Concept Analysis (concept + analysis)

Distribution by Scientific Domains


Selected Abstracts


Ineffective Family Participation in Professional Care: A Concept Analysis of a Proposed Nursing Diagnosis

INTERNATIONAL JOURNAL OF NURSING TERMINOLOGIES AND CLASSIFICATION, Issue 1 2002
Aeran Lee MS
PURPOSE. To discuss the label, definition, defining characteristics, and related factors of a proposed nursing diagnosis, "ineffective family participation in professional care." DATA SOURCES. Published research articles, clinical handbooks, textbooks. DATA SYNTHESIS. Although a number of familyrelated nursing diagnoses exist, none really addresses the problems encountered if family members are unwilling or unable to participate in patient care. This is critical because the bulk of care occurs outside the hospital setting. CONCLUSIONS. A new nursing diagnosis, "Ineffective family participation in professional care" is needed. This diagnosis has been submitted to the Nursing Diagnosis Extension and Classification for consideration. PRACTICE IMPLICATIONS. With this diagnosis nurses could encourage family participation in care more effectively by focusing on assessment and interventions. Participation familiale inefficace aux soins professionnels: Analyse conceptuelle d'un diagnostic infirmier proposé BUTS. Discuter du titre, de la définition, des caractéristiques et des facteurs favorisants d'un nouveau diagnostic infirmier: "participation familiale inefficace aux soins professionnels". SOURCES. Articles de recherche, extraits d'ouvrages cliniques. RÉSULTATS. Malgré la présence d'un certain nombre de diagnostics infirmiers centrés sur la famille, aucun d'entre eux ne désigne les problèmes posés par les familles qui ne souhaitent pas ou ne sont pas capables de participer aux soins du patient. Ce phénomène est important, compte tenu de la grande quantité de soins extrahospitaliers. CONCLUSIONS. II semble nécessaire de disposer d'un nouveau diagnostic infirmier "Participation familiale inefficace aux soins professionnels". Ce diagnostic a été soumis au Groupe d'Extension et de Classification des Diagnostics Infirmiers, afin qu'il soit étudié. IMPLICATIONS PRATIQUES. L'utilisation de ce diagnostic devrait permettre aux infirmières de focaliser l'évaluation et les interventions de soins, afin d'impliquer plus efficacement la famille dans les soins. Participação familiar ineficaz no cuidado profissional: Análise de conceito de um diagnóstico de enfermagem proposto OBJETIVO. Discutir o titulo, definição, características definidoras e fatores relacionados de um diagnóstico de enfermagem proposto, "participação familiar ineficaz no cuidado profissional". FONTES DE DADOS.Artigos de pesquisa publicados, manuais clínicos, livros-texto. ACHADOS.Embora exista um certo número de diagnósticos de enfermagem relacionados à família, nenhum deles trata realmente dos problemas encontrados quando membros da família não desejam ou não conseguem participar do cuidado do paciente. Isto é crítico, porque uma grande parte dos cuidados ocorre fora do ambiente hospitalar. CONCLUSãO.É necessário um novo diagnóstico de "Participação familiar eficaz no cuidado profissional". Este diagnóstico foi submetido à apreciação da Extensão e Classificação de Diagnósticos de Enfermagem. IMPLICAÇõES PARA A PRÁTICA.Com este diagnóstico, as enfermeiras podem encorajar a participação da família no cuidado de maneira mais efetiva, com enfoque em levantamento de dados e intervenções. Palavras para busca:Análise de conceito, diagnóstico de enfermagem, participação familiar Participación familiar ineficaz en cuidados profesionales: Análisis de concepto de este diagnóstico enfermero que se ha propuesto PROPÓSITO.Discutir la etiqueta, definición, características definitorias y factores relacionados del diagnóstico propuesto "participation familiar ineficaz en cuidados profesionales." FUENTES DE DATOS.Artículos de investigación publicados, manuales clínicos, libros de texto. RESULTADOS.Aunque existen varios diagnóstics enfermeros relacionados con la familia, ninguno realmente enfoca los problemas encontrados, si las familias no quieren o no pueden participar en el cuidado del paciente. Esto es crítico, porque la mayor parte de los cuidados tienen lugarfuera del entorno del hospital. CONCLUSIONES.Se necesita un nuevo diagnóstico de enfermería "participación familiar ineficaz en cuidados profesionales". Este diagnóstico ha sido presentado a Nursing Diagnosis Extension and Classification para su consideración. IMPLICACIONES PARA LA PRÁCTICA.Con este diagnóstico, las enfermeras podrían animar la participación familiar en los cuidados más eficazmente, centrándose en la valoración y las intervenciones. Términos de búsqueda:Análisis de concepto, diagnóstico enfermero, participación familiar [source]


