Professional nurses’facilitation of self-care in intensive care units:A concept analysis  

重症监护病房护士自我关怀的概念分析

作　　者：Mpho Chipu Charlene Downing 

机构地区：[1]Department of Nursing,Faculty of Health Sciences,University of Johannesburg,Doornfontein Campus,Johannesburg,South Africa

出　　处：《International Journal of Nursing Sciences》2020年第4期446-452,I0007,共8页国际护理科学（英文）

基　　金：We thank UJ Supervisor linked bursary and DHET bursary for funding the study and Prof WE Nel(now retired)for her supervisory role during the undertaking of the study.

摘　　要：Objective:This article aims to provide an in-depth analysis of the concept of self-care in the intensive care unit and outline its defining attributes,antecedents,consequences and empirical referents.Methods:The literature was searched electronically using databases such as CINAHL,Medline,Psych INFO,ERIC,ScienceDirect,Amed,EBSCO(Health Source:Nursing and Academic Edition),Sage,Ujoogle and Google Scholar.Articles from 2013 to 2020 were searched to target recent and up-to-date information about the definitions,attributes,antecedents and consequences of the concept of self-care.Walker and Avant’s framework was utilised to analyse the concept of self-care.Results:The results of the concept analysis identified seven attributes,namely process,activity,capability,autonomous choice,education,self-control and interaction.The seven identified antecedents are self-motivation,participation,commitment,resources,religious and cultural beliefs,social,spiritual and professional support,and the availability of time.The consequences are the maintenance of health and wellbeing,autonomy,increased self-esteem,disease prevention,empowerment,increased social support and the ability to cope with stress.目的旨在对自我照顾的概念进行深入分析,概述其定义性属性,前置因素、后续影响和实证性指标。方法检索CINAHL,Medline,Psych INFO.ERIC,ScienceDirect、Amed,EBSCO,Sage,Ujoogle和Google Scho-lar数据库中2013—2020年发表的文献,获取有关自我照顾概念的定义,属性、前置因素和后续影响的最新信息。用Walker和Avant的理论框架分析自我关怀的概念。结果通过概念分析确定了7个属性:过程、活动、能力自主选择、教育、自我控制和互动。7个前置因素是自我激励,参与,承诺,资源,宗教和文化信仰,社会、精神和专业支持,以及时间的可用性。其后续影响是维持健康和福祉、自主性、提高自尊、预防疾病、赋能、社会支持增加和提高应对压力的能力。结论此概念分析结果描述了促进重症监护病房护士自我关怀的模式。

关 键 词：Intensive care units Self care SELF-COMPASSION SELF-CONTROL SELF-EFFICACY SELF-MANAGEMENT SELF-REGULATION 

分 类 号：R48[医药卫生—临床医学]