Avant's Concept Analysis Method Research Articles

A concept analysis of psychological trauma in labour and delivery nurses.

To facilitate an understanding of the risk for psychological trauma in labour and delivery nurses. Concept analysis. The Walker and Avant method of concept analysis was applied to 56 articles. The characteristics, antecedents, and consequences of psychological trauma in labour and delivery nurses were identified. Peer-reviewed articles in English from CINAHL, PubMed and Google Scholar were reviewed on July 2023. The characteristics of psychological trauma in labour and delivery nurses are overwhelming distress, intrusive symptoms, avoidance and numbing behaviours, hypervigilance or hyperarousal, emotional dysregulation, cognitive distortions, and interpersonal challenges. The antecedents are exposure to one or more of the following nurse-specific traumas: natural or person-made disasters, historical role limitations, second victim situations, secondary trauma, system-mediated or over-medicalized care, insufficient resources, or workplace incivility. The consequences are disruptions in mental health, diminished physical health, alterations in relationships, and variable work performance. Labour and delivery nurses experience unique causes of psychological trauma due to their practice environment and patient population. The consequences of labour and delivery nurses' psychological trauma extend beyond individual health and impact the quality of patient care and organizational capacity. Furthermore, research is needed to inform education, support and policy measures to mitigate harm effectively. WHAT PROBLEM DID THE STUDY ADDRESS?: Nurse-specific trauma theory has not been applied to the unique labour and delivery environment with a high incidence of patient trauma. WHAT WERE THE MAIN FINDINGS?: Multiple causes of trauma in the perinatal context have created a pervasive yet largely preventable issue. WHERE AND ON WHOM WILL THE RESEARCH HAVE AN IMPACT?: This research will impact labour and delivery nurses, their leadership, and their patients. No patient or public contribution.

Virtual care in the health care system: A concept analysis.

Health care providers need a better understanding of virtual care to recognise and use it for service delivery. To provide a more comprehensive definition of the concept of virtual care. This study was conducted based on Walker and Avant's concept analysis method. A comprehensive review of the published texts in English from 2012 to 2022 was performed using the PubMed, Web of Science, Scopus, ProQuest, Science Direct, Ovid, CINAHL and Google Scholar databases. The main aspects and attributes of virtual care, including the use of any information and communication technology in various formats such as platforms, telephone calls, messages, email consultation, remote monitoring, secure and two-way digital communication between health care providers and patients, the possibility of providing remote care synchronously or asynchronously, more interaction between patients and caregivers, the possibility of transferring information between patients and health care providers and within the teams themselves, symptom management, sending diagnostic results in the form of video visits, and providing follow-up care, are attributes that distinguish virtual care from telehealth, telemedicine and other methods of providing remote healthcare services. Considering the positive and negative consequences of implementing virtual care, the findings of this study developed a basis for an operational definition of the concept so that providers can understand the meaning of virtual care and consider it when providing virtual care to patients. The findings of this study can be used in many international and national contexts in the health care system and in future studies on interventions to increase the use of virtual care.

Older people's connectedness with people in the community in contemporary contexts: A concept analysis.

This study aimed to clarify the concept of older people's connectedness with people in the community within the literature. This study was based on Walker and Avant's concept analysis method. We used PubMed, MEDLINE, CINAHL, and Web of Science databases and included peer-reviewed articles that were published in English between January 2010 and April 2023. After assessing eligibility and applying exclusion criteria, 25 articles were analyzed. Attributes included sense of belonging to the community achieved through interactions and feeling of togetherness through interrelationships, which consequently led to the maintenance of healthy physical and mental states and independent living, the acquisition of the ability to overcome difficulties, and the creation of a sense of meaning in life through coexistence. We identified the concept of older people's connectedness with people in the community in a contemporary context. Connectedness is a useful concept to consider in nursing care because it seems to evolve into comprehensive health, including the physical and psychosocial health of older adults.

The Conceptual Analysis of Collaboration in the Occupational Therapy by Combining the Scoping Review Methodology.

Collaboration is an important concept in goal-setting in occupational therapy. However, this concept is not stable due to various definitions. The purpose of this study was to clarify the concept of collaboration in occupational therapy. A scoping review was used to search for all articles related to occupational therapy and collaboration. PubMed, Web of Science, CINAHL, and OT Seeker searches were conducted using predetermined keywords. Three examiners independently reviewed and assessed the quality of each study using Walker and Avant's concept analysis method. Results of the database searches yielded 1873 studies, 585 of which were deemed eligible to include in this review. Results showed five attributes ("active participation for the common objective", "existence of something to share", "matured communication and interaction", "relationship founded on the respect and trust" and "complementing each other") and two antecedents and several consequences. Our findings may contribute to collaborative goal-setting and occupational therapy.

