Identity and power of nurse- patient relationship in psychiatric nurse

• Main Authors: Liao, Pei-Chun, 廖珮君
• Other Authors: Cheng, Tung-Liao
• Format: Others
• Language: zh-TW
• Online Access: http://ndltd.ncl.edu.tw/handle/39726316625162738824

博士 === 國立政治大學 === 教育研究所 === 100 === Nurse-patient relationship in nursing takes on Florence Nightingale age , as well as Hildegard E. Peplau’s therapeutic relationship, defines the function of care in understanding and contributing to the patient's needs. Nurses in the nursing care of unquestionable value formulation in their nursing role; it is not self-consciousness and lack of self-examination of nurse-patient relations. In fact, the nurse-patient relationship is unequal relationship, as professional help functionality roles and power relations embedded interaction This study based on Foucault's power and knowledge view, recognition of power largely positive composition; Foucault does not rebuke the social relations of power, power is the positive effect of composition and operation mechanism of shaping human lives, and truth is the construction and shaping of mankind became the actual human life "truth". Nurse role as helper must be provided need for patient, but medical institute dominate self of nurse, then face to patients’ needs calling, nurses how to assume he associated with herself subject, and emotions awareness is self-care for nurse. Construction and changes of human knowledge are controlled by the institutional evolution of a series of new power technologies, Ward nursing routine and activity are under the influence of medical systems and factors of socio-cultural history. Taiwan medical ecology trends of eco-economy and effectiveness, nurse-patient relations is deformation and disputes. Power of nurses is in care decisions making, but also is coercion under the factors of clinical institutions. This research with epistemology and methodology of critical ethnography, observed nurse-patient relations of nursing field, discovered habit and unconsciously power of NPR, and identified politics for power relationship. Research field of mental acute ward of Psychiatry, observation and collection on the half-year, and interviewed 15-Ward nurse, through narrative interviews with dialogue process to help nurse self-awareness flowing power of nurse-patient relations. The outcomes are to be owned power of NPR from the medical profession, medical space and ward management routines.；and elaborated that medical ecology was challenged by health insurance system, the evaluation of medical and mental health law , nurse-patient relationship to economic cost and value efficiency tests; From the subjects care of patient turn to tie in with the economic value of health care system interactions, the subject of patient care has been marginalization of existing institutions. The results of the research attempts to start reflection on nursing quality for variation and tools of nurse-patient relations, the consciousness of power in NPR and active humanistic concern nurse-patient relations, and made available to schools of nursing education in the practical training of reference materials.