Abstract

COMPREHENSIVE NURSING CARE: CONCEPT ANALYSIS WITH THE EVOLUTIONARY APPROACH

Author(s): HOSSEIN MADANI, MOHAMMAD ALI CHERAGHI, MAHVASH SALSALI, FARNOOSH RASHVAND

Field and Target: Comprehensive nursing care has always been one of the main arguments of nursing profession. One simple definition of Holism is that whole of one thing is more than the sum of its components. The aim of this study was that clarification of the concept of comprehensive nursing care to reaching a common understanding and having a clinical guideline and prevention of ambiguity in the application of this concept. Methods: Rodgers evolutionary approach was used in this study. Books and articles of 1970-2016 were searched on the concept of nursing care in health sciences, especially nursing from scientific databases. After applying the selection criteria and final sampling, 9 books and 69 articles were selected and were analyzed deeply. Results: The results showed that features of the concept of comprehensive nursing care include whole of human dimensions (physical - spiritual - psychological) and harmony. The antecedents of the concept include: spirituality, religion, being supernatural, belief in God, attention to God, hope, necessity of life, purpose, need, relation of imbalance or lack of harmony, backed up, be accountable and manage the environment and positive consequences include: the creation of patient-centered care, the creation of cultural care, wellbeing feeling of spiritual, harmony, healing, satisfaction, development of interpersonal relationships and a sense of nurse job satisfaction and negative consequences include: excessive attention to the spiritual and psychological aspect, draining of energy and emotion of nurse and spent of too much time. Conclusion: The concept of comprehensive nursing care is in changeable format over time and in different tissues, for these reason different definitions of comprehensive nursing care is provided in nursing science and health care. Therefore, awareness of attributes, antecedents and consequences of the concept of comprehensive nursing care leads to promote the position of nurses, clinical guide of clinical nursing and changing their attitude.

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ISSN: 2320-3315

ICV :81.58

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