Hypertension literacy: Concept analysis.

Analysis of the concept of hypertension literacy to ensure clarity, reduce ambiguities and promote consistency in usage. Walker and Avant's concept analysis method was adopted. Searched four electronic databases using keywords combined with the appropriate Boolean operators. After removing duplicates, thirty titles were identified, and ten articles met the basic criteria for inclusion. The analysis was done using a convergent synthesis design to integrate results and transform them into qualitative descriptions. Hypertension literacy's defining attributes were hypertension information search skills, comprehension of numeracy associated with blood pressure and medication and utilization of hypertension prevention information. The identified antecedents were formal education and improved cognitive, social, economic and health-related experiences. Consequences of hypertension literacy included improved self-reported and increased health awareness. Hypertension literacy allows nurses to assess and accurately improve knowledge and facilitate people to adopt prevention behaviours.

Caring: A Concept Analysis with Watson’s Theoretical Perspective

Background: The concept of caring has been around for centuries. Although there are various uses of the concept, the definition has remained ambiguous. By examining, analyzing, and synthesizing the various literature on caring, a clearer and better understanding of the concept can emerge. Objective: The purpose of this paper was to identify and explore the concept of caring, determine similarities in the literature, distinguish the uses of the concept throughout disciplines, and provide clarification for the development of nursing science. Methodology: In this paper, the author used the Walker and Avant method of concept analysis to explore the concept of caring across various disciplines to create a definition suitable for nursing science using Watson’s theoretical perspective. Results: After careful review of the literature, attributes of caring identified were mindful, altruism, and reverence. The antecedents of caring were understanding and compassion. The consequences of caring were trust and the individual being cared for feeling valued and protected. Conclusion and Recommendations: Caring is universal and central to nursing. Proper investigation and development of the concept is vital to the nursing discipline and nursing science. By exploring the concept in light of Watson’s theoretical perspective, nursing science is further expanded.

End-of-life care in intensive care units: A concept analysis

End-of-life care should be considered a part of the nursing profession, specifically in intensive care units [ICUs]. Although various definitions of end-of-life care have been proposed by nursing academies and associations, a clear definition of end-of-life care in ICUs is yet to be determined. Thus, in this concept analysis, we aim to define end-of-life care in the ICU. In this study, we utilized Walker and Avant's concept analysis method, which is designed to identify the structure and definition of a concept like end-of-life care in ICU. In this concept analysis, two antecedents, four attributes, and three consequences of end-of-life care in ICU were extracted, and its definition was thereafter clarified. These results are highly useful and can support critical care nurses, as they are the ones who provide optimal care for dying patients and their families in the ICU; they also form a basis for further research with regard to end-of-life care in the field of critical care nursing. The prominent features of end-of-life care in ICU are as follows: a high dependency on medical equipment, short-term care, and focus on care for families as most patients are unconscious. These features reflect the definition of end-of-life care in ICU. End-of-life care in ICU were defined as intensive and short-term care for patients who are facing imminent death and their families, to help them live out their lives with dignity.

Patient and family-centered care for children: A concept analysis.

Family-centered care has evolved into patient and family-centered care. Although this is not a new concept; however, its application to nursing practice is very challenging among nurses due to its ambiguity. This study aimed to clarify the concept of patient and family-centered care for children. Walker and Avant's concept analysis method was used. A literature search was also done using the following databases: Google Scholar, ProQuest, ScienceDirect, and Scopus, for articles published from 2011 to 2021. The defining attributes of patient and family-centered care are partnership, communication, respect, and compassion. Antecedents include patient and family involvement, readiness to collaborate and participate, competency and desire of the care professional team, supportive environment, and policies. Consequences of the patient and family-centered care include improved child outcomes and quality of life, promotion of patient safety, increased patient and family satisfaction, enhancement of humanistic values, reduction of hospitalization cost and length of stay, and decreased stress, anxiety, and depression in family members. Four attributes of patient and family-centered care, its antecedents, and consequences may aid researchers in better understanding the concept and its application in nursing practice. This concept can also be used to establish quality care delivery strategies and promote professional relationships between nurses, patients, and families in clinical settings.

