Las creencias y valores de la persona en el arte de cuidar / The person's beliefs and values in the art of caring

Introducción. Estamos ante de cambios importantes que han hecho crecer una nueva sociedad pluricultural con creencias y valores bien diferentes. Las enfermeras necesitan conocer lo que piensa y cree la persona que están cuidando. Objetivo. Nuestro objetivo es saber, comprender y analizar lo que piensan las profesionales sobre las creencias y los valores, como mecanismo de conocimiento integral de la persona para elaborar el plan de atención de enfermería. Metodología. Un primer estudio cuantitativo nos permitió evidenciar que no se cumplen los registros de algunos de los datos de la persona. Un segundo estudio de diseño cualitativo ya nos permitió conocer lo que piensan las enfermeras sobre estos registros. Se escogieron dos ámbitos aparentemente diferentes: urbano y rural. Se utilizó la entrevista en profundidad semiestructurada para las enfermeras que trabajan en el centro y el grupo focal para las de práctica avanzada, integradas en el Equipo de Atención Primaria (EAP). Todas ellas hacen atención domiciliaria y utilizan los mismos recursos materiales para gestionar los cuidados. Resultados. Han participado 47 profesionales (29 enfermeras ámbito urbano SAP Litoral-Esquerra y 18 enfermeras ámbito rural ABS - Rural Penedès). Los resultados han aportado expresiones que han evidenciado desacuerdos, dificultades en la gestión de los cuidados, así como dudas y carencias de conocimientos. Sí creen que son necesarios estos datos, pero necesitan mas formación, registros facilitadores y mejor comunicación interprofesional. Conclusiones. Se aporta un conocimiento real y complementario sobre las vivencias de las enfermeras, sobre la interpretación y utilización de estos datos y la implicación en la práctica clínica dentro de los cuidados. No se han observado grandes diferencias entre la zona urbana y la rural. Las enfermeras se sienten colapsadas por la lucha constante entre el mundo laboral, el profesional y las necesidades de la población. Es necesario más reflexión y menos imposición para ayudar a mejorar los procesos de cuidados (AU)

Introduction. We are facing important changes posed by the new socially multicultural panorama, where diverse beliefs and values prevail. Nurses need to know about the thoughts and beliefs of the person they care for. We are concerned with the idea that this information is currently not reflected in the care plan. Objective. Our goal is to determine, understand and analyze what professionals think about patients’ beliefs and values as a mechanism to obtain comprehensive knowledge about the person, and to consider it in the nursing care plan. Methodology. A first quantitative study Las creencias y valores de la persona en el arte de cuidar allowed us to demonstrate that some information/ details about patients aren’t completely recorded. A second qualitative study was designed to determine what nurses think regarding these records. Two substantially different settings were chosen: urban and rural. Nurses working in the health center and advanced practitioners caring for the focal group, all of them part of the Primary Care Team (EAP), were interviewed with an in-depth semi-structured interview. Nurses providing home care use the same material resources to manage care. Results. 47 professionals (29 nurses from urban areas Litoral SAP - Esquerra and 18 nurses from rural areas - ABS Rural Penedès) participated in the study. Results show disagreements, difficulties in care management, doubts and lack of knowledge regarding patients’ thoughts and beliefs. Even though nurses consider this data as necessary indeed, they need support including: training, better records and interprofessional communication facilitators. Conclusions. The study provides real and complementary knowledge about nurses’ experiences on the interpretation and use of patients’ thoughts and believes, involving them in the clinical care practice. No significant differences were observed between urban and rural areas. Nurses are collapsed by the constant struggle between daily formal work, professional needs and needs of the population. More reflection and less taxation are required to help improve care processes (AU)

[Empowerment and power: their relationship in the proces of caring for the chronically ill in primary care]. / Empoderamiento y poder: su vinculación en el proceso de cuidar al enfermo crónico en atención primaria.

The concepts of "power" and "empowerment" are used in various disciplines, both political and social. Now are these terms frequently in the field of health. Our goal is to know its meaning as a synonym of expressions: "energy", "force", "domain", "vigour", "power", "capacity", "authority" and "control", which have been always within our practice nurse's own lexicon. Semantically analyzing them will help us in the understanding of its nuance. The literature review facilitates their understanding and allows us to link these words within the management of care. In this way we can propose diagnoses, interventions and outcomes specifically related to these concepts, which will help us optimize the efficiency in the management of care plans. The purpose of various collective nurses from different institutions is that the person is able to not generate dependencies and have the option of choosing your own lifestyle according to their culture and environment, independently or with the help. Generate knowledge is to generate power. The person should be educated and informed, to be expert and active and taking action to help control and minimize the progression of your health problem chronic and its possible complications. We are in the process of reformulation of the health system, whether it is private or public, and is necessary to know the power of the various actors involved in the management of the care to us. Each of these main actors--person ill, family/caregiver or nurse--has to know what is his role in this process.

