Your browser doesn't support javascript.
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 7.062
Filtrar
1.
J Nurs Adm ; 50(2): 85-89, 2020 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-31977945

RESUMO

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.


Assuntos
Atitude do Pessoal de Saúde , Educação em Enfermagem/organização & administração , Empatia , Recursos Humanos de Enfermagem no Hospital/educação , Recursos Humanos de Enfermagem no Hospital/psicologia , Filosofia em Enfermagem , Adulto , Arizona , Estudos de Coortes , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Avaliação de Programas e Projetos de Saúde
2.
Nurs Educ Perspect ; 40(6): 358-360, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31478988

RESUMO

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.


Assuntos
Bacharelado em Enfermagem/organização & administração , Enfermagem Holística/educação , Filosofia em Enfermagem , Diversidade Cultural , Humanos , Pesquisa em Educação de Enfermagem , Pesquisa em Avaliação de Enfermagem , Estudantes de Enfermagem/estatística & dados numéricos , Inquéritos e Questionários
4.
Nurs Outlook ; 67(4): 302-310, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31280842

RESUMO

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.


Assuntos
Guias como Assunto , Pesquisa em Enfermagem/normas , Filosofia em Enfermagem , Medicina de Precisão/enfermagem , Humanos , Projetos de Pesquisa
7.
Nurs Philos ; 20(3): e12245, 2019 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-31240844
9.
11.
J Med Invest ; 66(1.2): 8-11, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31064960

RESUMO

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.


Assuntos
Tecnologia Biomédica , Teoria de Enfermagem , Filosofia em Enfermagem , Inteligência Artificial , Ontologias Biológicas , Humanos
13.
Nurs Philos ; 20(3): e12250, 2019 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-31136085

RESUMO

This paper revisits a 2003 publication in Nursing Philosophy: The need for accurate perception and informed judgement in determining the appropriate use of the nursing resource: hearing the patient's voice. The author suggests that the basic ideas and focus of this 16-year-old paper are still topical and relevant in considerations of nursing care. However, it is also suggested that greater attention to the importance of the nurse-patient relationship in considerations of resource allocation, and potential rationing of nursing care, would have strengthened the original paper.


Assuntos
Julgamento , Filosofia em Enfermagem , Humanos , Relações Enfermeiro-Paciente , Alocação de Recursos/métodos
16.
Rev Bras Enferm ; 72(1): 304-308, 2019.
Artigo em Inglês, Português | MEDLINE | ID: mdl-30916299

RESUMO

OBJECTIVE: To describe the investigative path of analysis and the operationality of concepts based on Martin Heidegger's theoretical and philosophical framework. METHOD: Theoretical reflection on the phenomenon of pregnancy in a woman with heart disease. RESULTS: Stages of the investigative movement were evidenced based on the pre-reflection related to the object of study and to the search for the phenomenal meaning, using the existential and analytical Hermeneutics as the approach and resulting in the reach of the phenomenal totality. CONCLUSION: The worldview of the researcher, who considered the subjectivities of the person in a health or disease situation, favored the announcement of the referential by the object of study. Knowledge production in the light of Martin Heidegger's phenomenology unveiled phenomena lived and experienced in the Health and Nursing field, provided of epistemological rigor that demanded appropriation of concepts inherent to the existential analytics.


Assuntos
Conhecimento , Filosofia em Enfermagem , Feminino , Cardiopatias/enfermagem , Cardiopatias/psicologia , Hermenêutica , Humanos , Gravidez , Pesquisa Qualitativa
17.
Nurs Philos ; 20(2): e12236, 2019 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-30891891

