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Biomedical subjects

Deborah Finfgeld-Connett

Publications and source records attributed to Deborah Finfgeld-Connett.

8 recordsLinked to original sources
PubMed2006

Meta-synthesis of presence in nursing.

AIM: This paper reports a meta-synthesis of the concept of presence. BACKGROUND: Presence is a complex concept that is vague and poorly defined. It is often confused with other concepts such as caring, empathy, therapeutic use of self, support and nurturance. Adding to this confusion is the fact that presence has been fragmented into numerous types, used indiscriminately and combined with other concepts such as caring. METHOD: The nursing literature was searched using the cinahl, Dissertation Abstracts and Missouri Bibliographic Information User System databases and the keywords presence, concept analysis, qualitative studies, grounded theory, phenomenology and ethnography. The reference lists of the sources were also scrutinized. Four linguistic concept analyses and 14 qualitative studies of presence were identified and a meta-analysis was conducting using these. FINDINGS: Presence is an interpersonal process that is characterized by sensitivity, holism, intimacy, vulnerability and adaptation to unique circumstances. It consists of a process in which patients demonstrate a need for and openness to presence. In turn, nurses must be willing to enact presence and practice within an environment that is conducive to it. Nurses must also possess personal and professional maturity and base their practice on moral principles of commitment and respect for individual differences. The process results in enhanced mental well-being for nurses and patients and improved physical well-being for patients. In keeping with the nature of a process, the consequences of presence go on to influence its future enactment. CONCLUSION: Advanced concept analysis methods should be used to further explicate presence and differentiate it from other nursing constructs. Until this is done, scholars are cautioned against parsing the term and combining it with vaguely defined nursing concepts such as caring. Researchers are urged to consider how presence can be preserved using tele-health technology and in time-sensitive healthcare settings.

Attitude of Health Personnel↗
PubMed2006

Web-based treatment for problem drinking.

Interest in Web-based interventions to curtail hazardous drinking has increased in recent years. Emerging research findings suggest that Web-based interventions may help reduce alcohol abuse, especially among college students and women. At the same time, it may be difficult for marginalized individuals and those in rural areas to access the Internet. Nurses are encouraged to help clients evaluate alcohol intervention Web sites to identify the best treatment options. Additional research is recommended to determine the efficacy of online alcohol treatment services.

Alcoholism↗
PubMed2005

Clarification of social support.

PURPOSE: To clarify the concept of social support. DESIGN: Template Verification and Expansion Model. METHODS: Meta-synthesis strategies. FINDINGS: Social support is composed of emotional and instrumental support. It is an advocative interpersonal process characterized by reciprocal exchange of information, it is context specific, and it results in improved mental health. Antecedents of emotional and instrumental support include a perceived need plus a social network and climate that are conducive to the exchange of social support. CONCLUSIONS: In keeping with the nonprofessional nature of social support, nurses are advised to encourage patients to use and enhance personal support networks. For the same reason, nurses should reconsider investigating social support as a nursing intervention. Expanded efforts are needed to differentiate social support from concepts such as caring.

Community Networks↗
PubMed2005

Telephone social support or nursing presence? Analysis of a nursing intervention.

The purpose of this qualitative analysis is to elucidate more fully telephone social support as it was delivered within the context of a randomized controlled investigation. To this end, the author used constant comparative methods to analyze telephone logs. The findings are congruent with the operational definition of social support that was selected for the randomized controlled study; however, they are also suggestive of nursing presence. Components of nursing presence that emerged from the data include (a) maintenance of psychological presence, (b) interpersonal reciprocity characterized by a mutual desire to work together, (c) therapeutic communication and full attention to the here and now, and (d) expert nursing practice within the nurse-patient dyad. Outcomes include problem solving, adaptive behavior change, and diminished distress. Researchers are encouraged to continue to use qualitative methods to define and differentiate the concepts of social support and nursing presence more clearly. This is particularly important as the demand for empirically based nursing interventions grows.

Adult↗
PubMed2005

Alcohol brief interventions.

A large proportion of Americans report binge or heavy drinking. The human and economic costs of alcohol misuse are extensive, with hundreds of thousands of lives lost or disrupted and billions of dollars spent due to impaired productivity, crime, and adverse health consequences. In an effort to reduce costs such as these, scientists and clinicians have developed brief interventions, characterized by their low intensity and short (5-60 minutes) duration, as well as by their intent to provide early intervention before drinkers develop alcohol abuse or dependence. The purpose of this review, therefore, is to analyze research studies related to brief intervention and critically analyze and critique their findings. In addition, both prospective randomized controlled trials and meta-analyses will be used to discuss the implications for clinical practice and make recommendations for future research.

Alcohol Drinking↗
PubMedDate not supplied

Qualitative concept development: implications for nursing research and knowledge.

TOPIC: Qualitative concept development. The purpose of this article is to analyze existing and emerging qualitative concept development approaches and discuss implications for nursing research and knowledge. SOURCE: Literature. CONCLUSIONS: Concept development is necessary to insure the ongoing emergence of nursing theory and knowledge. Investigators are urged to use empirical data and advanced qualitative research methods to move concept development forward. Although an inductive process is inherent to qualitative investigations, it is apparent that iterative movement between inductive and deductive approaches is needed to carry out concept development studies. Concepts used in nursing are complex and challenging to define. For this reason, concept development is a rigorous and time-intensive process, which requires commensurate financial and time commitments.

Concept Formation↗