Nurses,formerly incarcerated adults,and Gadamer: phronesis and the Socratic dialectic

This paper describes the first phase of an ongoing education and research project guided by three main intentions: (1) to create opportunities for phronesis in the classroom; (2) to develop new understandings about phronesis as it relates to nursing care generally and to caring for specific groups, like formerly incarcerated adults; and (3) to provide an opportunity for formerly incarcerated adults and graduate nursing students to participate in a dialectical conversation about ethical knowing. Gadamer's writings on practical philosophy, phronesis, and the Socratic dialectic provide the philosophical foundation and framework for the project. The first phase in the project was a 4‐h class within a graduate‐level health promotion course during which 30 nursing students and three formerly incarcerated panelists engaged in a dialectic conversation about what it means to care for formerly incarcerated adults in a meaningful way. After the class, two focus groups were conducted, one with the students and one with the formerly incarcerated panelists. Findings articulated participants' prejudices and assumptions prior to the class, expanded sense of phronesis, and ability to consider nursing practice within a larger ethical framework. Panelists and students left the class with a deeper understanding of one another and expressed an openness towards continued dialectic conversations together. Use of the Socratic dialectic within nursing curricula reflects a current and critical trend in nursing education to bring non‐epistemologic forms of knowledge into the classroom.     

北京地区城市居民对健康管理的认知现状调查

目的：了解北京市海淀区社区居民对健康管理的认知现状及其主要影响因素,为健康管理走进社区医疗提供数据参考。方法通过对3000名社区居民进行现场问卷调查方式收集数据,利用统计学软件对数据进行统计分析。结果有70%的受访居民知晓健康管理,且健康管理知识获取的主要途径是电视(71%)和网络(64%)。不同群体居民对健康管理认知存在差异。中年组的认知度明显高于青年组和老年组(χ2=639.9,P <0.0001),不同职业种类的居民对健康管理的认知度有明显差异(χ2=146.6,P <0.0001),高收入水平居民的知晓度明显高于低收入和中等收入人群(χ2=116.6,P <0.0001),高学历人群对健康管理的认知度高于中低学历人群(χ2=44.2, P <0.0001),且差异均有统计学意义(P <0.0001)。结论该地区居民对健康管理的认知度不高,且年龄、职业、收入和受教育水平均对居民的认知度产生差异性影响。北京地区健康管理服务发展不仅需要以社区卫生服务机构的支持为基础,更需要多种服务提供方的参与,依据人群需求提供多元化的健康管理服务,以帮助居民更好地管理自己的健康。