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1.
Br J Nurs ; 29(5): 314-317, 2020 Mar 12.
Artículo en Inglés | MEDLINE | ID: mdl-32167808

RESUMEN

Person-first thinking makes it a virtue to 'see the person, not the disability', overlooking, or making an effort to overlook, a person's impairment in order to see 'the person within'. This might seem a caring and compassionate approach in everyday nursing practice, but on closer examination it can be seen as unhelpful and even discriminatory. This article considers why this should be the case and introduces the affirmation model as a basis for a different way of thinking about the issue.


Asunto(s)
Personas con Discapacidad , Empatía , Filosofía en Enfermería , Humanos , Principios Morales , Ética Basada en Principios
2.
J Nurs Adm ; 50(2): 85-89, 2020 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-31977945

RESUMEN

OBJECTIVE: The aim of this study was to examine program effectiveness in changing Caritas leadership, self-caring behaviors, and perceptions of coworkers of participants who completed the Caritas Coach Education Program (CCEP). BACKGROUND: The CCEP has been a highly successful education program for individuals who wish to intellectually and experientially learn to teach, live, and practice human caring theory. METHODS: A pretest-posttest descriptive design was used to evaluate changes in perceptions of self-caring, caritas leadership, and coworker behaviors after completion of CCEP. RESULTS: The mean scores of all measures improved significantly. CONCLUSIONS: After completion of CCEP, participants demonstrated statistically significant changes in 3 caritas measures: leadership, coworker, and self-rating. Caritas Coach participants exhibited the greatest change in their self-caring scores.


Asunto(s)
Actitud del Personal de Salud , Educación en Enfermería/organización & administración , Empatía , Personal de Enfermería en Hospital/educación , Personal de Enfermería en Hospital/psicología , Filosofía en Enfermería , Adulto , Arizona , Estudios de Cohortes , Femenino , Humanos , Masculino , Persona de Mediana Edad , Evaluación de Programas y Proyectos de Salud
3.
Artículo en Inglés, Portugués | LILACS, BDENF - Enfermería | ID: biblio-1051232

RESUMEN

Objetivo: desvelar os sentidos dos acadêmicos de enfermagem acerca do cuidado de enfermagem. Método: pesquisa de natureza qualitativa na abordagem fenomenológica pautada no referencial teórico, filosófico, metodológico de Martins Heidegger. Foram participantes 13 acadêmicos de enfermagem do último período de graduação em uma Faculdade de Enfermagem de uma Universidade da Zona da Mata Mineira, que nos meses de setembro de 2015 realizaram depoimentos em encontro empático sobre o cuidado de enfermagem. Resultado: da análise compreensiva emergiu as Unidades de significação: Se colocar no lugar do outro, dar amor, carinho e ver o paciente como um todo e Conhecer a teoria para poder colocar o cuidado em prática. Conclusão: desvelou-se a dicotomia entre o conhecimento teórico e a prática, bem como a importância de se transpor o cuidado técnico para um cuidado holístico/acolhedor e humanístico


Objective: The study's purpose has been to address the meanings of nursing care from the nursing students' viewpoint. Methods: Qualitative research in the phenomenological approach based on the theoretical, philosophical and methodological framework of Martins Heidegger. Participants were 12 nursing students attending the last graduation semester at a Nursing School of a University located in the countryside of the Minas Gerais State. The nursing students gave statements during an empathic meeting on nursing careover September 2015. Result: Based on the data comprehensive analysis, the Units of meaning came about as follows: Putting yourself in other's shoes, give love and affection; Seeing the patient as a whole; and, Knowing the theory to put care into practice. Conclusion: The dichotomy between theoretical and practical knowledge was revealed, as well as the importance of transposing technical care to holistic/welcoming and humanistic care


Objetivo: revelar los sentidos de los universitarios de Enfermería acerca de la atención en enfermería. Método: investigación de carácter cualitativo con aproximación fenomenológica guiada por el referencial teórico, filosófico, metodológico de Martins Heidegger. Participaron 13 universitarios de enfermería del último curso de una facultad de enfermería en una universidad en la Zona da Mata Mineira, en el mes de septiembre de 2015 se tomó sus testimonios en el encuentro empático sobre la atención de enfermería. Resultado: el análisis global reveló las unidades de significado: Ponerse en lugar de otro, dar amor, afecto y mirar al paciente en su conjunto, y conocer la teoría para poner en práctica el cuidado. Conclusión: ee desveló la dicotomía entre el conocimiento teórico y la práctica, así como la importancia de traspasar el cuidado técnico a un cuidado holístico/acogedor y humanístico


Asunto(s)
Humanos , Masculino , Femenino , Adulto , Filosofía en Enfermería , Estudiantes de Enfermería , Educación en Enfermería/métodos , Atención de Enfermería , Actitud del Personal de Salud , Rol de la Enfermera/psicología , Investigación Cualitativa , Existencialismo , Relaciones Interpersonales
4.
Nurs Philos ; 20(4): e12282, 2019 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-31478347

RESUMEN

Nursing, with its socially embedded theory and practice, inevitably operates in the realm of power and politics. One of these political sites is that of religion, which to varying degrees continues to shape beliefs about health and illness, the delivery of healthcare services and the nurse-patient encounter. In this paper, I attempt to complicate nursing's views on religion and politics in healthcare, with the intent of thinking critically and philosophically about questions that arise at the intersection of religion, politics and nursing/healthcare. These questions include the following: What is the domain of religion and politics? How (non)religious are the contemporary societies in which nurses practice? What are the variations and implications of secularism? How is religion entangled with other intersecting social relations of power? How does a political reading of religion and politics matter to the concerns of nursing?


