A concept analysis of professional commitment in nursing

2017 ◽  
Vol 26 (3) ◽  
pp. 778-797 ◽  
Author(s):  
Loreto García-Moyano ◽  
Rogelio Altisent ◽  
Begoña Pellicer-García ◽  
Sandra Guerrero-Portillo ◽  
Oihana Arrazola-Alberdi ◽  
...  

Background: The concept of professional commitment is being widely studied at present. However, although it is considered an indicator for the most human part of nursing care, there is no clear definition for it, and different descriptors are being used indiscriminately to reference it. Objective: The aim of this study is to clarify the concept of professional commitment in nursing through the Rodgers’ evolutionary concept analysis process. Design: Systematic search using English and Spanish descriptors and concept analysis. Studies published between 2009 and June 2015, front-to-back analysis of the Nursing Ethics journal and manual check of articles cited in studies related to the Nijmegen Professionalism Scale. Research design: The procedure of concept analysis developed by Rodgers was used. Ethical considerations: Although the topic was not labeled as sensitive and subject to ethical approval, its realization was approved by the Ethical Committee of Clinical Research of Aragon (CEICA) approved the study on 18 March 2015 and also careful procedures have been followed according to ethics expressed in the Declaration of Helsinki. Findings and discussion: A total of 17 published studies. A clear definition of the concept was made, and surrogate terms, concept dimension, differential factors related to the concept, sociocultural variations and consequences for nursing practice were identified. Conclusion: There is a need for continuous advancement in the development of the concept, specific actions to encourage this and the improvement of evaluation methods for its study.

Curationis ◽  
2012 ◽  
Vol 35 (1) ◽  
Author(s):  
Lydia V. Monareng

Although the concept ‘spiritual nursing care’ has its roots in the history of the nursing profession, many nurses in practice have difficulty integrating the concept into practice. There is an ongoing debate in the empirical literature about its definition, clarity and application in nursing practice. The study aimed to develop an operational definition of the concept and its application in clinical practice. A qualitative study was conducted to explore and describe how professional nurses render spiritual nursing care. A purposive sampling method was used to recruit the sample. Individual and focus group interviews were audio-taped and transcribed verbatim. Trustworthiness was ensured through strategies of truth value, applicability, consistency and neutrality. Data were analysed using the NUD*IST power version 4 software, constant comparison, open, axial and selective coding. Tech’s eight steps of analysis were also used, which led to the emergence of themes, categories and sub-categories. Concept analysis was conducted through a comprehensive literature review and as a result ‘caring presence’ was identified as the core variable from which all the other characteristics of spiritual nursing care arise. An operational definition of spiritual nursing care based on the findings was that humane care is demonstrated by showing caring presence, respect and concern for meeting the needs not only of the body and mind of patients, but also their spiritual needs of hope and meaning in the midst of health crisis, which demand equal attention for optimal care from both religious and nonreligious nurses.


2014 ◽  
Vol 20 (4) ◽  
pp. 227-233 ◽  
Author(s):  
Colleen Marzilli

Culture is an important concept, especially when applied to nursing. A concept analysis of culture is essential to understanding the meaning of the word. This article applies Rodgers’ (2000) concept analysis template and provides a definition of the word culture as it applies to nursing practice. This article supplies examples of the concept of culture to aid the reader in understanding its application to nursing and includes a case study demonstrating components of culture that must be respected and included when providing health care.


2014 ◽  
Vol 18 (4) ◽  
pp. 7-13
Author(s):  
Vanessa M. Manila,

This paper clarifies and develops the meaning of parental efficacy in nursing practice using Walker and Avant’s method of concept analysis. Analysis of the concept revealed various terms used to mean parental efficacy with common attributes such as perception, judgment, belief, capability, and behavior toward parenting role. Parental efficacy is a concept derived from the self-efficacy theory of Bandura. Construct limitations and the dynamic nature of nursing justified efforts to develop the concept to become applicable to the practice of nursing. The meaning of efficacy with the inclusion of components of transcultural caring theory by Leininger was performed. A conceptual derivation of parental efficacy in nursing practice meant an outcome of a culturally congruent nursing care where parents accomplish certain tasks beneficial to the state of health, growth, and development of the child. A model and contrary case explicates the attributes of the concept.


