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Collaboration in Decision Makihg by Clinlcal Nurse Specialists

临床护士专家在决策方面的合作

基本信息

批准号：
08672696
负责人：
INAYOSHI Mitsuko
金额：
$ 1.34万
依托单位：
Kitasato University
依托单位国家：
日本
项目类别：
Grant-in-Aid for Scientific Research (C)
财政年份：
1996
资助国家：
日本
起止时间：
1996 至 1998
项目状态：
已结题

项目摘要

The purpose of the present study is to facilitate cooperative action in the decision making process by nursing specialists for cancer patients by using action research. The final results indicate that action research could be applied in nursing methodology.1) Action research can be applied to cancer nursing when the research and the practitioners change the paradigm to critical theory and action science.2) Action research could be applied to research in personal relationships. Personal relationships in which discrepancies have evolved between different groups would be eliminated through self reflection by individuals. The discrepancy that arises during collaborative decision making between the cancer nursing specialists and that of the patient and his/her family is one such example.3) During the research process. different interpretations of the meaning of words and the chain of thought that may be derived from interaction between the researcher and the practitioners should be examined … More . An interpretation of the meaning of words during communication provides the data of action research. The researcher and the practitioners explore the meaning of the words in communications between each other. Hence, a new situation can be produced in which each person is free to change his or her viewpoint. The meaning of words stated by one person appear to induce changes in understanding and personal feelings in the listener. In addition, a shared understanding slowly, but steadily, spreads among participants. like ripples spreading out from a stone thrown into a pond. This event is described as a chain of thought.In order to compile data, the researcher should repeatedly listen to taped conversations and read transcriptions in order to extract parts of the conversation which indicates the following three points :・ Parts of conversation in which the interpretation of the meaning of words changes during the process towards mutual understanding.・ Pars of conversation in which the chain of thought is generated among the participants.・ Parts of conversation in which self reflection is expressed.4) Since action research accompanies the value-laden nature of inquiry, triangulation for indication of adequacy, describability of facts and assuredness is required. In the present study, investigator triangulation was performed by an evaluator experienced in action research. Less

本研究旨在以行动研究的方法，探讨癌症病患护理专家在决策过程中的合作行为。研究结果表明，行动研究可应用于护理方法学领域：1）行动研究可应用于癌症护理，但研究者和实践者必须转变范式，转向批判理论和行动科学; 2）行动研究可应用于人际关系研究。不同群体之间的差异会通过个人的自我反思而消除。癌症护理专家与患者及其家属在协作决策过程中出现的差异就是一个例子。3）在研究过程中。应该审查对词语含义的不同解释以及研究者和实践者之间互动可能产生的思维链 ...更多信息 .对言语交际过程中词义的解读为行动研究提供了数据。研究者和实践者在彼此的交流中探索单词的含义。因此，可以产生一种新的情况，在这种情况下，每个人都可以自由地改变他或她的观点。一个人所陈述的词语的含义似乎会引起听者的理解和个人感受的变化。此外，一种共同的理解缓慢但稳定地在参与者中传播。就像一个石头扔进池塘里，激起的涟漪。这一事件被描述为一个思维链。为了收集数据，研究者需要反复听录音和阅读录音，以提取对话的部分，这表明以下三点：·在相互理解的过程中，对单词含义的解释发生变化的对话部分。对话的一部分，其中在参与者之间产生思想链。·4）由于行动研究伴随着探究的价值负载性质，因此需要三角测量来表明充分性、事实的可描述性和可靠性。在本研究中，研究者三角进行了行动研究经验丰富的评估。少