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护理中的尊严:概念分析研究的综合综述。

Dignity in nursing: A synthesis review of concept analysis studies.

机构信息

70869Polytechnic Institute of Setubal, Portugal; Universidade Católica Portuguesa, Portugal.

59207Universidade Católica Portuguesa, Portugal.

出版信息

Nurs Ethics. 2021 Aug;28(5):734-749. doi: 10.1177/0969733020961822. Epub 2020 Nov 28.

Abstract

Nursing research using concept analysis plays a critical role for knowledge development, particularly when concerning to broad and foundational concepts for nursing practice, such as dignity. This study aimed to synthesize research concerning concept analysis of dignity in nursing care. Based on a literature review, electronic databases were searched (MEDLINE, CINAHL, COCHRANE, SCOPUS, EBSCOhost, and PubMed) using the terms "dignity," "human dignity," "concept analysis," and nurs*. Papers in Portuguese or English were included. The research synthesis was conducted independently by two reviewers. A total of 35 citations were identified and seven papers were included. Six studies were elected using Walker and Avant concept analysis methodology while one applied the Beth Rodgers evolutionary model. The concept of dignity has been studied by nurses, and its attributes, antecedents, consequences, and similar concepts were synthesized into a definition. Dignity emerged as a fundamental concept in nursing ethics and the main attributes synthesized were personhood (intrinsic), sociability (relational/behavioral), respect, and autonomy. The antecedents identified were: facilitators-patient focus care, recognition (of the attributes of dignity), education, and ethical competence; threats-vulnerability and organizational environment. The consequences were positive coping, empowerment, and dignity preservation. The synthesis of these seven studies using concept analysis provided a clear definition of dignity. These findings challenge future research and education, particularly for the study of undergraduate and postgraduate nursing education programs to enhance skills for preserving patient dignity in clinical practice.

摘要

护理研究采用概念分析对于知识发展起着至关重要的作用,尤其是当涉及到护理实践中的广泛和基础概念时,如尊严。本研究旨在综合护理关怀中尊严概念分析的研究。通过文献回顾,使用术语“尊严”、“人类尊严”、“概念分析”和“nurs*”在电子数据库(MEDLINE、CINAHL、COCHRANE、SCOPUS、EBSCOhost 和 PubMed)中进行了搜索。纳入了葡萄牙语或英语的论文。研究综合由两位评审员独立进行。共确定了 35 篇引文,其中 7 篇论文被纳入。六项研究采用沃克和阿凡特概念分析方法进行选择,一项研究采用贝丝·罗杰斯进化模型。护士研究了尊严的概念,其属性、前因、后果和类似概念被综合成一个定义。尊严作为护理伦理的基本概念出现,综合的主要属性有人格(内在)、社交性(关系/行为)、尊重和自主性。确定的前因有:促进者——以患者为中心的护理、认可(尊严的属性)、教育和道德能力;威胁——脆弱性和组织环境。后果是积极应对、赋权和维护尊严。这七项研究使用概念分析进行综合,提供了尊严的明确定义。这些发现挑战了未来的研究和教育,特别是对于本科和研究生护理教育计划的研究,以提高在临床实践中保护患者尊严的技能。

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