Which of these terms aligns with transcultural nursing philosophy Select all that apply

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Sample records for transcultural nursing concepts

1. Transcultural nursing: a selective review of the literature, 1985-1991.

   Science.gov [United States]

   Wilkins, H

   1993-04-01

   This paper reviews selected work, published in nursing journals between 1985 and 1991, on the subject of transcultural nursing. The papers were selected by the use of a computerized literature search at the Royal College of Nursing library, using the keywords transcultural, multicultural, crosscultural and cultural. The benefits and limitations of such an approach will be discussed along with an introduction to transcultural nursing. The journal papers were then reviewed under eight headings, theory and concepts, nurse education, health education and patient teaching, clinical, counselling, sexuality, care of the child and research. Common themes and problems are discussed.

2. Teaching transcultural nursing in a transcultural setting.

   Science.gov [United States]

   Baker, S S; Burkhalter, N C

   1996-01-01

   The application of Leininger's Theory of Culture Care Diversity and Universality to the dialogue between students and faculty regarding nursing education and practice provides the theoretical framework for evaluating a transcultural nursing curriculum in a transcultural, transnational setting on the Texas-Mexico border. In evaluating the first semester of this cultural encounter between the nurse-patient-community system and baccalaureate nursing education, faculty and students at Texas A&M International University School of Nursing in Laredo identified some particular challenges and assessed the effectiveness of approaches to meeting these challenges within the context of Leininger's Culture Care Theory and its three modes of action: culture care preservation, accommodation, and repatterning.

3. [The concept of transcultural nursing: the analysis of its development in a Master degree dissertation].

   Science.gov [United States]

   Queiroz, M V; Pagliuca, L M

   2001-01-01

   This is an analytic-bibliographic study which analyzes the concept of nursing in Leininger's Theory and the conceptual development of Nursing presented in the master's degree dissertation chosen for this study. Barnum's model for the analysis and evaluation of theories [Barnum 1998] was used, in relation to the clarity and consistency of the concept, together with questions about Nursing. The group of statements presented in Leininger's transcultural nursing concept and in the dissertation shows what is the focus of nursing and the intrinsic relation to the process of looking after somebody, which must be developed coherently with culture. It also demonstrates that Nursing has a body of specific professional knowledge which guides the care for the client, valuing one's individuality, subjectivity and way of seeing the world. The study made it possible to validate concepts taken from the Theory of Universality and Cultural Diversity of caring and their use in the research according to the analyzed criteria.

4. Homelessness as culture: How transcultural nursing theory can assist caring for the homeless.

   Science.gov [United States]

   Law, Kate; John, William

   2012-11-01

   The concepts of culture and homelessness are both complex and contested. This paper examines homelessness through the lens of transcultural nursing theory, increasing understanding of both homelessness and transcultural theory. We argue that homelessness can be usefully conceptualised as a culture and that the application of transcultural theory to caring for homeless people will add further to the utility of these theories. The application of transcultural theory can add to the repertoire of skills the nurse needs to care for not only homeless clients, but, for a diverse range of client groups. Copyright © 2012 Elsevier Ltd. All rights reserved.

5. The mystery of altruism and transcultural nursing.

   Science.gov [United States]

   Dowd, Steven; Davidhizar, Ruth; Giger, Joyce Newman

   2007-01-01

   Why do some individuals choose the professions they do? Is it for altruistic reasons? This article examines this question from the standpoints of sociobiology, evolutionary biology, game theory, and memetics. Implications for transcultural nursing are included. The Giger-Davidhizar Transcultural Assessment Model is presented as a nursing model and might explain altruism even beyond other models. An overview of the Giger-Davidhizar Transcultural Assessment Model is included.

6. Ethics and Transcultural Nursing Care.

   Science.gov [United States]

   Eliason, Michele J.

   1993-01-01

   Argues that nursing practice and theory cannot be ethical unless cultural factors are taken into consideration and that ethical/transcultural nursing is central to the philosophy and practice of nursing. [Author]

7. Transcultural nursing practice described by registered nurses and baccalaureate nursing students.

   Science.gov [United States]

   Baldonado, A; Beymer, P L; Barnes, K; Starsiak, D; Nemivant, E B; Anonas-Ternate, A

   1998-01-01

   Using Leininger's Theory of Culture Care Diversity and Universality as a framework, this research examined transcultural practices of nurses and students. A survey was administered to a convenience sample of registered nurses and senior baccalaureate students with 767 usable questionnaires returned. Neither group expressed confidence in their ability to care for culturally-diverse patients. Registered nurses [RNs] reported assessing cultural factors and modifying practices more frequently than did students. Respondents reported their beliefs about transcultural nursing were influenced by being with people of other cultures, their own personal values, and education. Analysis of the open-ended questions revealed two major themes. First, both nurses and students perceive an overwhelming need for transcultural nursing. Second, nurses and students respond to cultural challenges by modifying their care. Modifications are based on language and communication, pain perception and relief, religious and spiritual dimensions, gender and family roles, and other values. Results suggest that nurses and students are aware of culture, recognize that culture influences the care they provide, and modify their health teaching and nursing care based on culture. The use of a conceptual framework to help make modifications in care was not mentioned.

8. Perceived Transcultural Self-Efficacy of Nurses in General Hospitals in Guangzhou, China

   Science.gov [United States]

   Li, Juan; He, Zhuang; Luo, Yong; Zhang, Rong

   2016-01-01

   Background Conflicts arising from cultural diversity among patients and hospital staff in China have become intense. Hospitals have an urgent need to improve transcultural self-efficacy of nurses for providing effective transcultural nursing. Objective The purpose of the research was to [a] evaluate the current status of perceived transcultural self-efficacy of nurses in general hospitals in Guangzhou, China; [b] explore associations between demographic characteristics of nurses and their perceived transcultural self-efficacy; and [c] assess the reliability and validity of scores on the Chinese version of the Transcultural Self-Efficacy Tool [TSET]. Methods A cross-sectional survey of registered nurses from three general hospitals was conducted. Quota and convenience sampling were used. Participants provided demographic information and answered questions on the TSET. Results A total of 1,156 registered nurses took part. Most nurses had a moderate level of self-efficacy on the Cognitive [87.9%], Practical [87%], and Affective [89.2%] TSET subscales. Nurses who were older; who had more years of work experience, higher professional titles, higher incomes, and a minority background; and who were officially employed [not temporary positions] had higher perceived transcultural self-efficacy. Reliability estimated using Cronbach’s alpha was .99 for the total TSET score; reliability for the three subscales ranged from .97 to .98. Confirmatory factor analysis of TSET scores showed good fit with a three-factor model. Conclusion The results of this study can provide insights and guidelines for hospital nursing management to facilitate design of in-service education systems to improve transcultural self-efficacy of nurses. PMID:27454552

9. Depression: viewed from a transcultural nursing theoretical perspective.

   Science.gov [United States]

   Rosenbaum, J N

   1989-01-01

   Phenomena related to depression are discussed transculturally and examined within the context of Leininger's theory of transcultural diversity and universality of care and health. Mental health and mental illness are viewed within the social structure and world view in order to derive culturally congruent nursing care. Recommendations for future research are suggested.

10. Quality of life from a transcultural nursing perspective.

    Science.gov [United States]

    Leininger, M

    1994-01-01

    The author presents research findings derived from Leininger's theory of culture care diversity and universality bearing upon quality of life. She holds that since quality of life is culturally constituted and patterned, it needs to be studied and understood from a transcultural nursing perspective in order to advance nursing as a discipline and profession. Five major cultures are presented to illustrate culturally constituted dominant care patterns related to quality of life. These comparative data reflect more diversity than universality among the cultures. The author encourages nurse researchers to move beyond present-day overemphasis on individualism and to discover dominant transcultural care values and patterns of emic and etic knowledge focused on quality of life, health, and well-being.

11. Transcultural nursing as a global care humanizer, diversifier, and unifier.

    Science.gov [United States]

    Leininger, M M

    1997-01-01

    Three dominant themes of transcultural nursing as a global humanizer, diversifier, and unifier are discussed in relation to their meaning and uses in education, practice, research and consultation. The presenter takes the position that these three dominant themes are essential and imperative to promote, transform, and maintain desired care outcomes which are beneficial, satisfying, and healthy for people of diverse and similar cultures. The three themes are discussed within Leininger's theory of Culture Care Diversity and Universality with focus on the modes of action and decision-making. The author encourages transcultural nurses to take leadership to be an active global humanizer, diversifier, and unifier and transform nursing and health care into the 21st century.

12. Transcultural nursing course in Tanzania, Africa.

    Science.gov [United States]

    Owens, Rhoda

    2012-06-01

    A transcultural nursing course in Tanzania was offered in fall 2010 at Williston State College, located in North Dakota. Madeleine Leininger's Culture Care: Diversity and Universality Theory [Principles of Developing Cultural Competence] was the framework used for the experience. The course provided nursing students the opportunity to learn about the culture, health, and illness beliefs of Tanzanians; their values and practices; the prevalence of HIV/AIDS; and the differences and similarities between the healthcare systems, hospice/palliative care, and home visits in Tanzania as compared to the United States.

13. Developing a transcultural nursing leadership institute in China.

    Science.gov [United States]

    Capitulo, Kathleen Leask

    2012-09-01

    Globalization has been the hallmark of the 21st century. This article focuses on developing the Transcultural Nursing Leadership Institute [TCNLI] in China. This project built a leadership program in Wenzhou, China, empowering and supporting nurses to solve problems in their own practices with evidence-based approaches and local resources using the Dreyfus International Health Foundation's method Problem Solving for Better Health [PSBH].The partnership began when I was a Visiting Professor in Wenzhou, China and established collegial relationships with the Dean of the School of Nursing and the Chief Nursing Officers of the affiliated hospitals. In contrast to previous visiting scholars who went to China to lecture on health issues, I sought to develop a sustainable program and make a lasting contribution to the nursing practice in Wenzhou. The PSBH model was the method for what became the TCNLI. The TCNLI has taught over 200 nursing leaders to develop and implement major projects and connected them to the global nursing community by facilitating joint research, publications, and education. The journeys "across the bridge" from New York to Wenzhou have taken nursing and healthcare leaders from the United States to China and reciprocally welcomed leaders from Wenzhou to the United States for professional experiences. Outcomes of our partnership include more than 200 completed change projects. International partnerships within the global healthcare community provide a vehicle to navigate the complexities of transcultural differences and ultimately a way to bridge the gap and improve global healthcare.

14. Transcultural Self-Efficacy of Nursing Education Leaders and Faculty Related to Non-Binary Sexual Identities

    Science.gov [United States]

    Hoyer, Grace

    2013-01-01

    The purpose of this study was to explore transcultural self-efficacy in nursing education administrators/faculty and to gain understanding of confidence related to lesbian, gay, bisexual, transgender [LGBT] issues. The 83-item Transcultural Self-Efficacy Tool [TSET] with an additional 11 LGBT questions was administered to 535 nursing education…

15. Transcultural perspectives in nursing administration.

    Science.gov [United States]

    Andrews, M M

    1998-11-01

    Population demographics are reshaping the healthcare work force with respect to race, ethnicity, gender, national origin, sexual orientation, age, handicap, disability, and related factors as national sensitivity to various forms of diversity grows. Given the demographic trends, it is inevitable that nurse administrators will need skill in transcultural administration as they manage diversity and identify the cultural origins of conflict in the multicultural workplace. Culture influences the manner in which administrators, staff and patients perceive, identify, define and solve problems. In this article, the complex and interrelated factors that influence workplace diversity are examined.

16. Culture care theory: a major contribution to advance transcultural nursing knowledge and practices.

    Science.gov [United States]

    Leininger, Madeleine

    2002-07-01

    This article is focused on the major features of the Culture Care Diversity and Universality theory as a central contributing theory to advance transcultural nursing knowledge and to use the findings in teaching, research, practice, and consultation. It remains one of the oldest, most holistic, and most comprehensive theories to generate knowledge of diverse and similar cultures worldwide. The theory has been a powerful means to discover largely unknown knowledge in nursing and the health fields. It provides a new mode to assure culturally competent, safe, and congruent transcultural nursing care. The purpose, goal, assumptive premises, ethnonursing research method, criteria, and some findings are highlighted.

17. Historic perspectives from anthropology. Reflections proposed to Transcultural Nursing.

    Science.gov [United States]

    Rohrbach Viadas, Cecilia

    2015-01-01

    History brings together meanings related to earlier periods, being aware of the past as a panorama to reread the present. Madeleine Leininger presented in 1970 an implicit and respectful message to the Nursing Profession when introducing Nursing and Anthropology. Two Worlds to Blend. Implicitly: Nursing you disregard culture. This article shows the absence of the history of anthropology and of nursing within Transcultural Nursing and it includes how education has influenced theoretic, methodological, and comparative approaches giving researchers the responsibility to decide their fundamentals. Berthoud [2001] has inspired the anthropological and historic perspectives of the author, thus universalism, relativism, and comparison are presented.

18. Online or In-Class: Evaluating an Alternative Online Pedagogy for Teaching Transcultural Nursing.

    Science.gov [United States]

    Ochs, Jessica H

    2017-06-01

    Online learning formats are prevalent in current higher education. Given the changing student demographics and the drive for creativity in educating a technology-savvy student, it is imperative to incorporate innovative and alternative learning modalities to engage these students. This pilot study was designed as a quality improvement program evaluation comparing the effects of an online learning module with traditional classroom delivery of transcultural nursing content using a posttest two-group survey design in associate degree nursing students. The students' perceived knowledge and confidence were investigated after receiving the lecture for both the online and in-class groups. Data analysis revealed the online cohort perceived themselves as more knowledgeable concerning the ways that cultural factors influence nursing care, but not more confident in providing culturally competent care. Due to the students' perceived knowledge gain, this pilot study supports the use of online learning modules as being more effective than the traditional classroom delivery of transcultural nursing content. [J Nurs Educ. 2017;56[6]:368-372.]. Copyright 2017, SLACK Incorporated.

19. Acculturation: state of the science in nursing.

    Science.gov [United States]

    Buscemi, Charles P

    2011-01-01

    With the onset of global migration, nurses are faced with dealing with cultures from around the world. Having an understanding of transcultural nursing concepts and translating them to practice will be key to nurses meeting the needs of an ever changing patient population. Acculturation is one example of how transcultural nursing concepts need to be better understood. The purpose of this paper is to describe the state of the science of acculturation in terms of the nursing discipline. It offers a historical review and evolution of acculturation, uses in nursing theory, and clinical implications.

20. Health beliefs related to diarrhea in Haitian children: building transcultural nursing knowledge.

    Science.gov [United States]

    Kirkpatrick, S M; Cobb, A K

    1990-01-01

    Regardless of where they live or under what circumstances, mothers throughout the world seem to have a compelling desire to provide the best possible health care for their children [Huston, 1979]. Haitian mothers living in the Dominican Republic were no exception. The health beliefs and practices of these mothers related primarily to diarrhea among their children which demonstrated a concern and resourcefulness that is commendable. The results of this study clearly indicate the importance of transcultural nurses conducting culturally relevant research as a basis to develop sound health programs in developing countries. Diarrhea was identified as the single most important threat to a child's health in these communities. That mothers did not know about the correct ingredients and/or proportions for oral rehydration solutions [Western views] was of interest. Although the Dominican government makes some commercial packets of ORS, most of the women interviewed did not have ready access to this product. This finding reflected the need for transcultural nurses to offer to teach mothers how to make ORS using the sugar, salt, and water they had available. Since the mothers' perception that diarrhea was a dangerous threat to their children's health, was verified by childhood mortality statistics in the bateys, it would seem that ORS could make a significant impact on the health status of the children. Breastfeeding also was a major health belief factor associated with the treatment of diarrhea. Even though the majority of mothers believed breast feeding should be continued if a child had diarrhea, a number believed it should be discontinued. Nurses working with CHWs will need to emphasize the importance of breastfeeding and help them to develop creative ways of communicating this information to the mothers. The second most dangerous threat to the child identified by the mothers was respiratory ailments. This suggests a new area of concentration for future research and

1. [Transcultural self-efficacy and educational needs for cultural competence in nursing of Korean nurses].

   Science.gov [United States]

   Kim, Sun-Hee

   2013-02-01

   This study was done to investigate the level of transcultural self-efficacy [TSE] and related factors and educational needs for cultural competence in nursing [CCN] of Korean hospital nurses. A self-assessment instrument was used to measure TSE and educational needs for CCN. Questionnaires were completed by 285 nurses working in four Korean hospitals. Descriptive statistics, t-test, ANOVA, Pearson correlation coefficients, and multiple regression were used to analyze the data. Mean TSE score for all items was 4.54 and score for mean CCN educational needs, 5.77. Nurses with master's degrees or higher had significantly higher levels of TSE than nurses with bachelor's degrees. TSE positively correlated with English language proficiency, degrees of interest in multi-culture, degree of experience in caring for multi-cultural clients, and educational needs for CCN. The regression model explained 28% of TSE. Factors affecting TSE were degree of interest in multi-culture, degree of experience in caring for multi-cultural clients, and educational needs for CCN. The results of the study indicate a need for nurse educators to support nurses to strengthen TSE and provide educational program for TSE to provide nurses with strategies for raising interests in cultural diversity and successful experiences of cultural congruent care.

