Background: the complex care of the critically ill person requires the need for areas of specialization in Nursing that provide nurses with enhanced skills, allowing the provision of individualized and specialized care. Objective: map knowledge about the impact of specialized nursing in the care of people in critical situations. Methodology: a scoping review was carried out, proposed by The Joanna Briggs Instit...
Nanofibres of poly(vinyl alcohol) (PVA) reinforced with cellulose nanofibrils (CNFs) and/or crosslinked with maleic anhydride (MA) were produced by electrospinning technique to compare the additivation effects of the polymeric matrix. The results suggested that the PVA mass fraction equal to 14% and CNFs volumetric fraction of 3% are the best proportions for renewable base fibres production. CNFs addition allow...
Ambivalence can be understood as a cyclical movement between two opposing positions of the self: one expressed in a novelty—an innovative moment (IM)—and another one conveyed by a return to the maladaptive pattern. If not properly addressed and resolved during therapy, ambivalence can prevent change and lead to psychotherapeutic failure. Two processes of ambivalence resolution have been suggested: (1) the domin...
Change is indisputably one of the main goals of psychotherapeutic work. From a dialogical perspective, psychotherapeutic change entails a transformation in the transactional and communicative relationships established in the client’s “inner society of I-positions”. In the present chapter, we summarize the main findings of our narrative-dialogical research program on the processes of change in psychotherapy, pri...
Narrative and dialogical perspectives suggest that personal meaning systems’ flexibility is an important resource for change in psychotherapy. Drawn from these theoretical backgrounds, a research program focused on the identification of Innovative Moments (IMs) - exceptions to the inflexible meaning systems present in psychopathological suffering - has been carried out. For this purpose, three process-oriented ...
Aim: We understand ambivalence as a cycle of opposing expressions by two internal voices. The emergence of a suppressed voice produces an innovative moment (IM), challenging the dominant voice, which represents the client’s problematic selfnarrative. The emergence of the IM is opposed by the dominant voice, leading to a return to the problematic self-narrative. This study analyzed therapist and client responses...
Se ha considerado que la ambivalencia ejerce un rol determinante en el proceso y en el resultado terapéutico. A lo largo del proceso los clientes suelen adoptar dos posiciones opuestas acerca del cambio. Por un lado, piensan en la necesidad de cambio, por el otro, la rechazan. Investigaciones empíricas precedentes han sugerido que la ambivalencia es un proceso común, tanto en casos de buen y mal resultado, sin ...