Concept Analysis Nursing

Theory can be defined as the explanation of an event in which constructs and concepts are identified, relationships are proposed and predictions are made; it is a set of interpretative assumptions, principals or propositions that help explain or guide action. (McEwen & Wills, 2014, p521) Concepts occur in three steps; originating as a thought which are abstract or concrete in nature, progressing to a stage in which words and meaning are given to the concept, and lastly it is operationalized becoming a variable to be used tested during research. (McEwen & Wills, 2014, p50) According to McEwen, & Wills, (2014), a concept analysis identifies, clarifies and explores the meaning of concepts in order to promote understanding which aids in the development of conceptual frameworks, theories and research studies. (p55) Concepts relative to nursing include quality of life, blood pressure, hope, job satisfaction and pain.

According to McEwen & Wills (2011), concept analysis is an approach to clarify and define terms so that writers and readers have a common language. The process of a concept analysis is to:

The purpose of this paper is to create a concept analysis and identify a nursing concept that is within a nursing theory. A concept analysis is a process where concepts and their characteristics are researched and clarified. The eight steps on conducting a concept analysis include selection of a concept used in a nursing theory, identification of the aims or purposes of the analysis, identification of possible use of the selected concept, determination of defining attributes, identification of model cases, identification of antecedents and consequences, and lastly definition of empirical referents (Walker & Avant, 2011). The nursing concept selected for this paper is “empowerment” within the nursing profession. The nursing theory from which the empowerment concept was obtained is Kanter’s Theory on Structural Empowerment. In order to empower someone, an individual needs the tools and resources to feel powered. According to Laschinger, Gilbert, Smith, & Leslie (2010), Kanter defines power as the ability to mobilize information, resources and support to get things done in an organization. The role of management is to provide employees with power tools that empower them to maximize their ability to accomplish their work in a meaningful way. Kanter goes on to describe two primary empowerment structures in organizations, first being the structure of opportunity and second the structure of power. The structure of opportunity relates to job conditions that provide

Theory development stems from personal experiences, intuition, and knowledge of the theorist (Burns et al., 2013). When a scholar develops a theory, it has to be tested through research. The findings of the study are then presented to experts in the area of academics and the field of practice (Burns et al., 2013). The presentation of the findings allows experts to provide constructive criticism, highlight the pros and cons of the theory, and acknowledge whether or not the theory can be accepted as a guide to practice. This theory evaluation paper will give the reader a theory description, theory analysis, and an assessment of Dorothea Orem’s self-care deficit theory of nursing (Alligood et al., 2010).

This essay covers the Key concepts of care. In 2013 the Francis report highlighted the need for student nurses to test and experience their values and levels of care and compassion, and whilst it is seen that the failures highlighted in the report go further than a lost compassion of nursing, this exercise is to look at the key concepts of care and the principles of the 6 Cs (Care, Compassion, Courage, Communication, Competence and Commitment) which have been identified as fundamental values, although not the only ones as nurses have other core values such as organisational, professional and NHS values to work to. I have selected one of the 6 Cs (communication) for a more detailed description from which I will then provide as requested in my brief an example specific to its application in a particular service. The area I have selected to apply this to, is Dementia.

An advanced practice registered nurse (APRN) is an umbrella term consisting of but not limited to roles such as Psychiatric Mental Health Nurse Practitioner (PMHNP); Adult Geriatric Primary Care Nurse Practitioner (AGPCNP); Certified Nurse Midwife (CNM); and Certified Registered Nurse Anesthetist (CRNA). Across the Commonwealth of Massachusetts, it is an undeniable fact that APRNs care for multitudes of patients across the entire human lifespan and across many certain from the nursing homes and home care to hospitals, pain clinics, and substance abuse centers.

