Repositioning Practice of Bedridden Patients: An Evolutionary Concept Analysis
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ABSTRACT: Introduction
Repositioning practice is an essential pressure ulcer prevention intervention that has
SUBMITTER: Iblasi A
PROVIDER: S-EPMC9201313 | biostudies-literature | 2022 Jan
REPOSITORIES: biostudies-literature
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Project description:Background and objectivesElderspeak is an inappropriate simplified speech register that sounds like baby talk and is used with older adults, especially in health care settings. Understanding the concept of elderspeak is challenging due to varying views about which communicative components constitute elderspeak and whether elderspeak is beneficial or harmful for older adults.Research design and methodsRodgers' evolutionary concept analysis method was used to evaluate the concept of elderspeak through identification of elderspeak's attributes, antecedents, and consequences. A systematic search using the PubMed, CINAHL, PsycINFO, and Embase databases was completed.ResultsEighty-three theoretical or research articles from 1981 to 2020 were identified. Elderspeak characteristics were categorized by semantic, syntactic, pragmatic, paralinguistic, and nonverbal attributes. The primary antecedent to elderspeak is implicit ageism, in which old age cues and signs of functional or cognitive impairment led to simplified communication, usually from a younger caregiver. Research studies varied in reporting whether elderspeak facilitated or interfered with comprehension by older adults, in part depending on the operational definition of elderspeak and experimental manipulations. Exaggerated prosody, a key feature of elderspeak, was found to reduce comprehension. Elderspeak was generally perceived as patronizing by older adults and speakers were perceived as less respectful. In persons with dementia, elderspeak also increases the probability of resistiveness to care, which is an important correlate of behavioral and psychological symptoms of dementia.Discussion and implicationsBased on this concept analysis, a new definition of elderspeak is proposed, in which attributes that have been found to enhance comprehension are differentiated from those that do not. Recommendations for consistent operationalization of elderspeak in future research are made.
| S-EPMC8406004 | biostudies-literature
Project description:AimsAging populations require adapting healthcare systems for older adult's specific needs. Numerous initiatives to improve older-patient care have emerged, but the field lacks a unified framework. The current study aims to provide a systematic concept analysis of 'age-friendly healthcare', examining its characteristics, components and structure.DesignRodger's evolutionary concept analysis.Data sourcesSearches were conducted in ProQuest, CINAHL, PubMed and Scopus databases between November 2022 and October 2023, utilising the PRISMA 2020 reporting checklist.MethodsA literature search using specific terms relevant to age-friendly healthcare retrieved 1407 articles. After screening for duplicates and relevance, 140 articles were examined for eligibility based on inclusion criteria for age-friendly care, language and full-text availability. Following full-text screening, 65 articles were included for data extraction by multiple researchers to synthesise theoretical, methodological and design elements.ResultsOur findings highlight key attributes of age-friendly healthcare: Respect for older adults' autonomy and needs; leadership and organisational knowledge and support; Proactive policies and processes of care; holistic care environments; and communication and follow-up with awareness of challenges and barriers as well as prioritisation of continuity-of-care.ConclusionThe concept of age-friendly healthcare is still developing, with much research focused on development and implementation rather than evaluation of real-world patient and health-system outcomes. Our analysis of the concept may help unify the field and clarify future research directions through identification of areas requiring further study and enable development of improved practices and policies for implementing age-friendly healthcare in a variety of settings.No patient or public contributionThis concept analysis did not include any patient or public involvement.Reporting methodThis study utilised the PRISMA reporting checklist.
| S-EPMC11579577 | biostudies-literature
Project description:ObjectiveCompetency denotes the ability to execute a certain task or action with the necessary knowledge. Competency definitions and measurements are challenging for nursing and other professions due to their multidimensional aspects. This study aimed to clarify the concept of competency in nursing practice and propose an accurate definition.DesignWalker and Avant's approach was used to elucidate the concept of competency in nursing practice.Data sourcesScienceDirect, PubMed, ProQuest, Scopus and CINAHL were searched from 1 January 2000 to 31 December 2021.Eligibility criteriaWe included studies with the keywords: "concept analysis", "competence", "competency" and "nursing". The search was limited to full-text studies written in English that used theoretical and empirical approaches.Data extraction and synthesisWe extracted the concept's uses, defining attributes, and the consequences and antecedents of the concept.Results60 articles were identified from the search process; after excluding duplicates and works unrelated to the study aim and context following the full-text screening, 10 articles were included in this concept analysis. The common defining attributes of competency were knowledge, self-assessment and dynamic state. Competency in nursing practice had many reported positive consequences that include but are not limited to improved patient, nurse and organisational outcomes.ConclusionsNurses can benefit from the result of this analysis in practice to implement professional care, in particular clinical contexts and situations to enhance patients' health.
