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題名:生命中可承受之重--探究臨終照護護理人員的倫理自我
書刊名:護理雜誌
作者:劉盈君蔡育倫蔣欣欣
作者(外文):Liu, Ying-chunTai, Yu-lunChiang, Hsien-hsien
出版日期:2017
卷期:64:2
頁次:頁34-43
主題關鍵詞:護理人員臨終照護列維納斯他者倫理NurseEnd-of-life careLevinasThe otherEthics
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(3) 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:2
  • 共同引用共同引用:35
  • 點閱點閱:35
背景:在現代化醫療與高科技主導下,提供臨終照護會產生複雜的內在情感,不僅是疾病或死亡本身,還有目睹臨終病人受苦而苦的處遇。目的:本研究旨在試著從列維納斯(Levinas)所提出的「他者」觀點,說明臨終照護護理人員在現代化醫療下建構倫理自我的可能性。方法:本研究為質性研究,採詮釋現象學的質性研究法,以團體對話方式共進行6次。參與者13位護理人員皆有臨終照護經驗。資料收集包含:團體對話文本、研究者反思日誌及參與者心得。團體過程以錄音並轉錄文本,以詮釋現象學分析法(interpretative phenomenological analysis)進行資料分析。結果:研究結果呈現臨終照護的護理人員雖是執行醫療科技的主體,也可從照護中因「為他者」建立倫理的自我。其歷程為:(1)與死亡相遇、(2)遇見自己、及(3)迎接死亡。結論/實務應用:臨終照護需要的不是抽象、去脈絡化的理性知識,而是從經驗中獲得的照護智慧,這也是護理專業的恩寵。本研究結果說明臨終照護需要護理人員跳脫教條式的倫理原則,以回應他者的態度返回照護的核心,才可能成為一個倫理性的照護者。
Background: Providing end-of-life (EOL) care elicits complex emotions in nurses in the context of modern medicine. Nurses must not only watch their patients succumb to disease and death but also witness their suffering. Purpose: This qualitative study adopted the perspective of "the other", as proposed by Emmanuel Levinas, to understand the experience of nurses who provide EOL care and the possibilities of nurses build up their ethical selves within the context of modern medicine. Method: The study used interpretative phenomenology and group dialogue. Thirteen nurses who had EOL care experience were included. Data were drawn from the six transcripts of the group sessions, the researcher's diaries, and participants' feedback sheets. Interpretative phenomenological analysis was used to analyze the data. Results: The findings showed that nurses not only execute medical procedures but are also capable of self-molding into ethical subjects. The categories of participant experiences included: (1) encountering the death; (2) encountering my inner self; and (3) greeting the death. Conclusions/ Implications for Practice: EOL nursing does not require abstract or decontextualized knowledge, but rather requires more experiential knowledge. EOL care may inspire nurses to become ethical persons and to gain wisdom if they shift away from a self-centered perspective to receive "the other". This study illustrates that EOL care should not depend solely on ethical codes or principles but should also adopt the attitudes of "for the other".
