A holistic-existential approach to health promotion
A holistic-existential approach to health promotion
复制标题
DOI：
10.1046/j.0283-9318.2003.00240.x
复制
发表时间：
2003-12-01
影响因子：
1.9
通讯作者：
Sarvimäki, A
中科院分区：
文献类型：
--
作者：
Berg, GV;Sarvimäki, A
健康促进似乎隐含在许多护理理论中，但护理中健康促进的理论和哲学基础并不总是被明确阐述。对健康促进的解读与对人、健康、疾病、护理的解读密切相关。有必要澄清、改进和重新定义护理中的健康促进，因为这个概念在一定程度上是非特定的，还没有被用来确定一个独特的护理重点。本研究的目的是用整体-存在主义的方法来制定健康促进护理的规定定义。采用哲学参照系、概念分析和理论综合相结合的方法。哲学框架是选择护理理论的基础，并影响了分析。之所以选择两种护理理论和一种护理模式，是因为它们对挪威护理产生了影响，也因为它们的哲学基础。通过对所选护理理论的分析和综合，对人、健康、疾病、护理等概念进行了分析。本文基于整体存在论的方法，提出了护理健康促进的强制性定义，并以五个必要条件为依据。这一定义和条件需要通过实证研究和与其他相关护理理论的比较来进一步研究，以形成理论陈述。拟议的定义可能是用整体-存在主义方法发展健康促进护理理论框架的第一步。
Health promotion seems to be implicit in many nursing theories, but the theoretical and philosophical basis of health promotion in nursing is not always explicitly stated. The interpretation of health promotion is closely related to the interpretation of man, health, illness and nursing. There is a need to clarify, refine and redefine health promotion in nursing because the concept is partly nonspecific and has not been used to identify a distinctive nursing focus. The aim of this study was to formulate a stipulative definition of health promotive nursing with a holistic-existential approach. A philosophical frame of reference in combination with conceptual analysis and theoretical synthesis were used as the methodological approach. The philosophical framework served as a basis in selecting the nursing theories and influenced the analysis. Two nursing theories and one nursing model were selected due to their influence on Norwegian nursing and because of their philosophical basis. Through analysis and synthesis of the selected nursing theories, the concepts man, health, illness/disease and nursing were analysed. The paper proposes a stipulative definition of health promotion in nursing based on a holistic-existential approach, supported by five necessary conditions. The definition and conditions needs to be further investigated by both empirical studies and by comparing with other relevant nursing theories, in order to formulate theoretical statements. The proposed definition may be the first step in a process of developing a theoretical framework of health promotive nursing with a holistic-existential approach.