Self-Efficacy: A Concept Analysis

NURSING FORUM, Issue 2 2009
Kristen Zulkosky MSN
TOPIC.,Concept analysis and self-efficacy. PURPOSE.,This paper provides an in-depth analysis of the concept self-efficacy through the use of Rodger's model. SOURCES.,Published research. CONCLUSION.,Self-efficacy beliefs influence how people think, feel, motivate themselves, and act. Self-efficacy is concerned about the perception or judgment of being able to accomplish a specific goal and cannot be sensed globally. In order to gain a sense of self-efficacy, a person can complete a skill successfully, observe someone else doing a task successfully, acquire positive feedback about completing a task, or rely on physiological cues. [source]


Concept Analysis: Malpractice and Modern-Day Nursing Practice

NURSING FORUM, Issue 1 2009
Konstantine Keian Weld BSN (RN)
TOPIC.,The concept of malpractice can mean different things depending upon the context in which the term is used. This can lead to confusion about the standard of care required for nurses engaged in modern-day nursing practice. PURPOSE.,This paper examines the attributes and characteristics of the concept of malpractice using Walker and Avant's (2005) eight-step methodology. SOURCES OF INFORMATION.,CINAHL, PubMed, and PsychINFO. CONCLUSIONS.,Exposure to malpractice liability is an unfortunate consequence of modern-day nursing practice. An understanding of malpractice will assist nurses in identifying situations that may expose them to legal liability and hopefully lead to improved patient care. [source]


Feeling Misunderstood: A Concept Analysis

NURSING FORUM, Issue 4 2008
Barbara Backer Condon MS
TOPIC.,Feeling misunderstood. PURPOSE.,The purpose of this study was to analyze the concept of feeling misunderstood to explicate the antecedents, attributes, and consequences of this phenomenon. SOURCE.,A comprehensive review of literature, from 1957 to 2005, was completed with the keywords feeling misunderstood to guide the search. CONCLUSIONS.,Three defining attributes of feeling misunderstood were identified: (a) disquietude; (b) discordant perceptions; and (c) heightened cognizance of emotions. Antecedents, including presence of an issue, communication barrier, and unexpected response from receiver, are explicated, along with the consequences, or transformations in behavior. [source]


Authenticity: A Concept Analysis

NURSING FORUM, Issue 2 2008
Sharon S. Starr MSN
TOPIC.,Concept analysis of authenticity. PURPOSE.,This paper aims to analyze the concept of authenticity and propose a definition of authenticity that can be used to enhance the nurse,client relationship. SOURCES.,Published research. CONCLUSIONS.,Authenticity is a life-long process of self-discovery that includes realizing personal potential and acting on that potential. A part of this process is accepting the responsibility for and the consequences of life choices that are consciously or unconsciously made. This is sometimes achieved through suffering. This process culminates in a demonstration of congruency in ideals, values, and actions in relation to self and others. [source]


Barriers to Nursing Advocacy: A Concept Analysis

NURSING FORUM, Issue 4 2007
FNP-C, Robert G. Hanks RN
Advocacy for clients is viewed as an essential function of nursing; however, to be effective advocates for patients, the nurse must often overcome barriers to being an effective advocate. This concept analysis of barriers to nursing advocacy uses the Walker and Avant method of concept analysis. By analyzing the barriers to effective nursing advocacy for clients, nursing can then find strategies to manage those barriers and maximize the nurse's advocacy efforts. [source]


