IntroductionConsidering the limitations that disabled persons experience, our understanding of caring for these people has evolved over time worldwide. Because nursing care is dependent on the choices made by patients, nurses can play an emancipatory role by empowering patients with disabilities to become the primary agent in their rehabilitation. Objective was to conduct a range analysis protocol proposing the mapping of conceptual elements for a nursing care model based on the autonomy of disabled persons.Methods and analysisA protocol was developed in corporating insights from recent innovations and applying the scope review method of Arksey and O’Malley as a reference using their scoping review methodology as a guide. For the construction of research guiding question, the patient, intervention, comparison and outcomes strategy was adapted. Considerable research in online databases (14) from 2000 to 2018 will be integrated by bibliographical research. Proceed a consult in the Annals of the Brazilian Congress of Nursing, Brazilian Nursing Association and Portuguese Rehabilitation Nursing Association, as well as professional Portuguese and Brazilian nursing legislation. The entire reference list of the covered studies searched manually to detect considerable additional studies. In addition to these searches, stakeholders, including nurse experts in the rehabilitation field and disabled persons, will be requested and included.Ethics and disseminationThis study does not require ethical approval because it is a review and collection of data on publicly available materials. The results of this research will be published in a relevant journal on the subject of rehabilitation and presented at international scientific events in the area of rehabilitation nursing. Thus, the elaboration of this protocol further maps the gaps and strengthens the concepts capable of presenting strong evidence which assists and supports safer, smarter and more objective care for those living with permanent daily care obligations.
Aim: To understand the meaning of hope among individuals with spinal cord injury. Design: A qualitative study employing the ethnographic method was used, with 18 individuals. Method: Participant observation was chosen to understand individuals with spinal cord injury and interviews were used to elicit information about the hope experience. The data were analysed using Ernst Bloch's theory of hope. Findings: Participants constructed their own personality and sense of self, including their hopes for their future, based on their life before their injury. Life after experiencing spinal cord injury highlighted the limitations and potentialities of their hopes. Using a sense of hope to establish goals for the future helped participants overcome obstacles. Conclusion: Hope in people with spinal cord injury helped them cope with the fundamental changes to their daily lives. Hope played an important role in articulating coping strategies and setting and achieving goals. These findings may help nurses understand the limits and potentialities of hope as an instigator of goals in the daily life of individuals with spinal cord injury.
Objective: To identify in the literature the existing studies that discuss the perception of the relationship between hope, spinal cord trauma and nursing care. Methods: This is an integrative literature review, based on existing scientific publications in the main health databases, in English, Portuguese and Spanish, until 2017, totaling 11 studies. Results: The articles were evaluated for their construct quality through specific checklists for each type of study. Hope has emerged as a motivational strategy that drives positive attitudes, while it fosters the creative elaboration of goal-management strategies and enhances hope as a springboard for future possibilities. Conclusion: Although the scarcity of nursing studies that discuss the perception of hope in spinal cord injury, it was observed that it is inherent in the living process of people with this condition.
A enfermagem de reabilitação no Brasil é estabelecida, prioritariamente, dentro de Centro Especializados de Reabilitação, onde enfermeiros desenvolvem ações de cuidado para alcançar o potencial máximo de saúde do usuário. Nesse contexto, o cenário de pandemia provoca múltiplas alterações no processo de cuidar, influenciando novas maneiras de pensar o trabalho do enfermeiro. Logo, o estudo objetiva compreender como os enfermeiros de reabilitação estão vivenciando o cenário de pandemia mundial. Para isso a pesquisa possui abordagem qualitativa, delineada pelo método de estudos de casos múltiplos, evidenciando a realidade de cinco enfermeiros de reabilitação em quatro centros de reabilitação do estado de Santa Catarina. A partir dos dados emergiram três categorias, as quais descrevem como foram os preparos para o fechamento dos serviços, como a enfermagem se reinventou em tempos de pandemia, quais foram os desafios e potencialidades encontradas nessa trajetória e o que se espera do futuro. Conclui-se que diante às mudanças vivenciadas pelos enfermeiros de reabilitação, cada instituição assumiu um posicionamento que impactou diretamente o processo de trabalho dos enfermeiros, sendo necessário reinventar a forma de cuidar e criar mecanismos para compartilhar medidas de prevenção em meio ao isolamento social. Palavras-chave: enfermagem de reabilitação; mídias sociais; pandemias
Background: The science of nursing is immersed in the process of care, and, historically speaking, the profession was built based on scientific criteria of what care is and how to practice it. This study explores how to practice nursing care as an emancipatory process. Objective: This article aims to share and stimulate the debate about nursing care and emancipatory process, using Honneth's theory of recognition and Bloch's principle of hope. Main topics under analysis: Reflection on the theory of recognition and principle of hope as conceptual foundations for rehabilitation nursing care. Study based on philosophical literature about rehabilitation. Nursing care is considered an intersubjective relationship in the emancipatory process, in which the self-realization of the nurse depends on the self-realization of the cared-for person. Conclusion: The construction of the subject occurs in intersubjective, historical, and recognition relationships. For responsible care, we should consider the three levels of recognition: love, rights, and solidarity. In this sense, the care will be an integral and emancipatory process.
