Nurses Thinking Process in Understanding Patients Unconscious Denial Tomoko Hayashi Key Words putting oneself in the patient s place, perspective-taking, misunderstand patient s perspective, modifying assumption Perspective-Taking Perspective-Taking School of Nursing, Faculty of Medicine Mie University Vol. No.
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In the field of nursing, the importance of putting oneself in the patient s place has been emphasized. However, there is no evidence regarding such a thinking process in nurse. On the other hand, in the field of psychology, there is a term that means putting oneself in the other s place, perspective-taking, the thinking process in which nurses put themselves in the patients perspective. This study aims to examine how patients unconscious denial causes their nurses to misunderstand their perspective and how it affects nursing care. Using a case story of a nurse and patient scheduled to undergo colostomy, we conducted semi-structured interviews with nurses working at general hospitals. The results of our study suggest that patients remarks arising from unconscious denial are likely to mislead nurses to take inappropriately optimistic perspective of their patients. Further, even if new information is provided to the nurses, they tend to stick to their initial assumptions about their patients without modifying them. This tendency is also a likely cause of the nurses adopting inappropriate perspective. With regard to the association between the patients perspective and nursing care, the results suggest that having inappropriately optimistic perspective incurs the risk of providing inappropriate nursing care. Nightingale, F,,. -,,,.. -,,,.. -,,,.. -,,,.. -,,,. Schutz, A. -,,,. Vol. No.
. -,,,.. -,,,. Davis, M H, Conklin, L, et al : Effect of Perspective Taking on the Cognitive Representation of Persons: A Merging of Self and Oher. Journal of Personality and Social Psychology,, -,. Davis, M H, Soderlund, T, et al : Cognitions Associated with Attempts to Empathize : How Do We Imagine the Perspective of Another?. Journal of Personality and Social Psychology,, -,. Batson, C D, Early, S, et al : Perspective Taking : Imaging How Another Feels Versus Imagining How You Would Feel. Personality and Social Psychology Bulletin,, -,. Perspective-Taking.,, -,....,. -,,,..,,. -,,,.., L,. -,,,.. -,,,. Hanson, N R,,., -,,.. -,,,..,, -,.,. -,,,., J St BT. -,,,...,,,. Vol. No.