Nursing philosophy : an international journal for healthcare professionals最新文献

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What makes us human? Exploring the significance of ricoeur's ethical configuration of personhood between naturalism and phenomenology in health care. 是什么让我们成为人类?探讨利科在自然主义和现象学之间的人格伦理配置在医疗保健中的意义。
IF 2.2
Nursing philosophy : an international journal for healthcare professionals Pub Date : 2022-07-01 Epub Date: 2022-03-24 DOI: 10.1111/nup.12385
Bengt Kristensson Uggla
{"title":"What makes us human? Exploring the significance of ricoeur's ethical configuration of personhood between naturalism and phenomenology in health care.","authors":"Bengt Kristensson Uggla","doi":"10.1111/nup.12385","DOIUrl":"https://doi.org/10.1111/nup.12385","url":null,"abstract":"<p><p>The aim of this article is to elaborate on how a distinct concept of the person can be implemented within person-centred care as an ethical configuration of personhood in the tension between the two predominant cultures of knowledge within health care: naturalism and phenomenology. Starting from Paul Ricoeur's 'personalism of the first, second, and third person' and his 'broken' ontology, open-ended, incomplete, and imperfect mediations, placed at the precise juncture where reality is divided up into two separate cultures of knowledge, is identified as crucial for what makes us human. Within this context, Ricoeur's distinct ethical configuration of personhood is based on the homology between the linguistic, practical, narrative, and moral determinations of selfhood-articulated as a hermeneutics of the self, without any methodological break. Person-centred care is thus recognized as an profound ethical approach to health care based on mediations of 'horizontal' (teleological) and 'vertical' (deontological) readings of an ethical configuration of personhood by the use of practical wisdom.</p>","PeriodicalId":391694,"journal":{"name":"Nursing philosophy : an international journal for healthcare professionals","volume":" ","pages":"e12385"},"PeriodicalIF":2.2,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9287046/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40318647","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 5
Clinical reasoning as midwifery: A Socratic model for shared decision making in person-centred care. 临床推理作为助产:以人为中心的护理共享决策的苏格拉底模型。
Juliet Gunby, Jennifer Ryan Lockhart
{"title":"Clinical reasoning as midwifery: A Socratic model for shared decision making in person-centred care.","authors":"Juliet Gunby, Jennifer Ryan Lockhart","doi":"10.1111/nup.12390","DOIUrl":"https://doi.org/10.1111/nup.12390","url":null,"abstract":"Shared decision making has become the standard of care, yet there remains no consensus about how it should be conducted. Most accounts are concerned with threats to patient autonomy, and they address the dangers of a power imbalance by foregrounding the patient as a person whose complex preferences it is the practitioner's task to support. Other corrective models fear that this level of mutuality risks abdicating the practitioner's responsibilities as an expert, and they address that concern by recovering a nuanced but genuinely directive clinical role. Cribb and Entwistle helpfully categorize models of shared decision making as 'narrower' and 'broader' and praise the latter's 'open-ended and fully dialogical ways of relating'. However, they stop short of providing a philosophical account of how that dialogue works. In this paper, a nurse-midwife and a philosopher collaborate to argue that the Socratic model of dialogue offers a solution to the practitioner-patient dilemma. In the Theaetetus, Socrates compares dialogical reasoning to 'midwifery with all its standard features'. By means of a three-way analogy, elements of midwifery practice are used to illuminate features of Socrates' claim that his dialogue is like midwifery; those features are then translated into an approach to shared decision making as the 'midwifery of good thinking' which both midwives and physicians would do well to adopt. A key concept that emerges is the need for practitioners to make a risk-confidence assessment of the particular content of any decision to appropriately modulate their role in the practice of shared decision making.","PeriodicalId":391694,"journal":{"name":"Nursing philosophy : an international journal for healthcare professionals","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114740623","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
The trouble with personhood and person-centred care. 人格和以人为本的护理的问题。
M. Tieu, Alexandra Mudd, T. Conroy, Alejandra Pinero de Plaza, A. Kitson
{"title":"The trouble with personhood and person-centred care.","authors":"M. Tieu, Alexandra Mudd, T. Conroy, Alejandra Pinero de Plaza, A. Kitson","doi":"10.1111/nup.12381","DOIUrl":"https://doi.org/10.1111/nup.12381","url":null,"abstract":"The phrase 'person-centred care' (PCC) reminds us that the fundamental philosophical goal of caring for people is to uphold or promote their personhood. However, such an idea has translated into promoting individualist notions of autonomy, empowerment and personal responsibility in the context of consumerism and neoliberalism, which is problematic both conceptually and practically. From a conceptual standpoint, it ignores the fact that humans are social, historical and biographical beings, and instead assumes an essentialist or idealized concept of personhood in which a person is viewed as an individual static object. From a practical standpoint, the application of such a concept of personhood can lead to neglect of a person's fundamental care needs and exacerbate the problems of social inequity, in particular for older people and people with dementia. Therefore, we argue that our understanding of PCC must instead be based on a dynamic concept of personhood that integrates the relevant social, relational, temporal and biographical dimensions. We propose that the correct concept of personhood in PCC is one in which persons are understood as socially embedded, relational and temporally extended subjects rather than merely individual, autonomous, asocial and atemporal objects. We then present a reconceptualization of the fundamental philosophical goal of PCC as promoting selfhood rather than personhood. Such a reconceptualization avoids the problems that beset the concept of personhood and its application in PCC, while also providing a philosophical foundation for the growing body of empirical literature that emphasizes the psychosocial, relational, subjective and biographical dimensions of PCC.","PeriodicalId":391694,"journal":{"name":"Nursing philosophy : an international journal for healthcare professionals","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116142454","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 9
