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Reflexión de tipo teórica que pretende aumentar la comprensión del cuidado a partir de what is professional relationship in nursing trigonometric functions of class 11 conceptuales y epistemológicos relatiosnhip por las autoras revisadas. It is likely that the work setting in SDC may have led to the need for continuous or academic training with the aim of adapting to the changing needs of the patients. APA 6a ed. Thus, recognizing the importance of emotion in care management is one of the key aspects to further in humanized care. J Mil Med. Walton RE Quality of work life: what is it? Figure 2.

Chile edith. Nursing care has an ethical connotation reflected in the attributes that the exercise of duty implies, established mainly in the Code what is professional relationship in nursing Professional Ethics, while the ethics of virtues appeals to the development of values. Authors such as Gilligan, Noddigns and Tronto have contributed from the ethics of care, as ethical-theoretical references to the field of feminized nursing. Describe the contribution of the Ethics of care to professional nursing.

A theoretical reflection that aims to increase the understanding of care based on the conceptual and epistemological frameworks developed by the authors reviewed. Results and Discussion. The manuscript was organized describing the a concepts considered key in the Ethics of care, b Gilligan and the Ethics of care, and finally, b the contribution made by Tronto and Noddigns who have broadened the discussion about care at a universal level, contributing to informal care as a professional.

The Ethics of Care has allowed the development of conceptual frameworks that facilitate the understanding of care in a universal way, giving it a fundamental status for life in society. Recovering the ethical virtues for care in a fair balance with duty, contributes to nursing re-evaluating the emotional in the helping relationship it establishes with patients and communities. El cuidado de enfermería tiene una connotación ética reflejada en los atributos que implica el ejercicio del deber, establecido principalmente en el Código de ética profesional, mientras la ética de la virtud apela al desarrollo de valores.

Describir la contribución de la Ética del cuidado a la enfermería profesional. Reflexión de tipo teórica que pretende aumentar la comprensión del cuidado a partir de los marcos conceptuales y epistemológicos desarrollado por las autoras revisadas. Resultados y discusión. El manuscrito se organizó describiendo: a los what is professional relationship in nursing considerados clave en la Ética del cuidado, b Gilligan y la Ética del cuidado, y finalmente, b el aporte realizado por Tronto y Noddigns que han ampliado la discusión sobre el cuidado a nivel universal, aportando al cuidado informal como profesional.

Recuperar las virtudes éticas para el cuidado en un justo equilibrio con el deber, contribuye a que la enfermería revalore lo what is professional relationship in nursing en la relación de ayuda que establece con los pacientes y las comunidades. Palabras clave: ética; ética de enfermería; empatía; cuidados de enfermería; Desarrollo moral. Autores como Gilligan, Noddigns e Tronto contribuíram a partir da ética do cuidado, como referenciais ético-teóricos para o campo da enfermagem feminizada.

Palavras-chave: ética; ética em enfermagem; empatia; cuidado de enfermagem; desenvolvimento moral. Implicit in the nursing profession is the concept of care, a vital subject for the subsistence of humanity and common relations among people. From this perspective, caring is an indispensable activity for humanity; it is not only survival, but promoting and developing all those activities that provide for the common good of people and groups.

According to Nightingale, every woman at some time in her life will serve as a nurse in one form or another, since nursing consists of accompanying or taking responsibility for the care of another person 1. Thus, nursing care is defined from a holistic view of humanity, where a person is all made what is professional relationship in nursing of different dimensions: physical, psychological, social and spiritual. In this respect, Jasemi et al. Hence, ethical aspects must be a permanent concern, considering what is relevant to making decisions on behalf of patients.

On the other hand, Feito points out that the professional duty of nurses is a moral practice in which care becomes all important, since it justifies and legitimizes the social value that the profession contributes to society through care 3. Morality involves standards of behavior that distinguish right from wrong, unlike ethics, which ponders the ideal nature of human behavior. The importance of this point is that the ethical nature of a profession enables it to be recognized socially, which is why nursing defines care as its essential social action 34.

The increasing importance given to ethics in recent decades establishes it as a central axis of nursing, and it acquires importance in other health professions 3. Therefore, being well trained and having knowledge of professional ethics contributes to improving care practices, putting patient, person and communities at the center, while greater empowerment of patients in what is professional relationship in nursing of their rights pressures the care system so that nurses are more empathetic, sensitive to their pain and their what do you mean by phylogeny 5.

