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題名:融滲照護、關懷及悲憫於護理問題分析及解決法
書刊名:醫護科技學刊
作者:蕭淑貞張元玫魏麗麗鈕淑芬黃美荏
作者(外文):Shiau, Shu-jenChang, Yuan-mayWei, Li-lyNiu, Shu-fenHuang, Mei-ren
出版日期:2006
卷期:8:1
頁次:頁36-45
主題關鍵詞:3C的學習行政專案問題分析問題解決法3C learningCareConcernCompassionAdministration projectProblem analysisProblem resolution
原始連結:連回原系統網址new window
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  • 被引用次數被引用次數:期刊(2) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:0
  • 共同引用共同引用:29
  • 點閱點閱:52
關懷照護是護理的核心,目前醫療品質的核心價值是以病人為中心,重視安全、有效、適時、效率、公正優質的服務(陳、徐、邱,2004)。本研究主要目的是運用照護、關懷、悲憫 (3C) 理念於護理行政專案中,具體目標在探討融滲3C於護理問題分析及解決法的學習成效。研究方法運用行動研究法,於某護理學系二技「護理領導與管理」臨床實習中,一組11位同學為研究對象,學生每週與老師討論在「行政專案」的學習,每週進度作業作為分析資料,比較初次與末次「問題分析」以及「問題解決」作業,將與3C有關的敘述作為行為單元,以質性內容分析法分析。結果呈現學生對護理問題的分析由行為表面、責備而增進為可深入到重視以人為核心的特質。在問題分析方面呈現四大層面「病患及家屬的個別特質與身心靈的壓力調適」、「以人本為中心的規範流程及設備」、「醫護人員職場情境的困頓」、「護理人員全人化的成長需求」,在問題解決法方面呈現「提供尊重病患及家屬的個別特質及重視心靈壓力調適的照顧」、「制定與規劃人本為中心的規範流程及設備」、「體諒與扶持的管理文化」及「建構護理自我與專業的知情意成長」。 本研究顯示3C雖有其個別獨立的定義,但在護理問題分析及解決法中,3C是在一起的整體概念,不能劃分出是獨立屬於關懷、照護或悲憫,而是融合三個層面所獲得出的結果,發展出以人為中心,重視有關病患、護理人員及工作職場的觀點,更能接近關懷照顧與醫療品質的特質。
Caring concern is the core of nursing. Quality medical care is patient-centered and based on safety, effectiveness, adequacy, efficiency, and equality. This study explored the phenomenon about the incorporation of care, concern and compassion (3c) into nursing administration. Specially, this study assessed the effectiveness of 3c on problem analyzing and resolving in nursing. This study applied an action research design. The research subjects included one teacher and 11 students in a course of “Leadership and Management”, which was offered as part of a 2-year on-job continuous education division of a university nursing department. The subjects participated in weekly discussions of the learning experience associated with the clinical practicum. Weekly progress reports regarding administration projects were obtained for data analysis. The first and final reports regarding problem analysis and resolution were analyzed. Within the reports, each statement expressing the concept of 3c was treated as a “behavioral unit”, Through the content analysis, the results revealed four main aspects on problem analysis: “Individual characteristics of patients and families and their stress adaptation on bio-psycho-spirits”, “Humanity-centered procedures and equipment”, “Suffering related to nursing working context”, and “Nurse growth to be a whole person ”, and displayed the following aspects on problem resolution: “Offering care in respecting the individual characteristics of patients and their families, and stressing care in stress adaptation of bio-psycho-spirits”, “Formulating and planning humanity-centered nursing procedures and equipment”, “Cultivating an understanding and supportive nursing administration culture”, and “Construct the developing program of knowledge, attitude and behavior for self and professional development”. This investigation demonstrated that despite separate definitions for each item of 3c, they comprise an integrated whole in nursing problem analyzing and resolving. The 3c are not necessary to be treated separately and independently. The result of incorporation of 3c will develop a humanitarian perspective, focused on patients, nurses, and working environment perspective, which will more closely meet the core value of caring concern and medical quality.
