Concept Development In Nursing Foundations Techniques And Applications
01 Jan 2016-
About: The article was published on 2016-01-01 and is currently open access. It has received 104 citations till now.
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TL;DR: Despite the proliferation of differing methods for synthesising qualitative research, Sandelowski and Barroso's approach stands out because it is a stimulus to thinking and creativity as discussed by the authors. Yet, when ap...
Abstract: Despite the proliferation of differing methods for synthesising qualitative research, Sandelowski and Barroso’s approach stands out because it is a stimulus to thinking and creativity. Yet, when ap...
10 citations
Cites background from "Concept Development In Nursing Foun..."
...This might be explained by Rodgers and Knafl (2000) who remind us that the theory development process is evolutionary and that there is no step-by-step recipe....
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TL;DR: The care of women in labour is complicated as a result of different understandings by some providers of common processes of intrapartum care.
Abstract: Aim. This paper is a report of an analysis of the concept of watchful waiting. Background. Little is known about differences between the intrapartum care processes of midwives and physicians. In this time of growing rates of surgical birth outcomes, intrapartum care processes are a key area for research and improvement. Watchful waiting is a common care plan used by both midwives and physicians that involves the timing of interventions in labour. Design. Rodgers’ Evolutionary Model was used to conduct a concept analysis of the term watchful waiting. Data sources. Scientific literature authored by, and about, midwives and physicians, as located via an intrapartum-focused database search inclusive of years 1922‐May 2012. Thirty English-language articles from nine different countries were located, representing the midwifery and physician scientific literature focusing on watchful waiting in labour and provider decision-making processes. Review method. Attributes, consequences, antecedents and affecting themes were identified through a thematic analysis of the identified articles. Results. Data analysis reveals that many midwives and physicians define watchful waiting differently, based on their philosophies of care. Conclusion. The care of women in labour is complicated as a result of different understandings by some providers of common processes of intrapartum care.
9 citations
Cites background or methods from "Concept Development In Nursing Foun..."
...Related terms (Rodgers & Knafl 2000) found in the literature include ‘supportive care’ and ‘therapeutic presence’ (Jordan & Farley 2008, Romano 2009)....
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...This search was conducted using the term watchful waiting to survey indexed literature for the broad healthcare use of the term within the context of pregnancy and birth (Rodgers & Knafl 2000)....
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...Attributes are the essential part of the concept analysis, involving the ‘breaking apart of a thing to identify its constituent components’ (Rodgers & Knafl 2000)....
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...Rodgers’ methodology was chosen because this analysis is intended to yield the development of knowledge through the adequate characterization of a phenomenon (Rodgers & Knafl 2000)....
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...This concept analysis of watchful waiting uses Rodgers’ Evolutionary Model to better understand areas where disciplines agree and disagree about a term (Rodgers & Knafl 2000)....
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TL;DR: The aim was to determine the definition of nursing error, regardless of the contextual aspects, in various scientific systems, and a definition was established for the concept of Nursing error.
Abstract: Nursing errors are complex and take place frequently in the care of patients. However, despite their significance, they have not been properly defined or addressed in the literature. This integrative review of the literature explored the concept of nursing error, explained its definitions and described its attributes and measurements. The databases of Medline, CINAHL, Google Scholar and SID were searched using a number of keywords, including malpractice, adverse events and mistake, with and without the word nurse. The aim was to determine the definition of nursing error, regardless of the contextual aspects, in various scientific systems. After reviewing the relevant literature, content analysis (in MAXQDA) was applied to classify the definitions, attributes and measurements obtained on the basis of their similarities and differences. Ultimately, a definition was established for the concept of nursing error.
9 citations
Cites methods from "Concept Development In Nursing Foun..."
...Since we aimed to focus on various definitions, attributes and consequences of nursing errors rather than the effects of an intervention or the frequency and incidence of a particular concept, we conducted an integrative review as a concept analysis method (20), which is a specific method for summarising the evidence available and clarifying a health issue or phenomenon (20–21)....
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TL;DR: The findings show how physicians conceptualize hope and how these conceptions differ in the empirical light of the study.
Abstract: Objectives:Today some studies of physicians’ perceptions of hope are available, but not studies of how hope informs patient care. The objectives of this qualitative study were to describe the ways ...
8 citations
Cites background from "Concept Development In Nursing Foun..."