2. Genealogies and Challenges of Transcultural Studies

   Directory of Open Access Journals [Sweden]

   Bernd Fischer

   2017-02-01

   Full Text Available My introductory essay discusses some of transculturalism’s enduring conceptual challenges from the perspective of the history of German cultural and political theory. I am particularly interested in the discursive space between Immanuel Kant’s individualism and Johann Gottfried Herder’s and Moses Mendelssohn’s concepts of cultural identity. My hope is that such a discussion can enrich some of our current questions, such as: Have culture studies placed too much emphasis on difference, rather than on commonality? Can a renewed interest in the cosmopolitan individual surpass the privileged position of academic or upper-class internationalism? Can concepts of transculturality avoid the pitfalls of homogenizing politics or overstretched individualism? After mentioning a few challenges to current conceptions of transculturalism that may arise in the wake of recent developments in the natural sciences, I end my remarks with a brief example of a possible intersection of literary studies and science. The essay engages three topics: [a the question of culture; [b transcultural participation; and [c transcultural empathy and the sciences.

3. Transcultural group performance in extreme environment: Issues, concepts and emerging theory

   Science.gov [United States]

   Lapierre, Judith; Bouchard, Stéphane; Martin, Thibault; Perreault, Michel

   2009-06-01

   A simulation for flight of international crew on space station took place in Moscow from July 1999 to April 2000 [SFINCS] at the State Biomedical Institute of Russia [IBMP] isolation chambers. Objectives of this study were to identify concepts of psychosocial adaptation and of social interactions to develop an explanation of the transcultural group performance. Method: constructivist epistemology with grounded theory research and fourth generation evaluation were used. Data on processes and interactions were gathered during 110 days of confinement as a subject and extended to 240 days as an outside scientist. Results indicate that coping is influenced by usual coping strategies and coping behaviors inside. Several stresses and human factor issues were identified altering well being and performance inside the chambers. Enabling and limiting forces are discussed. A theory on transcultural group performance is proposed. Issues are raised that appear critical to selection, training and group performance.

4. Meanings and expressions of care and caring for elders in urban Namibian families: a transcultural nursing study.

   Science.gov [United States]

   Leuning, C J; Small, L F; van Dyk, A

   2000-09-01

   Since Namibia's Independence in 1990, the population of elders--persons 65 years old and older--in urban communities is growing steadily. As such, requests for home health care, health counselling, respite care and residential care for aging members of society are overwhelming nurses and the health care system. This study expands transcultural nursing knowledge by increasing understanding of generic [home-based] patterns of elder care that are practised and lived by urban Namibian families. Guided by Madeleine Leininger's theory of culture care diversity and universality and the ethnonursing research method, emic [insider] meanings and expressions of care and caring for elders in selected urban households have been transposed into five substantive themes. The themes, which depict what carring for elders means to urban families, include: 1 nurturing the health of the family, 2 trusting in the benevolence of life as lived, 3 honouring one's elders, 4 sustaining security and purpose for life amid uncertainty, and 5 living with rapidly changing cultural and social structures. These findings add a voice from the developing world to the evolving body of transcultural nursing knowledge. Synthesis of findings with professional care practices facilitates the creation of community-focussed models for provisioning culturally congruent nursing care to elders and their families in urban Namibia.

5. The Influence of International Service-Learning on Transcultural Self-Efficacy in Baccalaureate Nursing Graduates and Their Subsequent Practice

   Science.gov [United States]

   Amerson, Roxanne

   2012-01-01

   The purpose of this study was to explain how participation in an international service-learning project during a community health course influenced transcultural self-efficacy of baccalaureate nursing graduates following graduation and their subsequent clinical practice. A qualitative, explanatory case study was used to conduct telephone…

6. Caregiving to patients who are culturally diverse by Swedish last-year nursing students.

   Science.gov [United States]

   Lundberg, Pranee C; Bäckström, Josefin; Widén, Sarah

   2005-07-01

   With Leininger's theory of cultural care diversity and universality as a framework, the aim of this study was to describe Swedish last-year nursing students' experiences of caregiving to patients who are culturally diverse. The students participated voluntarily, 107 by completing a questionnaire with open-ended questions and 15 by participating in in-depth semistructured interviews. Three categories of experience were identified by use of qualitative method, namely, cultural awareness, cultural insufficiency, and cultural curiosity. The students were found to be on the level of Leininger's first phase of transcultural knowledge. It is concluded that cultural sensitivity should be promoted by integrating transcultural concepts into the curricula on all levels of nursing education and by offering special courses on transcultural nursing to nursing students and health care providers.

7. Competência para prestar cuidado de enfermagem transcultural à pessoa com deficiência: instrumento de autoavaliação Competencia para prestar cuidado de enfermería transcultural a personas con deficiencia: instrumento de autoevaluación Competency to provide cross-cultural nursing care for people with disability: a self-assessment instrument

   Directory of Open Access Journals [Sweden]

   Lorita Marlena Freitag Pagliuca

   2012-10-01

   Cuidado de Enfermería Transcultural a Personas con Deficiencia, específicamente sordera, ceguera y baja visión, deficiencia física y deficiencia mental, respecto a los aspectos de cumplimentar, aceptar, ayudar, conocer y abogar. Se concluye que la teoría reúne características para el cuidado a la persona con deficiencia.This study addresses the Cross-Cultural Nursing Theory, which develops foundations for care delivery, as the essence of nursing work, based on anthropology, which supports and explains culture and care aspects. This reflexive study was based on the Theory Analysis method to study the concepts aimed at constructing a Self-Assessment Instrument of Competencies for Cross-Cultural Care to Disabled People. After analyzing the main concepts, Culturally Competent Care and Cultural Communication, were analyzed, as well as the sub-concepts: assessment, values, bio-cultural diversity, skill, knowledge, identity, code and cultural empathy. The analysis cycle of cultural values supporting self-assessment was summarized. The Self-Assessment Instrument of Competencies for Cross-Cultural Nursing Care to Disabled People was constructed, specifically deafness, blindness or low sight, physical impairment and mental impairment, regarding greeting, accepting, helping, knowing and advocating. It is concluded that the theory joins characteristics for care delivery to disabled people.

8. Death the great leveller? Towards a transcultural spirituality of dying and bereavement.

   Science.gov [United States]

   Holloway, Margaret

   2006-07-01

   This paper aims to provide a critical engagement with the subject of transcultural spirituality and nursing practice in the context of dying and bereavement. There has been considerable interest in the subject of spirituality over the past decade, and a particular association between the study of death and the study of spirituality. The nursing literature has been at the forefront of these developments amongst health and social care professionals. Some of this literature has begun to address the issues raised for culturally competent practice and the significance of patients' belief systems in the diverse cultural contexts with which nurses must engage in contemporary health care. However, the author argues that understanding of the range of contemporary spiritualities and transcultural practice is at an early stage. Transcultural spirituality is explored through a critical review of the literature, including the author's own published research on spiritual and philosophical issues in death, dying and bereavement. The conclusion is drawn that some common themes and approaches can be found which offer a framework to guide nursing practice with the individual patient and family. In the absence of guidance, nurses struggle with implementing spiritual care in the fluid and complex context of contemporary spiritualities and frequently resort to broad categorizations. This paper opens up a way of connecting with the unique spiritual position of each patient.

9. Assistência de enfermagem ao portador de Hanseníase: abordagem transcultural Asistencia de enfermería al portador de Lepra: abordaje transcultural Nursing assistance to a Leprosy-infected patient: transcultural approach

   Directory of Open Access Journals [Sweden]

   Fernando José Guedes da Silva Júnior

   2008-11-01

   com la lepra de forma culturalmente satisfactória.This is a case study, developed in a health center in Teresina-PI, which dealt with the issue of nursing assistance given to a patient with Multibacillary Leprosy, focusing on the Transcultural Nursing care, Diagnosis and Nursing Interventions according to NANDA Taxonomy II. A semi-structured interview and participant observation were carried out, which enabled data collection handled according to normative patterns, values and daily practices, ways of popular care and cares required in the professional system. In this study, we realized that nursing assistance planning aimed, especially, to contribute on the disease treatment support, reducing potential risks and using preservation, negotiation and re-standardization of the professional system. We also observed the support to the treatment and the development of self care turned to leprosy in a culturally satisfactory way.

10. Early weaning food for infants [0-6 months old] in madurese people based on transcultural nursing theory

    Science.gov [United States]

    Has, Eka Mishbahatul M.; Syaltut, M.; Kusumaningrum, Tiyas; Efendi, Ferry

    2018-02-01

    The World Health Organization recommend weaning food is given to infants aged 624 months. In Madura culture still exist the practice of giving weaning food before infants reach six months old. The purpose of this study was to analyze the factors of giving weaning food for infants [0-6 months old] based on transcultural nursing theory. Design used was descriptive with cross-sectional approach. Population was Madurese mothers who have infants [0-6 months old] who has been given early weaning food. A total of 61 respondents were chosen by cluster sampling method. Variables in this study were education, economic, political and legal, cultural values and lifestyles, kinship and social, religious and philosophical, and technology. Data were collected by using structured interview and described by using frequency and percentage distribution. The results had showed educational mostly were primary and middle education [92%]. Economic mostly come from low economic status [70%]. Political and legal mostly positive [54%]. Cultural values and lifestyles mostly negative [62%]. Kinship and social mostly negative [64%]. Religious and philosophical mostly positive [64%]. Technology factor dominantly low [56%]. Based on transcultural nursing theory it is shown a diversity in positive and negative values. Further research was suggested to reduce the practice of giving weaning food behavior of Madurese mothers which suits with local culture.

11. Adaptação transcultural do instrumento “Nursing Students’ Attitudes Toward Mental Health Nursing and Consumers” no Brasil

    Directory of Open Access Journals [Sweden]

    Marcos Hirata Soares

    2015-04-01

    Full Text Available RESUMO Objetivo: realizar a adaptação transcultural a escala Nursing Students’ Attitudes Toward Mental Health Nursing and Consumers no Brasil. Métodos: os dados foram coletados em 2013, na cidade de Londrina-PR. As etapas metodológicas foram as de equivalência conceitual e de itens, equivalência semântica e equivalência operacional. Resultados: a validade de conteúdo realizada por um grupo de juízes, com o consenso mínimo de 80% resultou numa escala composta por 35 itens divididos em 6 fatores. Houve concordância de 100% dos juízes quanto aos parâmetros de clareza de linguagem, pertinência prática, e relevância teórica, assim como para exclusão de um fator. Conclusão: o instrumento está adaptado culturalmente para o Brasil, assim como apresenta validade de conteúdo satisfatória. São sugeridos estudos das propriedades psicométricas como a validade de construto, consistência interna e a confiabilidade do instrumento.

12. The Relationships Among Personality, Intercultural Communication, and Cultural Self-Efficacy in Nursing Students.

    Science.gov [United States]

    Chan, Joanne Chung-Yan; Sy, Po Yi

    2016-12-01

    The demand for nurses to provide transcultural nursing care is rising. However, little is known about the relationships among the dimensions of nurse personality, intercultural communication, and cultural self-efficacy in the provision of this care. The aims of this study were to examine the associations among personality, intercultural communication, and cultural self-efficacy in nursing students and to compare intercultural communication and cultural self-efficacy between first-year and third-year nursing students. One hundred twenty-six Chinese students completed a questionnaire that consisted of three scales that were designed to measure intercultural communication, cultural self-efficacy [cultural concepts, transcultural nursing functions, and cultural knowledge related to South Asians], and personality, respectively. Intercultural communication correlated positively with the three subscales of personality, agreeableness [r = .22, p nursing functions correlated positively with intercultural communication [r = .36, p Asians correlated positively with agreeableness [r = .20, p nursing functions, or self-efficacy in the cultural knowledge related to South Asians. Personality assessments should be included in the nursing student recruitment process. Furthermore, nurse educators should focus greater attention on enhancing the cultural self-efficacy and intercultural communication skills of their students.

13. The implication of transcultural psychiatry for clinical practice.

    Science.gov [United States]

    Moldavsky, Daniel

    2003-01-01

    This article deals with the main concepts of Transcultural Psychiatry and their applications to everyday psychiatric practice. Transcultural psychiatry has undergone a conceptual reformulation in the last two decades. Having started with a comparative approach, which focused on the diverse manifestations of mental disorders among different societies, it broadened its scope, aiming at present to incorporate social and cultural aspects of illness into the clinical framework. Therefore, transcultural psychiatry now focuses more on what is called the illness experience than on the disease process, the latter understood as illness as it is viewed by health practitioners. Western medicine, of which psychiatry is a part, is grounded in positivist epistemological principles that stress the biological processes of disease. The intention of the paper is to develop an interest in alternative but also complementary ways of thinking. Modern transcultural psychiatry interprets some epidemiological and clinical aspects of major mental disorders [such as schizophrenia and depression] in a different light. However, it also distances itself from the absolute relativism of antipsychiatry, centering on clinical facts and helping clinicians in their primary task of alleviating suffering. An important contribution in addressing this task is the formulation of a cultural axis within the DSM model of multiaxial evaluation. A clinical vignette of a cultural formulation applied to a clinical discussion of a case is described.

14. Concept analysis: nurse-to-nurse lateral violence.

    Science.gov [United States]

    Embree, Jennifer L; White, Ann H

    2010-01-01

    The purpose of this paper is to examine the concept of nurse-to-nurse lateral violence [LV]. Published literature--LV among nurses is significant and results in social, psychological, and physical consequences, negative patient and nursing outcomes, and damaged relationships. An extensive review of literature through Health Source, Cumulative Index to Nursing and Allied Health Literature [CINAHL], ProQuest health, and Medical Complete was used to determine agreement and disagreement across disciplines and emerging trends. This concept analysis demonstrates that nurse-to-nurse LV is nurse-to-nurse aggression with overtly or covertly directing dissatisfaction toward another. Origins include role issues, oppression, strict hierarchy, disenfranchising work practices, low self-esteem, powerlessness perception, anger, and circuits of power. The result of this analysis provides guidance for further conceptual and empirical research as well as for clinical practice. Organizations must learn how to eliminate antecedents and provide nurses with skills and techniques to eradicate LV to improve the nursing work environment, patient care outcomes, and nurse retention.

15. Transcultural psychiatry

    Directory of Open Access Journals [Sweden]

    R Vikash

    2008-01-01

    Full Text Available During the last half of the century the researchers have placed a great deal of importance on brain behavior relations. This has brought upon a huge body of knowledge but unfortunately at the cost of culture - the true roots of much of our behaviour. This general disregard of cultural factors has not only led to false generalizations but has also blocked the understanding of the real forces that motivate and shape our perceptions, attitudes, and actions. This paper is therefore an attempt to highlight the trajectory of transcultural psychiatry, right from the conceptions of its idea, through flaws in methodology, assessment, treatment and to its future and its limitations.

16. Outcome analysis of a research-based didactic model for education to promote culturally competent nursing care in Sweden--a questionnaire study.

    Science.gov [United States]

    Gebru, Kerstin; Khalaf, Azzam; Willman, Ania

    2008-09-01

    To describe and analyse to what extent the goals of the education in promoting culturally competent nursing care have been achieved from a student perspective. As Sweden has transformed into a multicultural society over the past 50 years, there is a need to specify, at all levels of the nursing programme, transcultural concepts for the success of integration. A research-based didactic model was designed for the nursing programme at Malmö University and this was followed by investigations of its outcome. The study is a prospective cohort study with an outcome analysis. A descriptive research study with a longitudinal design was performed, with the focus on Swedish nursing students' experiences of transcultural nursing knowledge and their attitudes before and after implementation of the didactic model. The students evaluate highly their competence to meet demands of multicultural health and medical service. Additionally, their ability to recognise and understand the consequences of international migration on health also received a high mean. The study revealed the knowledge and experience acquired by Swedish students in transcultural nursing. The assumption was that a visible development of knowledge should occur during the three years of education. Interpreting the findings, such effectiveness can be found and hopefully the students will be able to give holistic nursing care based on a person's individual culture.

17. Culture care of Iranian immigrants in New South Wales, Australia: sharing transcultural nursing knowledge.

    Science.gov [United States]

    Omeri, A

    1997-01-01

    Discovery and analysis of care meanings, expressions, and practices of Iranian Immigrants in New South Wales, Australia was the focus of this ethnonursing qualitative research. The purpose of the study was to systematically discover, describe and analyse the values, beliefs, and practices of Iranian immigrants in New South Wales, Australia. The aim of the investigation was to discover transcultural nursing knowledge to guide nurses and health professionals to provide culturally congruent nursing and health care to Iranians. Leininger's theory of Culture Care Diversity and Universality [Leininger, 1991] was used as the conceptual framework for the study. It was predicted that care meanings and expressions of Iranian immigrants would be influenced by their worldview, social structure features, language, and cultural values rooted in their long ethnohistorical past and reflected in their lifeways in Australia. Using the ethnonursing qualitative research method, key and general informants were purposefully selected among Iranian immigrants residing in New South Wales. Three care themes supported by a number of universal and some diverse patterns were identified for Iranian immigrants. The three themes were: [1] Care meant family and kinship ties [hambastegie] as expressed in daily lifeways and interactions with family, friends, and community; [2] Care as expressed in carrying out traditional urban gender roles [role-zan-o-mard] [Azadie zan] as well as in fulfilling emerging new role responsibilities related to equality for female Iranian immigrants; and [3] Care as preservation of Iranian identity [inhamoni, hamonandi] as expressed in traditional cultural events and health care practices. Leininger's [1991] three modes of actions and decisions were used to develop appropriate and culturally meaningful nursing care actions and decisions which were in harmony with the cultural beliefs of Iranian immigrants.

18. A research-based didactic model for education to promote culturally competent nursing care in Sweden.

    Science.gov [United States]

    Gebru, Kerstin; Willman, Ania

    2003-01-01

    As Sweden changes toward a multicultural society, scientific knowledge of transcultural nursing care becomes increasingly important. Earlier studies in Swedish nursing education have demonstrated a lack of knowledge base in transcultural nursing. Through an extensive review of the literature, a didactic model was developed to help facilitate the establishment of this body of knowledge in transcultural nursing. The article demonstrates how the model applies the content and structure of Leininger's theory of culture care diversity and universality and ethnonursing method in a 3-year nursing program in theory as well as clinical education. The model includes a written guide for faculty members, with references to scientific articles and documents to be used.

