Concept Analysis Research Articles

Preventing Corruption in Bali’s Customary Villages: How Do Regional Institutions Play a Role?

Customary villages are traditional institutions in Bali that have existed for centuries. The village has autonomy when it comes to managing its customary arrangements based on local traditions and wisdom, meaning that it does not have a hierarchical relationship with the government based on the state structure of the Republic of Indonesia. The Bali Province Government, a second-layer hierarchical government structure in Indonesia, applies a unique approach to performing relationships with customary villages in Bali as it has regularly supported the existence and activities of customary villages, including providing funding assistance. Unfortunately, several cases have shown the misuse of government funds. This article, therefore, identifies the practice of fraud and corruption in customary villages in Bali. Second, it analyses the role of the Customary Community Development Agency (DPMA) of the Bali Province Government in supervising the financial management of Bali's customary villages. Lastly, it supports the synergy between DPMA and the Representative Office of the Financial and Development Supervisory Agency (BPKP) of Bali Province in preventing corruption cases in the customary villages. The article applies empirical legal research, which involves collecting primary and secondary data and analyzing them using statutory, factual, and legal concept analysis approaches. The research suggests that fraud and corruption cases in customary villages cause a loss of government funds, harming the financial management of Village Credit Institutions (LPD), and involving the misuse of power. The provincial regulation authorizes DPMA to address this issue by monitoring how customary villages use the Bali Province Government grants. This paper then argues that the DPMA’s role would be more effective if it adopted a more formal collaboration with the Representative BPKP in Bali Province through various joint programs that support the comprehensive efforts to prevent corruption in customary villages in Bali.

Self-scheduling for nurse: A concept analysis

Quality nursing care must be supported by appropriate nurse scheduling arrangements. Inappropriate nursing scheduling harms nurses’ work. Clarification of terms is necessary to inform nurses and service managers, promote consistent theoretical and operational definitions in research, and develop prevention strategies to provide quality nursing care. This research aims to clarify the meaning of the concept of self-scheduling. The design used is concept analysis. Data sources were searched from electronic databases (Sciendirect, Google Schoolar, Taylor & Francis, SpringerLink, and IEEE). The Walker & Avant method was applied to guide the concept analysis to identify and define attributes, antecedents, and consequences. Self-scheduling has seven attributes: service schedule, flexibility, autonomy, demands, conditions and capabilities, and responsibility. The antecedents include the number of staff, competence, self-efficacy, motivation, work experience, education, age, and career ladder. Proper self-scheduling has positive effects, such as on job satisfaction, work safety, patient safety, and work‒life balance. The negative consequences of self-scheduling include workload, fatigue and stress. The conclusion is that self-scheduling is very important, and the implementation of self-scheduling on nurses' service schedules that are not quite right contributes to shift work and patient safety.

Advancing sustainable healthcare: a concept analysis of eco-conscious nursing practices

BackgroundAs the healthcare sector grapples with its environmental footprint, the concept of Eco-conscious Nursing emerges as a pivotal framework for integrating sustainability into nursing practice. This study aims to clarify and operationalize Eco-conscious Nursing, examining its attributes, antecedents, consequences, and providing operational definitions to guide future research and practice.MethodsUtilizing a systematic literature review across PubMed, Google Scholar, and CINAHL Ultimate, this study identifies and analyzes existing theories, frameworks, and practices related to eco-conscious nursing. Through conceptual analysis, key attributes, antecedents, and consequences of Eco-conscious Nursing are delineated, leading to the formulation of comprehensive operational definitions.ResultsThe study reveals Eco-conscious Nursing as a multifaceted concept characterized by environmental stewardship, sustainable healthcare practices, and a commitment to reducing the ecological impact of nursing care. Operational definitions highlight the role of education, awareness, and institutional support as antecedents, with improved environmental health and sustainable healthcare outcomes as key consequences.ConclusionEco-conscious Nursing represents a crucial ethos for the nursing profession, emphasizing the necessity of sustainable practices within healthcare. The operational definitions provided serve as a foundation for embedding eco-conscious principles into nursing, addressing the urgent need for sustainability in healthcare settings. Future research should focus on the empirical application of these definitions and explore the economic and cross-cultural dimensions of eco-conscious nursing.

Legacy in End-of-Life Care: A Concept Analysis.

