scholarly journals Missed Nursing Care: Concept Analysis Using the Hybrid Model

Author(s):  
Shoeleh Rahimi ◽  
Hamid Reza Khankeh ◽  
Azam Sharifi ◽  
Batol Mohammadian

Abstract Background and Objectives: Miss care is a quality index, which has been identified for nursing care and patient safety recently. However, no precise definition is available for the clinical dimensions and features of this concept. Thus, the present study aimed to analyze the concept of miss nursing care based on the hybrid model.Design: A concept analysis was conducted using a three-phase(theoretical phase, fieldwork phase and final analysis phase) hybrid method.Methods:In the theoretical phase, the concept of miss care was explored in reliable databases from 1998 up to 2018. Using COREQ guidelines ,in the field work phase, in-depth interviews were conducted with six nurses and the data were analyzed using content analysis method. In the last phase, the final analysis was carried out.Results: The results indicated miss care as a healthcare error as a kind of negligence in which the nurse provides unmanaged patient care due to the adversity of organizational and process background factors, which results in the negligence of essential cares and leads to consequences for both the patient and the nurse.Conclusion: Based on the present concept analysis, unmanaged care was the main feature of miss care, which had not been included in the previous definitions. Nurses can create an accurate structure for nursing care and reduction of miss care through performance of process-based care and determination of nursing care priorities. Further studies are recommended to compare this concept to similar ones to determine the clinical distinctions.

2016 ◽  
Vol 25 (1) ◽  
pp. 6-19 ◽  
Author(s):  
Afsaneh Sadooghiasl ◽  
Soroor Parvizy ◽  
Abbas Ebadi

Background: Moral courage is one of the most fundamental virtues in the nursing profession, however, little attention has been paid to it. As a result, no exact and clear definition of moral courage has ever been accessible. Objective: This study is carried out for the purposes 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 courage. Field work data were collected over an 11 months’ time period from 2013 to 2014. In the field work phase, in-depth interviews were performed with 10 nurses. The conventional content analysis was used in two theoretical and field work phases using Graneheim and Lundman stages, and the results were combined in the final analysis phase. Ethical consideration: Permission for this study was obtained from the ethics committee of Tehran University of Medical Sciences. Oral and written informed consent was received from the participants. Results: From the sum of 750 gained titles in theoretical phase, 26 texts were analyzed. The analysis resulted in 494 codes in text analysis and 226 codes in interview analysis. The literature review in the theoretical phase revealed two features of inherent–transcendental characteristics, two of which possessed a difficult nature. Working in the field phase added moral self-actualization characteristic, rationalism, spiritual beliefs, and scientific–professional qualifications to the feature of the concept. Conclusion: Moral courage is a pure and prominent characteristic of human beings. The antecedents of moral courage include model orientation, model acceptance, rationalism, individual excellence, acquiring academic and professional qualification, spiritual beliefs, organizational support, organizational repression, and internal and external personal barriers. Professional excellence resulting from moral courage can be crystallized in the form of provision of professional care, creating peace of mind, and the nurse’s decision making and proper functioning.


2021 ◽  
Author(s):  
Nahid Dehghan nayeri ◽  
Nasrin Samadi ◽  
Jafar Vakili ◽  
Zanyar Pakfar

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.


2020 ◽  
Vol 17 ◽  
Author(s):  
Elham Sepahvand ◽  
Hamidreza Khankeh ◽  
Mohammadali Hosseini ◽  
Behnam Akhabari

IntroductionThe bystander effect, or bystander apathy, occurs at the scene of road traffic accidents. It is a theory that states that individuals are less likely to offer help to a victim when there are other people present. This study aims to perform a concept analysis of the bystander effect at the scene of road traffic accidents in the Iranian context.MethodsA concept analysis was performed using a hybrid method recommended by Schwartz-Barcott in three phases: a theoretical analysis, field work and final analysis. In the theoretical phase, a literature review was conducted using the databases PubMed, Scopus, Elsevier, Ovi and Iran-doc, with the relevant studies analysed. In the field work, interviews were carried out with eight medical emergency personnel followed by a qualitative content analysis of the transcriptions. In the last phase, the final analysis was performed to provide a clear definition of the concept.ResultsIn the theoretical phase related to the concept of the bystander effect, some characteristics, such as the presence of strangers, social influence, pluralistic ignorance, self-safety, victim’s unstable conditions, lack of awareness and presence of medical emergency personnel were identified. In the final analysis phase, a definition was achieved to be provided in the following sections, by integrating the two theoretical and field work phases. ConclusionThe results of this study could pave the way for future studies to further develop the concept of the bystander effect in different cultures and help develop a tool for the further assessment of this phenomenon.


2009 ◽  
Vol 65 (7) ◽  
pp. 1509-1517 ◽  
Author(s):  
Beatrice J. Kalisch ◽  
Gay L. Landstrom ◽  
Ada Sue Hinshaw

2020 ◽  
Vol 12 (4) ◽  
pp. 184-191
Author(s):  
Mozhgan Rahnama ◽  
Ahmad Nasiri ◽  
Hossien Shahdadi ◽  
Mozhgan Jahantigh

2008 ◽  
Vol 31 (4) ◽  
pp. 622-628 ◽  
Author(s):  
Meihua Liu ◽  
Bin Qiu ◽  
Xia Jin ◽  
Lan Zhang ◽  
Xi Chen ◽  
...  

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.


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