...” The themes are linked to each other representing antecedents, characteristics, and outcomes related to the concept of hope, as described by physicians from clinical perspectives.(28) In the medical literature, Wolf et al 997...
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24 May 2021
TL;DR: In ethical challenges, moral intelligence may function as a cognitive ability by considering individual-social values by using a purposeful problem-solving process that is purposeful, seeks meaning, and guides nurses to improve the quality of health services.
Abstract: Background & Aim: Moral intelligence is a foundation and cornerstone of ethics in nursing. However, it is a vague concept which needs to develop. So, this study aimed to analyze the concept of moral intelligence in nursing to help its development and apply it in the context.
Methods & Materials: Rodgers's evolutionary concept analysis method was used. Databases of Google Scholar, Science Direct, PubMed/Medline, Scopus, CINAHL, and IranMedex were searched from 2001 to 2020 with moral, ethics, intelligence, and nursing keywords. After considering the inclusion and exclusion criteria and removing irrelevant and duplicate articles, 46 texts were reviewed. The method of analysis was inductive content analysis.
Results: The attributes of moral intelligence were identified as considering "individual-social value", "the integrity of feeling, thinking, and action", and "semantic purposefulness". The antecedents included "prepared person", "purposeful selection and upbringing", and "supportive context", and the consequences were "personal and professional development of the nurse", "facilitating holistic care", and "organizational promotion". Based on the attributes of the concept, moral intelligence was defined as: "The cognitive and value-oriented capability of a nurse in managing the problem and conflict resolution process through self-sacrifice and conscious involvement into intra-and-interpersonal relationships to achieve desirable moral and spiritual goals during comprehensive care of the client."
Conclusion: In ethical challenges, moral intelligence may function as a cognitive ability by considering individual-social values. It uses a purposeful problem-solving process that is purposeful, seeks meaning, and guides nurses to improve the quality of health services.
8 citations
Cites background or methods from "Concept Development In Nursing Foun..."
...Then, according to Rodgers's approach, 20% of the texts were selected through a stratified random sampling method (20)....
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...However, for application of the concept in a context, it should be analyzed (20), and in the authors' literature review, it was not found such evidence....
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...Because the concept can be influenced by the context in which it is used, it needs to be analyzed (20)....
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...According to Rodgers, concepts evolve gradually and are influenced by the context in which they are used (20)....
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References
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TL;DR: Cultural humility was used in a variety of contexts from individuals having ethnic and racial differences, to differences in sexual preference, social status, interprofessional roles, to health care provider/patient relationships.
Abstract: Diversity is being increasingly recognized as an area of emphasis in health care. The term cultural humility is used frequently but society's understanding of the term is unclear. The aim of this article was to provide a concept analysis and a current definition for the term cultural humility. Cultural humility was used in a variety of contexts from individuals having ethnic and racial differences, to differences in sexual preference, social status, interprofessional roles, to health care provider/patient relationships. The attributes were openness, self-awareness, egoless, supportive interactions, and self-reflection and critique. The antecedents were diversity and power imbalance. The consequences were mutual empowerment, partnerships, respect, optimal care, and lifelong learning. Cultural humility was described as a lifelong process. With a firm understanding of the term, individuals and communities will be better equipped to understand and accomplish an inclusive environment with mutual benefit and optimal care.
358 citations
TL;DR: A constructivist definition of cultural competence that stems from the conclusions of an extensive critical review of the literature on the concepts of culture, cultural competence, and cultural safety among nurses and other health professionals is proposed.
Abstract: In nursing education, most of the current teaching practices perpetuate an essentialist perspective of culture and make it imperative to refresh the concept of cultural competence in nursing The purpose of this article is to propose a constructivist definition of cultural competence that stems from the conclusions of an extensive critical review of the literature on the concepts of culture, cultural competence, and cultural safety among nurses and other health professionals The proposed constructivist definition is situated in the unitary-transformative paradigm in nursing as defined by Newman and colleagues It makes the connection between the field of competency-based education and the nursing discipline Cultural competence in a constructivist paradigm that is oriented toward critical, reflective practice can help us develop knowledge about the role of nurses in reducing health inequalities and lead to a comprehensive ethical reflection about the social mandate of health care professionals
103 citations
TL;DR: Seven core attributes of moral courage were identified: true presence, moral integrity, responsibility, honesty, advocacy, commitment and perseverance, and personal risk.