期刊論文
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2.Watson, J.(2002)。Intentionality and caring-healing consciousness: A practice of transpersonal nursing。Holistic Nursing Practice,16(4),12-19。  new window
3.林淑琴、楊淑玲、王蓉敏、劉碧芳(20040600)。應用網路教學提昇病房在職教育方案。慈濟護理雜誌,3(2),75-83。  延伸查詢new window
4.黃麗玉、黃珊、蕭世槐、王美文(20040200)。南部某醫學中心急診加護病房噪音改善方案。護理雜誌,51(1),58-69。new window  延伸查詢new window
5.Cohen, J. A.(1991)。Two portraits of caring: A comparison of the artists, Leininger and Watson。Journal of Advanced Nursing,16(8),899-909。  new window
6.Watson, J.、Smith, M.(2002)。Caring science and the science of unitary human beings: a trans-theoretical discourse for nursing knowledge development。Journal of Advanced Nursing,37(5),452-461。  new window
7.黃崑巖(19960900)。把「人」帶回醫學--論醫學院的通識教育。通識教育,3(3),1-16。  延伸查詢new window
8.蕭宏恩(20001000)。護理照護的根本關懷。護理雜誌,47(5),71-76。new window  延伸查詢new window
9.Spence Laschinger, Heather K.、Finegan, Joan、Shamian, Judith(2001)。The Impact of Workplace Empowerment, Organizational Trust on Staff Nurses' Work Satisfaction and Organizational Commitment。Health Care Management Review,26(3),7-23。  new window
10.何善台、徐建鵬、王如娥、謝正源、陳震寰、林其和、張聖原(2004)。台灣未來醫學系教育改革方向。醫學教育,8 ( l ),18 - 29。new window  延伸查詢new window
11.林淑芬、邱正怡、張素菁、賴正芬、黃致閩、梁啟娟(2003)。降低非計畫性氣管內管拔除率方案。慈濟護理雜誌,2 ( 4 ),105 - 113。  延伸查詢new window
12.吳珠枝、簡淑芬(2004)。某婦科病房護理人員電話禮貌改善方案。慈濟護理雜誌,3( 2 ),84-90。  延伸查詢new window
13.吳佳燕、張慈惠(2004)。燒傷病患傷口包紮方式改善方案。台大護理,2(3),15 - 25。new window  延伸查詢new window
14.徐秀滿(2004)。學齡前期兒童看診害怕行為之改善方案。護理雜誌,51( l ),52 - 57。new window  延伸查詢new window
15.陳群英、謝麗燕(1991)。台北市立中興醫院影響護理人員在職教育因素之探討。衛生行政,11 ( 2 ),48 - 55。  延伸查詢new window
16.詹淑貞 • 曾瑪珊(2004)。降低雙腔導管透析病患透析膜凝固率方案。台大護理,2 ( 2 ),100 – 112。  延伸查詢new window
17.戴正德(2001)。病人為中心的倫理思維。台灣醫界,44 ( 11 ),46 – 47。  延伸查詢new window
18.蕭淑貞、姜月桃、黃玉珠、邱碧如、馮容芬、賀妹霞、陳紀雯(2005)。以照護、關懷與悲憫觸動護理教育中的生命涵養。醫學教育雜誌,9 ( 4 )。  延伸查詢new window
19.Appleton, J. V.(1995)。Analysing qualitative interview data: Addressing issues of validity and reliability。Journal of Advanced Nursing,22,993-997。  new window
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會議論文
1.孫志文(2005)。名譽博士孫志文演講-沉潛語言四十載31 - 34。  延伸查詢new window
圖書
1.McNiff, Jean、Lomax, Pamela、Whitehead, Jack、吳美枝、何禮恩(2002)。行動研究:生活實踐家的研究錦囊。濤石文化。  延伸查詢new window
2.蕭淑貞、邱碧如、黃玉珠、賀姝霞、馮容芬、陳紀雯(2004)。走入護理的生命--與3C的對話。台北:輔仁大學出版社。  延伸查詢new window
3.Watson, J.(1988)。Nursing: Human Science and Human Care: A Theory for Nursing。New York:National League for Nursing。  new window
4.Kemmis, S.、McTaggart, R.(1988)。The action research reader。Geelong, Victoria:Deakin University Press。  new window
5.中華民國護理師護士全國聯合會(1994)。護理倫理規範內容。中國\華民國護理師護士了全國聯合會。  延伸查詢new window
6.王偉(2004)。提供適切之護理照顧。九十三年度醫院評鑑暨教學醫院評鑑新制標準試評說明會大會手冊。台北:財團法人醫院評鑑濟醫療品質策進會。  延伸查詢new window
7.洪芬芳(2003)。問題解決。護理行政學(初版)。台北:高立。  延伸查詢new window
8.徐南麗(2001)。護理行政與管理(二版)。台北:華杏。  延伸查詢new window
9.郝思漢(2005)。名譽博士郝思漢教授演講-天主教大學中的自然科學教育。天主教輔仁大學頒授郝思漢教授名譽理公博士、孫志文教授名譽文學博士學位典禮禮冊。  延伸查詢new window
10.陳榮基、徐永年、邱亨嘉(2004)。九十三年度醫院評鑑暨教學醫院評鑑新制標準試評說明會大會手冊。台北:財團法人醫院評鑑濟醫療品質策進會。  延伸查詢new window
11.夏林清等(譯)、Altrichter, Posch,、Somekh (原作者)(2002)。行動研究方法導論-教師動手作研究。台北:遠流。  延伸查詢new window
12.Douglass, Laura Mae、Bevis, Em Olivia(1979)。Nursing management and leadership in action。St. Louis:C. V. Mosby。  new window
13.Pellegrino, E.(1985)。The care ethic。Caring, Curing, Coping. Nurse, Physician, and Patient Relationships. (2nd ed.).。Tuscaloosa, Ala:University of Alabama Press。  new window
 
 
 
 
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