A Nursing Practice Model for Chronic Illness

Abstract

As the 21st century approaches, one very important issue for nursing is the increased prevalence of chronic conditions such as arthritis. Self-management is one way that individuals can cope with the uncertainty and many changes chronic illness brings. The purpose of this article is to describe a nursing model that addresses the need for enhanced self-management skills and the rehabilitation nurse's role in this process. The model is based on the concept of intentional action and uses Orem's (1995) self-care deficit nursing theory as its conceptual structure. The expected outcomes of care for clients are effective self-management skills and subsequently improved health status and quality of life. The model will be useful in the design of rehabilitation nursing research as well as in the planning of care for individuals with chronic illness.

Emancipation in decision‐making in women's health care

“…Several studies have explored the emancipatory role of the nurses in direct patient care, suggesting that it leads to improved decision‐making skills for patients or an increase in autonomy, a related concept. This limited exploration of emancipation in clinical practice may reflect the idea that patients are an oppressed group when confronted with health care options (Lehmann 1982, Burks 1999, Jairath & Kowal 1999, O'Brien et al. 1999, Henshaw 2001, Leino‐Kilpi & Luoto 2001).…”

“…An intentional action occurs when an individual or group chooses to act on a plan (Burks 1999). Intentional action may be the outcome of an emancipated decision‐making process and may represent free choice, but can also be a less thought‐out process.…”

“…Active participation by patients is, at times, used synonymously with decision‐making and intentional action (Burks 1999, Kennedy & Rogers 2001, Lund et al. 2001).…”

“…2001). Burks (1999) described self‐management through active participation as a process similar to emancipation because health care professionals relinquish control and allow patients to act on their own behalf. Burks (1999) applied this assumption in a successful nursing practice model for patient rehabilitation.…”

Evaluación de un programa para fortalecer a los cuidadores familiares de enfermos crónicos

“…Con base en la documentación de la falta de habilidad que los cuidadores tienen para responder a sus tareas de cuidado, de los beneficios del apoyo que brindan los diversos programas para los cuidadores y de la necesidad de generar y evaluar nuevas intervenciones con muestras más amplias, grupos de control más significativos, análisis de costos, diseños rigurosos e inclusión de estrategias y condiciones no exploradas, surge esta nueva propuesta (13)(14)(15)(16)(17)(18)(19)(20)(21)(22)(23)(24)(25)(26)(27)(28)(29).…”