19. The leadership concept in Iranian nursing.

    Science.gov [United States]

    Memarian, R; Ahmadi, F; Vaismoradi, M

    2008-03-01

    Although greater emphasis has been placed on leadership skills in nursing management in the last decade, the concepts are often confused or used erroneously by Iranian nurses. At the same time we have observed that wide variations in nurses' clinical practice appeared to be related to the presence or absence of leadership skills among senior nurses. To begin to identify the concepts used for expressing leadership in nursing within the Iranian cultural context. A qualitative approach was adopted using content analysis of semi-structured interviews carried out with 10 nurse managers from hospitals in Teheran. The data were analysed using the constant comparative method. Fifty-five primary codes were identified from the respondents' experiences and from these three main themes were abstracted for describing the leadership concept. These were 'personality traits', 'being a model', and 'being a spiritual guide for the nursing profession'. Implementing the culture of patient safety and dignity needs leadership. From Iranian nurse managers' perspectives a leader as a spiritual guide should empower nurses spiritually; it means he/she has a vision for nursing; has clear and explicit objectives; and has a commitment to nursing. Nurses who are confident about the underlying concepts of leadership in their culture can help to adapt nursing to an ever-changing healthcare environment.

20. Nurse competence: a concept analysis.

    Science.gov [United States]

    Smith, Sarah A

    2012-10-01

    The purpose of this analysis was to explore the concept of nurse competence. Data sources include EBSCOhost, Gale PowerSearch, ProQuest, PubMed Medline, Google Scholar, and Online Journal of Issues in Nursing. This paper utilizes Rodgers' evolutionary method to analyze the concept of nurse competence. Antecedents to nurse competence include personal and external motivations. Attributes include integrating knowledge into practice, experience, critical thinking, proficient skills, caring, communication, environment, motivation, and professionalism. Consequences include confidence, safe practice, and holistic care. Implications for nursing responsibility regarding defining nurse competence and ensuring nurse competence need to be identified. More research is needed to determine the best evaluation methods for the different facets of nurse competence. © 2012, The Author. International Journal of Nursing Knowledge © 2012, NANDA International.

1. Holistic Nursing Simulation: A Concept Analysis.

   Science.gov [United States]

   Cohen, Bonni S; Boni, Rebecca

   2018-03-01

   Simulation as a technology and holistic nursing care as a philosophy are two components within nursing programs that have merged during the process of knowledge and skill acquisition in the care of the patients as whole beings. Simulation provides opportunities to apply knowledge and skill through the use of simulators, standardized patients, and virtual settings. Concerns with simulation have been raised regarding the integration of the nursing process and recognizing the totality of the human being. Though simulation is useful as a technology, the nursing profession places importance on patient care, drawing on knowledge, theories, and expertise to administer patient care. There is a need to promptly and comprehensively define the concept of holistic nursing simulation to provide consistency and a basis for quality application within nursing curricula. This concept analysis uses Walker and Avant's approach to define holistic nursing simulation by defining antecedents, consequences, and empirical referents. The concept of holism and the practice of holistic nursing incorporated into simulation require an analysis of the concept of holistic nursing simulation by developing a language and model to provide direction for educators in design and development of holistic nursing simulation.

2. Calling to Nursing: Concept Analysis.

   Science.gov [United States]

   Emerson, Christie

   The aims of this article are [a] to analyze the concept of a calling as it relates nursing and [b] to develop a definition of calling to nursing with the detail and clarity needed to guide reliable and valid research. The classic steps described by Walker and Avant are used for the analysis. Literature from several disciplines is reviewed including vocational psychology, Christian career counseling, sociology, organizational management, and nursing. The analysis provides an operational definition of a calling to nursing and establishes 3 defining attributes of the concept: [a] a passionate intrinsic motivation or desire [perhaps with a religious component], [b] an aspiration to engage in nursing practice, as a means of fulfilling one's purpose in life, and [c] the desire to help others as one's purpose in life. Antecedents to the concept are personal introspection and cognitive awareness. Positive consequences to the concept are improved work meaningfulness, work engagement, career commitment, personal well-being, and satisfaction. Negative consequences of having a calling might include willingness to sacrifice well-being for work and problems with work-life balance. Following the concept analysis, philosophical assumptions, contextual factors, interdisciplinary work, research opportunities, and practice implications are discussed.

3. Concept caring in nursing

   Directory of Open Access Journals [Sweden]

   Lenka Drahošová

   2016-05-01

   Full Text Available Aim: The aim of this literature review was to search for qualitative studies focusing on the concept of caring in nursing, to analyse them and to synthesize knowledge that concerns the definition of the concept of caring in nursing from the point of view of nurses and patients. Design: Review. Methods: Qualitative studies were searched for systematically in the electronic databases Academic Search Complete [EBSCO, CINAHL, Medline, Science Direct, and the Wiley Library Online, according to set criteria and defined key words for the period 1970-2015. Seven selected articles were analysed after selection of documents with the aid of a sorting chart. Results: Nurses understand caring in nursing as a relationship with patients which is characterised on the nurses' part by an individual and empathetic approach, attentiveness, experience and sensitivity. Through caring, active communication takes place, providing information which reduces anxiety and leads to the breaking down of barriers. This relationship helps protect patients' autonomy, dignity and comfort. It requires experience on the part of nurses, and it is influenced by the environment. The nurses' personal qualities [what professional knowledge, attitudes and skills they have and their availability, reliability, and emotional and physical support are important to patients. Conclusion: The concept of caring is a content specific interpersonal process which is characterized by the professional knowledge, skills, personal maturity, and interpersonal sensitivity of nurses, which result in the protection, emotional support, and the meeting of bio-psycho-social needs of patients. The results of the overview study could contribute to an explanation and understanding of the nature of caring as a fundamental feature of the discipline of nursing.

4. Chinese Woman in New York City: Transcultural Travel and Postsocialist Cosmopolitanism in Twenty-first Century China

   OpenAIRE

   Berg, Daria; Kunze, Rui

   2016-01-01

   This paper explores transcultural travel as the new space of Chinese women and culture in motion in a globalizing postsocialist China. We adopt Lisa Rofel’s concept of ‘postsocialist cosmopolitanism’ to examine how a new generation of Chinese women writers fashions a new female self in their writings about lived experiences in transnational and transcultural environments. According to Rofel, postsocialist cosmopolitanism combines first, a self-conscious transcendence of locality accomplished ...

5. Professional nursing values: A concept analysis.

   Science.gov [United States]

   Schmidt, Bonnie J; McArthur, Erin C

   2018-01-01

   The aim of this concept analysis is to clarify the meaning of professional nursing values. In a time of increasing ethical dilemmas, it is essential that nurses internalize professional values to develop and maintain a professional identity. However, nursing organizations and researchers provide different conceptions of professional nursing values, leading to a lack of clarity as to the meaning and attributes of this construct. Walker and Avant's [2011] method was used to guide an analysis of this concept. Resources published from 1973 to 2016 were identified via electronic databases and hand-searching of reference lists. A review of the literature was completed and the data were analyzed to identify uses of the concept; the defining attributes of the concept; borderline, related, contrary, and illegitimate examples; antecedents and consequences; and empirical referents. Professional nursing values were defined as important professional nursing principles of human dignity, integrity, altruism, and justice that serve as a framework for standards, professional practice, and evaluation. Further research is needed in the development and testing of professional nursing values theory, and the reassessment of values instruments. Core professional values that are articulated may help unify the profession and demonstrate the value of nursing to the public. © 2017 Wiley Periodicals, Inc.

6. FREPA - A Set of Instruments for the Development of Plurilingual and Inter-/Transcultural Competences

   DEFF Research Database [Denmark]

   Daryai-Hansen, Petra Gilliyard; Schröder-Sura, Anna

   2012-01-01

   The article presents a description and instructions for use of a set of tools that seeks to facilitate learners’ continuous development and strengthen plurilingual and inter- /transcultural competences. These tools have been developed within the research project Framework of Reference for Plurali...... and defines the concept of pluralistic approaches. The FREPA tools will be presented by answering the question as to how the FREPA tools can been used to describe and develop transcultural competences. Finally, the recent perspectives of the FREPA project will be outlined....

7. Sustainability in nursing: a concept analysis

   Science.gov [United States]

   Anåker, Anna; Elf, Marie

   2014-01-01

   Aim The aim of this study was to describe, explore and explain the concept of sustainability in nursing. Background Although researchers in nursing and medicine have emphasised the issue of sustainability and health, the concept of sustainability in nursing is undefined and poorly researched. A need exists for theoretical and empirical studies of sustainability in nursing. Design Concept analysis as developed by Walker and Avant. Method Data were derived from dictionaries, international healthcare organisations and literature searches in the CINAHL and MEDLINE databases. Inclusive years for the search ranged from 1990 to 2012. A total of fourteen articles were found that referred to sustainability in nursing. Results Sustainability in nursing involves six defining attributes: ecology, environment, future, globalism, holism and maintenance. Antecedents of sustainability require climate change, environmental impact and awareness, confidence in the future, responsibility and a willingness to change. Consequences of sustainability in nursing include education in the areas of ecology, environment and sustainable development as well as sustainability as a part of nursing academic programs and in the description of the academic subject of nursing. Sustainability should also be part of national and international healthcare organisations. The concept was clarified herein by giving it a definition. Conclusion Sustainability in nursing was explored and found to contribute to sustainable development, with the ultimate goal of maintaining an environment that does not harm current and future generations′ opportunities for good health. This concept analysis provides recommendations for the healthcare sector to incorporate sustainability and provides recommendations for future research. PMID:24602178

8. TRANSCULTURALIZATION, IMMIGRANTS AND INTEGRATION – OUTLINING NEW SOCIAL PARADIGMS IN EUROPE

   Directory of Open Access Journals [Sweden]

   Diana Petkova

   2017-03-01

   Full Text Available According to the concept of transculturalization in contemporary society there is an establishment of cultural communities, which do not coincide with the borders of the national states but exist beyond and often against them. The transcultural identities, such as the identities of the ethnic diasporas and religious groups, are deteritorialized. This means that they do not have particular territories, such as the territories of the local and national communities. Thus, new cultural borders appear, which, in comparison with the traditional borders, are spiritual and non-material and are related to specific traditions, customs, languages and values, maintained in the frames of the cultural community. Although they cannot be seen on the geographical map, they are strong enough to determine and frame the social space of the community. Together with this they are not fixed but can easily move within space and time. In such a way, autonomous cultural groups appear. Although they exist within the territory of the national state, in reality they surpass its borders. Moreover, the culture of the immigrants not only forge transcultural identities but it challenges some of the most important European values and ideals. In analyzing the processes of transculturalization and of the rise of the religious consciousness, this paper discusses some of the problems related to the integration of immigrants and refugees on the European continent.

9. Sustainability in nursing: a concept analysis.

   Science.gov [United States]

   Anåker, Anna; Elf, Marie

   2014-06-01

   The aim of this study was to describe, explore and explain the concept of sustainability in nursing. Although researchers in nursing and medicine have emphasised the issue of sustainability and health, the concept of sustainability in nursing is undefined and poorly researched. A need exists for theoretical and empirical studies of sustainability in nursing. Concept analysis as developed by Walker and Avant. Data were derived from dictionaries, international healthcare organisations and literature searches in the CINAHL and MEDLINE databases. Inclusive years for the search ranged from 1990 to 2012. A total of fourteen articles were found that referred to sustainability in nursing. Sustainability in nursing involves six defining attributes: ecology, environment, future, globalism, holism and maintenance. Antecedents of sustainability require climate change, environmental impact and awareness, confidence in the future, responsibility and a willingness to change. Consequences of sustainability in nursing include education in the areas of ecology, environment and sustainable development as well as sustainability as a part of nursing academic programs and in the description of the academic subject of nursing. Sustainability should also be part of national and international healthcare organisations. The concept was clarified herein by giving it a definition. Sustainability in nursing was explored and found to contribute to sustainable development, with the ultimate goal of maintaining an environment that does not harm current and future generations' opportunities for good health. This concept analysis provides recommendations for the healthcare sector to incorporate sustainability and provides recommendations for future research. © 2014 The Authors. Scandinavian Journal of Caring Sciences published by John Wiley & Sons Ltd on behalf of Nordic College of Caring Science.

10. Study of the Relationship Between Nurse Self-Concept and Clinical Performance Among Nursing Students

    Directory of Open Access Journals [Sweden]

    Badiyepeymaie Jahromi

    2015-09-01

    Full Text Available Background Scholars believe that if nursing students appreciate the value of their services, their sense of professionalism will increase and performance will improve. Nevertheless, little is known about the relationship between nursing students’ professional self-concept and clinical performance. Objectives This study examines the relationship between nurse self-concept and clinical performance among nursing students. Patients and Methods This cross-sectional analytical study employed the census method. The sample comprised 86 senior and junior nursing students at Jahrom university of medical sciences. Nurse self-concept and clinical performance were measured by using the nurses’ self-concept questionnaire [NSCQ, and the 6-dimension scale of nurse performance [6-DSNP, respectively. Results The mean and standard deviation of nurse self-concept and clinical performance scores were 5.46 ± 1.11 and 2.94 ± 1.45, respectively. Nurse self-concept was related to clinical performance [r = 0.24, P = 0.02. Total NSCQ scores were significantly related to four of the 6-DSNP dimensions: planning and evaluation, interpersonal relations and communication, critical care, and leadership. Conclusions Attempts should be made to enhance students’ nurse self-concept during their education. Counseling, improving public respect for nurses, and implementing measures to enhance students’ professional self-concept are essential for improving their performance.

11. Concept formation: a supportive process for early career nurses.

    Science.gov [United States]

    Thornley, Tracey; West, Sandra

    2010-09-01

    Individuals come to understand abstract constructs such as that of the 'expert' through the formation of concepts. Time and repeated opportunity for observation to support the generalisation and abstraction of the developing concept are essential if the concept is to form successfully. Development of an effective concept of the 'expert nurse' is critical for early career nurses who are attempting to integrate theory, values and beliefs as they develop their clinical practice. This study explores the use of a concept development framework in a grounded theory study of the 'expert nurse'. Qualitative. Using grounded theory methods for data collection and analysis, semi-structured interviews were conducted with registered nurses. The participants were asked to describe their concept of the 'expert nurse' and to discuss their experience of developing this. Participants reported forming their concept of the 'expert nurse', after multiple opportunities to engage with nurses identified as 'expert'. This identification did not necessarily relate to the designated position of the 'expert nurse' or assigned mentors. When the early career nurse does not successfully form a concept of the 'expert nurse', difficulties in personal and professional development including skill/knowledge development may arise. To underpin development of their clinical practice effectively, early career nurses need to be provided with opportunities that facilitate the purposive formation of their own concept of the 'expert nurse'. Formation of this concept is not well supported by the common practice of assigning mentors. Early career nurses must be provided with the time and the opportunity to individually develop and refine their concept of the 'expert nurse'. To achieve this, strategies including providing opportunities to engage with expert nurses and discussion of the process of concept formation and its place in underpinning personal judgments may be of assistance. © 2010 Blackwell Publishing

12. The nurses' self-concept instrument [NSCI]: a comparison of domestic and international student nurses' professional self-concepts from a large Australian University.

    Science.gov [United States]

    Angel, Elizabeth; Craven, Rhonda; Denson, Nida

    2012-08-01

    Professional self-concept is a critical driver of job satisfaction. In Australia, as international nursing enrolments rise, nursing is increasingly characterised by a professional body of international nurses who may differ from domestic Australian nurses in their nursing self-concept. At present, little is known about the extent to which domestic and international students nurses' self-concepts may differ. The present study aimed to elucidate and contrast domestic and international nursing students' self-concepts from one large Australian university. A total of 253 domestic [n=218] and international [n=35] undergraduate nursing students from a large public university in Sydney, Australia completed the Nurses' Self-Concept Instrument [NSCI]. Multiple-Indicator-Multiple-Indicator-Cause [MIMIC] modelling was used to assess the effects of student group [domestic and international] on the latent self-concept factors of the NSCI. Domestic and international students' professional self-concepts were similarly high. MIMIC modelling demonstrated that domestic students had a higher patient care self-concept in comparison to international students. Results imply that it may be useful for Australian universities to foster strategies that enhance specific domains of self-concepts [e.g., care] which may be underdeveloped for at least some cultural groups within the international nursing student population compared with domestic nursing students. Copyright © 2011 Elsevier Ltd. All rights reserved.

13. Spiritual nursing care: A concept analysis.

    Science.gov [United States]

    Monareng, Lydia V

    2012-10-08

    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.

14. [Clinical reasoning in nursing, concept analysis].

    Science.gov [United States]

    Côté, Sarah; St-Cyr Tribble, Denise

    2012-12-01

    Nurses work in situations of complex care requiring great clinical reasoning abilities. In literature, clinical reasoning is often confused with other concepts and it has no consensual definition. To conduct a concept analysis of a nurse's clinical reasoning in order to clarify, define and distinguish it from the other concepts as well as to better understand clinical reasoning. Rodgers's method of concept analysis was used, after literature was retrieved with the use of clinical reasoning, concept analysis, nurse, intensive care and decision making as key-words. The use of cognition, cognitive strategies, a systematic approach of analysis and data interpretation, generating hypothesis and alternatives are attributes of clinical reasoning. The antecedents are experience, knowledge, memory, cues, intuition and data collection. The consequences are decision making, action, clues and problem resolution. This concept analysis helped to define clinical reasoning, to distinguish it from other concepts used synonymously and to guide future research.