As an advanced practice nurse (APN), it is necessary to know the scope of practice for various states. There are four areas which consists certified registered nurse anesthetist (CRNA), certified nurse midwife (CNM), certified nurse practitioner (CNP), and certified nurse specialist (CNS). According to Goudreau (2011), clinical nurse specialist need to understand the distinct differences in license, accreditation, certification, and education (LACE) across states. To demonstrate the differences in practice, these areas will be examined for the states of California, Illinois, Ohio, and Washington. According to the National Council of State Boards of Nursing (NCSBN) (2014b), there are differences between states on APRN that needs to be standardized

Theories are a set of interrelated concepts that give a systematic view of a phenomenon (an observable fact or event) that is

B.S. is an 81 year old Caucasian female presenting with abdominal pain, diarrhea, nausea and vomiting in the emergency room on February 3, 2013. B.S. has a history of glaucoma, hypothyroidism, degenerative arthritis and diverticulosis. She has allergies to iodine and vicodin. B.S. is admitted for diverticulitis with possible partial bowel obstruction and hydronephrosis. B.S. was admitted on February 3, 2013 here at Verdugo Hills Hospital.

Hospital-acquired infections (HAIs), specifically those involving multi-drug resistant organisms such as methicillin-resistant Staphylococcus aureus (MRSA) and vancomycin-resistant enterococci (VRE) are associated with increased morbidity and mortality, as well as higher cost of healthcare and longer length of hospital stays for patients. Each year, millions of people acquire infections while receiving care, treatment, and services in hospitals and other health care organizations.

It is evident that nursing theorists, scholars and health care professions have varying interpretations of what caring is or should be. In the middle of all these disparity, caring is a vital component of the nursing practice and the key to choosing the concept of caring is because it is very essential when it comes to health care. This paper tries to make clear the concept of caring in the field of nursing and it makes use of the Walker and Avant outline to support the concept. It starts with recognizing the concept and its functions. It then identifies three emerging attributes of caring will be identified and a description of each will be given. At last, the paper will recognize antecedents, the effects or consequences and

The definitions of Advanced Practice Nursing have continued to be developed and defined in a variety of ways over time. The definition of APN had become critically essential more than ever as the significant increase in need of APN and the impact of APN’s part in healthcare environment. The definitions provided by the United States Association of Colleges of Nursing (AACN) DNP Essentials, the APRN consensus model and Hamric, Hanson, Tracy & O'Grady in textbook have similarities and distinctions.

There is significance in this concept for the Doctor of Nursing Practice (DNP) degree prepared nurse because the attained ability to use available evidence based literature to implement clinical best practice changes to improve overall safety of the patients. The DNP nurse is uniquely positioned to handle various phases of project management. Due to the multi-dimensional nature of effective transfer of care from the OR to ICU, and the interactive transaction that is required during transfer of care. The significance of this concept is the introduction of unit based transfer of care checklist that is evidenced

After examining the 5 predominate health education/promotion philosophies and reflecting my current skill/duties, I have concluded that I utilize all five of the philosophies in some manner. However, the two most common philosophies I utilize are cognitive-based philosophy and behavior change philosophy. For example when a patient is admitted to our unit due to a new diagnosis of heart failure the nursing staff, dieticians, and other rehab service lines collaborate with the patient and identify ways to for the patient to implement lifestyle changes but identifying risky behaviors. Meanwhile, allowing the patient the freedom and accountability to make good or bad choices. Educational materials are provided such as pamphlets, a series DVD's,

The meaning of concept analysis is how nursing “explores the meaning of concepts to promote understanding” (McEwen, & Wills, 2010). Pain continues to be a common problem within health care and one of the most treat problems when seeking medical treatment. The concept analysis consist of several steps to complete the process. The steps of the concept analysis are as follows: “1. select the concept 2. Determine the aims or purpose of analysis 3. Identify all the uses of the concept possible 4. Determine the defining attributes 5. Identify model cases 6. Identify borderline, related, contrary, inverted, and illegitimate cases 7. Identify antecedents, and consequences 8. Define empirical references” (McEwen, & Wills,