Patient advocacy in nursing: A concept analysis

2019 ◽  
Vol 27 (1) ◽  
pp. 141-151 ◽  
Author(s):  
Mohammad Abbasinia ◽  
Fazlollah Ahmadi ◽  
Anoshirvan Kazemnejad
Keyword(s):  
Health Services ◽  
Cultural Values ◽  
Healthcare System ◽  
Patient Advocacy ◽  
Concept Analysis ◽  
Self Control ◽  
Healthcare Team ◽  
Clear Definition ◽  
Patient Privacy ◽  
Definition Of

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.

scholarly journals Criteria for the effectiveness of normative legal regulation of the right to freedom of creativity in Ukraine

2020 ◽  
pp. 62-66
Author(s):  
Natalia Opolska
Keyword(s):  
Cultural Values ◽  
Legal Regulation ◽  
The State ◽  
Legal Responsibility ◽  
Clear Definition ◽  
Creative Activity ◽  
Intellectual Activity ◽  
Definition Of ◽  
The Right ◽  
Political Realities

The article presents the result of determining the effectiveness of normative legal regulation of the right to freedom of creativity. It is established that the criteria of effectiveness are: a) the perfection of legal regulation of the right to freedom of creativity; b) conformity of normative legal acts in the sphere of the right to freedom of creativity with socio-economic and political realities, possibilities of exercising the norms of the right of creative competences enshrined therein and their protection in court; c) reduction of imperative, imperative methods of regulation by increasing the dispositive methods; d) a clear definition of the types of legal responsibility for the violation of the right to freedom of creativity. As a result of the theoretical modeling of the evaluation of the effectiveness of the normative legal regulation of the right to creativity in Ukraine, it is proposed to amend the legislation. It is proved that Article 54 of the Constitution of Ukraine should be set out in the following wording: types of intellectual activity. Everyone is guaranteed the right to the results of his intellectual, creative activity; no one may use or distribute them without his or her consent, except as provided by law. The state contributes to the development of all kinds of creative activity, establishing appropriate ties of Ukraine with the world community. Cultural heritage is protected by law. The state ensures the preservation of historical monuments and other objects of cultural value, takes measures to return to Ukraine cultural values of the people who are beyond its borders. " It is substantiated that these changes will enhance the effectiveness of ensuring the right to freedom of creativity in terms of creating a scientifically sound system of legislation and its ability to ensure that the real needs and interests of the subjects of law are harmonized. The inconsistency of normative legal acts in the sphere of the right to freedom of creativity with socio-economic and political realities has been proved. There is a lack of effective socio-economic support for creators, creative unions and associations. It is substantiated that tendencies of socio-economic development should be directed to the development of science, technology, and culture. It is noted that the absence of a definition of the concept of academic responsibility in the legislation testifies to the lack of a clear definition of the types of legal responsibility for violations in the field of the right to creative work.

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 ◽  
...  
Keyword(s):  
Nursing Care ◽  
Nursing Practice ◽  
Back Analysis ◽  
Concept Analysis ◽  
Professional Commitment ◽  
Clear Definition ◽  
Ethical Considerations ◽  
Analysis Process ◽  
Ethical Approval ◽  
Definition Of

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.

The first flush in sewer systems

1996 ◽  
Vol 33 (9) ◽  
pp. 101-108 ◽  
Author(s):  
Agnès Saget ◽  
Ghassan Chebbo ◽  
Jean-Luc Bertrand-Krajewski
Keyword(s):  
Treatment Strategy ◽  
Real Data ◽  
First Flush ◽  
Clear Definition ◽  
Controversial Subject ◽  
Sewer Systems ◽  
Wet Weather ◽  
Definition Of ◽  
Appearance Frequency

The first flush phenomenon of urban wet weather discharges is presently a controversial subject. Scientists do not agree with its reality, nor with its influences on the size of treatment works. Those disagreements mainly result from the unclear definition of the phenomenon. The objective of this article is first to provide a simple and clear definition of the first flush and then to apply it to real data and to obtain results about its appearance frequency. The data originate from the French database based on the quality of urban wet weather discharges. We use 80 events from 7 separately sewered basins, and 117 events from 7 combined sewered basins. The main result is that the first flush phenomenon is very scarce, anyway too scarce to be used to elaborate a treatment strategy against pollution generated by urban wet weather discharges.

scholarly journals SIMULTANEOUS DEFINITION OF KEY CHARACTERISTICS IN ORDER TO FACILITATE ROBUST DESIGN IN EARLY PRODUCT DEVELOPMENT STAGES

2021 ◽  
Vol 1 ◽  
pp. 2691-2700
Author(s):  
Stefan Goetz ◽  
Dennis Horber ◽  
Benjamin Schleich ◽  
Sandro Wartzack
Keyword(s):  
Product Development ◽  
Robust Design ◽  
Language Processing ◽  
Design Stage ◽  
Concept Design ◽  
Clear Definition ◽  
Implicit Information ◽  
Key Characteristics ◽  
Associated Functions ◽  
Definition Of

AbstractThe success of complex product development projects strongly depends on the clear definition of target factors that allow a reliable statement about the fulfilment of the product requirements. In the context of tolerancing and robust design, Key Characteristics (KCs) have been established for this purpose and form the basis for all downstream activities. In order to integrate the activities related to the KC definition into product development as early as possible, the often vaguely formulated requirements must be translated into quantifiable KCs. However, this is primarily a manual process, so the results strongly depend on the experience of the design engineer.In order to overcome this problem, a novel computer-aided approach is presented, which automatically derives associated functions and KCs already during the definition of product requirements. The approach uses natural language processing and formalized design knowledge to extract and provide implicit information from the requirements. This leads to a clear definition of the requirements and KCs and thus creates a founded basis for robustness evaluation at the beginning of the concept design stage. The approach is exemplarily applied to a window lifter.

