Echoes of silence.

IF 2.6 3区 医学 Q1 NURSING
Sharon Laver
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引用次数: 0

Abstract

Communication is an integral part of nursing practice-with patients and their relatives, other nurses and members of the healthcare team, and ancillary staff. Through interaction with the 'other', language and silence creates and recreates social realities. Acceptance, rejection or modification of social realities depends on what is expressed and by whom. Narratives that are offered can tell of some experiences and not others. Some nurses choose to be silent while others are silenced. In nursing situations recognising and allowing silence to speak is a challenging but uniquely personal experience that embraces reflection in and on experiences, practice and self as a person and a professional. If enabled and truly heard, silence can speak more loudly than the hubbub of daily practice, allowing us to collectively question and challenge inherent assumptions and biases as professionals, and as a profession. Through a microcosm of Newly Graduated Nurses' lived experiences of nursing situations and expressions of silence individuals' discomfort and private efforts to ascribe meaning to experiences are reflected on. Returning to silence is to return to a constant process of professional transformation that can enable ways of knowing and being that can reform our profession from within and enable us to cast off shackles that bind us to a shameful cultural underbelly.

沉默的回声
与病人及其亲属、其他护士和医疗团队成员以及辅助人员沟通是护理实践不可或缺的一部分。通过与 "他人 "的互动,语言和沉默创造并再现了社会现实。对社会现实的接受、拒绝或修改取决于所表达的内容和表达者。所提供的叙述可以讲述某些经历,而不是其他经历。一些护士选择沉默,而另一些则保持沉默。在护理工作中,认识到并允许沉默是一种具有挑战性但又独特的个人体验,它包含了对经验、实践以及作为个人和专业人员的自我的反思。如果能够并真正听到沉默的声音,沉默会比日常实践中的喧闹更加响亮,让我们能够共同质疑和挑战作为专业人员和护理行业固有的假设和偏见。通过新毕业护士在护理工作中的生活经历和对沉默的表达,我们反思了个人的不适感以及个人为赋予经历意义所做的努力。回归沉默就是回归一个持续的专业转变过程,它可以使我们的认知和存在方式从内部改革我们的专业,使我们能够摆脱将我们束缚在可耻的文化底蕴中的枷锁。
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来源期刊
CiteScore
4.80
自引率
9.10%
发文量
39
审稿时长
>12 weeks
期刊介绍: Nursing Philosophy provides a forum for discussion of philosophical issues in nursing. These focus on questions relating to the nature of nursing and to the phenomena of key relevance to it. For example, any understanding of what nursing is presupposes some conception of just what nurses are trying to do when they nurse. But what are the ends of nursing? Are they to promote health, prevent disease, promote well-being, enhance autonomy, relieve suffering, or some combination of these? How are these ends are to be met? What kind of knowledge is needed in order to nurse? Practical, theoretical, aesthetic, moral, political, ''intuitive'' or some other? Papers that explore other aspects of philosophical enquiry and analysis of relevance to nursing (and any other healthcare or social care activity) are also welcome and might include, but not be limited to, critical discussions of the work of nurse theorists who have advanced philosophical claims (e.g., Benner, Benner and Wrubel, Carper, Schrok, Watson, Parse and so on) as well as critical engagement with philosophers (e.g., Heidegger, Husserl, Kuhn, Polanyi, Taylor, MacIntyre and so on) whose work informs health care in general and nursing in particular.
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