2020 ◽  
Vol 27 (1) ◽  
pp. 22-32 ◽  
Author(s):  
Michelle Clark ◽  
Amanda Emerson

BACKGROUND: There is robust literature on spirituality in nursing. Despite the unique needs of those with serious mental illness, there has been little exploration of spirituality in the context of nursing care for this population. Lacking a well-defined concept of spirituality in psychiatric care, mental health nurses often struggle to provide optimal, holistic care. AIMS: The aim of this concept analysis was to review definitions and descriptions of spirituality in the psychiatric nursing literature to synthesize a usable definition to inform practice and provide a basis for future study. METHOD: Beth Rodgers’s evolutionary concept analysis method was followed to inductively derive a definition of spirituality in psychiatric nursing care. Steps included identification of the concept, setting, and sample; synthesis of key attributes, antecedents, and consequences from the literature; and a discussion of implications. A search in the psychiatric nursing literature (1998-2019) included literature reviews, case studies, concept analyses, qualitative interview studies, and quantitative survey research. RESULTS: Spirituality in psychiatric nursing was defined by attributes of a search for life meaning and purpose and a sense of connectedness. Spirituality in the practice of psychiatric nursing was a result of value-influenced thinking and a capability for interaction with others. Consequences included consolation and positive or negative coping. CONCLUSIONS: A clearly defined concept of spirituality in psychiatric nursing can provide a basis for clinical confidence for nurses in identifying patient spiritual needs and choosing appropriate interventions to support those needs.


2014 ◽  
Vol 21 (6) ◽  
pp. 642-658 ◽  
Author(s):  
Kara Schick Makaroff ◽  
Janet Storch ◽  
Bernie Pauly ◽  
Lorelei Newton

Background: Attention to ethical leadership in nursing has diminished over the past several decades. Objectives: The aim of our study was to investigate how frontline nurses and formal nurse leaders envision ethical nursing leadership. Research design: Meta-ethnography was used to guide our analysis and synthesis of four studies that explored the notion of ethical nursing leadership. Participants and research context: These four original studies were conducted from 1999-2008 in Canada with 601 participants. Ethical considerations: Ethical approval from the original studies covered future analysis. Findings: Using the analytic strategy of lines-of-argument, we found that 1) ethical nursing leadership must be responsive to practitioners and to the contextual system in which they and formal nurse leaders work, and 2) ethical nursing leadership requires receiving and providing support to increase the capacity to practice and discuss ethics in the day-to-day. Discussion and conclusion: Formal nurse leaders play a critical, yet often neglected role, in providing ethical leadership and supporting ethical nursing practice at the point of patient care.


2012 ◽  
Vol 25 (4) ◽  
pp. 326-331 ◽  
Author(s):  
Carolyn Horne

This column is a review of the use of the term transparency as it relates to healthcare with specific emphasis on nursing practice. Concept analysis is guided by Parse’s concept inventing approach. The relevance of this concept to nursing has become increasing important in the language of healthcare. There is no standard definition of the term in nursing or healthcare. Transparency or lack thereof shapes the future of disciplines. The author provides a theoretical definition of transparency for nurses to consider.


2021 ◽  
Vol 13 (4) ◽  
pp. 12
Author(s):  
Mary Chabeli ◽  
Anna Nolte ◽  
Gugu Ndawo

Authentic learning (AL) is a learner-centred approach in which learners co-construct their own knowledge by engaging in and addressing real life problems that demand the use of higher order thinking skills (HOTS), real world resources and tools while thinking and acting like experts. However, AL is a concept that is ambiguous and abstract therefore challenges nurse educators in fully engaging learners in such problems thus limiting their development of HOTS. The purpose of this article was to describe the concept analysis process that was followed to clarify AL, provide conceptual meaning in nursing education, and formulate a theoretical definition using Walker and Avant’s eight-step method. Definitions, nature, characteristics and uses of AL were sought and the researchers explored 160 publications which included dictionaries, encyclopaedias, thesauri, conference papers, research reports, journal articles and subject-related literature across multiple disciplines to critically analyse AL. A 17-year period from 1988 to 2015 was used to search several databases. The defining attributes which included antecedents, the process and consequences of AL emerged. The consequence of AL in nursing education is a competent, critical, autonomous, independent, lifelong graduate desirable for the 21st-century global healthcare system. A theoretical definition of AL was also formulated. The study findings indicated that nurse educators can be assisted to design AL tasks that expose learners to AL thus implications were stated and recommendations were made.