Some thoughts about the future of nursing and/in philosophy. 关于护理和哲学未来的一些想法。
M. Bender, S. Mantzoukas
{"title":"Some thoughts about the future of nursing and/in philosophy.","authors":"M. Bender, S. Mantzoukas","doi":"10.1111/nup.12384","DOIUrl":"https://doi.org/10.1111/nup.12384","url":null,"abstract":"","PeriodicalId":391694,"journal":{"name":"Nursing philosophy : an international journal for healthcare professionals","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125607165","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The use of photography in perceiving a sense in life: A phenomenological and existential approach in Mental Health Care. 摄影在感知生活中的意义:精神卫生保健中的现象学和存在主义方法。
J. Sitvast, W. Springer
{"title":"The use of photography in perceiving a sense in life: A phenomenological and existential approach in Mental Health Care.","authors":"J. Sitvast, W. Springer","doi":"10.1111/nup.12287","DOIUrl":"https://doi.org/10.1111/nup.12287","url":null,"abstract":"This article is about the therapeutic use of photography in mental health care. We will first describe the intelligent nature of perception as we understand on the basis of neurobiological research findings. We will link our interpretation of visual perception with the phenomenology of perception from the theory of Merleau-Ponty.. Then we will discuss how patients in mental health care with mental health problems may profit by an experiential approach that is concomitant with the existential reality described by Merleau-Ponty. The experiential approach we go into more detail is Focusing. We will demonstrate the limitations and feasibility of Focusing in the procedures of working with photography as a therapeutic medium.","PeriodicalId":391694,"journal":{"name":"Nursing philosophy : an international journal for healthcare professionals","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129089007","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
The social utility of community treatment orders: Applying Girard's mimetic theory to community-based mandated mental health care. 社区治疗命令的社会效用:吉拉德模仿理论在社区精神卫生保健中的应用。
Fiona Jager, A. Perron
{"title":"The social utility of community treatment orders: Applying Girard's mimetic theory to community-based mandated mental health care.","authors":"Fiona Jager, A. Perron","doi":"10.1111/nup.12280","DOIUrl":"https://doi.org/10.1111/nup.12280","url":null,"abstract":"Serious mental illness (SMI) has long posed a dilemma to society. The use of community treatment orders (CTOs), a legal means by which to deliver mandated psychiatric treatment to individuals while they live in the community, is a contemporary technique for managing SMI. CTOs (or a similar legal mechanism) are used in every province in Canada and in many jurisdictions around the world in the care and management of clients with severe and persistent mental illness (most frequently schizophrenia) who have a history of treatment non-compliance and subsequent relapse. Although there is ongoing controversy around CTOs, their use continues to be on the rise. René Girard's mimetic theory, in which he posits the social utility of the scapegoat mechanism, may shed some light on how established cultural patterns contribute to contemporary responses to SMI: how culture depends on the reproduction of certain narratives, and how these act to shape the identity of those involved. The CTO specifically can be seen to act as a scapegoating mechanism, wherein, by singling out and controlling individuals who appear to threaten social order, social order is restored. This paper reviews Girard's theory, looks at how it has been applied to SMI, and then considers how it may illuminate the social role of the CTO. This examination may provide mental health nurses with insight into the constructed identities of their patients, as well as the role of mental health care within broader cultural narratives.","PeriodicalId":391694,"journal":{"name":"Nursing philosophy : an international journal for healthcare professionals","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134598284","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The practice of phenomenology: The case of Max van Manen. 现象学的实践:马克斯·范·马南的案例。
D. Zahavi
{"title":"The practice of phenomenology: The case of Max van Manen.","authors":"D. Zahavi","doi":"10.1111/nup.12276","DOIUrl":"https://doi.org/10.1111/nup.12276","url":null,"abstract":"Since its inception, phenomenological philosophy has exerted an influence on empirical science. But what is the best way to practice, use and apply phenomenology in a non-philosophical context? How deeply rooted in phenomenological philosophy must qualitative research be in order to qualify as phenomenological? How many of the core commitments of phenomenology must it accept? In the following contribution, I will take a closer look at Max van Manen's work. I will argue that van Manen's understanding of and presentation of phenomenology is quite problematic and that his book Phenomenology of Practice rather than amounting to a clear and accessible presentation of the phenomenological method that would make it do-able to researchers who are not themselves professional philosophers is in fact both abstruse and excessively complicated. I will then turn to nursing, and by taking that as my example, outline a better way to apply and practice phenomenology.","PeriodicalId":391694,"journal":{"name":"Nursing philosophy : an international journal for healthcare professionals","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130462802","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 31
