為人與成己之間－－面對他者的照護倫理態度

Between the Self and the Other: The Ethical Attitude of Providing Care to Others

背景：面對他者（人）是照顧病人時無法逃避的現實，但其深層意涵需要釐清。目的：本研究目的在探究護理人員面對他者的倫理態度。方法：採用質性研究法，以自由談的團體分析方式，進行團體治療實作指導的團體督導。此督導團體互動（對話）之過程記錄、研究者的工作日誌、及參與者的學習心得，成為本研究分析的文本。結果：結果發現，面對他者的倫理態度，是一個為人、問己、成己的發展歷程。並由為人的在場、問己的感知、成己的自我照顧，探究此發展歷程。結論／實務應用：由為人服務到成就自己的專業主體，需要具備問己的功夫。自由談的團體對話，能使護理人員開展問己的能力，發展出關懷的倫理態度，值得推廣於護理實務。

Background: The need to face others is an inescapable part of the professional responsibilities of nurses. The meaning of ”facing the other” is poorly addressed in nursing practice.Purpose: The purpose of this study was to explore the ethical attitudes of nurses related to facing others.Methods: A qualitative approach was used to investigate the living experience of psychiatric nurses in the supervision group in terms of improved ability to handle therapeutic groups.Results: The process of facing the other was for the other, by the other, and then for oneself. The presence of for the other, the sensibility from by the other, and the self-examination of for oneself were discussed in detail.Conclusions / Implications for Practice: The process of for the other, by the other, and then for oneself constructed the significance of learning from the patients. The group with that used the free-floating discussion format was found to promote the ethical attitude of psychiatric nurses and may be applied in clinical practice.