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

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.

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):  
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.


2018 ◽  
Vol 26 (5) ◽  
pp. 1398-1409 ◽  
Author(s):  
Saeed Ghasemi ◽  
Fazlollah Ahmadi ◽  
Anoshirvan Kazemnejad

Background: Responsibility is an important component of the professional values and core competencies for bachelor degree nursing students and has relationships with nursing education and professionalization. It is important for providing safe and high-quality care to the clients for the present and future performance of student. But there is no clear and operational definition of this concept for bachelor degree nursing students; however, there are extensive contents and debates about the definitions, attributes, domains and boundaries of responsibility in nursing and non-nursing literature. Objective: To examine the concept of responsibility among bachelor degree nursing students using the evolutionary approach to concept analysis. Methods: A total of 75 articles published between 1990 and 2016 and related to the concept of responsibility were selected from seven databases and considered for concept analysis based on Rogers’ evolutionary approach. Ethical considerations: Throughout all stages of data collection, analysis and reporting, accuracy and bailment were respected. Findings: Responsibility is a procedural, spectral, dynamic and complex concept. The attributes of the concept are smart thinking, appropriate managerial behaviours, appropriate communicational behaviours, situational self-mandatory and task-orientation behaviours. Personal, educational and professional factors lead to the emergence of the responsible behaviours among bachelor degree nursing students. The emergence of such behaviours facilitates the learning and education process, ensures nursing profession life and promotes clients and community health level. Responsibility has some effects on nursing students. Discussion: This concept had been changed over time since 1990–2016. There are similarities and differences in the elements of this concept in disciplines of nursing and other educational disciplines. Conclusion: The analysis of this concept can help to develop educational or managerial theories, design instruments for better identification and evaluation of responsible behaviours among bachelor degree nursing students, develop strategies for enhancing the responsibility and improve the safety and quality of nursing care in the community and healthcare system.


2020 ◽  
pp. 096973302096182
Author(s):  
Hugo Franco ◽  
Sílvia Caldeira ◽  
Lucília Nunes

Nursing research using concept analysis plays a critical role for knowledge development, particularly when concerning to broad and foundational concepts for nursing practice, such as dignity. This study aimed to synthesize research concerning concept analysis of dignity in nursing care. Based on a literature review, electronic databases were searched (MEDLINE, CINAHL, COCHRANE, SCOPUS, EBSCOhost, and PubMed) using the terms “dignity,” “human dignity,” “concept analysis,” and nurs*. Papers in Portuguese or English were included. The research synthesis was conducted independently by two reviewers. A total of 35 citations were identified and seven papers were included. Six studies were elected using Walker and Avant concept analysis methodology while one applied the Beth Rodgers evolutionary model. The concept of dignity has been studied by nurses, and its attributes, antecedents, consequences, and similar concepts were synthesized into a definition. Dignity emerged as a fundamental concept in nursing ethics and the main attributes synthesized were personhood (intrinsic), sociability (relational/behavioral), respect, and autonomy. The antecedents identified were: facilitators—patient focus care, recognition (of the attributes of dignity), education, and ethical competence; threats—vulnerability and organizational environment. The consequences were positive coping, empowerment, and dignity preservation. The synthesis of these seven studies using concept analysis provided a clear definition of dignity. These findings challenge future research and education, particularly for the study of undergraduate and postgraduate nursing education programs to enhance skills for preserving patient dignity in clinical practice.


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.


2013 ◽  
Vol 2013 ◽  
pp. 1-5 ◽  
Author(s):  
Nop T. Ratanasiripong ◽  
Kathleen T. Chai

In the research literature, the concept of attitude has been used and presented widely. However, attitude has been inconsistently defined and measured in various terms. This paper presents a concept analysis, using the Wilsonian methods modified by Walker and Avant (2004), to define and clarify the concept of attitude in order to provide an operationalized definition for a research study on attitudes toward a behavior: getting vaccinated against HPV. While the finding is not conclusive, three attributes of attitude: belief, affection, and evaluation are described. A theoretical definition and sample cases are constructed to illustrate the concept further. Antecedents, consequences, and empirical referents are discussed. Recommendations regarding the use of the concept of attitude in research, nursing practice, and nursing education are also made.


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.


2020 ◽  
Vol 3 ◽  
pp. 92
Author(s):  
Hannah Delaney ◽  
Declan Devane ◽  
Andrew Hunter ◽  
Shaun Treweek ◽  
Nicola Mills ◽  
...  

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.


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.


2016 ◽  
Vol 24 (8) ◽  
pp. 936-949 ◽  
Author(s):  
Shirmohammad Davoodvand ◽  
Abbas Abbaszadeh ◽  
Fazlollah Ahmadi

Background: Spiritual development is one of the most important aspects of socialization that has attracted the attention of researchers. It is needed to train nursing student and novice nurses to provide high-quality care for patients. There is ambiguity in the definition of spiritual development and its relations, especially in the eastern countries. Research objectives:: To explore the concept of spiritual development in Iranian nurses. Research design: Qualitative content analysis approach. Data were gathered from semi-structured interviews. Participants and research context: The participants were 17 Iranian Muslim nurses selected using a purposeful sampling. The place of interviews was on their choice. Ethical considerations: Based on the principles of the Helsinki declaration, the focus was on preserving the participants’ autonomy, confidentiality, and anonymity. The participants were told the study purposes and trends, and their rights were emphasized; they were then asked to sign written consent forms. Formal research approval was obtained from Kerman University of Medical Sciences. Ethical approval was granted by the University Ethics Committee before the study was conducted (K/92 etc). Findings: Three themes for spiritual development were defined: obligation to religion, commitment to ethics, and commitment to law. From the results, factors such as connection to the limitless divine power, personal and society-oriented ethical codes, and commitment to the law are proposed. Discussion: There are some differences between these findings and previous study, especially in the relation of the spirituality, religion, and law. Some studies, mostly Iranian, support these findings partially. Conclusion: The results suggest that it is better to teach nursing education based on humanistic principles, ethics, and law to the new generation of nurses to improve community health and development. More studies are needed to examine the relation between these themes.


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