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Human biological materials in research: ethical issues and the role of stewardship in minimizing research risks. 研究中的人类生物材料:伦理问题和管理在最小化研究风险中的作用。
Pub Date : 2001-12-01 DOI: 10.1097/00012272-200112000-00005
B. Jeffers
Recent scientific and technologic advances generated from the human genome project have increased the ability of researchers to study human biological materials. This has enhanced the ease with which highly personal information such as genetic makeup can be revealed about individuals, families, and communities. In addition, a change in the societal value of human biological tissue from waste to commercial resource has occurred. A new model of stewardship is developed that can be used as a guide for protecting human research participants who are involved in studies that include collecting and handling human biological samples. Nursing implications to ensure protection of human research participants are discussed.
人类基因组计划带来的最新科技进步提高了研究人员研究人类生物材料的能力。这使得像基因组成这样高度个人化的信息可以很容易地泄露给个人、家庭和社区。此外,人类生物组织从废物到商业资源的社会价值发生了变化。开发了一种新的管理模式,可作为保护参与包括收集和处理人类生物样本在内的研究的人类研究参与者的指南。护理的影响,以确保保护人类研究参与者进行了讨论。
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引用次数: 26
Toward a praxis theory of suffering. 走向痛苦的实践理论。
Pub Date : 2001-09-01 DOI: 10.1097/00012272-200109000-00007
J. Morse
This article revises and summarizes the major findings from a research program exploring the behavioral-experiential nature of suffering. Suffering is perceived as comprising two major behavioral states: enduring (in which emotions are suppressed; it is manifested as an emotionless state) and emotional suffering (an overt state of distress in which emotions are released). Individuals who are suffering move back and forth between these two states according to their own needs, their recognition/acknowledgment/acceptance of events, the context, and the needs and responses of others. Implications for the provision of comfort during suffering states are presented.
本文修订并总结了一项研究项目的主要发现,该项目探索了痛苦的行为-经验本质。痛苦被认为包括两种主要的行为状态:忍受(情绪被压抑);它表现为一种没有情绪的状态)和情绪上的痛苦(一种情绪被释放的明显的痛苦状态)。受苦的人会根据自己的需要、对事件的认识/承认/接受程度、环境以及他人的需要和反应,在这两种状态之间来回移动。在痛苦状态期间提供舒适的含义被提出。
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引用次数: 253
Empathetic maturity: theory of moral point of view in clinical relations. 共情成熟:临床关系中的道德观点理论。
Pub Date : 2001-09-01 DOI: 10.1097/00012272-200109000-00006
D. Olsen
The article describes a cognitive structural theory of how nurses conceive or understand the personhood of patients. The theory postulates three levels that have the properties of cognitive structures. The third and highest level is held to be a meta-ethical theory of the moral structure of care. For nurses operating with level-III understanding, critiques of justice and care-based ethics are further held to be synthesized within.
这篇文章描述了一种关于护士如何构思或理解病人人格的认知结构理论。该理论假定有三个层次具有认知结构的特性。第三个也是最高的层次被认为是护理道德结构的元伦理理论。对于具有三级理解的护士,对正义和基于护理的道德的批评进一步被认为是在内部综合。
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引用次数: 30
Respect for human dignity: a central phenomenon to philosophically unite nursing theory and practice through consilience of knowledge. 尊重人的尊严:一个中心现象,哲学上统一护理理论和实践,通过知识的一致性。
Pub Date : 2001-09-01 DOI: 10.1097/00012272-200109000-00005
Barbara Bennett Jacobs
Nightingale suggested that there should be no distinction between "men of thought" and "men of action" and that an "Ideal" or philosophy should not be isolated but incorporated into everyday activities. This construct is analogous to the belief that nursing theory and nursing practice should be incorporated, and both should reflect a common central phenomenon. The pursuit of nursing knowledge by women of "thought" is not viewed as a central phenomenon but is an outcome of scholarly inquiry. Outcomes pursued by practicing nurses, women of "action," depend on their particular role and scope of practice. A number of outcomes are possible ranging from prevention, public health and policy, alleviation of pain and suffering, and individual health promotion and healing to palliative care. These outcomes are not viewed as the source of unity to guide nursing since they may vary, especially with developments in science, technology, and philosophy. A more unifying central phenomenon could be viewed as the respect for, or the restoration of, human dignity, our being in community, our being in the world, and our sea of a moral imperative. Consilience, a way to unify the knowledge that is needed to support this phenomenon, is suggested as an example of an approach to a philosophy of nursing that embraces multiple forms and sources of knowledge in all-encompassing morality that ultimately ennobles the lives of all human beings in covenantal relationships with nurses both in theory and in practice.
