Development of a functional model of nursing care in cancer

  • Angela Maria Alarcón RN, Specialist. Instituto Nacional de Cancerología -INC-. Bogotá, Colombia. email: aalarcon@cancer.gov.co.
  • Lucy Barrera Ortiz RN, Master. Professor, Universidad Nacional de Colombia -UNAL-. Bogotá, Colombia. email: lbarrerao@unal.edu.co.
  • Sonia Patricia Carreño RN, Ph.D candidate. UNAL. Bogotá, Colombia. email: spcarrenom@unal.edu.co.
  • Gloria Mabel Carrillo RN, Master. Professor, UNAL. Bogotá, Colombia. email: gmcarrillog@unal.edu.co.
  • Ruth Elena Farías RN, Specialist. INC. Bogotá, Colombia. email: rfarias@cancer.gov.co.
  • Gladys González RN, Specialist. INC. Bogotá, Colombia. email: magonzalez@yahoo.com.
  • Beatriz Sánchez Herrera RN, Master. Professor, UNAL. Bogotá, Colombia. email: cbsanchezh@unal.edu.co.
  • Narda Santamaría RN, Specialist. INC. Bogotá, Colombia. email: nsantamaria@cancer.gov.co.
Keywords: Oncology nursing models, nursing, nursing care

Abstract

Objective. To propose and validate a functional model that permits addressing, guiding, and qualifying nursing care in the Colombian National Cancer Institute.

Methodology. Within the framework of the teaching-service work and as response to the priorities established by the National Cancer Institute, the need to have a model was determined to better understand the nursing work in the institution. For this purpose a study was conducted in three phases: 1) Analysis of the context, 2) Elaboration and analysis of the narratives of care, and 3) Development of the Functional Model of Nursing Care from the narratives.

Results. Based on the analysis of the context, we selected the theory of “Nursing as Caring” by Boykin and Schoenhofer and, as of such; a guide was developed and applied for the construction and analysis of the narratives of care. Lastly, through an analysis of the content of the narratives of care 143 nominal codes emerged along with eight central categories or concepts. The way these concepts are related in the content of the text gave way to the assumptions of the National Cancer Institute’s model of nursing care whose dynamic was defined and diagramed for communication. Validation of the Model of Nursing Care ratified the positions expressed by the participants.

Conclusion. Development of a sequential dynamics of contextual analysis, space and expression of a reflexive nursing practice and analysis of the contents of some narratives of nursing care product of such, permitted proposing and validating the National Cancer Institute’s Model of Nursing Care that addresses, transmits, guides, and qualifies professional performance in the institution. 

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References

(1) Reed P, Shearer N. Nursing knowledge and theory innovation: advancing the science of practice. New York: Springer Publishing Company; 2011.

(2) Wimpenny P. The meaning of models of nursing to practicing nurses. J Adv Nus. 2002; 40(3):346–54.

(3) Meleis AI. Theoretical nursing: Development and progress. Fourth ed. Philadelphia: J. B. Lippincott; 2007.

(4) Fawcett J. Evaluating Research for Evidence-based Nursing Practice. Philadelphia (PA): FA Davis Company; 2009.

(5) Sánchez B. Utilidad de los modelos conceptuales en la práctica de enfermería. El Arte y la Ciencia del Cuidado. Bogotá: Unibiblos; 2002.

(6) López E. El análisis de contenido tradicional. En García M, Ibáñez J, Alvira F. El análisis de la realidad social. Métodos y técnicas de investigación. 3rd ed. Madrid: Alianza; 2001.

(7) Gómez O, Gutiérrez E. La Situación de Enfermería: fuente y contexto del conocimiento de enfermería. La narrativa como medio para comunicarla. Bogotá: Editorial Universidad Nacional de Colombia; 2011.

(8) Arias M, Giraldo C. El rigor científico en la investigación cualitativa. Inv Educ Enferm. 2011; 29(3):500-14.

(9) República de Colombia, Ministerio de Salud. Resolución 008430 de 1993 Por la cual se establecen las normas científicas, técnicas y administrativas para la investigación en salud. (4 de octubre de 1993).

