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Cognitive frailty in the elderly:a concept analysis

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Frontiers of Nursing 2023年第4期10卷 393-398页

作者： Yi-Yin Hu Ronnell D.Dela Rosa Department of Nursing The Affiliated Hospital of Guizhou Medical UniversityGuiyangGuizhou 550000China School of Nursing Philippine Women’s UniversityMalateManila 1004Philippines

Frailty is a recession of age-related reserves caused by a variety of causes and is becoming the most important clinical syndrome that affects the health of the elderly.In the elderly,frailty and cognitive dysfunction often exist,and some people have proposed cognitive frailty.Cognitive frailty is an elderly syndrome that increases the risk of dementia,in the same time,and can independently predict the adverse health outcomes of the patient and affect the quality of the patient's survival.This paper,under the guidance of Walker and Avant method,provides theoretical basis for early recognition and intervention of cognitive weakness in the elderly.

关键词： antecedents cognition concept analysis consequences defining attributes empirical referents frailty

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conceptual analysis of Self-Management in Patients with Hypertension

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Journal of Clinical and Nursing Research 2024年第5期8卷 356-368页

作者： Li Yang Yutian Hao Liling Zhong Shilin Xu Saiqiong Zhong Yanying Lu Hui Liu The Fifth Affiliated Hospital Southern Medical UniversityGuangzhouGuangdong ProvinceChina Shenzhen Children’s Hospital ShenzhenGuangdong ProvinceChina The Guangzhou Red Cross Hospital GuangzhouGuangdong ProvinceChina The Second Affiliated Hospital of Shantou University Medical College ShantouGuangdong ProvinceChina

Objective:To clarify the concept of self-management in hypertensive patients by analyzing the definition,attributes,and measurement tools through a literature review.Methods:An Internet-based search of the databases was conducted using Academic Search Complete,Medical Line,CINAHL,Health Source:Nursing/Scholarly Edition,and Google Scholar.In the search process,keywords or free text were combined by using Boolean operators,with the search terms“self of management”or“self-management,”“concept*analysis”or“concept*definition,”and Walker and Avant’s concept analysis method was used.Results:analysis of relevant literature summarized the conceptual attributes of self-management in hypertensive patients as the active participation of patients in the treatment process;the presence of interaction provided by patients and health care providers;the use of certain health management tools;and the aim of maintaining and improving the health status and living capacity of hypertensive patients.Conclusion:The concept of self-management for hypertensive patients was clarified,which helps to promote the application of hypertensive self-management in clinical work and improve outcomes and quality of life for patients with hypertension.

关键词： Hypertension Self-management concept analysis Walker and Avant’s concept analysis method

concept analysis of coping with multiple sclerosis

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International Journal of Nursing Sciences 2018年第2期5卷 168-173页

作者： Ali Dehghani Abdolkhalegh Keshavarzi Mohsen Faseleh Jahromi Sara Shahsavari isfahani Soheila Keshavarzi School of Nursing and Paramedical Jahrom University of Medical ScienceJahromIran Research Center for Noncommunicable Diseases Jahrom University of Medical SciencesJahromIran Department of General Surgery School of MedicineMember of Shiraz Burn Research CenterShiraz University of Medical SciencesShirazIran Department of Counseling Faculty of Psychology and Educational SciencesIslamic Azad UniversityMarvdasht BranchMarvdashtIran

Objective:The concept of coping with disease appears frequently in the literature;however,there is no precise definition of coping.The aim of this study is to clarify coping concept,and to identify its attributes,antecedents,and consequences in patients with multiple sclerosis.Methods:Rodgers'evolutionary method of concept analysis was used to clarify the concept of coping.A literature review was conducted with key terms‘multiple sclerosis’,‘coping’,‘adjustment’,and‘deal with’.After searching databases,1370 papers were found for the period 1995e2017.Finally,55 articles and texts were selected for analysis.Data analysis was carried out using thematic analysis.An independent researcher checked the process to ensure credibility and reduce personal bias.Results:Coping with multiple sclerosis is a multidimensional concept with three main attributes:maintenance of emotional balance,acceptance of the disease,and self-regulation.Social support,awareness toward the disease,attitude toward the disease,and religious-spiritual beliefs were found as antecedents.Health promotion,adherence to treatment regimen,independence in personal life and social relationships,and improvement of family relationships were found as consequences of these attributes.Conclusion:These findings not only add to the body of knowledge in health science,but also serve as an important motivation for further theory development and research in this context.Nurses and health professions can also benefit from a deeper understanding of coping concept in providing and planning healthcare for these patients.

