Humanistic Care in Nursing: Concept Analysis Using Rodgers' Evolutionary Approach.

As the number of healthy older adults increases, robustness has emerged as an important concept to describe individual differences in adaptability and health outcomes. However, the concept remains inconsistently defined across healthcare disciplines, necessitating conceptual clarification. This study aims to conduct an evolutionary concept analysis of robustness in older adults. An evolutionary concept analysis method was conducted. Four healthcare databases (PubMed, CINAHL Complete, EMBASE, Scopus) and Google Scholar were systematically searched without publication year restrictions, excluding gray literature. Data were extracted and analyzed to identify attributes, antecedents, consequences, and related terms. Analysis of 31 studies revealed three attributes: multidimensional vitality, resilient stability, and functional autonomy. Antecedents include socioeconomic resources, beneficial lifestyle behaviors, and supportive social networks, while consequences encompass enhanced quality of life, reduced healthcare needs, and decreased mortality. Comparison with related terms confirmed robustness as distinct from successful aging, non-frailty, intrinsic capacity, and resilience. This study established conceptual boundaries for robustness, enabling healthcare professionals to move beyond age-based approaches toward individualized assessment and care strategies, providing a theoretical framework for developing measurement tools and implementing personalized interventions.

Health-related decision-making is a complex process given the variability of treatment options, conflicting treatment plans, time constraints and variable outcomes. This complexity may result in patients experiencing decisional regret following decision-making. Nonetheless, literature on decisional regret in the healthcare context indicates inconsistent characterization and operationalization of this concept. To conceptually define the phenomenon of decisional regret and synthesize the state of science on patients' experiences with decisional regret. A concept analysis. Rodgers' evolutionary method guided the conceptualization of this review. An interdisciplinary literature search was conducted from 2003 until 2023 using five databases, PubMed, CINAHL, Embase, PsycINFO and Web of Science. The search informed how the concept manifested across health-related literature. We used PRISMA-ScR checklist to guide the reporting of this review. Based on the analysis of 25 included articles, a conceptual definition of decisional regret was proposed. Three defining attributes underscored the negative cognitive-emotional nature of this concept, post-decisional experience relating to the decision-making process, treatment option and/or treatment outcome and an immediate or delayed occurrence. Antecedents preceding decisional regret comprised initial psychological or emotional status, sociodemographic determinants, impaired decision-making process, role regret, conflicting treatment plans and adverse treatment outcomes. Consequences of this concept included positive and negative outcomes influencing quality of life, health expectations, patient-provider relationship and healthcare experience appraisal. A conceptual model was developed to summarize the concept's characteristics. The current knowledge on decisional regret is expected to evolve with further exploration of this concept, particularly for the temporal dimension of regret experience. This review identified research, clinical and policy gaps informing our nursing recommendations for the concept's evolution. This concept analysis examines existing literature and does not require patient-related data collection. The methodological approach does not necessitate collaboration with the public.

The aim of this concept analysiswas to develop a contemporary operational definition of Clinical Judgement in nursing. Concept analysis. Rodgers' evolutionary method of concept analysis. Throughout the study, the authors followed the SRQR checklist. This concept analysis guided the development of an operational definition of clinical judgement, within the context of nursing, articulated as Clinical judgement is a reflective and reasoning process that draws upon all available data, is informed by an extensive knowledge base and results in the formation of a clinical conclusion. The purpose of this concept analysis was to propose a detailed definition of clinical judgement in nursing, that reflected its theoretical base within today's contemporary healthcare system. Using Rodgers' evolutionary method of concept analysis, surrogate terms, attributes, antecedents and consequences were identified, and a contemporary definition was developed. No patient or public contribution was required to design or undertake this research.

