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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01 Jan 2017
TL;DR: Investigating the perceptions of nursing students’ self-confidence in the acute care setting and the factors that enhanced or inhibited their self- confidence found that knowing how to perform procedures and administer medications, and being educated prior to the performance of a nursing skill resulted in the students feeling more selfconfident in themselves and in their ability to be successful.
Abstract: The challenge of translating knowledge learned in the classroom into real life situations for students has been an issue in nursing education for many years. Very few research studies have been conducted that address what factors positively and negatively affect nursing students’ self-confidence in the clinical setting. The purpose of this study was to explore the perceptions of nursing students’ self-confidence in the acute care setting and the factors that enhanced or inhibited their self-confidence. The specific research questions that guided this study were: What are the perceptions of nursing students’ self-confidence in the acute care clinical setting? What factors improve students’ self-confidence in the acute care clinical setting? and What factors negatively impact nursing students’ self-confidence in the acute care clinical setting? An exploratory descriptive qualitative design utilizing the Critical Incident Technique (CIT) was used to collect data from senior nursing students who had at least two acute care clinical practicums. In-person, open-ended, semi-structured face-to-face audiorecorded interviews were used to collect the data from 11 senior students from two different colleges of nursing. Data obtained from CIT’s were analyzed through an inductive classification process. A total of 21 incidents were derived from the data. Six of the incidents were related to the delivery of patient care and learning skills, another seven were related to medication administration, and eight were related to communication. The belief by the students that they could be successful in providing effective patient care was a contributing factor in enhancing their self-confidence. Knowing how to perform procedures and administer medications, and being educated prior to the performance of a nursing skill, resulted in the students feeling more selfconfident in themselves and in their ability to be successful. Making a difference in a patient’s life, open communication, feeling like a member of a team, feeling that they (the student) could be trusted to care for the patient, and having support from the staff nurses and clinical instructors were also found to positively influence the students’ development of self-confidence. Factors that negatively impacted the students’ selfconfidence included not being educated, a lack of communication, lack of support, lack of trust, and not feeling like a member of a team. Implications for knowledge development, research, nursing education, and nursing practice are discussed. Further research is needed to explore the development of self-confidence over the course of a students’ undergraduate education. Additionally, more qualitative research studies with larger samples, including male students, students with diverse backgrounds, and students with previous health care experiences will contribute to the literature on nursing students’ self-confidence.
5 citations
31 Aug 2020
TL;DR: In this paper, the influence of individual caring and organizational trust on organizational commitment of private LPTK lecturers in Medan city has been revealed, which is classified as ex post facto research which has a causal relationship using a quantitative approach.
Abstract: This study aims to reveal the influence of individual caring and organizational trust on organizational commitment of private LPTK lecturers in M edan city. This research design is classified as ex post facto research which has a causal relationship using a quantitative approThis research was conducted at private LPTKs throughout the city of Medan. This study was planned for 6 months. The population of this research is all lecturers who work in LPTK in Medan City. Based on data from each LPTK in Medan City, it was found that an overall population of 489 lecturersach. This research design uses a survey method. The data obtained from the measurement results were analyzed descriptively and inferentially. The stages in data analysis to be carried out in this study are descriptive analysis and inferential analysis. The results reveal that: 1 . there is a significant effect of individual Carring variance on organizational trust. 2. there is a significant effect of Organizational Trust on Organizational Commitment.
5 citations
TL;DR: GCM helped to provide a conceptual understanding of community-based patient complexity through focused exploration of the term and is a suitable consensus method for use in nursing theory and developing instruments.
Abstract: Background There is increasing reference to complex patient needs in health care. However, little is known about how to measure patient complexity or the relationship between it and district nursing activity. Aim To illustrate the use of group concept mapping (GCM) to conceptualise and develop items for a patient complexity assessment instrument to be used by district nurses. Discussion The first phase of this research used GCM conceptualisation and consensus methodology to identify items for a community-based patient complexity instrument. GCM helped to provide a conceptual understanding of community-based patient complexity through focused exploration of the term. Results indicated that a number of environmental, sociological, psychological, behavioural, physical and organisational factors needed to be included. This, in turn, showed that an existing taxonomy did not contain the relevant items. Consequently, amendments were made and a new instrument developed. Conclusion GCM is a suitable consensus method for use in nursing theory and developing instruments. It proved successful in achieving consensus with no loss of participants' views. Implications for practice GCM is a suitable method for nurses to use in research or practice development activities as it is based on a facilitative and engagement-led approach.
5 citations
Cites background from "Concept Development In Nursing Foun..."
...Concept development Concepts are the building blocks for research, the development of theory and philosophical debate (Rodgers and Knafl 2000)....
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Journal Article•
TL;DR: By identifying the facilitating and preventive factors about the concept of family care center in cancer, this study will be able to run activities based on scientific findings which could provide the necessary conditions for good implementation of family care centre in cancer.
Abstract: Background: Family-centered care is an essential concept in cancer but there is no consensus about its meaning and it remains an abstract concept. This study was conducted with the purpose of analyzing the concept of family-centered care in cancer. Methods: Concept analysis of family-centered care was conducted using hybrid model that has 3 phases: theoretical, field work and final analytical phase. For the theoretical phase attributes of family-centered care were identified through a review of the literature (without time limitation). In second phase 6 nurses were interviewed. In third phase final analysis were extracted from the first and second phase. Results: In general, original categories in the family-centered care context encompass; existence of family in clinic, family security and family support, communication between nurse and family, family participation in care, exposure to tension and family participation in decision making. Conclusion: By identifying the facilitating and preventive factors about the concept of family care center in cancer, we will be able to run our activities based on scientific findings which could provide the necessary conditions for good implementation of family care center in cancer.
5 citations
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