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...

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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)
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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
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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
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rights_invalid_str_mv Atribución-NoComercial-CompartirIgual 2.5 Colombia (CC BY-NC-SA 2.5 CO)
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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
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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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