To conduct a concept analysis of evidence-based leadership in a nursing context. Rodgers' evolutionary method was employed to identify attributes, antecedents, consequences, definitions and surrogate and related terms. We systematically searched three databases (PubMed, Cumulative Index to Nursing and Allied Health Literature and Scopus) for relevant publications. The databases were searched from their inception to 4 February 2024. We included 12 papers published between 2005 and 2022. The attributes include leadership attributes (personality, developing common goals and visions and influencing others) and evidence-based attributes (valuing evidence-based practice, integrating evidence and adapting evidence). The antecedents include individual internal factors (commitment to growth and proficiency in implementation science) and individual external factors (growing need for evidence-based practice, training support and available resources), while the consequences are personal growth, organisational benefit and disciplinary development. Based on the concept analysis, evidence-based leadership can be defined as a process whereby individuals, based on their personality and values towards evidence-based practices, integrate the best evidence into practice, adapt the evidence integration process based on evaluations and influence others towards achieving a common goal and vision. This concept analysis enhances our understanding of evidence-based leadership, guiding nurses to integrate evidence into their leadership practices to achieve specific goals and visions within the healthcare context. Future studies could consider developing instruments to evaluate evidence-based leadership based on this refined concept, ultimately promoting nurses' leadership competencies in real-world settings. This concept analysis not only raises awareness of the responsibilities of nurses as healthcare professionals, including the provision of evidence-based practice, but also facilitates their effective execution of these responsibilities. Empowering nurses to actively incorporate evidence into their leadership practices can further enhance the quality of healthcare delivery. Not applicable. Not applicable.

Introduction: Professional nursing is based on caring. Care is a combination of love and respect in interacting with others. There are many concerns about nursing care without love. However, the concept and meaning of love in nursing have not been paid the due attention. This study analyzed the concept of love in nursing. The aim of this study is to describe and discuss the concept of love in nursing. Methods: A concept analysis was conducted using the 8-step Walker and Avant’s model. Databases such as SID, PubMed, Web of Science, CINHAL, SCOPUS and Google Scholar were searched. The terms “love”,”concept analysis” and “nursing” were used for searching in international sources. No time limit was considered in searching the databases and all studies were published until December 2017. In the initial search, 142 articles were found but finally eight articles remained relevant and entered the study. Results: The authors did not find a special independent tool to measure love in nursing. Therefore, we define love in nursing as follows: the combination of nursing care with a sense of responsibility, benevolence, attention and concern, respect, and understanding of others as a human being, regardless of their negative consequences for themselves. Conclusion: Understanding the meaning of love in nursing can promote nursing practice in two ways. First, the nurses are examining their values and beliefs. Second, they find out how to interact with patients.

Ocular frailty: A concept analysis.

The aim of this study was to explore the concept of impostorism as applied to nursing and other disciplines. Impostorism has not been well defined or studied in nursing. Researchers have not studied connections between role transition stress of new graduates and impostorism, despite evidence that nursing students experience impostorism during undergraduate studies. Rodgers' evolutionary concept analysis was the method used in this study. The databases used were Academic Search Complete, Cumulative Index to Nursing and Allied Health Literature, Health and Psychosocial Instruments, Health Source: Nursing/Academic Edition, Medical Literature Analysis and Retrieval System Online, PsycARTICLES, Psychology and Behavioral Sciences Collection, PsycINFO, SocINDEX, and Dissertations and Theses databases. All nursing-specific citations were included in the literature sample. Of the remaining non-nursing citations, stratified random sampling provided 28 non-nursing citations. An additional purposive sampling of seminal impostorism publications resulted in 46 resources for analysis. Concept analysis revealed that key attributes of impostorism include fear of failure and difficulty accepting praise. Impostorism antecedents relate to personality, attribution, family, workplace, and sociodemographic variables. According to concept analysis, a conceptual definition emerges of impostorism as a subjective, inaccurate self-assessment involving feelings of intellectual and professional incompetence and fraudulence despite external evidence of success. Impostorism has undergone evolutionary changes in various disciplines. However, the nursing discipline needs more research related to nurses' experiences with impostorism in the workplace.