Preconceptions: A Concept Analysis for Nursing

NURSING FORUM, Issue 3 2007
Sandra Kundrik Leh DNSc
This paper presents a concept analysis of preconceptions. Although the concept of preconceptions has been widely used in the literature across many disciplines, it is not well defined or differentiated from its related concepts. The Walker and Avant (1995) method of concept analysis is used as a framework for this investigation. A synthesized definition of the term is presented and implications for nursing are discussed. Preconceptions have a significant impact on learning and critical-thinking ability. The challenge for educators is to recognize and manage these preconceptions to ensure an effective learning experience. It is only until the concept of preconception is defined and clarified that this challenge can be met. [source]


Compassion: A Concept Analysis

NURSING FORUM, Issue 2 2007
Maria L. Schantz RN
Compassion is a quality deemed sine qua non for nursing and claimed to underpin the profession in its larger-than-life scope. Yet the meaning of the concept "compassion" (or "compassionate care") is neither clearly defined in nursing scholarship nor widely promoted in the context of contemporaneous everyday nursing practice. The term in its moral dimension has, at best, been downgraded as an optional practice in everyday nursing care and, at worst, dismissed as lofty ideals connected to other disciplines, such as religion and ethics. A concept analysis using Walker and Avant's strategic method as well as Rodgers's evolutionary paradigm was undertaken to clarify the meaning of the concept "compassion" and examine its relevance in the context of everyday nursing practice. [source]


Duty in a Time of Disaster: A Concept Analysis

NURSING FORUM, Issue 2 2007
Christine Kane-Urrabazo MSN
TOPIC.,The concept of "duty" is explored particularly as it applies to disaster nursing. PURPOSE.,To identify the contributing factors to a nurse's sense of duty and the resulting consequences of such. Nursing implications of duty in a time of disaster are also discussed. SOURCES OF INFORMATION.,Professional literature, electronic resources, and nursing textbooks were used. The analysis was done using Walker and Avant's (1995) process. CONCLUSION.,The concept of duty has always been prevalent in nursing. As long as nurses have a sense of duty to their communities, nurse administrators will also have a moral obligation to protect their staff, especially in a time of disaster when nurses are compelled by a heightened sense of duty. [source]


A Concept Analysis: The Grieving Process for Nurses

NURSING FORUM, Issue 4 2005
Tina Brunelli RN
The concept of the grieving process has been explored extensively in families losing a loved one or in a patient grieving over a terminal diagnosis. The patients and families live through this experience one time. What about the nurse who lives it several times a week by caring for these patients and families? How does a nurse grieve? Little publication and research have been done surrounding the grieving process for nurses. This is a concept analysis that clarifies the grieving process for nurses. Clarifying this process will enable further development of nursing research and education, ultimately benefiting nursing practice and retention. [source]


Sedentarism: A Concept Analysis

NURSING FORUM, Issue 3 2005
Richard Ricciardi MS
TOPIC.,Concept analysis of sedentarism. PURPOSE.,To analyze the concept of sedentarism and provide a definition and model of sedentarism to guide practice and research. SOURCES.,Published literature. CONCLUSIONS.,Prevention and treatment of sedentarism is a priority for healthcare providers serving all developmental groups. Research is urgently needed to describe the prevalence, risk factors, and consequences of sedentarism, and to identify the most effective intervention strategies and public policy changes to promote a physically active lifestyle. [source]


A Concept Analysis of Healthy Aging

NURSING FORUM, Issue 2 2005
Linda Hansen-Kyle RN, PhD(c)
First page of article [source]


Relapse: A Concept Analysis

NURSING FORUM, Issue 1 2005
M. Colleen Simonelli RN
ABSTRACT.,The concept of relapse has had many and varied applications in research literature. Great confusion exists in the application of the term to scientific measurement within the various studies. Therefore, an in-depth analysis of the generic term relapse was undertaken through the evolutionary approach offered by Rodgers and Knafl. [source]


A Concept Analysis of Susceptibility: Application of the Hybrid Model

NURSING FORUM, Issue 2 2003
Susan K. Steele RN
First page of article [source]


Organizational Commitment: A Concept Analysis

NURSING FORUM, Issue 2 2001
George A. Zangaro RN
First page of article [source]


