Concept Analysis Research Articles

Using covering approaches to study concept lattices

Using covering approaches to study concept lattices

Representations of binary relations and object reduction of attribute-oriented concept lattices

Representations of binary relations and object reduction of attribute-oriented concept lattices

Individual Rumination in Adult Cancer Care: A Concept Analysis.

To conceptualize rumination in adult cancer care. Walker and Avant's concept analysis method was used to examine rumination in adults with cancer. A systematic search was conducted across psychology, nursing, medicine, and public health disciplines in PsycINFO, PubMed, Web of Science, CINAHL, and Scopus databases from their inception to April 2024. Additional records were identified by manually searching reference lists of relevant studies. Analysis of 50 articles identified rumination's three defining attributes (intrusions, brooding, instrumentality), antecedents (cancer-related adversity, pre-existing susceptibilities), and consequences (psychophysiological functioning impairments, long-term adaptation). Key features included trait-state duality, internal variability, external cyclicality, and high emotional correlation. This concept analysis establishes a preliminary conceptual model of rumination in adult cancer care, integrating its attributes, antecedents, and consequences. The model offers insights into rumination mechanisms, highlighting its complexity and variability, and may inform the development of targeted interventions and theoretical development for cancer population. Further research is needed to validate the model and explore its clinical applications. Understanding rumination in adult cancer care helps nurses identify and support at-risk patients. By recognizing key signs, nurses can implement targeted interventions to improve patients' emotional and psychological well-being, ultimately enhancing their long-term adaptation and quality of life.

A Conceptual Framework to Improve Resilience Among Undergraduate First-Year Nursing Students: A Mixed-Methods Study.

It is generally presumed that most undergraduate first-year nursing students are not prepared for the transition from basic to higher education. Resilience is recommended as a viable coping strategy that acts as a buffer to the adversities that undergraduate first-year nursing students experience. Therefore, the aim of this study was to develop and validate a conceptual framework to improve resilience among undergraduate first-year nursing students at a South African university. A multiphase concurrent mixed-methods research design was followed through concept analysis, and the empirical, development and validation phases. Development and validation of a conceptual framework were guided by Dickoff etal.'s practice-oriented theory model and e-Delphi, respectively. Data used for development of the conceptual framework were gathered from undergraduate first-year nursing students from two campuses of a South African university, while national and international experts in nursing education were used to validate a conceptual framework. The conceptual framework developed shows that the undergraduate first-year nursing students are at the centre of four contexts, namely South African university, work-integrated clinical facilities, the South African Nursing Council and South African higher education. The conceptual framework includes collaboration of stakeholders, mentoring and debriefing. The guiding principles of the conceptual framework encompass strengthening internal resources and establishment of a support group to achieve the terminus, which is characterised by undergraduate nursing students' improved transition from basic to higher education. In conclusion, the newly developed conceptual framework has the potential to improve resilience among undergraduate first-year nursing students.

Mapping the values of radiology

While there is an extensive literature on low-value imaging, there is no agreed definition of the concept. However, a clear and consistent definition of low-value imaging is crucial for providing comparable and targeted research, and for increasing the quality, safety, effectiveness, efficiency, and sustainability of imaging services. Accordingly, the purpose of this study is to provide a definition of low-value imaging. Review and assessment of definitions of low-value care and of practical measures of low-value imaging in the literature combined with standard concept analysis to elaborate a definition of low-value imaging according to standard criteria for definitions, such as precision, non-circularity, applicability, (theoretical) justification, and distinctability. The applicability of the suggested definition is assessed by testing it on practical tasks and examples. Based on a study of definitions of low value care and practical measures of low value imaging in the literature this study develops a definition of low-value imaging: Low value imaging is imaging that does not contribute to reducing the overall pain, dysfunction or suffering of the person that is examined (compared to alternative actions). Accordingly, low value imaging can result in more harm than benefit, may not change the clinical management of the patient, or not be cost-effective. The suggested definition satisfies general criteria for definition, is able to address practical tasks and examples of imaging, and can differentiate valuable from non-valuable imaging. A clear and consistent definition of low-value imaging is provided and is crucial for improving the quality, safety, effectiveness, efficiency, and sustainability of medical imaging. The suggested definition can be used to differentiate between valuable and non-valuable imaging.

