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PubMedDate not supplied

Risk: a concept analysis.

TOPIC: Concept analysis of risk. PURPOSE: To analyze the concept risk and provide a new definition of risk. SOURCES: Published literature. CONCLUSIONS: A new definition of risk that emerged from this concept analysis can provide clarity and direction for future research. Nurse researchers can look to this definition to expand what is known about health-seeking behaviors as opposed to "risk" behaviors and seek to further our understanding of the cognitive and experiential process of risk identification.

Adult↗

PubMedDate not supplied

The development of the concept of death in children aged 5-9 years.

105 children aged between 5 and 9 years were questioned on their concept of death following the reading of a story about an old lady who died. The results were analysed in terms of the components of the concept and it was shown that almost all had fully developed notions by the age of 8 or 9 years. Approximately 60% of the 5-year-olds had a complete or almost complete concept. The results are discussed in the light of clinical practice.

Attitude to Death↗

PubMed1987

Concept of the person: introduction to the health professionals' curriculum.

This paper deals with the concept of the person and its necessity in health care and health curricula. Specifically it looks at aspects of both the biological and social sciences. Further, there is some suggestion that for caring professionals in particular the concept of the person requires more analysis than purely a 'common sense' everyday meaning and use, and that there is some requirement for sorting out and understanding the difference and the interconnections of the two terms 'human' and 'person'. This first proposal will be followed by a further paper that discusses in more detail the distinction between the two terms and the moral issues that derive from the centrality of use of the concept of the person by the health professions.

Biology↗

PubMed1991

Power: a concept analysis.

This paper follows the Walker & Avant approach to concept analysis of the concept of power. For the purposes of the paper, power was defined as the actual or potential ability or capacity to achieve objectives through an interpersonal process in which the goals and means to achieve the goals are mutually established and worked toward. The distinction between the views of power as 'power to' versus 'power over' are addressed in the literature review. King's conceptual framework was used as a guide. Defining attributes, antecedents and consequences of power, demonstration cases, and assumptions are presented. A theorem and testable hypothesis are proposed. The final product is a conceptual map which illustrates the contents of the concept analysis.

Concept Formation↗

PubMed2005

Fever: a concept analysis.

AIM: The purpose of this paper is to critically analyse the current state of the science literature in order to develop an accurate conception of fever. RATIONALE: The measurement of body temperature and treatment of fever have long been considered to be within the domain of nursing practice. What body temperature constitutes 'fever', however, is often not clear from nursing protocols or the literature. METHODS: Literature for this concept analysis was obtained by computerized searches of PubMed, CINAHL and BIOSYS for the years 1980-2004. Additional sources were obtained after reviewing the bibliographies of the literature identified by the initial search. The Wilsonian method of concept analysis provided the framework for the analysis. FINDINGS: Fever has characteristically been recognized as a cardinal sign of illness and has traditionally had negative connotations for patient well-being. Substantive advances over the past 20 years in immunology and neurophysiology have expanded understanding of the process of fever. This new knowledge has shifted the perception of fever as part of the acute-phase response to one of an adaptive nature. This knowledge has yet to be fully translated into changes in the fever management practices of nurses. CONCLUSIONS: Consistent usage of terminology in relation to fever should lead to improved and evidence-based care for patients, and to fever management practices consistent with current research. It is important to use clear language about fever and hyperthermia in discussions and documentation between nurses and among disciplines. By creating clarity in our language, we may help to achieve praxis.

Anxiety↗

PubMed1996

The CF carrier status is not associated with a diminished self-concept or increased anxiety: results of psychometric testing after at least 1 year.

To evaluate whether the CF carrier status has any lasting effect on anxiety and on self-concept at least 1 year after the disclosure of the test result, an in-depth interview and additional psychological tests were administered in a group of adults who participated in a previous study which suggested a slight stigmatizing effect of the CF carrier status. Besides carrier status, the role of a second factor-degree of relationship-was investigated. Analysis of Variance (MANOVA or ANOVA) revealed no effect on state and trait anxiety (STAI) and almost no effect on the six subscales of the Tennessee Self-Concept Scale. The absence of a lasting negative effect of the CF carrier status on anxiety and self-concept is a very important finding. Nevertheless, an intriguing significant interaction effect was found: the group of sibs carrying the CF gene felt less integrated in the family than the group of non-carrier sibs. This effect of carrier status was not found in the more distant relatives. It is important to pay sufficient attention to this problem during genetic counseling when brothers or sisters of a CF patient receive a test result.

Adolescent↗

PubMed2006

Nurse-patient communication: language mastery and concept possession.

