Concept Analysis Research Articles

Public image of nursing in modern society: An evolving concept analysis.

This study aimed to analyse the evolution of the public image of nursing in the context of the constantly developing nursing profession. The Rodger's evolving concept analysis was applied. PubMed, CINAHL, Web of Science, Scopus, and ProQuest databases were searched for articles published between 1 January 2001, and 30 April 2022, using the search terms; "NURS * AND image". The selected literature was screened using Rodgers' evolutionary method to explore the attributes, antecedents and consequences of the concept. The defining attributes were identified as nursing (nursing as the collective object), public (public as the collective subject) and information (the medium of interaction between the collective subject and the collective object). Nursing elements were classified into intrinsic elements (professional spirit, professional knowledge and professional skills) and extrinsic (appearance, language and behaviour) elements. Public elements were further subcategorized into public categories (internal organizational public and external organizational public) and public perceptions (cognition, emotion and behavioural intention). The information elements are mainly classified as information generation, dissemination, identification, processing and judgement. The antecedents and consequences of the public perception of nursing were also identified. The public image of nursing is dynamic and has evolved over time. Its dynamism and malleability imply that the traditional public image of nursing can be improved through targeted interventions in nursing practice, management and education. Identifying the antecedents and consequences associated with the public image of nursing will help the healthcare organizations adopt effective strategies to alleviate the shortage of the nursing workforce and promote the development of the nursing profession. No Patient or Public Contribution.

Perceived Ageism in Health Care: A Hybrid Concept Analysis.

Identifying perceived ageism is a critical step in eliminating ageism. This hybrid concept analysis aims to describe the concept of perceived ageism in health care. In the theoretical phase, a scoping review was conducted. In the field phase, semi-structured interviews were conducted with nine community-dwelling older adults. In the final analytical phase, results from the theoretical phase were integrated with those from the fieldwork phase. The perceived ageism in health care includes four dimensions: self-internalization (self-denial, a sense of unease, and passivity of behavior in seeking health care), interpersonal interaction (perceived negative perceptions, neglected attitudes, and unfair care behaviors), organization system (perceived strangeness caused by unfamiliar technology, unsupportive environment, and inadequate resources), and procedure policy (perceived uniformity of healthcare process and lack of targeted practice policies). Research related to this concept has contributed to developing measurement tools for assessing perceived ageism in healthcare practice and subsequent research.

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

The concept of successful living in the context of adolescents with HIV lacks clarity and is unexplored. Without a common understanding of successful living among adolescents with HIV (AWH) in Sub-Saharan Africa (SSA), health care interventions focusing on this population may continue to fall short, resulting in avoidable morbidity and mortality. Therefore, this analysis used Rodgers Evolutionary Concept Analysis method to identify attributes, antecedents, consequences, and related concepts of successful living among AWH in SSA. Health care interventions are encouraged to promote successful living among AWH to achieve behavioral and clinical outcomes.

Connect to Crowd

Crowdsourcing (CS) involves gathering needed services, ideas, or content by soliciting contributions from a broad audience, particularly from online communities. In our proposed system, we aim to implement a budget-constrained online crowdsourcing framework by introducing a two-tiered social crowdsourcing architecture. To improve these models, we create incentive mechanisms that enhance computational efficiency, individual rationality, budget feasibility, cost accuracy, and time accuracy. Crowdsourcing platforms are vital for promoting transparency and collaboration among participants, all while reducing resource use and costs. To support this, these platforms include mechanisms for monitoring and evaluating worker performance. Our project introduces a secure multi-tiered worker quality evaluation framework utilizing blockchain technology. Our Proof of Concept (PoC) analysis demonstrates that blockchain effectively addresses security concerns such as trust, privacy, and accountability in current worker performance evaluation systems

A Concept Analysis of Nurses' Subject Well-Being of Nursing Care Ward

A Concept Analysis of Nurses' Subject Well-Being of Nursing Care Ward

Successful Refugee Cohabitation With Host Families: A Concept Analysis and Model Development.

