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題名:好的護理--護理人員的觀點
書刊名:護理雜誌
作者:張碧芬余玉眉陳淑月 引用關係
作者(外文):Chang, Pi-FenChao Yu, Yu-MeiChen, Shu-Yueh
出版日期:2007
卷期:54:4
頁次:頁26-34
主題關鍵詞:好的護理護理人員觀點成熟的自我反思學習敘事體照護品質Good nursingNurses' perspectivesSelf-maturationReflective learningNarrativesQuality nursing care
原始連結:連回原系統網址new window
相關次數:
  • 被引用次數被引用次數:期刊(7) 博士論文(2) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:6
  • 共同引用共同引用:46
  • 點閱點閱:55
本研究的目的在以深度訪談法了解護理人員觀點的「好的護理」。以平衡性分層取樣法 (balanced stratified sampling) 取得分佈台灣南北地區18家醫學中心和區域醫院的83位護理人員為研究對象。訪談員為15位於進修碩士學位課程時受過質性研究法訓練的護理從業人員,於2002年1月至5月進行資料收集,訪談過程全程錄音並寫成敘事體逐字稿。訪談資料經內容分析法分析後,發現受訪者所描述之「好的護理」行為內涵可歸納為「良好專業的決策與執行能力」、「熟巧的技能」、「良好的病護關係」、和「成熟的自我」四大主題。本研究發現「好的護理」之意涵在照護品質上可表現出「護理如專業」之審慎和「護理如藝術」之人際創意。惟,在專業層面上,實證研究之概念需加強;藝術層面上,自我成熟宜由外求轉為內化。本研究之發現及討論對建構護理教育和臨床護理工作的意義相當重要,建議繼續針對「好的護理」的相關議題做進一步的探討。
This qualitative study used an in-depth interview method to explore nurses' perspectives on good nursing practices. A balanced stratified sampling approach was employed to recruit 83 nurses from 18 hospitals that were relatively evenly distributed around Taiwan. Fifteen nurses educated to the masters' level and well trained in the in-depth interview approach collected research data from January through May 2002. Interviews were audiotaped and transcribed in verbatim narratives. Content analysis was used to identify good nursing practices common across narratives. Four good nursing practice categories emerged inductively. These included (1) good decision making and execution, (2) dexterous professional skills, (3) good patient-nurse relationships, and (4) a mature self. Findings present quality nursing care as a relationship that combines professionalism and humanism. In order to provide better care, a nurse must incorporate knowledge from empirical research into his or her practice and internalize his or her value as a nurse. A discussion of the process of self-maturation acquisition and reflective learning offers new insights to guide the construction of nursing education curricula and activities for clinical nursing practice. Further research in good nursing is suggested.
期刊論文
1.Izumi, S.、Konishi, E.、Yahiro, M.、Kodama, M.(2006)。Japanese patients' descriptions of "the good nurse": Personal involvement and professionalism。Advances in Nursing Science,29(2),E14-E26。  new window
2.Benner, P.(1991)。The role of experience, narrative, and community in skilled ethical comportment。Advances in Nursing Science,14(2),1-21。  new window
3.Cody, A.(1998)。Nurses' perceptions of good nursing care。Professional Nurse,13(9),578-582。  new window
4.Durgahee, T.(1997)。Reflective practice: Nursing ethics through story telling。Nursing Ethics,4(2),135-146。  new window
5.Glen, S.(1998)。The key to quality nursing care: Towards a model of personal and professional development。Nursing Ethics,5(2),95-102。  new window
6.Kitson, A.(1999)。The essence of nursing。Nursing Standard,13,42-46。  new window
7.Pask, E. J.(2003)。Moral agency in nursing: Seeing value in the work and believing that I make a difference。Nursing Ethics,10(2),165-174。  new window
8.Pask, E. J.(2005)。Self-sacrifice, self-transcendence and nurses? professional self。Nursing Philosophy,6(4),247-254。  new window
9.Trinkoff, A. M.、Storr, C. L.(1997)。Incorporating auxiliary variables into probability sampling designs。Nursing Research,46(3),182-185。  new window
10.Upenieks, V.(200504)。Recruitment and retention strategies: A magnet hospital prevention model。MEDSURG Nursing,2005(April),21-27。  new window
11.Hsieh, J.、Fang, Y. Y.、Chian, L. Y.(1998)。An exploration of the meaning of caring in Taiwan。International Journal of Human Caring,2(2),12-22。  new window
12.Kyle, T. V.(1995)。The concept of caring: A review of the literature。Journal of Advanced Nursing,21(3),506-514。  new window
13.Glen, S.(1998)。Emotional and motivational tendencies: The key to quality nursing care?。Nursing Ethics,5(1),36-42。  new window
14.蔣欣欣、余玉眉(20010600)。護病間的互為主體性。國立政治大學哲學學報,7,307-321。new window  延伸查詢new window
15.趙可式(20040800)。臺灣護理教育評鑑制度初探。護理雜誌,51(4),22-26。new window  延伸查詢new window
16.余玉眉、蔣欣欣、陳月枝、蘇燦煮、劉玉秀(19990800)。質性研究資料的量化及詮釋--從研究例證探討臨床護理研究方法與認識學--第二部份:研究例證之分析與詮釋。護理研究,7(4),376-392。new window  延伸查詢new window
17.Chiang, H. H.、Lu, Z. Y.、Wear, S. E.(2005)。To have or to be: Ways of caregiving identified during recovery from the earthquake disaster in Taiwan。Journal of Medical Ethics,31(3),154-158。  new window
18.胡月娟(19940300)。關懷照護行為內涵的探討。護理雜誌,41(1),34-39。new window  延伸查詢new window
19.Aiken, Linda H.、Clarke, Sean P.、Sloane, Douglas M.、Sochalski, Julie、Silber, Jeffrey H.(2002)。Hospital Nurse Staffing and Patient Mortality, Nurse Burnout, and Job Dissatisfaction。Journal of the American Medical Association,288(16),1987-1993。  new window
研究報告
1.余玉眉、許淑蓮、陳月枝、陳淑月、趙可式、盧孳豔、教育部(2005)。「台灣護理教育評鑑規劃」報告。台北:醫學教育委員會。  延伸查詢new window
圖書
1.蔣欣欣(2006)。護理照顧的倫理實踐。臺北:心理。  延伸查詢new window
2.McClure, M. L.、Hinshaw, A. S.(2002)。Magnet hospitals revisited: Attraction and retention of professional nurses。Washington, DC:American Nurses。  new window
3.行政院衛生署(2005)。護理政策系列論壇。台北市:行政院衛生署。  延伸查詢new window
 
 
 
 
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