南丁格尔认为,“思想家”和“实干家”之间不应该有区别,“理想”或哲学不应该孤立存在,而应该融入日常活动中。这种结构类似于护理理论和护理实践应该结合起来的信念,两者都应该反映一个共同的中心现象。有思想的女性对护理知识的追求并不被视为一种中心现象,而是一种学术探究的结果。执业护士(“行动”女性)所追求的结果取决于她们的特殊作用和执业范围。从预防、公共卫生和政策、减轻痛苦和痛苦、促进个人健康和治疗到姑息治疗,可能产生许多结果。这些结果不被视为指导护理的统一来源,因为它们可能会发生变化,特别是随着科学、技术和哲学的发展。一个更统一的中心现象可以被看作是对人的尊严的尊重或恢复,我们在社区中的存在,我们在世界上的存在,以及我们道德要求的海洋。一致性,一种统一支持这一现象所需的知识的方法,被认为是一种护理哲学方法的例子,它在包罗万象的道德中包含多种形式和知识来源,最终使所有人的生活在理论和实践中与护士的契约关系中变得高尚。
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引用次数: 71
Meaningfulness as an epistemologic concept for explicating the researcher's constitutive part in phenomenologic research. 意义作为现象学研究中阐释研究者构成部分的认识论概念。
Pub Date : 2001-06-01 DOI: 10.1097/00012272-200106000-00003
N. Drew
In his philosophy, Husserl gave us the epistemologic concept of intentionality. In phenomenologic research, intentionality can be understood in a practical way as our connections to the phenomena that we are studying. When phenomenologic data are the transcripts of interviews, our connections can be seen during data analysis as we identify passages in transcripts that stand out as personally meaningful. Tracing back through our past experiences to the origins of that meaningfulness provides us with a picture of the preunderstanding, assumptions, and beliefs that contribute to our unique perception of the phenomena that we are studying. Concrete guidelines are given for initiating the process of discovering one's constitutive part in phenomenologic studies.
在他的哲学中,胡塞尔给了我们意向性的认识论概念。在现象学研究中,意向性可以以一种实际的方式理解为我们与所研究现象的联系。当现象学数据是访谈的抄本时,我们的联系可以在数据分析中看到,因为我们在抄本中识别出具有个人意义的段落。通过我们过去的经验回溯到这种意义的起源,为我们提供了一幅关于对我们正在研究的现象产生独特感知的预知性、假设和信念的图景。本文给出了在现象学研究中启动发现自身构成部分过程的具体指导方针。
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引用次数: 51
Developing a new model for cross-cultural research: synthesizing the Health Belief Model and the Theory of Reasoned Action. 建立跨文化研究的新模式:综合健康信念模型与理性行为理论。
Pub Date : 2001-06-01 DOI: 10.1097/00012272-200106000-00002
J. Poss
This article discusses the development of a new model representing the synthesis of two models that are often used to study health behaviors: the Health Belief Model and the Theory of Reasoned Action. The new model was developed as the theoretic framework for an investigation of the factors affecting participation by Mexican migrant workers in tuberculosis screening. Development of the synthesized model evolved from the concern that models used to investigate health-seeking behaviors of mainstream Anglo groups in the United States might not be appropriate for studying migrant workers or persons from other cultural backgrounds.
本文讨论了一个新模型的发展,该模型综合了经常用于研究健康行为的两个模型:健康信念模型和理性行为理论。这个新模型是作为研究墨西哥移民工人参与结核病筛查的影响因素的理论框架而开发的。综合模型的发展源于一种担忧,即用于调查美国主流盎格鲁群体寻求健康行为的模型可能不适用于研究移徙工人或来自其他文化背景的人。
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引用次数: 162
A feminist critique on the use of the Internet in nursing research. 在护理研究中使用互联网的女权主义批评。
Pub Date : 2001-06-01 DOI: 10.1097/00012272-200106000-00006
E. Im, W. Chee
With the increasing use of the Internet, the importance of incorporating this new technology in nursing research increases. Yet nursing has been slow in adopting this new technology as a research method, and the use of the Internet in nursing research rarely has been discussed and critiqued. In this article, use of the Internet in nursing research is analyzed and critiqued from a feminist perspective. The analysis indicates that use of the Internet in research frequently brings about selection biases because of a limited pool of potential participants, it usually does not provide contextual data on research encounters, it might not uncover women's subjective experiences under marginalized situations, and it tends to raise power issues related to the relationships between researchers and participants. Despite the limitations, use of the Internet in research provides better communication channels for research participants, more flexibility in time and place of data collection, and less expense for data collection. Based on the critique, feminist challenges for future use of the Internet in nursing research are proposed.