Purpose: This concept analysis aims to address the gap in knowledge regarding the concept of successful refugee cohabitation with host families. It seeks to develop a conceptual model that integrates holistic nursing and healthcare practices into refugee cohabitation settings to enhance refugee well-being. Methods: A comprehensive literature search was conducted using Walker and Avant's methodology for concept analysis. Findings: Successful refugee cohabitation with host families concept characterized by peaceful coexistence, power dynamics, hospitality, and cultural tolerance. Antecedents include refugee shelter needs, societal acceptance, humanitarian solidarity, and legal support. Consequences include refugee inclusion and integration, societal cohesion, psychological well-being, and refugee-host acceptance. Conclusions: Successful refugee cohabitation is defined as a private hosting arrangement that embodies shared living spaces and peaceful coexistence amid conflict or crises, fostering resilience and support for displaced individuals by local citizens. It combines hospitality, balanced power, and cultural tolerance, driven by refugee needs for shelter and a commitment to successful refugee settlement and integration. This hosting arrangement promotes societal development and cohesion, economic growth, psychological well-being, and foster inclusion and intergroup tolerance. The integration of holistic nursing principles into refugee cohabitation practices can foster more inclusive and healthy communities.

Personal Resilience in Patients with Type 2 Diabetes Mellitus: A Concept Analysis

Introduction: The most common kind of diabetes is type 2 diabetes mellitus (T2DM), which accounts for 95% of all DM cases. Microvascular and macrovascular complications burden patients physically, psychologically, socially, and economically. Patients must be resilient to live more affluent lives. Personal resilience in T2DM patients is essential in nursing practice and the development of nursing science. Understanding the concept of personal resilience is important to minimize bias and distortion in using the concept of resilience, especially in T2DM patients. Objectives: This study aimed to clarify the concept of personal resilience in T2DM patients. Methods: Walker and Avant's concept analysis approach was applied. A literature search was performed using Google Scholar, ProQuest, ScienceDirect, and PubMed databases. The articles used from the databases were published between 2013 and 2022. Results: The attributes determining the level of personal resilience of T2DM patients are survival, adaptation, and recoverability. The antecedents include self-esteem, spirituality, culture, self-efficacy, optimism, hope, and age. The consequences include adherence, quality of life, effective coping, equilibrium, and illness perception. Conclusions: The three attributes, antecedents, and consequences of good personal resilience identified from the concept analysis could improve the researchers' understanding of personal resilience and its implementation in the care of T2DM patients along with the complexity of the problems experienced by patients. The clarity of this concept lies in the reference for treatment that focuses on empowering the personal abilities of T2DM patients to carry out self-management to achieve prosperous quality of life.

Mental Health Crisis: An Evolutionary Concept Analysis.

The term 'mental health crisis' is a widely used concept in clinical practice and research, appearing prominently in mental health literature across healthcare and social science disciplines. Within these contexts, the term is frequently either left undefined or defined rather narrowly, confined to clinical observations or guidelines targeted at healthcare providers and negating the multifaceted nature of crisis as described by those with lived experience. Therefore, the aim of this paper is to explore the characteristics of and provide a conceptual definition for the concept of 'mental health crisis'. Rodgers' method of evolutionary concept analysis was employed and 34 articles, ranging from 1994 to 2021 and a variety of disciplines, were analysed. The results highlighted the contrast between clinically oriented surrogate terms and related concepts and those used by individuals with lived crisis experience. Antecedents of crisis included underlying vulnerabilities, relational dysfunction, collapse of life structure and struggles with activities of daily living. The concept's attributes encompassed the temporality of crisis, signs and symptoms of crisis, functional decline and crisis in family and caregivers. Finally, the consequences comprised looking inward for help, looking outward for help, and opportunities and dangers. This concept analysis serves as a foundational step in understanding 'mental health crisis' and its various dimensions, facilitating more nuanced discussions and interventions in the realm of mental healthcare.