15. About development of transcultural relevance

    Directory of Open Access Journals [Sweden]

    Victoria BARAGA

    2012-01-01

    Full Text Available Nowadays, it discusses more frequently and more acute the problem of spiritual crisis ofmodern people. A solution for removing our world from deadlock is promoted by BasarabNicolescu, french-roumanian physicist and philosopher. Basaran Nicolescu proposes the concept ofLevels of Reality, starting from researches and discoveries in quantum physics and from the logic ofquantum pshysics. The concept of Levels of Reality is implemented in the direction of the way ofsetting a trandisciplinary culture, with theory of third included and the idea of complexity. Thequantum revolution requests the intelligence revolution. According to the new evaluation ofmultiple reality, the sacred - as a primary source of our values - is rehabilitated, but released fromthe captivity of religiosity. „Trans” signifies what it is between, in and what it transcends them. Inthis case we can speak about transculturation, transreligiosity or transliterarity.

16. Concept analysis of nurses' happiness.

    Science.gov [United States]

    Ozkara San, Eda

    2015-01-01

    The purpose of this analysis is to examine and clarify the concept of nurses' happiness [NH], understand the different uses of the concept, explore the conditions that foster it, and consider the consequences of NH, including the phenomena that emerge as a result of NH occurrence. The author utilizes Walker and Avant's eight-stage concept analysis. Computer and manual searches were conducted of articles in the English language addressing NH from 1990 to present. EBSCO and PubMed are the electronic databases used to access literature for this paper. For both databases, the researcher has examined this new term by splitting the term nurses' happiness into its two root words, namely nurses and happiness. An inductive analysis of articles produced descriptive themes. Definitions of happiness and NH are analyzed. Antecedents, attributes, and consequences of NH are described. Model, borderline, contrary, and related cases for NH are also identified. This concept analysis helps in the understanding of the definition of NH, the attributes that contribute to the occurrence of NH in clinical practice, as well as the consequences of NH, and how it should be measured from a nursing perspective. Ozkara San. © 2014 Wiley Periodicals, Inc.

17. Spiritual nursing care: A concept analysis

    Directory of Open Access Journals [Sweden]

    Lydia V. Monareng

    2012-10-01

    Full Text Available 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.

18. Nursing intellectual capital theory: operationalization and empirical validation of concepts.

    Science.gov [United States]

    Covell, Christine L; Sidani, Souraya

    2013-08-01

    To present the operationalization of concepts in the nursing intellectual capital theory and the results of a methodological study aimed at empirically validating the concepts. The nursing intellectual capital theory proposes that the stocks of nursing knowledge in an organization are embedded in two concepts, nursing human capital and nursing structural capital. The theory also proposes that two concepts in the work environment, nurse staffing and employer support for nursing continuing professional development, influence nursing human capital. A cross-sectional design. A systematic three-step process was used to operationalize the concepts of the theory. In 2008, data were collected for 147 inpatient units from administrative departments and unit managers in 6 Canadian hospitals. Exploratory factor analyses were conducted to determine if the indicator variables accurately reflect their respective concepts. The proposed indicator variables collectively measured the nurse staffing concept. Three indicators were retained to construct nursing human capital: clinical expertise and experience concept. The nursing structural capital and employer support for nursing continuing professional development concepts were not validated empirically. The nurse staffing and the nursing human capital: clinical expertise and experience concepts will be brought forward for further model testing. Refinement for some of the indicator variables of the concepts is indicated. Additional research is required with different sources of data to confirm the findings. © 2012 Blackwell Publishing Ltd.

19. Concept analysis of culture applied to nursing.

    Science.gov [United States]

    Marzilli, Colleen

    2014-01-01

    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.

20. Factors relating to professional self-concept among nurse managers.

    Science.gov [United States]

    Kantek, Filiz; Şimşek, Belkıs

    2017-12-01

    To investigate the self-concept in nurse managers in Turkey and the effects of certain variables on professional self-concept. Professional self-concept plays a significant role in improving certain professional behaviours. Nursing managers have the potential to influence other members of the profession with their attitudes and behaviours. The study was designed as a cross-sectional descriptive study. This study was conducted with 159 nurse managers in nine different hospitals. The study data were collected with a Personal Information Form and Professional Self-concept Nursing Inventory, and the data analysis was accomplished with descriptive statistics, Cronbach's alpha coefficients and Chi-squared Automatic Interaction Detector analyses. The professional self-concept score of nurse managers was 3·33 [SD = 0·308]. Professional competence subdimension had the highest scores, while professional satisfaction subdimension had the lowest. The types of hospital were found to be influential on professional self-concept. The types of hospital were reported to influence the professional self-concept of nurses. Nursing managers are visionaries who can potentially influence nursing practices and decisions. Nursing leaders must monitor and administer strategies to improve their professional self-concept. © 2017 John Wiley & Sons Ltd.

1. Patient satisfaction with nursing care: a concept analysis within a nursing framework.

   Science.gov [United States]

   Wagner, Debra; Bear, Mary

   2009-03-01

   This paper is a report of a concept analysis of patient satisfaction with nursing care. Patient satisfaction is an important indicator of quality of care, and healthcare facilities are interested in maintaining high levels of satisfaction in order to stay competitive in the healthcare market. Nursing care has a prominent role in patient satisfaction. Using a nursing model to measure patient satisfaction with nursing care helps define and clarify this concept. Rodgers' evolutionary method of concept analysis provided the framework for this analysis. Data were retrieved from the Cumulative Index of Nursing and Allied Health Literature and MEDLINE databases and the ABI/INFORM global business database. The literature search used the keywords patient satisfaction, nursing care and hospital. The sample included 44 papers published in English, between 1998 and 2007. Cox's Interaction Model of Client Health Behavior was used to analyse the concept of patient satisfaction with nursing care. The attributes leading to the health outcome of patient satisfaction with nursing care were categorized as affective support, health information, decisional control and professional/technical competencies. Antecedents embodied the uniqueness of the patient in terms of demographic data, social influence, previous healthcare experiences, environmental resources, intrinsic motivation, cognitive appraisal and affective response. Consequences of achieving patient satisfaction with nursing care included greater market share of healthcare finances, compliance with healthcare regimens and better health outcomes. The meaning of patient satisfaction continues to evolve. Using a nursing model to measure patient satisfaction with nursing care delineates the concept from other measures of patient satisfaction.

2. Staff nurse clinical leadership: a concept analysis.

   Science.gov [United States]

   Chávez, Eduardo C; Yoder, Linda H

   2015-01-01

   The purpose of this article is to provide a concept analysis of staff nurse clinical leadership [SNCL]. A clear delineation of SNCL will promote understanding and encourage communication of the phenomenon. Clarification of the concept will establish a common understanding of the concept, and advance the practice, education, and research of this phenomenon. A review of the literature was conducted using several databases. The databases were searched using the following keywords: clinical leadership, nursing, bedside, staff nurse, front-line, front line, and leadership. The search yielded several sources; however, only those that focused on clinical leadership demonstrated by staff nurses in acute care hospital settings were selected for review. SNCL is defined as staff nurses who exert significant influence over other individuals in the healthcare team, and although no formal authority has been vested in them facilitates individual and collective efforts to accomplish shared clinical objectives. The theoretical definition for SNCL within the team context will provide a common understanding of this concept and differentiate it from other types of leadership in the nursing profession. This clarification and conceptualization of the concept will assist further research of the concept and advance its practical application in acute care hospital settings. © 2014 Wiley Periodicals, Inc.

3. A concept analysis of holistic nursing care in paediatric nursing

   OpenAIRE

   A.A. Tjale; J. Bruce

   2007-01-01

   Holistic nursing care is widely advocated and is espoused in the philosophy of the South African Nursing Council. This concept is unclear, variously interpreted and poorly understood in paediatric nursing. This study was undertaken to examine the meaning of holistic nursing care and to develop a framework for holistic nursing care, which can be utilised in nurse education settings and in clinical nursing practice in the context of paediatric nursing. A qualitative, interpretive, explorative a...

4. Technology concept in the view of Iranian nurses.

   Science.gov [United States]

   Mehraban, Marzieh Adel; Hassanpour, Marzieh; Yazdannik, Ahmadreza; Ajami, Sima

   2013-05-01

   Over the years, the concept technology has modified, especially from the viewpoint of the development of scientific knowledge as well as the philosophical and artistic aspects. However, the concept of technology in nursing are still poorly understood. Only small qualitative studies, especially in Iran, have investigated this phenomenon and they just are about information technology. The aim of this study is to gain a better understanding of the concept of technology in the view of Iranian nurses. This study was qualitative explorative study which was done with a purposeful sampling of 23 nurses [staffs, supervisors and chief nurse managers] working in Isfahan hospitals. Unstructured interviews were including 13 individual interviews and 2 focused-group interviews. In addition to this, filed notes and memos were used in data collection. After this data transcribing was done and then conventional content analysis was used for data coding and classification. The results showed that there are various definitions for technology among nurses. In the view of nurses, technology means using new equipment, computers, information technology, etc]. Data analysis revealed that nurses understand technology up to three main concepts: Change, Equipment and Knowledge. In deep overview on categories, we found that the most important concept about technology in nursing perspective is equipment. Therefore, it is necessary to develop deep understanding about the possible concepts technology among nurses. We suppose that technology concepts must be defined separately in all disciplines.

5. The Value of Nursing Care: A Concept Analysis.

   Science.gov [United States]

   Dick, Tracey K; Patrician, Patricia A; Loan, Lori A

   2017-10-01

   To report an analysis of the concept of value of nursing care. Value-based health care delivery and reimbursement models are focused on value as a product of quality and cost. Nursing care provides tangible and intangible contributions to patient and organizational outcomes. The nursing profession must be able to proactively and effectively communicate the value of nursing care. Concept analysis. Thirty-five separate sources were chosen from database searches of CINAHL Complete and ABI/INFORM Complete. Key terms utilized for the search were "nursing value" OR "nursing care value" OR "value of nursing". Caron and Bowers' [2000] dimensional analysis method was used as a guide for the project. Dimensions identified from this concept analysis included: [a] economic, [b] relational, and [c] societal. Direct care nurses experience the relational and societal dimensions of the value of nursing care. Patients and/or families experience the relational dimension of value in nursing care. Health care administrators, third-party payers, and nurse researchers interpret value from the economic dimension. Future nursing research should better quantify the economic value of nursing care. Qualitative research which focuses on how patients and families experience the value of nursing care would also contribute to further refinement of this concept. © 2017 Wiley Periodicals, Inc.

6. Responsibility among bachelor degree nursing students: A concept analysis.

   Science.gov [United States]

   Ghasemi, Saeed; Ahmadi, Fazlollah; Kazemnejad, Anoshirvan

   2018-01-01

   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. To examine the concept of responsibility among bachelor degree nursing students using the evolutionary approach to concept analysis. 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. 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. 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

7. Teaching concept analysis to graduate nursing students.

   Science.gov [United States]

   Schiller, Catharine J

   2018-04-01

   To provide guidance to educators who use the Wilson [1963] concept analysis method, as modified by Walker and Avant [2011], in their graduate nursing curriculum BACKGROUND: While graduate nursing curricula often include a concept analysis assignment, there is a paucity of literature to assist educators in guiding students through this challenging process. This article details one way for educators to assist graduate nursing students in learning how to undertake each step of the Wilson [1963] concept analysis method, as modified by Walker and Avant [2011]. Wilson [1963] concept analysis method, as modified by Walker and Avant [2011]. Using examples, this article walks the reader through the Walker and Avant [2011] concept analysis process and addresses those issues commonly encountered by educators during this process. This article presented one way of walking students through a Walker and Avant [2011] concept analysis. Having clear information about the steps involved in developing a concept analysis will make it easier for educators to incorporate it into their graduate nursing curriculum and to effectively guide students on their journey through this process. © 2018 Wiley Periodicals, Inc.

8. Ambiguity Within Nursing Practice: An Evolutionary Concept Analysis.

   Science.gov [United States]

   McMahon, Michelle A; Dluhy, Nancy M

   2017-02-01

   To analyze the concept of ambiguity in a nursing context. Ambiguity is inherent within nursing practice. As health care becomes increasingly complex, nurses must continue to successfully deal with greater amounts of clinical ambiguity. Although ambiguity is discussed in nursing, minimal concept refinement exists to capture the contextual intricacies from a nursing lens. Nurse perception of an ambiguous clinical event, in combination with nurse tolerance level for ambiguity, can impact nurse response. Yet, little is known about what constitutes ambiguity within nursing practice [AWNP]. Rodgers evolutionary method was used to explore AWNP, with emphasis on nurse thinking during ambiguous clinical situations. Literature searches across multiple databases yielded 38 articles for analysis. Attributes of AWNP include [a] variations in cues/available information, [b] multiple interpretations, [c] novel/nonroutine presentations, and [d] unpredictable. Antecedents include [a] a context-specific, clinical situation with ambiguous features needing evaluation and [b] an individual to sense a knowledge gap or perceive ambiguity. Consequences include ranges of [a] emotional, [b] behavioral, and [c] cognitive clinician responses. Preliminary findings support AWNP as a distinct concept in which ambiguity perceived by the nurse likely affects judgment, decision making, and clinical interventions. AWNP is a clinically relevant concept requiring continued development.

9. Promotion of Nursing Student Civility in Nursing Education: A Concept Analysis.

   Science.gov [United States]

   Woodworth, Julie A

   2016-07-01

   Substantive research into the development of civility within nursing education is long overdue. Behaviors learned by nursing students while in the school of nursing transfer to the work environment and culture of nursing. This paper reveals a concept analysis of civility within nursing education using Rodgers' evolutionary concept analysis method. Civility is defined to provide clarity for the current terminology of civility within nursing education. Nurse educators must set socially acceptable behavioral expectations in the learning environment, establishing positive interpersonal relationships with students, maintaining moral and academic integrity, and role model civil behaviors. Suggestions are included to help nurse educators outline acceptable behaviors in the learning environment and promote the development of civility. The development of civil behaviors in nursing students will carry into professional practice after graduation. Civility is necessary to establish meaningful interpersonal relationships, supportive communication, and optimum learning environments to ensure quality patient care with optimum outcomes. Woodworth. © 2015 Wiley Periodicals, Inc.

10. Discourses of Transculturality:Ideas, Institutions and Practices in India and China

    OpenAIRE

    Chaudhuri, Bidisha; König, Lion

    2012-01-01

    Transculturality, though conceptualized differently depending on the intellectual context, is broadly understood here as a research perspective that while challenging universalism, acknowledges the existence of ideas, institutions and practices across different cultural settings as a result of asymmetrical cultural flows. This perspective allows for transcending disciplinary boundaries by deploying concepts such as flow, asymmetry, hybridity, structure and agency as heuristic tools which are ...

11. Presenteeism in nursing: An evolutionary concept analysis.

    Science.gov [United States]

    Rainbow, Jessica G; Steege, Linsey M

    Presenteeism is an emerging concept in nursing that has been linked to increased health care costs, patient medication errors and falls, and negative nurse well-being. However, prior work has utilized various definitions and antecedents. Clarity on the significance, development, and consequences of presenteeism in nursing is needed. This concept analysis seeks to understand the application of presenteeism within nursing workforce literature and in the broader workforce context. Rodgers' evolutionary concept analysis method was used. The proposed definition of presenteeism as the act of being physically present at work with reduced performance can be attributed to multiple antecedents. These include nurse health, professional identity, work-life balance, and work environment. The prevalence of these antecedents with high rates of presenteeism among nurses and consequences point to the need for interventions. These findings can guide development of future interventions and policies that address the broader context of factors leading to presenteeism. Copyright © 2017 Elsevier Inc. All rights reserved.

12. Transcultural Writers and Transcultural Literature in the Age of Global Modernity

    Directory of Open Access Journals [Sweden]

    Arianna Dagnino

    2012-05-01

    Full Text Available Peer reviewed article. In our rapidly globalising world, cultures, as well as societies and identities, tend to be more fluid, less irreducibly different and less 'territorially fixed' than in the past [Schulze-Engler 2007, p. 27. Especially now, when cosmopolitan issues and pluralistic sensibilities - driven by transnational and transcommunal experiences - tend to become more relevant. It is within this emerging social context that a new generation of mobile writers, on the move across cultural and national boundaries, has started expressing a "transcultural" sensibility and mode of being, fostered by "the process of self-distancing, self-estrangement, and self criticism of one's own cultural identities and assumptions" [Epstein 1999, p. 307. In this paper, I argue that the main element that distinguishes these early 'transcultural writers' from their precursors and/or 'cousin species' [migrant/exile/diasporic/postcolonial writers - albeit all belonging to the wider 'genus' of 'the literature of mobility' - is their relaxed, neonomadic attitude when facing issues linked to identity, nationality, rootlessness and dislocation. An attitude that reflects itself also in their creative outputs, which can already be inscribed within the realm of transcultural literature, a literature able to transcend the borders of a single culture in its choice of topic, vision and scope, thus contributing to promote a wider global literary perspective [Pettersson 2006.

13. Glocalization as the Defining Trait of Transcultural Remakes in Tel-evision

    Directory of Open Access Journals [Sweden]

    Isadora GARCIA AVIS

    2017-06-01

    Full Text Available In the current «Golden Age» of television, transcultural remakes of scripted formats are becoming increasingly more prevalent on television screens all over the world. In spite of this, this phenomenon has yet to be examined from a theoretical perspective. Therefore, the aim of this study is to approach the notion of remake [and, more specifically, of transcultural remakes in television from a conceptual standpoint. First of all, in order to explore the nature of remakes, it is deemed necessary to review existing bibliography in the field of cinematic remakes, where the term first appeared. With the goal of establishing a more comprehensive view of this concept, the theoretical findings are combined with interviews with television screenwriters, producers and executives, who provide a more practical point of view of the ways in which the term remake is used within the industry. Secondly, this article offers a review of different typologies and categorizations of remakes, highlighting the specificity of transcultural remakes in television. Lastly, this research manages to prove that the process of glocalization [that is, the dialogue between the global and local components of any given television format emerges as a defining trait of this distinctive form of adaptation.

