Nursing care for the spirituality of frail elderly people: a reflection according to the human care theory
Abstract
Objective: to reflect spirituality in the light of Jean Watson's Theory of Human Care, as an element in care for frail elderly people. Methods: The theoretical-methodological framework that guided the theoretical-reflective essay was the interrelation of Theory of Human Care, by Jean Watson, with its existential phenomenological aspects, and the spirituality of fragile elderly people, considering the multidimensionality of the syndrome and the aspect of humanity that reveals the way people express the meaning and purpose of their lives. Results: The assumptions of this theory offer essential elements and constructs to nurses to encourage and to develop spirituality in care actions for frail elderly people, in order to assist them in coping with their clinical condition. The theory supports the applicability of the spiritual dimension of nursing care, expanding the comprehensive perspective of this care in the context of health and illness. Conclusions: The theory used in this reflection assigns meanings for the development of the spiritual dimension in care for frail elderly people, improving essential contexts that are necessary for the current practice of nurses.
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References
Lourenço RA, Moreira VG, Mello RGB, Santos IS, Lin SM, Pinto ALF, et al. Brazilian consensus on frailty in older people:concepts, epidemiology and evaluation instruments. Geriatr Gerontol Aging [Internet]. 2018 [cited 2018 Nov 04];12(2):121-35. Available from:https://cdn.publisher.gn1.link/ggaging.com/pdf/en_v12n2a10.pdf
Duarte YAO, Nunes DP, Andrade FB, Corona LP, Brito TRP, Santos JLF, et al. Frailty in older adults in the city of São Paulo: prevalence and associated factors.Rev Bras Epidemiol[Internet]. 2019 [cited 2020 Feb 17];21[Suppl 02]:e180021. doi: https://doi.org/10.1590/1980-549720180021.supl.2
Moraes DC, Lenardt MH, Mello BH de, Setoguchi LS, Lima P de, Setlik CM. Postural instability and the physical frailty condition in elderly people: integrative review.Cienc Cuid Saúde[Internet]. 2018 [cited 2020 Feb17];17(1). doi: https://doi.org/10.4025/cienccuidsaude.v17i1.36301
Chan DD, Tsou HH, Chang CB, Yang RS, Tsauo JY, Chen CY, et al. Integrated care for geriatric frailty and sarcopenia: a randomized control trial. J Cachexia Sarcopenia Muscle. [Internet]. 2017 [cited 2019 Apr 26];8(1):78-8. doi: https://doi.org/10.1002/jcsm.12132
Frost R, Belk C, Jovicic A, Ricciardi F, Kharicha K, Gardner B, et al. Health promotion interventions for community-dwelling older people with mild or pre-frailty: a systematic review and meta-analysis. BMC Geriatrics. [Internet]. 2017 [cited 2018 Apr 20];17:157. doi: https://doi.org/10.1186/s12877-017-0547-8
Jesus ITM, Diniz MAA, Lanzotti RB, Orlandi FS, Pavarin SCI, Zazzetta MS. Frailty and quality of elderly living in a context of social vulnerability. Texto Contexto Enferm. [Internet]. 2018 [cited 2019 Apr 10];27(4):e4300016. doi: http://dx.doi.org/10.1590/0104-07072018004300016
Riegel F, Crossetti MGO, Siqueira DS. Contributions of Jean Watson's theory to holistic critical thinking of nurses. Rev Bras Enferm. [Internet]. 2018 [cited 2018 Sep 22];71(4):2072-6. doi: http://dx.doi.org/10.1590/0034-7167-2017-0065
Bittar CM, Moscardini AF, Matos Vanzela I, Souza V, Rocha J. Qualidade de vida e sua relação com a espiritualidade: um estudo com idosos em instituições de longa permanência. RBCEH [Internet]. 2018 [citado 2020 nov 21];14(2):195-209. doi:https://doi.org/10.5335/rbceh.v14i2.7020
Picolli T, Nunes SFL, Tramontina PC, Juliane RTO, Santos EKA, Amante LN. Reflecting on some nursing theories based on Meleis' evaluation models. Cogitare Enferm. [Internet]. 2015 [cited 2019 Feb 26]; 20(2):437-42. doi: http://dx.doi.org/10.5380/ce.v20i2.37891
Will EM. Grandes teorias da enfermagem baseadas no processo interativo. In: Georges JB, Perry AG. Teorias de enfermagem: os fundamentos à prática profissional. 9ª ed. Porto Alegre: Artmed; 2017. p. 162-95.
Drageset J, Haugan G, Tranvåg O. Crucial aspects promoting meaning and purpose in life: perceptions of nursing home residents. BMC Geriatr. [Internet]. 2017 [cited 2020 Nov 20];17(1):254. doi:10.1186/s12877-017-0650-x
Kamada M, Augusto JV, Silva CM, Silva PMRB, Fonseca APZ. O papel da espiritualidade no enfrentamento da doença de Alzheimer. Rev Soc Bras Clin Med. [Internet]. 2019 [citado 2020 nov 20];17(1):21-4. Disponível em: http://www.sbcm.org.br/ojs3/index.php/rsbcm/article/view/443
Clark CS. Watson's human caring theory: pertinent transpersonal and humanities concepts for educators. Humanities. [Internet]. 2016 [cited 2018 Oct 02];5(2):21. doi: https://doi.org/10.3390/h5020021
Tonin L, Nascimento JD, Lacerda MR, Favero L, Gomes IM, Denipote AGM. Guide to deliver the elements of the Clinical Caritas Process. Esc Anna Nery. [Internet]. 2017 [cited 2018 Oct 20];21(4):e20170034. doi: http://dx.doi.org/10.1590/2177-9465-ean-2017-0034
Watson J. Watson’s theory of human caring and subjective living experience: curative factors/caritas processes as a disciplinary guide to the professional nursing practice. Texto Contexto Enferm. [Internet]. 2007 [cited 2018 Sep 24];16(1):129-35. doi: http://dx.doi.org/10.1590/S0104-07072007000100016
Watson J. Caring as the essence and science of nursing and health care. O Mundo da Saúde. [Internet]. 2009 [cited 2018 Oct 20];33(2):143-9. Disponível em: http://www.saocamilo-sp.br/pdf/mundo_saude/67/143a149.pdf
Lindolpho M da C, Caldas CP, Sá SPC, dos Santos ND. Nursing care of the elderly in the end of life. Cienc Cuid Saúde [Internet]. 2016 [cited 2020 Nov 18];15(2):383-89. doi: https://doi.org/10.4025/cienccuidsaude.v15i2.23904
Schossler T, Crossetti MG. Elderly home caregiver and self-care: an analysis through Jean Watson's human care theory. Texto Contexto Enferm. [Internet]. 2008 [cited 2019 Jan 15];17(2):280-7. doi: http://dx.doi.org/10.1590/S0104-07072008000200009
Savieto RM, Leão ER.Nursing assistance and Jean Watson: a reflection on empathy. Esc Anna Nery. [Internet]. 2016 [cited 2019 Feb 18];20(1):198-202. Disponível em: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1414-81452016000100198
Mathias JJS, Zagonel IPS, Lacerda MR. Processo clinical caritas: novos rumos para o cuidado de enfermagem transpessoal. Acta Paul Enferm. [Internet]. 2006 [citado em 2018 set 10];19(3):332-7. doi: http://dx.doi.org/10.1590/S0103-21002006000300013
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