scholarly journals Concept analysis of loneliness in older adults: A hybrid model

2020 ◽  
Author(s):  
Razieh Bandari ◽  
Farahnaz Mohammadi Shahboulaghi ◽  
Hamid Reza Khankeh ◽  
Abbas Ebadi ◽  
Ali Montazeri

Abstract Background: Loneliness is an ontological structure in human existence that can occur in all stages of life. The purpose of this qualitative study was to clarify the meaning and the nature of loneliness in Iranian older adults.Methods: Loneliness in older adults was examined in three phases: (1) the theoretical phase; (2) the fieldwork and (3) the analytical phase. The hybrid concept analysis method was performed to explore the data and synthesis the findings on three key issues including attributes, antecedents, and consequences. Finally, a working definition was synthesized.Results: The critical attributes of loneliness included a variety of topics including suffering, and feeling of worthlessness. Antecedents included distal and proximal factors. The consequences of loneliness in most instances were negative and disturbing. The final definition originated from the theoretical phase and fieldwork was as follows: ‘loneliness is an unpleasant, negative, annoying, hard, scary and painful personal experience that causes feeling of despair, uselessness, hopelessness, depression, anxiety and seeing the world in black’.Conclusion: The findings from this study introduce a new definition for loneliness that includes a combination of attributes, antecedents and consequences for the concept.

2014 ◽  
Vol 28 (3) ◽  
pp. 204-227 ◽  
Author(s):  
Marilou Gagnon ◽  
Adrian Guta

In this article, we examine the concept of HIV viral load and how it has evolved over time (1995–2013) in the field of HIV/AIDS. Although the termviral loadis used extensively in this field, few efforts have been directed toward the conceptualization of HIV viral load, which is often left unquestioned, undertheorized, and portrayed as a neutral and objective laboratory value that has remained relatively stable over time—with the exception of progressive advancements in technology, techniques, and sensitivity. The purpose of this article is to apply the evolutionary concept analysis method developed by Rodgers (1989, 2000a) to the concept of HIV viral load. To set the stage, we establish the need for a concept analysis of HIV viral load and provide an overview of the evolutionary view. Then, drawing on the steps proposed by Rodgers (2000a), we outline the process of data collection, management, and analysis. We then offer an in-depth discussion of the findings (attributes, antecedents, and consequences) informed by Wuest’s (2000) critical approach to concept analysis. We conclude by highlighting the implications of this analysis for clinical practice, research, and theory.


2021 ◽  
Author(s):  
Clarissa A Shaw ◽  
Jean K Gordon

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.


2020 ◽  
Vol 10 (1) ◽  
pp. 80-93
Author(s):  
Parisa Jafari ◽  
◽  
Morteza Mojahedi ◽  
Fatemeh Hakimi ◽  
Mojgan Tansaz ◽  
...  

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.


2020 ◽  
Vol 73 (suppl 3) ◽  
Author(s):  
Keylla Talitha Fernandes Barbosa ◽  
Maria das Graças Melo Fernandes

ABSTRACT Objective: Propose the concept of vulnerability of the elderly based on the Hybrid Concept Development Model. Method: Methodological study with a qualitative approach, based on the theoretical-methodological framework of the Hybrid Concept Development Model. Initially, an integrative literature review was carried out, followed by empirical collection through semi-structured interviews with 12 professionals. As a method of analysis of the interviews, the Grounded Theory was used. The final analytical phase constituted the interface between theoretical and empirical evidence. Results: When carrying out the theoretical survey, it became possible to outline the attributes, antecedents and consequences of the studied phenomenon. After analyzing the empirical data, two phenomena emerged: Unveiling the multiple changes arising from the human aging process; and Understanding the multiple dimensions of the elderly person’s vulnerability construct. Final considerations: The vulnerability of the elderly person consists of a multifaceted construct, in which individual and collective conditions interact with each other.