Influential holistic analyses of patient perspectives assume that the concepts that patients associate with medical terms are formed by their total social and cultural contexts. Holistic analyses presuppose conceptual role semantics in the sense that they imply that a medical term must have the same role for a nurse and a patient in order for them to associate the same concept with the term. In recent philosophy of mind, social externalism has emerged as a non-holistic alternative to conceptual role theories. According to social externalism, a nurse and a patient express the same concept by a term if they both have a minimal or better understanding of the term. Three arguments in favour of social externalism are presented in connection with nurse-patient interaction. The first concerns successful communication, the second focuses on belief reports made by patients and the third centres on the need for including medical terms in medical discourse. Finally, the practical implications of the arguments are clarified. The most important of these is that, in cases of misunderstanding, a nurse should not conform to a patient's idiosyncratic understanding, but instead correct the mistaken applications of the term in question.

Attitude of Health Personnel↗

PubMed2006

Concept analysis of coping with arthritic pain by South Korean older adults: development of a hybrid model.

This study was conducted to clarify and conceptualize the phenomenon of coping with arthritic pain by older adults. The Hybrid Model of concept development was applied to develop a conceptual structure of coping with arthritic pain by older adults. A refined definition of coping with arthritic pain by older adults emerged that identified the attributes and structure of the concept. This study reveals the characteristics of the ways that older adults cope with arthritic pain, such as how they experience themselves, how pain affects their daily life, and how they perceive the meaning of coping with arthritic pain. These characteristics indicate the complexity of the concept regarding the coping of older adults with arthritic pain. This area needs to be clarified when nursing staff assess coping with pain and plan pain management for older adults.

Activities of Daily Living↗

PubMed1994

The mind's "I": children's conception of the mind as an active agent.

1 hypothesis about children's developing conception of the mind is that preschoolers are limited to an understanding that persons have internal, mental contents like thoughts and beliefs, whereas older children and adults conceive of the mind itself as an independent, active structure or processor. Adults' conception of the mind in this independent active fashion seems evident in their use of personified mental metaphor (e.g., "My mind tricked me"). 3 studies examined the development and consolidation of this active, personified view. Study 1 provided an analysis of natural language data regarding 1 child's uses of vision words such as see and look from age 2 1/2 to 8 years. We examined the child's use of such words to refer literally to perception (e.g., "I see the TV") and also to refer nonliterally to active mental processes such as comprehension and inference (e.g., "I see what you mean"). Studies 2 and 3 examined 6-, 8-, and 10-year-olds' comprehension and production of mental metaphors. In a metaphor comprehension task, we asked children to interpret personified metaphoric statements about the mind (e.g., "My mind wandered") and 3 comparison domains, mechanics (e.g., "The car is dead"), nature (e.g., "The wind is howling"), and emotion (e.g., "Her heart was smiling"). In an explanation task, we asked children to explain the processes underlying the making of both instant photos and mental images. The findings reveal a developing ability to interpret and produce statements personifying the mind and provide considerable evidence about children's movement toward a conception of the mind as an independent entity deserving reference and conceptualization in its own right.

Child↗

PubMed2005

The origins, early development and status of Bourdieu's concept of 'cultural capital'.

The paper examines the context of the first introduction of the concept of 'cultural capital' in the sociology of education analyses undertaken in the early 1960s and published by Bourdieu in collaboration with Jean-Claude Passeron in 'Les etudiants et leurs etudes' (1964a) and Les Heritiers (1964b). It first considers the cultural contexts within which Bourdieu's thinking about culture originated--both in relation to his social origins and in relation to his intellectual training. It then examines the extent to which Bourdieu's early anthropological research in Algeria was influenced by his knowledge of American acculturation theory. It concludes that Bourdieu sought to use acculturation theory in a distinctive way--one which he articulated more confidently as he explored the relationship between agency and structural explanation in the late 1960s and early 1970s. The specific educational researches which stimulated the articulation of the concept of 'linguistic' or 'cultural' capital belonged to the period in which Bourdieu was only just beginning to refine his post-structuralist philosophy of social scientific explanation. To use these concepts now involves deploying them reflexively in accordance with Bourdieu's later thinking rather than at face value as they were first developed during the period in which he and Passeron were 'apprentice' researchers.

Acculturation↗

PubMed1984

Black children's race awareness, racial attitudes and self-concept: a reinterpretation.

Results of a study of 130 black preschool children support the previous research finding that black preschoolers show majority group racial attitudes. Eighty percent of the sample obtained positive self-concept scores, while demonstrating pro-white biased cultural values on a racial attitude and preference measure. This significant finding is contrary to previous theorizing and consistent with recent data for a Southern sample (Spencer, 1982a). Few studies have empirically questioned this relationship, assuming less positive self-concepts of black children who have consistently shown pro-white cultural values. Race awareness affected majority group-preferenced racial attitudes. Results suggest that black preschool children effectively compartmentalize personal identity (i.e. self-concept) from knowledge of racial evaluations.

Black or African American↗

PubMed1994

The self-concept of young people with spina bifida: a population-based study.

