• 제목/요약/키워드: Walker & Avant

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교대근무 부적응 증후군의 개념 분석 (Concept Analysis of Shift Work Maladaptation Syndrome)

  • 윤미정;이은남;원윤희
    • 근관절건강학회지
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    • 제21권2호
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    • pp.135-144
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    • 2014
  • Purpose: The purpose of this study was to analyze and clarify the concept of shift work maladaptation syndrome and to facilitate development of interventions for the shift work adaptation. Methods: This study used Walker and Avant's concept analysis process. Results: Shift work maladaptation syndrome can be defined as the following attributes: 1) destruction of the circadian rhythm, 2) existence of a threshold, 3) individual characteristics (year of career, type of personality, and type of coping) 4) somatization, and 5) negative emotional conditions. The antecedents of shift work maladaptation syndrome consist of counterclockwise shift work, irregular shift cycle, night work which is breaking circadian rhythm, and lifestyle changing. The consequences as a result of shift work maladaptation syndrome are deterioration of health (gastrointestinal, neuro-psychic, cardiovascular function), reduction of social relationships, and turnover or resign. Conclusion: The results of this study can be useful as the foundation of shift work adaptation implementation.

신장이식환자의 치료지시 이행에 대한 개념분석-면역억제제 복용이행을 포함하여 (A Concept Analysis of Compliance in Kidney Transplant Recipient Including Compliance with Immunosuppressive Medication)

  • 황영희;박선정
    • Journal of Korean Biological Nursing Science
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    • 제22권1호
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    • pp.23-35
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    • 2020
  • Purpose: Compliance in kidney transplant recipients is critical for a positive prognosis. Especially compliance with medications after kidney transplantation is a major health care issue with implications for graft rejection and graft loss. But the definition of compliance in transplantation varies among centers. The purpose of this study was to clarify the concept of compliance in kidney transplant recipients. Methods: A literature search was conducted using RISS, MEDLINE, CINAHL. The concept analysis was guided by the methodology posited by Walker and Avant. Results: In this study, we found the attributes of the concept: 'compliance with immunosuppressive medication', 'compliance with follow-up', 'compliance with early detection of graft rejection and complication', and 'compliance with prevention of complication'. The antecedents of 'compliance in kidney transplant recipients' included 'having a kidney transplant surgery' and 'normal function of transplanted kidney'. The consequences of 'compliance in kidney transplant recipients' included 'affecting the function of the transplanted kidney' and 'affecting the health of kidney transplant recipients. Conclusion: This study may contribute to the development of tools for measuring compliance in kidney transplant recipients, as well as benefit nursing interventions research to increase compliance in kidney transplant recipients.

지지개념 분석 (Concept Analysis of Support)

  • 강경숙;김미영;장수현;정미영
    • 지역사회간호학회지
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    • 제13권3호
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    • pp.566-573
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    • 2002
  • A concept is a building block of a theory. The purpose of a concept analysis is to clarify the critical attributes of a concept and identify its real meaning, particularly if the concept is not understood in a clear and accurate manner. This study was conducted to analyze the concept of support, which has been adopted from another discipline and unclearly used in nursing science. For concept analysis of this study, Walker and Avant's method was used. Support is defined as a domain with emotional. informational. material and evaluative aspects. Critical attributes of the concept of support included (1) an experience of support between a support provider and a client, (2) communication, (3) a relationship of mutual interchange of emotional, informational, material, evaluative support, and (4) intention, Cases related to the concept of support included model cases and appendix cases (against. boundary, and related). Antecedents of support were anxiety, depression, and loss of self-esteem, and consequences of support were comfort, increase of self-esteem, and trust. Based on these results, a nursing intervention that can provide a better quality of life for the prevention of diseases, health management, and health promotion may be developed in the future.