Abstract: Background:Nursing as an ethical practice requires courage to be moral, taking tough stands for what is right, and living by one’s moral values. Nurses need moral courage in all areas and at all levels of nursing. Along with new interest in virtue ethics in healthcare, interest in moral courage as a virtue and a valued element of human morality has increased. Nevertheless, what the concept of moral courage means in nursing contexts remains ambiguous.Objective:This article is an analysis of the concept of moral courage in nursing.Design:Rodgers’ evolutionary method of concept analysis provided the framework to conduct the analysis.Data sources:The literature search was carried out in September 2015 in six databases: PubMed, CINAHL, Scopus, Web of Science, PsycINFO, and The Philosopher’s Index. The following key words were used: “moral” OR “ethical” AND “courage” OR “strength” AND “nurs*” with no time limit. After applying inclusion and exclusion criteria, 31 studies were included in the final analysis.Ethi...
96 citations
TL;DR: It is shown that IT services may especially contribute to empowerment by providing knowledge, and the components of empowerment could be used to develop IT services for cancer survivors.
Abstract: Background: Patient empowerment may be an effective approach to strengthen the role of cancer survivors and to reduce the burden on health care. However, it is not well conceptualized, notably in oncology. Furthermore, it is unclear to what extent information technology (IT) services can contribute to empowerment of cancer survivors. Objective: We aim to define the conceptual components of patient empowerment of chronic disease patients, especially cancer survivors, and to explore the contribution of existing and new IT services to promote empowerment. Methods: Electronic databases were searched to identify theoretical and empirical articles regarding empowerment. We extracted and synthesized conceptual components of patient empowerment (ie, attributes, antecedents, and consequences) according to the integrated review methodology. We identified recent IT services for cancer survivors by examining systematic reviews and a proposed inventory of new services, and we related their features and effects to the identified components of empowerment. Results: Based on 26 articles, we identified five main attributes of patient empowerment: (1) being autonomous and respected, (2) having knowledge, (3) having psychosocial and behavioral skills, (4) perceiving support from community, family, and friends, and (5) perceiving oneself to be useful. The latter two were specific for the cancer setting. Systematic reviews of IT services and our additional inventory helped us identify five main categories: (1) educational services, including electronic survivorship care plan services, (2) patient-to-patient services, (3) electronic patient-reported outcome (ePRO) services, (4) multicomponent services, and (5) portal services. Potential impact on empowerment included knowledge enhancement and, to a lesser extent, enhancing autonomy and skills. Newly developed services offer promising and exciting opportunities to empower cancer survivors, for instance, by providing tailored advice for supportive or follow-up care based on patients' input. Conclusions: We identified five main components of empowerment and showed that IT services may especially contribute to empowerment by providing knowledge. The components of empowerment could be used to develop IT services for cancer survivors. It is important to take into account patients’ needs, follow up on these needs, and create a service that is attractive and easy to use. [J Med Internet Res 2015;17(11):e270]
91 citations
Journal Article•
TL;DR: The analysis showed that nursing professionalism is determined by three attributes of cognitive, attitudinal, and psychomotor, and the most important antecedents concepts were demographic, experiential, educational, environmental, and attitudinal factors.
Abstract: Background: Professionalism is an important feature of the professional jobs. Dynamic nature and the various interpretations of this term lead to multiple defi nitions of this concept. The aim of this paper is to identify the core attributes of the nursing professionalism. Materials and Methods: We followed Rodgers’ evolutionary method of concept analysis. Texts published in scientifi c databases about nursing professionalism between 1980 and 2011 were assessed. After applying the selection criteria, the fi nal sample consisting of 4 books and 213 articles was selected, examined, and analyzed in depth. Two experts checked the process of analysis and monitored and reviewed them. Results: The analysis showed that nursing professionalism is determined by three attributes of cognitive, attitudinal, and psychomotor. In addition, the most important antecedents concepts were demographic, experiential, educational, environmental, and attitudinal factors. Conclusion: Nursing professionalism is an inevitable, complex, varied, and dynamic process. In this study, the importance, scope, and concept of professionalism in nursing, the concept of a beginning for further research and development, and expanding the nursing knowledge are explained and clarifi ed.
82 citations