Confidentiality: Concept Analysis and Clinical Application

NURSING FORUM, Issue 2 2000
Winifred J. Ellenchild
The author examines confidentiality both from a theoretical perspective using concept analysis and through a clinically based, empirical investigation. A review of the literature determines defining attributes, antecedents, consequences, and empirical referents. The themes from definitions of confidentiality provided by participants in a research project on confidentiality issues in the context of HIV/AIDS also are described. The author compares the results from the two approaches and discusses implications for clinical practice, including but not limited to people with HIV/AIDS. [source]


Flexibility: A Concept Analysis

NURSING FORUM, Issue 1 2000
Michele August-Brady RN
Flexibility is a quality that is deemed essential for nursing as the healthcare environment escalates into greater complexity. The word "flexibility" appears in nursing literature addressing the need to prepare for the next millenium, yet the concept of flexibility is rarely defined. Other disciplines, such as engineering, have struggled for years and continue to struggle to achieve conceptual clarity with regard to flexibility. A concept analysis using Rodgers' evolutionary method was undertaken to understand the meaning of flexibility. [source]


Knowledge Discovery in Databases Using Formal Concept Analysis

BULLETIN OF THE AMERICAN SOCIETY FOR INFORMATION SCIENCE & TECHNOLOGY (ELECTRONIC), Issue 1 2000
Uta Priss Assistant Professor
No abstract is available for this article. [source]


A model of event-generated dependence in older adults

INTERNATIONAL JOURNAL OF OLDER PEOPLE NURSING, Issue 3 2007
APRN-BC, Kathleen L. Patusky PhD
Aims and objectives., The proposed model of event-generated dependence characterizes dependence in older adults as an emergent phenomenon that may arise from interaction between the older adult with compromised health and the social environment, resulting in altered reciprocity. Background., Pejorative characterizations of dependence in older adults influence nursing care negatively. Concept analyses recommend the recognition that dependence is interactive in nature, not an inherent trait of the individual, and that dependence involves changes in interpersonal reciprocity. Conclusions., The model provides a testable causal path between dependence and psychological outcomes. Relevance to clinical practice., The event generated dependence model can sensitize nurses to an alternative view of dependence. It is important for nurses to recognize their role in determining the social environment of care, attend to the promotion of reciprocity with older adults as care is provided, and incorporate changes in their attitudes toward inequitable reciprocity. [source]


Concept analysis: the importance of differentiating the ontological focus

JOURNAL OF ADVANCED NURSING, Issue 3 2007
Craig Duncan
Abstract Title. Concept analysis: the importance of differentiating the ontological focus Aim., The aim of this paper is to clarify the philosophical underpinnings of concepts and concept analysis and the implications of their use through the lens of particular ontological perspectives. Background., Information on the philosophical foundations of concepts from an ontological and epistemological perspective is not readily identifiable in the international literature. Although some authors have made reference to the ontological perspectives of specific concept analysis processes, none have addressed the implications of the realist or relativist perspective in relation either to the analysis process or the implications of a particular ontological perspective on the meaning and utility of a specific concept. Method., We describe the evolution of concept analysis and influence of ontological paradigms on specific analysis methods. Using an historical review of concept development within nursing thought, we decode the language of concepts and processes of concept analysis, outline the importance of the ontological foundation of concept development, and describe the impact of concept use. Discussion., The nursing literature is dominated by concepts created from a realist perspective. Although recent nurse,authors have introduced evidence-based data to facilitate the development of a number of concepts, they have held fast to the perception that the ,best', most adequate or mature concepts transcend context. Conclusion., The theoretical shift from context-bound empirical analysis of concepts belies the complexity of nurses' work. Concepts are unapologetically context-bound. A concept that transcends context (based on realist ontology) will remain the same even when the context of praxis changes limiting its utility. [source]