Asunto(s)
Enfermería , Filosofía en Enfermería , Política , Religión , Prestación de Atención de Salud , Humanos
5.
Nurs Educ Perspect ; 40(6): 358-360, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-31478988

RESUMEN

The educational structure of many nursing programs is largely monocultural, with a traditional pedagogy. Empowered holistic nursing education (EHNE) creates a learning environment with more cultural responsiveness and support for diverse classrooms. The aim of this study was to determine what impact the theory had on diversification. With EHNE the philosophical framework of a new RN-to-BSN program, student demographic data were collected, along with exit survey questions. A statistically significant increase was found in the diversification of the six cohorts. The EHNE shows potential as a programmatic framework for increasing diversification of the nursing profession.


Asunto(s)
Bachillerato en Enfermería/organización & administración , Enfermería Holística/educación , Filosofía en Enfermería , Diversidad Cultural , Humanos , Investigación en Educación de Enfermería , Investigación en Evaluación de Enfermería , Estudiantes de Enfermería/estadística & datos numéricos , Encuestas y Cuestionarios
6.
Nurs Philos ; 20(4): e12278, 2019 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-31364816

RESUMEN

The recent "turn to matter" evident in material feminist theories of the more-than-human world offers distinct posthuman understandings of the world as continuously relationally entangled, emergent or materializing. In this paper, I consider how these premises both trouble conventional understandings of matter and/or materials, but likewise potentially revise and revitalize understandings of the political for health and inequalities, and for nursing. This is both timely and much needed given contemporary contexts of austerity-driven neoliberalism in health care and the unprecedented growth in disparities of wealth and well-being. I wish to explore whether material feminisms allow us to retheorize connections between abstract theory and material concerns like health and inequalities, differently. This is not theory in opposition to practice or activism, but theory conceptualized as sets of entangled emergent practices, but also what constitutes the political, as more fully relational to and in praxis with health-related activism. I will argue these theories further justify how practitioners can visibly care for and care more about social and health inequalities. Drawing mainly on the work of material feminist, Karen Barad, and her bringing together of queer and feminist theory, as well as feminist new materialisms and understandings of posthumanism, I discuss how this turn to matter together with meaning might transform understandings of health and inequalities.


Asunto(s)
Feminismo , Filosofía en Enfermería , Femenino , Humanos , Teoría de Enfermería
7.
Nurse Res ; 27(1): 33-40, 2019 Mar 18.
Artículo en Inglés | MEDLINE | ID: mdl-31468834

RESUMEN

BACKGROUND: Philosophical principles should guide how research is designed, conducted and appraised. The more traditional and commonly used approaches to positivist (validity and generalisability) or interpretivist (trustworthiness) research do not necessarily complement the philosophical principles of post-positivist critical realism. AIMS: To discuss an approach to ensuring scientific rigour in post-positivist critical realist research using an enhanced version of the quality assurance model, TAPUPAS, that has an additional criterion: modified objectivity. DISCUSSION: The authors present examples of the quality framework TAPUPASM in the planning, design, conduct and dissemination of a realist research study. These strategies include choices about the collection and analysis of data, as well as how to disseminate findings using methods other than traditional academic approaches. They also provide a practical example of how they used TAPUPASM to ensure rigour in a critical realist ethnographic study in pre-registration nurse education. CONCLUSION: TAPUPASM provides a framework for quality in post-positivist critical realist research. IMPLICATIONS FOR PRACTICE: Nurse researchers can use the strategies provided to plan, design, conduct and disseminate critical realist research.


Asunto(s)
Recolección de Datos/métodos , Investigación en Enfermería/métodos , Filosofía en Enfermería , Investigadores/psicología , Antropología Cultural , Humanos , Reproducibilidad de los Resultados , Proyectos de Investigación
9.
Nurs Outlook ; 67(4): 302-310, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-31280842

RESUMEN

BACKGROUND: Precision health is a population-based approach that incorporates big-data strategies to understand the complex interactions between biological, environmental, lifestyle, and psychosocial factors that influence health. PURPOSE: A promising tool to facilitate precision health research and its dissemination is the ConNECT Framework. METHODS: Here, we discuss the relationship of the five broad and synergistic principles within the ConNECT Framework as they may apply to nursing science research: (1) Integrating Context, (2) Fostering a Norm of Inclusion, (3) Ensuring Equitable Diffusion of Innovations, (4) Harnessing Communication Technology, and (5) Prioritizing Specialized Training. DISCUSSION/CONCLUSION: The principles within this framework can be used by nurse scientists and educators to guide and disseminate precision health research.


