44 2010. 1 1 2003 2004 2002 2004 2006 2008 reflective practitioner reflection Schön 1986 1987 Pierson 1998 2001 ; Burns & Bulman 2005 2009 2009 2007 2007
2001 p.53 2004 2005 2 2. 1 2 conversation with situation reflection-in-action Schön 1983 p.60 1996 pp.73 79 2000 p.231 2008 reflection-on-action
2. 2 Lave 1991 ethnography Spradley 1980 ; Leininger 1985 ; Marcus & Fischer 1986 ; Roper & Shapira 2001 2000 p.185 thick description Geertz 1973 1992 p.113 3 3. 1 300 Y 4 3. 2 17 10 18 10 12 2 3 1 1
MD 3. 3 1 2 3 3 3. 4 4 1 4. 1 4. 1. 1
1
4. 1. 2 4. 1. 3 A 4 2 A 4 60 A A
A A 4. 1. 4 4. 2 2
4. 2. 1 4. 2. 1. 1 1 2 4. 2. 1. 2 4. 2. 1. 3 2 C 9 C
4. 2. 1. 4 4. 2. 1. 5 4 C 11 4 C C 4 C
C C 4. 2. 2 4. 2. 2. 1 D 9 D COPD 4. 2. 2. 2
D 8 D 4 4 D D D D 5 D 4. 2. 2. 3 C 12 C C C
4. 2. 2. 4
C 11 C 80 C CRP 4 C 3L 40 C C C C C C C C ADL 4. 3 4. 3. 1
4. 3. 2 4. 3. 3 A 2 A A 56 B 4 B
4. 3. 4 A 4 A 4. 4 4. 3
3 5 5. 1 4. 1 4. 2 appropriation
Roggof 1995 Wertsch 1998 Rogoff, B. Roggof 1995 Wertsch, James V. mastery Wertsch 1998 p.59 1999 p.40 4. 2. 1. 5 2 1 2
Benner 2002 p.12 5. 2 4. 3 3 Schön and Rein 1994 Frame Reflection 2008 5. 3 Organizational Learning Chris Argyris Single-loop learning
Double-loop learning Argyris 1977 ; Argyris and Schön 1978 4. 2. 2. 3 6 1 2 3 3
7 1 4 17 18 B Argiris, C. 1977 2007 pp.100 113. Argyris, C. & Schon, D. 1978 Orgazational Learning : A theory of action perspective. Reading, MA : Addison-Wesley. Benner, p. 2000 NursingToday, 17 12 pp.8 12. Burns, S. & Bulman, C 1994. 2005 2001 Quality Nursing, 7 8 pp.652 654. 2008 31 5 pp.29 37. 2006 No.4 pp.30 33. 2006 114 pp.9 10. Geertz, C. 1973 1987 pp.3 56. 2002 6 23, pp.27 32. 2001 reflection Quality Nursing, 7 10 pp.53 59. 2007 15 p.225. 2005 15 p.106. 2003
2004 Lave, J. & Wenger, E. 1991 1993 Lave, J. 1996 The practice of learning. Lave, J. & Chaiklin. Understanding Practice : Perspective on activity and context, Cambridge University Press. pp.3 32. Leininger, M. 1985 1997 pp.41 94. Marcus,G.E.&Fischer,M.M.J. 1986. Anthropology as Cultural Critique : an experimental moment in the human sciences, Chicago, University of Chicago Press. 2004 13 1 pp.51 64. 2006 pp.1 12. Pierson, W. 1998 Reflection and nursing education, Journal of Advanced Nursing. 27 1. pp.165 170. Roggof, B. 1995. Observing sociocultural activity on three planes : participatory appropriation, guided participation, and apprenticeship. In Wertsch, J. V. Rio, P. & Alvarez, A. : Sociocultural studies of mind, Cambridge : Cambridge University Press. pp.139 164. Roper, J. M., & Shapira, J. 2000. Ethnography in Nursing Reseach, Sage Publications Inc. 2000 1999 10 Schön, D. 1983 The Reflective Practitioner. How Professionals Think in Action, New York Basic books. Schön, D. 1987 The Educating the Reflective Practitioner. San Francisco, CA : Jossey-Bass. Schön, D. A. and Rein, M. 1994 Frame Reflection : Toward the. Resolution of Intractable Policy Controversies, Basic Books. 2004 24 p.454. Spradley,J.P. 1980. Participant Observation. New York : Holt, Rinehart, & Winston. 2002 300 p.185. 2007 48 12 pp.1078 1087. 2009 61 3 pp.40 44. 2009 29 2 pp.38 44. Wertsch, J. V 1998 2002