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Actualizing Gadow's moral framework for nursing through research.

Daryl Sharp Minicucci1, Madeline H Schmitt, Mary T Dombeck

  • 1University of Rochester, Rochester, NY 14642, USA. daryl_minicucci@urmc.rochester.edu

Nursing Philosophy : an International Journal for Healthcare Professionals
|September 23, 2003
PubMed
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Patients receiving sensitive interpersonal care reported higher motivation and competence in smoking cessation. This study synthesized existential advocacy and self-determination theory (SDT) to support tobacco dependence treatment.

Area of Science:

  • Nursing
  • Psychology
  • Bioethics

Background:

  • Sally Gadow's existential advocacy offers a moral framework for the nurse-patient relationship.
  • Self-determination theory (SDT) provides a general theory of motivation.
  • Integrating these frameworks can inform patient care, particularly in behavior change interventions.

Purpose of the Study:

  • To synthesize Sally Gadow's existential advocacy with self-determination theory (SDT).
  • To inform the design of a study exploring interpersonal care's influence on tobacco dependence treatment.
  • To empirically investigate the relationship between perceived care and patient motivation/competence.

Main Methods:

  • A study was designed integrating existential advocacy and SDT.
  • The study explored the influence of interpersonal care on tobacco dependence treatment.
Keywords:
Philosophical ApproachProfessional Patient Relationship

Related Experiment Videos

  • Data were collected on participants' perceptions of care providers and their motivation/competence.

    • Main Results:

    • Participants perceiving care providers as interpersonally sensitive reported greater autonomous motivation.
    • Patients who felt providers brought their whole selves to the encounter felt more competent in smoking cessation.
    • Findings supported the integration of existential advocacy and SDT in practice.

    Conclusions:

    • Existential advocacy, when synthesized with SDT, provides a robust framework for understanding patient motivation in healthcare.
    • Interpersonal care significantly influences autonomous motivation and competence in tobacco dependence treatment.
    • The study's findings have implications for nursing practice, emphasizing the importance of sensitive, whole-person care.