Empoderamiento y poder. Su vinculación en el proceso de cuidar al enfermo crónico en atención primaria / Empowerment and power: their relationship in the process of caring for the chronically ill in primary care

Los conceptos de «poder» y «empoderamiento» se utilizan en varias disciplinas, tanto políticas como sociales. En la actualidad estos términos aparecen con frecuencia en el campo de la salud. Nuestro objetivo es conocer su significado como sinónimos de las expresiones: «energía», «fuerza», «dominio», «vigor», «potencia», «capacidad», «autoridad» y «mando», que han figurado desde siempre dentro del léxico propio de nuestra práctica enfermera. Analizarlos semánticamente nos ayudará sin duda en la aprehensión de su matiz. La revisión bibliográfica nos facilita su comprensión y nos permite vincular estos vocablos dentro de la gestión de los cuidados. De esta forma, podemos proponer diagnósticos, intervenciones y resultados relacionados específicamente con estos conceptos, que nos ayudarán a optimizar la eficiencia en la gestión de los planes de cuidados. El propósito de diversos colectivos enfermeros de diferentes instituciones es que la persona sea capaz de no generar dependencias y que tenga la opción de escoger según su cultura y entorno, de forma autónoma o con ayuda, su propio estilo de vida. Generar conocimiento es generar poder. La persona debe estar formada e informada para ser experta, activa y emprender acciones que le permitirán controlar y minimizar la progresión de su problema de salud crónico y sus posibles complicaciones. Estamos en pleno proceso de reformulación del sistema de salud, ya sea privado o público, y resulta necesario conocer el poder de los diversos actores que intervienen en la gestión de los cuidados. Cada uno de estos principales actores -persona enferma, familiar/o cuidador y enfermera- debe saber cuál es su rol en este proceso y ser consciente de su poder dentro de la escena de los cuidados (AU)

The concepts of «power» and «empowerment» are used in various disciplines, both political and social. Now are these terms frequently in the field of health. Our goal is to know its meaning as a synonym of expressions: «energy», «force», «domain», «vigour», «power», «capacity», «authority» and «control», which have been always within our practice nurse’s own lexicon. Semantically analyzing them will help us in the understanding of its nuance. The literature review facilitates their understanding and allows us to link these words within the management of care. In this way we can propose diagnoses, interventions and outcomes specifically related to these concepts, which will help us optimize the efficiency in the management of care plans. The purpose of various collective nurses from different institutions is that the person is able to not generate dependencies and have the option of choosing your own lifestyle according to their culture and environment, independently or with the help. Generate knowledge is to generate power. The person should be educated and informed, to be expert and active and taking action to help control and minimize the progression of your health problem chronic and its possible complications. We are in the process of reformulation of the health system, whether it is private or public, and is necessary to know the power of the various actors involved in the management of the care to us. Each of these main actors -person ill, family/caregiver or nurse- has to know what is his role in this process(AU)

[A trio of ladies. A reflection on the humanization of treatment]. / Trío de damas. Reflexión sobre la humanización de los cuidados.

Due to the celebration of the 90th anniversary, 1917-2007, of the Santa Madrona University School of Nursing, an International Conference on "the humanization of treatment" took place in Barcelona. At the same time, a four-day workshop session was organized at which the attendees had the chance to meet and share professional experiences with three renowned nurses on the art of caring. Dr. Benner, Dr. Watson and Dr. Bower are well-known in the international and the teaching fields for their paradigms and theories on managing treatment. The contribution of their knowledge, their creation and their constant work with humanistic criteria is supported by a long bibliographical trajectory which offers a professional history based on continuous improvement, learning and evolution. As participants in these workshops, the authors provide a narration on the content of each one, from a personal and practical perspective, emphasizing some concepts and strategies which we can apply in our own environs, confronting a new integrated care challenge and management of treatment underneath a focus less mechanical and more humane.

Trío de damas. Reflexión sobre la humanización de los cuidados / A Trio of Ladies. A reflection on the humanization of treatment

Con motivo de la celebración del 90 aniversario (1917-2007) de la EUE de Santa Madrona de la Fundación «la Caixa», tuvo lugar en Barcelona la Jornada Internacional sobre «La humanización de los cuidados». Paralelamente se organizaron cuatro jornadas de trabajo, donde los asistentes tuvimos la oportunidad de respirar y de compartir con tres enfermeras, en mayúscula, toda una experiencia profesional, sobre el arte de cuidar. La Dra. Benner, la Dra. Watson y la Dra. Bower, son bien conocidas en el ámbito docente e internacional por sus paradigmas y teorías sobre la gestión de los cuidados. La aportación de su saber, su creación y su constante trabajo con criterio humanístico es avalada por una larga trayectoria bibliográfica, que ofrece una proyección de mejora, de aprendizaje y de evolución. Como participantes en estos Talleres exponemos una narrativa sobre el contenido de cada uno de ellos, desde una perspectiva personal y práctica, haciendo énfasis en algunos conceptos y estrategias que podemos aplicar en nuestro entorno, afrontando un nuevo reto de asistencia integral y con una gestión de los cuidados bajo un enfoque menos mecanicista y más humano(AU)

Due to the celebration of the 90th anniversary, 1917-2007, of the Santa Madrona University School of Nursing, an International Conference on «the humanization of treatment» took place in Barcelona. At the same time, a four-day workshop session was organized at which the attendees had the chance to meet and share professional experiences with three renowned nurses on the art of caring. Dr. Benner, Dr. Watson and Dr. Bower are well-known in the international and the teaching fields for their paradigms and theories on managing treatment. The contribution of their knowledge, their creation and their constant work with humanistic criteria is supported by a long bibliographical trajectory which offers a professional history based on continuous improvement, learning and evolution. As participants in these workshops, the authors provide a narration on the content of each one, from a personal and practical perspective, emphasizing some concepts and strategies which we can apply in our own environs, confronting a new integrated care challenge and management of treatment underneath a focus less mechanical and more humane(AU)