Comprehending the significance of legacy in end-of-life (EoL) situations helps palliative care professionals enhance person-centered outcomes for those with a life-threatening illness and their families. Our purpose was to conduct a concept analysis of legacy in EoL care. By employing Walker and Avant's approach, we identified the concept's defining characteristics. Subsequently, we established the antecedents, consequences, and empirical referents. After conducting a thorough review of titles and abstracts, a total of 30 publications were analyzed. These articles were sourced from three databases (CINAHL, Medline via PubMed, and Scopus) from 2002 to 2023. Our analysis identified several core attributes of legacy: (a) leave behind something of value that transcends death; (b) determine how people want to be remembered; (c) build and bestow across generations; (d) integrate advance care planning through EoL conversations and shared decision-making; and (e) develop strategies of dignity-conserving care. The consequences are related to improvements in spiritual and subjective well-being; coping with inevitable EoL existential issues; decreases in EoL suffering; engendering self-awareness, hope, gratitude, and peace; achieving and maintaining dignity; creating good memories; promoting mutually constructive and transformative relationships; and fostering the adjustment of bereaved people. Nevertheless, further effort is required to implement the key attributes of legacy that form the basis for creating legacy-oriented interventions near the EoL.

Concept Analysis of Post-operative Recovery after Abdominal Surgery: State of the Science

Concept Analysis of Post-operative Recovery after Abdominal Surgery: State of the Science

Assessing the maturity of the “Family Centered Care” concept: A review of concept analyses studies

BackgroundConcept analysis studies play major role in clarifying and operationalizing concepts. This approach has been used to clarify and advance knowledge about the concept of Family Centred Care (FCC). The concept of FCC has been studied by many nursing scholars using different methods. AimThis review aimed to combine outcomes of concept analysis studies to assess the level of maturity of the concept of Family Centred Care. MethodsFormal electronic databases (MEDLINE and CINAHL) and informal (Google Scholar) were searched using the terms “Family Centred Care” and “concept analysis”. The Morse concept maturity evaluation approach was used to appraise the retrieved studies. Results35studies were identified of which12 met the inclusion criteria and were included in the analysis. Three studies used Walker and Avant concept analysis methodology, three applied the Rodgers evolutionary model while six applied modified mixed/hybrid approaches. While a few provided a definition of FCC, none have been able to confirm the maturity of the concept. This review summarized the different trials to analyze the concept of FCC supporting the rethinking of the model and emergence of new models such as Child and Family Centred Care (CFCC). ImplicationsConcept analyses should be done periodically to assess the maturity of emerging concepts. Previously published FCC concept analyses manuscripts show the concept has evolved and gained significant recognition and acceptance over time. A clearer definition of FCC supports its positive impact on patient outcomes. A comprehensive FCC tool that can evaluate the effective delivery of FCC is needed.

Resiliency in Persons Experiencing Homelessness: A Concept Analysis Using the Evolutionary Framework.

Homelessness is a critical societal issue, with those affected facing disproportionate chronic and acute health conditions. At the core of understanding their experiences is the concept of resiliency. Understanding resiliency in homelessness is crucial because it highlights the dynamic interplay between inherent qualities and external challenges, underscoring the need to reassess societal value judgements and inform nursing practices in research, education and advocacy. This paper aims to conduct a comprehensive concept analysis to propose a revised definition of resiliency in the context of homelessness. Rogers's evolutionary method was the analytical tool of choice, perfect for examining the fluid and evolving nature of resiliency within the context of homelessness. The method entails analysing the concept's transformation over time and across disciplines, accepting variability in definitions based on the chronological and contextual constructs. The findings revealed that resiliency in homelessness is an inherent quality and a developed response shaped by the interplay of innate capacities and environmental challenges. It uncovered a need to reassess societal value judgements. Resiliency among people without housing suggests strengths that go unrecognised by conventional measures. The analysis concludes that resiliency is not a static trait but a dynamic process encompassing individual, social and environmental dimensions. In each case, nursing is poised to make a significant difference in nursing research, practice, education and advocacy, potentially inspiring new approaches and interventions. No public or private was used in the development of this article.

Ready to Learn: A Concept Analysis for the Intersection of Health and Education.

