Peer-Reviewed Concept Analysis Article
Grand Canyon University
Theoretical Foundations for Nursing Roles and Practice: NUR-502
July 24, 2013
Peer-Reviewed Concept Analysis Article Woman-centered care in childbirth is the process in which a woman can make choices, be involved in, and has control over her care and relationship with her physician or midwife (Maputle & Donavon, 2013). Woman-centered care is a philosophy of care which gives priority to the wishes and needs of the female patient during labor, to improve the women’s ability to make informed choices about many aspects of their care and birthing process. The aim of concept analysis is to clarify meanings of similarity and identify multiple considerations for
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The concept should be clear and distinct, unambiguously defined and well differentiated from other concepts, and should be applicable to the world and appropriate in context. Concept analysis is applied for the refinement and definition of concepts originating from nursing practice, nursing research and nursing theory (Maputle & Donavon, 2013), which helps to differentiate between similar and dissimilar concepts. Walker and Avant assert that concept analysis and development are fundamental processes required by nurse researchers who are attempting to measure the metaphysical phenomena of nursing, or in this study the midwifery practice. The framework suggested by Walker and Avant was used for the analysis described in this research. The method of research included:
• Selection of the concept • Specification of the aims of analysis • Identification of uses, characteristics of the concept • Determination and definition of attributes • Development of model cases which exemplify the analysis • Identification of antecedents and consequences • Definition of empirical referents (McEwen & Willis, 2011 p.54)
A study ‘Experiences of childbirth by mothers at the tertiary hospital in Limpopo Province’ was conducted (Maputle & Nolte 2008), and experiences of the mothers during childbirth revealed the major concept ‘woman-centered care’. ‘Woman-centered care’ emerged as a
The international Confederation of Midwives (ICM) defines the midwife as a person who has successfully completed a nationally recognized midwifery education program, is qualified for registration, and competent to practice in midwifery. As a midwifery student, I will explore the philosophies of this profession whilst working with my first continuity of care experience woman and her family. In this essay, I will examine the roles of the midwife, the scope of the practice for midwives and midwifery students, and search the value of the midwifery partnership and the importance of the woman centered care. I will also clarify the legal, professional and ethical responsibilities of the midwife in accordance with national standards and code. Analyzing
The Ottawa Charter emphasises the importance of global health promotion by identifying necessary conditions, sectors and resources involved in obtaining optimum community health. This is broken down into five strategies building healthy public policy, creating supportive environments for mother and child, strengthening community actions, developing personal skills, and reorienting health services (McMurray & Clendon, 2015). This essay will address optimum maternal health being ensured by the support of nurses and midwives to maintain healthy lives for both mother and child. Proceeding with a brief description of maternal health, followed by the role of the nurse/ midwife in response to the condition. This will be in relation to the five major
Today we will be looking at the different conditions and practices of childbirth through two distinct cultures. Childbirth is a universal element throughout any culture, and just like other cultures, we all have are own way of doing things. Take for example North American and Nepal, both have a very unique way of providing care and creating conditions fit for women giving birth. Although hospital settings, medicine, and other medical producers, are things women would consider normal practices while giving childbirth in America, Women in Nepal are often not given the same societal help while giving birth, which In return often leads to death.
The purpose of this paper is to explore the relationship between the role of the labor and delivery nurse to the “maternal role attainment - becoming a mother” model. The model (MRA) was proposed by nursing theorist Ramona T. Mercer in 1991 to guide nurses in implementing the nursing process while providing care to the non-traditional mother. Revised in 1995 to “Becoming a Mother”, this model soon proved useful for nurses to access, concentrate on, and attend to the needs of all new mothers. New mothers experience various stressors such as an ill infant, their own health, financial strains, and postpartum depression. This model is evidenced- based and incorporates the four global nursing concepts into it. The importance of this model is the provisions it makes for mother-infant bonding that affects the health and development of individuals and families throughout the lifespan (Role Attainment, 2005). For the professional nurse in labor and delivery, the model has significant use aiding the impact that labor and delivery nurses have on new mothers perceiving and attaining their maternal role.
A concept is a term that theoretically describes and names a fact or phenomenon, thus providing it with a separate identity or meaning. Nurses use theories to clarify the events through nursing practice. A concept analysis provides insight to nursing knowledge and understanding of the concepts allows nurses to determine nursing actions (George, 2011).