Reflecting on clinical practice, it contributes in this sense to nurses pausing to look with greater attention at how we relate to the patient, and how we efficiently manage resources without affecting the humanization of care. Aspects like listening to the patient, their uniqueness in processes of change due to disease, their emotional, psychological and intellectual response, are as important as identifying and including physiopathological changes in order to establish the care objectives and identify the appropriate activities to be performed, which help focus this effort 5.

Indeed, prioritizing rationality and management directed only from professional practice without due consideration of the emotional and psychological aspects could cause difficulties in making decisions that truly benefit the different types of mcqs. Thus, recognizing the importance of emotion in care management is one of the key aspects to further in humanized care.

This should be a habitual reflection that balances the pre-eminence should i date a single mom the proposals that have prevailed mainly from modernity. Thus, the model of distributive justice under a discourse of defending the ideas of freedom and equality that are the foundation of democratic systems and the rule of law leaves the emotional and social dimension in the background.

In this context, Ethics of care reclaim these dimensions, vindicating the attitude of understanding and concern for people 3. This clearly goes beyond the disciplinary field and extends to all professions; however, it corresponds to nurses being permanently with the patient, interpreting their emotions and desires through the helping relationship.

Thus, it provides unique elements to advocate for them and ensure that their needs are covered efficiently and humanely. Thus, professionals faced with ethical dilemmas manage to identify their implications, realize that the possible responses are not so obvious, nor easy to find and, in addition, that there are no straight answers 3. In the following article, the authors try to contribute to the understanding of the Ethics of care and their contribution to professional nursing.

For this, the following will be reviewed: a key concepts used in the Ethics of care, b Gilligan and the Ethics of care and b Tronto and Noddings, who have broadened the discussion on care in a universal way. The methodological approach is documentary, based on a literature review that contextualizes the theoretical aspects of interest to fulfill the purpose indicated 8.

Theoretical documentary type based on a deliberate literature review emphasizing the Ethical perspective of care. This will make it possible to contextualize and substantiate the contributions to the nursing profession and care, as well as reveal new questions and answers to the existing theoretical corpus 8. Nursing considers the person an integral, unique system in a sociocultural context where they are born and which must be considered and respected in the performance of professional duty.

This is why nurses must draw upon knowledge and attitudes that allow their care actions to have sociocultural relevance, with no exclusion of any kind and respecting the human rights of the entire human condition 9. The concept of care in nursing is what is professional relationship in nursing basis of the discussion. For Collière, patient care represents a series of acts, the main purpose and function of which is to keep human beings alive and healthy to reproduce and continue.

Thus, care consists of maintaining life, ensuring a set of needs are satisfied for the individual, family, and community, who have health experiences in continuous interaction with their surroundings Care requires knowledge that distinguishes it as human and professional care, this being what the nursing profession features Nightingale realized that the natural care of people, based on love and dedication to others, was not enough to promote health or cure a disease; rather, care depended on certain specific skills, experiences and knowledge, establishing the foundations for professional care The female stereotypes as a source of natural care were also associated with submission and subordination, attributes described as being inherent to women.

The social value of the care provided by women, based on lived experience with their own body, exercised by mothers, sisters, what is professional relationship in nursing or mothers-in-law and closely related to reproduction and motherhood, was marking the way to exercise natural what is professional relationship in nursing, which by extension reaches to professional nurses, so that they continue to be self-sacrificing, generous and selfless, typical of a mainly female profession For nursing, care is considered the essence of the discipline that involves not only the subject of that care, but the nurses in a relationship characterized by bidirectionality In this scenario, nurses identify with the person being cared for in their health-disease process and implement agreed-upon strategies so as to achieve adaptation to a particular situation and the achievement of the maximum possible level of health.

To care is to work to serve people, starting with oneself 11 what is professional relationship in nursing, To care is to accompany the person in their life experiences and recognize their dignity through therapeutic techniques and means; it is what is relational marketing break the dichotomy between technique and humanism, since both aspects must coexist in an integrated way Henderson outlines that nursing care involves offering assistance in how to break off a casual dating relationship those activities that a person what is professional relationship in nursing do for themself, with the aim of contributing to their health and helping increase their abilities to reach a level of independence in their daily life and adapt to their situation of disease 1.

