da Silva Ana Lúcia, Ciampone Maria Helena
Instituto Dante Pazzanese de Cardiologia-Secretaria de Estado da Saúde/SP.
Rev Esc Enferm USP. 2003 Dec;37(4):13-23. doi: 10.1590/s0080-62342003000400002.
The text addresses the Cartesian paradigms (modern) and the complexity paradigm (post-modern of Edgar Morin) aiming to deepen reflection on the theme and understanding to improve nursing. To this end, the authors discuss the model of care of methodical nursing in the Cartesian paradigm defining it as producer of an authoritarian, fragmented and linear care. They point the need to rethink that model because it restricts the autonomy of the people/patient moving in the direction of complex care that provides for customers/actors' participation in their health care planning.
本文探讨了笛卡尔范式(现代)和复杂性范式(埃德加·莫兰的后现代范式),旨在深化对该主题的思考并增进理解,以改善护理工作。为此,作者们讨论了笛卡尔范式下的条理化护理模式,将其定义为一种专制、碎片化且线性的护理模式。他们指出有必要重新思考该模式,因为它限制了人们/患者的自主权,而朝着复杂护理的方向发展,这种护理模式需要服务对象/参与者参与其医疗保健规划。