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      El cuidado como un proceso de interacción y anticipación humana Translated title: Care is a process of human interaction and anticipation

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          Abstract

          Resumen Objetivo: reescribir los significados asociados al cuidado sustentado en interacción humana y prevención de alteraciones de la salud. Metodología: metasíntesis generada a partir de la búsqueda en diversas bases de datos, durante el periodo 1970 a 2015. La información fue procesada a través del Atlas ti 8.0. Resultados: Se identificó 888 documentos, quedando una muestra de 62. Surgieron 39 códigos, 7 categorías y 2 variables: interacción y anticipación. En la interacción la visión de cuidado es fundamental para establecer una conexión con las personas. Anticiparse implica establecer estrategias en conjunto con las personas para reducir las alteraciones de la salud de índole física y emocional. Conclusión: se reconoce la interacción y la anticipación como variables claves del cuidado desde una visión transformadora y humanista.

          Translated abstract

          Abstract Aim: to rewrite the meanings associated with care in human interaction and prevention of health alterations. Methods: metasynthesis generated from the search in the databases, in the period 1970 to 2015. The data were processed using Atlas-ti 8.0. Results: 888 documents were identified, leaving a sample of 62; 39 codes, 7 categories and 2 variables: interaction and anticipation. In the interaction, the vision of care is fundamental to establish a connection with the persons. Anticipating involves establishing strategies in conjunction with the persons for reduce health alterations of a physical and emotional. Conclusion: interaction and anticipation are recognized as key variables of care from a transformative and humanistic vision.

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          Patients' perceptions of seclusion: a qualitative investigation.

          Twelve patients receiving acute in-patient psychiatric care in Queensland, Australia, participated in semi-structured interviews to elicit their perceptions of seclusion. All respondents had experienced time in seclusion within the 7 days prior to interview. Interviews were audiotaped, transcribed and analysed using content analysis. Five major themes emerged: use of seclusion, emotional impact, sensory deprivation, maintaining control and staff-patient interaction. The prevailing negativity towards seclusion underscores the need for ongoing critical review of its use. In particular, the relationship between patient responses to seclusion and the circumstances in which seclusion takes place requires greater consideration. Interventions such as providing information to patients about seclusion, increased interaction with patients during seclusion, attention to privacy and effective debriefing following seclusion may help to reduce the emotional impact of the practice.
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            Aggressive behaviour in the high-secure forensic setting: the perceptions of patients.

            Twenty-seven patients undergoing treatment in a high-secure forensic facility participated in focus group interviews to elicit their perceptions of (1) the factors leading to aggressive behaviour; and (2) strategies to reduce the risk of such behaviour. The focus group interviews were audiotaped, transcribed and analysed using content analysis. The participants identified that a combination of patient, staff and environmental factors contributed to violence in the study wards. The cause of aggressive behaviour centred around five major themes: the environment; empty days; staff interactions; medication issues; and patient-centred factors. Potential strategies identified by patients to reduce aggressive behaviour included: early intervention; the provision of meaningful activities to reduce boredom; separation of acutely disturbed patients; improved staff attitudes; implementation of effective justice procedures; and a patient advocate to mediate during times of conflict. Findings suggested that social and organizational factors need to be addressed to change the punitive subculture inherent in forensic psychiatric facilities, and to ensure a balance between security and effective therapy.
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              Una mirada fenomenológica del cuidado de enfermería

              La primera etapa de la investigación titulada "El arte del cuidado enfermero desde la visión de sus profesionales en la dimensión estética" consistió en la indagación del estado del conocimiento del arte del cuidado en tres vertientes: la estética, el cuidado y el arte del cuidado. Este trabajo fundamenta la segunda vertiente a la luz de la filosofía contemporánea y la fenomenología, donde el cuidado está presente y es inherente a la condición humana y a su existencia. El cuidado del sí y del otro es un acto ético, estético y ontológico, que impulsa el desarrollo de la persona cuidada y el ser cuidador hacia la búsqueda del bienestar en el proceso de vida-muerte. La enfermera dimensiona el cuidado como poder terapéutico que tiene para sí misma y para los demás, devuelve la esperanza de existir para alcanzar la autonomía.
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                Author and article information

                Journal
                index
                Index de Enfermería
                Index Enferm
                Fundación Index (Granada, Granada, Spain )
                1132-1296
                1699-5988
                December 2019
                : 28
                : 4
                : 194-198
                Affiliations
                [1] orgnameUniversidad de Costa Rica orgdiv1Escuela de Enfermería Costa Rica
                Article
                S1132-12962019000300007 S1132-1296(19)02800400007
                4855fab7-d0c5-4461-8238-0274c3239802

                This work is licensed under a Creative Commons Attribution-NonCommercial 3.0 International License.

                History
                : 25 June 2019
                : 30 April 2019
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 85, Pages: 5
                Product

                SciELO Spain

                Categories
                Revisiones

                Interpersonal Relationship,Nursing Methodology Research,Nursing Care,Relaciones Interpersonales,Investigación Metodológica en Enfermería,Atención de Enfermería

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