Patient-Centered Diabetes Care: Concept Analysis

Healthcare organizations are constantly aiming to improve the performance of the health services provided for chronically ill people. This is done via the implementation of several models of care. In recent years, the concept of patient-centered care has received increasing attention. Although several definitions of patient-centered care exist in the literature, the conceptualization of this concept for people with diabetes mellitus is poorly understood. This research was conducted to explore and clarify current definitions of patient-centered diabetes care in the context of nursing practice. Rodgers’ evolutionary model of concept analysis method was used to guide this inquiry. Results indicate that, patient-centered care has a holistic perspective: an approach that is vital in the delivery of nursing services that support patients’ choices and autonomy in their healthcare decisions. Findings suggest that, for patients with diabetes mellitus, this approach to care increased efficacy, achieved positive patient outcomes, and resulted in better interactions between patients and their professional teams.

Self-Management in Children and Adolescents With Chronic Illness: An Evolutionary Analysis of the Concept.

To increase conceptual clarity regarding the self-management of school-age children and adolescents with chronic illnesses in a community context. Concept Analysis: Rodgers' evolutionary approach. Search conducted in the Cumulative Index to Nursing and Allied Health Literature, Psychology and Behavioural Sciences Collection, Nursing and Allied Health Collection, Academic Search Complete, Cochrane, Web of Science, Medical Literature Analysis and Retrieval System Online, Scopus, Repositório Científico de Acesso Aberto de Portugal, ProQuest Dissertations and Theses, Joanna Briggs Institute Evidence Synthesis. Thirty-one articles were identified, published between 2004 and 2023. Followed the Enhancing the Quality and Transparency of Health Research guidelines-Preferred Reporting Items for Systematic Reviews and Meta-Analyses 2020. Self-management in children and adolescents with chronic illness, in school age, in a community context, consists of a process of acquiring knowledge and beliefs that promote the self-efficacy of this population in developing skills to face needs inherent to the health condition. Promoting self-management goes beyond simply educating for skill acquisition. Participants with stronger beliefs in their ability to control their behaviours are more successful in self-management. The activation of resources that position the child as an agent of change is recommended. It contributes to the development of strategies that promote self-management across different healthcare disciplines, focusing on education and change, but also on psychological encouragement to foster confidence in change. Competent self-management during childhood promotes autonomy, empowerment, and control of the condition, with consequent physical and emotional well-being, quality of life, family stability, and social development. There was no direct contribution from patients or the public in this work (literature review).

In Search of L-Fuzzy Contexts Adaptable to Variable Information: A Tool for Time-Varying Data Analysis

This paper sheds light on the study of a new structure, called L-fuzzy hypercontext, which provides an extension of the range of applications of fuzzy concept analysis. The advantage of working with L-fuzzy hypercontexts lies in the fact that we can establish relation among elements such that their values are, in turn, other relations. Thus, they are easily adaptable to different situations that vary over time. The usefulness of the developed theory is illustrated by a practical case in which the valuation made by the different clients of a hotel company is analyzed.

The Effectiveness of Augmented Reality as a Learning Medium in Enhancing Students' Motivation and Their Ability to Analyze Physics Concepts

One of the primary challenges students face in learning physics is low motivation and a limited ability to analyze physics concepts. This issue is often attributed to traditional teaching methods that heavily rely on textbooks, which may not engage students effectively. This study investigates the effectiveness of augmented reality-based learning media in enhancing students' learning motivation and their ability to analyze physics concepts. A total of 67 students were randomly selected as the research sample. The study employs a quantitative research design using a pretest-posttest approach. Data were analyzed using the N-gain test and multivariate analysis of covariance (Mancova). The findings from the N-gain test indicate a significant improvement in both students' motivation to learn and their ability to analyze physics concepts. Furthermore, the Mancova results demonstrate that augmented reality-based learning media positively influence students' final learning motivation and analytical abilities. These effects are observed after controlling for students' initial learning motivation and baseline concept analysis abilities in physics

Understanding compassion fatigue among social workers: a scoping review

Exposure to significant sources of trauma and stress among social workers is increasingly identified as an important issue that can impact the quality of professional services, and the social worker’s well-being. There is more and more literature focusing on this phenomenon and related concepts. However, to our knowledge, there has been no published systematic review of the literature on compassion fatigue (CF) among social workers. Therefore, we performed a systematic scoping review by searching five electronic databases for studies published from 2001 to 2021, with the aim of identifying relevant literature. A total of twenty-nine studies were selected in the review following the systematic search strategy. Five themes were identified through the use of a narrative approach to synthesizing the literature by a Five-step framework of scoping review, including the prevalence, factors related, attributes and characteristics, consequences and strategies or interventions to reduce compassion fatigue among social workers. Findings revealed that few studies had examined the consequences and tested the effectiveness of specific interventions. Furthermore, future research involving concept analysis and related theoretical model was required in the field of social work.

