SadatHoseini AkramSadat, Shareinia Habib, Pashaeypoor Shahzad, Mohammadi MohammadMehdi
Department of Pediatric Nursing, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.
Department of Medical-Surgical Nursing and Basic Sciences, School of Nursing & Midwifery, PhD Candidate of Nursing, Tehran University of Medical Sciences, Tehran, Iran.
BMC Nurs. 2023 Aug 1;22(1):252. doi: 10.1186/s12912-023-01404-8.
As a familiar yet abstract and vague concept for nurses, healing is affected by the cultural needs of different communities. The concept of healing is nowadays recommended in nursing theories, and its clarification can develop healing-based nursing care. The present study was conducted to objectify and clarify the concept of healing in nursing care.
The present research employed a hybrid concept analysis model developed by Schwartz-Barcott and Kim. The conceptual analysis model of Walker & Avant was used in the theoretical phase, i.e., literature review, where relevant articles in PubMed, ISI, Google Scholar, Scopus, SID and Magiran were reviewed irrespective of publication time. Unstructured interviews were conducted with ten participants in the field data collection phase. A final analysis was performed by combining the two phases.
The theoretical phase identified healing characteristics such as balancing and hope-making originated from mental and spiritual states. Analyzing the data in the fieldwork stage extracted five main themes, i.e. "comprehensive psychophysical health", "cure, a small part of healing", "healing, a spiritual recovery", "an individual's own role in healing" and "healing, an unexpected event". During the patient care process, nurses can help patients heal by establishing appropriate communication and comprehensive understanding of the patients by designing and implementing appropriate interventions and integrating healing strategies into their comprehensive care measures.
The concept of healing in nursing care is a general and complex process, and different people can interpret it differently on their road to health. Properly understanding the concept of healing enables nurses to assist patients in achieving health and healing through proper communication, holistic care, empowering patients to perform self-care and providing spiritual care.
对于护士来说,康复是一个熟悉却又抽象模糊的概念,它受到不同群体文化需求的影响。如今,康复概念在护理理论中受到推崇,对其进行阐释有助于发展基于康复的护理服务。本研究旨在客观化并阐释护理服务中康复的概念。
本研究采用了由施瓦茨 - 巴科特和金开发的混合概念分析模型。在理论阶段,即文献综述阶段,使用了沃克与阿凡特的概念分析模型,对PubMed、ISI、谷歌学术、Scopus、SID和Magiran数据库中相关文章进行了综述,不考虑发表时间。在实地数据收集阶段,对10名参与者进行了非结构化访谈。通过将两个阶段相结合进行最终分析。
理论阶段确定了源于心理和精神状态的康复特征,如平衡和创造希望。对实地调查阶段的数据进行分析,提炼出五个主要主题,即“身心全面健康”“治愈,康复的一小部分”“康复,精神上的恢复”“个体在康复中的自身作用”以及“康复,一个意外事件”。在患者护理过程中,护士可以通过建立适当的沟通并全面了解患者,设计并实施适当的干预措施,将康复策略融入其全面护理措施中,来帮助患者康复。
护理服务中康复的概念是一个普遍且复杂的过程,不同的人在通往健康的道路上对其可能有不同的理解。正确理解康复概念能使护士通过适当的沟通、整体护理、赋能患者进行自我护理以及提供精神护理,协助患者实现健康和康复。