scholarly journals Developing Mid-Range Theories for the Maturation of Nursing Care in Colombia

Aquichan ◽  
2021 ◽  
Vol 21 (4) ◽  
pp. 1-12
Author(s):  
Janice Morse

Nursing theory has evolved since the 1960s, from conceptual models to concept analysis to mid-range theories. Mid-range theories are developed primarily for qualitative research, to target patient problems, to respond to patient needs, to identify interventions and the changing patterns of patient care. These mid-range theories cluster in various patterns to provide valid, coherent, and significant interventions. Examples of programs that have dramatically impacted our understanding of nursing and patient care are presented. Thus, by developing and implementing the findings of mid-range theories, nursing care matures, and the standards advance.

1998 ◽  
Vol 21 (4) ◽  
pp. 72 ◽  
Author(s):  
Sandy Middleton ◽  
Judy Lumby

While empirical evaluation of the outcome of patient care has come to the fore inrecent years due to political initiatives, there has always been a professional interestby nurses in the end result of their care. A review of the literature shows that outcomeevaluation was advocated for nursing as early as the 1860s by Florence Nightingale.This article explores the evolvement of outcome evaluation within nursing inAustralia, discussing its origins during the 1960s and 1970s. The measurement ofpatient outcomes is more relevant than ever before, with the recent drive for anevidence-based approach to nursing care.


2016 ◽  
Vol 36 (1) ◽  
pp. 68-78 ◽  
Author(s):  
Bonni S. Cohen ◽  
Rebecca Boni

Simulation as a technology and holistic nursing care as a philosophy are two components within nursing programs that have merged during the process of knowledge and skill acquisition in the care of the patients as whole beings. Simulation provides opportunities to apply knowledge and skill through the use of simulators, standardized patients, and virtual settings. Concerns with simulation have been raised regarding the integration of the nursing process and recognizing the totality of the human being. Though simulation is useful as a technology, the nursing profession places importance on patient care, drawing on knowledge, theories, and expertise to administer patient care. There is a need to promptly and comprehensively define the concept of holistic nursing simulation to provide consistency and a basis for quality application within nursing curricula. This concept analysis uses Walker and Avant’s approach to define holistic nursing simulation by defining antecedents, consequences, and empirical referents. The concept of holism and the practice of holistic nursing incorporated into simulation require an analysis of the concept of holistic nursing simulation by developing a language and model to provide direction for educators in design and development of holistic nursing simulation.


2014 ◽  
Vol 3 (3) ◽  
pp. 105
Author(s):  
Jaira Santos Silva

ABSTRACT Objective: To reflect on the applicability of Orem Theory in chronic renal patient care. Methodology: reflective, based on the analysis and interpretation of articles and books, to enable understanding of the possibilities of application of the Theory of Self-care to patients with chronic kidney disease, with a view to deepening the theme. Results: The Theory of Self-care is an essential tool in the focus of care for this patient, since it allows to a better understanding of the pathology and the therapeutic process, better acceptance of their treatment and prevention of  complications. Conclusion: The nursing care associated with the theory allows to emphasize the commitment of the professional and the client, engaging in the self-care. Keywords: Chronic Renal Patient. Nursing Theory. Self Care. RESUMO Objetivo: Refletir sobre a aplicabilidade da Teoria de Orem na assistência ao paciente renal crônico. Metodologia: Estudo reflexivo, com base na análise e interpretação de artigos e livros, para possibilitar a compreensão acerca das possibilidades de aplicação da Teoria do Autocuidado ao paciente renal crônico, numa perspectiva de aprofundamento da temática. Resultados: A teoria do Autocuidado constitui ferramenta essencial no foco da assistência a esse paciente, uma vez que possibilita ao mesmo um melhor conhecimento sobre a patologia e o processo terapêutico, melhor aceitação de seu tratamento e prevenção de complicações. Conclusão: A assistência de enfermagem associada à teoria permite enfatizar o compromisso do profissional com o cliente, engajando- o no autocuidado. Descritores: Paciente Renal Crônico. Teoria de Enfermagem. Autocuidado. RESUMEN Objetivo: Reflexionar sobre la aplicabilidad de la teoría de Orem en el cuidado del paciente renal crónico. Metodología: reflexiva, basada en el análisis e interpretación de los artículos y libros, para permitir la comprensión de las posibilidades de aplicación de la Teoría de la Auto-atención a los pacientes con enfermedad renal crónica, con el fin de profundizar en el tema. Resultados: La teoría de autocuidado es una herramienta esencial en el foco de atención de este paciente, ya que permite una mejor comprensión de la patología y el proceso terapéutico, una mejor aceptación de su tratamiento y la prevención de las complicaciones. Conclusión: La atención de enfermería asociado con la teoría permite destacar el compromiso de los profesionales y el cliente, con la participación en el autocuidado. Descriptors: Paciente Renal Crónico. Teoría de Enfermería. Autocuidado. 


2005 ◽  
Vol 12 (2) ◽  
pp. 123-132 ◽  
Author(s):  
Oili Kärkkäinen ◽  
Terese Bondas ◽  
Katie Eriksson

The aim of this study was to increase understanding of how individual patient care and the ethical principles prescribed for nursing care are implemented in nursing documentation. The method used was a metasynthesis of the results of 14 qualitative research reports. The results indicate that individualized patient care is not visible in nurses’ documentation of care. It seems that nurses describe their tasks more frequently than patients’ experiences of their care. The results also show that the structure of nursing documentation and the forms or manner of recording presupposed by the organization may prevent individual recording of patient care. In order to obtain visibility for good patient-centred and ethical nursing care, an effort should be made to influence how the content of nursing care is documented and made an essential part of individual patient care. If the content of this documentation does not give an accurate picture of care, patients’ right to receive good nursing care may not be realized.