2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 451-451
Author(s):  
Clarissa Shaw ◽  
Jean Gordon ◽  
Kristine Williams

Abstract Elderspeak is an inappropriate simplified speech register that sounds like baby talk and is commonly 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. Rodger’s evolutionary concept analysis method was used to evaluate the concept of elderspeak by identifying its attributes, antecedents, and consequences. A systematic search using the PubMed, CINAHL, PsychINFO, and Embase databases was completed, resulting in the review of 83 articles. Elderspeak characteristics were categorized by semantic, syntactic, pragmatic, paralinguistic, and nonverbal attributes. The primary antecedent to elderspeak is ageism in which old age cues and signs of functional or cognitive impairment lead to simplified communication from a younger caregiver. Research studies vary in reporting whether elderspeak facilitates or interferes with comprehension by older adults, in part depending on operational definitions and experimental manipulation. Overall, exaggerated prosody, a key feature of elderspeak, is found to reduce comprehension. Elderspeak is generally perceived as patronizing by older adults and speakers are perceived as less respectful. In persons living with dementia, elderspeak also increases the probability of resistiveness to care which is an important correlate of behavioral and psychological symptoms of dementia. Based on this concept analysis, recommendations for consistent operationalization of elderspeak in future research are made. A new definition of elderspeak is proposed, in which attributes that have been found to enhance comprehension are differentiated from from those that do not.


2021 ◽  
Author(s):  
Tri Tam Le

I give some benefits of the Bayesian analysis method from my personal experience in psychological research.


Nursing Forum ◽  
2018 ◽  
Vol 54 (1) ◽  
pp. 16-22 ◽  
Author(s):  
Munira Wells ◽  
Connie R. Kartoz

2016 ◽  
Vol 25 (2) ◽  
Author(s):  
Flávia Paula Magalhães Monteiro ◽  
Thelma Leite de Araujo ◽  
Tahissa Frota Cavalcante ◽  
Telma Alteniza Leandro ◽  
Silvestre Péricles Cavalcante Sampaio Filho

ABSTRACT The aim of this study was to analyze the concept of child growth by identifying the attributes and consequences that make up the phenomenon. The concept analysis was supported by 41 studies and based on the evolutionary analysis model and integrative literature review. Five databases, Scopus, CINAHL, LILACS, PubMed, and the Cochrane Library were searched to select articles. The search found that growth has presented different connotations, including social and physiological aspects, which are part of the physical domain of child development. Attributes, antecedents, and consequences identified provide an overview of the phenomenon analyzed, because these point out several aspects previously related to other studies on child growth. The theoretical understanding about child growth can offer nurses in-depth knowledge about factors involved in this process, facilitating intervention-based decision-making.


2021 ◽  
Vol 14 (1) ◽  
pp. 526-536
Author(s):  
Wilfred Njabulo Nunu ◽  
Lufuno Makhado ◽  
Jabu Tsakani Mabunda ◽  
Rachel Tsakani Lebese

Background: Health Systems Strategies play a key role in determining Adolescent Sexual Health outcomes. This study aims to review the literature on the relationship between Health Systems Strategies and Adolescent Sexual Health issues guided by Rodger's evolutionary concept analysis framework. The study further develops a Conceptual Framework that would guide a study that seeks to “Develop strategies to facilitate safe sexual practices in adolescents through Integrated Health Systems in selected Districts in Zimbabwe.” Methods: Adolescents, Health Systems, Sexual Health, and Strategies were used to search for published literature (in English) on Google Scholar, PUBMED, EBSCO, Cochran Library, and Science Direct. A total of 142 Articles and 11 reports were obtained, and the content was screened for relevance. This led to 42 articles and 03 reports being found suitable and relevant, and thus, the content was reviewed. Thematic analysis was done to identify attributes, antecedents, and consequences of Health Systems Strategies on Adolescent Sexual Health. These findings were then used to inform the development of the Conceptual Framework. Results: Key attributes, antecedents and consequences of Health System Strategies on Adolescent Sexual Health were identified. Strategies to Improve Adolescent Sexual Health outcomes were also identified. Conclusions: Different contextual factors influence policy changes and the consequences are mixed, with both positive and negative outcomes.


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