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.
Citations
More filters
TL;DR: The concept of serenity is used in relation to chronically ill older patients as a condition where the patient finds balance and thus can manage or accept their situation.
Abstract: Serenity is an emotional experience that contributes to the acceptance of a situation One phenomenon in the care of chronically ill older patients and patients in end of life care is that too much focus is placed on the patient’s disease This can contribute to anxiety, sadness or sense of isolation For older people that are chronically ill or in care at the end of life, it is important that the registered nurse can help them to find serenity Further knowledge is needed about how the concept of serenity is used in relation to the care of older chronically ill patients Aim: The purpose of this concept analysis was to clarify how serenity is used in nursing and in relation to the care of chronically ill older patients Method: The study follows Rodgers’ evolutionary method of concept analysis Findings: Serenity is a state of physical, mental, emotional and spiritual balance when life conditions can be managed or accepted Through the experience of serenity the chronically ill older patient is able to find or develop the self in order to continue with dignity The concept is most used at the lowest described levels of the self, including a perception of personal safety The highest level involves a sense of wholeness and awareness Conclusion: The concept of serenity is used in relation to chronically ill older patients as a condition where the patient finds balance and thus can manage or accept their situation Chronically ill older patients will not recover For that reason it needed a better understanding about what factors to experience serenity are needed Further research is also needed to examine how registered nurses can support older chronically patients in finding serenity with the help of nursing interventions
6 citations
Dissertation•
26 Mar 2016
TL;DR: The thesis provides theoretical and methodological contributions in the field of healthcare quality that contributes to an aspiration that the patient’s voice can be heard and acknowledged, in order to direct improvements in the quality of hospital care.
Abstract: The primary motivation of this PhD by publication has been the apparent disconnect between the metrics of hospital quality of care at national and board level and patients’ experiences. Exploration of the gap led to the realisation of two key points. Firstly, the concept of healthcare quality continually evolves. Secondly, the NHS Scotland Measurement Framework does not include a measure of patient experience at the microsystem level (e.g. hospital ward). This is needed to counterbalance easier to obtain metrics of quality (e.g. waiting times). Resource tends to follow measurement.
Papers 1 and 2 were exploratory, investigating theoretical and practical aspects of measuring quality of hospital care at the clinical microsystem level. With the associated Chapters, they highlighted both the necessity and the possibility of measuring the patient experience at the micro level of the healthcare system. They also drew attention to the inadequacy of “satisfaction” as a metric, leading to closer examination of “experience” as the decisive metric. This required the development of a systematic review protocol (Paper Three), then a systematic review (Paper Four).
The review (Paper Four) examined the utility (validity, reliability, cost efficiency, acceptability and educational impact) of questionnaires to measure the patient experience of hospital quality of care, with a newly devised matrix tool. Findings highlighted a gap for an instrument with high utility for use at the clinical microsystem level of healthcare. Paper Five presents the development and preliminary psychometric testing of such an instrument; the Care Experience Feedback Improvement Tool (CEFIT).
The thesis provides, as well as the matrix tool and CEFIT, theoretical and methodological contributions in the field of healthcare quality. It contributes to an aspiration that the patient’s voice can be heard and acknowledged, in order to direct improvements in the quality of hospital care.
6 citations
TL;DR: A concept analysis of shared vision from an evolutionary nursing perspective within health care organizations shows nurses are central and active in visioning while patients and families are passive recipients.
Abstract: Shared vision has been used by the nursing community for over 20 years, but this concept and its language are not presented consistently. At its most basic level, shared vision consists of identifying what a group wants to create. The main objective of this study is to provide a concept analysis of shared vision from an evolutionary nursing perspective within health care organizations. Forty-eight nursing journal articles from 1989 to 2016 were included in the analysis. The concept is presented within the nursing literature as a process or an outcome relying on top-down or bottom-up approaches to defining the future of care. Nurses are central and active in visioning while patients and families are passive recipients. Leaders have an important role to play in shared vision.
6 citations
Cites background or methods from "Concept Development In Nursing Foun..."
...Formal analysis began after all data were collected in order to avoid making invalid conclusions.(3) As recommended by Rodgers and Knafl,(3) thematic analysis was completed, which essentially represents a process of organizing common written expressions into a coherent web of attributes....
[...]
...Clarifying concepts is key to developing the body of knowledge within a discipline; it sets the conceptual foundation necessary for future research.(3) Concepts are dynamic; they vary in different contexts and evolve over time....
[...]
...Concepts are dynamic; they vary in different contexts and evolve over time.(3)...
[...]
TL;DR: The findings of the study identified the concept of military nurses' readiness for war and showed that this concept has a complex, permanent, diverse and dynamic nature and military nurses play an important role in providing care to the wounded, including providing quality care on the battlefield.
Abstract: Background and Aim: Military Nursing trains nurses in peacetime and provides relief in crises and natural disasters. However, this readiness must always be present in military nurses who are able to be effective on the battlefield in the event of war to save their lives, the wounded and others present. Therefore, this study was conducted to analyze the concept of military nurses' readiness for war. Methods: In this study, Rogers evolutionary approach was used to clarify the concept of military nurses' readiness for war. For this purpose, Web of Sciences, Science direct Proquest, Magiran Iran Medex, SID, Pubmed, Scopus databases were searched using the keywords military nurse, readiness, war and its English equivalents that find 536 articles. Finally, after reviewing the articles, 12 articles were selected for the study. Results: In this study, the characteristics of the concept of military nurses' readiness for war in the dimensions of psychological readiness, clinical readiness and managerial readiness were identified. Priorities included a variety of training, sufficient experience, specialized courses, orientation sessions and military camps, and consequences such as saving the lives of the wounded, better advancing the healing process, allocating resources and facilities, adapting to the conditions of war and teamwork. Conclusion: The findings of the study identified the concept of military nurses' readiness for war and showed that this concept has a complex, permanent, diverse and dynamic nature and military nurses play an important role in providing care to the wounded, including providing quality care on the battlefield. Plays loss reduction. Knowing the characteristics, antecedents and consequences of the concept of military nurses' readiness for war, promotes the position, importance and application of this concept in the military nursing profession and is an exploratory tool for further study and research and expand the body of knowledge in this field.
6 citations
References
More filters
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