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: 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
Cites background from "Concept Development In Nursing Foun..."
...Antecedents referred to the concepts or situations that preceded the instance of the concept of cultural humility (Rodgers & Knafl, 2000)....
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...Rodgers and Knafl (2000) advocated the importance to understand the meaning behind terms as they morph and change over time....
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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
Cites background from "Concept Development In Nursing Foun..."
...The mental constructions or concepts are highly relevant to the development of basic knowledge in a discipline (Rodgers & Knafl, 2000)....
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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
Cites background or methods from "Concept Development In Nursing Foun..."
...Attributes The primary focus was on finding the key attributes to define the concept as presented in nursing studies.(39) The following attributes were identified to define what it is to be and to act as a courageous nurse: true presence, moral integrity, responsibility, honesty, advocacy, commitment and perseverance, and personal sacrifice (Table 1)....
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...It is seen suitable for the clarification of the concept in its early stage and to provide a foundation for its further development.(39) Furthermore, for the purpose of future instrument development, literature was restricted here to empirical studies....
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...Finally, an exemplar case based on real-life situation to describe the concept was presented.(39) PubMed...
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...analysis framework.(39) Within each main category, the expressions were further classified into subcategories based on their common features of being or acting as a courageous nurse (Table 1)....
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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
Cites background from "Concept Development In Nursing Foun..."
...Antecedents are events or circumstances that precede a concept [14]....
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...and consequences (ie, phenomena that follow an occurrence of the concept) of empowerment [14]....
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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
Cites background from "Concept Development In Nursing Foun..."
...…implications hypotheses and implications for further development of the concept Source: Evolutionary concept analysis activities (Rodgers, 2000, p.85) Ar hi ve f S ID www.SID.ir 3 Iranian Journal of Nursing and Midwifery Research | January-February 2014 | Vol. 19 | Issue…...
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...In this approach, concepts in the specific social and cultural context of a given profession are studied.[17,20]...
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...Identification of the characteristics of the concept is the first stage of the analysis that leads to the actual definition of the concept.[20,21] Characteristics of a concept, including features and specifications of a concept that have been Table 1: Rodgers’ evolutionary concept analysis process...
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...After identifying the concept of interest, the most important step is determining the scope and range of literature.[20] The scientific databases, PubMed, CINAHL, MEDLINE, ProQuest, and EBM REVIEW, were searched....
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...Surrogate and related concepts The term “surrogate” is used for the concepts that express the same meaning of the desired concepts.[20] In other words, the term explains the meaning of a concept....
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References
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TL;DR: Critical thinking is a logical, situational, purposive, and outcome-oriented thinking process which develops individually and could lead to the professional accountability, personal development, God's consent, conscience appeasement, and personality development.
30 citations
TL;DR: This analysis extends the concept, laying the foundation for comprehensive treatment strategies, and explains the attributes, antecedents, consequences, related concepts, and surrogate terms of survivor guilt.
Abstract: Survivor guilt, a concept associated with the interpersonal process of "surviving" harm while others do not, increasingly appears in nursing, medicine, and psychology literature. Paradoxically, the phenomenon is rarely defined and often poorly described. Combining Rodger's evolutionary concept analysis with a comprehensive literature review, we explain the attributes, antecedents, consequences, related concepts, and surrogate terms of survivor guilt. A new definition emerged from the evolving use of the concept in new contexts. Survivor guilt is a valid form of suffering for which effective interventions need to be developed. This analysis extends the concept, laying the foundation for comprehensive treatment strategies.
30 citations
TL;DR: A conceptual definition of self-determination is proposed, in which a person has control and legal/ethical rights, and has the knowledge and ability to make a decision of his/her own free choice concerning community-dwelling frail older people.
Abstract: Background: Self-determination has emerged as an important concept within health care, used to emphasize clients' control and independence as they participate in rehabilitation. To strengthen clients' self-determination is a central aim in occupational therapy. However, there is a lack of a clear definition of self-determination concerning community-dwelling older people. The definition should be flexible in different contexts, such as cultural. Objective: To define and clarify the concept of self-determination in relation to community-dwelling frail older people. Method: Walker & Avant's analysis procedure was carried out to identify textual attributes to the concept of self-determination, supplemented by a content analysis of 21 articles that were used to define and further justify the textual attributes. Results: Self-determination was used in diverse contexts for community-dwelling older people, concerning: decision-making in everyday life, professionals' views, health, and legal/ethical righ...
29 citations
TL;DR: The defining attributes of a concept of value and its irrelevant structures in health policy-making are identified to help reduce the semantic ambiguities associated with the use of "values" and other concepts such as principles, criteria, attitudes, and beliefs.
Abstract: Background Despite the significant role “values” play in decision-making no definition or attributes regarding the concept have been provided in health policy-making. This study aimed to clarify the defining attributes of a concept of value and its irrelevant structures in health policy-making. We anticipate our findings will help reduce the semantic ambiguities associated with the use of “values” and other concepts such as principles, criteria, attitudes, and beliefs. Methods An extensive search of literature was carried out using electronic data base and library. The overall search strategy yielded about 1540 articles and 450 additional records. Based on traditional qualitative research, studies were purposefully selected and the coding of articles continued until data saturation was reached. Accordingly, 31 articles, 2 books, and 5 other documents were selected for the review. We applied Walker and Avant’s method of concept analysis in studying the phenomenon. Definitions, applications, attributes, antecedents, and consequences of the concept of “value in health policy-making” were extracted. We also identified similarities and differences that exist between and within them. Results We identified eight major attributes of “value in health policy-making”: ideological origin, affect one’s choices, more resistant to change over time, source of motivation, ability to sacrifice one’s interest, goal-oriented nature for community, trans-situational and subjectivity. Other features pinpointed include alternatives, antecedents, and consequences. Alternative, antecedents and consequences case may have more or fewer attributes or may lack one of these attributes and at the same time have other distinctive ones. Conclusion Despite the use of the value framework, ambiguities still persist in providing definition of the concept value in health policy-making. Understanding the concept of value in health policy-making may provide extra theoretical support to decision-makers in their policy-making process, to help avoid poor policy formulation and wastage of limited resources.
25 citations
TL;DR: A contemporary visual representation of the BPSM is presented which represents a holistic, humanist perspective and scaffolds the framework and supports the exploration of the person's lifeworld through the 'therapeutic alliance'.
Abstract: It is considered that implementation of the biopsychosocial model (BPSM) within physiotherapy is affected by its lack of conceptual clarity. This concept analysis explores the meaning and offers co...
24 citations