İç Hastalıkları Hemşirelerinin Sık Karşılaştığı Bir Gerçek; 'Belirsizlik' Kavramına Kuramsal Bakış

Yıl 2024, Sayı: 2, 40 - 54, 31.03.2024

Burak Arslan

Öz

İç hastalıkları hemşireleri akut ve kronik belirsizlik duygusu yaşayan hasta bireylere bakım vermektedir. Belirsizlik duygusu yaşayan bireyin içinden geçtiği süreç ve belirsizliğe adaptasyon geliştirme biçimlerinin tanınması bu alanda çalışan hemşireler için oldukça önemlidir. Hasta bireylerin yaşadığı belirsizlik süreci hemşire kuramcılardan biri olan Merle Mishel tarafından geliştirilen “Uncertainty of Illness\Hastalığın Belirsizliği” teorisi ile aydınlatılmıştır. Teorinin 1988 yılında geliştirilen ilk halinde akut\kısa süreli belirsizlik duygusu yaşayan bireyin adaptasyon süreci ve bu yolda belirsizliğe yüklediği “fırsat” ve “tehdit” anlamları ele alınmıştır. Sonraki yıllarda (1990) yeniden kavramsallaştırılan teoride uzun süreli\kronik belirsizlik yaşayan bireyler için “kesinliğin olmadığı düşüncesi” ve “hayata yeniden bakış” kavramları açıklanmıştır. İç hastalıkları hemşirelerinin akut ve kronik belirsizlik duygusu yaşayan bireylere yardım edebilmesi için ilgili teorinin kavramlarını ve özünü kavraması gerektiği düşünülmüştür. Bu derleme, Mishel’in “Hastalığın Belirsizliği” teorisini açıklamak amacıyla kaleme alınmıştır.

Anahtar Kelimeler

Kronik Hastalık, Belirsizlik, Hasta, Hemşirelik, Mishel

Teşekkür

Hemşireliğin kuramsal temellerini öğrenmem ve bu alana ilgi duymam hususunda emeği geçen Sayın Prof. Dr. Özen KULAKAÇ’a teşekkürlerimi sunarım. İç Hastalıkları Hemşireliği alanına olan ilgimin daha da artması, bakış açımın genişlemesi hususunda büyük emeği olan Sayın Doç. Dr. Afitap ÖZDELİKARA’ya teşekkürlerimi sunarım.

A Fact That Internal Medicine Nurses Frequently Encountere; Theoretical View of The Concept of ‘Uncertainty’

Öz

Internal medicine nurses provide care to sick individuals who experience acute and chronic feelings of uncertainty. Recognizing feeling of uncertainty and adaptation mechanizm is very important for nurses working in this field. The uncertainty process experienced by sick individuals is illuminated by the theory of "Uncertainty of Illness" developed by Merle Mishel, one of the nurse theorists. In the first version of the theory, developed in 1988, the adaptation process of the individual who experienced a feeling of acute/short-term uncertainty and the meanings of "opportunity" and "threat" he attributed to uncertainty were discussed. In the theory, which was reconceptualized in the following years (1990), the concepts of "probabilistic thinking" and "new view of life" were explained for individuals experiencing long-term/chronic uncertainty. It was thought that internal medicine nurses should grasp the concepts and essence of the relevant theory in order to help individuals experiencing acute and chronic feelings of uncertainty. This review was written to explain Mishel's "Uncertainty of Illness" theory.

Anahtar Kelimeler

Chronic Disease, Uncertainty, Patient, Nursing, Mishel

Teşekkür

I would like to thank Prof. Dr. Özen KULAKAÇ, who helped me learn the theoretical foundations of nursing and develop my interest in this field. I would like to thank Associate Professor Afitap ÖZDELİKARA, who made a great contribution to increasing my interest in the field of Internal Medicine Nursing and expanding my perspective.

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