Abstract:
BACKGROUND::In forensic psychiatric care, a hermeneutic caring conversation between caregivers and patients can improve health outcomes. The hermeneutic approach entails starting from the whole and involves openness for what is shown as well as paying attention to the different parts. One way to deepen these conversations is to take advantage of both the caregivers' and the patients' life experiences. RESEARCH QUESTIONS::The purpose of the study is to discuss and reflect on what hermeneutic caring conversations can mean for a deepened understanding of the movement in the health processes of patients in forensic care, patients who are in deep suffering. RESEARCH DESIGN::This study uses a hermeneutic methodology. Conversations with patients receiving care in forensic psychiatry are deepened using texts from philosophy, caring science, and poetry. The outcome emerges through a phase of creating patterns. PARTICIPANTS::Three patients in forensic care. ETHICAL CONSIDERATIONS::This study builds on a doctoral thesis approved by The Ethical Review Board at the Faculty of Medical and Health Sciences, Linköping, Sweden. FINDINGS::Hermeneutic caring conversations provide a possibility for rich caring conversations with patients who are often not given a voice. These conversations are seen as ethical expressions of hermeneutic caring communion that affect patients' health processes in a positive way. DISCUSSION::It takes courage and responsibility to initiate and conduct these conversations as the patients volunteer to share their suffering. In hermeneutic caring conversations, the caregiver's attitude is crucial for the transference of knowledge. CONCLUSION::This study provides a preliminary outline for hermeneutic caring conversations. A caring culture that provides time and space to prepare hermeneutic caring conversations is a prerequisite for the implementation of hermeneutic caring conversations.
journal_name
Nurs Ethicsjournal_title
Nursing ethicsauthors
Rydenlund K,Lindström UÅ,Rehnsfeldt Adoi
10.1177/0969733017705003subject
Has Abstractpub_date
2019-03-01 00:00:00pages
515-525issue
2eissn
0969-7330issn
1477-0989journal_volume
26pub_type
杂志文章相关文献
NURSING ETHICS文献大全abstract::This article reviews empirical evidence and ethical norms in cross-linguistic nursing. Empirical evidence highlights that linguistic barriers between nurses and patients can perpetuate discrimination and compromise nursing care. There are significant organizational and relational challenges involved in ensuring adequa...
journal_title:Nursing ethics
pub_type: 杂志文章
doi:10.1177/0969733009343622
更新日期:2009-11-01 00:00:00
abstract::The purpose of this research was to describe attitudes of nursing students (and paramedic officers) towards marginalized clients. Convenience quota sampling in a major health faculty was employed. Students participated on a voluntary basis. A 58-item Likert scale, developed by the authors, assessed the student nurses'...
journal_title:Nursing ethics
pub_type: 杂志文章
doi:10.1191/0969733004ne707oa
更新日期:2004-01-01 00:00:00
abstract:BACKGROUND:Nursing is an occupation that deals with humans and relies upon human relationships. Nursing care, which is an important component of these relationships, involves protection, forbearance, attention, and worry. OBJECTIVES:The aim of this study is to evaluate the ethical beliefs of psychiatric nurses and eth...
journal_title:Nursing ethics
pub_type: 杂志文章
doi:10.1177/0969733013500161
更新日期:2014-05-01 00:00:00
abstract::The 'no-suicide contract' is a frequently utilized tool in both the assessment and dispersal of suicidal patients. However, little attention has been given to questioning whether suicidal persons are able to give informed consent to enter such a contract. This article utilizes both the existing literature on no-suicid...
journal_title:Nursing ethics
pub_type: 杂志文章
doi:10.1191/0969733003ne594oa
更新日期:2003-03-01 00:00:00
abstract::The aim of this study was to describe how patients' participation in the care they received was documented in their health care records during the last three months of their lives. Two hundred and twenty-nine deceased adult persons were randomly identified from 12 municipalities in a Swedish county and their records w...
journal_title:Nursing ethics
pub_type: 杂志文章
doi:10.1191/0969733006ne883oa
更新日期:2006-07-01 00:00:00
abstract::In order to care ethically nurses need to care holistically; holistic care includes religious/spiritual care. This research attempted to answer the question: Do nurses have the resources to offer religious care? This article discusses only one aspect--the provision of religious care within the Taiwanese health care sy...
journal_title:Nursing ethics
pub_type: 杂志文章
doi:10.1191/0969733006ne835oa
更新日期:2006-03-01 00:00:00
abstract::A new Turkish Penal Code came into effect on 1 June 2005. Article 280 concerns health care workers' failure to report a crime. This article removes the responsibility from health care workers to maintain confidentiality, but also removes patients' right to confidentiality. It provides for up to one year of imprisonmen...
