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The importance of existential dimensions in the context of the presence of older patients at team meetings—In the light of Heidegger and Merleau-Pontys philosophy

機(jī)譯：在老年患者參加團(tuán)隊(duì)會(huì)議的情況下存在維度的重要性-根據(jù)海德格爾和梅洛-龐蒂的哲學(xué)

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The aim of the present study is to explore interpersonal dimensions of the presence of older patients at team meetings. The theoretical foundation of the study is grounded in caring science and lifeworld phenomenology. The results from two empirical studies, that indicated the need for a more in-depth examination of the interpersonal relationships when an older patient is present at a team meeting, were further explicated by philosophical examination in the light of Heidegger and Merleau-Ponty's philosophy. The empirical studies were performed in a hospital ward for older people, where the traditional rounds had been replaced by a team meeting, to which the patients were invited. The analysis of the general structure and philosophical examination followed the principles of reflective lifeworld research. The philosophical examination is presented in four meaning structures: mood as a force in existence; to exist in a world with others; loneliness in the presence of others; and the lived body as extending. In conclusion, professionals must consider patients’ existential issues in the way they are expressed by the patients. Existence extends beyond the present situation. Accordingly, the team meeting must be seen in a larger context, including the patients’ life as a whole, as well as the ontological and epistemological foundations on which healthcare is based.
機(jī)譯：本研究的目的是探討團(tuán)隊(duì)會(huì)議中老年患者的人際關(guān)系維度。該研究的理論基礎(chǔ)建立在關(guān)懷科學(xué)和生活世界現(xiàn)象學(xué)的基礎(chǔ)上。兩項(xiàng)實(shí)證研究的結(jié)果表明，當(dāng)年長(zhǎng)的患者出席團(tuán)隊(duì)會(huì)議時(shí)，需要對(duì)人際關(guān)系進(jìn)行更深入的檢查，并根據(jù)海德格爾和梅洛-龐蒂的哲學(xué)進(jìn)一步進(jìn)行了哲學(xué)檢查。在老年人的醫(yī)院病房中進(jìn)行了實(shí)證研究，在傳統(tǒng)病房中，傳統(tǒng)的檢查被小組會(huì)議取代，邀請(qǐng)了患者參加?？傮w結(jié)構(gòu)分析和哲學(xué)檢驗(yàn)遵循反思性生活世界研究的原理。哲學(xué)的考驗(yàn)表現(xiàn)為四種意義結(jié)構(gòu)：情緒是一種存在的力量；與他人共處世界；在別人面前寂寞；活著的身體在延伸。總之，專業(yè)人員必須以患者表達(dá)自己的方式來(lái)考慮患者的生存問題。存在超越了目前的狀況。因此，必須在更大范圍內(nèi)看待團(tuán)隊(duì)會(huì)議，包括患者的整體生活以及醫(yī)療保健所基于的本體論和認(rèn)識(shí)論基礎(chǔ)。

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