{"title":"(二)疼痛患者的人性化隐喻及其与护患关系感知质量的关系","authors":"E. Diniz, Paula Castro, S. Bernardes","doi":"10.1080/10926488.2022.2091445","DOIUrl":null,"url":null,"abstract":"ABSTRACT Metaphors are central in communication and sense-making processes in health-related contexts. Yet how the metaphors used by health-care-professionals to make sense of their patients and their relations to them are associated to the perceived valence of their clinical encounters is underexplored. Drawing-upon the ABC Model of Dehumanization, this study investigated how the humanizing or dehumanizing metaphors nurses’ use for making sense of their pain patients are associated with how they perceived their relationships with them. Fifty female nurses undertook individual narrative-episodic interviews about easy/difficult cases in pain care. A content analysis classified the metaphors, identifying eight classes reflecting different types of patients (de)humanization. A multiple correspondence analysis extracted patterns of metaphors and their association with the perceived characteristics of the patient-nurse relationship. It showed how these patterns were not associated with patient sex or socioeconomic status (SES) but were related to the perceived valence of the clinical relationship. By uncovering how patient metaphors guide nurses’ sense-making and potentially modulate interactions in clinical encounters, these findings may contribute to improve quality of pain care.","PeriodicalId":46492,"journal":{"name":"Metaphor and Symbol","volume":null,"pages":null},"PeriodicalIF":2.2000,"publicationDate":"2022-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"(De)humanizing Metaphors of People in Pain and Their Association with the Perceived Quality of nurse-patient Relationship\",\"authors\":\"E. Diniz, Paula Castro, S. Bernardes\",\"doi\":\"10.1080/10926488.2022.2091445\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"ABSTRACT Metaphors are central in communication and sense-making processes in health-related contexts. Yet how the metaphors used by health-care-professionals to make sense of their patients and their relations to them are associated to the perceived valence of their clinical encounters is underexplored. Drawing-upon the ABC Model of Dehumanization, this study investigated how the humanizing or dehumanizing metaphors nurses’ use for making sense of their pain patients are associated with how they perceived their relationships with them. Fifty female nurses undertook individual narrative-episodic interviews about easy/difficult cases in pain care. A content analysis classified the metaphors, identifying eight classes reflecting different types of patients (de)humanization. A multiple correspondence analysis extracted patterns of metaphors and their association with the perceived characteristics of the patient-nurse relationship. It showed how these patterns were not associated with patient sex or socioeconomic status (SES) but were related to the perceived valence of the clinical relationship. By uncovering how patient metaphors guide nurses’ sense-making and potentially modulate interactions in clinical encounters, these findings may contribute to improve quality of pain care.\",\"PeriodicalId\":46492,\"journal\":{\"name\":\"Metaphor and Symbol\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":2.2000,\"publicationDate\":\"2022-10-02\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Metaphor and Symbol\",\"FirstCategoryId\":\"98\",\"ListUrlMain\":\"https://doi.org/10.1080/10926488.2022.2091445\",\"RegionNum\":3,\"RegionCategory\":\"文学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"0\",\"JCRName\":\"LANGUAGE & LINGUISTICS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Metaphor and Symbol","FirstCategoryId":"98","ListUrlMain":"https://doi.org/10.1080/10926488.2022.2091445","RegionNum":3,"RegionCategory":"文学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"0","JCRName":"LANGUAGE & LINGUISTICS","Score":null,"Total":0}
(De)humanizing Metaphors of People in Pain and Their Association with the Perceived Quality of nurse-patient Relationship
ABSTRACT Metaphors are central in communication and sense-making processes in health-related contexts. Yet how the metaphors used by health-care-professionals to make sense of their patients and their relations to them are associated to the perceived valence of their clinical encounters is underexplored. Drawing-upon the ABC Model of Dehumanization, this study investigated how the humanizing or dehumanizing metaphors nurses’ use for making sense of their pain patients are associated with how they perceived their relationships with them. Fifty female nurses undertook individual narrative-episodic interviews about easy/difficult cases in pain care. A content analysis classified the metaphors, identifying eight classes reflecting different types of patients (de)humanization. A multiple correspondence analysis extracted patterns of metaphors and their association with the perceived characteristics of the patient-nurse relationship. It showed how these patterns were not associated with patient sex or socioeconomic status (SES) but were related to the perceived valence of the clinical relationship. By uncovering how patient metaphors guide nurses’ sense-making and potentially modulate interactions in clinical encounters, these findings may contribute to improve quality of pain care.
期刊介绍:
Metaphor and Symbol: A Quarterly Journal is an innovative, multidisciplinary journal dedicated to the study of metaphor and other figurative devices in language (e.g., metonymy, irony) and other expressive forms (e.g., gesture and bodily actions, artworks, music, multimodal media). The journal is interested in original, empirical, and theoretical research that incorporates psychological experimental studies, linguistic and corpus linguistic studies, cross-cultural/linguistic comparisons, computational modeling, philosophical analyzes, and literary/artistic interpretations. A common theme connecting published work in the journal is the examination of the interface of figurative language and expression with cognitive, bodily, and cultural experience; hence, the journal''s international editorial board is composed of scholars and experts in the fields of psychology, linguistics, philosophy, computer science, literature, and media studies.