Health-related quality of life in children with epilepsy: a concept analysis.

This study aimed to conduct a concept analysis of health-related quality of life in children with epilepsy to promote conceptual clarification and facilitate mutual understanding of the concept. Walker and Avant's concept analysis method was adopted. Health-related quality of life in children with epilepsy consists of six attributes: health status, inner strength, close relationships, resource-rich community, social acceptance, and changeability. According to the ecological system paradigm, these attributes are structured into five dimensions: organism, microsystem, macrosystem, exosystem, and chronosystem. These dimensions provide a comprehensive approach to the relationship between children with epilepsy and their environment. Epilepsy and interactions with multilevel ecological systems that are directly and indirectly related to children with epilepsy precede the concept, followed by positive and negative affective responses. The findings of this study may support effective communication in various practice settings, thereby contributing to the health and well-being of children with epilepsy, as well as the development and expansion of interventions to improve their health-related quality of life.

Oral feeding skills in premature infants: A concept analysis.

The delay in developing oral feeding skills becomes a problem experienced by premature infants. One of the reasons for the delay may be related to inconsistent definitions of oral feeding skills, which can cause discrepancies in the provision of nursing care. This study aimed to clarify the concept of oral feeding skills in premature infants. The Walker and Avant concept analysis method was used. A literature search was also conducted from five databases: CINAHL, PubMed, ProQuest, EMBASE, and Google Scholar, to find articles between January 2020 and December 2022. The literature search obtained 20 articles on oral feeding skills from various disciplines. Five attributes were developed from the concept analysis, including (1) coordination ability to suck, swallow, and breathe, (2) the ability to regulate oral-motor functions, (3) the ability to regulate sensory functions, (4) the ability to maintain the stability of physiology function, and (5) the ability to regulate feeding behavior. Antecedents to oral feeding skills include immaturity of the nervous system, gestational age, feeding intolerance, increased length of stay and cost of care, increased rehospitalization, stress on parents, and increased morbidity and mortality. Consequences include optimization of growth and development, reduction of length of stay and cost of hospitalization, increased bonding attachment, increased self-efficacy of parents in caring for premature infants, and improvement of the quality of life of premature infants. The concept analysis provides five comprehensive attributes and their antecedents and consequences. However, this concept can be used to provide nursing care to premature infants, assess the criteria for discharge, and optimize nutrition for the growth and development of premature infants.

Defining Foundational Competence for Prelicensure and Graduate Nursing Students: A Concept Analysis and Conceptual Model

AimTo define the concept of foundational competence as it pertains to prelicensure and graduate nursing students during their educational program, thereby informing pedagogical and assessment practices. BackgroundCompetence has many definitions and uses, however a lack of consensus of a clear and useful definition in nursing persists. Without shared language, competence remains open for interpretation across and among groups and impedes the ability to teach and assess it in a competency-based education framework. MethodUsing the Walker & Avant method of concept analysis, literature was reviewed and synthesized to define and explain the concept of foundational competence in nursing using evidence and practice from various disciplines. FindingsAntecedents, attributes, empirical referents and consequences of foundational competence were identified. DiscussionThe components and uses of the concept of foundational competence are presented to guide pedagogical and assessment practices necessary for competency-based education in nursing.

Trauma-Informed Education in Nursing: A Concept Analysis.

Trauma-informed education provides a framework for a collaborative, relational trauma awareness model when working with nursing students. This concept analysis provides clarification, explicates the conceptual meaning of trauma-informed education, and lays a foundation for nurse educators navigating the challenge of meeting student needs during and after the coronavirus disease 2019 (COVID-19) pandemic. Using Walker and Avant's concept analysis method, exhaustive multi-disciplinary and ancestry searches conducted in PubMed, CINAHL, ERIC, and PsychINFO identified 31 relevant article that were evaluated for relevance to the concept analysis as it relates to the context of nursing education. This analysis proposes a new definition of trauma-informed education to support future practice and research endeavors, providing a framework for transforming the nurse educator-student dyadic relationship. Trauma-informed education can provide a collaborative relational model with students based on trauma awareness as affecting one's being and self. [J Nurs Educ. 2022;61(6):296-302.].

Unbearable Suffering: A Concept Analysis.