Background: Nurse-patient relationships are an integral component of person-centred palliative care. Greater understanding of how nurse-patient relationships are fostered and perceived by patients and nurses can be used to inform nursing practice. Aim: To systematically identify and synthesise how nurse-patient relationships are fostered in specialist inpatient palliative care settings, and how nurse-patient relationships were perceived by patients and nurses. Design: Integrative review with narrative synthesis. The review protocol was registered with PROSPERO (CRD42022336148, updated April, 2023). Data Sources: Five electronic databases (PubMed, CINAHL Complete, Medline, Web of Science and PsycINFO) were searched for articles published from their inception to December 2023. Studies were included if they (i) examined nurse and/or patient perspectives and experiences of nurse-patient relationships in specialist inpatient palliative care, (ii) were published in English in a (iii) peer-reviewed journal. The Mixed Methods Appraisal Tool was used to evaluate study quality. Data were synthesised using narrative synthesis. Results: Thirty-four papers from 31 studies were included in this review. Studies were mostly qualitative and were of high methodological quality. Four themes were identified: (a) creating connections; (b) fostering meaningful patient engagement; (c) negotiating choices and (d) building trust. Conclusions: Nurses and patients are invested in the nurse-patient relationship, benefitting when it is positive, therapeutic and both parties are valued partners in the care. Key elements of fostering the nurse-patient relationship in palliative care were revealed, however, the dominance of the nurses’ perspectives signifies that the nature and impact of these relationships may not be well understood.

OBJECTIVE To explore the experiences and feelings of undergraduate nursing students during their 4-month clinical placement through the lens of service learning theory. METHODS A semi-structured questionnaire survey was conducted on 233 undergraduate nursing students who had completed their internships, and the content of the questionnaire was analyzed according to the rootedness theory using Nvivo 12.0 software. RESULTS The interns thought that internship could appreciate the insufficiency of their knowledge and ability, and through the tutoring teachers’ counseling and their self-study could be of obvious help to the consolidation of knowledge and skills, especially to the enhancement of communication and collaboration ability, clinical practice ability, and professional and related knowledge; humanistic care and nurse-patient relationship in the internship process were the main factors for the development of emotion, and successful humanistic care could enhance the nurse-patient relationship, and the failed operation and ineffective communication can also experience verbal violence; internship experience can form professional confusion and professional identity. CONCLUSION The use of learning and reflection promotes clinical nursing competence; both humanistic care competence and timely care for interns should be assessed, and career counseling promotes the formation of professional identity.

Spiritual needs of older adults with cancer: A modified concept analysis

BackgroundResearch training programmes are a knowledge translation (KT) intervention which aim to improve research evidence uptake by clinicians. Whilst KT training programmes have been reported to significantly improve evidence uptake by physiotherapists, it is unclear which aspects of training optimally assist KT into physiotherapy practice. The purpose of the review was to establish the body of evidence regarding KT training programmes to improve physiotherapists’ use of evidence-based practice (EBP) and clinical practice guidelines (CPG).MethodsA systematic scoping review was undertaken in line with the adapted Arksey and O’Malley framework. Nine electronic databases (CINAHL, BIOMED CENTRAL, Cochrane, Web of Science, PROQUEST, PUBMED, OTseeker, Scopus, ERIC) were searched. Targeted keywords identified primary research articles of any hierarchy, that described the nature and impact of KT training programmes for physiotherapists. Where systematic reviews were identified, the component primary studies were considered individually for relevance. Critical appraisal was not undertaken due to the nature of a scoping review, and data was reported descriptively.ResultsTen systematic reviews were identified (yielding four relevant primary studies). Five additional primary studies were identified (two randomised controlled trials, two non-randomised controlled trials and one pre-post study) which were not included in the original systematic reviews. This provided nine eligible primary research studies for review. The KT strategies were all multi-faceted. Interactive sessions, didactic sessions, printed material and discussion and feedback were consistently associated with effective outcomes. When KT strategies addressed local barriers to EBP utilisation, there were better success rates for EBP and CPG uptake, irrespective of the outcome measures used. There were no consistent ways of measuring outcome.ConclusionMulti-faceted KT strategies designed to address local barriers to knowledge translation were most effective in improving EBP/ CPG uptake among physiotherapists.