Asunto(s)
Guías como Asunto , Investigación en Enfermería/normas , Filosofía en Enfermería , Medicina de Precisión/enfermería , Humanos , Proyectos de Investigación
10.
Nurs Philos ; 20(4): e12269, 2019 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-31314181

RESUMEN

The argument that nurses should be Marxists is made by looking at the primary areas of nursing activity in turn, giving an example of how capitalist economic relations negatively impact upon that activity, and providing a Marxist explanation of the reasons why it has that impact. In relation to the nursing activity of health promotion, it is argued that capitalism's generation of social inequality undermines the health of the population. In relation to curative activities, the focus is on how capitalism's reckless pursuit of profit has subverted the sustainability of bactericidal interventions. The argument in relation to comforting and assistive care is that the ownership and control of health services by capitalist corporations undermines therapeutic relationships. Finally, in relation to supportive care, it is contended that capitalism's requirement for a disciplined workforce can compromise healthcare professionals' support of employees. It is concluded that if nurses aspire to have some control over their activities, then it is a good idea for them to avail of Marxism's capacity to identify the socio-economic mechanisms by which capitalism affects nursing care.


Asunto(s)
Comunismo , Modelos de Enfermería , Capitalismo , Humanos , Filosofía en Enfermería
11.
Nurs Philos ; 20(4): e12260, 2019 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-31314182

RESUMEN

A standard view would suggest that research is a neutral apolitical activity. It neutralizes external pressures by its fidelity to robust scientific methods. However, politics is an inevitable part of human knowledge. Our knowledge of the world is always mediated by human priorities. What matters is therefore a contested and political debate rather a neutral accumulation of factual data. How researchers manage this varies. Research paradigms are one way in which research engages with knowledge. They frame knowledge within epistemological and ontological philosophies. In this paper, I will explore this view in relation to neo-positivism, qualitative research, Foucault and critical realism. I will argue that if nursing knowledge is to be effective it needs to acknowledge the political, particularly in the context of neoliberalism. Healthcare systems are having to cope with a social world increasingly dominated by market fundamentalism, extreme levels of inequality and a rise in xenophobia. These forces are undermining the provision of ethically sound health care, misdirecting research practice and contributing to a discourse of dehumanization. These forces need to be challenged politically and I will argue that epistemologically diverse approaches, alongside a realist ontology can provide a way forward for nursing research.


Asunto(s)
Investigación en Enfermería , Filosofía en Enfermería , Hermenéutica , Humanos , Conocimiento , Investigación Cualitativa
14.
Nurs Philos ; 20(3): e12245, 2019 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-31240844
16.
Nurs Philos ; 20(4): e12270, 2019 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-31237059

RESUMEN

It is widely acknowledged that the modern university can be traced back to the inauguration of the University of Berlin in 1810. In the subsequent two centuries, the idea of the university has taken on many forms, largely driven by the political concerns of the day and often in response to demands from the electorate for greater state regulation and accountability for public spending. Until recently, the responsibility for academic and social legitimation had shifted between the church, the state and the university itself. However, in opening up the higher education sector to the influence of the market economy, the state has surrendered much of its political influence over the academic governance of the university to the power of the consumer, which is to say, to students. In this essay, I trace the history of the modern university and examine the significance and implications for nurse education of the turn towards the market. Drawing on the work of Derrida, Lyotard and Readings, I suggest that the return to liberal education is no longer possible, and argue instead for a philosophical strategy of subversion.


Asunto(s)
Educación en Enfermería , Universidades , Humanos , Filosofía en Enfermería , Pensamiento
18.
J Holist Nurs ; 37(2): 112, 2019 06.
Artículo en Inglés | MEDLINE | ID: mdl-31138088
20.
J Med Invest ; 66(1.2): 8-11, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-31064960

RESUMEN

Theory development in nursing has been contentious so that issues about theory as knowledge base and counterpart of practice, and theory as the foundation of nursing as a discipline of knowledge and practice profession have facilitated the seeming ambiguity hindering theoretical contributions integral to human health and well-being. Nursing science continues to generate discussions about its development particularly grounding its practice as a legitimate component of human health care. The aims of this paper are (a) to describe three contemporary issues regarding theory construction and development in nursing, and (b) to advance a theory of nursing that can reconcile these issues. Content analysis following a review of literature revealed ontological,epistemological, and contextual issues on nursing theory development and theory-based practice perspective. The middle-range theory of Technological Competency as Caring in Nursing is advanced as integral to pursuing the reconciliation of theory development and practice engagements within the Universal Technological Domain in nursing and the health sciences. J. Med. Invest. 66 : 8-11, February, 2019.


Asunto(s)
Tecnología Biomédica , Teoría de Enfermería , Filosofía en Enfermería , Inteligencia Artificial , Ontologías Biológicas , Humanos
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