关键词： concept analysis Coping Evolutionary method Multiple sclerosis

Radiation dermatitis wet healing:a concept analysis

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Frontiers of Nursing 2023年第3期10卷 301-305页

作者： Juan Xu Guang Yang Ronnell D Dela Rosa Shandong Cancer Hospital and Institute Shandong First Medical University and Shandong Academy of Medical SciencesJinanShandong 250117China School of Nursing Philippine Women’s UniversityMetro Manila 1004Philippines College of Nursing and Midwifery Bataan Peninsula State UniversityBalangaBataan 2100Philippines

Objective:To explore the concept of radiation dermatitis wet healing through a literature review and provide references for future treatment of patients with radiation skin injury.Methods:Related ar ticles selected from China National Knowledge Infrastructure(CNKI),Wanfang Database,Pub Med,Web of Science,Medline,and EBSCO were analyzed with Rodger’s concept analysis.Results:We identified the application status of wet healing in domestic and foreign literature,defined explicit attributes of the procedure,and clarified concepts related to wet healing of radiation skin injury to provide a reference for the management of radiation dermatitis with wet healing.Conclusions:Treatment of radiation dermatitis with wet healing is a unique procedure.Analyzing this concept can contribute to its development in the future and can offer a theoretical basis for treatment of patients with radiation skin injury.

关键词： concept analysis radiation skin injury radiodermatitis skin damage wet healing

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Physical restraint in mental health nursing: A concept analysis

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International Journal of Nursing Sciences 2019年第3期6卷 343-348页

作者： Junrong Ye Chen Wang Aixiang Xiao Zhichun Xia Lin Yu Jiankui Lin Yao Liao Yu Xu Yunlei Zhang Nursing Administration Department Affiliated Brain Hospital of Guangzhou Medical UniversityChina Early Intervention Department Affiliated Brain Hospital of Guangzhou Medical UniversityChina Traditional Chinese Medicine Department Affiliated Brain Hospital of Guangzhou Medical UniversityChina Cardiovascular Surgery Department Jingzhou Central HospitalChina Intensive Care Unit Department West China Hospital of Sichuan UniversityChina

Objective: Physical restraint is frequently used in medical services,such as in mental health settings,intensive care units and nursing homes,but its nature varies in different institutions.By reviewing related literature,this study aims to clarify the concept of physical restraint in mental health nursing.Method: Three databases (PubMed,PsyclNFO and CINAHL) were retrieved,and Walker and Avant's concept analysis method was used to analyze the concept of physical restraint in mental health nursing.Results: Physical restraint is a coercive approach that enables the administration of necessary treatment by safely reducing the patient's physical movement.It should be the last option used by qualified personnel.Antecedents of physical restraint are improper behavior (violence and disturbance) of patients,medical assessment prior to implementation and legislation governing clinical usage.Consequences of physical restraint are alleviation of conflict,physical injury,mental trauma and invisible impact on the institution.Discussion: This study defined the characteristics of physical restraint in mental health nursing.The proposed concept analysis provided theoretical foundation for future studies.

关键词： concept analysis Mental health services Physical restraint Qualitative study Walker and Avant's model

concept analysis of nurse burnout

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Frontiers of Nursing 2020年第3期7卷 227-233页

作者： Chun-Ming Yuan Chun-Yi Xu Department of Orthopaedic Sichuan Medical Academy of Science HospitalSichuan Provincial People’s HospitalChengduSichuan 610072China

Objective:To explore the concept of burnout among nurses.Through this concept analysis would expect in assisting hospital management departments in establishing supportive programmes to manage burnout of nurses.Method:Walker and Avant’s framework is adopted for the concept analysis of burnout.Results:Burnout is a syndrome that can happen among helping professions which characterized as emotional exhaustion,depersonalization,and reduced personal accomplishment.The antecedents of burnout are cognitive-competence,role overload,role conflict,lack of social support,and rewards.On the other hand,the consequences of burnout could be both personal and organizational,such as sub-clinical issues,behavioral change,absenteeism,and poor quality of care.Conclusion:The analysis of burnout on its attributes,together with antecedents and consequences(Appendix A)and presenting with case study,it may help the nurse to gain a better understanding of nurse burnout and build coping strategies.

