RESUMO
This article presents an emerging model of healing transformations to guide nurses in caring for those living with a chronic illness. A review of the literature on chronic illness and its relationship to lifestyle behavior change and transformative nursing practice is included. Derived from qualitative narratives, this work reports the clusters of phenomena within each phase of the model. The model emerged from data gathered during 36 in-depth interviews with 18 men and women living with chronic skin wounds. During two interviews, each participant shared important life stories and meaningful reflections on living with a chronic skin wound. Using the theory of health as expanding consciousness, analysis of each participant's life story revealed individual life patterns and patterns across participants. These patterns were validated and reflected on with participants during the second interview. Synthesizing participants' patterns of responses, the model of healing transformations emerged. Developed from clients' experiences, the model of healing transformations provides rich insight into the nature of healing and the central role of the nurse practicing from a holistic perspective in this process. Nurses make a positive difference in the healing trajectory of those living with chronic illnesses such as chronic skin wounds.
Assuntos
Enfermagem Holística , Modelos de Enfermagem , Úlcera Cutânea/enfermagem , Cicatrização , Idoso , Feminino , Humanos , Masculino , Processo de EnfermagemRESUMO
Late entry to prenatal care is a complex problem disproportionately affecting immigrant and refugee women living in Western-style countries. Improving the health and well-being of these women and their children is a critical need. Utilizing Newman's praxis research approach, this study explored engaging 6 Cambodian American women living with pregnancy in the process of finding meaning. Dialoguing on important events and relationship from childhood to present day, patterns of health emerged. Considering data across participants, 3 preliminary themes were illuminated. Study provides new knowledge about environmental disruptions and promoting health.
Assuntos
Adaptação Psicológica , Povo Asiático/etnologia , Atitude Frente a Saúde/etnologia , Emigrantes e Imigrantes/psicologia , Gestantes/etnologia , Refugiados/psicologia , Adolescente , Camboja/etnologia , Feminino , Promoção da Saúde , Acessibilidade aos Serviços de Saúde , Disparidades em Assistência à Saúde , Humanos , Massachusetts , Narração , Papel do Profissional de Enfermagem , Pesquisa Metodológica em Enfermagem , Teoria de Enfermagem , Gravidez , Cuidado Pré-Natal/psicologia , Adulto JovemRESUMO
The purpose of this study was to investigate the effects of offering Therapeutic Touch (TT) as an adjunct to cognitive behavioral therapy (CBT) for people with chronic pain. Patients were randomized to relaxation training (control group) or TT plus relaxation (experimental). Subsequently, all participants attended a CBT program. Preprogram and postprogram data were examined to identify patterns of change in pain intensity, self-efficacy, unitary power, disability, and perceived distress. In addition, patterns of attrition were examined. Patients in this study who were randomized to receive TT fared better in terms of enhanced self-efficacy and unitary power, as well as having lower attrition rates. Trends associated TT with less distress and disability. This pilot study suggests that offering TT as an adjunct to CBT may help to improve clinical outcomes, reduce program attrition, and promote unitary power in those who suffer with chronic pain.