Curationis ◽  
2012 ◽  
Vol 35 (1) ◽  
Author(s):  
Lydia V. Monareng

Although the concept ‘spiritual nursing care’ has its roots in the history of the nursing profession, many nurses in practice have difficulty integrating the concept into practice. There is an ongoing debate in the empirical literature about its definition, clarity and application in nursing practice. The study aimed to develop an operational definition of the concept and its application in clinical practice. A qualitative study was conducted to explore and describe how professional nurses render spiritual nursing care. A purposive sampling method was used to recruit the sample. Individual and focus group interviews were audio-taped and transcribed verbatim. Trustworthiness was ensured through strategies of truth value, applicability, consistency and neutrality. Data were analysed using the NUD*IST power version 4 software, constant comparison, open, axial and selective coding. Tech’s eight steps of analysis were also used, which led to the emergence of themes, categories and sub-categories. Concept analysis was conducted through a comprehensive literature review and as a result ‘caring presence’ was identified as the core variable from which all the other characteristics of spiritual nursing care arise. An operational definition of spiritual nursing care based on the findings was that humane care is demonstrated by showing caring presence, respect and concern for meeting the needs not only of the body and mind of patients, but also their spiritual needs of hope and meaning in the midst of health crisis, which demand equal attention for optimal care from both religious and nonreligious nurses.


2015 ◽  
Vol 47 (2) ◽  
pp. 104-112 ◽  
Author(s):  
Gülay Altun Uğraş ◽  
Sultan Babayigit ◽  
Keziban Tosun ◽  
Güler Aksoy ◽  
Yüksel Turan

2016 ◽  
Vol 50 (1) ◽  
pp. 154-162 ◽  
Author(s):  
Cassiane de Santana Lemos ◽  
Aparecida de Cassia Giani Peniche

Abstract OBJECTIVE To search for the scientific evidence available on nursing professional actions during the anesthetic procedure. METHOD An integrative review of articles in Portuguese, English and Spanish, indexed in MEDLINE/PubMed, CINAHL, LILACS, National Cochrane, SciELO databases and the VHL portal. RESULTS Seven studies were analyzed, showing nurse anesthetists' work in countries such as the United States and parts of Europe, with the formulation of a plan for anesthesia and patient care regarding the verification of materials and intraoperative controls. The barriers to their performance involved working in conjunction with or supervised by anesthesiologists, the lack of government guidelines and policies for the legal exercise of the profession, and the conflict between nursing and the health system for maintenance of the performance in places with legislation and defined protocols for the specialty. Conclusion Despite the methodological weaknesses found, the studies indicated a wide diversity of nursing work. Furthermore, in countries absent of the specialty, like Brazil, the need to develop guidelines for care during the anesthetic procedure was observed.


2015 ◽  
Vol 24 (3) ◽  
pp. 859-866 ◽  
Author(s):  
Ítalo Rodolfo Silva ◽  
Francisca Georgina Macêdo de Sousa ◽  
Marcelle Miranda da Silva ◽  
Thiago Privado da Silva ◽  
Joséte Luzia Leite

ABsTrACTThis was qualitative research performed with 15 nursing professionals of a study cohort on adolescent health, in the capital of Rio de Janeiro/Brazil. The objective of the study was to discuss nursing care strategies for the prevention of STDs/AIDS in adolescence, from the perspective of complexity. A semi-structured interview was used for data collection from January to August of 2012. Grounded Theory was used as the methodological framework. The category "Starting points for the nursing care of adolescents in the context of STDs/AIDS" is presented, which discusses aspects related to interdisciplinarity; multidimensionality and specificities of the adolescence-related process, in the midst of vulnerabilities to STDs/AIDS, thereby revealing the importance of contemplating the phenomenon as delimited by its complexity.


2022 ◽  
Vol 6 ◽  
Author(s):  
Gitumoni Konwar ◽  
Sweetimani Kakati ◽  
Nabanita Sarma

The outbreak of SARS-COV-2 has become an opportunity for nursing professionals of North Eastern states of India to experience handling patients during pandemics with limited resources. To explore the experiences of nursing staff in the care of COVID-19 patients. Descriptive phenomenological design was adopted to describe the experiences of nursing professionals involved in the care of COVID-19 patients in selected hospitals/COVID centers of Assam, India. The experiences of nurses caring for COVID-19 patients were summarized into 4 themes and various sub-themes. The themes include: Perspectives about COVID-19 duty, Experience on PPE kit, Conflicts & disagreements and Swab test & the final stage of isolation. Nurses reported changing patterns of nursing care, anxiety regarding COVID-19 duty, professional growth amidst risks and pressure. The nurses had to work under certain conflicts and disagreements in relation to patient care, their personal and career related decisions and interprofessional role distribution. At the final stage of isolation, most nurses were prepared to handle the situation even if they test COVID-19 positive. During this COVID-19 outbreak, positive and negative emotions of the front-line nurses interweaved and coexisted. The experience was new and challenging, the nurses had contributed in the management of COVID-19.


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