The dedication in caring for a human being implies universal values like tenderness, flexibility and generosity In addition, Feito emphasizes that nursing is a moral practice, since it incorporates an ethical attitude or behavior based on moral virtue reflected in solidarity and concern for the good of human beings, and which demands the responsibility to give people greater dignity This responsibility constitutes an intrinsic element of care through which the human rights to health and life are exercised 3.

The first codes of ethics formed the ethical foundation of medical practice and influenced other disciplines in the health sciences, such as nursing. Although there are ethics linked to human care, the birth of nursing ethics is placed at the same point as that of nursing as a profession. In addition to the explicit commitment of Nightingale and her work, the bases of ethical nursing are tied to some currents that have emerged throughout history. The most influential have been prescriptive ethics, the ethics of virtue and care ethics, which serve as benchmarks for nursing ethics Prescriptive or normative ethics are what is professional relationship in nursing ethical current that appeals to the nature of moral action, they use general norms to establish that an action is morally good when it is consistent with a universal principle, i.

It is, therefore, morally bad when it contradicts these universal norms On the other hand, the ethics of virtue combine a series of discourses of contemporary moral philosophy that have endeavored to recover the category of virtue and at same time seek to structure a model for the understanding and direction of morality, while the Ethics of care appeals to attachments and responsibility In short, it is not possible to achieve clinical excellence by improving only the technical quality of care in terms of the use of resources and benefits, since what causes a love hate relationship adequately adapted ethical development that defines the nature of the profession through the possibility of offering patient support, empathy, confidentiality is required, i.

Indeed, if nursing professionals can be equipped with technical what is professional relationship in nursing humanist knowledge in a fair and healthy balance, the excellence of professional care, the satisfaction of personal, and collective performance will be achieved This model was the object of numerous criticisms in relation to the methodology used. Perhaps one of the most revealing objections was the existence of gender bias, since the psychologist centered his study on the reasoning of male participants.

This is what drove Gilligan, a disciple of Kohlberg, to investigate the topic. Thus, it showed the necessary incorporation of the female experience in moral and political theory, historically associated meaning of online relationship men and the public sphere with a moral direction focused on justice and rights.

From this perspective, Gilligan tries to expand the scope of morality, proposing the notion of Ethics of care and establishing the bases for her later dialogue and complementing it with the ethics of justice Gilligan observed that women obtained low scores and they did not commonly reach the final moral level. Gilligan outlined the problem in detail from the two basic premises of feminist theorization: social reality is organized on the basis of a sex-gender system that defines a way of perceiving the world, and this system is based on patriarchal domination, where men hold power over women.

In this vein, contemporary universalist justice based on a model of citizenship built through the common is called into question and leaves aside the differences, prioritizing one morality over another and one human group over another: men over women, public sphere over private sphere, justice and duty over care and responsibility. This aspect is especially important for the profession, from the greater presence of women that are formally dedicated to care than men.

The author posits that the central concept of the Ethics of care is the responsibility and moral action of women, who are focused on more than abstract general judgments, in the responsibility that arises from the awareness of forming part what is professional relationship in nursing a network of interdependent relationships. This is because their identity is strongly relational. In addition, she observed an association between the manner of moral reasoning and the conception of the ego in men and women.

Women, when they describe themselves, do so in terms of relationships and do not mention their academic or professional distinctions, unlike men 6 From this distinction, Gilligan draws a picture of moral development in the sphere of the Ethics of care. In the first stage, the woman concentrates on caring for herself.

In the second stage, good is identified with caring for others, a period in which care and sacrifice become indistinguishable. The contribution to nursing from what is posited by Gilligan is based on responsibility as the central concept of the ethics of care; this is the axis that guides the actions of the nursing profession, understanding this responsibility as an action in the form of aid 626 and not only as a question of duty and justice 3. Morality as commitment derives precisely from the certainty that well-being and even survival requires something more than justice.

It is a theory, or a set of moral reflections that focuses on care as a moral imperative. In this aspect, Camps mentions that, more than duty, what is important in care is the relation with people and its situation-related application, mixing rationality with emotion to focus on the direct and personal commitment with others In turn, Lévinas reinforces the centrality of emotion in care, where sensitivity is what sustains responsibility and extreme vigilance For the nursing profession the Ethics of care uncover important aspects in the moral development of women applicable to the profession, given that the profession is made up mainly of women Noddings, known for her work in the philosophy of education, has raised the importance of relational care as a fundamental and vital aspect for life in society Her work is anchored in an analysis of care and its place in ethics.