Since the inception of the National Education Goals in 1989, the United States has enacted policies focused on student readiness to learn, but there is no single or clear definition of ready to learn. Education quality and access are social determinants of health. However, students do not learn well if they are not healthy. This concept analysis explores the connection between health and education across multiple domains. Utilizing the Walker-Avant method, CINAHL, SCOPUS, and the Journal of School Nursing were searched for literature related to ready to learn. Definitions were synthesized from the literature, resulting in a concept of ready to learn encompassing health and thriving at individual, family, school, and community levels. Ready to learn is the result of multiple domains working synergistically to support health and thriving across the lifespan. School health practice improves with a robust understanding of this ready to learn model.

The hidden costs of informal caregiving: a concept analysis

Background“The hidden costs of informal caregiving” is an interdisciplinary concept. While caregivers make a significant contribution to the process of caregiving, they sacrifice their leisure time, and incur risks of dropping out of the job, impaired mental and physical health, and decreased well-being within the context of caregiving. Those invisible sacrifices are often overlooked and described as hidden costs of informal caregiving. However, the conceptualisation of hidden costs of informal caregiving has not yet been clarified and scientifically assessed. The research aimed to clarify the concept of hidden costs of informal caregiving and develop an operational definition.MethodsWalker and Avant’s concept analysis was conducted. Databases of CBM, CNKI, WanFang, VIP, PubMed, Embase, CINAHL, Web of Science, MEDLINE, Cochrane Library, Econlit, CINAHL and ProQuest were searched with the term “hidden costs of informal caregiving”. Information about the uses of the concept, defining attributes, model cases, antecedents, consequences and empirical referents of hidden costs of informal caregiving was extracted and synthesized.ResultsA total of 25 articles were included. The six defining attributes of hidden costs of informal caregiving were identified as including “undertaken by informal caregivers”, “the time costs of caregiving”, “costs of career development” “physical well-being costs”, “mental well-being costs” and “social relationship costs”. Personal characteristics of the caregivers and care recipients, along with caregiving attributes, were among the antecedents. The consequences of hidden costs of informal caregiving resulted in negative influences which included poor quality of life, life-altering decisions, options for the type of care, some degree of economic hardship, decreased compliance with treatment plans and monetary value informal caregivers are willing to pay to be replaced.ConclusionThis concept analysis decisively illuminated the hitherto nebulous concept and expanded the contents of hidden costs of informal caregiving, which will foster a deeper appreciation of the invisible cost of caregivers. Moreover, it will provide a reference for the study of the hidden costs of informal caregiving in future, contribute to the development of assessment tools and theoretical models of hidden costs of informal caregiving, and create a basis for designing an evidence-based care program.

Penegakan Hukum Dalam Keterlambatan Pembayaran Pajak Kendaraan Bermotor Di Kabupaten Tabanan

The increase in population has led to a rapid increase in motor vehicle ownership. Motorized vehicles have become a basic necessity for some people. Ownership of motorized vehicles will be followed by obligations as taxpayers who must make tax payments. However, increasing the number of motor vehicle ownership does not necessarily increase public awareness to be obedient and aware of the obligation to pay taxes. This can lead to legal consequences for both the community and the government. This research aims to find out the regulation in the field of taxes responding to the lack of public awareness of tax payments. With the main problems that will be discussed in this study, namely 1) how is law enforcement in late payment of motor vehicle tax in Tabanan Regency, 2) What are the inhibiting factors in the enforcement of late payment of motor vehicle tax in Tabanan Regency. The research method used is an empirical research method, with a fact approach and legal concept analysis approach. The results of law enforcement in late payment of motor vehicle tax in Tabanan Regency are given a PKB notification letter given a notification letter of STNK validation and a late notice of tax payment, if it has not been replied to from the taxpayer, UPTD PPRD Bali Province in Tabanan Regency will impose penalties on taxpayers such as administrative penalties for interest / fines and inhibiting factors are the lack of awareness of taxpayers in paying motor vehicle taxes, transferring motorized vehicles without transferring names, vehicle owners moving residence.

Counselling for patients with a temporomandibular disorder: A scoping review and concept analysis.

