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題名:由後現代主義的中心概念反思護病關係
書刊名:護理雜誌
作者:郭嘉琪金繼春周汎澔 引用關係
作者(外文):Kuo, Chia-chiChin, Chi-chunChou, Fan-hao
出版日期:2012
卷期:59:1
頁次:頁72-76
主題關鍵詞:解構去中心多元互為主體性夥伴關係DeconstructionDe-centralizationMultiplicityInter-subjectivityPartnertship
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(4) 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:3
  • 共同引用共同引用:9
  • 點閱點閱:94
自有護理以來,護病關係的詮釋、維護與因應,始終是護理所關注的。隨著歷史的演變、典範的轉移,護病關係也跟著在轉變。現今醫療體系大都強調「以病人為中心」建立護病的「夥伴關係」,其代表的意涵為何?適合於所有護病情境嗎?對護病關係可能帶來什麼樣的衝擊?以及護理應該如何因應護病關係的轉變?本文試圖以後現代主義「解構 (deconstruction)」、「去中心 (de-centralization)」、「多元 (multiplicity)」、「互為主體性 (inter-subjectivity)」的中心概念,剖析與反思護病關係,並衍生以病人的疾病管理為中心,以尊重與關懷為核心,以解放 (emancipation)、啟蒙 (enlightenment)、充能 (empowerment) 為方法的「雙主動」、「雙專家」之護病「夥伴關係」。
The task of defining, maintaining, and mutually adapting the nurse-patient relationship has been ongoing since modern nursing’s earliest days. The nurse-patient relationship changes with social changes and paradigm shifts. Most medical centers today strive to incorporate the concept of partnership into the nurse-patient relationship in response to patient-centered medical care. What is the implication of this relationship? Is it suitable for all nurse-patient situations? What are the impacts on nurses and patients? How should nurses adapt to change in nurse-patient relationships? This article analyzes and reflects upon the nurse-patient relationship within a postmodernist framework guided by concepts of “deconstruction”, “de-centralization”, “multiplicity”, and “inter-subjectivity.” We derive a “dual-active” and “dual-expert” partnership between nurses and patients that centers on patient disease management. Core values of this partnership are respect and caring, and strategies include emancipation, enlightenment, and empowerment.
期刊論文
1.簡麗瑜、黃翠媛、黃秀梨(20061200)。後現代主義思潮對護理課程的影響及護理教師的因應策略。醫學教育,10(4),259-266。new window  延伸查詢new window
2.Whall, A. L.、Hicks, F. D.(2002)。The unrecognized paradigm shift in nursing: Implications, problems, and possibilities。Nursing Outlook,50(2),72-76。  new window
3.李芳年(20100300)。論醫師的說明義務與告知後同意。北市醫學雜誌,7(1),13-20。  延伸查詢new window
4.謝素英、許麗齡(20080200)。Kuhn的典範概念與護理知識的典範發展模式。護理雜誌,55(1),63-69。new window  延伸查詢new window
5.林遠澤(20080200)。療癒性的交談--論交互主體性的護病互動關係。護理雜誌,55(1),14-19。new window  延伸查詢new window
6.葉莉莉、陳清惠(2008)。後現代主義與護理知識建構。護理雜誌,55(4),73-80。new window  延伸查詢new window
7.Dzurec, L. C.(1989)。The necessity for and evolution of multiple paradigms for nursing research: A poststructuralist perspective。Advances in Nursing Science,11(4),69-77。  new window
8.Glasgow, R. E.、Orleans, C. T.、Wagner, E. H.(2001)。Does the chronic care model serve also as a template for improving prevention?。The Milbank Quarterly,79(4),579-612。  new window
9.Jonker, A. A.、Comijs, H. C.、Knipscheer, K. C.、Deeg, D. J.(2009)。Promotion of self-management in vulnerable older people: A narrative literature review of outcomes of the chronic disease self-management program (CDSMP)。European Journal of Ageing,6(4),303-314。  new window
10.Zimmermann, C.、Wennberg, R.(2006)。Integrating palliative care: A postmodern perspective。American Journal of Hospital Palliative Care,23(4),255-258。  new window
圖書
1.Polifroni, E. C.、Welch, M.(1999)。Perspectives on philosophy of science in nursing: An historical and contemporary anthology。Philadelphia, PA:Lippincott。  new window
2.張文亮(2000)。南丁格爾與近代護理。臺北:校園書房。  延伸查詢new window
3.李選、徐麗華、李絳桃、邱怡玟、李德芬、雷若莉、史麗珠等(2010)。護理研究與應用。台北市:華杏。  延伸查詢new window
 
 
 
 
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