RESUMO

In this paper, I will explore the concept that healing activities shape the objects of therapy and seek to construct those objects through therapeutic activities. Objects of therapy are the persons, patients, human bodies, diseases, physiological processes and personal suffering-that which clinical medicine constructs through its distinctive formative processes, practices and knowledge. The rationale for choice of philosophical sources namely, Cassirer, Foucault, the anthropological perspective of Good and the sociological account of Frank will be discussed. The claim articulated by Good will be examined and its relationship to culture, illness, medical knowledge, practice, truth, and science. I then focus on Frank's concepts of the patient and the body and how medical knowledge and practices affects it. The concept that the medicalization of the illness narrative silences the patient's voice requiring an ethic of listening will be emphasized, described and further supported by Charon's (2006, Narrative medicine: Honoring the stories of illness. New York, NY: Oxford University Press) and Cassell's (2015, The nature of suffering and the goals of medicine. New York, NY: Oxford University Press) thoughts on narrative of illness in clinical medicine. My position concludes that healing activities construct the objects of therapy: as the medical culture's way of seeking truth; as medicine's way of mediating and organizing forms of reality through culture and symbolic forms; and, as medicine's way of entering the body and constructing the disease. Lastly, I suggest that in spite of the remarkable progress in the control of disease, the failure to address the interpretation of illness meanings is a fundamental flaw in the work of "doctoring." The experience and meanings of illness are at the centre of clinical practice and is a moral, political, ethical and professional obligation. The person is a cultural construct, a complex and culturally shaped way of experiencing self and other, and cultural "work" is required to constitute the person who is the object of medical attention and it also necessitates the ethic of listening.


Assuntos
Ética em Enfermagem , Filosofia em Enfermagem , Terapêutica/métodos , Humanos , Comportamento de Doença , Terapêutica/normas , Terapêutica/tendências
18.
Rev. enferm. UFPE on line ; 13(3): 839-843, mar. 2019.
Artigo em Português | BDENF - Enfermagem | ID: biblio-1015777

RESUMO

Objetivo: refletir sobre a ciência da Enfermagem e o enfermeiro cientista, levando em consideração os desafios da produção científica, para atingir grau equivalente ou próximo ao do conhecimento confiável. Método: trata-se de estudo descritivo, tipo análise reflexiva, construído por meio da busca na SciELO, LILACS e BDENF, com os descritores enfermagem e ciência, utilizando-se o operador booleano AND, e com delimitação temporal de 2012 a 2017. Resultados: destaca-se, por esta reflexão, a necessidade do fortalecimento dos princípios norteadores da prática científica para o fortalecimento da ciência de Enfermagem. Torna-se imprescindível a utilização de ferramentas disponíveis na promoção de ações sociopolíticas que apontem para a qualidade de vida da sociedade na internacionalização por meio da divulgação das publicações em periódicos relevantes. Conclusão: contribui-se, por esta reflexão, para a propagação do conhecimento produzido na realidade dos serviços de saúde, na comunidade e nos centros de formação de Enfermagem, acarretando mudanças significativas que não se restringem ao universo acadêmico.(AU)


Objective: to reflect on the science of Nursing and the nurse scientist, taking into account the challenges of scientific production, to reach degree equivalent to or close to that of reliable knowledge. Method: it is a descriptive study, type reflexive analysis, constructed through the search in SciELO, LILACS and BDENF, with the descriptors nursing and science, using the Boolean operator AND, with temporal delimitation from 2012 to 2017. Results: this reflection highlights the need to strengthen the guiding principles of the scientific practice for the strengthening of nursing science. It is essential to use tools available in the promotion of sociopolitical actions that point to the quality of life of society in the internationalization through the dissemination of publications in relevant periodicals. Conclusion: this reflection contributes to the propagation of knowledge produced in the reality of health services, in the community and in nursing training centers, leading to significant changes that are not restricted to the academic universe.(AU)


Objetivo: reflexionar sobre la ciencia de la enfermería y el enfermero científico, teniendo en cuenta los desafíos de la producción científica, para alcanzar un grado equivalente o próximo al del conocimiento confiable. Método: se trata de un estudio descriptivo, tipo análisis reflexivo, construido por medio de la búsqueda en SciELO, LILACS y BDENF, con los descriptores enfermería y ciencia, utilizando el operador booleano AND, y con delimitación temporal de 2012 a 2017. Resultados: se destaca, por esta reflexión, la necesidad del fortalecimiento de los principios orientadores de la práctica científica para el fortalecimiento de la ciencia de Enfermería. Se hace imprescindible la utilización de herramientas disponibles en la promoción de acciones sociopolíticas que apunten a la calidad de vida de la sociedad en la internacionalización a través de la divulgación de las publicaciones en periódicos relevantes. Conclusión: se contribuye, por esta reflexión, a la propagación del conocimiento producido en la realidad de los servicios de salud, en la comunidad y en los centros de formación de Enfermería, acarreando cambios significativos que no se restringen al universo académico.(AU)