Citation Concept Analysis (CCA) of concepts introduced by Pierre Bourdieu: Measuring their impact across fields and periods

ABSTRACT Purpose Citations can be used in evaluative bibliometrics to measure the impact of papers. However, citation analysis can be extended by a multi-dimensional perspective on citation impact which is intended to receive more specific information about the kind of received impact. Design/methodology/approach Bornmann, Wray, and Haunschild (2019) introduced citation concept analysis (CCA) for capturing the importance and usefulness certain concepts have in subsequent research. The method is based on the analysis of citances – the contexts of citations in citing papers. This study applies the method by investigating the impact of various concepts introduced in the oeuvre of the world-leading French sociologist Pierre Bourdieu. Findings We found that the most cited concepts are ‘social capital’ (with about 34% of the citances in the citing papers), ‘cultural capital’, and ‘habitus’ (both with about 24%). On the other hand, the concepts ‘doxa’ and ‘reflexivity’ score only about 1% each. Research limitations The formulation of search terms for identifying the concepts in the data and the citation context coverage are the most important limitations of the study. Practical implications The results of this explorative study reflect the historical development of Bourdieu’s thought and its interface with different fields of study. Originality/value The study demonstrates the high explanatory power of the CCA method.

Pigouvian Concept Analysis Tax and Earmarking Tax in the Implementation of Motor Vehicle Tax

Pigouvian Concept Analysis Tax and Earmarking Tax in the Implementation of Motor Vehicle Tax

Trust: an essential component in nursing crisis leadership; a hybrid concept analysis

BackgroundGiven the increasing trend of disasters, terrorist attacks, pandemics and other crises, crisis leadership is crucial for nurses who lead others and for those working in such situations. There is a need to define and explore the concept of trust as a component of crisis leadership in nursing.This concept analysis aimed to explore the concept of trust in crisis leadership from a nursing perspective.MethodsA hybrid concept analysis was conducted. The method consisted of three phases: (I) a theoretical phase relying on a structured literature search, including 11 scientific publications; (II) a field-work phase, in which qualitative thematic analysis of interviews with 30 nurses who had been deployed and/or had led others during crises, was conducted and (III) a final analytic phase, where the results from these data collections were merged.ResultsThe analysis suggested that the fundamentals of trust included a perceived intention to do good, the capabilities of both the leader and the team and the perceived predictability of the leader’s behaviour. Trust was found to be built on a perceived forward-looking direction, self-trust and the personal attributes of the leader, such as ethical conduct, the ability to predict the development of crises and an intention to take responsibility and be honest. The social attributes of the relationship between the leader and the team included the intention not to leave anyone behind, loyalty and fostering a sense of belonging among team members. The organisational attributes included a clear organisational structure and clarity of mandate.ConclusionsTrust is an essential component of crisis leadership that depends on a leader’s perceived intention to do good, predictability of the leader’s behaviour and the capabilities of both the leader and the team. The development of trust relies on the personal attributes of the leader, the social relationship between the leader and the team and organisational attributes. Nurses appointed to lead others during a crisis need to understand the fundamentals of trust as part of leadership in highly demanding situations. Thus, it can be argued that being a leader in a crisis situation requires distinct personal and professional attributes and skills compared to those used to meet routine demands.