journal_title:Nursing ethics
pub_type: 杂志文章
doi:10.1177/0969733006069693
更新日期:2006-11-01 00:00:00
abstract::This review aimed to explore nursing literature and research on dignity in care of inpatients and to evaluate how the care patients received in the hospital setting was related to perceived feelings of being dignified or undignified. Studies conducted between 2000 and 2010 were considered, using Cumulative Index to Nu...
journal_title:Nursing ethics
pub_type: 杂志文章,评审
doi:10.1177/0969733012458609
更新日期:2013-03-01 00:00:00
abstract::This article takes issue with procedural reductionism, which is the inclination to reduce all matters of judgement and responsibility to the following of some procedure or rule. Two scenarios provide content for a discussion of professional discretion in the context of accountability. The author shows that in professi...
journal_title:Nursing ethics
pub_type: 杂志文章,评审
doi:10.1177/096973309700400608
更新日期:1997-11-01 00:00:00
abstract:AIM:To determine the current state of knowledge on nursing and ethics and to assess the knowledge and experience based on the evidence in this regard. BACKGROUND:Although ethics is at the center of the nursing profession and the ethical issues affecting nurses are given much importance, few studies have focused on pro...
journal_title:Nursing ethics
pub_type: 杂志文章
doi:10.1177/0969733017734412
更新日期:2019-06-01 00:00:00
abstract::Fertility treatments raise a range of social and ethical issues regarding self-identity for family, sexual intimacy, and the interests and welfare of potential children. Eggs and sperm are combined to produce fertilized eggs. These eggs are then implanted as embryos and grow into viable fetuses, which are carried by t...
journal_title:Nursing ethics
pub_type: 杂志文章,评审
doi:10.1177/096973300100800208
更新日期:2001-03-01 00:00:00
abstract:BACKGROUND:Psychological abuse of older people is difficult to recognise; specifically, nursing home residents have been documented to be at higher risk of psychological abuse during daily care, such as during feeding. Healthcare professionals adopt positive and negative verbal prompts to maintain residents' eating ind...
journal_title:Nursing ethics
pub_type: 杂志文章
doi:10.1177/0969733018819124
更新日期:2019-11-01 00:00:00
abstract::The administration of electroconvulsive therapy (ECT) to children and adolescents remains an unresolved area of clinical debate for nurses. Thus, some nurses have refused to participate in the treatment of minors with ECT, invoking codes of conduct to justify their actions. Other nurses have supported the use of ECT w...
journal_title:Nursing ethics
pub_type: 杂志文章,评审
doi:10.1177/096973309500200408
更新日期:1995-12-01 00:00:00
abstract:BACKGROUND:Nurse managers are placed in a unique position within the healthcare system where they greatly impact upon the nursing work environment. Ethical dilemmas and moral distress have been reported for staff nurses but not for nurse middle managers. OBJECTIVE:To describe ethical dilemmas and moral distress among ...
journal_title:Nursing ethics
pub_type: 杂志文章
doi:10.1177/0969733013515490
更新日期:2015-02-01 00:00:00
abstract:BACKGROUND:In Ontario, Canada, patients who lack decision-making capacity and have no family or friends to act as substitute decision-makers currently rely on the Office of the Public Guardian and Trustee to consent to long-term care (nursing home) placement, but they have no legal representative for other placement de...
journal_title:Nursing ethics
pub_type: 杂志文章
doi:10.1177/0969733015583185
更新日期:2016-11-01 00:00:00
abstract::Nurses working in a newborn intensive care unit report that treatment decision disagreements for infants in their care may lead to ethical dilemmas involving all health-care providers. Applying Rest's Four-Component Model of Moral Action as the theoretical framework, this study examined the responses of 224 newborn in...
journal_title:Nursing ethics
pub_type: 杂志文章
doi:10.1177/0969733012475254
更新日期:2014-03-01 00:00:00
abstract::The purpose of this study was to look beyond the patient as the source of difficulty and to examine the context of care encounters for factors that contributed to the construction of difficulty in the nurse-patient encounter. The study explains the origins of difficulty in the nurse-patient encounter. This explanation...
journal_title:Nursing ethics
pub_type: 杂志文章
doi:10.1177/0969733007077885
更新日期:2007-07-01 00:00:00
abstract:BACKGROUND:Privacy is one of the key principles in health care and requires understanding of the cultural aspects of patients' privacy. In Western cultures privacy is focused on the individual, however, in some non-Western cultures, privacy is linked to the collectivism of the community or religion. OBJECTIVES:The obj...
journal_title:Nursing ethics
pub_type: 杂志文章
doi:10.1177/0969733019855748
更新日期:2020-03-01 00:00:00
abstract::Qualitative research poses ethical issues and challenges unique to the study of human beings. In developing the interpersonal relationship that is critical to qualitative research, investigator and participant engage in a dialogic process that often evokes stories and memories that are remembered and reconstituted in ...