14. Concept analysis: Role ambiguity in senior nursing students.

    Science.gov [United States]

    Kalkman, Beth

    2018-04-01

    Role ambiguity is a lack of clarity or uncertainty related to one's position or role. Role ambiguity has been documented in the literature in relationship to athletics, industry, business, education, and nursing. However, a concept analysis has not been performed. Therefore, the process of concept analysis outlined by Walker and Avant is now used to look at the concept of role ambiguity and its relevance to senior nursing students' socialization and education into the profession of nursing. Attributes, antecedents, consequences, and empiric referents are discussed and theories commonly associated with role ambiguity are presented. At the end of the analysis, an operational definition is provided for use in exploring the concept of role ambiguity as it relates to senior nursing students' articulation of the role of the professional nurse. © 2017 Wiley Periodicals, Inc.

15. Ethnonursing and the ethnographic approach in nursing.

    Science.gov [United States]

    Molloy, Luke; Walker, Kim; Lakeman, Richard; Skinner, Isabelle

    2015-11-01

    To present a critical methodological review of the ethnonursing research method. Ethnonursing was developed to underpin the study and practice of transcultural nursing and to promote 'culturally congruent' care. Ethnonursing claims to produce accurate knowledge about cultural groups to guide nursing care. The idea that the nurse researcher can objectively and transparently represent culture still permeates the ethnonursing method and shapes attempts to advance nursing knowledge and improve patient care through transcultural nursing. Relevant literature published between the 19th and 21st centuries. Literature review. Ethnography saw a 'golden age' in the first half of the 20th century, but the foundations of traditional ethnographic knowledge are being increasingly questioned today. The authors argue that ethnonursing has failed to respond to contemporary issues relevant to ethnographic knowledge and that there is a need to refresh the method. This will allow nurse researchers to move beyond hitherto unproblematic notions of objectivity to recognise the intrinsic relationship between the nurse researcher and the researched. A revised ethnonursing research method would enable nurse researchers to create reflexive interpretations of culture that identify and embody their cultural assumptions and prejudices.

16. Role stress amongst nurses at the workplace: concept analysis.

    Science.gov [United States]

    Riahi, Sanaz

    2011-09-01

    The present study explicates the concept of role stress amongst nurses through an analysis adopted from Walker and Avant; Strategies for Theory Construction in Nursing, 4th edn, Prentice Hall, New Jersey, NY. Role stress has become a significant problem amongst nurses and has created much distress leading to burnout among many in the nursing profession. It is significant to analyse the concept of role stress and its relative attributes and consequences, in order to recognize the necessary antecedents needed to create better conditions for nurses at the workplace. A modified method developed by Walker and Avant was used for this concept analysis. A model representing the concept of role stress was developed through careful consideration of the attributes, consequences, antecedents and empirical referents of role stress. The concept analysis of role stress among nurses at the workplace recognized the vulnerability of the nursing discipline towards burnout and distress in general. It is critical to be aware of the current state of health care and note the increased workload created for nurses. Nurses are at a greater vulnerability for role stress, making it imperative for health care organizations to critically evaluate and establish preventative measures for the concept of role stress. 2011 Blackwell Publishing Ltd.

17. The nurse theorists: 21st-century updates--Madeleine M. Leininger.

    Science.gov [United States]

    Fawcett, Jacqueline

    2002-04-01

    This edited transcript of an interview with Madeleine Leininger presents Leininger's recent thoughts about the development and current state of the discipline of nursing, the development of the theory of culture care diversity and universality, methods for nursing research, mentorship, and transcultural nursing practice.

18. Decision Making in Nursing Practice: A Concept Analysis.

    Science.gov [United States]

    Johansen, Mary L; O'Brien, Janice L

    2016-01-01

    The study aims to gain an understanding of the concept of decision making as it relates to the nurse practice environment. Rodgers' evolutionary method on concept analysis was used as a framework for the study of the concept. Articles from 1952 to 2014 were reviewed from PsycINFO, Medline, Cumulative Index to Nursing and Allied Health Literature [CINAHL], JSTOR, PubMed, and Science Direct. Findings suggest that decision making in the nurse practice environment is a complex process, integral to the nursing profession. The definition of decision making, and the attributes, antecedents, and consequences, are discussed. Contextual factors that influence the process are also discussed. An exemplar is presented to illustrate the concept. Decision making in the nurse practice environment is a dynamic conceptual process that may affect patient outcomes. Nurses need to call upon ways of knowing to make sound decisions and should be self-reflective in order to develop the process further in the professional arena. The need for further research is discussed. © 2015 Wiley Periodicals, Inc.

19. The Nurses Self-Concept Instrument [NSCI]: assessment of psychometric properties for Australian domestic and international student nurses.

    Science.gov [United States]

    Angel, Elizabeth; Craven, Rhonda; Denson, Nida

    2012-07-01

    Professional self-concept is a critical driver of job satisfaction. In Australia, as international nursing enrolments rise, nursing is increasingly characterised by a professional body of international nurses who may differ from domestic Australian nurses in their nursing self-concept. At present, no psychometrically sound instrument for assessing nursing self-concept for Australian domestic and international nursing students is available. The purpose of this study was to: [1] develop an instrument [the Nurses' Self-Concept Instrument [NSCI]] to measure the professional self-concept of domestic and international nursing students in Australia, and [2] test the psychometric properties of this newly developed instrument. A literature review was conducted to generate the initial dimension and item pools to measure nurses' professional self-concept [NSCI]. Two stakeholders examined the content and face validity of dimensions and items. Analysis was performed on data collected from 253 undergraduate nursing students in a large public university in Sydney, Australia, and consisted of domestic [n=218] and international [n=35] nursing students. Internal reliability was assessed using Cronbach's Alpha. Confirmatory factor analysis [CFA] was used to assess the construct validity of the NSCI. The resulting NSCI consisted of 14 items across four self-concept domains: care, leadership, staff relations, and knowledge. The CFA supported the hypothesised factor structure of the self-concept model. All reliabilities were acceptable for both domestic and international students [ranging from r=.78 to .93]. The NSCI was shown to be a valid and reliable tool for assessing Australian domestic and international student nurses' professional self-concept. This instrument may also enable those responsible for recruitment of students into nursing courses to assess students' professional self-concept and implement appropriate strategies to foster the growth of lifelong career development

20. [Human capital vs. manpower: fostering a greater global perspective within the nursing profession in Taiwan].

    Science.gov [United States]

    Chen, Li-Yen; Chou, Shieu-Ming

    2014-04-01

    Nursing today is an occupation greatly influenced and shaped by global standards and internationally recognized standard practices and requirements. Therefore, cultivating nursing capital and ensuring nursing manpower requires an international perspective. Nursing migration is currently a popular approach used by many developed countries to address domestic shortfalls in nursing manpower. These international medical services have had a great impact on nursing education. Being able to communicate in English and to adapt transculturally have thus become increasingly important. Ability to communicate well in English is one effective way both to minimize nurse-patient misunderstandings and to increase the quality of care available to foreign patients. In addition, transcultural communication underscores the value of respecting cultural diversity. Fostering and enhancing these abilities will enhance and expand the role of Taiwanese nurses in the professional global movement and increase their contributions to the internal medical community.

1. Facading in transcultural interactions: examples from pediatric cancer care in Sweden.

   Science.gov [United States]

   Pergert, Pernilla

   2017-07-01

   The aims of the study were to generate a grounded theory explaining the latent pattern of behavior in transcultural care interactions in the context of pediatric cancer care and to unify previously performed studies. The basic tenets of classic grounded theory were applied on a theoretical sample of data from previous studies that included 5 focus group interviews with health care professionals [n = 35] and individual interviews with nurses [n = 12] and foreign-born parents [n = 11]. Facading emerged as the core category and is the act of showing an outer appearance that will influence other people's interpretations. In transcultural interactions, facading might be misinterpreted related to different obstacles. Examples are given of different facades explored in pediatric cancer care including strength facading. Facading is a strategy aiming to protect oneself and others emotionally in care and includes: emotional facading and facading-sensitive issues. This grounded theory could help make health care professionals aware of different meanings of facading across cultures in health care. Also, awareness is needed of different views on emotional facading and facading-sensitive issues to provide a congruent care. Copyright © 2016 John Wiley & Sons, Ltd.

2. Recruiting Transcultural Qualitative Research Participants: A Conceptual Model

   Directory of Open Access Journals [Sweden]

   Phyllis Eide

   2005-06-01

   Full Text Available Working with diverse populations poses many challenges to the qualitative researcher who is a member of the dominant culture. Traditional methods of recruitment and selection [such as flyers and advertisements are often unproductive, leading to missed contributions from potential participants who were not recruited and researcher frustration. In this article, the authors explore recruitment issues related to the concept of personal knowing based on experiences with Aboriginal Hawai'ian and Micronesian populations, wherein knowing and being known are crucial to successful recruitment of participants. They present a conceptual model that incorporates key concepts of knowing the other, cultural context, and trust to guide other qualitative transcultural researchers. They also describe challenges, implications, and concrete suggestions for recruitment of participants.

3. Czech contributions to searching for starting points of transculturality.

   Science.gov [United States]

   Burda, Frantisek

   2016-06-01

   This study concerns with defining and classifying particular attempts to find outlines of transculturality in the Czech surroundings. It makes efforts especially to characterize the so called Hradec Králové school of transculturality, which it reduces into two dominating different streams: the socio-cultural and the metaphysical stream. The study divides the socio-cultural ways of transculturality into three central models: the nihilistic, the symbolical and the humanitarian-psychological model. The metaphysical stream is then divided into the biblically anthropological and the historically contextual model.

4. Transformational leadership in nursing: a concept analysis.

   Science.gov [United States]

   Fischer, Shelly A

   2016-11-01

   To analyse the concept of transformational leadership in the nursing context. Tasked with improving patient outcomes while decreasing the cost of care provision, nurses need strategies for implementing reform in health care and one promising strategy is transformational leadership. Exploration and greater understanding of transformational leadership and the potential it holds is integral to performance improvement and patient safety. Concept analysis using Walker and Avant's [2005] concept analysis method. PubMed, CINAHL and PsychINFO. This report draws on extant literature on transformational leadership, management, and nursing to effectively analyze the concept of transformational leadership in the nursing context. This report proposes a new operational definition for transformational leadership and identifies model cases and defining attributes that are specific to the nursing context. The influence of transformational leadership on organizational culture and patient outcomes is evident. Of particular interest is the finding that transformational leadership can be defined as a set of teachable competencies. However, the mechanism by which transformational leadership influences patient outcomes remains unclear. Transformational leadership in nursing has been associated with high-performing teams and improved patient care, but rarely has it been considered as a set of competencies that can be taught. Also, further research is warranted to strengthen empirical referents; this can be done by improving the operational definition, reducing ambiguity in key constructs and exploring the specific mechanisms by which transformational leadership influences healthcare outcomes to validate subscale measures. © 2016 John Wiley & Sons Ltd.

5. A concept analysis of professional commitment in nursing.

   Science.gov [United States]

   García-Moyano, Loreto; Altisent, Rogelio; Pellicer-García, Begoña; Guerrero-Portillo, Sandra; Arrazola-Alberdi, Oihana; Delgado-Marroquín, María Teresa

   2017-01-01

   The concept of professional commitment is being widely studied at present. However, although it is considered an indicator for the most human part of nursing care, there is no clear definition for it, and different descriptors are being used indiscriminately to reference it. The aim of this study is to clarify the concept of professional commitment in nursing through the Rodgers' evolutionary concept analysis process. Systematic search using English and Spanish descriptors and concept analysis. Studies published between 2009 and June 2015, front-to-back analysis of the Nursing Ethics journal and manual check of articles cited in studies related to the Nijmegen Professionalism Scale. The procedure of concept analysis developed by Rodgers was used. Ethical considerations: Although the topic was not labeled as sensitive and subject to ethical approval, its realization was approved by the Ethical Committee of Clinical Research of Aragon [CEICA] approved the study on 18 March 2015 and also careful procedures have been followed according to ethics expressed in the Declaration of Helsinki. A total of 17 published studies. A clear definition of the concept was made, and surrogate terms, concept dimension, differential factors related to the concept, sociocultural variations and consequences for nursing practice were identified. There is a need for continuous advancement in the development of the concept, specific actions to encourage this and the improvement of evaluation methods for its study.

6. Does Synergy Exist in Nursing? A Concept Analysis.

   Science.gov [United States]

   Witges, Kim A; Scanlan, Judith M

   2015-01-01

   The aim is to analyze the concept of synergy, particularly as the concept applies to teamwork, and determine if the concept has utility in improving the work environment for nurses. Tackling nursing shortages that result from a poor work environment is a priority for many nurse leaders. Producing synergy among teams may be an effective strategy in enhancing the work environment. However, the understanding of synergy and the ability to produce synergy among teams has been seldom highlighted or discussed within nursing literature. Walker and Avant's approach was used to guide this concept analysis of synergy. Literature searches involved databases [PsycInfo, Medline, Cumulative Index for Nursing and Allied Health Literature [CINAHL], and Scopus], Internet search engines [Google], and hand searches. The analysis suggests that synergy is an outcome of the successful collaboration of the following three attributes: group cohesion, the pursuit of a common goal, and the achievement of a positive gain, considerably more than what was thought possible by the group. The foundation for this accomplishment requires an underlying feeling of special importance, the acknowledgment of each member's role, and open communication and dialogue among members. Nursing leaders would benefit from a broader understanding of synergy, and the mindful application and utility of synergy as an outcome of effective teamwork among nurses. © 2014 Wiley Periodicals, Inc.

7. A Workshop in Transcultural Nursing.

   Science.gov [United States]

   Stevenson, Thomas B.

   1986-01-01

   Describes an experimental, week-long interdisciplinary [i.e., nursing and anthropology] workshop on the relationship between health and culture conducted by Ohio University, Zanesville, in conjunction with the University of Toronto. Discusses program formulation, objectives, results, and suggestions for future workshops. [LAL]

8. Development of Nurse Self-Concept in Nursing Students: The Effects of a Peer-Mentoring Experience.

   Science.gov [United States]

   Ford, Yvonne

   2015-09-01

   Positive nurse self-concept has been shown to increase job productivity, retention, and job satisfaction. Student participation in peer-mentoring experiences has been shown to increase self-confidence and understanding of the role of the nurse leader. The Nurse Self-Concept Questionnaire [NSCQ] was used to measure the nurse self-concept of senior baccalaureate nursing students before and after completion of a peer-mentoring experience. Female students scored significantly higher on two subscales of the NSCQ than male students prior to the peer-mentoring experience. This difference was not seen after the experience. Mean changes in scores on all six dimensions of self-concept measured by the NSCQ were significantly higher after the mentoring experience. Further investigation of male students' experiences in clinical settings may be warranted. The experience of mentoring lower-level students offers practice for upper-level nursing students in providing direction, exercising leadership and management skills, and working as a member of the health care team. Copyright 2015, SLACK Incorporated.

9. [Trans-Cultural Prevention of Alcohol-Related Disorders in Elderly Immigrants].

   Science.gov [United States]

   Bermejo, I; Frank, F

   2015-09-01

   In migrants alcohol-related problems increase with increasing age. This group, in particular, is hardly reached by alcohol-specific care offers. Thus our project aimed at the identification of target group-specific barriers to health-care use by means of a cross-sectional study [n=435]. Based on these results a trans-cultural concept for alcohol prevention among elderly migrants was developed and evaluated in a cluster-randomised controlled trial [n=176]. © Georg Thieme Verlag KG Stuttgart · New York.

10. Creativity: a refinement of the concept for nursing practice.

    Science.gov [United States]

    Fasnacht, Patsy H

    2003-01-01

    This paper seeks to remove some of the ambiguity surrounding the conceptual meaning of creativity using techniques of concept refinement to advance the concept. Creativity is an essential component of nursing practice that occurs daily in nurse's interactions with clients, families and other nurses. Failure to acknowledge and encourage creativity in beginning nurses may hinder future development and innovations in nursing practice and in nursing science. In order to promote the development of creativity it is first necessary to clarify and refine the concept as it applies to nursing. A comprehensive review of a variety of computer and online databases resulted in thousands of articles on creativity between the years 1966 and 1999. The final sample [n = 48] was obtained using both stratified random and purposive sampling techniques. A content analysis of the literature was conducted using methods identified by Morse and illustrated in the work of Hupcey et al. Having determined the concept to be partially mature, the concept was advanced using techniques of concept refinement. Content analysis of the literature yielded three differing definitions for creativity: revelation, birth and reincarnation. Creativity occurs in the presence of intrinsic motivation and a nurturing environment. While value is often used to identify whether a product is creative, the value of the product cannot determine whether the process has occurred. The product produced determines evidence of the process of creativity. Limitations of this investigation are the use of secondary sources and the relatively small sample size [n = 48]. Refinement of the concept of creativity indicates that it is a process that may be developed and influenced by the environment and is recognized by the product produced. Further investigation is needed to explore methods and techniques for developing creativity in nursing.