Living with uncertainty: concept advancement

JOURNAL OF ADVANCED NURSING, Issue 6 2007
Janice Penrod
Abstract Aim., This paper reports a study to demonstrate how the scientific understanding of the concept of uncertainty was advanced through a phenomenological study of living with uncertainty. Background., Techniques for concept analysis have evolved to subsume strategies for advancing a concept towards greater clarity and utility for research and practice. Recently, it has been argued that a clear delineation of techniques for concept analysis as separate and distinct from techniques of concept advancement is warranted. This article applies such delineated processes to demonstrate the advancement of the concept of uncertainty. Method., Concept analysis was used to establish an integrated understanding of the state of the science. Gaps in understanding were carefully analysed, resulting in the research question guiding the next phase of concept advancement: what is the nature of the lived experience of uncertainty? A phenomenological investigation of the experience of uncertainty among family caregivers was conducted. Then, using methods of template comparison, the conceptual attributes identified through the phenomenological study were compared and contrasted with the theoretical definition derived through concept analysis. Finally, a new conceptual definition of higher order abstraction, with greater pragmatic utility, was derived. Findings., Uncertainty is rooted in the individual's perception of outcomes or meaning of a situation. Such perceptions challenge one's sense of confidence and/or control to yield varied types and modes of uncertainty. Uncertainty is present oriented. Both cognitive and precognitive ways of knowing are influential in ascribing meaning, anticipating outcomes and adapting strategies. Conclusions., One's sense of confidence and sense of control are primary essences that determine the nature of the experience of uncertainty. The experience of living with uncertainty is dynamic, with fluctuations in the types and modes of uncertainty in response to precognitive and cognitive ways of knowing. Probabilistic paradigms preclude existential and situational modes of uncertainty for which probabilities cannot be appreciated. [source]


Self-Efficacy: A Concept Analysis

NURSING FORUM, Issue 2 2009
Kristen Zulkosky MSN
TOPIC.,Concept analysis and self-efficacy. PURPOSE.,This paper provides an in-depth analysis of the concept self-efficacy through the use of Rodger's model. SOURCES.,Published research. CONCLUSION.,Self-efficacy beliefs influence how people think, feel, motivate themselves, and act. Self-efficacy is concerned about the perception or judgment of being able to accomplish a specific goal and cannot be sensed globally. In order to gain a sense of self-efficacy, a person can complete a skill successfully, observe someone else doing a task successfully, acquire positive feedback about completing a task, or rely on physiological cues. [source]


Authenticity: A Concept Analysis

NURSING FORUM, Issue 2 2008
Sharon S. Starr MSN
TOPIC.,Concept analysis of authenticity. PURPOSE.,This paper aims to analyze the concept of authenticity and propose a definition of authenticity that can be used to enhance the nurse,client relationship. SOURCES.,Published research. CONCLUSIONS.,Authenticity is a life-long process of self-discovery that includes realizing personal potential and acting on that potential. A part of this process is accepting the responsibility for and the consequences of life choices that are consciously or unconsciously made. This is sometimes achieved through suffering. This process culminates in a demonstration of congruency in ideals, values, and actions in relation to self and others. [source]


Sedentarism: A Concept Analysis

NURSING FORUM, Issue 3 2005
Richard Ricciardi MS
TOPIC.,Concept analysis of sedentarism. PURPOSE.,To analyze the concept of sedentarism and provide a definition and model of sedentarism to guide practice and research. SOURCES.,Published literature. CONCLUSIONS.,Prevention and treatment of sedentarism is a priority for healthcare providers serving all developmental groups. Research is urgently needed to describe the prevalence, risk factors, and consequences of sedentarism, and to identify the most effective intervention strategies and public policy changes to promote a physically active lifestyle. [source]


A concept analysis of health-related quality of life in young people with chronic illness

JOURNAL OF CLINICAL NURSING, Issue 14 2008
DipRes, Rachel M Taylor MSc
Aims., To critique existing concept analyses of quality of life and develop a definition applicable for young people with chronic illness. Background., Quality of life is a commonly used phrase but there is no universal definition. Five perspectives of quality of life have been proposed: sociological, economic, psychological, philosophical and ethical. However, health has emerged as an important but distinct perspective. The nursing profession has made a substantial contribution to the understanding of the interrelationship of health and quality of life. Design., Literature review. Methods., A search on electronic databases to April 2007 was made using the terms ,quality of life' and ,concept analysis'. Papers were included in the review if they used a recognised method of concept analysis and were conducted by nurses. A new concept analysis was then performed specifically focusing on young people's experiences of living with chronic illness. Results., Eight concept analyses were identified, all of which had limitations. All the concept analyses were based on adult literature so did not take into consideration developmental changes, language level, or young people's construction of health and illness. The new concept analysis found that young people living with chronic illness generally view themselves and their lives in the same way as their healthy peers. While their aspirations are often constrained by illness and treatment the relationship between illness and life cannot be seen in isolation of development. Conclusion., Previous definitions of quality of life derived from concept analyses with adult populations do not adequately represent the experience of young people with chronic illnesses, but can be made more specific by incorporating important attributes such as developmental stage and the importance of peer group and family. Relevance to clinical practice., The current analysis provides a clear definition of quality of life from the health perspective which is specific for use with young people with chronic illness to guide practice and research. [source]