| S-EPMC10255110 | biostudies-literature
Project description:Background/Objectives: In recent years, research has increasingly highlighted the significance of nursing practice environments, linking positive settings with enhanced job satisfaction, professional autonomy, and care quality. Such environments can decrease turnover, stress, and costs while improving patient safety. Despite this extensive literature, there is limited consensus on defining a 'positive nursing practice environment', highlighting the need for a systematic analysis to advance understanding and application. This study aims to explore and clarify the concept of a 'Positive Nursing Practice Environment'. Methods: This study applied Walker and Avant's approach for concept analysis, conducting a comprehensive database search to gather relevant evidence. To review the available evidence on the concept of nursing practice environments, we followed the methodology proposed by JBI for scoping reviews. Results: The inclusion of 166 studies meeting the criteria provided a broad understanding of the topic, revealing 10 key attributes of a 'positive nursing practice environment' and identifying various antecedents and consequences affecting clients, nurses, and institutions. Conclusions: The concept analysis of a 'Positive Nursing Practice Environment' offers valuable insights into nurses' working conditions, systematically identifying characteristics that impact professionals, patients, and institutions. This analysis lays the groundwork for future research and practical improvements in nursing practice environments. This study was not registered.
| S-EPMC11503395 | biostudies-literature
Project description:In the Dutch nursing context, work remains in strengthening the voice of nurses serving as frontline health care providers and board members alike. Conceptual clarity of Public Opinion Leadership (POL) in nursing practice is needed to provide attributes, antecedents and consequences for nurses and nurse leaders so they can contribute in the public debate and policy making processes. Using Rodgers' method of evolutionary concept analysis and the key words "POL," "lobbying" and "public affairs," we searched PubMed (including MEDLINE), CINAHL, PsycINFO and Cochrane Library for articles written in English, published between January 1999 and May 2020, which resulted in a final selection of seven studies. In addition, transcripts of an expert panel discussion regarding POL were analyzed. Attributes of POL are credibility, accessibility, altruism, dynamic networking and sense of systemness. Antecedents are a clinical background, authentic authority, policy and political awareness and strategic skills. The main consequences of POL entail influencing those who are involved in policy making processes, a new generation of public opinion leaders, and the raising of bottom-up political leaders. POL is a relatively new concept for nursing, with increasing interest given the need to ensure quality of care by increasing the use of evidence in clinical practice. POL in nursing practice is defined as the action of influencing public debate regarding policy making processes by maintaining dynamic (social) networks, having a high sense of systemness, and being (clinically) credible, altruistic and accessible to peers and a wide variety of stakeholders.
| S-EPMC8804936 | biostudies-literature
Project description:BackgroundThe environment of healthcare is complex and changeable, and the process of evidence-based practice is "dynamic". Nurses are required to have dynamic capabilities that adjust to changes. However, there is no clear concept of dynamic capabilities in the field of evidence-based practice. The concept of dynamic capabilities needs to be derived from the management field and defined in evidence-based practice.MethodsA Boolean search of the Web of Science, ProQuest, CINAHL, PubMed, and Emerald databases was conducted, and 35 articles met the inclusion criteria. The concept derivation and analysis strategy of Walker and Avant was used to form and define the concept of evidence-based practice dynamic capabilities. This method includes: selecting a concept, determining the aims of the analysis, identifying usages of the concept, determining the defining attributes, identifying antecedents, consequences, and allied concepts.ResultsSensing capability, learning capability, integration capability, and coordination capability are attributes of the concept. The antecedents include personal and infrastructure related factors. The consequences include improved patient outcomes, reduced medical costs, and increased nurse job satisfaction. The allied concept is evidence-based practice competence.ConclusionsAn operational definition of the concept was developed. The concept compensates for the shortcomings of the existing "evidence-based practice competence" concept and helps nursing managers establish a new perspective on the effective implementation of evidence-based practice.
| S-EPMC8825542 | biostudies-literature
Project description:AimNurse practitioners' added value is often mentioned in publications, but there is no consensus on what value is being added, what value is being added to, and in comparison with what can be considered to be an added value. A concept analysis was conducted to clarify the attributes, antecedents and meaning and better understand the Nurse practitioners' added value.DesignRodgers' evolutionary concept analysis.MethodsWe selected 16 studies from CINAHL, PubMed, Embase and Medline to conduct a thematic analysis, considering the date, location and discipline of publications.ResultsNurse practitioners' added value include: skills and competencies, activities performed, positive outcomes, and positive role perceptions, and antecedents and consequences were also identified. Nurse practitioners' added value is context-dependent and is often understood by comparing it to a context prior to implementation or other professional roles.
| S-EPMC10006655 | biostudies-literature
Project description: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.
| S-EPMC11373334 | biostudies-literature
Project description: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.
| S-EPMC11367927 | biostudies-literature
Project description:Shared trauma (ST) is a term historically applied to social work experiences, but other healthcare professionals (HCP) also experience ST. With the occurrence of COVID-19, ST has impacted HCP globally and has led to new discoveries and more questions regarding its scope, impact and duration. This article aims to explore the concept of ST applied to nurses in light of COVID-19 using the Rogers and Knafl Evolutionary Model for Concept Analysis. Further examination and evolution of 'shared trauma', particularly during COVID-19, has led to the development of an adapted model to explore the implications of ST on health-related outcomes for nurses.
| S-EPMC11445394 | biostudies-literature