To understand and analyze the concept of "unbearable suffering" using a concept analysis method and to propose a new nursing diagnosis, the Walker and Avant method of concept analysis was used. Following the concept analysis method in 8 steps, a literature search was carried out in the MEDLINE, Dialnet, WOS, and PsycINFO databases between 2016 and 2020. Articles of theoretical or empirical nature, written in English, with the abstract available were included. As a result, 11 articles (4 theoretical and 7 empirical) were included. In addition, 2 cases were developed. The proposed new diagnosis, "unbearable suffering," refers to the situation of an individual who, because of a variety of factors, regardless of the cause, feels that he/she is unable to bear the suffering he/she is experiencing. The diagnosis is proposed for inclusion in "Domain 9: Coping/Stress Tolerance" and "Class 2: Coping Responses" of the North American Nursing Diagnosis Association taxonomy. Recognition of a nursing diagnosis for unbearable suffering could be key in identifying this type of suffering and facilitating interventions to reduce or mitigate it. Nurses play a fundamental role in situations of high levels of end-of-life suffering.

Instrumental support: A conceptual analysis.

The aim of this paper was to use the Walker and Avant method of concept analysis to evaluate the concept of instrumental support in the context of hospital to home care transitions. Findings from this concept analysis suggest three defining attributes of instrumental support: informal support providers, tangible support, and unmet personal needs. Antecedents identified: a strong and supportive social network, an independently functioning adult, an illness resulting in hospitalization, a change in functional status, and the patient being discharged home from the hospital. Consequences of not having adequate instrumental support: unsuccessful recovery at home, increased risk for hospital readmission, decline in physical functioning, health complications, and increased risk of mortality. Empirical referents: patient's report of successful recovery, returning to an independent level of functioning, and the lack of hospital readmission or health complication. A model and a contrary case study were developed to provide examples of clinical cases related to instrumental support. Recommendations related to clinical practice include evaluating the availability/adequacy of instrumental support before hospital discharge and including the identified instrumental support person in the discharge planning process. There are proven benefits of having people within one's social network providing instrumental support during the home recovery period.

Civility: A concept analysis revisited

BackgroundNurses have an ethical obligation to create cultures of civility, treat others with respect and dignity, and foster healthy, inclusive work environments that protect worker and patient safety. PurposeBecause concepts are known to change over time, this concept analysis compares the original concept of civility published in 2008 with the current concept analysis of civility. MethodsThe Walker and Avant method of concept analysis was utilized. FindingsAntecedents, defining attributes, ideal and unintended consequences, relevant cases, and an operational definition of civility are presented. A conceptual model illustrates antecedents, defining attributes, consequences of civility, and the role perception plays when assessing, interpreting, experiencing, and responding to incivility. DiscussionAuthentic civility, rather than “mere civility,” is urgently needed to build meaningful relationships, create healthy, productive work and learning environments, and foster organizational cultures of inclusivity and belonging.

Body Image Disturbance in Female Adolescents Using Online Learning Platforms: A Concept Analysis

Aim
 To analyze the concept of body image disturbance in female adolescents using online learning platforms as a phenomenon of interest to nurse practitioners and other health care practitioners.
 Background
 With the declaration of the COVID-19 pandemic, the use of online learning platforms as a primary mode of learning has increased exponentially among adolescents. While research is still lacking in this field, the literature on traditional social media suggests that these online learning platforms may negatively influence body image and emotional outcomes. Particularly vulnerable to these outcomes are female adolescents, whose construction of own body image is highly influenced by their self-perceived evaluation from their peers. While the concept of body image disturbance is well defined in adolescent eating disorders, it has not been characterized in the context of online learning platforms. Defining the concept of body image disturbance in this context is crucial for recognizing its occurrence and providing early intervention.
 Methods
 The Walker and Avant method of concept analysis was used to analyze the concept.
 Findings
 The defining attributes of body image disturbance among female adolescents using online learning platforms are: (1) Viewing a digitally distorted image of oneself and feeling displeasure with the perceived appearance; (2) Self-surveillance of one’s appearance; and (3) Upward comparison of one’s appearance with others and experiencing feelings of inadequacy.
 Conclusion
 As COVID-19 continues to disrupt the traditional school experience, nurse practitioners can use the presented scenarios, along with examples of questionnaires noted in this study, to recognize and delineate the occurrence of body image disturbance in female adolescents using online learning platforms. A standardized definition of the concept will enable nurse practitioners to recognize its occurrence and to provide interventions in a timely manner.