Adherence to treatment in pulmonary tuberculosis: Rodgers' evolutionary concept analysis.

Adherence to treatment is essential for the management of pulmonary tuberculosis. Nurses and healthcare professionals play a significant role in promoting adherence behavior among this population. Nevertheless, defining adherence to treatment within this particular population remains complex. This study aimed to explore and clarify the concept of adherence to treatment among individuals with pulmonary tuberculosis. Rodgers' evolutionary concept analysis was employed in this study. A literature search was conducted in the PubMed and Scopus databases to identify relevant studies published between July 2013 and July 2023. The attributes of adherence to treatment in pulmonary tuberculosis consist of multiple components: biological, individual, social, health service, and policy-making processes. Antecedents include various patient-related factors as well as factors associated with clinical conditions and patient-health professional engagement. Three consequences of the concept have emerged: enhanced treatment efficacy, increased commitment to tuberculosis treatment adherence, and improved health service quality. This study provides a comprehensive operational definition of adherence to tuberculosis treatment, including its attributes, antecedents, and consequences. This framework will assist nurses in evaluating adherence more effectively. However, further research into the experiences of individuals adhering to tuberculosis treatment is needed to confirm and enhance these strategies.

Sense of coherence in stroke: A concept analysis with Rodger's evolutionary approach.

Sense of coherence (SoC) refers to how individuals cope with stress and maintain health, yet its concept remains no consensus about how it is defined and applied in the context of stroke care. This study aims to clarify the concept of SoC by reviewing its applications in various stroke populations and its changes across different stages of stroke. The adapted steps of Rodger's evolutionary approach of concept analysis were used to explore the attributes, surrogate or related terms, antecedents, and consequences of SoC in stroke. Twenty-five articles were included after evaluating 1065 records and 80 full-text articles. The SoC's attributes, characterized with dynamicity of comprehensibility, manageability, and meaningfulness in stroke, lie within the different stroke phases (acute, sub-acute and chronic). There is no surrogate term to SoC. Related terms included coping, resistance resources, resilience, hardiness, and readiness. Antecedents related to stroke survivors and informal caregivers included sociodemographic factors, body functioning factors, social factors, stroke-related factors, and caring factors. Consequences for stroke survivors, informal caregivers, and dyads included psychological status, health behavior, marital satisfaction, care provision, and perception of rehabilitation needs. The findings of the concept analysis of SoC in stroke reveal that this concept extends beyond survivors experienced stroke, and its comprehensive understanding needs considering various aspects including the SoC of informal caregivers, dyads, and family. This paper serves as a novel perspective for future stroke care, focusing on the needs for dynamic monitoring and adaptations to changes of SoC at different stages of stroke care. A proper understanding of SoC can also contribute to developing assessment tools and theoretical models in stroke care with some emphasis on the phases of strokes (attributes), demographic and functional characteristics (antecedents), and both stroke survivor-caregiver-related outcomes sensitive to SoC.

Three-way concept lattice from adjunctive positive and negative concepts

Three-way concept lattices (TCLs) have been widely explored due to their clear hierarchical structures, concise visual description and good interpretability. In contrast to classic formal contexts, lattice-valued fuzzy contexts exhibit great capability in describing and representing concepts with uncertainty. Different from conventional approaches to research of TCLs, this paper focuses on investigating the algebraic structure and properties of three-way concept lattice (TCL) stemmed from the positive concept lattice and negative concept lattice in a lattice-valued formal context. Several associated concept lattices such as the Cartesian product of positive concept lattice and negative lattice (i.e., pos-neg lattice), lattices induced from the partition of the pos-neg lattice, and their relationship are explored. Specifically, the isomorphism, embedding and order-preserving mappings between them are built. The quotient set of pos-neg lattice when being defined a specific equivalence relation on it is a complete lattice and each equivalence class is a lower semi-lattice. It is further declared that the structure of TCL is intrinsically and determined wholly by the pos-neg lattice. A practical application of the built theory of TCL is provided to sort alternatives in multi-criteria decision making.