Capacity building: A concept analysis of the term applied to research

INTERNATIONAL JOURNAL OF NURSING PRACTICE, Issue 5 2007
Sarah L Condell RGN RM RNT BNS MA
Recent policy developments in Ireland have led to a focus on research capacity building as a means of consolidating nurse and midwifery education in the Irish academic setting. This follows similar initiatives in the United Kingdom and Australia. However, sparse literature and a lack of clarity of the term ,research capacity building' leads to some confusion. A concept analysis using Rodgers' framework was conducted. The literature examined included ,grey' literature, policy documents and indexed papers across a range of disciplines, derived from CINAHL/PubMed searches. The concept of research capacity building was deemed to imply a funded, dynamic intervention operationalized through a range of foci and levels to augment ability to achieve objectives in the research field over the long-term, with aspects of social change as an ultimate outcome. This is presented as an interim statement because of the evolutionary nature of the concept and the limitations of the exercise. [source]


HIV disclosure among HIV positive individuals: a concept analysis

JOURNAL OF ADVANCED NURSING, Issue 9 2010
Rosemary W. Eustace
eustace r.w. & ilagan p.r. (2010) HIV disclosure among HIV positive individuals: a concept analysis. Journal of Advanced Nursing,66(9), 2094,2103. Abstract Aim., This paper is a report of an analysis of the concept of HIV disclosure. Background., There is a growing interest among healthcare providers and researchers in HIV disclosure as an effective HIV prevention and early disease management initiative. However, the concept still remains unclear. Conceptual clarity is important for providing an expanded theoretical definition and understanding of attributes of HIV disclosure. This information is useful in constructing better HIV disclosure measures in HIV/AIDS nursing practice and research. Data sources., A computer search of the following databases was conducted to capture the meaning and processes of HIV disclosure among HIV-positive individuals: PubMed, CINAHL and PSYCINFO. Only English language journals were used. Publication dates of the literature review ranged from 1999 to 2009. The following key words were used: HIV disclosure, self-disclosure, disclosure and serostatus disclosure. Methods., The Walker and Avant (2005) concept analysis model (Strategies for Theory Construction in Nursing, Pearson Prentice Hall, River, NJ, 2005) was used to guide the analysis process, which was completed in 2009. Results., The concept analysis revealed that HIV disclosure is a complex process characterized by the following attributes: experiencing an event, communicating something, timing, and contextual environment, protecting someone, relationship status and improving something or being therapeutic. In addition, the process of HIV disclosure varies across time. Conclusion., The proposed HIV disclosure attributes provide nursing scholars and researchers with new directions on how to reframe research questions, develop measurement tools to reflect better the diversity and fluidity of the process of HIV disclosure among HIV-positive individuals. Policy implications include the need to develop approaches that protect individual and public rights. [source]


