scholarly journals A concept analysis of ‘trial recruitment’ using the hybrid model – Phase 1 findings

2020 ◽  
Vol 3 ◽  
pp. 92
Author(s):  
Hannah Delaney ◽  
Declan Devane ◽  
Andrew Hunter ◽  
Shaun Treweek ◽  
Nicola Mills ◽  
...  
Keyword(s):  
Hybrid Model ◽  
Phase 1 ◽  
Randomised Trial ◽  
Time Frame ◽  
Concept Analysis ◽  
Operational Definition ◽  
International Committee ◽  
Trial Recruitment ◽  
Start Date ◽  
Definition Of

Background: The International Committee of Medical Journal Editors (ICMJE) requires trials submitted for publication to be registered before enrolment of the first participant; however, there is ambiguity around the definition of recruitment and in anchoring the trial start date, end date, recruitment and enrolment, temporally to trial processes. There is potential for variation in how recruitment is reported and understood in trial protocols and trial reports. We report on Phase 1 of a concept analysis of ‘trial recruitment’ and develop a preliminary operational definition of ‘trial recruitment’. Methods: A concept analysis using the hybrid model. We searched randomised and non-randomised trial reports published between January 2018 and June 2019. Included studies were sourced from the five top journals in the category of medicine with the highest impact factor. We examined how recruitment was defined temporally to four time points; screening, consent, randomisation, and allocation. Results: Of the 150 trial reports analysed, over half did not identify a clear time point of when recruitment took place in relation to any of screening/consent/randomisation/allocation. The majority of the assessed trials provided a time frame in relation to the trial (i.e. start/end date), the process that this time frame referred to differed between studies. There was variation across studies in the terminology used to describe entry to the trial and often multiple terms were used interchangeably. Conclusion: There is ambiguity around temporal descriptions of ‘trial recruitment’ in health care journals. Informed by the findings of Phase 1, we developed a preliminary temporal operational definition of trial recruitment based on i) trial recruitment of an individual or cluster and ii) the trial recruitment period. In Phase 2 this definition will be discussed in focus groups with healthcare workers involved in designing/implementing/reporting on trials; to contribute to the final phase (analytical phase) of this concept analysis.

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.

scholarly journals What is professionalism in occupational therapy? A concept analysis

2021 ◽  
pp. 000841742199437
Author(s):  
Alexandra Lecours ◽  
Nancy Baril ◽  
Marie-Josée Drolet
Keyword(s):  
Occupational Therapy ◽  
Professional Identity ◽  
Cultural Influences ◽  
Occupational Therapists ◽  
Concept Analysis ◽  
Operational Definition ◽  
Analysis Design ◽  
Definition Of ◽  
Over Time ◽  
Extract Information

Background. Professionalism has been given different definitions over time. These are, commonly theoretical and difficult to operationalize. Purpose. This study aimed to provide an operational definition of the concept of professionalism in occupational therapy. Method. Based on a concept analysis design, a meta-narrative review was conducted to extract information from 30 occupational therapy manuscripts. Findings. Professionalism is a complex competence defined by the manifestation of distinct attitudes and behaviours that support excellence in the occupational therapy practice. In addition, professionalism is forged and evolves according to personal and environmental characteristics. The manifestation of professionalism can lead to positive consequences for occupational therapists, clients, and the discipline, notably contributing to a positive and strong professional identity. Moreover, professionalism is also subject to cultural influences, which leads to variations in its development, manifestations, and consequences. Implications. This study offers a contemporary operational definition of professionalism and levers to promote its development and maintenance.

Parental Self-Efficacy: A Concept Analysis Related to Teen Parenting and Implications for School Nurses

2018 ◽  
Vol 35 (1) ◽  
pp. 8-14 ◽  
Author(s):  
Debra C. Sims ◽  
Anita J. Skarbek
Keyword(s):  
Self Efficacy ◽  
Care Delivery ◽  
Concept Analysis ◽  
Operational Definition ◽  
School Nurses ◽  
School Nursing ◽  
Analysis Framework ◽  
Teen Parents ◽  
Definition Of ◽  
Concept Review

Levels of parental self-efficacy are correlated with both positive and negative care delivery and developmental outcomes for parents and their infants. School nurses are in a unique position to facilitate parenting self-efficacy in teen parents. Using the concept analysis framework of Walker and Avant, parental self-efficacy is analyzed and elucidated to distinguish the concept’s defining attributes, antecedents, consequences, and empirical referents. The operational definition of parental self-efficacy arising from this concept review is an individual’s belief that he or she is capable of integrating and executing the knowledge and skills necessary to parent their infant. Model, borderline, related, and contrary cases are presented, along with implications for school nursing practice. School nurses are ideally situated to assist teen parents with parental self-efficacy realization tasks.