Neuroleadership: A Concept Analysis and Implications for Nursing.

BACKGROUND: Neuroleadership in nursing is a specialized leadership approach that integrates insights from social neuroscience with nursing leadership practices, aiming to proficiently lead healthcare teams to enhance patient care, staff productivity, and organizational outcomes. Yet, the exploration of neuroleadership in nursing remains limited. AIM: The aim of this study was to provide an analysis of the concept of neuroleadership and its implications in the nursing context. METHODS: Walker and Avant's 8-step methodology was used for this concept analysis, including identifying the concept, clarifying the purpose of the analysis, exploring the uses of the concept, and defining its attributes, model and contrary cases, antecedents and consequences, and its empirical referents. A comprehensive search included PubMed, CINAHL, and ERIC, between 2000 and 2023. RESULTS: This concept analysis significantly contributes to the literature by providing a comprehensive overview of neuroleadership as a distinct form of nursing leadership. It covers key aspects such as definition, attributes, uses, cases, antecedents, consequences, and empirical evidence, and highlights the importance of specialized education, practical experience, and leadership attributes in this domain. The findings could serve as determinants for establishing a neuroleadership framework and developing a structured questionnaire to measure neuroleadership among nurses and nurse leaders, thereby addressing existing empirical reference gaps. CONCLUSION: Nurse leaders adopting a neuroleadership approach can gain insights into how cognitive processes shape nurses' behaviors and motivation, which directly impact patient outcomes and care quality. Further research is needed to assess the practical impact of neuroleadership and validate its factors and model case in clinical nursing practice.

The personalization of government: concept and comparative analysis

ABSTRACT The personalization of politics is one of the most important political phenomena of our time. Following the decline of traditional party government, various political systems have seen a radical shift of power from collective to individual actors. In this context, one of the main forms of the personalization of politics is the personalization of government. Heads of government have become more central to democratic executives due to their direct relationship with citizens, their greater control over government action, and structural changes in the institutional setting in which they operate. Although a large body of comparative evidence seems to support this trend, the existing literature has not yet offered a precise conceptual lens through which to do a detailed analysis of this transformation over time. This article introduces the concept of “monocratic government” as a way to study the personalization of government in terms of the ability of leaders to create consensus and use their powers effectively, and to analyse other contextual factors such as the party-system and executive-legislative relations. The last section analyses the Italian Republic over different time periods, paving the way for further comparative analysis.

Prophetic Medicine in the Context of Middle Eastern Culture: A Concept Analysis.

Background: Prophetic Medicine, integral to healthcare in Muslim-majority regions, particularly the Middle East and North Africa, is often underexplored in existing literature. Purpose: This concept analysis sought to explore the concept of Prophetic Medicine by delineating its attributes, antecedents, and consequences in order to augment healthcare providers' comprehension of Prophetic Medicine. It also seeks to enhance interdisciplinary dialogue, thereby enriching the integration of traditional healing modalities in modern medical practices. Methods: Walker and Avant's method was used to conduct the concept analysis by reviewing published literature on the concept. Results: The analysis identified the core attributes of Prophetic Medicine, such as Black Seeds, Dates, Miswak, Wet cupping, and Zamzam water, and explored cultural, spiritual, and practical underpinnings of these practices. Antecedents such as cultural background, spiritual beliefs, basic knowledge, lower cost, perceived safety, efficacy, simple techniques, and dissatisfaction with allopathic therapy were identified. The consequences of these practices include the multifaceted impact of Prophetic Medicine, highlighting the relationship between these traditional practices and health outcomes. Implications for Practice: This concept analysis underscores the significance of recognizing these aspects of Prophetic Medicine for healthcare providers to effectively integrate Prophetic Medicine into practice, aiming for favorable patient outcomes and fostering a more inclusive, culturally sensitive healthcare environment.

