Impersonal Care or Humanized Care : a Decision Made by Nurses? Hourglass Model

ABSTRACT: This work sought to understand the meaning of the experience of caring and how patients, family members, and nurses describe it. Methods. This was a phenomenological interpretive study with 16 adult participants between 29 and 62 years of age, selected through purposeful sampling. The stud...

Full description

Autores:
Beltrán Salazar, Óscar Alberto
Tipo de recurso:
Article of investigation
Fecha de publicación:
2016
Institución:
Universidad de Antioquia
Repositorio:
Repositorio UdeA
Idioma:
eng
OAI Identifier:
oai:bibliotecadigital.udea.edu.co:10495/6550
Acceso en línea:
http://hdl.handle.net/10495/6550
Palabra clave:
Nursing care
Humanization of assistance
Deshumanization
Adult
Qualitative research
Atención de enfermería
Humanización de la atención
Deshumanización
Adulto
Investigación cualitativa
Rights
openAccess
License
Atribución-NoComercial-CompartirIgual 2.5 Colombia (CC BY-NC-SA 2.5 CO)
id UDEA2_a1cff4608ca4faea5c55e39727101427
oai_identifier_str oai:bibliotecadigital.udea.edu.co:10495/6550
network_acronym_str UDEA2
network_name_str Repositorio UdeA
repository_id_str
dc.title.spa.fl_str_mv Impersonal Care or Humanized Care : a Decision Made by Nurses? Hourglass Model
dc.title.alternative.spa.fl_str_mv Atención impersonal o cuidado humanizado : ¿una decisión de enfermeras? Modelo del Reloj de Arena
title Impersonal Care or Humanized Care : a Decision Made by Nurses? Hourglass Model
spellingShingle Impersonal Care or Humanized Care : a Decision Made by Nurses? Hourglass Model
Nursing care
Humanization of assistance
Deshumanization
Adult
Qualitative research
Atención de enfermería
Humanización de la atención
Deshumanización
Adulto
Investigación cualitativa
title_short Impersonal Care or Humanized Care : a Decision Made by Nurses? Hourglass Model
title_full Impersonal Care or Humanized Care : a Decision Made by Nurses? Hourglass Model
title_fullStr Impersonal Care or Humanized Care : a Decision Made by Nurses? Hourglass Model
title_full_unstemmed Impersonal Care or Humanized Care : a Decision Made by Nurses? Hourglass Model
title_sort Impersonal Care or Humanized Care : a Decision Made by Nurses? Hourglass Model
dc.creator.fl_str_mv Beltrán Salazar, Óscar Alberto
dc.contributor.author.none.fl_str_mv Beltrán Salazar, Óscar Alberto
dc.subject.none.fl_str_mv Nursing care
Humanization of assistance
Deshumanization
Adult
Qualitative research
Atención de enfermería
Humanización de la atención
Deshumanización
Adulto
Investigación cualitativa
topic Nursing care
Humanization of assistance
Deshumanization
Adult
Qualitative research
Atención de enfermería
Humanización de la atención
Deshumanización
Adulto
Investigación cualitativa
description ABSTRACT: This work sought to understand the meaning of the experience of caring and how patients, family members, and nurses describe it. Methods. This was a phenomenological interpretive study with 16 adult participants between 29 and 62 years of age, selected through purposeful sampling. The study was based on in-depth interviews to construct the information and on the procedures proposed by Munhal for the analysis. Results. This work revealed a complex relation, understood as vicariant, between humanized care and impersonal care that influence upon independent aspects of the social and legal system, health institutions, and nurses. The themes comprising the experience of humanized care are described in the “hourglass” model. Conclusion. Humanized care can displace impersonal care or vice versa, according to the orientation of nurses in the care practice and some elements from the institutional context.
