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首页> 外文期刊>Nursing philosophy: an international journal for healthcare professionals >Reconciling conceptualizations of relationships and person‐centred care for older people with cognitive impairment in acute care settings
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Reconciling conceptualizations of relationships and person‐centred care for older people with cognitive impairment in acute care settings

机译:在急性护理环境中调和具有认知障碍的老年人的关系和人为中心护理的概念化

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Abstract Relationships are central to enacting person‐centred care of the older person with cognitive impairment. A fuller understanding of relationships and the role they play facilitating wellness and preserving personhood is critical if we are to unleash the productive potential of nursing research and person‐centred care. In this article, we target the acute care setting because much of the work about relationships and older people with cognitive impairment has tended to focus on relationships in long‐term care. The acute care setting is characterized by archetypal constraints which differentiate it from long‐term care, in terms of acuity and haste, task‐orientated work patterns and influence from “the rule of medicine,” all of which can privilege particular types of relating. In this article, we drew on existing conceptualizations of relationships from theory and practice by tapping in to the intellectual resources provided by nurse researchers, the philosophy of Martin Buber and ANT scholars. This involved recounting two examples of dyadic and networked relationships which were re‐interpreted using two complementary theoretical approaches to provide deeper and more comprehensive conceptualizations of these relationships. By re ‐presenting key tenets from the work of key scholars on the topic relationships, we hope to hasten socialization of these ideas into nursing into the acute care setting. First, by enabling nurses to reflect on how they might work toward cultivating relationships that are more salutogenic and consistent with the preservation of personhood. Second, by stimulating two distinct but related lines of research enquiry which focus on dyadic and networked relationships with the older person with cognitive impairment in the acute care setting. We also hope to reconcile the schism that has emerged in the literature between preferred approaches to care of the older person with cognitive impairment, that is person‐centred care versus relationship‐centred care by arguing that these are complementary rather than mutually exclusive and can be brought together in one theoretical framework acknowledging personhood as relational in essence.
机译:抽象的关系是举办认知​​障碍的人为中心的人的中心关怀。更充分了解关系和他们促进健康和保存的角色的角色,如果我们释放护理研究和以人为本的护理的富有成效潜力,这是至关重要的。在本文中,我们针对急性护理环境,因为关于具有认知障碍的关系和老年人的大部分工作往往会关注长期护理中的关系。急性护理环境的特点是原型约束,在敏锐和急速,任务导向的工作模式和“医学规则”的影响方面,所有这些都可以将其与“医学规则”的影响区分开来。在本文中,我们利用了由护士研究人员,Martin Buber和蚂蚁学者提供的智力资源的理论和实践的现有关系的概念化。这涉及叙述通过两个互补理论方法重新解释的二元和联网关系的两个示例,以提供这些关系的更深和更全面的概念化。通过重新审议关键学者工作的关键原则,主题关系,我们希望加快这些想法的社会化进入急性护理环境。首先,通过使护士能够反思它们如何努力培养更加唾液的关系,并符合人文的保存。其次,通过刺激两种不同但相关的研究询问,它关注与老年人在急性护理环境中具有认知障碍的老年人和网络关系。我们还希望能够协调在文献中出现在优先考虑认知障碍的优先方法之间的文献中的分裂,这是以人为本的关怀与关系为中心的护理,以争辩说这些是互补的而不是相互排斥的。在一个理论框架中汇集在一个理论上承认的人格依然是关系。

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