Thriving not surviving: A thriving nursing student concept analysis

Aims: The primary aim of this review was to complete an analysis of a thriving nursing student with a goal of producing a new definition instead of a successful nursing student. Design: A concept analysis design was used. Data sources: A literature review was completed using CINHAL, PubMed databases, and grey literature. Search terms included (nursing student success OR thriving) AND (student success or academic achievement or academic performance or academic success or student retention) AND (nursing education AND success OR thriving) AND (college student success OR thriving). Review Methods: A combination of Walker & Avant and Chinn & Kramer systematic concept analysis approaches were used. Results: 57 articles met inclusion criteria. Of those 57 articles, 29 were included in this review. Three defining attributes were identified: academic success, clinical success, and psychological well-being. The antecedents, consequences, and empirical referents are also highlighted and discussed. Conclusions: The current definition of success proves to be inadequate for nursing students. The concept of a thriving nursing student can help educators identify those at-risk early, is adaptable and appropriate as students traverse the transition of a nursing program, and includes a focus on mental health and well-being instead of simply academic achievements.

Caregiver Burden in Caring for Children with Cerebral Palsy: A Concept Analysis

Purpose: To explore the concept of caregiver burden and clarify its meaning in caring for children with cerebral palsy. Methodology The concept analysis used Walker and Avant's approach to develop a working definition of caregiver burden. Five electronic databases: Embase, Ovid Medline, Web of Science, Cochrane Library, and CINAHL were searched for articles written in English. Quantitative and qualitative studies related to caregiver burden in caring for children with cerebral palsy were included. Findings: Of the 2986 articles yielded by the search, 24 articles were included in the analysis. The identified defining attributes of caregiver burden are heavy load, long-term care due to developmental disability, subjective experience, and multidimensional/complex phenomena. Case, borderline, and contrary models are provided to demonstrate caregiver burden in caring for children with cerebral palsy. Antecedents include the severity of the child’s disability, lack of support, financial constraints, and confinement (restricted participation in social activities). Caregivers face consequences of caregiver burden such as lifestyle disruption, family function decline, decreased caregiver quality of life, and reduced care provision. Unique Contribution to Theory, Policy, and Practice: The study explores the emotional, physical, social, and financial aspects of caregiver burden in children with cerebral palsy, highlighting its impact on various cultural contexts influencing theoretical caregiving stress and adaptation models. The analysis provides evidence for the need for inclusive policy changes that address caregiver burden, such as increased respite care, financial support, and specialized health services. It recommends that the healthcare sector can reduce caregiver burden by identifying and establishing supportive structures early, promoting caregivers' health, and improving the quality of care.

STRATEGI PENGEMBANGAN DESA WISATA BENGKEL, TABANAN

Bengkel Village is one of the pilot tourism villages in Tabanan Regency with potential in natural, cultural, and man-made tourism attractions, making it highly suitable for development. This research aims to assess the internal and external conditions of Bengkel Tourism Village and propose strategies for its sustainable tourism development in Tabanan Regency. Data collection methods include observation, in-depth interviews, documentation, and literature review. The study utilizes the AFITH concept (Attraction, Facilities, Infrastructure, Transportation, and Hospitality) and PEST analysis (Political, Economic, Social, and Technological). Informants were selected using purposive sampling, comprising key informants, primary informants, and additional informants. The findings identify four strategic points for Bengkel Tourism Village development: attraction and tourism destination enhancement strategy, comprehensive tourism program strategy, quality improvement strategy, and human resources development strategy.

REFINING CLINICAL PRACTICE THROUGH VERBAL FEEDBACK: A CONCEPT ANALYSIS

This study explores the significance and impact of verbal feedback in nursing education, focusing on its role in enhancing cognitive, metacognitive, affective, and professional competencies. The research employs a comprehensive concept analysis following the methodology proposed by Walker and Avant (2011). The defining attributes of verbal feedback, such as focus, valence, clarity, timeliness, specificity, and tone, are identified and discussed. Model, borderline, and contrary cases are presented to illustrate the application of verbal feedback in clinical scenarios. Antecedents, including teachers' competency, self-awareness, and active participation, are explored, along with the consequences, such as improved cognitive performance, increased motivation, patient satisfaction, strengthened teacher-student relationships, and enhanced educational quality. The study concludes by emphasizing the importance of structured and one-on-one verbal feedback for continuous improvement in nursing practice.

Preconception Care: A Concept Analysis of an Evolving Paradigm.

