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Defining Attributes (defining + attribute)
Selected AbstractsMedication communication: a concept analysisJOURNAL OF ADVANCED NURSING, Issue 4 2010Elizabeth Manias manias e. (2010) Medication communication: a concept analysis. Journal of Advanced Nursing66(4), 933,943. Abstract Title.,Medication communication: a concept analysis. Aim., This paper is a report of a concept analysis of medication communication with a particular focus on how it applies to nursing. Background., Medication communication is a vital component of patient safety, quality of care, and patient and family engagement. Nevertheless, this concept has been consistently taken-for-granted without adequate analysis, definition or clarification in the quality and patient safety literature. Data sources., A literature search was undertaken using bibliographic databases, internet search engines, and hand searches. Literature published in English between January 1988 and June 2009 was reviewed. Walker and Avant's approach was used to guide the concept analysis. Discussion., Medication communication is a dynamic and complex process. Defining attributes consider who speaks, who is silent, what is said, what aspects of medication care are prioritized, the use of body language in conversations, and actual words used. Open communication occurs if there is cooperation among individuals in implementing plans of care. Antecedents involve environmental influences such as ward culture and geographical space, and sociocultural influences such as beliefs about the nature of interactions. Consequences involve patient and family engagement in communication, evidence of appropriate medication use, the frequency and type of medication-related adverse events, and the presence of medication adherence. Empirical referents typically do not reflect specific aspects of medication communication. Conclusion., This concept analysis can be used by nurses to guide them in understanding the complexities surrounding medication communication, with the ultimate goal of improving patient safety, quality of care, and facilitating patient and family engagement. [source] Understanding charity fundraising eventsINTERNATIONAL JOURNAL OF NONPROFIT & VOLUNTARY SECTOR MARKETING, Issue 2 2004Article first published online: 12 JUL 200, Daniel Webber The paper analyses fundraising events, in terms of the motivations for supporting an event, the costs and income streams and the efficiency of events. Events vary from sponsored bike rides to fashion shows to annual balls but all events share one defining attribute, the participant or attendee gains some private benefit, be it a sense of personal achievement, an opportunity to show their generosity or simply having fun. The fact that the participants are supporting the charity may come secondary to the private benefit they gain from attending the event. Fundraising events therefore provide a means for charities to broaden their donor bases beyond those whose only motivation to support the charity is their fundamental belief in the particular charity's cause. Copyright © 2004 Henry Stewart Publications [source] Rural Economic Development: A Review of the Literature from Industrialized EconomiesGEOGRAPHY COMPASS (ELECTRONIC), Issue 6 2010Laura Ryser Over the past 30 years, accelerating change has been one of the defining attributes of rural landscapes around the world. In response, there has been an increasing volume of rural economic development research and public/policy interest in that research. The purpose of this review article is not to provide a ,state of the literature' summary, but rather to highlight thematic directions, opportunities, and trends in the rural economic development literature over the past decade in industrialized economies. We review many of the longstanding research themes in rural economic development research: social and economic restructuring, barriers and challenges to economic development, community economic development, community capacity, governance, and policies and programs. We also explore a range of research issues that have (re-) emerged over the past decade focusing on new approaches to understanding rural change and the deployment of development strategies in the context of the new rural economy. [source] Primary Care Quality and Addiction Severity: A Prospective Cohort StudyHEALTH SERVICES RESEARCH, Issue 2 2007Theresa W. Kim Background. Alcohol and drug use disorders are chronic diseases that require ongoing management of physical, psychiatric, and social consequences. While specific addiction-focused interventions in primary care are efficacious, the influence of overall primary care quality (PCQ) on addiction outcomes has not been studied. The aim of this study was to prospectively examine if higher PCQ is associated with lower addiction severity among patients with substance use disorders. Study Population. Subjects with alcohol, cocaine, and/or heroin use disorders who initiated primary care after being discharged from an urban residential detoxification program. Measurements. We used the Primary Care Assessment Survey (PCAS), a well-validated, patient-completed survey that measures defining attributes of primary care named by the Institute of Medicine. Nine summary scales cover two broad areas of PCQ: the patient,physician relationship (communication, interpersonal treatment, thoroughness of the physical exam, whole-person knowledge, preventive counseling, and trust) and structural/organizational features of care (organizational access, financial access, and visit-based continuity). Each of the three addiction outcomes (alcohol addiction severity (ASI-alc), drug addiction severity (ASI-drug), and any drug or heavy alcohol use) were derived from the Addiction Severity Index and assessed 6,18 months after PCAS administration. Separate longitudinal regression models included a single PCAS scale as the main predictor variable as well as variables known to be associated with addiction outcomes. Main Results. Eight of the nine PCAS scales were associated with lower alcohol addiction severity at follow-up (p,.05). Two measures of relationship quality (communication and whole- person knowledge of the patient) were associated with the largest decreases in ASI-alc (,0.06). More whole-person knowledge, organizational access, and visit-based continuity predicted lower drug addiction severity (ASI-drug: ,0.02). Two PCAS scales (trust and whole-person knowledge of the patient) were associated with lower likelihood of subsequent substance use (adjusted odds ratio, [AOR]=0.76, 95 percent confidence interval [95% CI]=0.60, 0.96 and AOR=0.66, 95 percent CI=0.52, 0.85, respectively). Conclusion. Core features of PCQ, particularly those reflecting the quality of the physician,patient relationship, were associated with positive addiction outcomes. Our findings suggest that the provision of patient-centered, comprehensive care from a primary care clinician may be an important treatment component for substance use disorders. [source] Feeling Misunderstood: A Concept AnalysisNURSING FORUM, Issue 4 2008Barbara 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] Happiness: Theoretical and Empirical ConsiderationsNURSING FORUM, Issue 1 2008Abir K. Bekhet PhD TOPIC.,Although happiness is important in maintaining health, few studies of happiness can be found in the nursing literature. PURPOSE.,This paper explicates the concept of happiness through examination of its defining attributes, antecedents, consequences, and measurement. SOURCES OF INFORMATION.,Literature review using hand search, and databases were used as sources of information. CONCLUSION.,The information provided can be used in clinical practice so that nursing strategies can be developed and tested to help people to become happy and healthy. [source] Confidentiality: Concept Analysis and Clinical ApplicationNURSING FORUM, Issue 2 2000Winifred 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] | ||||||||||