(10) Congreso de la República de Colombia. Ley 911 de 2004. (octubre 5). Por la cual se dictan disposiciones en materia de responsabilidad deontológica para el ejercicio de la profesión de Enfermería en Colombia; se establece el régimen disciplinario correspondiente y se dictan otras disposiciones. Diario Oficial. Bogotá D.C: No. 45.693, (6 de octubre de 2004).

(11) Consejo de Organizaciones Internacionales de las Ciencias Médicas. Pautas éticas internacionales para la investigación biomédica en seres humanos preparadas por el consejo de organizaciones internacionales de las ciencias médicas (CIOMS). Ginebra: CIOMS; 2012.

(12) Boykin A, Schoenhofer S. Nursing as caring: a model for transforming practice. Boston: National League for Nursing; 2001.

(13) Locsin R. Technological competency as caring in nursing: A model for Practice. Indianapolis Indiana: Center Nursing Press, Sigma Theta Tau International Honor Society of Nursing; 2005:117-28.

(14) Locsin R. Machine Technologies and Caring in Nursing. IMAGE. J Nurs Scholarship. 1995; 27(3):201-3

(15) Dunphy LM, Winland JE. The circle of caring: a transformative model of advanced practice in nursing. Clin Escell Nurse Pract. 1998; 2(4):241-7.

(16) Guo Y, Shen J, Ye X, Chen H, Jiang A. The Design and Testing of a caring Teaching Model based on the theoretical framework of Caring in the Chinese Context: A mixed method study. Nurs Educ Today. 2013 (33):912-8.

(17) Touhy T, Boykin A. Caring as the central domain in nursing education. Int J Hum Caring. 2008; 12(2):8-15.

(18) Grupo de Cuidado Universidad Nacional de Colombia. Dimensiones del Cuidado. Bogotá: Unibiblos; 2000

(19) Instituto Nacional de Cancerología E.S.E. Código de Buen Gobierno. [Internet]. Bogotá: INC; 2007 [Cited 2013 May 10]. Available from: http://www.cancer.gov.co/documentos/Sistema%20de%20Desempe%C3%B1o%20Intitucional/CodigoBuenGobierno.pdf

(20) Benner P. Uncovering the knowledge embedded in clinical practice. J Nurs Scholarship. 1983; 15(2):36-41.

(21) Watson J, Foster R. The attending nurse caring model: integrating theory, evidence and advanced caring-healing therapeutics for transforming professional practice. J Clin Nurs. 2003; 12(3): 360–6.

(22) Tayray, J. Art, Science, or Both? Keeping the Care in Nursing. Nurs Clin N Am. 2009; 44(4):415– 21.

(23) Arredondo C, Siles J. Tecnología y Humanización de los Cuidados: Una mirada desde la Teoría de las Relaciones Interpersonales. Index Enferm. 2009; 18(1):32-6.

(24) Blum CA. Using the Benner intuitive-humanistic decision-making model in action: A case study. Nurse Educ Pract. 2010; 10(5):303-7.

(25) Fletcher BS, Miaskowski C, Given B, Schumacher K. The cancer family caregiving experience: an updated and expanded conceptual model. Eur J Oncol Nurs. 2012; 16(4):387-98.

(26) Bird J, Kirshbaum M. Towards a framework of advanced nursing practice for the clinical research nurse in cancer care. Clin Eff Nurs. 2005; 9:161–71.

Published
2014-07-08
How to Cite
Alarcón, A. M., Barrera Ortiz, L., Carreño, S. P., Carrillo, G. M., Farías, R. E., González, G., Sánchez Herrera, B., & Santamaría, N. (2014). Development of a functional model of nursing care in cancer. Investigación Y Educación En Enfermería, 32(2). Retrieved from https://revistas.udea.edu.co/index.php/iee/article/view/19950
Section
ORIGINAL ARTICLES / ARTÍCULOS ORIGINALES / ARTIGOS ORIGINAIS