An integral component of comprehensive temporomandibular disorder (TMD) treatment involves what is commonly referred to in literature as patient counselling or patient education. Despite its importance, a clear definition of the concept is lacking. To describe the concept of counselling (i.e. what is it, what should it consist of, and when should it be given) through a concept analysis of the literature. All papers that include a description of counselling or education for TMD are included. Literature searches were performed in the electronic databases PubMed, Cinahl, and PsycInfo. A qualitative analysis was done using the principle-based concept analysis approach, where descriptions of counselling from the included papers were analysed by the researchers. A total of 71 articles were included. Based on the qualitative analysis of the included articles and descriptions of counselling, the following content themes were identified: (1) general information on TMD; (2) overuse of the masticatory system; (3) posture education; (4) lifestyle and psychosocial factors; (5) exercise- and thermotherapy; and (6) additional information and therapies. A definition and framework of counselling for TMD has been provided, which can be used in the clinic, research, and educational programs.

Newman’s theory of health as expanding consciousness: an evolutionary concept analysis

BackgroundThe health as expanding consciousness (HEC) theory posits that health and disease are interconnected components of a comprehensive process aimed at expanding consciousness.AimThe objective of this study is to introduce the concept, research status and applications of HEC and offer a comprehensive understanding of its various key components.Data sourcesDatabases including EMBASE, PubMed, ScienceDirect, ProQuest, Wiley, Web of Science, Sinomed, China National Knowledge Infrastructure, Wanfang, and CQVIP, covering the period from 1986 to 2023.MethodEmploying Rodgers’ evolutionary concept analysis approach, this study included and analysed 70 studies.ResultsThe characteristics of HEC comprise aspects such as movement, time, space, energy, rhythm, and paradigm of health. The antecedents of HEC encompass disease, chaos, binding, centring, and choice point. Consequences associated with HEC include self-transcendence, unbinding, decentring, expanded consciousness, real freedom, pattern recognition, absolute consciousness, and death.ConclusionThis study has identified substitute terms, related concepts, attributes, antecedents, consequences, and empirical references associated with HEC. The findings provide valuable information applicable across various domains of nursing, encompassing practice, education, research, and management.

Ecological care in nursing practice: a Walker and Avant concept analysis

BackgroundToday, the human population faces an increasing array of emerging environmental challenges. Despite its importance, nurses often neglect ecological issues, which can compromise patient health. While the ecological nursing perspective has the potential to lead to innovative care approaches that benefit patients, the nursing profession, and the environment, the concept of ecological care lacks a clear definition and its dimensions remain unclear. This study aimed to analyze and clarify the concept of ‘ecological care’ in the nursing discipline.MethodsWalker and Avant’s analysis method was used to identify descriptions, antecedents, consequences, and empirical referents of the concept of ‘ecological care’ in nursing. We searched the databases (PubMed, Scopus, PsycINFO, CINAHL, ERIC, SID, and IranDoc) using the keywords “ecological,” “nurse,” and “nursing” using Boolean operators “AND” and “OR” in the title and abstract fields both in English and Persian to identify relevant literature on ecological care in nursing.ResultsEcological care, as a multidimensional concept, encompasses ecological thinking, ecological attitude, ecological awareness, ecological sensitivity, and ecological literacy. This entails the optimal utilization of environmental factors to provide patients with high-quality care and preserve ecological sustainability through environmentally friendly behaviors.ConclusionsThe findings highlight the need to elucidate, endorse, and solidify ecological thinking in all aspects of nursing care including nursing management, education, and research, which can lead to improved care quality, patient safety, and sustainability. Within this framework, nursing educators could play an essential role in integrating ecological care into nursing education. The study emphasizes the need to integrate ecological thinking into all aspects of nursing.

Data depth functions for non-standard data by use of formal concept analysis

In this article we introduce a notion of depth functions for data types that are not given in standard statistical data formats. We focus on data that cannot be represented by one specific data structure, such as normed vector spaces. This covers a wide range of different data types, which we refer to as non-standard data. Depth functions have been studied intensively for normed vector spaces. However, a discussion of depth functions for non-standard data is lacking. In this article, we address this gap by using formal concept analysis to obtain a unified data representation. Building on this representation, we then define depth functions for non-standard data. Furthermore, we provide a systematic basis by introducing structural properties using the data representation provided by formal concept analysis. Finally, we embed the generalised Tukey depth into our concept of data depth and analyse it using the introduced structural properties. Thus, this article presents the mathematical formalisation of centrality and outlyingness for non-standard data and increases the number of spaces in which centrality can be discussed. In particular, we provide a basis for defining further depth functions and statistical inference methods for non-standard data.

