從客套到真誠：新進護理人員團體中促進真實表達的實務反思

From Politeness to Sincerity: Practice Reflections on Facilitating Authentic Expression in Groups of New Nursing Staff

新進護理人員在團體中常以「都很好」、「沒關係」等客套話回應，限制了團體深度探索的潛能，也可能強化情緒隔離的防衛模式。本文旨在探討如何透過團體活動設計，特別是非結構式團體的運用，促進新進護理人員從客套到真誠的表達轉化，以及帶領者可運用的介入技巧。
本文為實務經驗反思，以作者帶領新進護理人員一日工作坊的經驗為基礎，探討如何貫穿漸進式團體設計（結構式→非結構式）促進真實表達。結果發現：（一）漸進式設計能有效促進真實表達；（二）非結構式團體的不確定性促進成員接觸真實需求；（三）帶領者的關鍵介入技巧包括：觀察並點出團體現象、角色扮演轉換受害者位置、適當自我揭露、架橋促進普同性；（四）需理解護理文化與台灣文化脈絡的影響。從客套到真誠的轉化，需要創造「可以不完美」的團體空間，帶領者需具備高度心智化能力與對不確定性的耐受性。

New nursing staff often respond in groups with polite phrases such as“everything is fine”or“it’s okay,”which limits the group’s potential for deeper exploration and may also reinforce defensive patterns of emotional distancing. This article aims to examine how group activity design—particularly the use of unstructured group—can facilitate a shift from polite responses to sincere expression among newly hired nurses, as well as the intervention techniques that group leaders can employ.
This article is a reflection on practical experience, based on the author’s facilitation of a one-day workshop for new nursing staff. It explores how a progressive group design (from structured to non-structured) can be used throughout the process to promote authentic expression. The findings indicate that: (1) a progressive design effectively facilitates authentic expression; (2) the uncertainty inherent in non-structured groups encourages members to connect with their genuine needs; (3) key intervention techniques for leaders include observing and articulating group phenomena, using role-play to shift members out of a victim position, appropriate self-disclosure, and building bridges to foster universality; and (4) it is necessary to understand the influence of nursing culture and the Taiwanese cultural context.
The transition from polite to sincere expression requires the creation of a group space in which“being imperfect”is acceptable. Group leaders need a high level of mentalization capacity and a strong tolerance for uncertainty.