publishDate 2016
dc.date.issued.none.fl_str_mv 2016
dc.date.accessioned.none.fl_str_mv 2017-02-28T16:07:13Z
dc.date.available.none.fl_str_mv 2017-02-28T16:07:13Z
dc.type.spa.fl_str_mv info:eu-repo/semantics/article
dc.type.coarversion.fl_str_mv http://purl.org/coar/version/c_970fb48d4fbd8a85
dc.type.hasversion.spa.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.coar.spa.fl_str_mv http://purl.org/coar/resource_type/c_2df8fbb1
dc.type.redcol.spa.fl_str_mv https://purl.org/redcol/resource_type/ART
dc.type.local.spa.fl_str_mv Artículo de investigación
format http://purl.org/coar/resource_type/c_2df8fbb1
status_str publishedVersion
dc.identifier.citation.spa.fl_str_mv Beltrán O. Impersonal Care or Humanized Care: a Decision Made by Nurses? Hourglass Model. Invest. Educ. Enferm. 2016;34(3): 444-455.
dc.identifier.issn.none.fl_str_mv 0120-5307
dc.identifier.uri.none.fl_str_mv http://hdl.handle.net/10495/6550
dc.identifier.doi.none.fl_str_mv 10.17533/udea.iee.v34n3a03
dc.identifier.eissn.none.fl_str_mv 2216-0280
identifier_str_mv Beltrán O. Impersonal Care or Humanized Care: a Decision Made by Nurses? Hourglass Model. Invest. Educ. Enferm. 2016;34(3): 444-455.
0120-5307
10.17533/udea.iee.v34n3a03
2216-0280
url http://hdl.handle.net/10495/6550
dc.language.iso.spa.fl_str_mv eng
language eng
dc.relation.ispartofjournalabbrev.spa.fl_str_mv Invest. educ. enferm.
dc.rights.*.fl_str_mv Atribución-NoComercial-CompartirIgual 2.5 Colombia (CC BY-NC-SA 2.5 CO)
dc.rights.spa.fl_str_mv info:eu-repo/semantics/openAccess
dc.rights.uri.*.fl_str_mv https://creativecommons.org/licenses/by-nc-sa/2.5/co/
dc.rights.accessrights.spa.fl_str_mv http://purl.org/coar/access_right/c_abf2
dc.rights.creativecommons.spa.fl_str_mv https://creativecommons.org/licenses/by-nc-sa/4.0/
rights_invalid_str_mv Atribución-NoComercial-CompartirIgual 2.5 Colombia (CC BY-NC-SA 2.5 CO)
https://creativecommons.org/licenses/by-nc-sa/2.5/co/
http://purl.org/coar/access_right/c_abf2
https://creativecommons.org/licenses/by-nc-sa/4.0/
eu_rights_str_mv openAccess
dc.format.mimetype.spa.fl_str_mv application/pdf
dc.publisher.spa.fl_str_mv Universidad de Antioquia, Facultad de Enfermería
dc.publisher.place.spa.fl_str_mv Medellín, Colombia
institution Universidad de Antioquia
bitstream.url.fl_str_mv http://bibliotecadigital.udea.edu.co/bitstream/10495/6550/1/BeltranOscar_2016_ImpersonalHumanizedCare.pdf
http://bibliotecadigital.udea.edu.co/bitstream/10495/6550/2/license_url
http://bibliotecadigital.udea.edu.co/bitstream/10495/6550/3/license_text
http://bibliotecadigital.udea.edu.co/bitstream/10495/6550/4/license_rdf
http://bibliotecadigital.udea.edu.co/bitstream/10495/6550/5/license.txt
bitstream.checksum.fl_str_mv 81b5adb9c5dec196168dd92787726ce1
4afdbb8c545fd630ea7db775da747b2f
d41d8cd98f00b204e9800998ecf8427e
d41d8cd98f00b204e9800998ecf8427e
8a4605be74aa9ea9d79846c1fba20a33
bitstream.checksumAlgorithm.fl_str_mv MD5
MD5
MD5
MD5
MD5
repository.name.fl_str_mv Repositorio Institucional Universidad de Antioquia
repository.mail.fl_str_mv andres.perez@udea.edu.co
_version_ 1805390246742851584
spelling Beltrán Salazar, Óscar Alberto2017-02-28T16:07:13Z2017-02-28T16:07:13Z2016Beltrán O. Impersonal Care or Humanized Care: a Decision Made by Nurses? Hourglass Model. Invest. Educ. Enferm. 