journal_title:Nursing ethics
pub_type: 杂志文章,评审
doi:10.1177/0969733007086018
更新日期:2008-03-01 00:00:00
abstract::As professionals, nurses are engaged in a moral endeavour, and thus confront many challenges in making the right decision and taking the right action. When nurses cannot do what they think is right, they experience moral distress that leaves a moral residue. This article proposes a theory of moral distress and a resea...
journal_title:Nursing ethics
pub_type: 杂志文章,评审
doi:10.1191/0969733002ne557oa
更新日期:2002-11-01 00:00:00
abstract::Trust in the nurse-patient relationship is maintained not by how professionals perceive their actions but rather by how the public perceives them. However, little is known about the public's view of nurses and other health care professionals who participate in pharmaceutical marketing. Our study describes public perce...
journal_title:Nursing ethics
pub_type: 杂志文章
doi:10.1177/0969733009106656
更新日期:2009-09-01 00:00:00
abstract::The philosophy of empowerment, which is based on the premises that clients must be active, equal and collaborative participants, who are aware and committed to change, has guided research in empowerment interventions. This article reports on a small part of a research study that sought to understand Chinese cancer pat...
journal_title:Nursing ethics
pub_type: 杂志文章
doi:10.1177/096973300100800108
更新日期:2001-01-01 00:00:00
abstract::Ethics support is called for to improve the quality of care in elderly institutions. Various forms of ethics support are presented, but the needs for ethics support remain unknown. Using a mixed-methods design, this article systematically investigates the specific needs for ethics support in elderly care. The findings...
journal_title:Nursing ethics
pub_type: 杂志文章
doi:10.1177/0969733011412102
更新日期:2012-01-01 00:00:00
abstract::Nursing professionals in a variety of practice settings routinely use implied consent. This form of consent is used in place of or in conjunction with informed or explicit consent. This article looks at one aspect of a qualitative exploratory study conducted in a Day of Surgery Admission unit. This article focuses on ...
journal_title:Nursing ethics
pub_type: 杂志文章
doi:10.1177/0969733011436028
更新日期:2012-07-01 00:00:00
abstract:BACKGROUND:Healthcare organizations are now challenged to retain nurses' generation and understand why they are leaving their nursing career prematurely. Acquiring knowledge about the effect of ethical work climate and level of perceived organizational support can help organizational leaders to deal effectively with dy...
journal_title:Nursing ethics
pub_type: 杂志文章
doi:10.1177/0969733015594667
更新日期:2017-03-01 00:00:00
abstract:BACKGROUND:Clinical education is an essential part of the Bachelor's program in Nursing and a keystone of professional nursing education. Through clinical experiences, the student nurses acquire nursing knowledge and essential skills for professional practice. The preceptor plays a vital role in the development of stud...
journal_title:Nursing ethics
pub_type: 杂志文章
doi:10.1177/0969733013511361
更新日期:2014-08-01 00:00:00
abstract::The movie, The terminal, is used to illustrate MacIntyre's description of virtue ethics. The terminal is a mythical tale about a traveler, Viktor Navorski, who is stranded by circumstances in a New York airport. Viktor is a person who, without a strict reliance on duty or rules, has developed the disposition to act we...
journal_title:Nursing ethics
pub_type: 杂志文章,评审
doi:10.1177/0969733007071358
更新日期:2007-01-01 00:00:00
abstract:BACKGROUND:Rising levels of burnout and decreasing job satisfaction can inhibit healthcare professionals from providing high-quality care due to a corresponding decrease in their ethical sensitivity. AIM:This study aimed to determine the relationship between the level of ethical sensitivity in emergency service nurses...
journal_title:Nursing ethics
pub_type: 杂志文章
doi:10.1177/0969733017720846
更新日期:2019-05-01 00:00:00
abstract:BACKGROUND:Nurses' collegiality is topical because patient care is complicated, requiring shared knowledge and working methods. Nurses' collaboration has been supported by a number of different working models, but there has been less focus on ethics. AIM:This study aimed to develop nurses' collegiality guidelines usin...
journal_title:Nursing ethics
pub_type: 杂志文章
doi:10.1177/0969733015617342
更新日期:2017-08-01 00:00:00
abstract::Moral sensitivity is known to be the starting point for moral competence and even is a core concept in the curricula for bachelor's-level nursing students in the Netherlands. While the development of moral sensitivity in nursing is commonly agreed to be important, there is no clear understanding of how to develop mora...
journal_title:Nursing ethics
pub_type: 杂志文章
doi:10.1177/0969733020972450
更新日期:2020-12-16 00:00:00