268ff14/ains-45-e69-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b546/9048620/0213f268ff14/ains-45-e69-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b546/9048620/0213f268ff14/ains-45-e69-g001.jpg

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