Theory of professional bonds: description and theoretical analysis based on the Meleis’ model with Delphi strategy

Borel, Manuela Gomes Campos; Buss Thofehrn, Maira; Arreguy-Sena, Cristina; Lemos, Romanda da Costa Pereira Barboza; Caniçali Primo, Candida; Brandão, Marcos Antônio Gomes

doi:10.1590/1980-220X-REEUSP-2022-0054en

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THEORETICAL STUDY • Rev. esc. enferm. USP 56 • 2022 • https://doi.org/10.1590/1980-220X-REEUSP-2022-0054en copy

Theory of professional bonds: description and theoretical analysis based on the Meleis’ model with Delphi strategy^* * Extracted from the dissertation “Evaluation of the Theory of Professional Bonds through the Meleis’ model”, Universidade Federal de Juiz de Fora, 2019.

Teoría de los vínculos profesionales: descripción y análisis teórico basados en el modelo de Meleis con la estrategia Delphi

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

The objective of this study was to evaluate the Theory of Professional Bonds from the description and analysis steps of Meleis’ theory evaluation model. This is a theoretical, analytical, and philosophical study, with the collection of manuscripts through literature review to deepen knowledge regarding the origin, the theoretical and philosophical frameworks, and the practical application of the Theory of Professional Bonds. The study was developed in two steps: procedures for the evaluation using the model proposed by Meleis’ and procedures for validation of the evaluation using the Delphi strategy and the Likert scale. Descriptive-reflective analysis involves an impartial and detailed examination of the theory, and it is possible to define the scope for a middle-range theory based on Leontiev’s Activity Theory. Concepts are defined, delimited and interrelated. It is possible to transcend its applicability from the nursing team to the interdisciplinary team. The theory evaluation advanced by reaffirming the importance of theory to practice and identifying potential for theoretical development, contributing to the elaboration of an unprecedented guideline for theoretical nursing studies.

DESCRIPTORS
Evaluation Study; Nursing Methodology Research; Nursing Theory

Criteria	Evaluation unit	Results according to consensus
Structural components	Assumption	Assumptions built under the constructivist philosophical viewpoint, in addition to considering the Marxist critique
	Concepts	The concepts were present, being visible and apparent, relating the thought of the theorists and relating to each other. They are presented in an organized, logical, and articulated manner. They have a high level of abstraction
	Propositions	Propositions still require further development
Functional components	Focus	Dialogical interaction between interpersonal relationships and subjectivity
	Client	The nursing team needs encouragement to understand subjectivity
	Nursing	It is strengthened as a discipline and profession, with a focus on therapeutic care
	Health	It considers the biological, psychological, social and spiritual dimensions of the worker
	Nurse-client interaction	Related to professional bonds formed by the nursing teamwork to achieve therapeutic care
	Environment	Built from the relief of suffering present in normative activities through the formation and affirmation of healthy professional bonds
	Nursing problem	It is the difficulty for human beings to understand their subjectivity
	Nursing therapeutics	The mediating tool is the model for nursing teamwork

Step	Criteria	Evaluation unit	Results according to consensus
Concept analysis	Differentiation from others	Definitions (semantics, logic, contextual), Antecedents, Consequences, Examples	Central concept: professional bonds. It is an abstract expression that is vital for mental and experimental formulations in theory building. It is a dynamic structure that projects shared ways of conducting work. The bonds can have marks of expropriation or strengthening of subjectivity
Theory analysis	The theoretical	Background education, Practical experience, Professional Network, Sociocultural Context	Through their professional and pedagogical careers, the theorists consolidated the TPB. Due to the regional context of the authors and the concentration of studies in the region of professional experience, it is suggested that the TPB be applied to other social and geographical contexts in addition to those already included for verification of external (empirical) validation
	Paradigmatic origins	References, Citations, Assumptions, Concepts, Propositions, Hypotheses, Laws	The paradigm of historical-dialectical materialism guided the construction of the TPB
	Internal dimensions	Justification/logic that the theory was built, system of relationships, content, beginning of theory, scope, goal, context, abstraction and method	After the evaluation, TPB is classified by the level of abstraction as a middle-range theory; since it refers to a specific phenomenon, it has a more limited scope, but it has a certain degree of abstraction

Universidade de São Paulo, Escola de Enfermagem Av. Dr. Enéas de Carvalho Aguiar, 419 , 05403-000 São Paulo - SP/ Brasil, Tel./Fax: (55 11) 3061-7553, - São Paulo - SP - Brazil
E-mail: reeusp@usp.br

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[1] Corresponding author: Manuela Gomes Campos Borel Rua Afonso Cavalcanti, 275, Cidade Nova 20211-130 – Rio de Janeiro, RJ, Brazil manu.ufjf@yahoo.com

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Theory of professional bonds: description and theoretical analysis based on the Meleis’ model with Delphi strategy* * Extracted from the dissertation “Evaluation of the Theory of Professional Bonds through the Meleis’ model”, Universidade Federal de Juiz de Fora, 2019.

Teoría de los vínculos profesionales: descripción y análisis teórico basados en el modelo de Meleis con la estrategia Delphi

ABSTRACT

Theory of professional bonds: description and theoretical analysis based on the Meleis’ model with Delphi strategy^* * Extracted from the dissertation “Evaluation of the Theory of Professional Bonds through the Meleis’ model”, Universidade Federal de Juiz de Fora, 2019.