11. Principle-based concept analysis: Caring in nursing education.

    Science.gov [United States]

    Salehian, Maryam; Heydari, Abbas; Aghebati, Nahid; Karimi Moonaghi, Hossein; Mazloom, Seyed Reza

    2016-03-01

    The aim of this principle-based concept analysis was to analyze caring in nursing education and to explain the current state of the science based on epistemologic, pragmatic, linguistic, and logical philosophical principles. A principle-based concept analysis method was used to analyze the nursing literature. The dataset included 46 English language studies, published from 2005 to 2014, and they were retrieved through PROQUEST, MEDLINE, CINAHL, ERIC, SCOPUS, and SID scientific databases. The key dimensions of the data were collected using a validated data-extraction sheet. The four principles of assessing pragmatic utility were used to analyze the data. The data were managed by using MAXQDA 10 software. The scientific literature that deals with caring in nursing education relies on implied meaning. Caring in nursing education refers to student-teacher interactions that are formed on the basis of human values and focused on the unique needs of the students [epistemological principle]. The result of student-teacher interactions is the development of both the students and the teachers. Numerous applications of the concept of caring in nursing education are available in the literature [pragmatic principle]. There is consistency in the meaning of the concept, as a central value of the faculty-student interaction [linguistic principle]. Compared with other related concepts, such as "caring pedagogy," "value-based education," and "teaching excellence," caring in nursing education does not have exact and clear conceptual boundaries [logic principle]. Caring in nursing education was identified as an approach to teaching and learning, and it is formed based on teacher-student interactions and sustainable human values. A greater understanding of the conceptual basis of caring in nursing education will improve the caring behaviors of teachers, create teaching-learning environments, and help experts in curriculum development.

12. Learning Situations in Nursing Education: A Concept Analysis.

    Science.gov [United States]

    Shahsavari, Hooman; Zare, Zahra; Parsa-Yekta, Zohreh; Griffiths, Pauline; Vaismoradi, Mojtaba

    2018-02-01

    The nursing student requires opportunities to learn within authentic contexts so as to enable safe and competent practice. One strategy to facilitate such learning is the creation of learning situations. A lack of studies on the learning situation in nursing and other health care fields has resulted in insufficient knowledge of the characteristics of the learning situation, its antecedents, and consequences. Nurse educators need to have comprehensive and practical knowledge of the definition and characteristics of the learning situation so as to enable their students to achieve enhanced learning outcomes. The aim of this study was to clarify the concept of the learning situation as it relates to the education of nurses and improve understanding of its characteristics, antecedents, and consequences. The Bonis method of concept analysis, as derived from the Rodgers' evolutionary method, provided the framework for analysis. Data collection and analysis were undertaken in two phases: "interdisciplinary" and "intra-disciplinary." The data source was a search of the literature, encompassing nursing and allied health care professions, published from 1975 to 2016. No agreement on the conceptual phenomenon was discovered in the international literature. The concept of a learning situation was used generally in two ways and thus classified into the themes of: "formal/informal learning situation" and "biologic/nonbiologic learning situation." Antecedents to the creation of a learning situation included personal and environmental factors. The characteristics of a learning situation were described in terms of being complex, dynamic, and offering potential and effective learning opportunities. Consequences of the learning situation included enhancement of the students' learning, professionalization, and socialization into the professional role. The nurse educator, when considering the application of the concept of a learning situation in their educational planning, must

13. A Concept Analysis of Personalized Health Care in Nursing.

    Science.gov [United States]

    Han, Claire Jungyoun

    2016-01-01

    The purpose of the study is to identify the concept of personalized health care in nursing and to address future direction in person-centered nursing care. Personalized health care has attracted increased attention in the twenty-first century. As more and more preclinical studies are focusing on cost-effective and patient-centered care, there also has been an identified need for a personalized health care in nursing. Yet the term lacks clear definition and interests among healthcare professionals. Rodgers' strategy for concept analysis was used in this analysis. A literature review for 1960-2014 was conducted for the following keywords: nursing care, personalized, and health care. The analysis demonstrates that personalized health care in nursing is an intangible asset, including explicit attributes [interprofessional collaboration and individualized care approach] and implicit attributes [managing personal vulnerabilities: molecular-based health information and self-health-seeking behaviors]. The result of this analysis provides a guide for further conceptual and empirical research and clinical practice in the personalized healthcare era. This concept analysis represents an effort to describe the attributes of a concept regarded as representing an important feature of nursing care and to promote discourse that will enhance maturation of the concept into one that is established with clearly delineated characteristics. © 2015 Wiley Periodicals, Inc.

14. Therapeutic communication in nursing students: A Walker & Avant concept analysis

    Science.gov [United States]

    Abdolrahimi, Mahbobeh; Ghiyasvandian, Shahrzad; Zakerimoghadam, Masoumeh; Ebadi, Abbas

    2017-01-01

    Background and aim Therapeutic communication, the fundamental component of nursing, is a complex concept. Furthermore, the poor encounters between nursing student and patient demonstrate the necessity of instruction regarding therapeutic communication. The aim of this study was to define and clarify this important concept for including this subject in the nursing curriculum with more emphasis. Methods A literature search was conducted using keywords such as “nursing student”, “patient” and “therapeutic communication” and Persian-equivalent words in Persian databases [including Magiran and Medlib] and English databases [including PubMed, ScienceDirect, Scopus and ProQuest] without time limitation. After extracting concept definitions and determining characteristic features, therapeutic communication in nursing students was defined. Then, sample cases, antecedents, consequences and empirical referents of concept were determined. Results After assessing 30 articles, therapeutic communication defining attributes were as follows: “an important means in building interpersonal relationships”, “a process of information transmission”, “an important clinical competency”, “a structure with two different sections” and “a significant tool in patient centered care”. Furthermore, theoretical and clinical education and receiving educators’ feedback regarding therapeutic communication were considered as antecedents of the concept. Improving physical and psychological health status of patient as well as professional development of nursing students were identified as consequences of the concept. Conclusion Nursing instructors can use these results in order to teach and evaluate therapeutic communication in nursing students and train qualified nurses. Also, nursing students may apply the results to improve the quality of their interactions with patients, perform their various duties and meet patients’ diverse needs. PMID:28979730

15. Probing concept of critical thinking in nursing education in Iran: a concept analysis.

    Science.gov [United States]

    Tajvidi, Mansooreh; Ghiyasvandian, Shahrzad; Salsali, Mahvash

    2014-06-01

    Given the wide disagreement over the definition of critical thinking in different disciplines, defining and standardizing the concept according to the discipline of nursing is essential. Moreover, there is limited scientific evidence regarding critical thinking in the context of nursing in Iran. The aim of this study was to analyze and clarify the concept of critical thinking in nursing education in Iran. We employed the hybrid model to define the concept of critical thinking. The hybrid model has three interconnected phases--the theoretical phase, the fieldwork phase, and the final analytic phase. In the theoretical phase, we searched the online scientific databases [such as Elsevier, Wiley, CINAHL, Proquest, Ovid, and Springer as well as Iranian databases such as SID, Magiran, and Iranmedex]. In the fieldwork phase, a purposive sample of 17 nursing faculties, PhD students, clinical instructors, and clinical nurses was recruited. Participants were interviewed by using an interview guide. In the analytical phase we compared the data from the theoretical and the fieldwork phases. The concept of critical thinking had many different antecedents, attributes, and consequences. Antecedents, attributes, and consequences of critical thinking concept identified in the theoretical phase were in some ways different and in some way similar to antecedents, attributes, and consequences identified in the fieldwork phase. Finally critical thinking in nursing education in Iran was clarified. Critical thinking is a logical, situational, purposive, and outcome-oriented thinking process. It is an acquired and evolving ability which develops individually. Such thinking process could lead to the professional accountability, personal development, God's consent, conscience appeasement, and personality development. Copyright © 2014. Published by Elsevier B.V.

16. Causal modeling of self-concept, job satisfaction, and retention of nurses.

    Science.gov [United States]

    Cowin, Leanne S; Johnson, Maree; Craven, Rhonda G; Marsh, Herbert W

    2008-10-01

    The critical shortage of nurses experienced throughout the western world has prompted researchers to examine one major component of this complex problem - the impact of nurses' professional identity and job satisfaction on retention. A descriptive correlational design with a longitudinal element was used to examine a causal model of nurses' self-concept, job satisfaction, and retention plans in 2002. A random sample of 2000 registered nurses was selected from the state registering authority listing. A postal survey assessing multiple dimensions of nurses' self-concept [measured by the nurse self-concept questionnaire], job satisfaction [measured by the index of work satisfaction] was undertaken at Time 1 [n=528] and 8 months later at Time 2 [n=332] [including retention plans [measured by the Nurse Retention Index]. Using confirmatory factor analysis, correlation matrices and path analysis, measurement and structural models were examined on matching pairs of data from T1 and T2 [total sample N=332]. Nurses' self-concept was found to have a stronger association with nurses' retention plans [B=.45] than job satisfaction [B=.28]. Aspects of pay and task were not significantly related to retention plans, however, professional status [r=.51], and to a lesser extent, organizational policies [r=.27] were significant factors. Nurses' general self-concept was strongly related [r=.57] to retention plans. Strategies or interventions requiring implementation and evaluation include: counseling to improve nurse general self-concept, education programs and competencies in health communication between health professionals, reporting of nurse-initiated programs with substantial patient benefit, nurse-friendly organizational policies, common health team learning opportunities, and autonomous practice models.

17. Moral courage in nursing: A concept analysis.

    Science.gov [United States]

    Numminen, Olivia; Repo, Hanna; Leino-Kilpi, Helena

    2017-12-01

    Nursing as an ethical practice requires courage to be moral, taking tough stands for what is right, and living by one's moral values. Nurses need moral courage in all areas and at all levels of nursing. Along with new interest in virtue ethics in healthcare, interest in moral courage as a virtue and a valued element of human morality has increased. Nevertheless, what the concept of moral courage means in nursing contexts remains ambiguous. This article is an analysis of the concept of moral courage in nursing. Rodgers' evolutionary method of concept analysis provided the framework to conduct the analysis. The literature search was carried out in September 2015 in six databases: PubMed, CINAHL, Scopus, Web of Science, PsycINFO, and The Philosopher's Index. The following key words were used: "moral" OR "ethical" AND "courage" OR "strength" AND "nurs*" with no time limit. After applying inclusion and exclusion criteria, 31 studies were included in the final analysis. Ethical considerations: This study was conducted according to good scientific guidelines. Seven core attributes of moral courage were identified: true presence, moral integrity, responsibility, honesty, advocacy, commitment and perseverance, and personal risk. Antecedents were ethical sensitivity, conscience, and experience. Consequences included personal and professional development and empowerment. This preliminary clarification warrants further exploring through theoretical and philosophical literature, expert opinions, and empirical research to gain validity and reliability for its application in nursing practice.

18. Transcultural adaptation of the Johns Hopkins Fall Risk Assessment Tool.

    Science.gov [United States]

    Martinez, Maria Carmen; Iwamoto, Viviane Ernesto; Latorre, Maria do Rosário Dias de Oliveira; Noronha, Adriana Moreira; Oliveira, Ana Paula de Sousa; Cardoso, Carlos Eduardo Alves; Marques, Ifigenia Augusta Braga; Vendramim, Patrícia; Lopes, Paula Cristina; Sant'Ana, Thais Helena Saes de

    2016-08-29

    to perform the transcultural adaptation and content validity analysis of the Johns Hopkins Fall Risk Assessment Tool to assess both fall risk and fall-related injury risk for hospitalized elderly in Brazil. the transcultural adaptation consisted of translating the scale to Portuguese [Brazil], back-translating it into its language of origin, establishing a consensus version, and having an expert committee verify its transcultural equivalence. Content assessment was conducted by a committee of judges, ending with the calculation of the items and scales' content validity index. Nurses tested the tool. the scale's translated version went through two evaluation rounds by the judges, based on which, the items with unsatisfactory performance were changed. The content validity index for the items was ≥80.0% and the global index 97.1%. The experimental application showed the scale is user-friendly. the scale presents valid content for the assessment of fall risk and risk of fall-related injuries and is easy to use, with the potential to contribute to the proper identification of risks and the establishment of care actions. realizar a adaptação transcultural para uso no Brasil e a avaliação da validade de conteúdo da Johns Hopkins Fall Risk Assessment Tool para avaliação de risco de quedas e de danos por quedas em pacientes adultos hospitalizados. adaptação transcultural consistiu na tradução da escala para a língua portuguesa [Brasil], retrotradução para a língua de origem, versão de consenso e análise da equivalência transcultural por um comitê de especialistas. A avaliação do conteúdo foi realizada por meio de um comitê de juízes, finalizando com o cálculo do índice de validade de conteúdo dos itens e da escala. Foi realizada a aplicação experimental do instrumento por enfermeiros. a versão traduzida da escala passou por duas rodadas de avaliação pelos juízes, a partir das quais os itens com desempenho insatisfatório foram modificados

19. Teaching cultural competence using an exemplar from literary journalism.

    Science.gov [United States]

    Anderson, Kathryn L

    2004-06-01

    Fadiman's work of literary journalism, The Spirit Catches You and You Fall Down, was used as a case study to teach transcultural and other nursing concepts to undergraduate nursing students. Campinha-Bacote's model of cultural competence was used to organize transcultural nursing concepts in the course. Before and after the course, students completed assessments consisting of two cultural attitude questionnaires and a paper describing a personal experience with adherence and failure to adhere by a Mexican American client. After reading Fadiman's book and completing several short writing assignments examining key course concepts, student scores on the questionnaires were mostly unchanged. However, students demonstrated growth in cultural awareness and skill in their "after" papers. Results suggest that valid, reliable tools are needed to detect changes in cultural competence. Qualitative data suggest that students can begin the process of becoming culturally competent through the creative use of literature in nursing education.

20. [Concept analysis of the nursing profession, published from 1994 to 2008].

    Science.gov [United States]

    Palese, A; Dante, A; Gherbezza, S; Venturato, E; Maragnolli, O; Ambrosi, E; Saiani, L

    2012-01-01

    Concept analysis is a research method in which concepts are examined in a logical and systematic fashion to form clear and rigorous conceptual definitions. To describe the concept analyses published between 1994 and 2008 and identify the emerging tendencies in the Nursing discipline, a two-staged study has been developed. In the first stage a systematic review of the literature was conducted: research published in the journals indexed in the MedLine, CINAHL and Cochrane databases were judged eligible, if they reported the theme of 'concept analysis' and 'nursing' in the title or in their key words and were published in English language. In the second stage, the articles that emerged were subjected to a content analysis. Some 158 concept analyses emerged, on average 10/year [range 1-22, median 11, +/- 5.6]: these regarded 129 different concepts. Ninety-one [57.6%] concepts were focused on the nursing profession, while 67 [42.4%] were focused on the patients. Although in a few cases the effort made by the researchers moved toward the definition of new concepts, in others it appeared oriented toward including in Nursing some typical concepts from other disciplines, thus tracing an expansion of the domain of the Nursing discipline. Monitoring over time the concepts analysed constitutes an important research area to comprehend, both at a national and international level, the progressive evolution of the Nursing discipline.

1. Moral competence among nurses in Malawi: A concept analysis approach.

   Science.gov [United States]

   Maluwa, Veronica Mary; Gwaza, Elizabeth; Sakala, Betty; Kapito, Esnath; Mwale, Ruth; Haruzivishe, Clara; Chirwa, Ellen

   2018-01-01

   Nurses are expected to provide comprehensive, holistic and ethically accepted care according to their code of ethics and practice. However, in Malawi, this is not always the case. This article analyses moral competence concept using the Walker and Avant's strategy of concept analysis. The aim of this article is to analyse moral competence concept in relation to nursing practice and determine defining attributes, antecedents and consequences of moral competence in nursing practice. Analysis of moral competence concept was done using Walker and Avant's strategy of concept analysis. Deductive analysis was used to find the defining attributes of moral competence, which were kindness, compassion, caring, critical thinking, ethical decision making ability, problem solving, responsibility, discipline, accountability, communication, solidarity, honesty, and respect for human values, dignity and rights. The identified antecedents were personal, cultural and religious values; nursing ethics training, environment and guidance. The consequences of moral competence are team work spirit, effective communication, improved performance and positive attitudes in providing nursing care. Moral competence can therefore be used as a tool to improve care in nursing practice to meet patients' problems and needs and consequently increase public's satisfaction in Malawi.

2. Community transformation through culturally competent nursing leadership: application of theory of culture care diversity and universality and tri-dimensional leader effectiveness model.

   Science.gov [United States]

   Shapiro, Mina L; Miller, June; White, Kathleen

   2006-04-01

   Transcultural knowledge and competency have become a critical need for nurses to accommodate the global trends in cultural diversity and health care disparities. Today, nurses are increasingly taking on leadership roles in community settings. This article addresses the application of Leininger's culture care theory with the sunrise model and Hersey and Blanchard's tri-dimensional leader effectiveness model as potential collaborating theories for capacity building and community transformation from a global, transcultural nursing perspective. The two theories, used in collaboration, view the provision of competent leadership as the delivery of effective, culturally congruent nursing care in promoting health and health equity at the community level.

3. Job satisfaction in nursing: a concept analysis study.

   Science.gov [United States]

   Liu, Y; Aungsuroch, Y; Yunibhand, J

   2016-03-01

   This study aims to undertake a concept analysis of job satisfaction in the nursing profession. Around current global shortage of nurses, it is important to stabilize the nursing workforce. Nurses' job satisfaction has been found to be related to intention to leave. In the nursing profession, there is a lack of evidence to support the attributes of nurses' job satisfaction. Walker and Avant's approach of concept analysis was used. The main attributes of job satisfaction from this study are [1] fulfillment of desired needs within the work settings, [2] happiness or gratifying emotional responses towards working conditions, and [3] job value or equity. These attributes are influenced by antecedent conditions like demographic, emotional, work characteristics and environmental variables. Additionally, the consequences of nurses' job satisfaction have a significant impact on both nurses and patients. This study integrated both the content and process of motivational theories to generate the attributes of job satisfaction in nursing that overcome the limitation of the previous studies, which looked only at the definitions of nurses' job satisfaction based on content motivational theories. The findings of this study can facilitate both nursing researchers to develop a cultural adaption instrument and policy makers to improve clinical nursing practice. This analysis provides nurse managers with a new perspective to deal with nurses' job satisfaction by taking into account all the attributes that influence it in the nursing field. © 2015 International Council of Nurses.