Communication related to medication incidents-A concept analysis and literature review.

(1) To identify and analyse the conceptual framework and operationalise the concept of communication issues related to medication incidents in hospital to facilitate the development of a future tool for measuring frequencies of the communication issues. (2) To determine how the concept is distinct from related concepts. Concept analysis. Twenty-three articles from seven scientific databases covering the years 2010-2020 and two official documents. Walker and Avant's concept analysis method was used. That was started by a systematised literature review on 2November 2020 using specified criteria. Two authors evaluated articles' quality by Joanna Brigg's Institute's criteria. Literature review results were analysed deductive-inductively; conceptual framework was developed and concept defined presenting case scenarios. EQUATOR's standards were used in study reporting. A conceptual framework and the concept of 'communication related to medication incidents in hospitals' were defined, comprising six main attribute categories: (1) communication dyads involved in communication, (2) patients' or professionals' individual issues, (3) institutional, (4) contextual and process issues, (5) communication concerning medication prescriptions and (6) qualitative characteristics of communication. The categories consisted of 128 quantitatively measurable and 10 qualitative attributes describing communication issues. The concept is distinct from related concepts by collating fragmented communication issues into the same concept. The 128-item conceptual framework and the concept of communication related to medication incidents in hospitals were defined, as there was not one. The concept assembled parts of previous theories and fragmented information to one entity. The concept needs further condensing and validation to develop a tool for measuring communication issues. The conceptual framework can be used in practice and education as indicative rationale for reflection of current communication issues. The concept contributes to research by providing necessary grounding for tool development for measuring communication factors relating medication incidents.

A concept analysis of remission within the domain of cancer survivorship.

This concept analysis aims to formulate a unique theoretical definition of the term remission as used in cancer survivorship. Inadequate communication between healthcare providers and cancer survivors is a shared burden affecting survivor well-being. Healthcare providers regularly use the term remission in cancer prognosis, treatment, and long-term cancer management; yet, how healthcare providers and cancer survivors define and interpret the concept of remission is less understood. The Walker and Avant method of concept analysis was applied to define the term remission within the domain of cancer survivorship. DATASOURCE: Three health sciences databases were chosen for the literature search, including PubMed, the Cumulative Index to Nursing and Allied Health Literature, and Ovid Medline. REVIEWMETHODS: Included research articles were evaluated to define the antecedents, attributes, consequences, and empirical referents of the term remission. A cancer diagnosis is the most commonly cited antecedent to cancer remission. During remission, most cancer patients are free of measurable or symptomatic disease; however, the remission milestone is complemented by multiple physical and psychological symptoms. More specific cancer remission attributes include anxiety, recurrence fears, self-perseverance, and loss of social support. Both positive and negative outcomes accompany cancer remission, including acceptance of the treatment journey, appreciation for life, hope, persistent anxiety, personal relief, and triggered memories. This concept analysis reviewed numerous publications to understand remission in the context of cancer survivorship. Advanced practice and registered nurses have a continued opportunity to improve the communication methods of patient-centered teaching and care planning for cancer patients in remission.

A Concept Analysis of Quality Nursing Care.

This study aimed to perform a concept analysis of quality nursing care. Walker and Avant's concept analysis method was used to carry out this study. The defining attributes identified were as follows: caring, the nurse-patient relationship, and patient needs. Antecedents included patient characteristics, individual factors (age, education, knowledge, competence, and experience), job position, and environmental factors. The consequences of quality nursing care have significant influence on both patients and nurses. The findings can aid researchers in obtaining a better understanding of quality nursing care, and stakeholders can consider the factors related to quality nursing care and its consequences to improve the nursing process.

A concept analysis of influence for nurse leaders

BackgroundTo shape priorities for health and health care outcomes, it is essential for nurse leaders to be influential. The application and impact of influence are readily recognized, but not its characteristics. PurposeThe purpose of this project was to conduct a concept analysis of influence relative to nurse leaders. MethodsThe Walker and Avant method of concept analysis was utilized. FindingsAttributes of influence include advocacy, communications skills, competency, confidence, credibility, and engagement. Antecedents of influence are authority, collaboration, integrity, and mentorship. Consequences of influence are action, change, commitment, compliance, decision-making, motivation, and resistance. DiscussionBy drawing upon a systematic understanding of the concept of influence, nurse leaders are urged to develop and leverage the attributes of influence to drive and achieve collective good for the future of health and health care in society.