融滲照護、關懷及悲憫於護理問題分析及解決法

蕭淑貞, 張元玫, 魏麗麗, 鈕淑芬, 黃美荏

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Abstract

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.
Original languageChinese (Traditional)
Pages (from-to)36-45
Number of pages10
Journal醫護科技學刊
Volume8
Issue number1
Publication statusPublished - 2006
Externally publishedYes

Keywords

  • 3C care, concern and compassion learning
  • administration project
  • problem analysis and resolution

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