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基于原则的概念分析:整体护理理论中的意向性

Principle-based concept analysis: intentionality in holistic nursing theories.

作者信息

Aghebati Nahid, Mohammadi Eesa, Ahmadi Fazlollah, Noaparast Khosrow Bagheri

机构信息

Tarbiat Modares University, Tehran, Iran.

Tarbiat Modares University, Tehran, Iran

出版信息

J Holist Nurs. 2015 Mar;33(1):68-83. doi: 10.1177/0898010114537402. Epub 2014 Jun 12.

DOI:10.1177/0898010114537402
PMID:24923274
Abstract

PURPOSE

This is a report of a principle-based concept analysis of intentionality in holistic nursing theories.

METHOD

A principle-based concept analysis method was used to analyze seven holistic theories. The data included eight books and 31 articles (1998-2011), which were retrieved through MEDLINE and CINAHL.

FINDINGS

Erickson, Kriger, Parse, Watson, and Zahourek define intentionality as a capacity, a focused consciousness, and a pattern of human being. Rogers and Newman do not explicitly mention intentionality; however, they do explain pattern and consciousness (epistemology). Intentionality has been operationalized as a core concept of nurse-client relationships (pragmatic). The theories are consistent on intentionality as a noun and as an attribute of the person-intentionality is different from intent and intention (linguistic). There is ambiguity concerning the boundaries between intentionality and consciousness (logic). Theoretically, intentionality is an evolutionary capacity to integrate human awareness and experience. Because intentionality is an individualized concept, we introduced it as "a matrix of continuous known changes" that emerges in two forms: as a capacity of human being and as a capacity of transpersonal caring.

CONCLUSION

This study has produced a theoretical definition of intentionality and provides a foundation for future research to further investigate intentionality to better delineate its boundaries.

摘要

目的

本文是一篇关于整体护理理论中意向性的基于原则的概念分析报告。

方法

采用基于原则的概念分析方法对七种整体护理理论进行分析。数据包括通过MEDLINE和CINAHL检索到的八本书和31篇文章(1998 - 2011年)。

研究结果

埃里克森、克里格、帕斯、沃森和扎胡雷克将意向性定义为一种能力、一种专注的意识和一种人的存在模式。罗杰斯和纽曼没有明确提及意向性;然而,他们确实解释了模式和意识(认识论)。意向性已被作为护患关系的核心概念进行操作化(实用性)。这些理论在意向性作为名词以及作为人的属性方面是一致的——意向性不同于意图和意向(语言学)。在意向性和意识的边界方面存在模糊性(逻辑学)。从理论上讲,意向性是整合人类意识和经验的一种进化能力。由于意向性是一个个体化的概念,我们将其引入为“一系列持续已知变化的矩阵”,它以两种形式出现:作为人的一种能力和作为超个人关怀的一种能力。

结论

本研究得出了意向性的理论定义,并为未来进一步研究意向性以更好地界定其边界的研究提供了基础。

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