Maternal distress: a concept analysis

JOURNAL OF ADVANCED NURSING, Issue 9 2010
Elizabeth Emmanuel
emmanuel e. & st john w. (2010) Maternal distress: concept analysis. Journal of Advanced Nursing,66(9), 2104,2115. Abstract Aim., This paper is a report of an analysis of the concept of maternal distress. Background., Although not well-developed, the concept of maternal distress has offered an important viewpoint in nursing and midwifery practice since the mid-1990s. Traditionally, understanding of maternal distress has been based on the medical model and dysfunction. The concept of maternal distress needs development so that it describes responses ranging from normal stress responses to those indicating mental health problem/s. Data sources., The SCOPUS, CINAHL and Medline databases were searched for the period from 1995 to 2009 using the keywords ,psychological distress', ,emotional distress' and ,maternal distress'. Review methods., Steps from Rodgers' evolutionary concept analysis guided the conduct of this concept analysis. Results., Four attributes of maternal distress were identified as responses to the transition to motherhood, with the level of each response occurring along a continuum: stress, adapting, functioning and control, and connecting. Antecedents to maternal distress include becoming a mother, role changes, body changes and functioning, increased demands and challenges, losses and gains, birth experiences, and changes to relationships and social context. The consequences of maternal distress are compromised mental health status, maternal role development, quality of life, ability to function, quality of relationships and social engagement. The extent of the impact depends on the level of maternal distress. Conclusion., Clearer interpretation of maternal distress offers a comprehensive approach to understanding maternal emotional health during the transition to motherhood. Acknowledging women's experiences and providing more appropriate support could alleviate some of the struggles and hardships experienced by mothers. [source]


Vulnerability related to oral health in early childhood: a concept analysis

JOURNAL OF ADVANCED NURSING, Issue 9 2010
Deborah J. Mattheus
mattheus d.j. (2010) Vulnerability related to oral health in early childhood: concept analysis. Journal of Advanced Nursing,66(9), 2116,2125. Abstract Aim., This article is a report of the analysis of the concept of vulnerability and its relationship to oral health in early childhood. Background., Poor oral health is a continued problem for children worldwide. Vulnerability increases the probability of poor oral health outcomes. The lack of clarity of the concept of vulnerability creates difficulty in understanding this multi-factoral condition. Data sources., Data source included 34 articles covering the period 2000,2009 from a variety of disciplines, including nursing, dentistry, medicine and public health. Methods., The concept analysis was conducted using Rodgers' evolutionary method. The literature was analysed and a social ecology model was used to frame the discussion, recognizing family and community influences on children's oral health. Results., The context of oral health in early childhood contributes to the changes in the concept vulnerability. The attributes are closely related to family and community factors and identified as limited parental income, parental education, community-based services and fluoride; and exposure to poor parental habits, parental neglect and harmful toxins. The primary antecedent is identified as a form of limited protection from exposure to various circumstances. Conclusion., Children with limited protection have increased vulnerability and greater probability of poor health outcomes. Nurses who understand the concept of vulnerability related to oral health and can identify factors that create protection and are capable of decreasing vulnerability through parent education, community awareness and policy changes that support children and families. [source]


Clinical reasoning: concept analysis

JOURNAL OF ADVANCED NURSING, Issue 5 2010
Barbara Simmons
simmons b. (2010) Clinical reasoning: concept analysis. Journal of Advanced Nursing,66(5), 1151,1158. Abstract Title.,Clinical reasoning: concept analysis. Aim., This paper is a report of a concept analysis of clinical reasoning in nursing. Background., Clinical reasoning is an ambiguous term that is often used synonymously with decision-making and clinical judgment. Clinical reasoning has not been clearly defined in the literature. Healthcare settings are increasingly filled with uncertainty, risk and complexity due to increased patient acuity, multiple comorbidities, and enhanced use of technology, all of which require clinical reasoning. Data sources., Literature for this concept analysis was retrieved from several databases, including CINAHL, PubMed, PsycINFO, ERIC and OvidMEDLINE, for the years 1980 to 2008. Review methods., Rodgers's evolutionary method of concept analysis was used because of its applicability to concepts that are still evolving. Results., Multiple terms have been used synonymously to describe the thinking skills that nurses use. Research in the past 20 years has elucidated differences among these terms and identified the cognitive processes that precede judgment and decision-making. Our concept analysis defines one of these terms, ,clinical reasoning,' as a complex process that uses cognition, metacognition, and discipline-specific knowledge to gather and analyse patient information, evaluate its significance, and weigh alternative actions. Conclusion., This concept analysis provides a middle-range descriptive theory of clinical reasoning in nursing that helps clarify meaning and gives direction for future research. Appropriate instruments to operationalize the concept need to be developed. Research is needed to identify additional variables that have an impact on clinical reasoning and what are the consequences of clinical reasoning in specific situations. [source]