Assuntos
Humanos , Masculino , Feminino , Filosofia em Enfermagem , Ciência , Enfermagem , Educação em Enfermagem , Enfermeiras e Enfermeiros , Pesquisa em Enfermagem , LILACS
19.
BMC Pregnancy Childbirth ; 19(1): 29, 2019 Jan 14.
Artigo em Inglês | MEDLINE | ID: mdl-30642287

RESUMO

BACKGROUND: The phenomenon of being 'with woman' is fundamental to midwifery as it underpins its philosophy, relationships and practices. There is an identified gap in knowledge around the 'with woman' phenomenon from the perspective of midwives providing care in a variety of contexts. As such, the aim of this study was to explore the experiences of being 'with woman' during labour and birth from the perspective of midwives' working in a model where care is provided by a known midwife. METHODS: A descriptive phenomenological design was employed with ten midwives working in a 'known midwife' model who described their experiences of being 'with woman' during labour and birth. The method was informed by Husserlian philosophy which seeks to explore the same phenomenon through rich descriptions by individuals revealing commonalities of the experience. RESULTS: Five themes emerged 1) Building relationships; 2) Woman centred care; 3) Impact on the midwife; 4) Impact on the woman; and 5) Challenges in the Known Midwife model. Midwives emphasised the importance of trusting relationships while being 'with woman', confirming that this relationship extends beyond the woman - midwife relationship to include the woman's support people and family. Being 'with woman' during labour and birth in the context of the relationship facilitates woman-centred care. Being 'with woman' influences midwives, and, it is noted, the women that midwives are working with. Finally, challenges that impact being 'with woman' in the known midwife model are shared by midwives. CONCLUSIONS: Findings offer valuable insight into midwives' experiences of being 'with woman' in the context of models that provide care by a known midwife. In this model, the trusting relationship is the conduit for being 'with woman' which influences the midwife, the profession of midwifery, as well as women and their families. Descriptions of challenges to being 'with woman' provide opportunities for professional development and service review. Rich descriptions from the unique voice of midwives, provided insight into the applied practices of being 'with woman' in a known midwife model which adds important knowledge concerning a phenomenon so deeply embedded in the philosophy and practices of the profession of midwifery.


Assuntos
Atitude do Pessoal de Saúde , Continuidade da Assistência ao Paciente , Tocologia , Assistência Centrada no Paciente , Filosofia em Enfermagem , Relações Profissional-Paciente , Adulto , Parto Obstétrico , Feminino , Humanos , Trabalho de Parto , Pessoa de Meia-Idade , Gravidez , Pesquisa Qualitativa , Austrália Ocidental
20.
Policy Polit Nurs Pract ; 20(1): 18-27, 2019 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-30600757

RESUMO

Twenty-first century America is marked by deep and seemingly incommensurable divisions in terms of public policy solutions to our most intractable issues. Health policy challenges are not immune to these deep divisions, as the debate during and since the passage of the Affordable Care Act illustrates. Positions on key public policy issues are driven by largely implicit and unarticulated philosophical presuppositions that guide individuals' notions of the nature of government, individuals' moral obligations to each other, how society assesses quality of life, and what it means to be a community. If faculty in schools of nursing are to prepare graduate nurses to enter into these heated public policy debates, we must help students understand, identify, and articulate the philosophical presuppositions that undergird reasoning related to health policy issues. In this article, we present a working taxonomy that can help faculty members provide students with a basic understanding of core philosophical principles. We attempt to categorize all of western political philosophy into four distinct traditions or "impulses," describing each of these four traditions in detail. We illustrate each tradition's approach to political reasoning using a specific health policy case study. We conclude with some guidance about how to implement this content within a doctoral-level public policy curriculum.


Assuntos
Educação de Pós-Graduação em Enfermagem/organização & administração , Política de Saúde , Cuidados de Enfermagem , Recursos Humanos de Enfermagem/educação , Filosofia em Enfermagem , Política , Estudantes de Enfermagem/psicologia , Currículo , Humanos , Recursos Humanos de Enfermagem/psicologia , Estados Unidos
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA