Onega L L
School of Nursing, University of Virginia, Charlottesville.
J Adv Nurs. 1991 Jan;16(1):68-73. doi: 10.1111/j.1365-2648.1991.tb01499.x.
Traditionally, specific theoretical frameworks which are congruent with psychiatric nursing practice have been poorly articulated. The purpose of this paper is to identify and discuss a philosophical base, a theoretical framework, application to psychiatric nursing, and issues related to psychiatric nursing knowledge development and practice. A philosophical framework that is likely to be congruent with psychiatric nursing, which is based on the nature of human beings, health, psychiatric nursing and reality, is identified. Aaron Antonovsky's Salutogenic Model is discussed and applied to psychiatric nursing. This model provides a helpful way for psychiatric nurses to organize their thinking processes and ultimately improve the health care services that they offer to their clients. Goal setting and nursing interventions using this model are discussed. Additionally, application of the use of Antonovsky's model is made to nursing research areas such as hardiness, uncertainty, suffering, empathy and literary works. Finally, specific issues related to psychiatric nursing are addressed.
传统上，与精神科护理实践相一致的具体理论框架一直未得到充分阐述。本文旨在识别并讨论一个哲学基础、一个理论框架、其在精神科护理中的应用，以及与精神科护理知识发展和实践相关的问题。确定了一个可能与精神科护理相一致的哲学框架，该框架基于人类的本质、健康、精神科护理和现实。讨论了亚伦·安东诺夫斯基的健康促进模式并将其应用于精神科护理。该模式为精神科护士组织其思维过程并最终改善他们为服务对象提供的医疗服务提供了一种有益的方式。讨论了使用该模式进行目标设定和护理干预。此外，安东诺夫斯基模式在诸如心理韧性、不确定性、痛苦、同理心和文学作品等护理研究领域的应用也得以呈现。最后，探讨了与精神科护理相关的具体问题。
