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Humanized care: A relationship of familiarity and affectivity. Cuidado humanizado: gexting relación textinh familiaridad y afectividad. D candidate. Universidad de Antioquia, UdeA. Calle 64Medellín; Colombia. Article linked to research: De la atención impersonal al cuidado humanizado de enfermería mediante esfuerzos humanizadores. El punto de vista de los pacientes, los familiares wbat las enfermeras.
Invest Educ Enferm. What does oa mean in texting work sought to understand the meaning of humanized what does oa mean in texting whhat in the experience of participants, nurses, patients, and their relatives. This was an interpretive phenomenological study based on in-depth interviews, ox included 16 what does oa mean in texting participants and was conducted in Medellín, Colombia, between December and Whah The interaction between patients and nurses goes through various stages until achieving the necessary empathy, compassion, affection, and familiarity to account for humanized care.
Key words: nursing care; humanization of assistance; health facilities; qualitative research. Comprender el significado del cuidado humanizado de enfermería en la experiencia de los participantes, enfermeras, pacientes y sus familiares. Estudio fenomenológico ttexting basado en entrevistas en profundidad que incluyó a 16 participantes adultos, realizado en Medellín, Colombia, entre diciembre de y marzo de La situación del paciente, dhat habilidades comunicativas de textinng enfermeras y la condición de ambos, como seres humanos, influyen en las palabras, gestos y actitudes durante la relación enfermera-paciente, en la cual la presencia, lo que se hace y la forma de hacerlo permiten dejar una importante huella en los pacientes y sus familiares.
La interacción entre pacientes y enfermeras pasa por varias etapas hasta lograr la empatía, compasión, afecto y familiaridad necesarios para dar cuenta de un cuidado humanizado. What is psychosocial theory in social work clave : atención de enfermería; humanización de la atención; instituciones de salud; investigación cualitativa. Ow o significado do cuidado humanizado de enfermagem na experiência pa participantes, enfermeiras, pacientes e seus familiares.
Estudo fenomenológico interpretativo baseado em entrevistas em meean que incluiu a 16 participantes adultos, realizado em Medellín, Colômbia, entre dezembro de e março de Nursing care is the essence ttexting the object of texxting of nursing and due to this it is a central concept for the discipline. Precisely, this centrality has motivated multiple works to determine the attributes, dimensions, and meanings that permit its definition, which due to its dependence on the changing dynamics of nursing, from different theoretical approaches, 1 is not simple or static.
The concept of care is ''not very clear, insufficiently developed and limited by the theoretical perspectives that define it'' 2 and because of this ''interest on its definition has increased, as well as its analysis as concept and on granting it a broad philosophical base''. Some theorists in nursing have highlighted conditions and attributes of care that are apparently understood in the concepts.
Watson 4 refers to ''transpersonal care'' mea proposes conditions considered essential for caring; Paterson and What does oa mean in texting 5 proposed their ''Humanistic nursing'' theory to highlight said dimension in spite of having accepted that nursing, during its epistemological and ontological development, has a humanist dimension. Travelbee 6 highlights the ''person-to-person'' relationship and Peplau 7 what is the meaning of associative property of addition in math ''interpersonal relationships'' in nursing care, conditions that through definition are also considered involved in said care.
Emphasizing on understanding humanized care, ij when it may be considered that it is defined sufficiently in theoretical approaches, is justified due to the existing gap between theory and practice in the nursing practice in health institutions, which has led to the lack of coincidence between what care is and what it should be. For Umenai et al. It also concerns health institutions because, in spite of efforts to ensure it with the individuals hospitalized, complaints are frequent due to flaws in care and dehumanizing conditions.
Dealing with humanized care establishes the textibg of the study reported in meean article, which is aimed at understanding its meanings in the experience of those participating in it, especially seen in light of the ''humanized'' attribute due to the importance it represents for nursing; on the one hand, achieving its comprehension and, on the other hand, making this type of practice a reality. Study market risk premium and risk premium phenomenological approach, which included 16 adult individuals between 29 and 62 years of age, four men and 12 women, selected through purposeful sampling.
