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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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Journal ArticleDOI
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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Journal ArticleDOI
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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Journal ArticleDOI
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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Journal ArticleDOI
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
More filters
Journal ArticleDOI
TL;DR: Understanding the concept of resilience related to caregiving for a partner diagnosed with YOD allows for future development, measurement, and evaluation of nursing interventions to enhance resilience among caregivers of YOD.
Abstract: Introduction: Over 200,000 Americans diagnosed with young onset dementia (YOD), dementia diagnosed prior to age 65, are cared for by family members. This can be costly to caregivers' physic...

24 citations

Journal ArticleDOI
30 Apr 2017
TL;DR: It is important for nurses to understand the concept of good death in order to provide care with good quality to patients who are faced with death, their families and healthcare providers.
Abstract: Purpose: The purpose of this study was to define the meaning of a good death mentioned in Korean culture. Methods: This study was carried out using Rodgers' evolutionary concept analysis strategy. A review of the literature was done with key words related to good death and other relevant words in literature published in English or Korean. The literature search was conducted from 1995 to 2016 for overseas and from 2000 to 2016 for domestic. The final selection target was 44 pieces. Each document was divided into 7 disciplines, including 25 domestic documents. Results: Three dimensions and seven attributes were identified; 1) The preparation stage for death: living well, preparation for dying, 2) The final stage of death: avoiding meaningless extension of life, dignity, comfort and interaction with healthcare providers, 3) The post death stage: positive feeling of families. Antecedent to good death were dying persons, families and healthcare providers' wishes for good death, The consequences were their experience during the period of dying and feeling after dying. Conclusion: There was a change in the concept of good death according to the times. It is important for nurses to understand the concept of good death in order to provide care with good quality to patients who are faced with death, their families and healthcare providers.

23 citations

01 Jan 2014
TL;DR: In this article, a modelo Evolucionario de Analise de Conceito, identificando-se antecedentes, atributos e consequentes.
Abstract: Objetivou-se analisar o conceito de tecnologia educacional, produzido pela Enfermagem, aplicada ao paciente. Utilizou-se Modelo Evolucionario de Analise de Conceito, identificando-se antecedentes, atributos e consequentes. Selecionaram-se 13 artigos para analise nos quais se identificaram os antecedentes: deficiencia de conhecimento, escassez de tempo dos profissionais, otimizar trabalho da enfermagem, atingir as metas dos pacientes; atributos: ferramenta, estrategia, abordagem inovadora, abordagem pedagogica, mediadora de conhecimentos, forma criativa de estimular a aquisicao de competencias, instrumento de producao da saude; consequentes: melhora da qualidade de vida, estimulo a comportamentos saudaveis, empoderamento, reflexao e vinculo. Enfatiza-se a importância das tecnologias educacionais para o cuidado em Enfermagem, ao dinamizar as atividades de Educacao em Saude.

22 citations

Journal ArticleDOI
TL;DR: The concept analysis showed that complex systems are adaptive and have the ability to process information, and they can adapt to the environment and consequently evolve.
Abstract: This study aimed to analyse the concept of "complex adaptive systems." The construct is still nebulous in the literature, and a further explanation of the idea is needed to have a shared knowledge of it. A concept analysis was conducted utilizing Rodgers evolutionary method. The inclusive years of bibliographic search started from 2005 to 2015. The search was conducted at PubMed©, CINAHL© (EBSCO host©), Scopus©, Web of Science©, and Academic Search Premier©. Retrieved papers were critically analysed to explore the attributes, antecedents, and consequences of the concept. Moreover, surrogates, related terms, and a pattern recognition scheme were identified. The concept analysis showed that complex systems are adaptive and have the ability to process information. They can adapt to the environment and consequently evolve. Nursing is a complex adaptive system, and the nursing profession in practice exhibits complex adaptive system characteristics. Complexity science through complex adaptive systems provides new ways of seeing and understanding the mechanisms that underpin the nursing profession.

21 citations

Journal ArticleDOI
TL;DR: As a complex and multidimensional concept, well-being in HRP refers to the pregnant woman’s evaluation of her life during HRP, which includes physical, hedonic, and eudaimonic components.
Abstract: A prerequisite to the interventions for well-being improvement in high-risk pregnancy (HRP) is to make the concept clear, objective, and measurable. Despite the wealth of studies into the concept of well-being in HRP, there is no clear definition for it. This study aimed to explore the concept of well-being in HRP. This integrative review was conducted using the Whittemore and Knafl’s approach. A literature search was done without any data limitation in dictionaries, thesauruses, encyclopedias, well-being-related textbooks, midwifery, psychology, and mental health journals, and Iranian and international databases. The most primary inclusion criterion was relevance to well-being in HRP. The full-texts of all these articles were assessed using the checklists of the Joanna Briggs Institute. Data were analyzed through the constant comparison method and were managed using the MAXQDA 10 software. Meaning units were identified and coded. The codes were grouped into subcategories and categories according to the attributes, antecedents, and consequences of well-being in HRP. Thirty articles were included in the review, from which 540 codes were extracted. The codes were grouped into seven main attributes, eight main antecedents, and five main consequences of well-being in HRP. The four unique dimensions of well-being in HRP are physical, mental-emotional, social, and spiritual well-being. These dimensions differentiate well-being in HRP from well-being in low-risk pregnancy and in non-pregnancy conditions. As a complex and multidimensional concept, well-being in HRP refers to the pregnant woman’s evaluation of her life during HRP. It includes physical, hedonic, and eudaimonic components. The assessment of well-being in HRP should include all these components.

21 citations