4. The Effect of Concept Maps on Undergraduate Nursing Students' Critical Thinking.

   Science.gov [United States]

   Garwood, Janet K; Ahmed, Azza H; McComb, Sara A

   The aim of the study was to evaluate the effect of using concept maps as a teaching and learning strategy on students' critical thinking abilities and examine students' perceptions toward concept maps utilizing the PRISMA [Preferred Reporting Items for Systematic Reviews and Meta-Analyses] guidelines. Researchers have found that almost two thirds of nurse graduates do not have adequate critical thinking skills for a beginner nurse. Critical thinking skills are required for safe practice and mandated by accrediting organizations. Nursing educators should consider teaching and learning strategies that promote the development of critical thinking skills. A literature review was conducted using "concept maps, nursing education, and critical thinking" as the combined search terms. Inclusion criteria were studies that measured the effects of concept mapping on critical thinking in nursing students. Seventeen articles were identified. Concept maps may be useful tools to promote critical thinking in nursing education and for applying theory to practice.

5. Accountability in district nursing practice: key concepts.

   Science.gov [United States]

   Griffith, Richard

   2015-03-01

   Public trust and confidence in district nurses is essential to the nurse-patient relationship that underpins effective care and treatment. That trust and confidence has even greater focus for district nurses who care for patients in their own homes. Those patients need to be able to count on the professionalism and probity of their district nurses. The professionalism and probity of district nurses is based on their accountability, which protects the public by imposing standards on district nurses and holds them answerable for their acts and omissions. This is the first of a series of articles on accountability in district nursing practice to mark the introduction of the revised Nursing and Midwifery Code on the 31 March 2015. This month's article considers the key concepts of accountability.

6. Use of the Culture Care Theory and ethnonursing method to discover how nursing faculty teach culture care.

   Science.gov [United States]

   Mixer, Sandra J

   2008-04-01

   As the world becomes increasingly multicultural, transcultural nursing education is critical to ensuring a culturally competent workforce. This paper presents a comprehensive review of literature and results of an ethnonursing pilot study using the Culture Care Theory [CCT] to discover how nursing faculty teach culture care. The literature revealed that despite 50 years of transcultural nursing knowledge development through theory, research and practice, there remains a lack of formal, integrated culture education in nursing. The importance of faculty providing generic and professional care to nursing students and using an organising framework to teach culture care was discovered. Additionally, care was essential for faculty health and well-being to enable faculty to teach culture care. This unique use of the theory and method demonstrates its usefulness in discovering and describing the complex nature of teaching culture care. Larger scale studies are predicted to further substantiate the CCT, building the discipline of nursing.

7. Nursing care plans versus concept maps in the enhancement of critical thinking skills in nursing students enrolled in a baccalaureate nursing program.

   Science.gov [United States]

   Sinatra-Wilhelm, Tina

   2012-01-01

   Appropriate and effective critical thinking and problem solving is necessary for all nurses in order to make complex decisions that improve patient outcomes, safety, and quality of nursing care. With the current emphasis on quality improvement, critical thinking ability is a noteworthy concern within the nursing profession. An in-depth review of literature related to critical thinking was performed. The use of nursing care plans and concept mapping to improve critical thinking skills was among the recommendations identified. This study compares the use of nursing care plans and concept mapping as a teaching strategy for the enhancement of critical thinking skills in baccalaureate level nursing students. The California Critical Thinking Skills Test was used as a method of comparison and evaluation. Results indicate that concept mapping enhances critical thinking skills in baccalaureate nursing students.

8. Nursing expertise: a course of ambiguity and evolution in a concept.

   Science.gov [United States]

   Hutchinson, Marie; Higson, Mary; Cleary, Michelle; Jackson, Debra

   2016-12-01

   In this article, we clarify and describe the nature of nursing expertise and provide a framework to guide its identification and further development. To have utility and rigour, concept-driven research and theories of practice require underlying concepts that are robust, valid and reliable. Advancing understanding of a concept requires careful attention to explicating its knowledge, metaphors and conceptual meaning. Examining the concepts and metaphors of nursing expertise, and how they have been interpreted into the nursing discourse, we aimed to synthesise definitions and similarities between concepts and elicit the defining characteristics and properties of nursing expertise. In clarifying the concept, we sought to move beyond the ambiguity that currently surrounds expertise in nursing and unravel it to make explicit the characteristics of nursing expertise from published peer-reviewed studies and structured literature synthesis. Findings indicate a lack of clarity surrounding the use of the term expertise. Traditional reliance upon intuition as a way of explaining expert performance is slowly evolving. Emerging from the analysis is a picture of expertise as the relationship between networks of contextual reasoning, understanding and practice. Striking absences in the discourse include limited explication of ethical reasoning and theorising a broader interpretation of expertise reflective of contemporary forms of nursing. © 2016 John Wiley & Sons Ltd.

9. Transcultural nursing and a care management partnership project.

   Science.gov [United States]

   Lazure, G; Vissandjée, B; Pepin, J; Kérouac, S

   1997-09-01

   This paper aims to illustrate how Leininger's Theory of Culture Care Diversity and Universality has influenced the research process of a study that emerged from a care management partnership between Canadian nursing teachers and Tunisian nurses. The purpose of the study was to investigate the meanings of care as viewed by university hospital-based Tunisian nurses. The qualitative analysis of data gathered through observation-participation and interviews highlights recurrent patterns and reveals three major professional care themes. For Tunisian nurses care means to secure the patient's cooperation towards the medical regimen within established rules in the hospital; to contribute to curing the patient by using current technology as well as by maintaining their technical skills and improving their medical knowledge; to take charge of the patient to assist the physician in treating disease. This study showed that Tunisian nurses emphasize curing rather than widely shared community values such as interdependence, intercommunication, understanding, presence and responsibility for others. Discussion of the study's findings draws upon the perspective provided by Freire's Oppressed Group Theory. In order to promote cultural congruence within the Care Management Partnership Project in Tunisia, the three predicted modes of care within Leininger's theory guide the decisions and actions for future nursing research and partnership activities.

10. Transculturation : writing beyond dualism

    NARCIS [Netherlands]

    Cheng, Mei

    2011-01-01

    This study focuses on three works by Chinese American women writers. It is an interdisciplinary and cross-cultural investigation of transculturation. The prefixes “inter-,” “cross-” and “trans-” explored throughout suggest dynamism. The narrations of the dynamics of each immigrant culture come from

11. Transcultural Nursing in Scandinavia: the nurses perspective - A qualitative meta-synthesis

    DEFF Research Database [Denmark]

    Møller, Anette Fløe; Haahr, Anita

    2015-01-01

    the period prior to October 2015. Inclusion criteria were studies in English or Nordic languages that focused on how nurses experience to provide nursing care, to adult non-western immigrant patients, in hospital or primary health care, in Scandinavian countries. There were no limitations compared...

12. [Aromatherapy and nursing: historical and theoretical conception].

    Science.gov [United States]

    Gnatta, Juliana Rizzo; Kurebayashi, Leonice Fumiko Sato; Turrini, Ruth Natalia Teresa; Silva, Maria Júlia Paes da

    2016-02-01

    Aromatherapy is a Practical or Complementary Health Therapy that uses volatile concentrates extracted from plants called essential oils, in order to improve physical, mental and emotional well-being. Aromatherapy has been practiced historically and worldwide by nurses and, as in Brazil is supported by the Federal Nursing Council, it is relevant to discuss this practice in the context of Nursing through Theories of Nursing. This study of theoretical reflection, exploratory and descriptive, aims to discuss the pharmacognosy of essential oils, the historical trajectory of Aromatherapy in Nursing and the conceptions to support Aromatherapy in light of eight Nursing Theorists [Florence Nightingale, Myra Levine, Hildegard Peplau, Martha Rogers, Callista Roy, Wanda Horta, Jean Watson and Katharine Kolcaba], contributing to its inclusion as a nursing care practice.

13. Concept maps and nursing theory: a pedagogical approach.

    Science.gov [United States]

    Hunter Revell, Susan M

    2012-01-01

    Faculty seek to teach nursing students how to link clinical and theoretical knowledge with the intent of improving patient outcomes. The author discusses an innovative 9-week concept mapping activity as a pedagogical approach to teach nursing theory in a graduate theory course. Weekly concept map building increased student engagement and fostered theoretical thinking. Unexpectedly, this activity also benefited students through group work and its ability to enhance theory-practice knowledge.

14. Integrating nursing diagnostic concepts into the medical entities dictionary using the ISO Reference Terminology Model for Nursing Diagnosis.

    Science.gov [United States]

    Hwang, Jee-In; Cimino, James J; Bakken, Suzanne

    2003-01-01

    The purposes of the study were [1] to evaluate the usefulness of the International Standards Organization [ISO] Reference Terminology Model for Nursing Diagnoses as a terminology model for defining nursing diagnostic concepts in the Medical Entities Dictionary [MED] and [2] to create the additional hierarchical structures required for integration of nursing diagnostic concepts into the MED. The authors dissected nursing diagnostic terms from two source terminologies [Home Health Care Classification and the Omaha System] into the semantic categories of the ISO model. Consistent with the ISO model, they selected Focus and Judgment as required semantic categories for creating intensional definitions of nursing diagnostic concepts in the MED. Because the MED does not include Focus and Judgment hierarchies, the authors developed them to define the nursing diagnostic concepts. The ISO model was sufficient for dissecting the source terminologies into atomic terms. The authors identified 162 unique focus concepts from the 266 nursing diagnosis terms for inclusion in the Focus hierarchy. For the Judgment hierarchy, the authors precoordinated Judgment and Potentiality instead of using Potentiality as a qualifier of Judgment as in the ISO model. Impairment and Alteration were the most frequently occurring judgments. Nursing care represents a large proportion of health care activities; thus, it is vital that terms used by nurses are integrated into concept-oriented terminologies that provide broad coverage for the domain of health care. This study supports the utility of the ISO Reference Terminology Model for Nursing Diagnoses as a facilitator for the integration process.

15. THE APPLICATION OF TRANSCULTURAL NURSING MODEL IN PERSPECTIVE OF MADURA CULTURE IMPROVING BREASTFEEDING MOTHER’S BEHAVIOR IN JEMBER

    Directory of Open Access Journals [Sweden]

    Awatiful Azza

    2017-08-01

    Method: This research was conducted in Public Health Centre of Pakusari Suboh Jember. The data were collected using questionnaires, and focus group discuss. The research design was question-experimental research of post test design with control by using Paired Samples Test analysis. In addition, the researchers also performed a qualitative analysis to explore the Maduranese culture. The samples were breastfeeding mothers who had infants aged 1-6 months and 50 samples were then divided into two, i.e., treatment and control groups. Also, another data source were health professionals. Result: The result showed that the maternal age range between 15-34 years with an average age of 27 years. Besides, the average of the respondents’ education background was that 60% of them did not pass elementary school, both in treatment group and control group. The results of the analysis on cultural modifications was p-value of 0.001, which means that there is the effects of applying transcultural nursing model in improving milk production. Conclusion and recomendation : An application of cultural modifications that is able to increase milk production. Therefore, it needs a good cooperation for all the components of society in supporting breastfeeding mothers by modifying less the local culture that becomes  favorable for health.

16. Managerial competence of first-line nurse managers: A concept analysis.

    Science.gov [United States]

    Gunawan, Joko; Aungsuroch, Yupin

    2017-02-01

    A variety of terms are used interchangeably to define managerial competence of first-line nurse managers. This has resulted in a degree of ambiguity in the way managerial competence is described. The aim of this concept analysis is to clarify what is meant by managerial competence of first-line nurse managers internationally, what attributes signify it, and what its antecedents and consequences are. The Walker and Avant concept analysis approach was applied. The attributes of managerial competence include developing self, planning, organizing, leading, managing legal and ethical issues, and delivering health care. Antecedents to managerial competence include internal and external factors. Consequences include nurse performances, nurse and patient outcomes, intention to stay of nurses, and nurse and patient satisfaction. This analysis helps first-line nurse managers to understand the concept and determine where the responsibility lies in establishing a definition of managerial competence. It is recommended that middle and top managers should be aware of the internal and external factors as antecedents of the concept. Further research is needed to illuminate the attributes of managerial competence in relation to antecedents and the potential effect upon the consequences, and the need to establish managerial competence evaluation. © 2017 John Wiley & Sons Australia, Ltd.

17. The nutrition transition in the Venezuelan Amazonia: increased overweight and obesity with transculturation.

    Science.gov [United States]

    Hidalgo, G; Marini, E; Sanchez, W; Contreras, M; Estrada, I; Comandini, O; Buffa, R; Magris, M; Dominguez-Bello, M G

    2014-01-01

    Amerindians have a particularly high propensity to overweight and obesity as they change lifestyle and experience a nutrition transition. The aim of this study was to evaluate the effects of transculturation on nutritional status in three Amazonian Amerindian villages. Nutritional status was assessed in 232 volunteers: 65 Yanomami from an isolated village and 167 Guahibo subjects from villages with intermediate and high levels of transculturation. There was a significant pattern of decreasing stunting and increasing overweight and obesity across the gradient of transculturation. From the jungle Yanomami to the intermediate and transculturated Guahibo, stunting was respectively 72, 55, and 39%, and children /adult overweight was 0, 3/44, and 15/89%. These anthropometric-based patterns were confirmed by bioimpedance vector analysis. Transculturation in these Amerindian populations is associated with an increase in overweight and obesity coexisting with undernourished children. © 2014 Wiley Periodicals, Inc.

18. From Ethnocentrism to Transculturalism: A Film Studies Pedagogical Journey

    Directory of Open Access Journals [Sweden]

    Helen Yeates

    2011-09-01

    Full Text Available This study reviews the exploratory implementation of an ‘internationalising the curriculum’ policy in relation to a cultural studies unit within a Creative Industries Faculty at an Australian university. Charting certain pedagogical practices in the delivery of transnational film studies, this case study involves a critical, contextual examination of student feedback as well as current theories about transcultural curricula in general and film studies curricula in particular. The study shows that tertiary students can be provided with an extraordinarily rich range of differing, sometimes conflicting, but always engaging transcultural insights and understandings.  It is further argued that transnational competencies may be developed and enabled through the innovative realisation of a type of ‘border crossing’ pedagogical model, largely by foregrounding transcultural ‘affective’ issues around social justice.

19. Putting Leininger's nursing theory "culture care diversity and universality" into operation in the curriculum--Part 1.

    Science.gov [United States]

    de Villiers, L; van der Wal, D

    1995-12-01

    The culturally diverse South African society necessitates inclusion of transcultural nursing in the curriculum. This article focuses on research regarding the putting of Leininger's nursing theory into operation in the curriculum to provide a scientific base for the inclusion of such nursing. The research process and results are discussed.

20. [Emotional labour of nursing care: an evolutionary concept analysis].

    Science.gov [United States]

    Truc, Huynh; Alderson, Marie; Thompson, Mary

    2009-06-01

    Caring is considered as the essence of nursing. Underpinning caring, the internal regulation of emotions or the emotional labour of nurses is invisible. The concept of emotional labour is relatively underdeveloped in nursing. A literature search using keywords 'emotional labour', 'emotional work' and 'emotions' was performed in CINAHL, psycINFO and REPERE from 1990 to January 2008. We analysed 72 papers whose main focus of inquiry was on emotional labour. We followed Rodgers' evolutionary method of concept analysis. Emotional labour is a process whereby nurse adopt a 'work persona' to express their autonomous, surface or deep emotions during patient encounters. Antecedents to this adoption of a work persona are events occurring during patient-nurse encounters, and which consist of three elements : organization [i.e.social norms, social support], nurse [i.e.role identification, professional commitment, work experience and interpersonal skills] and job [i.e.autonomy, task routine, degree of emotional demand, interaction frequency and work complexity]. The attributes of emotional labour have two dimensions : nurses' autonomous response and their work persona strategies [i.e. surface or deep acts]. The consequences of emotional labour include organizational [i.e.productivity, 'cheerful environment'] and nurse aspects [i.e. negative or positive] the concept of emotional labour should be introduced into preregistration programmes. Nurses also need to have time and a supportive environment to reflect, understand and discuss their emotional labour in caring for 'difficult' patients to deflate the dominant discourse about 'problem' patients.

1. Exploring the concept and use of positive deviance in nursing.

   Science.gov [United States]

   Gary, Jodie C

   2013-08-01

   Positive deviance involves an intentional act of breaking the rules in order to serve the greater good. For nurses, the rightness or wrongness of such actions will be judged by other people who are in charge of rules enforcement; but the decision to engage in positive deviance lies solely with the nurse. There is no uniform or consistent definition of positive deviance. This article uses the Walker and Avant method of concept analysis to explore and identify the essence of the term positive deviance in the nursing practice environment, provide a better understanding of the concept, and clarify its meaning for the nursing profession. In turn this led to an operational definition: positive deviance is intentional and honorable behavior that departs or differs from an established norm; contains elements of innovation, creativity, adaptability, or a combination thereof; and involves risk for the nurse. The concept of positive deviance is useful, offering nurses a basis for decision making when the normal, expected actions collide with the nurse's view of the right thing to do.

