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界限的负担及其对护理的意义:范围综述。

The burden of boundedness and the implication for nursing: A scoping review.

机构信息

Department of Nursing Science, University of Vienna, Vienna, Austria.

出版信息

Nurs Forum. 2021 Oct;56(4):950-970. doi: 10.1111/nuf.12637. Epub 2021 Jul 26.

DOI:10.1111/nuf.12637
PMID:34312866
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9290579/
Abstract

BACKGROUND

In the COVID-19 pandemic, many people experienced temporal boundedness in different ways (e.g., home, country, persons, and rules). However, being bound is also a permanent experience for chronically ill or handicapped people with sometimes serious consequences. To be able to recognize the phenomenon, a clear definition is necessary. In the literature, though, boundedness shows up as a very multifaceted phenomenon.

OBJECTIVES

Exploring and conceptualizing the phenomenon of boundedness taking into account the various forms and the consequences for nursing.

METHODS

A scoping review using the framework of Arksey and O'Malley and the PRISMA statement (PRISMA-ScR) to verify the fullness of the review.

DATA SOURCES

Online dictionaries and theoretical and empirical publications in CINAHL, Medline via PubMed, PsycINFO, PsycArticles, Scopus, WISO. A total of 34 sources were included.

RESULTS

Boundedness as a contextual concept is ambiguous. There are three basic causes: an acquired condition, personal obligations, arranged conditions, two principal courses: enduring and temporary, and seven types of being bound: to one or more person(s), to a place/position, to/in an object, to thoughts/opinions, to activities, to/in substances and to time. Examples of types are bedbound, culture-bound, homebound, time-bound, wheelchair-bound and are particularly relevant for care. The consequences are manifold, physically, as well as mentally, and socially.

CONCLUSION

To reduce or avoid the burdens caused by boundedness, the concept must be implemented in nursing education and nursing practice. To this end, nursing research must further specify the types of boundedness in concept analyses and develop suitable interventions.

摘要

背景

在 COVID-19 大流行期间,许多人以不同的方式经历了时间上的限制(例如,家庭、国家、人员和规则)。然而,对于患有慢性病或残疾的人来说,被限制也是一种永久的体验,有时会产生严重的后果。为了能够识别这种现象,有必要对其进行清晰的定义。然而,在文献中,限制表现为一种非常多面的现象。

目的

考虑到各种形式及其对护理的后果,探索和概念化限制这一现象。

方法

使用 Arksey 和 O'Malley 的框架和 PRISMA 声明(PRISMA-ScR)进行范围综述,以验证综述的完整性。

资料来源

在线词典以及 CINAHL、Medline 通过 PubMed、PsycINFO、PsycArticles、Scopus、WISO 中的理论和实证出版物。共纳入 34 篇来源。

结果

作为一个背景概念,限制是模糊的。有三个基本原因:获得的条件、个人义务、安排的条件,两个主要的过程:持久的和暂时的,以及七种类型的限制:一个或多个人、一个地方/职位、一个物体、思想/意见、活动、物质和时间。类型的例子包括卧床不起、文化限制、居家限制、时间限制、轮椅限制,这些对护理特别重要。其后果是多方面的,包括身体、心理和社会方面。

结论

为了减轻或避免限制带来的负担,必须在护理教育和护理实践中实施这一概念。为此,护理研究必须在概念分析中进一步明确限制的类型,并开发合适的干预措施。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9a29/9290579/7e78ce14ebc8/NUF-56-950-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9a29/9290579/55eb1083229a/NUF-56-950-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9a29/9290579/7e78ce14ebc8/NUF-56-950-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9a29/9290579/55eb1083229a/NUF-56-950-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9a29/9290579/7e78ce14ebc8/NUF-56-950-g001.jpg

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