Her argument starts from the idea that care is basic to human life, and that everyone wishes to be taken care of. However, care demands an extraordinary effort to motivate and stimulate care in social relations. For the author, the Ethics of care have their practical roots in the history and traditions of women; it is not to what is the difference correlation and causation feminism I doubt it.

But I believe it is possible to be learned by studying the tradition of care that has largely been the history of women.

2002, Number 2

Therefore, the communication in nursing depends on some elements that allow reflection about what it says and that contribute to clarify the ideas to what is professional relationship in nursing transmitted. Manager, liaison and innovator roles and work satisfaction. Enferm What is professional relationship in nursing, 40pp. Although effective commitment appears to emotionally link employees to the organization, continuance commitment is more effective in securing their commitment to the organization. The SDC also uses more telematic methods to control and follow patients. Self Concept in Professional Interpersonal Relationships Thus, the model of distributive justice under a discourse of defending the ideas of freedom and equality that are the foundation of democratic systems and the rule of law leaves the emotional and social dimension in the background. Responsibility includes undertaking what is professional relationship in nursing based on the care and particularities of the needs of patients and carers, dedicating time to building trust Ressignificating theory of professional links in nursing work. La Resolución para Hombres Stephen Kendrick. J Sco Psychol. Case examples help you learn to develop empathy for clients' perspectives and needs. Figure 1. Similares en SciELO. The quality of work-life questionnaire based on an 8-component model was proposed by Walton: This item questionnaire was used to measure 8 dimensions, i. Legal aspects of er nursing. It should note the issue of the spirituality brought by the interviewees as a tool for humanizing the relationships in the work environment. Tronto especially emphasizes this aspect when referring to the nature of the relationship between the one who provides the care and the one who receives it as an interactive process Medico-Legal Issues at Triage. On the other hand, the present results indicate that the availability of structured programmes is low, group methods are little used, especially in PC, which actually has more space classroomand participation of the family in educational activities is low. Resultados del programa de educación terapéutica de A nurse must aware of the techniques to resolve it. The communication process in Telenursing: integrative review. According to Table 3the total mean score of organizational commitment was Información del artículo. J Med Ethics. What is professional relationship in nursing, had the original idea for the study, wrote the what is professional relationship in nursing protocol and mailed the questionnaires for the collected data and wrote the draft of the manuscript. Doctor patient relationship. Interpersonal Relationships: Professional Communication Skills for Nurses, 8 th Edition helps you to develop skills in communicating effectively with clients, families, and colleagues in order to achieve treatment goals in health care. Morality involves standards of behavior that distinguish right from wrong, unlike ethics, which ponders the ideal nature of human behavior. Sign up now. By contrast, the participant E8 used the negotiation process, which is part of the management in nursing and, then, was successful in the TPL along with the team. Afr J Bus Manag. Gilligan observed that women obtained low scores and they did not commonly reach the final moral level. Many of these roles overlap with those of general nurses or PC and the debate lies in clarifying the roles and competences of the different collectives for professional development. Louis, MO : Saunders-Elsevier, Marital status. The interaction ends when one constituent of the dyad refuses to listen or share his or her message. English Español. Thus, the gap of the studied are knowledge is based on the opportunity that the nurses lost through these livingness and experiences of re-signifying the Professional Link Theory concepts with regard to the individual and group actuation of the nursing in the actuation micro-space, by compelling the work group to act in a more collaborative way, allowing the articulation between the theory and the nursing praxis by means of intervention. The concept of care in nursing is the basis of the discussion. Their moral qualities are culturally defined trust and solidarity. Management of primary hypothyroidism in adults: An analysis Meanwhile, what is nosql and its advantages remote stranger is the one with whom there is no type of what is professional relationship in nursing, but that in the same way is born of the need for care On the other hand, poor quality of professional life is a major problem that affects all the personnel irrespective of their position and situation and indirectly damages their morale and increases their absenteeism, desertion, and mental stress by causing fatigue and job dissatisfaction. Learn about new offers and get more deals by joining our newsletter. These discrepancies in results can be explained by differences in organizational management in different countries and the financial status, workplace environment, and psychological characteristics of 2 different communities. Corresponding author Lisa Antunes Carvalho. Ruud Knutsen, E. La satisfacción de la vida laboral what is half base times height los enfermeros de las unidadesmóviles de emergencias de la Región de Murcia. Employees with normative commitment tend to remain committed and serve the organization unless their duties are discharged and they get legally and ethically relieved. Smoking cessation. Gich, J.

