Concept Advancement: Extending Science Through Concept-Driven Research

2005 ◽  
Vol 19 (3) ◽  
pp. 231-241 ◽  
Author(s):  
Janice Penrod ◽  
Judith E. Hupcey

As methods for concept analysis have evolved, scholars have confounded the initial exploration of a concept with techniques for developing the conceptual unit, extending nursing theory, and establishing nursing knowledge. We argue that nursing is at a critical juncture in the methodological development of concept-driven research. In order to maximize the potential contribution of this type of research, approaches to concept analysis must be held separate and distinct from approaches to concept advancement. We advocate the use of principle-based concept analysis to determine appropriate techniques for advancing a concept. Concept advancement refers to strategic concept-driven inquiries that incrementally build the specification of conceptual meaning to a more precisely defined unit of meaning that has greater utility for research application. Examples of a project that employed strategic techniques for concept advancement are used to illustrate the flow of serial small projects.

2018 ◽  
Vol 31 (3) ◽  
pp. 291-295 ◽  
Author(s):  
Mario R. Ortiz

There has been much written about the importance of care that is centered on persons and their loved ones. Patient-centered care has been central to nursing practice and unique nursing knowledge. This central focus provides an opportunity for nurses to develop policies that may affect practice so that practice is consistent with a distinctive knowledge base. The purpose of this paper is to discuss patient-centered care and nursing theory.


2005 ◽  
Vol 19 (2) ◽  
pp. 197-208 ◽  
Author(s):  
Judith E. Hupcey ◽  
Janice Penrod

As methods for analyzing concepts have proliferated in nursing, a critical methodological issue has arisen. Analytic techniques for examining conceptual meaning have incorporated varied strategies for advancing the concept under the rubric of concept analysis, concept development, and theory building. The authors argue that this evolution has created methodological confusion. Following a discussion of a conceptualization of concepts and concept-theory-truth linkages, methods of concept analysis are critiqued in terms of the purpose and the nature of the findings produced by analyses using both traditional and emergent methods. The authors argue that concept analysis is a process of strategic examination of the scientific literature that results in an integrated perspective of the state of the science, or what is known about the concept. In contrast, concept advancement refers to techniques that emphasize the synthesis of new or deeper knowledge that is relevant to the discipline. The authors conclude that disentangling concept analysis from techniques for concept advancement is critical to enhancing the utility of concept-based research in nursing.


2004 ◽  
Vol 8 (2) ◽  
pp. 9-13 ◽  
Author(s):  
Dawn Freshwater

Nursing theory and differing sources of nursing knowledge have focused the argument that nursing theory and nursing practice must be founded on a scientific base. The phrase “evidence based” is increasingly entering the discourse around nursing effectiveness and has captured the attention of managers, because of its seeming potential to rationalize costs in healthcare provision, and researchers, because of its association with problems related to lack of adoption of research findings in nursing. A potential exists to broaden the chasm between the art and the science of nursing, when the art of nursing is gaining credibility. This paper challenges the current of evidence-based practice. It argues that the two concepts, when viewed through the postmodern lens, are not necessarily an oxymoron.


2002 ◽  
Vol 16 (1) ◽  
pp. 53-62 ◽  
Author(s):  
Gweneth A. Hartrick

In this article the author suggests that by nurturing the development of creativity in individual nurses and cultivating a culture of creativity in the profession, our knowledge and practice as a discipline could be strongly enhanced. This cultivation process, however, requires that we move beyond “using” theory to develop methods of practice. Such an approach to theory serves to solidify and constrain practice and inhibits the full contribution of nursing theory and knowledge. Drawing on the work of philosophers in the pragmatist tradition, the author considers how we might redescribe form to better support the creative process and ultimately enhance the development and contribution of nursing knowledge and theory.


