在以人为中心的护理中对人的绝对抽象:当代问题
Brianna Elise1, Marilynne N Kirshbaum2, Lolita Wikander3
1Faculty of Health, Charles Darwin University, Ellengowan Drive, Brinkin, NT 0810, Australia.
Nurse education today
|December 1, 2024
概括
以人为中心的护理缺乏明确的定义,经常被表达为一种文化,而不是一个定义的实践. 探索意识可能为真正理解护理中的患者体验提供一个新的理论基础.
科学领域:
- 护理科学 护理科学
- 思想的哲学 思想的哲学
- 意识研究 意识研究
背景情况:
- 有大量关于以人为中心的护理的护理文献,但这个概念仍然定义不佳.
- 当前的定义往往将以人为中心的护理的先决条件作为明确的定义,导致模两可.
- 人为中心经常被描述为一种文化,阻碍了对护理提供和接待的明确理解.
研究的目的:
- 为了解决护理文献中围绕以人为中心的护理的定义模两可.
- 探索以人为中心的护理背后的本体学假设,特别是关于不同的感知现实.
- 提出一个以人为中心的护理的新理论框架,以意识的本质为基础.
主要方法:
- 对现有的护理文献关于以人为中心的护理的概念分析.
- 检查护理的本体学观点,特别是在改变意识经验 (例如,痴呆症) 的背景下.
- 作为一个理论构造的多重自我状态系统 (MESSy) 的介绍.
主要成果:
- 传统的护理本体学立场假定只有一个客观现实,当护理接收者的现实不同时,这是不够的.
- 有证据表明,意识可能比生理学更基本,为主体间理解提供了基础.
- 多重自我状态系统 (MESSy) 被提出为以人为中心的护理的潜在理论基础.
结论:
- 真正以人为中心的方法需要承认和整合护理接收者的各种现实.
- 一个包含所有个体现实的本体立场作为统一意识的一部分,在理论上有利于以人为中心的护理.
- 进一步的基础工作是必要的,以解释这个概念,并开发一个强大的理论以人为中心的护理.
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