精神科護士生涯專業意義敘說研究

Narrative Research on the Meaning of Professional Development in the Psychiatric Nurse Profession

背景：臨床資深護士安身立命在自己護理崗位的工作歷程，可以成為護理臨床新手護士生涯發展的學習與反思。
目的：透過精神科護理工作的生命故事敘說，建構其專業意義與台灣精神護理發展圖像。
方法：敘說研究訪談一位在臨床近三十年的精神科護士，分析與詮釋理解個案置身在變遷的社會文化脈絡中，建構與交織護理專業的意義。
結果：分為三階段：啟蒙—助人的事情、型塑—哪裡需要護士、傳承—靈性照護；並輪廓出台灣精神科護士的專業發展圖像，從以「個人」為照護效力轉型為以「專業」為照護效力。
結論：個案精神護理專業意義必須透過自身與社會互動型塑而現身，個案故事可作為精神護理教育的客觀參照與省思。

Background: The extensive clinical experience of senior nurses is a valuable resource to assist new nurses to prepare for their professional future in the clinical environment. Purpose: This study employed the professional life narratives of psychiatric nurses in Taiwan to establish professional meaning and create a development image for Taiwan psychiatric nurses. Methods: This study used a narrative approach to interview a psychiatric nurse with nearly thirty years of clinical experience. Researchers analyzed findings and constructed a new meaningful vision in light of social and cultural changes. Results: Results identified three periods, namely Enlightenment, Shaping, and Spiritual Care. Enlightenment focuses on the nurse as a helper; Shaping focuses on the fundamental need for nurses; and Transmitting focuses on spiritual care. These periods outline a development image for psychiatric care in which effectiveness of care shifts from “individual” to “professional”. Conclusions: The significance of caring for psychiatric patients should be perceived through shaping, which is generated by social interaction. This case study may be applied to enhance psychiatric nursing education.