随着越来越多地使用互联网,将这种新技术纳入护理研究的重要性增加。然而,护理在采用这种新技术作为研究方法方面进展缓慢,并且在护理研究中使用互联网很少被讨论和批评。在这篇文章中,从女权主义的角度分析和批评了互联网在护理研究中的应用。分析表明,由于潜在参与者的数量有限,在研究中使用互联网往往会带来选择偏差,它通常不能提供研究遭遇的背景数据,它可能无法揭示边缘化情境下女性的主观体验,并且它往往会引发与研究人员和参与者之间关系相关的权力问题。尽管存在局限性,但在研究中使用互联网为研究参与者提供了更好的沟通渠道,数据收集的时间和地点更灵活,数据收集的费用也更少。在此基础上,提出了未来在护理研究中使用互联网的女权主义挑战。
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引用次数: 39
Methodology for social accountability: multiple methods and feminist, poststructural, psychoanalytic discourse analysis. 社会责任方法论:多重方法与女权主义、后结构、精神分析话语分析。
Pub Date : 2001-06-01 DOI: 10.1097/00012272-200106000-00005
D. Phillips
Bridging the gap between the individual and social context, methodology that aims to surface and explore the regulatory function of discourse on subjectivity production moves nursing research beyond the individual level in order to theorize social context and its influence on health and well-being. This article describes the feminist, poststructural, psychoanalytic discourse analysis and multiple methods used in a recent study exploring links between cultural discourses of masculinity, performativity of masculinity, and practices of male violence.
弥合个人和社会背景之间的差距,旨在揭示和探索主体性生产话语的调节功能的方法使护理研究超越了个人层面,以便将社会背景及其对健康和福祉的影响理论化。本文描述了女权主义、后结构、精神分析话语分析以及在最近的一项研究中使用的多种方法,该研究探讨了男性气质文化话语、男性气质表现和男性暴力实践之间的联系。
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引用次数: 20
Narrative Pedagogy: Heideggerian hermeneutical analyses of lived experiences of students, teachers, and clinicians. 叙事教学法:海德格尔对学生、教师和临床医生生活经验的解释学分析。
Pub Date : 2001-03-01 DOI: 10.1097/00012272-200103000-00006
N. Diekelmann
Research-based innovation in nursing education is needed to address complexities in both educational and clinical environments. This 12-year study describes Narrative Pedagogy that arises out of the common lived experiences of students, teachers, and clinicians in nursing education. Narrative Pedagogy as sharing and interpreting contemporary narratives is a call for students, teachers, and clinicians to gather and attend to community practices in ways that hold everything open and problematic. It utilizes conventional, phenomenologic, critical, and feminist pedagogies, along with postmodern discourses to revision nursing education. Narrative Pedagogy emanates out of interpretive phenomenology. The Concernful Practices of Schooling Learning Teaching are common experiences that belong together and co-occur and provide a new language for students and teachers. They will be explicated in the context of three narratives. Narrative Pedagogy is described as a research-based, innovative alternative for reforming nursing education.
护理教育需要以研究为基础的创新,以解决教育和临床环境的复杂性。这项为期12年的研究描述了叙事教学法,它源于护理教育中学生、教师和临床医生的共同生活经历。作为分享和解释当代叙事的叙事教学法,呼吁学生、教师和临床医生聚集在一起,以开放和有问题的方式参与社区实践。它利用传统的、现象学的、批判的和女权主义的教学法,以及后现代话语来修订护理教育。叙事教育学源于解释现象学。学校学习教学的关怀实践是一种共同的经历,是一种共同的经历,是一种共同的经历,为学生和教师提供了一种新的语言。它们将在三种叙事的背景下进行阐述。叙事教学法被描述为一种以研究为基础的、创新的护理教育改革替代方案。
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引用次数: 284
Creating a research base for nursing education: an interpretive review of conventional, critical, feminist, postmodern, and phenomenologic pedagogies. 创建护理教育的研究基础:传统、批判、女权主义、后现代和现象学教学法的解释性回顾。
Pub Date : 2001-03-01 DOI: 10.1097/00012272-200103000-00007
P. Ironside
The National League for Nursing Priorities for Nursing Education Research calls educators (1) to increase their pedagogic literacy to meet the challenges of the changing social, health care, and educational worlds and (2) to develop research-based pedagogies for nursing. This interpretive review of conventional, critical, feminist, postmodern, and phenomenologic pedagogies facilitates the pedagogic literacy of faculty members and provides a background for research-based nursing education. An example of a research-based pedagogy, Narrative Pedagogy, which developed through interpretive (hermeneutic) studies of the lived experiences of students, teachers, and clinicians in nursing education, is explicated.
全国护理教育研究优先联盟呼吁教育工作者(1)提高他们的教学素养,以应对不断变化的社会、医疗保健和教育世界的挑战;(2)开发基于研究的护理教学方法。本文对传统的、批判的、女权主义的、后现代的和现象学的教学法进行了解释性的回顾,促进了教师的教学素养,并为研究型护理教育提供了背景。通过对护理教育中学生、教师和临床医生的生活经验进行解释性(解释性)研究,阐述了以研究为基础的教学法——叙事教学法的一个例子。
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引用次数: 138
期刊
ANS. Advances in nursing science
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