2016;34(3): 444-455.0120-5307http://hdl.handle.net/10495/655010.17533/udea.iee.v34n3a032216-0280ABSTRACT: This work sought to understand the meaning of the experience of caring and how patients, family members, and nurses describe it. Methods. This was a phenomenological interpretive study with 16 adult participants between 29 and 62 years of age, selected through purposeful sampling. The study was based on in-depth interviews to construct the information and on the procedures proposed by Munhal for the analysis. Results. This work revealed a complex relation, understood as vicariant, between humanized care and impersonal care that influence upon independent aspects of the social and legal system, health institutions, and nurses. The themes comprising the experience of humanized care are described in the “hourglass” model. Conclusion. Humanized care can displace impersonal care or vice versa, according to the orientation of nurses in the care practice and some elements from the institutional context.RESUMEN: Comprender el significado de la experiencia de cuidado y la forma como la describen los pacientes, familiares y enfermeras. Métodos. Estudio fenomenológico interpretativo con 16 participantes adultos entre 29 y 62 años de edad, seleccionados por muestreo con propósito. Se basó en entrevistas en profundidad para la construcción de la información y en los procedimientos propuestos Munhal para el análisis. Resultados. El estudio mostró una complicada relación, entendida como vicariante, entre el cuidado humanizado y la atención impersonal en la cual influyen aspectos dependientes del sistema social y legal, de las instituciones de salud y de las enfermeras. Los temas que componen la experiencia de cuidado humanizado se describen en el modelo denominado “reloj de arena”. Conclusión. El cuidado humanizado puede desplazar a la atención impersonal o viceversa, según la orientación de las enfermeras en la práctica del cuidado y algunos elementos del contexto institucional.application/pdfengUniversidad de Antioquia, Facultad de EnfermeríaMedellín, Colombiainfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttp://purl.org/coar/resource_type/c_2df8fbb1https://purl.org/redcol/resource_type/ARTArtículo de investigaciónhttp://purl.org/coar/version/c_970fb48d4fbd8a85Atribución-NoComercial-CompartirIgual 2.5 Colombia (CC BY-NC-SA 2.5 CO)info:eu-repo/semantics/openAccesshttps://creativecommons.org/licenses/by-nc-sa/2.5/co/http://purl.org/coar/access_right/c_abf2https://creativecommons.org/licenses/by-nc-sa/4.0/Nursing careHumanization of assistanceDeshumanizationAdultQualitative researchAtención de enfermeríaHumanización de la atenciónDeshumanizaciónAdultoInvestigación cualitativaImpersonal Care or Humanized Care : a Decision Made by Nurses? Hourglass ModelAtención impersonal o cuidado humanizado : ¿una decisión de enfermeras? Modelo del Reloj de ArenaInvest. educ. enferm.Investigación y Educación en Enfermería444455343ORIGINALBeltranOscar_2016_ImpersonalHumanizedCare.pdfBeltranOscar_2016_ImpersonalHumanizedCare.pdfArtículo de investigaciónapplication/pdf1310370http://bibliotecadigital.udea.edu.co/bitstream/10495/6550/1/BeltranOscar_2016_ImpersonalHumanizedCare.pdf81b5adb9c5dec196168dd92787726ce1MD51CC-LICENSElicense_urllicense_urltext/plain; charset=utf-849http://bibliotecadigital.udea.edu.co/bitstream/10495/6550/2/license_url4afdbb8c545fd630ea7db775da747b2fMD52license_textlicense_texttext/html; charset=utf-80http://bibliotecadigital.udea.edu.co/bitstream/10495/6550/3/license_textd41d8cd98f00b204e9800998ecf8427eMD53license_rdflicense_rdfapplication/rdf+xml; charset=utf-80http://bibliotecadigital.udea.edu.co/bitstream/10495/6550/4/license_rdfd41d8cd98f00b204e9800998ecf8427eMD54LICENSElicense.txtlicense.txttext/plain; charset=utf-81748http://bibliotecadigital.udea.edu.co/bitstream/10495/6550/5/license.txt8a4605be74aa9ea9d79846c1fba20a33MD5510495/6550oai:bibliotecadigital.udea.edu.co:10495/65502021-03-26 16:19:01.571Repositorio Institucional Universidad de Antioquiaandres.perez@udea.edu.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