Concept Analysis

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Concept Analysis

Stephanie Hobbs

NR 501: Theoretical Basis for Advanced Nursing

Instructor: Dr. Patricia Fedorka

September 30, 2012

Introduction
According to McEwen & Wills (2011), concept analysis is an approach to clarify and define terms so that writers and readers have a common language. The process of a concept analysis is to: 1. Select a concept

2. Determine the aims or purposes of analysis
3. Identify all the uses of the concept possible
4. Determine the defining attributes
5. Indentify model case
6. Identify borderline, related, contrary, invented and illegitimate cases 7. Identify antecedents and consequences
8. Define empirical referents
The concept health is referred to as the ability to function independently; adapt to life's stressors; achievement of one's full potential and unity of mind, body and soul. Jean Watson identified health as one of many concepts used to understand the theory or science of human caring (McEwen & Wills, 2011). Purpose of the Analysis

The purpose of this analysis is to clarify and define the term health. Clarification of this concept is essential to the function of caregivers. Everyone responsible for providing care should be knowledgeable of what health is. Many believe they know what health is but after a closer look, it is revealed that at best, it is fleeting and partially understood. Also, it is necessary for medical personnel to understand the difference between health, care and nursing (Lee & Ross, 2008). Uses of the Health Concept

According to Walker & Avant (2011), dictionaries, colleagues, thesauruses, and scholarly literature should be used to identify the uses of the concept. A search for the literature on health was done by using Medline, CINAHL and Google Scholar. An online dictionary and thesaurus was also used. Dictionary Definition

The English version of this word has many meanings. Webster defines health as the condition of being sound in mind, body, or spirit; especially: freedom of physical disease or pain. Other definitions by Webster are the general condition of the body, a flourishing condition, and a general condition or state (Merriam-webster.com). Defining Attributes

Attributes as described by Walker & Avant (2011) are characteristics or descriptors. These attributes will help distinguish health from nursing and care. * A state of complete physical, mental and social well being * A dynamic state of functioning within the limitations of the person (Artinian, 1991) * Unity and harmony within the mind, body and soul (Watson, 1999) * The expanding of consciousness; an evolving pattern of the whole of life (Newman, 1999)

Model Cases
1. A 17 year old has given birth to twins and been referred to the Following Baby Back Home Program. On the initial visit, the nurse finds the mother is withdrawn and displaying signs of depression. She knows very little about the babies behaviors and is not very concerned about what the nurse or social worker is saying. Upon further assessment, the mother reveals that she and the father are no longer together. The nurse also finds out later that mom was severely anemic at discharge and experiencing excruciating headaches. On the next visit, the nurse convinces mom to schedule her follow up appointment and she explains how anemia affects her and her ability to care for the babies. Although the client denied feeling depressed, the nurse discussed signs of post partum depression and got the client to sign a contract saying she would call for help if she felt like hurting herself or the babies. After returning to the office, the nurse called the physician’s office to make him aware of her involvement with the client and her assessment. The nurse also refers the client to a program called ACCESS. This program provides parenting classes as well as counseling for teen parents and emergency help with diapers and formula. After...
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