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직관개념 분석에 관한 연구 (A Concept Analysis of Intuition)

  • 신경림
    • 대한간호학회지
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    • 제24권2호
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    • pp.206-215
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    • 1994
  • Intuition is an abstract concept which is most often thought of as a nonrational, nonscientific mode of thought. However, since there are so many amorphous definitions of intuition that it seems important to clarify the meaning of this concept. Therefore, this study use the process of Walker & Avant’s concept analysis to define of the concept of intuition Attributes of intuition were defined as 1) Knowledge of truth that is difficult to explicate ; 2) A type of immediate knowing ; 3) Knowlwdge without reasining analysis ; 4) Knowledge that is attained based on virtue character which integrates all matter and is not attained through individual experience. Antecedents of intuition consists of 1) as ground for knowledge or truth that is not availables to trace through the analytic procedures ; & 2) the flow of Ki which unites human beings and the universe. Consequences of intuition events or incidents occuring as a result of the concept consist of verification of the truth though analytic procedures and application of knowledge in both theoretical and practical ways. To develop intuitive ability, as an educator should not only make studies in recognizine, analysing and teaching concepts related to logical, rational decision making but should also recognize and teach concepts related to intuitive components of making decisions in clinical practice and classroom learning as well.

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간호리더십에 대한 개념 분석 (Concept Analysis of Nursing Leadership)

  • 김정숙;김윤민;장금성;김복남;정석희
    • 간호행정학회지
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    • 제21권5호
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    • pp.575-586
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    • 2015
  • Purpose: The purpose of this study was to provide a concept analysis of nursing leadership. Methods: The concept analysis process of Walker and Avant (2011) was used. A review of the literature was conducted using several databases, including PubMed, CINAHL, Ovid-Medline, DBpia, and KISS. The databases were searched using the following terms 'nursing leadership', 'nursing' & 'leadership', and 'nurse & 'leadership', and for studies published from January 2000 to March 2015. Strict inclusion and exclusion criteria were applied. Results: Analysis of these studies indicated nursing leadership attributes were individual growth, collaboration, nursing excellence, creative problem solving, and influence. The antecedents of nursing leadership were the individual maturity level, construction of mutual trust and confidential relationships, and a job requirement. The consequences were improvement in nursing productivity, development of a supportive work environment, and satisfaction with the nursing profession. Conclusion: The findings in this study provide a definite concept of nursing leadership. The findings also provide the theoretical evidence for the development of nursing leadership competencies in nursing students and professional nurses.

전실 스트레스[relocation stress]의 개념분석 - 중환자실에서 일반 병실로 전실하는 환자를 중심으로 - (Concept Analysis of Relocation Stress - Focusing on Patients Transferred from Intensive Care Unit to General Ward -)

  • 손연정;홍성경;전은영
    • 대한간호학회지
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    • 제38권3호
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    • pp.353-362
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    • 2008
  • Purpose: This study was conducted to analyze and clarify the meaning of the concept for relocation stress -focusing on patients transferred from an intensive care unit to a general ward. Methods: This study used Walker and Avant's process of concept analysis. Results: Relocation stress can be defined by these attributes as follows: 1) involuntary decision about relocation, 2) moving from a familiar and safe environment to an unfamiliar one, 3) broken relationship of safety and familiarity, 4) physiological and psychosocial change after relocation. The antecedents of relocation stress consisted of these facts: 1) preparation degrees of transfer from the intensive care unit to a general ward, 2) pertinence of the information related to the transfer process, 3) change of major caregivers, 4) change in numbers of monitoring devices, 5) change in the level of self-care. There are consequences occurring as a result of relocation stress: 1) decrease in patients' quality of life, 2) decrease in coping capacity, 3) loss of control. Conclusion: Relocation stress is a core concept in intensive nursing care. Using this concept will contribute to continuity of intensive nursing care.

신규간호사 '태움(Taeoom)'에 대한 개념 분석 (A Concept Analysis of 'Taeoom' to Newly Employed Nurses)

  • 김지원;배성윤
    • 한국병원경영학회지
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    • 제25권3호
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    • pp.1-13
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    • 2020
  • Purpose: This study was conducted to identify the conceptual definition and attributes of 'Taeoom' (or workplace bullying) inflicted to newly employed nurses in Korea. Method: Walker & Avant(2011)'s eight-stage process was used to perform a conceptual analysis of 'Taeoom'. Literature review of 40 studies published between Jan. 2009 and March 2018 published in Korea was followed by the in-depth interview with nine newly employed hospital nurses and the ex-post review of results by nursing experts. Findings: 'Taeoom' was associated with five attributes: (1) bullying for no reason, (2) peer rejection for no reason, (3) decreased physical function and psychological withdrawal, and (4) verbal abuse, defamation and nagging, (5) impotent feeling due to power imbalance. Four antecedents found in this study include offensive action, distrust, power imbalance, and undue workload exceeding capacity. As consequences of Taeoom, negative physical and psychological symptoms and turnover intention were increased while nursing performance was decreased. Conclusion: This study suggests the need for more qualitative researches with more comprehensive approach on Taeoom and the development of effective program to improve the organizational culture in nursing field. This study is significant in that it provides a qualitative but comparative review on the attributes, antecedents and consequences of Taeoom through literature review accompanied by focus group interview and expert review.