Euphoria

1985 ◽  
Vol 15 (2) ◽  
pp. 155-191 ◽  
Author(s):  
Richard Wilmot
Keyword(s):  
Drug Abuse ◽  
Drug Use ◽  
Clear Definition ◽  
Definition Of

Euphoria is by definition ambiguous. Some researchers have noted it is a cause for drug taking while others have viewed it as the effect of taking drugs, To date there is no clear definition of what “euphoria” is or how it enters into career drug use or abuse. This article proposes that “euphoria” is metaphoric, and on that basis may be learned. Learning to use drugs euphorically is the key to controlled drug use and ultimately the control of drug abuse.

scholarly journals Flying Free: A Research Overview of Deep Learning in Drone Navigation Autonomy

Drones ◽  
2021 ◽  
Vol 5 (2) ◽  
pp. 52
Author(s):  
Thomas Lee ◽  
Susan Mckeever ◽  
Jane Courtney
Keyword(s):  
Deep Learning ◽  
Research Work ◽  
Learning Approaches ◽  
Clear Definition ◽  
Top Down ◽  
Research Activity ◽  
Comprehensive Overview ◽  
The Past ◽  
Computer Vision Applications ◽  
Definition Of

With the rise of Deep Learning approaches in computer vision applications, significant strides have been made towards vehicular autonomy. Research activity in autonomous drone navigation has increased rapidly in the past five years, and drones are moving fast towards the ultimate goal of near-complete autonomy. However, while much work in the area focuses on specific tasks in drone navigation, the contribution to the overall goal of autonomy is often not assessed, and a comprehensive overview is needed. In this work, a taxonomy of drone navigation autonomy is established by mapping the definitions of vehicular autonomy levels, as defined by the Society of Automotive Engineers, to specific drone tasks in order to create a clear definition of autonomy when applied to drones. A top–down examination of research work in the area is conducted, focusing on drone navigation tasks, in order to understand the extent of research activity in each area. Autonomy levels are cross-checked against the drone navigation tasks addressed in each work to provide a framework for understanding the trajectory of current research. This work serves as a guide to research in drone autonomy with a particular focus on Deep Learning-based solutions, indicating key works and areas of opportunity for development of this area in the future.

Institutional betrayal in nursing: A concept analysis

2021 ◽  
pp. 096973302199244
Author(s):  
Katherine C Brewer
Keyword(s):  
Organizational Behavior ◽  
Moral Distress ◽  
Well Being ◽  
Concept Analysis ◽  
Ethical Culture ◽  
Negative Events ◽  
Moral Standards ◽  
Conceptual Clarity ◽  
Definition Of ◽  
Conceptual Relationships

Background: Ethical relationships are important among many participants in healthcare, including the ethical relationship between nurse and employer. One aspect of organizational behavior that can impact ethical culture and moral well-being is institutional betrayal. Research aim: The purpose of this concept analysis is to develop a conceptual understanding of institutional betrayal in nursing by defining the concept and differentiating it from other forms of betrayal. Design: This analysis uses the method developed by Walker and Avant. Research context: Studies were reviewed using health literature databases with no date restrictions. Ethical considerations: Analysis was conducted using established guidelines for ethical research. Findings: Although institutional betrayal is a concept applied in the literature, there was a paucity of studies exploring the concept within nursing. Examples of the concept in the literature include violation of trust between organization (i.e. employer) and nurse, such as provision of inadequate workplace protections, ineffective or hostile management, and gaslighting of those who experience negative events. Examples of institutional betrayal have become more visible during the COVID-19 pandemic. Discussion: A conceptual definition of institutional betrayal is a deep violation of trust or confidence or violation of moral standards committed by an institution toward a nurse. This definition incorporates experiences and issues suggested by the literature. Outcomes are likely negative, including impacts on nurse psychological and workplace well-being. This concept likely fits within a framework of ethical workplaces and has conceptual relationships with moral distress and moral resilience. Further studies can help qualitatively explore and empirically measure this concept. Conclusion: In the pursuit of improving the ethical culture of healthcare workplaces, this concept can provide meaningful insight into organizational behavior and its consequences. Naming and describing the concept can promote conceptual clarity and equip researchers, nurses, and leaders to identify and mitigate the issue.

scholarly journals Spiritual nursing care: A concept analysis

Curationis ◽  
2012 ◽  
Vol 35 (1) ◽  
Author(s):  
Lydia V. Monareng
Keyword(s):  
Nursing Care ◽  
Concept Analysis ◽  
Operational Definition ◽  
The Body ◽  
Empirical Literature ◽  
Spiritual Needs ◽  
Optimal Care ◽  
Health Crisis ◽  
Group Interviews ◽  
Definition Of

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.

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