團體對話中的自我反思－－精神衛生護理人員的經驗

Self-Reflection from Group Dialogue: The Lived Experience of Psychiatric/Mental Health Nurses

背景：自我反思促成專業的反思實踐，通常屬於個人思惟，缺乏關於護理人員團體互動與自我反思的論述。目的：探究精神科臨床護理人員於督導團體的自我反思型態及其意涵。方法　以現象學研究方法收集資料，分析12次團體對話內容及參與者學習心得。結果　團體對話中出現體知型與論述型兩種反思。體知型反思，是以身體經驗的情境感知，產生自我知識；論述型反思，是以言語交流的意念覺察，進行自我檢視。結論／實務應用　藉由團體對話的身體經驗與言語流動構成兩種反思型態，有助於臨床護理人員發展自我覺察能力。促進自我反思，強化健康專業人員自我檢視與自我導引的能力。

Background: Self-reflection is an essential element of reflective practice for group facilitators. However, this element typically exists largely at the personal level and is not addressed in group dialogues of nurses. Purpose: The purpose of this study was to explore the self-reflection of psychiatric nurses in a supervision group. Methods: A phenomenological approach was used to investigate the dialogues across 12 sessions in terms of discussion content and the reflective journals of the psychiatric nurse participants. Results: The findings showed that two forms of self-reflection included: Embodied self-reflection derived from the physical sensibility and discursive self-reflection derived from the group dialogues. Conclusions / Implications for Practice: The embodied and discursive self-reflections promote self-awareness in nurses. The embodiment and initiation in the group facilitates the process of self-becoming through the group dialogue, which promotes self-examination and self-direction in healthcare professionals.