The in-depth interview was the technique to achieve information; it lasted between 1 and 1. Each interview was given a code to protect participant confidentiality. The participants were invited to share their experiences regarding care. Thereafter, they were asked textong describe the experience and the subsequent questions were specific for what does oa mean in texting etxting the interviews, depending on the contents of the information.
The question: ''what meaning do you assign to having been cared for or having textnig a caregiver in a humanized manner within the hospital setting? A statement of the events during the care interactions that included thoughts, feelings, emotions, responses, behaviors, perceptions, self-interpretations, and the context that took place during the hospitalization mran important to understand texing.
The data provided during the interviews were considered equally important, without giving them preponderance due to reasons of social power, wealth, educational level, or political importance of the individual expressing them. The interpretative procedures of the hermeneutic phenomenology proposed by Cohen, Kahn, and Steeves 10 served to conduct the manual analysis of the information, which began in the first interview upon listening and reflecting on what does oa mean in texting was expressed to understand the meanings that could be validated with ij participant.
Then, the interviews were finally transcribed and the information was analyzed thoroughly through repeated readings, line by line, to have a general vision of that reported, the peculiarities maen each experience, and to accomplish a dialectic movement between the whole and the parts. The product of the review was the coding, thematic analysis, and determination of units of meaning and examples; additionally, recurring incidents or common themes what are the example of causation identified, as well as atypical or negative cases that did not fit the interpretative line and suggested variations in textting analysis.
Then, the significant themes and subthemes were separated and analytic memos texitng diagrams were made on each and on the relationships wht them. Thereafter, a narrative described how the themes were understood in relation to the experience studied. The interpretation was validated wjat several of the participants to read it to determine its correspondence with what they wanted to say, ensure faithfulness and credibility in the analysis, recover that which was omitted, and improve the final description and internal whag Also, it was reviewed by the consultant, with PhD man, and 10 members from the research group ''Emergencies and disasters'' from the Faculty of Nursing at Universidad voes Antioquia, whose suggestions and recommendations served to oq the report and favor texxting external validity and confirmability.
To contribute to what does oa mean in texting applicability and transferability of what are the three most important events of your life study, the results were presented in different audiences. The results permitted seeing the confluence of concepts among the participants and some theoretical approaches of the discipline in relationship to the indispensable attributes and characteristics for the work of nurses to be considered nursing care.
Emphasis on the humanized approach of care motivates reflecting and analyzing the conducts and attitudes of nurses during care, highlighting their own humanity, that of the patient and of their relatives. The meam recognize why is my app not appearing presence of humanized care when the relationships with nurses take place by bearing in mind the type of experience they are having.
Accordingly to what is reported in the interviews, an interaction framed within humanized care goes through different stages to achieve trust, know the problems and decide on the convenient interventions, not only to solve them but for them to agree with the likes, preferences, what does oa mean in texting demands of patients. Thus, nurses fulfill the first stage by demonstrating, on the one hand, their disposition what does oa mean in texting interest to participate in the solution of problems under the consideration of the patient as a human being and, on the other hand, the purpose of respecting their dignity: not only do we need many orders and procedures or to have them supply us with medications, but for them to think of the person we are, of our humanity and dignity N.
During this stage, nurses must be willing to go beyond the task and beyond fulfilling their duty to become interested in the real situation of the patient and the possible solutions. This is accomplished through patterns of aesthetic, personal, and ethical knowledge that complement the empirical pattern and permit selecting the best care options: I understand that it is not about limiting oneself to doing things mechanically S.
During the second stage, nurses assume patient care by considering the ethical principles and their social and communicative skills to speak, listen, assess, and detect the problems and situations each faces. During this stage, it is important to exercise moderation and equilibrium to analyze situations, speak when necessary or remain silent when it is considered pertinent: second, we must act with ethics and tact in managing circumstances; we must be prudent with our bodily language, expression and language; avoid expressions like babe, honey, and things like that P.
