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'There is only narrative' 1: Using case studies in nursing ethics

机译:“只有叙事” 1:在护理伦理学中使用案例研究

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If there's one particular thing that stands out in my memory each year after delivering papers on ethics to groups of undergraduate and postgraduate nursing students, it's the rapt attention that they invariably give to a morally focused case study or nursing narrative. When this occurs, it is as if the unfolding events of the study become a temporary reality for them, and they seem to relive each new development in the story with deep interest. Subsequently, whether it's a story from my own past experiences, another nurse's story, or one of their own stories from practice, the effect is always very similar - we seem to experience that sometimes elusive but highly prized 'pedagogical moment' together.2 I have long presumed that this is because most nurses share their stories with each other as a way of personally relating what it means to face a significant ethical dilemma from both a personal and a nursing perspective. In this regard, nurses are only too willing to offer their ethical interpretations of any given issue, as for them at least, realistic ethical narratives are a major pathway towards the development of better practices.
机译:在每年向一群护理本科生和研究生提供有关伦理学的论文后,如果每年有一件特别的事在我的记忆中脱颖而出,那就是他们总是对以道德为中心的案例研究或护理叙事给予高度关注。当这种情况发生时,研究的展开事件似乎对他们来说是一个暂时的现实,并且他们似乎对故事中的每个新发展都怀有浓厚的兴趣。随后,无论是我过去的经历,另一个护士的故事,还是他们自己的实践故事,其效果总是非常相似的-我们似乎一起经历了有时难以捉摸但非常珍贵的“教学时刻”。2长期以来,人们一直认为这是因为大多数护士彼此分享他们的故事,是一种从个人和护理角度亲自面对面临重大伦理困境的含义的方式。在这方面,护士只愿意对任何给定的问题提供道德解释,至少对于他们而言,现实的道德叙事是发展更好做法的主要途径。

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