期刊論文
1.Kleinman, Arthur(2009)。Caregiving: The odyssey of becoming more human。The Lancet,373(9660),292-293。  new window
2.楊婉儀(20130800)。倫理照護的美學實踐。護理雜誌,60(4),9-13。new window  延伸查詢new window
3.蔡錚雲(20130800)。照護知識的藝術性格。護理雜誌,60(4),5-8。new window  延伸查詢new window
4.楊婉儀(20090700)。生存與超越--對萊維納斯哲學中倫理意義的反思。東海大學文學院學報,50,155-167。new window  延伸查詢new window
5.Clifton-Soderstrom, M.(2003)。Levinas and the patient as other: The ethical foundation of medicine。The Journal of Medicine and Philosophy,28(4),447-460。  new window
6.Johnson, S. C.、Gray, D. P.(2013)。Understanding nurses' experiences of providing end-of-life care in the US hospital setting。Holistic Nursing Practice,27(6),318-328。  new window
7.余安邦(20131200)。人文臨床與護理照顧的遭逢:一種偶然性的越界與逃逸。領導護理,14(4),11-23。  延伸查詢new window
8.劉盈君、蔣欣欣(20141000)。臨終照護中的實踐智慧。護理雜誌,61(5),33-42。new window  延伸查詢new window
9.Clancy, A.、Svensson, T.(2007)。'Faced' with responsibility: Levinasian ethics and the challenges of responsibility in Norwegian public health nursing。Nursing Philosophy,8(3),158-166。  new window
10.賴俊雄(20140600)。眾裡尋「他」:列維納斯的倫理洞見。人文與社會科學簡訊,15(3),59-67。  延伸查詢new window
11.蔣欣欣、廖珍娟、劉盈君(20140400)。為人與成己之間--面對他者的照護倫理態度。護理雜誌,61(2),44-53。new window  延伸查詢new window
12.Morse, Janice M.(2015)。Critical Analysis of Strategies for Determining Rigor in Qualitative Inquiry。Qualitative Health Research,25(9),1212-1222。  new window
13.鄧元尉(20130500)。照護他者:列維納斯與護理關懷。源遠護理,7(1),11-15。  延伸查詢new window
14.楊婉儀(20120800)。以「在同一當中的大寫他者」論萊維納斯的責任與倫理意涵。東吳哲學學報,26,109-135。new window  延伸查詢new window
15.林鴻信(2007)。敘事情節當中的自我與他者--從利科觀點看自我與他者。臺灣東亞文明研究學刊,4(2),1-26。new window  延伸查詢new window
16.Christie, W.、Jones, S.(2013)。Lateral violence in nursing and the theory of the nurse as wounded healer。The Online Journal of Issues in Nursing,19(1),1-7。  new window
17.Edgar, A.(2007)。The art of useless suffering。Medicine Health Care and Philosophy,10(4),395-405。  new window
18.Floriani, C. A.、Schramm, F. R.(2010)。How might Levinas' concept of the other's priority and Derrida's unconditional hospitality contribute to the philosophy of the modern hospice movement?。Palliative & Supportive Care,8(2),215-220。  new window
19.Goh, C. R.(2012)。Medicalization of dying: Are we turning the comer?。Journal of Palliative Medicine,15(7),728-729。  new window
20.Janssen, A.、MacLeod, R. D.(2012)。Who cares for whom? Reciprocity of care at the end of life。Palliative Care & Medicine,2(7),3-5。  new window
21.Kong, B. H.(2008)。Levinas' ethics of caring: Implications and limits in nursing。Asia Nursing Research,2(4),208-213。  new window
22.梁孫傑(20060100)。狗臉的歲/水月:列維納斯與動物。中外文學,34(8)=404,123-150。new window  延伸查詢new window
會議論文
1.蔡錚雲(2014)。護理倫理的哲學省思。護理與哲學的對話研習會,國立陽明大學護理學院主辦 。臺北市:國立陽明大學。  延伸查詢new window
2.Gutmnan, D.(2014)。When "A" encounters "B": The Transformation。The 9th IAGP Pacific Rim Regional Congress, 2nd Chinese Group Counseling and Group Psychotherapy Conference。Beijing:Beijing University。  new window
圖書
1.蔣欣欣(2013)。團體心理治療。臺北市:五南圖書出版股份有限公司。  延伸查詢new window
2.Smith, J. A.、Flowers, P.、Larkin, M.(2009)。Interpretative phenomenological analysis: Theory, method, and Research。Sage Publications。  new window
3.孫向晨(2008)。面對他者--萊維納斯哲學思想研究。上海:三聯書店。  延伸查詢new window
4.Buber, M.、Friedman, M.、Smith, R. G.(1988)。The knowledge of man: Selected essays。Humanity Books。  new window
5.Conti-O'Hare, M.(2002)。The nurse as wounded healer: From trauma to transcendence。London, England:Jones & Bartlett Publishers International。  new window
6.Levinas, E.(1988)。Totality and infinity: An essay in exteriority。Pittsburgh, PA:Duquesne University Press。  new window
圖書論文
1.鄧元尉(2009)。列維納斯語言哲學中的文本觀。他者哲學--回歸列維納斯。台北:麥田。  延伸查詢new window
 
 
 
 
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