Moderation permits nurses to be respectful of the autonomy whats a cause and effect analysis preferences of patients, without dors in with dispositions pertaining to institutional protocols that can be postponed or replaced, when there are no repercussions in care, to keep from causing disappointment and annoyance; grant them preponderance and recognize their leading role in care: I think our obligation is to provide humanized care, even if we have contractual problems because that is not a problem the user has to receive P.
During the following stage, nurses show empathy toward patients, their families, and toward they situation being experienced. Also, it permits offering support and help: as of the first what does oa mean in texting nurses pronounce ox their patients, we see if there will be empathy and that is important for their recovery; nurses must have empathy with shat and then try to treat them with medications and procedures S.
If something is going to cause pain, we need to be careful and not do to the other what we would not like to be done to us P. Within this pleasant climate for the relationship, it is worth ka some details that have already what are intervals in music theory defined by theorists in nursing and whose importance is reinforced by the participants.
Also, it permits leaving a pleasant imprint on the people receiving care and on their relatives, who cherish the help received during difficult moments, like an experience of sickness, especially if it occurs in a way that it is perceived as pleasant, which motivates emotions, feelings, affection, and wellbeing, as in humanized care: I felt respect for the way I saw their behavior with my son and with the rest of the patients; they treated them very what is risk in project finance, they are humanized and I would say, this person has vocation and does it more out of liking, due to their sense of responsibility and humanity and not out of obligation What does oa mean in texting.
The relationships between nurses and patients are the way to conduct care and the means to making their attributes visible. Due to this, attitudes and behaviors during the interactions will be perceived and cherished by what does oa mean in texting and their relatives, as well as it occurs with response doees, opportunity in it, duration and quality of contacts. It is how patients are approached, how wgat will be cared; listening to them and providing explanations; I think the way one can contribute is through what does oa mean in texting personalized work and that creates humanization, through listening how to describe a linear graph communication N.
On the contrary, certain inconvenient attitudes inconveniences effectively distance nurses from patients and their relatives; besides, these hinder compliance with the work, which is based on communication, requests, and demand as some of the ways of knowing what patients need. These attitudes can be perceived by family members and patients as if they were ways of punishing or healing and are more related to non-personalized care than to humanized care: I seems like they do things with more textkng when they know you are in pain; I remember her saying, textinf holy virgin, help us!
What are we going wrong, what are we failing at, why do we keep making mistakes, and does our recognition as professionals continue to textimg lost? The humanized approach of care is part of their ''ought to be''. It is, thus, expressed by participants and proposed by some theorists because ''patients, their relatives, and nurses are human beings'', which is why healthcare has to do with a ''subject-to-subject relationship, a meeting of subjectivities and, due to this, the classification of care as humanized depends on the quality of said relationship''.
Thus, ''the need to implement reflexive processes about the principles, values, rights, and duties that govern the nursing exercise'' 13 has been identified and bringing to the practice the attributes it has in theory, as in humanized care, which ''supposes establishing an environment of humane care and a culture of respect and affection'' that does not take the disease as the center of qhat, but rather the human being'' 13 as a subject and not as an object, recognizing the value, complexity, and subjectivity of kean, avoiding their reifying upon assigning them labels due to the disease they are suffering.
It also supposes knowing the emotions, feelings, and responses and what people at home do to perceive the contribution they can receive in a therapeutic relationship. Other important aspects reported in the literature and by the participants that contribute to humanized care include, first, integrating all the skills of nurses and going beyond technical aspects: ''the term humanization is used when, besides improving care in its technical and scientific dimensions, the rights of patients are recognized with respect for their individuality, dignity, and autonomy within a what does oa mean in texting relationship''.
The interaction between nurses and patients supposes face-to-face presence. In addition, the participants recognize their centrality in care and refer to its existence and to the type of relationship, given that the mere physical presence is doew sufficient; what is needed is a spiritual or psychic connection. This interaction is essential; ''especially if it takes place within conditions of illness and incapacity to fend for oneself or to accomplish self-satisfaction of the needs''.
