护理咨询和糖尿病:初级卫生保健的教育和变革进程。

IF 1.3 4区 医学 Q3 NURSING
Revista Latino-Americana De Enfermagem Pub Date : 2025-02-17 eCollection Date: 2025-01-01 DOI:10.1590/1518-8345.7546.4464
Silvana de Oliveira Silva, Andréa Carvalho Araújo Moreira, Alexa Pupiara Flores Coelho Centenaro, Nara Marilene Oliveira Girardon-Perlini, Teresinha Heck Weiller, Maria Denise Schimith
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引用次数: 0

摘要

目的:方法:对12名护士进行会聚护理研究。采用参与性观察、半结构化个人访谈和趋同组收集数据,采用参与性分析和解释方法处理数据。结果:促进自我护理,专业人员和用户之间的联系,以及支持糖尿病患者改变生活方式与所提出的护理模式相一致。另一方面,削弱护理的态度、价值观和知识被认为是分歧的。护理模式的理论和实践深化、糖尿病、处理工作超负荷、实施护理会诊发展指南和方案是提高会诊质量的契合点。我们也观察到,护士的自主权得到加强,批判性思维被唤醒,并寻求改善和重新定义与用户的关系。结论:通过护士在教育、反思和对话过程中的积极参与,加强了护理咨询。背景:(1)护士对糖尿病患者的护理咨询与MACC既有相似之处,也有不同之处。(2)与MACC相一致的要素:与用户建立联系,问责制,纵向护理以及社会和家庭方法。(3)与MACC假设相背离的因素:对护理模式的理解有限,指责使用者的专业态度以及护理过程应用中的弱点。(4)通过护士在教育、反思和对话过程中的积极参与,加强了护理咨询。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Nursing consultation and diabetes: an educational and transformative process for primary health care.

Objective:

Method: convergent care research carried out with 12 nurses. Participant observation, semi-structured individual interviews and convergence groups were used to collect data, which were treated by participatory analysis, with an interpretative approach.

Results: the promotion of self-care, the bond between professionals and users, and the support for lifestyle changes for people with diabetes were aligned with the proposed Care Model. On the other hand, attitudes, values and knowledge that weaken care were identified as divergent. The theoretical and practical deepening of the care model, diabetes, dealing with work overload, and the implementation of a guide and a protocol for the development of the nursing consultation were points of convergence for improving the quality of the consultation. It was also observed that nurses' autonomy was strengthened, critical thinking was awakened, and the search for improvement and redefinition of the relationship with the user was sought.

Conclusion: the nursing consultation was enhanced through the active participation of nurses in an educational, reflective and dialogical process.

Background: (1) The Nursing Consultation for people with DM by nurses consisted of elements that are similar to and different from the MACC. (2) Elements that align with the MACC: as establishing a bond with users, accountability, longitudinal care, and the social and family approach. (3) Elements diverged from the assumptions of MACC: a limited understanding of the care model, the professional attitude of blaming the user and the weaknesses in the application of the nursing process. (4) The nursing consultation was enhanced through the active participation of nurses in an educational, reflective and dialogical process.

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来源期刊
自引率
11.10%
发文量
142
期刊介绍: A Revista Latino-Americana de Enfermagem constitui-se no órgão oficial de divulgação científica da Escola de Enfermagem de Ribeirão Preto da Universidade de São Paulo e do Centro Colaborador da OMS para o Desenvolvimento da Pesquisa em Enfermagem. Foi criada em abril de 1992 sendo sua primeira edição publicada em janeiro de 1993. No período de 1993 a 1997 tinha periodicidade semestral, de 1997 a 2000 trimestral e, a partir de janeiro de 2001, tem periodicidade bimestral. Caracteriza-se como periódico de circulação internacional, abrangendo predominantemente os países da América Latina e Caribe, embora seja também divulgado para assinantes dos Estados Unidos, Portugal e Espanha.
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