Three-way concept lattice based on Boolean formal context

The theory of formal concept analysis(FCA) is an important mathematical method for knowledge representation and knowledge discovery. The Boolean formal context is proposed by introducing Boolean matrices and logical operations into FCA. Based on the concept lattice of the Boolean formal context and the column vector(row-vector)-oriented concept lattice of the Boolean formal context, this paper proposes the column vector(row vector)-induced three-way concept lattice of the Boolean formal context and the column vector(row vector)-induced three-way column vector(row vector)-oriented concept lattice of the Boolean formal context, and proves their rationality. Then, the isomorphism between the three-way concept lattice of the Boolean formal context and the three-way concept lattice of the general formal context is proved.

Defining soft skills in nursing: a concept analysis

Abstract Objective To define soft skills in nursing. Methods This is a concept analysis using the Walker and Avant approach. Multiple electronic databases in the English language including CINAHL, ScienceDirect, MEDLINE on EBSCOhost, and Scopus were consulted. Results Soft skills in nursing include the intrapersonal attributes, interpersonal skills, and creativity of the nurse, which, when combined with professionalism, teamwork, and effective communication skills, improve the quality of nursing care and client satisfaction. Conclusions Although hard and soft skills are compatible and synergetic, soft skills are to be prioritized for the success of nursing care in the healthcare industry. This concept analysis adds to the body of knowledge by identifying the attributes of soft skills in nursing and revealing that a good nurse needs more than just good grades to be successful.

Self-management in patients with diabetic foot ulcer: a concept analysis†

Abstract Objective This paper presents an analysis of the concept of patient outcomes. Methods The present study conducted searches on various databases, including Wanfang, Sinomed, CNKI, PubMed, Cochrane Library, Embase, Web of Science, and Ovid. The paper followed the Walker and Avant concept-analysis approach. Results Initially, 899 pieces of literature were identified through the search process, and after screening, 41 of them were ultimately included in the analysis. The identified attributes of the concept included (1) capability, (2) decision making, and (3) action. These antecedents were shaped by factors such as illness perception, self-efficacy, and family and social. The consequences included (1) physiological effects, (2) psychological effects, and (3) social influence. Conclusions The concept analysis of self-management in patients with diabetic foot ulcers (DFUs) not only aids in clinical practice and supports interventions, but also contributes to the development of self-management theory. The common goal of clinical medical staff is to assist DFU patients in improving cognitive ability, making correct self-management decisions, and enhancing self-management behavior.

Interpretation of Fairness Concept and Economic Impact Analysis of Carbon Quota Allocation between Industries in Indonesia

Abstract Quota allocation is critical in implementing supporting policies for carbon reduction efforts, such as the carbon cap and trade mechanism. Depending on the allocation rules, certain company types may benefit more economically. Inequality conditions can happen and reduce the willingness to participate in sustainability efforts. This study aims to propose fairness interpretations in the context of company-level carbon quota allocation. Four industries in Indonesia with inherently different emission and financial profiles were selected as case studies: energy, oil palm, basic materials, and finance. Fairness principles were analyzed to represent the interests of companies based on their financial and environmental performance. Indicators were selected to quantify the equality principles and aggregated into a Comprehensive Index (CI) for quota allocation, where the companies’ quota surplus/deficit is quantified into monetary value to estimate the economic impact with varying reduction targets. According to our analysis, the sectoral advantages/disadvantages would depend on the viewpoint of fairness principles, and the oil palm and financial sectors be less impacted than the basic materials and energy sectors with increased emission reduction targets. The sensitivity analysis suggests that the vertical, horizontal, polluter pays, and historical responsibility principles are more sensitive to weighting than the merit and basic needs principles.

Influence of Attribute Granulation on Three-Way Concept Lattices

Influence of Attribute Granulation on Three-Way Concept Lattices

“Successful Living” Among Adolescents With HIV in Sub-Saharan Africa: An Evolutionary Concept Analysis

“Successful Living” Among Adolescents With HIV in Sub-Saharan Africa: An Evolutionary Concept Analysis