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以优势为基础的护理和医疗机构在产科中的应用:重新思考实践和护理的连续性。

Strengths-based Nursing and Healthcare in maternities: rethinking practices and continuity of care.

机构信息

Universidade Federal do Paraná, Curitiba, PR, Brazil.

Universidade do Minho, Braga, Portugal.

出版信息

Rev Esc Enferm USP. 2022 Jun 3;56:e20210597. doi: 10.1590/1980-220X-REEUSP-2021-0597. eCollection 2022.

Abstract

OBJECTIVE

To identify elements of the Strengths-Based Nursing and Healthcare in the maternity nurses care practice in a perspective of continuity of care.

METHOD

Qualitative exploratory-descriptive study. A focus group was used for data collection, seven meetings were held with 18 nurses between August 2019 and January 2020, starting from a priori categories: "problem-based nursing care" and "strengths-based nursing and healthcare".

RESULTS

In the first category, nurses' care is centered on problems identified in women; they keep a hierarchical relationship and a prescriptive posture based on a biomedical model. In the second category, care is focused on singularity, empowerment, self-determination, learning, collaborative partnership, and promotion of women's health, based on a holistic nursing model.

CONCLUSION

Although nurses use the biomedical model in their care practice, many of them already use the framework elements empirically. Applying this theoretical framework allows nurses to shift the focus of their attention from the disease to the person/family, promoting health and the continuity of care in a holistic way.

摘要

目的

从连续护理的角度出发,确定以优势为基础的护理和医疗在产科护士护理实践中的要素。

方法

定性探索性描述研究。使用焦点小组收集数据,2019 年 8 月至 2020 年 1 月期间,与 18 名护士进行了 7 次会议,会议从两个先验类别开始:“基于问题的护理”和“以优势为基础的护理和医疗”。

结果

在第一类中,护士的护理以妇女确定的问题为中心;他们基于生物医学模式保持等级关系和规范性姿态。在第二类中,护理重点是个体、赋权、自决、学习、协作伙伴关系以及促进妇女健康,基于整体护理模式。

结论

尽管护士在护理实践中使用生物医学模式,但他们中的许多人已经在实践中使用该理论框架的要素。应用这一理论框架可以使护士将注意力从疾病转移到个人/家庭,以整体的方式促进健康和连续护理。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/547d/10081581/fd8feb658989/1980-220X-reeusp-56-e20210597-gf01.jpg

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