To clarify the concept of preconception care and develop a precise and inclusive definition to improve its implementation and impact on reproductive health outcomes. This concept analysis paper employs Rodgers' evolutionary method to analyse the concept of preconception care, examining its historical evolution, attributes, antecedents and consequences. A comprehensive literature review was conducted using databases such as Cumulative Index to Nursing and Allied Health Literature, Scopus, MEDLINE and Google Scholar, covering publications from 2012 to 2024. Data extraction involved identifying surrogate and related terms, attributes, antecedents and consequences of preconception care. A total of 1520 publications were retrieved, with 166 meeting eligibility criteria. Using systematic random sampling, 40 articles were selected for in-depth analysis. The analysis revealed that preconception care encompasses several attributes: period-related (biological, individual, public health and intergenerational), target population-related (individual, public and intergenerational) and pathway-related (universal, targeted and comprehensive). Antecedents include desires for a healthy baby and family planning decisions. Consequently, it improves pregnancy outcomes and health equity and enhances community and intergenerational health. The proposed operational definition highlights preconception care as a proactive strategy to optimise health before pregnancy through targeted and inclusive interventions. Preconception care is a dynamic and multifaceted process that extends from immediate preconception periods to long-term health considerations. Addressing diverse needs and effectively improving health outcomes requires a tailored approach considering individual, public and intergenerational perspectives. A transparent and inclusive definition of preconception care will enable healthcare professionals, particularly nurses, to deliver more effective, culturally sensitive and equitable care. It will support advocacy for policy changes, resource allocation and educational initiatives to enhance preconception health. Addressing preconception care's complexities and diverse needs will foster a more comprehensive understanding and implementation of preconception care, ultimately improving reproductive health outcomes and promoting health equity across generations. As this concept analysis was derived from published articles, patients or the public were not involved in the study's design, conduct or reporting.

Trauma-Related Shame

ABSTRACT Background Feelings of shame after interpersonal assault directly impact survivor well-being. Although the concept of trauma-related shame has been well defined and applied in psychology, the direct application to nursing care for victims of sexual assault is unclear. Objective The aim of this study was to perform an interdisciplinary concept analysis to clarify and synthesize the concept of trauma-related shame as it relates to interpersonal assault. Method A multidisciplinary literature search was conducted using the term “trauma-related shame.” Article titles and abstracts were reviewed for significance to interpersonal assault. Rodgers' evolutionary method of concept analysis was used to identify attributes and related concepts and also clarify the contextual basis of trauma-related shame. Results The search resulted in 150 articles, 15 of which met the specified inclusion criteria. Fourteen of the selected articles were research studies, and one was a systematic review. A thematic analysis was used, and two attributes were identified: self-devaluation and self-isolation. An experience of trauma, fear, multivictimization, preexisting shame, low self-esteem, stigmatized events, and negative reactions from others were identified as antecedents. Finally, when reviewing for consequences, anxiety, depression, posttraumatic stress disorder, acute stress disorder, distress, poor health outcomes, social withdrawal, and suicidal tendencies were identified as common themes. Conclusion This concept analysis is a first step in the further development and implementation of trauma-related shame in nursing. It will be vital to the provision of holistic care for the profession to conduct research and publish literature related to shame for survivors of interpersonal traumatic events.

A concept analysis of the recurrence-related to diabetic foot ulcers

Background and Purpose There is inconsistency and lack of conceptual clarity regarding the concept of “recurrence” in diabetes-related foot ulcers. Therefore, the purpose of this concept analysis is to analyze the concept of recurrence-related to diabetes-related foot ulcer after the healing of a previous foot ulcer. Method The Rodger's evolutionary concept analysis method was employed to analyze the concept of recurrence in diabetes-related foot ulcers. Eight databases, including PubMed, EMBASE, CINAHL Plus with Full Text, MEDLINE with Full Text (EBSCO), Web of Science, Cochrane Library, PsychoINFO, and Scopus, were searched. Additionally, Google Scholar, bibliographies, and hand searching were conducted. The search spanned from inception through August 13, 2023, yielding 3290 studies. Among these, 3242 did not meet the inclusion criteria, leaving 46 articles that fulfilled the criteria. Findings In a majority of the studies (n = 20, 43%), diabetes-related foot ulcer recurrence occurred at the same site after the healing of previous foot ulcers. In contrast, in fourteen (20%) studies, the diabetes-related foot ulcer recurrence was described as not at the same site as the previous foot ulcer. In the other twelve (26%) studies, the attribute of recurrence was not identified. Conclusions The concept of recurrence-related to diabetes-related foot ulcer should be reserved for diabetes-related foot ulcers at the same site after the healing of previous foot ulcers.