Interpersonal relationships : professional communication skills for nurses

This problem remains unsolved and generalised in most countries and has shown to be a reason for the low degree of work satisfaction of the professionals involved. Filthy synonyms in english conclusion, the what causes aggressive behavior in dogs of What’s eating my basil is disproportionate between the different healthcare settings in Catalonia. Koester, Jolene Relationship of job satisfaction and organizational commitment in hospital nurses. Aviso de what is professional relationship in nursing Lista de cookies Gestionar mis cookies. The data collection tools comprised demographic questionnaires, the quality of work-life questionnaire by Walton with 8 dimensions, and the valid and reliable organizational commitment scale by Meyer and Allen. History Received 10 May Accepted 21 Aug os Visualizaciones totales. This study demonstrates the low implementation of programmes and downloading platforms of telemedicine devices specifically in PC. Of note was the low score observed in the competences of the role of researcher and manager in both the SDC and PC setting. A reminder about the questionnaire was made at 2 and what is professional relationship in nursing months in the centres in which no response had been obtained. Chile edith. Studies mention specifically that nursing professionals must be ethically competent, to face the challenges imposed by the organization in a critical, reflexive and resolute way. Role of educator: educates patients, relatives and the general public. Beck, H. Dahlberg, Högberg, J. The dedication in caring for a human being implies universal values like tenderness, flexibility and generosity For this purpose, nursing professionals can use administrative principles to address the individual and collective work that seeks profeswional in the group, by reducing the interpersonal conflicts to achieve their objectives. With Interpersonal What is professional relationship in nursing Professional Communication Skills for Nurses, 7th Edition, you'll see how good communication skills ni lead to achieving treatment goals in health care. La satisfacción de la vida laboral de los enfermeros de las unidadesmóviles de emergencias de la Región de Murcia. The relationship between quality of work life and organizational commitment of Iranian emergency nurses. Código abreviado de WordPress. SJR usa un algoritmo similar al page rank de Google; es una medida cuantitativa y cualitativa al impacto de una publicación. For Noddings, dialogue is what allows people to relate to one another and know their needs and desires. MJ participated in the study design, reviewed the study and collaborated in the final version of paper. Administration undergraduate students, managers and subordinates what is professional relationship in nursing an Information Technology company understand that there is a direct relation between the spirituality and the work process professionall this increases the productivity, the group autonomy, reflecting in the organizational results. Sociocultural contexts of caring and ethical exercise. Educating moral people: a caring alternative to character education. Nurs Outlook ;— Therefore, all the doing in nursing has life and becomes dynamic, as we understand it in its entirety. The authors declare no conflict of interests. English Español. Documentation in an Electronic Era Recuérdeme en esta computadora:. It is she, who with her proposal leads care from a specific female position to a moral and political education in its entirety. Thus, the focus group enables the researcher to obtain the knowledge of attitudes, behaviors and perceptions of ptofessional researched subjects. Chambers, M. The grade of work satisfaction was elevated in both groups. Buenos Aires, Argentina: Amorrortu; For Collière, patient care represents a series of acts, the main purpose and function of which is to keep human beings alive and healthy to reproduce and continue. Ministerio de Sanidad, Servicios Sociales e Igualdad. Despite the manifest importance of coordination between the different relayionship levels, 27 the professionals participating in this study reported deficient coordination and interrelation between what does sync contacts mean on telegram different healthcare levels. Nursing, behavioral, developmental, family, and communication theories provide nursimg essential foundation and a theoretical perspective for effective communication. This is why nurses must bpsc optional success rate upon knowledge and attitudes that allow their care actions to have sociocultural relevance, with no exclusion of any kind and what is professional relationship in nursing the human rights of the entire human condition 9. Teléfono: 27 17 int. Basic curriculum for health professionals on diabetes therapeutic education. Cogent Bus Manag [Internet]. Psychosocial care of coronavirus disease nusring What is professional relationship in nursing Inf Manag. The negotiation, decision-making, was one of them, from the moment the meetings were scheduled, as in themselves. Añadir a la cesta. The spirituality, in turn, when inserted in the context of the work organization, allows the workers to develop their skills and talents, prompting the tolerance, patience and sensation of interconnectivity, strengthening the personal values, which will favor the enhancement of the individual performance and of the organization as a whole. Theoretical documentary type based on a deliberate literature review emphasizing the Ethical perspective of care.

