Nursing の理念について
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1 チーム医療セミナー Nursing の理念 =J. Watson のことばをたどって = 明和病院血液内科林邦雄
2 20th InternationalCaritas Consortium October 23-24, 2014 Detroit, MI Sponsored by St. John Hospital & Medical Center.
3 Watson, Jean, The University of Colorado-Denver and Rush Presbytrerian University The University Press of Colorado The Web site: The International Caritas Consortium ( 1995 )
4 E.D. Thomas, N. Engl. J. Med. 257 Intravenous infusion of stem cells , identical twin, supralethal irradiation 後 血液学的回復しかし Leukemia は再発 A team of nurses HLA matched sibling, 進行した AML に移植 a plateau in Kaplan-Meier 6/ cured about 50 0f cured ALL of children % plateau
5 小石 =care
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8 自己 他者 仲間 指導者 コミュニティー 環境 広がる世界 = 見る 出会えるかもしれない =
9 トランスハ ーソナル 自己超越の概念をさらに発展させたもの 人間の究極的な目的とは 自己を越えた何ものかに統合されることと考える 他者の精神と結びつき それを包み込んだ時に起こる体験
10 臨床心理学の歴史 1. 行動主義的心理学 2. 精神分析 3. 実存 現象学的心理学 4. トランスパーソナル心理学カリフォルニアパロアルトトランスパーソナル研究所マズロー グラフ :1969 ウイリアム ジェイムス研究所
11 トランスハ ーソナルケアー 私を超え ここを超え 今を超え 精神 とより広い 世界意識 との深い結びつきに到達する 注意を集中して 癒しの可能性への助けが得られる 精神的な無限の結びつきへと広がって行く
12 トランスハ ーソナルナース 意識的愛 ケアー意識を育てる 身体から心への存在について知る力 ユニークな自己 他者 時間に焦点を当てる 超越, ケア イヤシ 全体性へ意識を集中させる能力 意味という内的な世界と結びつき他者の精神に結びつく試みをする 病気と離れ 人全体を見る ナースの力量 = 人間としての力量 実存の道を育てること
13 ケア ヒール ラブ ケア ヒール ラブ の意識時間 空間 身体からの超越を意識 ケアの科学 : 芸術と人間性を含む
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19 A pond model 個人から他者へ社会へ世界へ地球へ宇宙へ to truly get it, one has to personally experience it
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25 皮 :Trim 知識 技術 技 行動 時代 環境によって変化するものー 芯 :core 時間 空間を超越して
26 A:loving kindness B:Authenticity C:Sensitivity F:Love-trust-care G:Allow positive and negative H:Creative problem solving I:Transpersonal teaching J:Healing envirnoment K:Basic needs
27 カリタス過程 ラテン語希望 感情を心に抱く真に理解する特別の深い愛を持っての気遣い
28 The 10 Caritas processes Catitas Process1 Humanistic-altruistic values through cultivating Personal/professional practice of lovingkindness, compassion, and equanimity with self/others. 人間的利他的価値個人として専門家として 愛 - 親切 同情 平静という実践によって ( ワトソン理論の基礎 )
29 利他的? 利他的理想について 個人的に意味のあるリストを作ってみる 週の終わりにこのリストを見直してみる この単純な作業が育てる
30 Caritas process 2 Authentic presence : allowing faith and hope/belief system that honors inner life world of self/others 真の存在 : 自分と他人の内面の世界の尊重する体系 信念と希望や信頼を可能にする
31 自分? あなたは誰であるか あなたにとって正しいと感じられるものはなにか? あなたの個人的表現としての 優しい親切 を具体的に表現するとしたら? ケアはまず自身のありかたかた ( 存在 ) に始まる 他の人に哀れみを差し出す前に自身に対して
32 Caritas Process 3 Sensitivity to self and others by cultivating own growth and spiritual practices, beyond ego-control 自我を越えて 自己の成長と精神的実践によって 自己に対しても他者に対しても高い感性をもって
33 Caritas process 4 Developing and sustaining loving, trusting, caring relationships 愛と信頼 ケアーの関係を発展 維持する
34 ヒント 物事が巧く行かなくても あなた自身に実践する あなたが出会うすべてのひとに実践する 学び経験したもに感謝して愛をもって
35 Caritas progress 5 Allowing for expression of positive and negative feelings; authentically listening to another person s story 肯定的 否定的いずれの感情の表出を許し 他者の個人的物語に真摯に耳を傾けなさい
36 Caritas process 6 Creatively problem solving/solution seeking through caring process; full use of artistry of self, embracing all ways of knowing/being/doing/becoming ケアーの過程で創造的な問題解決を探そう 自己の技量を十分に使って よく知り 存在となり 働きかけをし 変化して行くことによって
37 Caritas process 7 Engaging in transpersonal teaching and learning within context of caring relationship; staying within the other frame of references; making shift from teaching per se toward coaching models for health/welfare ケアー関係の範疇においてはのみでよいが トランスパーソナルな教育や学習を実践し 教えることから健康 / 幸福のための指導モデルへとやってみてはどうか
38 Caritas process 8 Creating a healing environment at all levels; subtle environment, attending to energetic caring hearing field consciousness 癒される環境をあらゆるレベルで作りなさい 意欲的にケアによって癒される場を意識することに
39 Caritas process 9 Reverentially assisting with basic needs as sacred acts; touching mind body spirit of other while sustaining human dignity 畏敬の気持ちで 神聖な行為として基本的必要を手伝い 人間の尊厳を保って他者の知性 肉体 精神に達してみよう
40 Caritas process 10 Opening to spiritual, existential, mystery, unknowns, allowing for miracles 精神的 実存的 神秘 未知に対して心を開いて奇跡の余裕をもみこして
41 touchstone 仕事のときに 1. 病室に入る前 ミーティングの前は 静かに 集中して 自分を空っぽにして 2. なぜ自分がここにいるかを思い出して 何度も何度も愛 ( 慈愛 ) に軸を置いた心構えに立ち返って 3. ストレスの中では 深呼吸することを思い出し自信がないとき 動転したり, ギョッとする時指導を求めなさい どんな状況でもそれを許容し 祝福する気持ちを持つことです
42 文献 1. Jean Watson Nursing :The Philosophy and Science of Caring 2. Kathleen Sitaman, Jean Watson Caring Science,Mindful Practice
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