2. Aromatherapy and nursing: historical and theoretical conception

   Directory of Open Access Journals [Sweden]

   Juliana Rizzo Gnatta

   2016-02-01

   Full Text Available Abstract Aromatherapy is a Practical or Complementary Health Therapy that uses volatile concentrates extracted from plants called essential oils, in order to improve physical, mental and emotional well-being. Aromatherapy has been practiced historically and worldwide by nurses and, as in Brazil is supported by the Federal Nursing Council, it is relevant to discuss this practice in the context of Nursing through Theories of Nursing. This study of theoretical reflection, exploratory and descriptive, aims to discuss the pharmacognosy of essential oils, the historical trajectory of Aromatherapy in Nursing and the conceptions to support Aromatherapy in light of eight Nursing Theorists [Florence Nightingale, Myra Levine, Hildegard Peplau, Martha Rogers, Callista Roy, Wanda Horta, Jean Watson and Katharine Kolcaba, contributing to its inclusion as a nursing care practice.

3. The reliability and validity of the Chinese version of nurses' self-concept questionnaire.

   Science.gov [United States]

   Cao, Xiao Yi; Liu, Xiao Hong; Tian, Lang; Guo, Yan Qin

   2013-05-01

   To examine the reliability and validity of the Chinese version of nurses' self-concept questionnaire. Nurses' self-concept is important to alleviate the current shortage of nurses. Nurses' self-concept questionnaire is an effective instrument to measure nurses' self-perception of professional competencies. However, the psychometric properties of the Chinese version have not been tested. A two-stage research design was used in this study. At Stage 1347 registered nurses were recruited to establish the psychometric properties of the Chinese version. At Stage 2, a confirmatory factor analysis was used to examine the extracted factor structure from Stage 1 with 1017 respondents as a sample. The internal consistency of the Chinese version was 0.95 and the test-retest reliability was 0.83. The exploratory factor analysis extracted six dimensions. The findings at Stage 2 showed an acceptable model fit and discriminant validity. The Chinese version was a significant predictor of Maslach Burnout Inventory [β = -0.58; P = 0.00]. This study verified the psychometric properties of the Chinese version of nurses' self-concept questionnaire. The Chinese version of nurses' self-concept questionnaire will facilitate the evaluation of professional self-concept among nurses and help to develop the individualized self-concept strategies. © 2012 Blackwell Publishing Ltd.

4. Similarity and accuracy of mental models formed during nursing handovers: A concept mapping approach.

   Science.gov [United States]

   Drach-Zahavy, Anat; Broyer, Chaya; Dagan, Efrat

   2017-09-01

   Shared mental models are crucial for constructing mutual understanding of the patient's condition during a clinical handover. Yet, scant research, if any, has empirically explored mental models of the parties involved in a clinical handover. This study aimed to examine the similarities among mental models of incoming and outgoing nurses, and to test their accuracy by comparing them with mental models of expert nurses. A cross-sectional study, exploring nurses' mental models via the concept mapping technique. 40 clinical handovers. Data were collected via concept mapping of the incoming, outgoing, and expert nurses' mental models [total of 120 concept maps]. Similarity and accuracy for concepts and associations indexes were calculated to compare the different maps. About one fifth of the concepts emerged in both outgoing and incoming nurses' concept maps [concept similarity=23%±10.6]. Concept accuracy indexes were 35%±18.8 for incoming and 62%±19.6 for outgoing nurses' maps. Although incoming nurses absorbed fewer number of concepts and associations [23% and 12%, respectively], they partially closed the gap [35% and 22%, respectively] relative to expert nurses' maps. The correlations between concept similarities, and incoming as well as outgoing nurses' concept accuracy, were significant [r=0.43, p 0.05]. It was found that a large number of nurses in the sample group [n = 286] gave care to at least one individual from another culture, but the percentage was significantly higher in the nurses working in the west [56.7%] than in the nurses working in the east [43.3%] [P cultural characteristics of patients were explored, it was found that they experienced problems mostly in 'communication', and the percentage of those having problems was higher in the nurses working in the west [60.8%] [P > 0.05]. The problem experienced in this area was mostly because of the fact that patients 'did not speak Turkish' [63.8%]. In conclusion, the nurses gave care to patients from different cultures, and most of them had trouble when giving care to patients from different cultures. © 2013 Wiley Publishing Asia Pty Ltd.

5. Transcultural Diabetes Nutrition Algorithm: Brazilian Application

   Directory of Open Access Journals [Sweden]

   Fabio Moura

   2015-09-01

   Full Text Available The prevalence of obesity, pre-diabetes, and type 2 diabetes [T2D is increasing worldwide, especially in the developing nations of South America. Brazil has experienced an exponential increase in the prevalence of these chronic non-communicable diseases. The rising prevalence is probably due to changing eating patterns, sedentary living, and a progressive aging of the population. These trends and their underlying causes carry untoward consequences for all Brazilians and the future of Brazilian public health and the healthcare system. Lifestyle changes that include healthy eating [nutrition therapy and regular physical activity [structured exercise represent efficient inexpensive measures to prevent and/or treat the aforementioned disorders and are recommended for all afflicted patients. Regrettably, the implementation of lifestyle changes is fraught with clinical and personal challenges in real life. The transcultural Diabetes Nutrition Algorithm [tDNA is a therapeutic tool intended to foster implementation of lifestyle recommendations and to improve disease-related outcomes in common clinical settings. It is evidence-based and amenable to cultural adaptation. The Brazilian Diabetes Association, Society of Cardiology and Ministry of Health guidelines for nutrition therapy and physical exercise were considered for the Brazilian adaptation. The resultant tDNA-Brazil and its underlying recommendations are presented and explained.

6. Case studies combined with or without concept maps improve critical thinking in hospital-based nurses: a randomized-controlled trial.

   Science.gov [United States]

   Huang, Yu-Chuan; Chen, Hsing-Hsia; Yeh, Mei-Ling; Chung, Yu-Chu

   2012-06-01

   Critical thinking [CT] is essential to the exercise of professional judgment. As nurses face increasingly complex health-care situations, critical thinking can promote appropriate clinical decision-making and improve the quality of nursing care. This study aimed to evaluate the effects of a program of case studies, alone [CS] or combined with concept maps [CSCM], on improving CT in clinical nurses. The study was a randomized controlled trial. The experimental group participated in a 16-week CSCM program, whereas the control group participated in a CS program of equal duration. A randomized-controlled trial with a multistage randomization process was used to select and to assign participants, ultimately resulting in 67 nurses in each group. Data were collected before and after the program using the California Critical Thinking Skill Test [CCTST] and the California Critical Thinking Disposition Inventory [CCTDI]. After the programs, there were significant differences between the two groups in the critical thinking skills of analysis, evaluation, inference, deduction, and induction. There was also an overall significant difference, and a significant difference in the specific disposition of open-mindedness. This study supports the application of case studies combined with concept maps as a hospital-based teaching strategy to promote development of critical thinking skills and encourage dispositions for nurses. The CSCM resulted in greater improvements in all critical thinking skills of as well as the overall and open-minded affective dispositions toward critical thinking, compared with the case studies alone. An obvious improvement in the CSCM participants was the analytic skill and disposition. Further longitudinal studies and data collection from multisite evaluations in a range of geographic locales are warranted. Copyright © 2012 Elsevier Ltd. All rights reserved.

7. Connecting the East and the West, the Local and the Universal: The Methodological Elements of a Transcultural Approach to Bioethics.

   Science.gov [United States]

   Nie, Jing-Bao; Fitzgerald, Ruth P

   From the outset, cross-cultural and transglobal bioethics has constituted a potent arena for a dynamic public discourse and academic debate alike. But prominent bioethical debates on such issues as the notion of common morality and a distinctive "Asian" bioethics in contrast to a "Western" one reveal some deeply rooted and still popular but seriously problematic methodological habits in approaching cultural differences, most notably, radically dichotomizing the East and the West, the local and the universal. In this paper, a "transcultural" approach to bioethics and cultural studies is proposed. It takes seriously the challenges offered by social sciences, anthropology in particular, towards the development of new methodologies for comparative and global bioethics. The key methodological elements of "transculturalism" include acknowledging the great internal plurality within every culture; highlighting the complexity of cultural differences; upholding the primacy of morality; incorporating a reflexive theory of social power; and promoting changes or progress towards shared and sometimes new moral values.

8. Perinatal safety: from concept to nursing practice.

   Science.gov [United States]

   Lyndon, Audrey; Kennedy, Holly Powell

   2010-01-01

   Communication and teamwork problems are leading causes of documented preventable adverse outcomes in perinatal care. An essential component of perinatal safety is the organizational culture in which clinicians work. Clinicians' individual and collective authority to question the plan of care and take action to change the direction of a clinical situation in the patient's best interest can be viewed as their "agency for safety." However, collective agency for safety and commitment to support nurses in their role of advocacy is missing in many perinatal care settings. This article draws from Organizational Accident Theory, High Reliability Theory, and Symbolic Interactionism to describe the nurse's role in maintaining safety during labor and birth in acute care settings and suggests actions for supporting the perinatal nurse at individual, group, and systems levels to achieve maximum safety in perinatal care.

9. Evidence based practice readiness: A concept analysis.

   Science.gov [United States]

   Schaefer, Jessica D; Welton, John M

   2018-01-15

   To analyse and define the concept "evidence based practice readiness" in nurses. Evidence based practice readiness is a term commonly used in health literature, but without a clear understanding of what readiness means. Concept analysis is needed to define the meaning of evidence based practice readiness. A concept analysis was conducted using Walker and Avant's method to clarify the defining attributes of evidence based practice readiness as well as antecedents and consequences. A Boolean search of PubMed and Cumulative Index for Nursing and Allied Health Literature was conducted and limited to those published after the year 2000. Eleven articles met the inclusion criteria for this analysis. Evidence based practice readiness incorporates personal and organisational readiness. Antecedents include the ability to recognize the need for evidence based practice, ability to access and interpret evidence based practice, and a supportive environment. The concept analysis demonstrates the complexity of the concept and its implications for nursing practice. The four pillars of evidence based practice readiness: nursing, training, equipping and leadership support are necessary to achieve evidence based practice readiness. Nurse managers are in the position to address all elements of evidence based practice readiness. Creating an environment that fosters evidence based practice can improve patient outcomes, decreased health care cost, increase nurses' job satisfaction and decrease nursing turnover. © 2018 John Wiley & Sons Ltd.

10. Faith: a concept analysis.

    Science.gov [United States]

    Dyess, Susan Macleod

    2011-12-01

    This paper reports a concept analysis of faith. There are numerous scholars who consider spirituality and religiosity as they relate to health and nursing. Faith is often implied as linked to these concepts but deserves distinct exploration. In addition, as nursing practice conducted within communities of faith continues to emerge, concept clarification of faith is warranted. Qualitative analysis deliberately considered the concept of faith within the lens of Margaret Newman's health as expanding consciousness. Data sources used included a secondary analysis of stories collected within a study conducted in 2008, two specific reconstructed stories, the identification of attributes noted within these various stories and selected philosophical literature from 1950 to 2009. A definition was identified from the analysis; faith is an evolving pattern of believing, that grounds and guides authentic living and gives meaning in the present moment of inter-relating. Four key attributes of faith were also identified as focusing on beliefs, foundational meaning for life, living authentically in accordance with beliefs, and interrelating with self, others and/or Divine. Although a seemingly universal concept, faith was defined individually. Faith appeared to be broader than spiritual practices and religious ritual and became the very foundation that enabled human beings to make sense of their world and circumstances. More work is needed to understand how faith community nursing can expand the traditional understanding of denominationally defined faith community practices and how nurses can support faith for individuals with whom they encounter within all nursing practice. © 2011 Blackwell Publishing Ltd.

11. Intentional learning: A concept analysis.

    Science.gov [United States]

    Mollman, Sarah; Candela, Lori

    2018-01-01

    To use a concept analysis to determine a clear definition of the term "intentional learning" for use in nursing. The term intentional learning has been used for years in educational, business, and even nursing literature. It has been used to denote processes leading to higher order thinking and the ability to use knowledge in new situations; both of which are important skills to develop in nursing students. But the lack of a common, accepted definition of the term makes it difficult for nurse educators to base instruction and learning experiences on or to evaluate its overall effectiveness in educating students for diverse, fast-paced clinical practices. A concept analysis following the eight-step method developed by Walker and Avant [2011]. Empirical and descriptive literature.  Five defining attributes were identified: [1] self-efficacy for learning, [2] active, effortful, and engaged learning, [3] mastery of goals where learning is the goal, [4] self-directed learning, and [5] self-regulation of learning. Through this concept analysis, nursing will have a clear definition of intentional learning. This will enable nurse educators to generate, evaluate, and test learning experiences that promote further development of intentional learning in nursing students. Nurses in practice will also be able to evaluate if the stated benefits are demonstrated and how this impacts patient care and outcomes. © 2017 Wiley Periodicals, Inc.

12. Transcultural diabetes nutrition algorithm: a malaysian application.

    Science.gov [United States]

    Hussein, Zanariah; Hamdy, Osama; Chin Chia, Yook; Lin Lim, Shueh; Kumari Natkunam, Santha; Hussain, Husni; Yeong Tan, Ming; Sulaiman, Ridzoni; Nisak, Barakatun; Chee, Winnie Siew Swee; Marchetti, Albert; Hegazi, Refaat A; Mechanick, Jeffrey I

    2013-01-01

    Glycemic control among patients with prediabetes and type 2 diabetes mellitus [T2D] in Malaysia is suboptimal, especially after the continuous worsening over the past decade. Improved glycemic control may be achieved through a comprehensive management strategy that includes medical nutrition therapy [MNT]. Evidence-based recommendations for diabetes-specific therapeutic diets are available internationally. However, Asian patients with T2D, including Malaysians, have unique disease characteristics and risk factors, as well as cultural and lifestyle dissimilarities, which may render international guidelines and recommendations less applicable and/or difficult to implement. With these thoughts in mind, a transcultural Diabetes Nutrition Algorithm [tDNA] was developed by an international task force of diabetes and nutrition experts through the restructuring of international guidelines for the nutritional management of prediabetes and T2D to account for cultural differences in lifestyle, diet, and genetic factors. The initial evidence-based global tDNA template was designed for simplicity, flexibility, and cultural modification. This paper reports the Malaysian adaptation of the tDNA, which takes into account the epidemiologic, physiologic, cultural, and lifestyle factors unique to Malaysia, as well as the local guidelines recommendations.

13. Transcultural Diabetes Nutrition Algorithm: A Malaysian Application

    Directory of Open Access Journals [Sweden]

    Zanariah Hussein

    2013-01-01

    Full Text Available Glycemic control among patients with prediabetes and type 2 diabetes mellitus [T2D in Malaysia is suboptimal, especially after the continuous worsening over the past decade. Improved glycemic control may be achieved through a comprehensive management strategy that includes medical nutrition therapy [MNT. Evidence-based recommendations for diabetes-specific therapeutic diets are available internationally. However, Asian patients with T2D, including Malaysians, have unique disease characteristics and risk factors, as well as cultural and lifestyle dissimilarities, which may render international guidelines and recommendations less applicable and/or difficult to implement. With these thoughts in mind, a transcultural Diabetes Nutrition Algorithm [tDNA was developed by an international task force of diabetes and nutrition experts through the restructuring of international guidelines for the nutritional management of prediabetes and T2D to account for cultural differences in lifestyle, diet, and genetic factors. The initial evidence-based global tDNA template was designed for simplicity, flexibility, and cultural modification. This paper reports the Malaysian adaptation of the tDNA, which takes into account the epidemiologic, physiologic, cultural, and lifestyle factors unique to Malaysia, as well as the local guidelines recommendations.

14. Transcultural Diabetes Nutrition Algorithm: A Malaysian Application

    Science.gov [United States]

    Hamdy, Osama; Chin Chia, Yook; Lin Lim, Shueh; Kumari Natkunam, Santha; Yeong Tan, Ming; Sulaiman, Ridzoni; Nisak, Barakatun; Chee, Winnie Siew Swee; Marchetti, Albert; Hegazi, Refaat A.; Mechanick, Jeffrey I.

    2013-01-01

    Glycemic control among patients with prediabetes and type 2 diabetes mellitus [T2D] in Malaysia is suboptimal, especially after the continuous worsening over the past decade. Improved glycemic control may be achieved through a comprehensive management strategy that includes medical nutrition therapy [MNT]. Evidence-based recommendations for diabetes-specific therapeutic diets are available internationally. However, Asian patients with T2D, including Malaysians, have unique disease characteristics and risk factors, as well as cultural and lifestyle dissimilarities, which may render international guidelines and recommendations less applicable and/or difficult to implement. With these thoughts in mind, a transcultural Diabetes Nutrition Algorithm [tDNA] was developed by an international task force of diabetes and nutrition experts through the restructuring of international guidelines for the nutritional management of prediabetes and T2D to account for cultural differences in lifestyle, diet, and genetic factors. The initial evidence-based global tDNA template was designed for simplicity, flexibility, and cultural modification. This paper reports the Malaysian adaptation of the tDNA, which takes into account the epidemiologic, physiologic, cultural, and lifestyle factors unique to Malaysia, as well as the local guidelines recommendations. PMID:24385984

15. Development and Cross-Validation of the Short Form of the Cultural Competence Scale for Nurses

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    Duckhee Chae, PhD, RN

    2018-03-01

    Full Text Available Purpose: To develop and validate the short form of the Korean adaptation of the Cultural Competence Scale for Nurses. Methods: To shorten the 33-item Cultural Competence Scale for Nurses, an expert panel [N = 6 evaluated its content validity. The revised items were pilot tested using a sample of nine nurses, and clarity was assessed through cognitive interviews with respondents. The original instrument was shortened and validated through item analysis, exploratory factor analysis, convergent validity, and reliability using data from 277 hospital nurses. The 14-item final version was cross-validated through confirmatory factor analysis, convergent validity, discriminant validity, known-group comparisons, and reliability using data from 365 nurses belonging to 19 hospitals. Results: A 4-factor, 14-item model demonstrated satisfactory fit with significant factor loadings. The convergent validity between the developed tool and transcultural self-efficacy was significant [r = .55, p