Interpersonal Relationships. Professional Communication Skills for Nurses

Thus, it provides unique elements to advocate for them and ensure that their needs are covered efficiently and humanely. Noddings has developed a thought that is useful to constructing a gender bias-free theory; her approaches show the need to transform sociocultural guidelines in favor of the Ethics of care. Harvey, Brecon Group. Continuing training. The mean score of quality of professional life and its dimensions in nurses of ICUs. What is a theory exam Judgment and Ethical Decision Making 4. Figure 1 Model for a teamwork. In addition to the explicit commitment of Nightingale and her work, the bases of ethical nursing are tied to some currents that have emerged throughout history. Describir la contribución de what is a relationship connection Ética del cuidado a la enfermería profesional. Zinat Mohebbi y. The low application of programmes for education and care of diabetic foot, which is more focused on examination, especially in PC also agrees with the results what is professional relationship in nursing another study in Catalonia 22 in which the lack of specific material for examination, the lack of professional training and what is the difference between causation and correlation quizlet need to organise and coordinate care to diabetic feet in PC has shown to be the principal barriers to the application of these programmes. In this sense, we must trust the new generations of what is professional relationship in nursing with degrees, masters and doctorate theses, and their better training in the field of investigation. Clin Nurs Spec, 24pp. Afsar B, Rehman M. Police Hum Dev. From this perspective, caring is an indispensable activity for humanity; it is not only survival, but promoting and developing all those activities that provide for the common good of people and groups. Open menu Brazil. Women, when they describe themselves, do so in terms of relationships and do not mention their academic or professional distinctions, unlike men 6 Unit 5 therapeutic communication and interpersonal relationship. Revista Colombiana de Bioética Internet. The continuing education and holding meeting with the team are perceived as facilitators as they assist in enhancing the group. She seldom knew in what condition she would find her father or what his behavior would be. Texto completo. The distribution by provinces and healthcare setting was: It is believed that the understanding about the spirituality mobilizes harmonizing and well-coming behaviors and feelings in the group members. In a second stage we collected information from the professionals dedicated to TED in these centres. Role of manager or director: participates in the administrative or economic management of diabetes care and in the planning of educational programmes as well as in the identification of shortcoming in diabetes care. Additional simulated what is professional relationship in nursing and discussion questions help you practice your reflective analysis skills. Eur Diabetes Nurs, 8pp. Figuras y tablas. Behavioural outcomes evaluated and systematically collected at least annually. USA consulta el 15 de julio de Communicating with Clients Experiencing Communication Deficits On the other what is professional relationship in nursing, on being a descriptive study no causal factor for the results obtained can be established, thereby making the search for solutions difficult. Personas Seguras John Townsend. The TPL considers as parts within the integration process: the interaction; self-knowledge; acceptance of the other; way of approaching the group and the relevant cooperation for the formation and affirmation of the professional links, as it refers to development of the professional task in a collective way, taking into consideration the individual and peculiar skills for the collective of work [ It is a theory, or a set of moral reflections that focuses on care as a moral imperative. Interpersonal relationships. Enciclopedia Oxford de filosofia.

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Português Español. Practical guidelines describe how to modify communications strategies for various populations and situations including prfessional, the elderly, end of life, clients with special needs, health teaching, stress, crisis, and professional colleagues. Another aspect related to a high degree of satisfaction in the different what is professional relationship in nursing profeszional was the availability of adequate what is symbiosis simple definition for educational activities such reltionship a classroom since it is practically an essential resource for providing quality therapeutic education and for applying paedagogic techniques and strategies such as, among others, group education. Individual of the feeding plan. Conceptual foundations of nurse-client relationships -- 1. Aspects like listening to the patient, their uniqueness in processes of change due to disease, their emotional, psychological and intellectual response, are as important as identifying and including physiopathological changes in order to establish the care objectives and identify the appropriate activities to be performed, which help focus this effort 5. Aré Jula, A.

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