중독(Addiction)에 대한 개념분석 (Concept Analysis of Addiction)

  • 도은영;정복례;도복늠
    • 지역사회간호학회지
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    • 제12권1호
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    • pp.261-268
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    • 2001
  • Recently, social concerns about addiction problems not only to substances like alcohol and drug but also to gambling or internet have been increasing. Addiction is caused by a combined influence of biological, psychological. and social factors. However, addiction may also occur due to weak will-power or poor education on addiction. Even though addicted behavior provides temporal mood change such as euphoria, satisfaction. or relaxation. it leads to serious physical and mental disorder of the addicted person and its family members, which possibly results in fatal consequences. Nurses are in an environment to meet and take care of those who are addicted or vulnerable to addiction in order to help the clients to recover or to prevent people from addiction. Despite the importance of nurses role in addiction problems, there is a lack of consistency of addiction is often interchangeably used with other similar concepts in the society. In this study, a concept analysis of addiction was performed to more clearly and comprehensively understand addiction and to develop effective nursing intervention methods for addicted clients. The analysis is conducted according to a series of processes described by Walker and Avant. The defining attributes of addiction identified in this study are as follows: 1) existence of object 2) control loss 3) withdrawal symptoms 4) continued use despite adverse consequences.

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디지털 헬스 리터러시 개념분석 (Concept Analysis of Digital Health Literacy)

  • 황민화;박연환
    • 근관절건강학회지
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    • 제28권3호
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    • pp.252-262
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    • 2021
  • Purpose: To define the concept of digital health literacy and identify its attributes. Methods: Walker and Avant's approach was employed for concept analysis. Attributes, antecedents, consequences, and the definition of digital health literacy were derived from a review of 28 studies. Results: Digital health literacy was identified to possess the following five attributes: health information seeking, health information processing, health information communication, health-related knowledge translation, and utilizing digital technology. Basic literacy skills, health concerns, motivation to use technology for health information, and access to digital technologies were all antecedents of the concept. The consequences of the concept were health behaviors, patient engagement, health status, and quality of life. Digital health literacy is the ability to seek relevant health information utilizing digital technology to solve health problems and improve quality of life. Furthermore, it refers to the translation of health-related knowledge obtained through health information processing-finding, understanding, and evaluating health information and health information communication-into the context in which individual and social factors interact. Conclusion: This study presented a new definition of digital health literacy that goes beyond existing internet-based eHealth literacy, by incorporating the context of emerging digital technologies. This proposed definition can serve as a foundation for the development of instruments and educational programs to improve individuals' digital health literacy.

간호대학 시뮬레이션 교육의 이행(transition)에 대한 개념 분석 (Transition of Simulation-Based Learning in Nursing Schools: A Concept Analysis)

  • 하이경;방활란;이연희
    • 중환자간호학회지
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    • 제12권2호
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    • pp.50-60
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    • 2019
  • Purpose : The purpose of this study was to identify the attributes, antecedents, and consequences of the transition of simulation-based learning (SBL) in nursing schools. Methods : The study was conducted in accordance with Walker and Avant's conceptual analysis process. We searched MEDLINE, CINAHL, EMBASE, Google Scholar, and RISS (Korean Education and Research Information Service) databases, resulting in nine studies for an in-depth review. Results : The attributes of transition of SBL include (1) preparing for a professional role, (2) practicing in a real clinical setting, and (3) progressing toward expected competency. Antecedents of the concept include novice status, changing roles, clinical experience in controlled settings, and expected competency in the clinical setting. Conclusion : The transition of SBL includes the important feature of progression toward expected competency. Further research is needed to identify graduate nurses' experiences during this transition to establish a strategy for improving it and developing a measurement tool that reflects attributes of the concept.