There are many concepts in nursing theory that need further clarification. A concept analysis can provide a thorough explanation of a term in nursing theory that will help healthcare professionals better communicate. The Walker and Avant approach to perform a concept analysis was specifically formulated with nurses in mind (McEwen & Wills, 2014). Walker and Avant proposed a concept analysis be used to further understand the meaning of a term or concept in anticipation that those using the term would have the same understanding (McEwen & Wills, 2014). When a term or concept is in question or needs further questioning in any field of nursing, a concept analysis is indicated (McEwen & Wills, 2014). Walker and Avant’s concept analysis is comprised of eight steps; select a concept, determine the aim of the concept, list all possible uses of concept, defining attributes, model case, alterative case (borderline, related, contrary, invented, and illegitimate), list antecedents and consequences, and lastly list empirical referents (McEwen & Wills, 2014). The defining attributes are deemed most beneficial in obtaining comprehension due to the fact that these attributes show which show up in regularity when relating to the concept (Linda & Judith, 2011). Using the Walker and Avant concept analysis model a formal concept analysis will be performed on the term “pain”. Middle range nursing theory gave the example of pain as one of many concepts used in nursing (McEwen & Wills, 2014).
There are several methods of analyzing the concepts. The purpose of concept analysis is to help the nurses to identify the trends and development in patient care. In depth analysis of these trends and developments helps to formulate measures to provide holistic patient care (“Grand canyon university”2013). Walker and Avant introduced the process of concept analysis in nursing in 1983.Walker and Avant (2005). They are concept analysis; concept synthesis and concept derivation explained three different processes to analyze the concept in nursing. According to McEwen (2011) Walker and Avant use concept analysis to clarify meanings of terms and define concepts with an excepted outcome of readers and writers communicating in a common language.
Theory can be defined as the explanation of an event in which constructs and concepts are identified, relationships are proposed and predictions are made; it is a set of interpretative assumptions, principals or propositions that help explain or guide action. (McEwen & Wills, 2014, p521) Concepts occur in three steps; originating as a thought which are abstract or concrete in nature, progressing to a stage in which words and meaning are given to the concept, and lastly it is operationalized becoming a variable to be used tested during research. (McEwen & Wills, 2014, p50) According to McEwen, & Wills, (2014), a concept analysis identifies, clarifies and explores the meaning of concepts in order to promote understanding which aids in the development of conceptual frameworks, theories and research studies. (p55) Concepts relative to nursing include quality of life, blood pressure, hope, job satisfaction and pain.
I believe as a Midwifery Student at Australian Catholic University (ACU) that childbirth is a natural life process. Within my philosophy, my aim is to provide a women-centred care based on evidence- based practice. Also the importance of supporting women with cultural variation, social circumstance and understanding other specific needs throughout the woman’s pregnancy. The women-centred care is an essential quality to a midwife as it ensure that the women is educated in healthy lifestyle choices within pregnancy, childbirth and during parenthood. This relationship of “women-centred care” is the key to midwifery practices as Australian College of Midwives (2009) refers to the philosophy of maternity care that promotes a holistic approach by recognising each women’s social, emotional, physical, spiritual and cultural needs. In retrospect, it is important to reflect on your past experiences during your midwifery practice but also your life beyond midwifery.
Concepts are essential elements in theories which provide ideas for research in nursing. Concepts give knowledge that can be applied to nursing practice, education and administration. (Parker & Smith 2010). Concept analysis brings about clarity. The methods of concept analysis have the following steps. Select the concepts, determine the purpose of the anaysis, identify all uses, define attributes, a model case of the concept, consequences of the concept, and define empirical references of the concept (Walker & Avant 1995)
Theory is a cluster of concept or ideas that propose a view concerning a phenomenon to guide nursing practice (Chitty, 2005). The four concepts basic to nursing that are incorporated in this paper are nursing, person, health, and environment (Cherry & Jacob, 2005). The goal of this paper is to describe the core concept of nursing shared amongst Dorothea Orem and Virginia Henderson’s theories. The comparison and analysis of concept definitions between these two theories will also examined. Finally Henderson’s theory of concept statement, metaparadigm and her philosophy will be explored.
A woman centred-approach is an endeavour for pregnant women to take ownership in their care and the midwife a guide in their
This chapter observes the methodological approach used in this project. It starts with a purpose of the research and will be followed by explanation of a methodological outline which is required to achieve the purpose of the research.
The study is an exploratory research. The research is based purely on secondary data collected from reports published by various research institutes.
The methodology used in collecting and analyzing the data of this research will be described. The secondary data were collected to guide and support the study, and the primary data were collected to meet the objectives. Moreover, research and sample design, pilot test, data analysis methods will be described in the following.