RESUMEN
In the context of Chinese narrative medicine， narrative foreclosure is an abnormal state in the process of life narrative， which is the “fractured or stagnation of the life narrative process”. Based on analyzing the characteristics and performance of typical traumatic narrative foreclosures in literary works and clinical reality， this paper proposed that narrative care is of great significance for the traumatic subject to get out of narrative foreclosures and re-enter the narrative process of mental and physical comfort. “Narrative care” is a way of care in which medical staff or educator in health institutions use their narrative capital and narrative wisdom to establish interpersonal narrative connections with themselves， their families， and service or education recipients， so as to nourish subjects in narrative foreclosure and help them get out of life’s dilemmas. Narrative caregivers assist the traumatic subjects in gaining the restorative power to repair the fractured narrative process of life through the construction of a narrative community， getting out of isolation， achieving growth， and restoring overall health.
RESUMEN
Resumen Los patrones de conocimiento son una forma de explicar fenómenos constantes de situaciones que abordan problemáticas sociales, para la profesión de enfermería son la manera constante de expresar manifestaciones propias de la profesión, asimismo, influyen la praxis profesional, pero además permiten abordar las prácticas profesionales de enfermería a partir de las narraciones que son una manera de explicar estas experiencias sociales o relacionadas al cuidado de enfermería. Objetivo Analizar narrativas desde la perspectiva de los patrones de conocimiento de enfermería en las diferentes bases de datos y en narraciones de estudiantes de enfermería. Materiales y métodos Enfoque cualitativo, mediante dos fases, la primera, se llevó a cabo mediante una revisión de literatura, la segunda el análisis de narraciones de estudiantes para triangular la información a partir de la identificación más frecuente de patrones de conocimiento en estudiantes de cuidado de enfermería de una universidad de Bogotá. Resultados Los más evidenciados en la literatura y en las narraciones de los estudiantes de enfermería más frecuentes son el personal y el ético, para lo cual el profesional de enfermería debe contar con cualidades como son las competencias del conocimiento, las procedimentales y las del ser con las que aseguran una praxis de calidad y oportunidad, asimismo, permite una toma de decisiones con base en principios éticos y científicos para brindar cuidado sea de manera individual o colectiva. Conclusión Se evidencia el patrón ético y social lo cual permite brindar un cuidado con responsabilidad ética para no vulnerar los derechos de los sujetos de cuidado.
Abstract Knowledge patterns are a way of explaining constant phenomena of situations that address social problems, for the nursing profession they are the constant way of expressing manifestations of the profession, they also influence professional practice, but also allow addressing the professional practices of nursing from the narratives that are a way to explain these social experiences or related to nursing care. Objective To analyze narratives from the perspective of nursing knowledge patterns in the different databases and in nursing students' narratives. Materials and methods: qualitative approach, through two phases, the first, was carried out through a literature review, the second the analysis of student narratives to triangulate the information from the most frequent identification of knowledge patterns in care students nursing from a university in Bogotá. Results The most frequent in the literature and in the nursing students' narratives are the personal and the ethical, for which the nursing professional must have qualities such as knowledge, procedural and being skills. with which they ensure a praxis of quality and opportunity, likewise, it allows decision-making based on ethical and scientific principles to provide care either individually or collectively. Conclusion The ethical and social pattern is evidenced, which allows providing care with ethical responsibility so as not to violate the rights of the subjects of care.
Asunto(s)
Humanos , Pancreas DivisumRESUMEN
Objective:To explore the effect of narrative nursing plan on patients with cancer fatalism at the initial stage of radiotherapy for nasopharyngeal carcinoma.Methods:Convenience sampling was used to select 126 patients with nasopharyngeal carcinoma who were admitted to the Third Ward of Radiotherapy, Affiliated Tumor Hospital of Guangxi Medical University from July 2019 to June 2020 with cancer fatalism at the initial stage of radiotherapy. Among them, 62 cases from July to December 2019 were set as the control group, and 64 cases from January to June 2020 were set as the observation group. Routine nursing intervention and narrative nursing intervention were given respectively, and before the intervention (the second day after admission), after 7 weeks of intervention, the Fatalism Scale and Center for Epidemiologic Studies-Depression scale scores of the two groups were compared.Results:Before the intervention, the cancer fatalism and depression scores of the two groups were at a high level and the difference was not statistically significant ( P>0.05); after the implementation of the narrative nursing intervention program, the cancer fatalism and depression scores of the observation group were (37.23±6.12), (9.42±1.36) points, lower than (47.78±9.14), (15.65±2.03) points of the control group. There was statistical significance ( t values were 7.698, 7.524, P<0.05). Conclusion:In the early stage of radiotherapy, patients with nasopharyngeal carcinoma have a strong concept of cancer fatalism, and narrative nursing intervention can effectively reduce their cancer fatalism and depression.