Neglect of older adults living with dementia in family caregiving: A dimensional concept analysis.

To present a concept analysis of neglect, specifically examining its occurrence and implications in the context of family caregiving for older adults living with dementia. A literature search was conducted in Medline, CINAHL, Scopus, and Embase databases in February 2023. Inclusion criteria targeted articles focusing on neglect in dementia family caregiving, leading to the identification of 11 articles for thorough review. Employing Caron and Bowers' dimensional analysis approach, the concept analysis aimed to elucidate neglect as a social construct shaped by diverse contexts, perspectives, and underlying assumptions. Neglect in this context emerged as a multidimensional phenomenon, influenced by contextual elements such as activities of daily living and behavioral symptoms of dementia. It encompasses dimensions including "expectations of unmet needs", "maladaptive behaviors", and "feelings of guilt", considering the perspectives of both caregivers and individuals living with dementia. Recognizing neglect as a dyadic phenomenon emphasizes the significance of interactions between caregivers and individuals living with dementia. A comprehensive understanding of neglect in dementia family caregiving is crucial for effective interventions and support systems. The dyadic perspective is vital for accurate assessment. Primary care physicians, mental health, nurses, and other health professionals play a key role in prevention and supporting family caregivers. Further research is needed to explore the dynamics of dementia caregiving settings strengthening prevention strategies against elder neglect.

Emotional Exhaustion: Concept Analysis for Nursing

Over the past two decades, emotional exhaustion has become one of the most prevalent issues affecting helping professions. In nursing, studies have shown that emotional exhaustion may affect not only the physical and mental health of nurses but also patient outcomes. This possibility highlights the need to explore emotional exhaustion to comprehensively understand this condition. Walker and Avant’s concept analysis method was used to analyze the concept of emotional exhaustion and identify its meanings, attributes, antecedents, consequences, empirical uses, and implications for nursing. Addressing emotional exhaustion among nurses is crucial to maintain patient safety, enhance the quality of nursing care, and improve healthcare organizations’ outcomes.

The Existence of A Court Decision With Legal Force Remains in the Process of Registering Land Ownership for the First Time

This research aims to analyze the position of court decisions that have permanent legal force in the certificate issuance process and the mechanism for issuing land ownership certificates based on court decisions that have permanent legal force. This research is normative research which places law as a building system of norms. The approaches used by the author are the Legislative Approach and the Legal Concept Analysis Approach. The research results show that the court decision can be a strong basis for changing or updating land ownership status in land registration records. In issuing a certificate of ownership of land, the application is submitted and the Badung Regency Land Office officer carries out a field inspection. A certificate is issued if the documents are complete which can also be seen from the absence of any notes in the land book.

A Concept Analysis of Maternal Resilience against Pregnancy-Related Mental Health Challenges in Low- and Middle-Income Countries.

Suicide accounts for 33% of deaths of women during the postnatal period in many low- and middle-income countries (LMICs). Resilience refers to an ability to adapt and recover from adversity or misfortune. Resilience building against mental health challenges during pregnancy and the postnatal period is critical for women to raise their child efficiently and maintain a healthy life. The exploration of maternal resilience against mental health challenges including its developmental processes and the determinants of its successful or unsuccessful cultivation among mothers during pregnancy and childbirth is of paramount importance. Understanding why a subset of mothers effectively develops resilience while others significantly struggle is critical for devising targeted interventions and support mechanisms aimed at improving maternal well-being. This inquiry not only seeks to delineate the factors that contribute to or hinder the development of resilience but also aims to inform the creation of comprehensive support systems that can bolster maternal health outcomes. This paper endeavors to present a comprehensive analysis of maternal resilience, aiming to cultivate a nuanced and profound understanding of the concept within the framework of previous traumatic events and adverse pregnancy outcomes in LMICs. The eight-step method approach proposed by Walker and Avant was utilized for this concept analysis. Several defining attributes were identified in the analysis including social adaptation, support system, optimistic approach, and mindfulness. This analysis contributes to knowledge advancement regarding maternal resilience and provides nurses and other healthcare professionals with a clear understanding of the concept of maternal resilience to help promote resilience among mothers.