2018 ◽  
Vol 48 (6) ◽  
pp. 637 ◽  
Author(s):  
Hyeon Ju Kim ◽  
Joo Hyun Kim

2020 ◽  
Vol 24 (1) ◽  
pp. 59-71
Author(s):  
Franklin Wynn

Burnout and compassion fatigue are two distinct concepts experienced by nurses caring for patients in high-stakes environments. Nurses often do not recognize which concept they are experiencing due to the similarities and interchangeable use of these terms in literature. Nurses in high-stakes settings need to have these concepts further explored as they impact their physical and psychological health. This comparative concept analysis examines these terms using Walker and Avant methodology. Defining attributes, antecedents, consequences, empirical referents, and constructed cases are discussed. This analysis adds to the nursing knowledge needed to support nurses in achieving optimal occupational health and well-being.


2020 ◽  
Vol 34 (2) ◽  
pp. 144-169
Author(s):  
Kyungmi Lee ◽  
Su Hyun Kim

BackgroundDifferences between patients' and nurses' perceptions of good nursing might be one of the barriers to optimal nursing care that matches the preferences of patients. A better understanding of the attributes of Good Nursing Care across different settings, circumstances, and patient populations will provide an integrated idea about Good Nursing Care, which can contribute to nursing theory development and future research.PurposeThis study aimed to integrate the literature on patients' and nurses' perceptions of what constitutes Good Nursing Care and thereby identify the similarities and differences in patients' and nurses' perceptions of Good Nursing Care.MethodsA literature search of PubMed, CINAHL, and MEDLINE was conducted for article published between January 2000 and June 2017. A total of 18 studies were identified and assessed using the Mixed Method Appraisal Tool. The studies were analyzed and synthesized using Swanson's theory of caring as the theoretical framework.ResultsSome dissents and agreements were found between patients and nurses regarding the crucial attributes of Good Nursing Care. While “enabling,” such as providing information, coaching, and guidance, was more emphasized by patients, “being with” (being present at the bedside) was more emphasized by nurses. “Doing for,” especially expert performance and enhancing physical comfort, was the most frequently mentioned attribute of Good Nursing Care by both patients and nurses.Implications for PracticeTheoretical developments regarding Good Nursing Care—characterized by a balance between sufficient nursing knowledge and competent technical skills on one hand and patient empowerment based on trusting relationships on the other hand—would promote the provision of Good Nursing Care in clinical practice.


2020 ◽  
Vol 10 (3) ◽  
pp. 275-291
Author(s):  
Muhamad Zulfatul A'la ◽  
Khanitta Nuntaboot ◽  
Somporn Rungreangkulkij

Background: Volunteering is a common concept used in various disciplines including in the health care context. Nursing plays a role in volunteering concept development. However, the use of volunteering concept is still interchangeable. The clear definition concept about volunteering will promote the improvement in healthcare system quality.Purpose: This study aimed to clarify the volunteering concept in the health care context using Rodger’s evolutionary concept analysis.Methods: This study used a literature review for collecting the exemplars. Researchers used articles published in 2010-2020 in ScienceDirect, PubMed, Web of Science, and Google Scholar. Articles were searched using OR and AND. The keywords and MeSH used were “Volunteering OR Volunteerism OR volunteers AND Health OR Care OR Nursing” in the title, abstract, and keyword articles. Inclusion criteria were full articles in English. Rodger’s evolutionary concept analysis was implemented in this study with six steps.Results: This study used 39 eligible articles analyzed by providing codes of each article and then classified them in attributes, antecedents, and consequences of concept. Five attributes of volunteering, namely, giving help freely, as long-term planned, as giving a benefit to another individual, group, or organization, as working at a formal organization, and as a long-life activity were found. Antecedents of volunteering include motivation, social demographic, and philanthropic behavior. The consequences of volunteering were consequences for volunteers, patients, and the health care system.Conclusion: Volunteering is a complex concept and many surrogate concepts have similar definitions. The attributes are still debatable and need to be explored. Also, the consequences of volunteering are still rarely discussed in a particular health care system context. Further studies need to analyze the measurement of volunteering development based on the nursing theory framework and explore the consequences of volunteering in the health care system related to the nursing care context.


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