Seventy-nine young people with spina bifida were given a psychological, medical, carer and occupational therapy assessment. 79 matched able-bodied young people received the psychosocial interview. The disabled group felt themselves to be less competent in academic, athletic and social aspects of self-concept, less supported by classmates, equally supported by parents and friends and more supported by teachers than the able-bodied group. Disabled subjects did not discount the importance of any area of personal-social functioning, and experienced greater discrepancies between competence and importance in most academic, athletic, social and physical appearance aspects of self-concept. Disabled girls assigned very high importance to physical appearance. Physical appearance was more strongly associated with general self-esteem than any other area of self-concept.

Adolescent↗

PubMed1996

The concept of family resilience: crisis and challenge.

The concept of resilience, the ability to withstand and rebound from crisis and adversity, has valuable potential for research, intervention, and prevention approaches aiming to strengthen couples and families. Resilience has been viewed as residing within the individual, with the family often dismissed as dysfunctional This article advances a systemic view of resilience in ecological and developmental contexts and presents the concept of family resilience, attending to interactional processes over time that strengthen both individual and family hardiness. Extending our understanding of normal family functioning, the concept of family resilience offers a useful framework to identify and fortify key processes that enable families to surmount crises and persistent stresses. There are many pathways in relational resilience, varying to fit diverse family forms, psychosocial challenges, resources, and constraints. Shared beliefs and narratives that foster a sense of coherence, collaboration, competence, and confidence are vital in coping and mastery. Interventions to strengthen family resilience have timely relevance for weathering the rapid social changes and uncertainties facing families today.

Adaptation, Psychological↗

PubMed1995

Schema model of the self-concept.

The centrality of the self-concept in maintaining physical and psychosocial well-being is widely recognized in nursing. Despite its importance, progress in the development of an empirically-supported and clinically-relevant theoretical framework has been limited by difficulties in defining and measuring the construct. The schema model of the self-concept is presented as a theoretical framework that has the potential for explaining how the self-concept functions to influence emotional and behavioral responses to events relevant to health and well-being.

Health Behavior↗

PubMedDate not supplied

Analysis of a human phenomenon: self-concept.

This analysis of self-concept includes an examination of definitions, historical perspectives, theoretical basis, and closely related terms. Antecedents, consequences, defining attributes, and a definition were formulated based on the analysis. The purpose of the analysis was to provide support for the use of the label "self-concept" as a broad category that encompasses the self-esteem, identity, and body-image nursing diagnoses within Taxonomy I. This classification could allow the use of a broad diagnostic label to better describe conditions that necessitate nursing care. It may also further explain the relationships between and among those diagnoses that describe human responses to disturbance of any component of the self-concept.

Body Image↗

PubMed1977

Dimensionality of the perceived self: the Tennessee Self Concept Scale.

The 12 indices of self-perception in the Tennessee Self Concept Scale, together with the Eysenck Personality Inventory, were factor analysed using data obtained from psychiatric day-care patients (n = 131). Separate item- and scale-level factor analyses revealed that: (1) the five external and three internal domains of self-concept, hypothesized as distinct, may be accurately viewed as lying in one-dimensional space; (2) the conflict, variability and distribution scores are unrelated to subtype of self-esteem; (3) extraversion and neuroticism form a bipolar factor that is orthogonal to self-concept; and (4) the emergence of 30 item-factors with a 30 per cent factorial overlap implies a good deal of spuriously shared variance, low inter-scale homogeneity and sizable redundancy in the TSCS scales. Owing to these results, the construct and factorial validity of the TSCS is seriously questioned. It is suggested that future researchers develop more sensitive, treatment-oriented (or idiographic) measures to compare man's less conspicuous and more private 'self-image feelings and cognitions' against his public self-disclosure in the interests of facilitating more rapid behavioural change.

Adolescent↗

PubMed1989

The development of conservation concepts in children with visual impairment.

The investigation was the last in a series examining similarity of sequence and structure in the development of children with different handicapping conditions. It focused on the development of conservation concepts by children who were visually impaired but not blind. Similarity in order of acquisition of conservation concepts for visually impaired and sighted children was found and was supported by scalogram analyses yielding very high coefficients of reproducibility. Similarity in structure or level of understanding of conservation was also evident for these groups of children at comparable chronological ages and was supported by multiple regression analyses. There was no evidence of delay in the visually impaired children's development of conservation concepts.

Adolescent↗

PubMed1992

Social and academic treatments in mixed-ethnic classes and change in student self-concept.

The efficacy of three pedagogical strategies for the enhancement of student academic and social self-concept in mixed-ethnic classes was examined among 594 Israeli children of varying status levels in their first year of junior high school. One treatment approach involved cooperative learning in small groups; a second approach employed a specially designed social relations programme; and the third approach presented the social relations programme and cooperative learning. A comparison group using traditional pedagogical approaches was also investigated. Status level was defined according to student sociometric standing and academic standing. Results indicated that low-achieving students of Middle Eastern background only in the comparison group sustained a significant negative change in their social and academic self-concepts. All three treatment strategies succeeded in curbing this decline. Findings were in the same direction when status was defined by sociometric standing. These results suggest that under proper pedagogical conditions minority children in mixed-ethnic classes need not suffer any decline in their self-concept.

Child↗