Student nurses experiences of moral distress: A concept analysis.

To understand how pre-registration student nurses experience moral distress and refine the concept in this population. The experience of moral distress has positive and negative effects for health professionals and negatively impacts on patient care. Moral distress is a fluid concept which permits the experience to be varied among different populations. Despite empirical research, a concept analysis has not been performed in the student nurse population. Electronic databases were searched via Ebsco Host Complete and included Cinahl, Medline, APA Psych in March 2024. Search terms included 'Moral Distress' AND 'Student', 'Moral Distress' and 'Baccalaureate.' Search limits included articles between 2014 and 2024, English Language. Twenty-five papers were included in the review and consisted of eight quantitative studies, 11 qualitative studies, three mixed methods studies and three literature/systematic reviews. An integrated mixed research synthesis (Sandelowski, Voils, Barroso 2006) was conducted and organized into Walker, Avant's (2005) framework of antecedents, attributes and consequences. Braun and Clarkes (2006) thematic analysis was then used to generate themes from the literature. Antecedents emerged as students having moral sensitivity, they recognize unethical circumstances. Attributes identified roots of moral distress. These roots include poor patient care, harm to the patient and unsafe care. Students experience of morally reprehensible events is exacerbated by the disempowerment they experience as being 'just a student'. Student nurses who do not exhibit moral courage and do not oppose immoral practices do so due to internal constraints which transpire as fear of conflict, withdrawal of learning opportunities, and fear of disruption to learning. This is influenced by their registered nurse supervisor relationship. Consequences of moral distress identify negative feelings, coping mechanisms and positive effects. The attributes of moral distress in the student nurse population have distinctive features which should be considered by nurse educators and in empirical research. None, as this is a concept analysis that contributes to theory development and is not empirical research.

Exploring the deep learning of artificial intelligence in nursing: a concept analysis with Walker and Avant’s approach

BackgroundIn recent years, increased attention has been given to using deep learning (DL) of artificial intelligence (AI) in healthcare to address nursing challenges. The adoption of new technologies in nursing needs to be improved, and AI in nursing is still in its early stages. However, the current literature needs more clarity, which affects clinical practice, research, and theory development. This study aimed to clarify the meaning of deep learning and identify the defining attributes of artificial intelligence within nursing.MethodsWe conducted a concept analysis of the deep learning of AI in nursing care using Walker and Avant’s 8-step approach. Our search strategy employed Boolean techniques and MeSH terms across databases, including BMC, CINAHL, ClinicalKey for Nursing, Embase, Ovid, Scopus, SpringerLink and Spinger Nature, ProQuest, PubMed, and Web of Science. By focusing on relevant keywords in titles and abstracts from articles published between 2018 and 2024, we initially found 571 sources.ResultsThirty-seven articles that met the inclusion criteria were analyzed in this study. The attributes of evidence included four themes: focus and immersion, coding and understanding, arranging layers and algorithms, and implementing within the process of use cases to modify recommendations. Antecedents, unclear systems and communication, insufficient data management knowledge and support, and compound challenges can lead to suffering and risky caregiving tasks. Applying deep learning techniques enables nurses to simulate scenarios, predict outcomes, and plan care more precisely. Embracing deep learning equipment allows nurses to make better decisions. It empowers them with enhanced knowledge while ensuring adequate support and resources essential for caregiver and patient well-being. Access to necessary equipment is vital for high-quality home healthcare.ConclusionThis study provides a clearer understanding of the use of deep learning in nursing and its implications for nursing practice. Future research should focus on exploring the impact of deep learning on healthcare operations management through quantitative and qualitative studies. Additionally, developing a framework to guide the integration of deep learning into nursing practice is recommended to facilitate its adoption and implementation.