Pain is inadequately managed in pediatric populations across health care settings. Although training programs to improve health care provider knowledge and skills have been developed and evaluated, clinical practices have not always kept pace with advancing knowledge. Consequently, the goal of this review was to systematically examine the pediatric pain literature of knowledge translation (KT) programs targeting health care providers. Systematic searches of PubMed, Web of Science, CINAHL, and PsycINFO were undertaken. KT initiatives directed toward health care providers and in which the primary focus was on pediatric pain were included. Primary outcomes, intervention characteristics, and risk of bias were examined across studies. Study outcomes were conceptually organized and a narrative synthesis of results was conducted. A total of 15,191 abstracts were screened for inclusion with 98 articles retained on the basis of predetermined criteria. Across studies, KT approaches varied widely in format and focus. Knowledge-level changes and self-reported increases in comfort or confidence in skills/knowledge were consistently achieved. Practice-level changes were achieved in many areas with varying success. Design and reporting issues were identified in the majority of studies. Examination of patient-related outcomes and of the long-term impact of pediatric pain KT programs was limited across studies. KT programs vary in quality and impact. Although several successful programs have been developed, many studies include a high risk of bias due to study quality. Evidence-based KT program implementation and a focus on sustainability of outcomes must be given greater consideration in the field of pediatric pain.

De-escalation of aggressive behaviour in healthcare settings: Concept analysis

Resilience is a complex concept that is extensively drawn upon in higher education, nursing included. The objective is to examine the concept of resilience and its use within nursing education. Rodgers' evolutionary concept analysis was used to explore this concept. The current focus on fostering resilience in undergraduate nursing education predominantly focuses on educational interventions to support one's ability to self-care continues to be pervasive within the nursing literature. More recent dialogue encourages a more holistic approach that examine interventions from both individual and structural perspectives. Recommendations for future research are to examine the synergy between individual, contextual, and structural factors to support resilience in nursing students. Based on the concept analysis, resilience is contextual. Therefore, nurse educators may support and foster nursing students' resilience by having increased awareness of both individual and structural perspectives of resilience.

Highlights The number of people caring for people with dementia is growing rapidly worldwide, and their informal caregiving experience is comprehensive and inclusive. It is necessary to deepen the conceptual clarity of the gains from caregiving in order to advance its research without limiting the approach to positive experiences in family caregivers. The concept of caring gain is useful to research on care for people with dementia, given its importance in improving the quality of care. This clarification contributes to the development of concepts of impact or positive effects of care in dementia, and to the creation of instruments to assess the experience of family care. Introduction: The concept of gain of caring has been used as a synonym for positive aspects of care, making it difficult to use in research and practice. Objective: To clarify the concept of care gain in dementia contexts. Material and Methods: The analysis of the concept of gaining care was conducted according to Walker and Avant's Methodology in 2019, with the seven steps adjusted for this study. Data were collected by a literature search during August 2024, in the databases SCOPUS, WEB OF SCIENCE, CINAHL, ProQuest, LILACS, and a manual search of article references with no time limit. Eighteen original and review studies were included in the analysis. Results: The conceptual clarification defines caregiving gain as a positive, enriching consequence that emerges from the interaction among contextual components (individual, relational, community, and social), as well as the quality and quantity of direct care activities and the duration of the caregiving role. This gain transcends both the active caregiving period and the stage after its completion. Discussion: The gain of caring includes contextual elements, time, and care burden variables, whose interactions enrich the caregiver experience and enhance the quality of care. This clarification, while recognizing its phenomenological nature, will facilitate its appropriate use in research and practice of dementia caregiving. Conclusions: In family caregiving in dementia, the gain of care is an enriching consequence for the caregiver and improves the quality of care. It is suggested that its subjective nature be considered in future studies and nursing practice. How to cite this article: Lozano-Romero Alba N, Miranda-Castillo Claudia. Gain related to the care of people with dementia: concept analysis. Revista Cuidarte. 2026;17(1):e5112. https://doi.org/10.15649/cuidarte.5112