Caring Futures Institute (CFI), Flinders University, Adelaide, South Australia, Australia.
College of Nursing and Health Sciences, Flinders University, Adelaide, South Australia, Australia.
Nurs Philos. 2024 Jul;25(3):e12489. doi: 10.1111/nup.12489.
In this article, we investigate how the concept of Care Biography and related concepts are understood and operationalised and describe how it can be applied to advancing our understanding and practice of holistic and person-centred care. Walker and Avant's eight-step concept analysis method was conducted involving multiple database searches, with potential or actual applications of Care Biography identified based on multiple discussions among all authors. Our findings demonstrate Care Biography to be a novel overarching concept derived from the conjunction of multiple other concepts and applicable across multiple care settings. Concepts related to Care Biography exist but were more narrowly defined and mainly applied in intensive care, aged care, and palliative care settings. They are associated with the themes of Meaningfulness and Existential Coping, Empathy and Understanding, Promoting Positive Relationships, Social and Cultural Contexts, and Self-Care, which we used to inform and refine our concept analysis of Care Biography. In Conclusion, the concept of Care Biography, can provide a deeper understanding of a person and their care needs, facilitate integrated and personalised care, empower people to be in control of their care throughout their life, and help promote ethical standards of care.
在本文中，我们研究了 Care Biography 概念及相关概念的理解和操作方式，并描述了如何将其应用于增进我们对整体和以人为中心的护理的理解和实践。采用 Walker 和 Avant 的八步概念分析方法，涉及多个数据库搜索，根据所有作者之间的多次讨论，确定了 Care Biography 的潜在或实际应用。我们的研究结果表明，Care Biography 是一个源自多个其他概念结合的新颖的总体概念，适用于多个护理环境。与 Care Biography 相关的概念确实存在，但定义更为狭窄，主要应用于重症监护、老年护理和姑息治疗环境中。它们与有意义和生存应对、同理心和理解、促进积极关系、社会和文化背景以及自我护理等主题相关，我们使用这些主题来为我们的 Care Biography 概念分析提供信息并加以完善。总之，Care Biography 这一概念可以更深入地了解一个人和他们的护理需求，促进综合和个性化的护理，使人们能够在其一生中掌控自己的护理，并有助于促进护理的道德标准。