Concept Analysis: The Moral Construct of Caring in Nursing as Communicative Action

2006 ◽  
Vol 10 (1) ◽  
pp. 8-16 ◽  
Author(s):  
Jane Sumner
Keyword(s):  
Instrument Development ◽  
Communicative Action ◽  
Concept Analysis ◽  
Operational Definition ◽  
Concept Identification ◽  
Cognitive Responses ◽  
Specific Context ◽  
Professional Self ◽  
Definition Of ◽  
Communicative Relationship

A theoretical framework of caring in nursing proposes nurses and patients have underlying vulnerabilities and needs with emotional and cognitive responses. These characteristics suffuse and influence the assumed roles of nurse and patient, which are manifest within the healthcare specific context. The aim—to develop conceptual and operational clarity of this framework for instrument development. The qualitative researcher’s techniques of concept analysis are utilized. The probabilistic view is used. Concept identification is prototypical. The components of the personal and professional self of the nurse and the personal and illness self of the patient are identified as is the communicative relationship posited within Habermas’ (1995) moral maturity framework. This has resulted in the development of an operational definition of caring in nursing for instrumentation.

scholarly journals Understanding Elderspeak: An Evolutionary Concept Analysis

2021 ◽  
Author(s):  
Clarissa A Shaw ◽  
Jean K Gordon
Keyword(s):  
Older Adults ◽  
Psychological Symptoms ◽  
Concept Analysis ◽  
Operational Definition ◽  
Future Research ◽  
Healthcare Settings ◽  
Baby Talk ◽  
Antecedents And Consequences ◽  
Resistiveness To Care ◽  
Definition Of

Abstract Background and Objectives Elderspeak is an inappropriate simplified speech register that sounds like baby talk and is used with older adults, especially in healthcare 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 Methods Rodgers’ 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. Results Eighty-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 Implications Based 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.

scholarly journals Concept Analysis of Thirst as a Symptom and Its Causes From the Perspective of Iranian Traditional Medicine: A Hybrid Model Study

2020 ◽  
Vol 10 (1) ◽  
pp. 80-93
Author(s):  
Parisa Jafari ◽  
◽  
Morteza Mojahedi ◽  
Fatemeh Hakimi ◽  
Mojgan Tansaz ◽  
...  
Keyword(s):  
Drinking Water ◽  
Traditional Medicine ◽  
Hybrid Model ◽  
Concept Analysis ◽  
Analysis Method ◽  
Model Study ◽  
Iranian Traditional Medicine ◽  
Analytical Phase ◽  
Definition Of ◽  
Different Characteristics

Objective: Thirst (Attash) is a diagnostic sign of diseases from the perspective of Iranian Traditional Medicine (ITM).The purpose of this study is to provide a functional definition for the concept of thirst and its causes in ITM. Methods: In this study, we used the concept analysis (hybrid model) which has three phases; in the theoretical phase, the content related to the definition of thirst and its causes were searched in ITM books and an efficient definition of thirst was presented. In the fieldwork phase, main themes were obtained after semi-structured interviewing of 16 ITM specialists. In the final (analytical) phase, the results of the two previous phases were compared to each other to present the final definition for thirst. Results: The thirst is defined as the need for water and any food that is cold and wet, and the increase and decrease in thirst is a sign of disease. For its examination, it is necessary to pay attention to the change in the degree of thirst and the amount of consumed water or cold/wet foods. It is important to differentiate between drinking water as recommended, drinking water as habit, or drinking water because of dry mouth with thirst. Different characteristics of thirst can be used to diagnose the affected organs. Conclusion: In this study, using the concept analysis method, a functional definition of the thirst as a symptom was presented and its causes were investigated. The low number of studies on thirst and lack of access to some ITM specialists were some of the limitations of our study. It is recommended to investigate the prevalence of thirst in patients and its relationship with dystemperament in future studies.

scholarly journals Therapeutic Presencing in Nursing

2017 ◽  
Vol 7 (2) ◽  
Author(s):  
Jestoni Dulva Maniago
Keyword(s):  
Concept Analysis ◽  
Operational Definition ◽  
Clear Understanding ◽  
Research Needs ◽  
Nursing Research ◽  
Systematic Analysis ◽  
Theoretical Relationship ◽  
Definition Of

This paper provides an operational definition of therapeutic presencing as a first step in the systematic analysis of the concept. The Wilsonian method of concept analysis provided the framework for the analysis. The researcher identifies themes explicated from the concept of therapeutic presencing to develop a clear understanding of the concept to nursing. Model cases illustrate the concept further. The result shows that Being, Receiving, Influencing and Participating are the themes most associated with the concept. Moreover, immersion, congruence and empathy were described as the qualities of therapeutic presencing in nursing. Further nursing research needs to test the theoretical relationship between concept of therapeutic presencing and outcome variables.

scholarly journals Concept Analysis of Caring Thinking in Iranian Nurses: A Hybrid Model

