Busnel Catherine, Ludwig Catherine, Da Rocha Rodrigues Maria Goreti
Rech Soins Infirm. 2020;140(1):7-16. doi: 10.3917/rsi.140.0007.
While complexity theory has gradually influenced the field of health and social sciences, it has also had an impact on nursing care by introducing a wealth of terminology into the field. The terms "complex patient," "complex case," "complex care," "complex practice," and "complex needs" have been proposed to describe different aspects of complexity in nursing care. As these qualifiers reflect, nurses become actors in multidefined care and must integrate complexity into their reflective practice. By way of a narrative literature review, this article aims to offer a new perspective on nursing by explaining the different terms used in the discipline, using a multi-level approach. At the end of this review, the authors propose a new integrative conceptual framework for complexity in nursing practice.
虽然复杂性理论已逐渐影响健康与社会科学领域,但它通过在该领域引入大量术语,也对护理产生了影响。“复杂患者”“复杂病例”“复杂护理”“复杂实践”和“复杂需求”等术语已被提出,用于描述护理复杂性的不同方面。正如这些限定词所反映的,护士成为多重定义护理中的行动者,并且必须将复杂性融入其反思性实践。通过叙事性文献综述,本文旨在通过采用多层次方法解释该学科中使用的不同术语,为护理提供一个新视角。在本综述结尾,作者提出了一个用于护理实践复杂性的新综合概念框架。