关键词： burnout emotional exhaustion depersonalization reduced personal accomplishment compassion fatigue nurse or nurses or nursing concept analysis

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People-Centered Care: concept analysis

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Health 2022年第11期14卷 1130-1142页

作者： Aya Nitamizu Noyuri Yamaji Erika Ota Department of Global Health Nursing Graduate School of Nursing Science St. Luke’s International University Tokyo Japan Tokyo Foundation for Policy Research Tokyo Japan

Purpose: This study aims to clarify the definition, attributes, antecedents, and consequences of the concept of people-centered care (PCC). Method: Rogers and Knafl’s evolutionary method was used to analyze the concept of People-centered care. The cords such as “Attributes,” “Antecedent,” and “Consequences” were extracted on the coding sheet. The extracted contents of each of the “Attributes,” “Antecedent,” and “Consequences” from the created coding sheets were summarized as codes, and similar codes were categorized. Result: We included 33 studies in the analysis. As a result of the analysis, we identified four attributes (the subject is people, approaches to improving and enhancing health issues, relationships as a basis for partnership building, and behavioral attitudes for building partnerships), four antecedents (changes in social conditions, increasing people’s ownership of their health, health issues in modern society, and care in a variety of settings), and three consequences (achieving goals set by the people themselves, self-transformations of both people and healthcare providers, and social transformations). Discussion: Based on the analysis results, PCC was defined as “an initiative in which people step forward and partner with health care providers to improve and enhance health issues in individuals and communities.” In various social and individual changes, the realization of PCC is expected to result in the achievement of goals set by the people themselves together with health care providers and the transformation of individuals and society.

关键词： People-Centered Care Community Members Health Care Providers Partnership concept analysis

Patient outcomes in the field of nursing: A concept analysis

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International Journal of Nursing Sciences 2014年第1期1卷 69-74页

作者： Ying Liu Kay Coalson Avant Yupin Aungsuroch Xin-Yu Zhang Ping Jiang School of Nursing Dalian Medical UniversityDalian CityLiaoning ProvinceChina Department of Family and Community Health Systems The University of Texas Health Science Center at San AntonioUSA Faculty of Nursing Chulalongkorn UniversityBangkokThailand

Purpose:This paper reports an analysis of the concept of patient outcomes.Methods:The Walker and Avant concept analysis approach was applied.Results:The attributes of patient outcomes include(1)patient functional status(maintained or improved),(2)patient safety(protected or unharmed),and(3)patient satisfaction(patient reporting of comfort and contentment).These attributes are influenced by the antecedents of individual patient characteristics and health problems,the structure of healthcare organizations and received health interventions.Additionally,patient outcomes do significantly impact the quality of nursing care,the cost of effective care and healthcare policy making formulation.Conclusion:Providing good nursing care to all patients is a central goal of nursing.Patient outcomes in nursing are primarily about the results for the patient receiving nursing care.This analysis provides nurses with a new perspective by helping them to understand all the components within the concept of patient outcomes.

关键词： concept analysis Patient outcomes

A concept analysis of cultural competence

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International Journal of Nursing Sciences 2016年第3期3卷 268-273页

作者： Duan-Ying Cai School of Nursing Nantong UniversityNantong 226001China

Objectives:To clarify the meaning and reduce ambiguities of the concept cultural competence,and promote consistency in using the concept in nursing dialog,research,and practice.Method:Using Walker and Avant's method of concept analysis.Results:Cultural competence is the gradually developed capacity of nurses to provide safe and quality healthcare to clients of different cultural backgrounds.Its defining attributes are cultural awareness,cultural sensitivity,cultural knowledge,cultural skill,and dynamic process.Antecedents are cultural diversity,cultural encounter,and cultural desire.Consequences involve three beneficiaries,as follows:clients,nurses,and healthcare organizations.Empirical referents are primarily consisted in self-reported tools.Conclusions:The understanding of cultural competence of nurses that emerged in this concept analysis will contribute to the development of a rigorous design of instruments or research.

关键词： concept analysis Cultural competence Nurses Nursing