The starting point of this text is to understand that integrative nursing involves the restoration of health, which means a comprehensive analysis of the causes of a given situation of illness or discomfort that leads the individual to seek help. For nursing, and especially in the provision of health care. Nurses interpret people as complete systems integrated in the environment, as beings inseparable from their physical, psychological, and spiritual dimensions and their relationship with their environment. Throughout history, nursing has built its own body of knowledge using dierent names for dierent stages of thought. We could say that three paradigms are present throughout history: rational-technological, hermeneutic, and critical. Each of these paradigms has defining characteristics that describe nursing thinking, as well as theoretical ethical models and their applicability in the practice of integrative care through bioethics.
In the practice of CAM, health professionals have an ethical and professional responsibility to support people's health care choices and to educate about different therapeutic options and their associated risks and benefits. Ethical competence must be developed throughout professional practice and must be built through sensitivity, knowledge, reflection, decision-making, action, and behavior. Therapies are evolving, and their natural incorporation alongside other therapies must be the future, promoting research, regulating practice, as well as learning. Their increasing use presents us with a new scenario of opportunities to rebuild ethical foundations and to establish comprehensive and holistic care plans that respond to the needs of people in all their dimensions
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