Introdução: O cuidado de enfermagem de reabilitação tem sua prática delineada no cenário internacional, constituindo-se de uma assistência baseada em evidência que pretende acrescentar qualidade de vida e, para tal, é necessário que teorias de enfermagem sustentem cientificamente a prática realizada. É sabido que muitas teorias de saúde e enfermagem compõem o escopo prático da assistência desta especialidade, entretanto é hora de refletir teoricamente o que podemos fazer diferente. Objetivos: Construir um modelo teórico acerca da enfermagem de reabilitação enquanto processo emancipatório, assim como validar internamente o conteúdo e apliá-lo como teoria na realidade de reabilitação. Método: Estudo metodológico de construção de teoria em enfermagem. Resultados: Espera-se construir uma Teoria de Enfermagem de Reabilitação à luz da Teoria do Reconhecimento de Axel Honneth, através de um fluxo metodológico ortodóxo e fundamentação literária e experiência prática. Conclusão: Faz-se necessário mais estudos que aprofundem o cuidado de enfermagem de reabilitação enquanto ciência. Isto posto, o presente estudo propoe a construção de uma Teoria de Enfermagem de Reabilitação. Palavras-chave: enfermagem de reabilitação; teorias de enfermagem; teoria do reconhecimento
Background: Given the worldwide pandemic caused by SARS-CoV-2, this study sought to understand how people with spinal cord injury (SCI) perceive the post-pandemic context. Objectives: We aimed to understand the perceptions of people with SCI in Brazil regarding the world in the post-pandemic context. Methods: This qualitative study was conducted on SCI Brazilians using a form published on SurveyMonkey® with questions regarding their perspectives on the post-pandemic world. The responses were analyzed considering Bardin, Axel Honneth, and Ernst Bloch. Results: The results demonstrated that the lives of SCI people in Brazil did not change during the pandemic, as they were already isolated due to the lack of accessibility. Conclusions: Imagining future scenarios following the pandemic is highly complex; however, the present can be understood as a moment to reflect on how humanity has developed thus far, especially concerning impaired accessibility and the pervasive lack of empathy and solidarity.
Objetivo: analisar instrumentos que avaliem a autonomia e alguns de seus aspectos em indivíduos com lesão medular. Métodos: Trata-se de revisão integrativa da literatura, a partir de publicações científicas existentes nas principais bases de dados da saúde, em inglês, português e espanhol, até 2017, visando analisar instrumentos que avaliem a autonomia e o "ser" autônomo. Como processo de validação da qualidade metodológica dos estudos analisados, utilizou-se os checklists específicos para cada tipo de estudo, seja observacional, qualitativos ou revisões sistemáticas. Resultados: O termo autonomia permanece muito relacionado ao conceito de independência e participação. Porém, pode-se perceber que os instrumentos buscam transcender a perspectiva médico-centrada do corpo, compreendendo a autonomia como uma busca pela satisfação de vida, pela identidade, pela esperança e liberdade. Conclusão: Embora a escassez de estudos sobre autonomia como algo mais complexo do que a relação corpo-decisão, na literatura emergem pesquisadores que observam a autonomia como um eixo inerente ao processo de viver da pessoa.
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