From Being Caregiver to Being Cared for: The Experience of Adapting to Spinal Cord Injury, a Case Study.

This narrative case study portrays a young woman's life experience and adjustment process after suffering a traumatic spinal cord injury (SCI) 5 years ago. It is analyzed retrospectively from the perspective of the middle-range theory (MRT) of adapting to chronic health conditions by Buckner and Hayden (2014), and Ricoeur's narrative philosophy is expanded. Understanding Alice's narrative from this perspective allows us to understand the process of adaptation to a condition of disability due to a spinal cord injury, from the perspective of a nurse who was forced to change her role as a caregiver to a role of being cared for, due to the changes in her body and her corporality due to the consequences of the injury. In this narrative, the focal and contextual stimuli, the coping processes with special emphasis on the intrinsic and extrinsic adaptive processes, and the results of the process are identified.

Transición saludable del inmigrante hispano: derivación de una teoría de rango medio / Healthy transition of hispanic immigrant: derivation from a middle-range theory

Objetivo principal: Proponer una teoría de rango medio de enfermería para dar explicación al fenómeno del estrés de aculturación que presenta el inmigrante hispano durante su transición en los Estados Unidos de América. Metodología: Se efectuó la metodología de derivación teórica de Jacqueline Fawcett. Resultados principales: La teoría pone de manifiesto los factores personales, sociales y del entorno que impiden la transición del inmigrante hispano en los Estados Unidos de América, además expone un conjunto de proposiciones para el logro de una transición saludable. Conclusión principal: La teoría de la transición saludable contribuye al diseño de intervenciones de enfermería en el proceso de cambio de una cultura, para el logro, adopción y dominio de estrategias personales, sociales y del entorno, que contribuyan en la obtención de una transición saludable en el país receptor. (AU)

Objective: To propose a middle-range nursing theory to explain the phenomenon of acculturation stress that the Hispanic immigrant presents during their transition to the United States of America. Methods: The theory derivation methodology of Jacqueline Fawcett was carried out. Results: The theory reveals the personal, social and environmental factors that impede the transition of the Hispanic immigrant in the United States of America. In addition, this theory exposes a set of propositions for the achievement of a healthy transition. Conclusions: The theory of healthy transition contributes to the design of nursing interventions in the process of changing a culture, for the achievement, adoption and mastery of personal, social and environmental strategies that contribute to obtaining a healthy transition in the host country. (AU)