Vital and enchanted: Jane Bennett and new materialism for nursing philosophy and practice. 活力与魅力:简·贝内特和护理哲学与实践的新唯物主义。
IF 2.2
Nursing philosophy : an international journal for healthcare professionals Pub Date : 2020-04-01 Epub Date: 2019-07-31 DOI: 10.1111/nup.12273
Ian Neff
{"title":"Vital and enchanted: Jane Bennett and new materialism for nursing philosophy and practice.","authors":"Ian Neff","doi":"10.1111/nup.12273","DOIUrl":"https://doi.org/10.1111/nup.12273","url":null,"abstract":"<p><p>Nursing theories are typically anthropocentric and emphasize caring for a person as a unitary whole. They maintain the dualisms of human-nonhuman, natural-social and material-ideal. Recent developments in nonhuman ontology question the utility of that approach. One important philosopher in this new materialism is political theorist Jane Bennett. In this paper, I explore Bennett's vital materialism and enchantment as two concepts arising from the nonhuman turn that should inform nursing philosophy. Vital materialism considers the lively power of matter to affect the world and be affected in relations. Enchantment refers to a sense of wonder and captivation with matter. While summarizing her important contributions, I also describe common criticisms and responses. I consider the human as an assemblage of matter as well as the agency or \"thing power\" of matter external to humans. This has implications for nursing thought and practice, and it can inform a more capacious research methodology. I also discuss how compassion fatigue or burnout and other professional issues may be seen as a form of disenchantment with the material world. I argue that embracing these and other elements of Bennett's new materialist philosophy can help nurses and other health professionals enrich their theories and practice to advance their disciplines and improve care for persons and populations.</p>","PeriodicalId":391694,"journal":{"name":"Nursing philosophy : an international journal for healthcare professionals","volume":" ","pages":"e12273"},"PeriodicalIF":2.2,"publicationDate":"2020-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/nup.12273","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40451861","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Albert Mieczysław Krąpiec's theory of the person for professional nursing practice. 阿尔伯特Mieczysław Krąpiec的人的理论为专业护理实践。
M. Ferdynus
{"title":"Albert Mieczysław Krąpiec's theory of the person for professional nursing practice.","authors":"M. Ferdynus","doi":"10.1111/nup.12286","DOIUrl":"https://doi.org/10.1111/nup.12286","url":null,"abstract":"This article presents the works of great Polish philosopher, Mieczysław Albert Krąpiec, whose creative output can be applied to professional nursing practice. Krąpiec's philosophical heritage is extensive and encompasses many philosophical fields: metaphysics, philosophical anthropology, philosophy of law, philosophy of culture, philosophy of politics and philosophy of language. Krąpiec created an original philosophical synthesis characterized by a realistic approach. In this paper, I present only one of several original philosophical concepts developed by Krąpiec: the theory of the person based on seven essential characteristics, that is the ability for cognition, love, freedom, religion, legal subjectivity, completeness and dignity. I attempt to show how these personal characteristics correspond to various patient needs. I argue that the qualitative deficit of any personal characteristics indicated by Krąpiec corresponds to a patient's real need that must be satisfied. I also stress that the skilful diagnosing of all-not only selected-qualitative deficits of characteristics can be defined as holistic care in the nursing profession.","PeriodicalId":391694,"journal":{"name":"Nursing philosophy : an international journal for healthcare professionals","volume":"46 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134152825","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Exploring a hermeneutic perspective of nursing through revisiting nursing health history. 通过重温护理健康史,探索护理的解释学视角。
Julie Fréchette, F. Carnevale
{"title":"Exploring a hermeneutic perspective of nursing through revisiting nursing health history.","authors":"Julie Fréchette, F. Carnevale","doi":"10.1111/nup.12289","DOIUrl":"https://doi.org/10.1111/nup.12289","url":null,"abstract":"In this article, the nursing health history is revisited with a hermeneutic lens to uncover means by which this tool can better serve nursing practice. It is argued that further distanciation from the developmental and medical model is necessary to accurately uncover health and history in the nurse-client encounter. Based on the works of prominent hermeneutic philosophers, such as Heidegger, Gadamer, Merleau-Ponty, Ricoeur, and Taylor, four orientations to health history and nursing are explored: orientation to caring, orientation to narrative, orientation to time, and orientation to the body. The nursing health history is used as a vehicle for illuminating the usefulness of a hermeneutic perspective in everyday nursing practice. This article reveals views of health, history, and health history that are already known to nurses and the nursing milieu but are concealed by more dominant outlooks. The hermeneutical perspective presented in this article can help to reveal the important dimensions of everyday nursing practice and foster a richer attunement with the complex health experiences of individuals.","PeriodicalId":391694,"journal":{"name":"Nursing philosophy : an international journal for healthcare professionals","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130170743","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 7
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