2021 ◽  
Author(s):  
Nahid Dehghan nayeri ◽  
Nasrin Samadi ◽  
Jafar Vakili ◽  
Zanyar Pakfar
Keyword(s):  
Nursing Education ◽  
Hybrid Model ◽  
Nursing Practice ◽  
Quality Care ◽  
Relevant Literature ◽  
Final Analysis ◽  
Field Work ◽  
Concept Analysis ◽  
Analysis Phase ◽  
Definition Of

Abstract Introduction: The concept of caring thinking has been utilized in nursing, and although it has been defined and evaluated using a variety of methods, yet it remains an abstract concept in nursing practice. This paper presents a concept analysis to define and clarify the concept of caring thinking to provide a deeper understanding of how caring thinking can be incorporated into nursing. Therefore, the present study is carried out for the purpose of defining and clarifying its concept in the nursing profession.Methods: This study used a hybrid model of concept analysis comprising three phases, namely a theoretical phase, field work phase, and a final analysis phase. To find relevant literature, electronic search of valid databases was utilized using keywords related to the concept of caring thinking. Field work data were collected over a 10-month time period from 2017 to 2018. In the field work phase, in-depth interviews were performed with 10 nurses and academic nurse. The conventional content analysis was used in two theoretical and field work phases, and the results were combined in the final analysis phase. Results: The 4 main themes extracted included “Correct thinking”, “Responsibility”, “Professional commitment”, and “Ethical thinking” and the final definition of the concept was presented.Conclusion: The results of this study showed that clarifying the concept of Caring thinking leads to better understanding and common perception of this concept and helps nurses to exhibit caring thinking and provide quality care. Caring thinking arranges the systematic approach to and practice of behaviors. Actually, caring thinking is form of thinking contributing to correct thinking. Therefore, the results of this study have implications for nursing practice, nursing education, and nursing research.

Understanding functional illiteracy from a policy, adult education, and cognition point of view: Towards a joint referent framework

2019 ◽  
Vol 30 (2) ◽  
pp. 109-122
Author(s):  
Aleksandar Bulajić ◽  
Miomir Despotović ◽  
Thomas Lachmann
Keyword(s):  
Adult Education ◽  
Operational Definition ◽  
Literacy Skills ◽  
Point Of View ◽  
Industrialized Countries ◽  
Functional Illiteracy ◽  
Scale Levels ◽  
Components Of Reading ◽  
The One ◽  
Definition Of

Abstract. The article discusses the emergence of a functional literacy construct and the rediscovery of illiteracy in industrialized countries during the second half of the 20th century. It offers a short explanation of how the construct evolved over time. In addition, it explores how functional (il)literacy is conceived differently by research discourses of cognitive and neural studies, on the one hand, and by prescriptive and normative international policy documents and adult education, on the other hand. Furthermore, it analyses how literacy skills surveys such as the Level One Study (leo.) or the PIAAC may help to bridge the gap between cognitive and more practical and educational approaches to literacy, the goal being to place the functional illiteracy (FI) construct within its existing scale levels. It also sheds more light on the way in which FI can be perceived in terms of different cognitive processes and underlying components of reading. By building on the previous work of other authors and previous definitions, the article brings together different views of FI and offers a perspective for a needed operational definition of the concept, which would be an appropriate reference point for future educational, political, and scientific utilization.

“The Unconscious” in Current Psychology

2010 ◽  
Vol 15 (3) ◽  
pp. 193-201 ◽  
Author(s):  
Elisabeth Norman
Keyword(s):  
Cognitive Psychology ◽  
Verbal Report ◽  
Psychological Research ◽  
Operational Definition ◽  
The Unconscious ◽  
Apparent Lack ◽  
Unconscious Processing ◽  
Unconscious Processes ◽  
Intermediate States ◽  
Definition Of

A series of vignette examples taken from psychological research on motivation, emotion, decision making, and attitudes illustrates how the influence of unconscious processes is often measured in a range of different behaviors. However, the selected studies share an apparent lack of explicit operational definition of what is meant by consciousness, and there seems to be substantial disagreement about the properties of conscious versus unconscious processing: Consciousness is sometimes equated with attention, sometimes with verbal report ability, and sometimes operationalized in terms of behavioral dissociations between different performance measures. Moreover, the examples all seem to share a dichotomous view of conscious and unconscious processes as being qualitatively different. It is suggested that cognitive research on consciousness can help resolve the apparent disagreement about how to define and measure unconscious processing, as is illustrated by a selection of operational definitions and empirical findings from modern cognitive psychology. These empirical findings also point to the existence of intermediate states of conscious awareness, not easily classifiable as either purely conscious or purely unconscious. Recent hypotheses from cognitive psychology, supplemented with models from social, developmental, and clinical psychology, are then presented all of which are compatible with the view of consciousness as a graded rather than an all-or-none phenomenon. Such a view of consciousness would open up for explorations of intermediate states of awareness in addition to more purely conscious or purely unconscious states and thereby increase our understanding of the seemingly “unconscious” aspects of mental life.

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