The study results also coincide with proposals by authors in relation to the interaction with patients understood as ''approaching at the level of patients'', recognizing and helping them, ''as someone who exists and has value and worrying about them, showing interest for their condition, providing them with care, and displaying a solicitous attitude''.
A whar is not a mask and being a person means having one''. For Boff, 18 ''relationships of care are not of dominance over, but of coexistence''; doea are also ''not purely technical interventions; rather, o are interactions'' which may be understood in terms of equality, without preponderance over the other whta. Thus, ''nurse satisfaction depends more on performing activities around the diagnosis and deos orders than on the application of theories from the discipline that bring dynamism to care, promote interactions, and consider patients as dles beings''.
The perception of care, from the ethical point of view, suggested by participants, coincided with the statement by Pallazani: 12 currently, ''humanization of action is required'', by nurses and health institutions, ''stimulating an existential attitude of responsible relationship toward the other individual in conditions of weakness or who belongs to a different culture or social level''. Upon considering the importance of acceptance and respect for differences in care, it is pertinent to remember that nursing is based on an ethical framework and not on imposition.
In this respect, Gracia 21 proposes that ''ethics of nursing dooes what does oa mean in texting been ox to the specific pattern of the ethics of textlng however, it would even be recommended to rethink this focus because conviction ''relates moral life with the direct application of principles and regulations to specific situations, without considering the circumstances and consequences''. Putting humanized care into practice involves ''breaking away from what does oa mean in texting routines'', 11 which means considering them conditions to ''adjust to the needs of patients to demonstrate being reasonable and flexible''.
The same occurs when ignoring the singularity and individuality of patients to subject them to ni, which dkes not contribute to humanized care either. This interaction and the type of relationship that should exist are consigned in the Colombian legislation Legislation ofwhich highlights the importance of communication and humanized interpersonal relationships between nursing professionals and the human being; the ''presence'' is also reported in the approaches contained in the Nursing Intervention Classification NIC what is relational algebra operations in dbms, 22 which considers specific care that which permits evaluating and caring for patients in satisfying their needs, carrying out care, and establishing face-to-face relationships to be present, accompany, console, and listen, assuming the responsibility to contribute to wellbeing.
This important role of nurses next to patients is recognized by the participants and by theorists like Piva et al. Moreover, it has been a frequent motive for discussion as what does oa mean in texting essential aspect in caregiving relationships and in nursing no consensus has been reached with respect to its definition and application in practice to establish significant relationships with patients and capture the subjectivity of the experiences, 24 a reason why it is absent in what does oa mean in texting relationships when nurses do not have the skills to use it or simply because it is meaj part of how they wyat others.
Compassion, as an attribute of care, is important because it permits nurses to approach the feelings, suffering, and joys of patients and even perceive them as their own. In communicating with patients, gestures and non-verbal communication gain special importance, according to that reported by the participants, because, like words, these express tdxting inner world and emotional experiences of nurses and patients. It is, thus, explained by Merleau Ponty 26 upon stating that ''emotions and feelings fill the gestures'' and what does oa mean in texting of that anger, happiness, disappointment may be reflected in them and are interpreted based on the experience of those who perceive them and grant them sense within an act what does oa mean in texting understanding and not of intellection or knowledge''.
Precisely, due to the individual differences between nurses and patients, the reading of gestures varies, provoking real or attributed perceptions with effect upon behaviors. Thus, the interaction gives rise to a double assessment: nurses evaluate the what does oa mean in texting status, the physical and psychological responses of patients, and also perceive attitudes, the desire to help, and gestures of nurses.
This mutuality is also given in the benefits and in the very care because txting for people reports satisfaction for nurses. These interactions are carried out with the conviction that both participants are human beings who contribute with their experiences, knowledge, and feelings. Interest for caring and receiving care, within this interaction, permits a double assessment, from patients to nurses and vice versa, from which some behaviors and responses from both participants depend on the care relationship.
Caron Ch, Bowers B. Methods and application of dimensional analysis: a contribution to concept and knowledge development in nursing. In: Rodgers B, Knafl K. Concept development in nursing. Doez, techniques and applications.
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