Author(s):  
Kuntarti ◽  
Yeni Rustina ◽  
Jahja Umar ◽  
Dewi Irawati

Caring as a human trait means that a nurse should have a caring personality. As a personality, caring will be an enduring characteristic and behavior; so, a caring nurse always shows caring behavior throughout his or her lifetime. Although experts have studied and applied the concept of caring, studies on the concept of a caring personality are rare. The purpose of this article is to conceptualize the meaning and significance of a caring personality among nurses providing nursing care. To achieve this, we used the Walker and Avant concept analysis approach. The attributes of a caring personality include (1) altruism, (2) emotional intelligence, (3) emotional stability, (4) personal integrity, and (5) optimism. The antecedents of these attributes are biological bases, characteristic adaptation, and learning organization. Nurses with caring personalities will have an impact on professional caring and patient satisfaction. This article presents case examples and a definition of a caring personality. This study concludes that a caring personality in a nurse is an essential foundation for the provision of professional care and satisfaction of patients in nursing care and that the nurse must have a caring personality, in order to provide high-quality, humanized healthcare.


Curationis ◽  
2007 ◽  
Vol 30 (4) ◽  
Author(s):  
A.A. Tjale ◽  
J. Bruce

Holistic nursing care is widely advocated and is espoused in the philosophy of the South African Nursing Council. This concept is unclear, variously interpreted and poorly understood in paediatric nursing. This study was undertaken to examine the meaning of holistic nursing care and to develop a framework for holistic nursing care, which can be utilised in nurse education settings and in clinical nursing practice in the context of paediatric nursing. A qualitative, interpretive, explorative and contextual research design was used. An evolutionary concept analysis was undertaken to clarify the concept “holistic nursing care” in paediatric nursing in three Johannesburg hospitals. Rodgers’ (1989, 2000) evolutionary method was utilised to analyse the concept.


2019 ◽  
Vol 27 (1) ◽  
pp. 141-151 ◽  
Author(s):  
Mohammad Abbasinia ◽  
Fazlollah Ahmadi ◽  
Anoshirvan Kazemnejad

Background: The concept of patient advocacy is still poorly understood and not clearly conceptualized. Therefore, there is a gap between the ideal of patient advocacy and the reality of practice. In order to increase nursing actions as a patient advocate, a comprehensive and clear definition of this concept is necessary. Research objective: This study aimed to offer a comprehensive and clear definition of patient advocacy. Research design: A total of 46 articles and 2 books published between 1850 and 2016 and related to the concept of patient advocacy were selected from six databases and considered for concept analysis based on Rodgers’ evolutionary approach. Ethical considerations: This study was approved by the Research Ethics Committee of Tarbiat Modares University. Findings: The attributes of patient advocacy are safeguarding (track medical errors, and protecting patients from incompetency or misconduct of co-workers and other members of healthcare team), apprising (providing information about the patient’s diagnosis, treatment, and prognosis, suggesting alternatives of healthcare, and providing information about discharge program), valuing (maintaining self-control, enabling patients to make decisions freely, maintaining individualization and humanity, maintaining patient privacy, and acting in the patients’ values, culture, beliefs, and preferences), mediating (liaison between patients, families, and healthcare professionals, being patients’ voice, and communicate patient preferences and cultural values to members of the healthcare team), and championing social justice in the provision of healthcare (confronting inappropriate policies or rules in the healthcare system, identifying and correcting inequalities in delivery of health services, and facilitating access to community health services and health resources). Discussion and conclusion: The analysis of this concept can help to develop educational or managerial theories, design instruments for evaluating the performance of nurses in patient advocacy, develop strategies for enhancing patient advocacy, and improve the safety and quality of nursing care in the community and healthcare system.


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