Feb 23, 2024 NR501 Week 3: Concept Analysis
NR501 Week 3: Concept Analysis
Our book defines concept as the ”phenomena that occur in nature of thought” (McEwen & Wills, 2014). The concept I have chosen to focus on is compassion fatigue. Often as caregivers we spend a lot of time offering our emotional support to our patients in need. By doing so we can sometimes forget that we need to remember to care for our own emotional health and release of stress. The American Institute of Stress defines compassion fatigue as “the emotional residue or strain of exposure to working with those suffering from the consequences of traumatic events (2017).
Three attributes that relate to the concept of compassion fatigue are emotional intensity increase (Sorenson, Bolick, Wright, & Hamilton, 2017), abrupt onset (Sorenson, Bolick, Wright, & Hamilton, 2017), loss of job satisfaction (Sheppard, 2016). Among these there are many more attributes that identify how compassion fatigue is seen.
An antecedent is something that has to occur before an event. In this case an example of an antecedent could be the desire to absorb or alleviate an individual suffering by connecting with a patient on an emotional and compassionate level (Sorenson, Bolick, Wright, & Hamilton, 2017).
A consequence is something that is the result of something that has occurred. An example of a consequence when related to compassion fatigue could be the feeling of dreading work.
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An empirical referent that could be asked to determine if compassion fatigue in present in an individual is the question of “Do you suddenly feel more angry, sad, empty or seem to be crying more frequently”? This helps to identify if the attributes that were mentioned are being exhibited in this individual.
Watson’s theory of human care is all about the relationship a nurse has with a patient. The core concept of this relationship-based nursing relationship is empathy and communication empathy (Lombardo & Eyre, 2011). Compassion fatigue is experienced by nurses who help with life changing problems. When one cannot cope or properly manage these stressors they develop compassion fatigue. Inadequate self-care behaviors or an increase in self-sacrifice is often seen in those who suffer from compassion fatigue.
While we all joined nursing to care for others and be their emotional support during their time a need we should keep in mind ways in which we can relieve the emotional stress and baggage we try to care for others. By relaxing and reflecting we can help to eliminate these in the moments they occur, but one can also think about working out as a great way to reduce stress.
NR501 Week 3: Concept Analysis
The loss of a loved one is very distressing to the family of the deceased, but most people don’t think about the fact that it is distressing to the nurses that cared for them as well. Intensive care unit (ICU) nurses spend the most time with their patients and their families due to nurse-patient ratio assignments. As a result, they are the ones who will most likely need to be educated on bereavement when it comes to dealing with end-of-life cases. As a matter of fact, many ICU nurses report feeling underprepared to give the families the appropriate support when needed, especially during the event of sudden death of a patient (Shariff, Olson, Santos Salas, & Cranley, 2017). According to Shariff et al., nurses who frequently deal with death and dying face psychological, emotional, and physical consequences as a result (2017). A similar experience occurred for me not too long ago, I lost my grandfather while he was in the ICU and the nurse caring for him was not very good at comforting my family and I. This was not a big issue for me being in the field and knowing how busy it can be to be there for us the entire time. However, a physician assistant that was present at the time of my grandfather’s death made a difference. He was very emotionally supportive and that made a big impact on the whole experience. As a nurse, I was in the shoes of those families who experienced the death of a close relative, and it made me realize how important it is for us to seek education about dealing with grief, both for our own sake, and the patient families’ sake.
References
Shariff, A., Olson, J., Santos Salas, A., & Cranley, L. (2017). Nurses’ experiences of providing care to bereaved families who experience unexpected death in intensive care units: A narrative overview. Canadian Journal of Critical Care Nursing, 28(1), 21-29. Retrieved from http://eds.a.ebscohost.com.chamberlainuniversity.idm.oclc.org/eds/pdfviewer/pdfviewer?vid=4&sid=5bf75750-99d0-45f2-9fc9-86160e09dd3f%40sessionmgr4009
The World Health Organization (WHO) defines Quality of life (QoL) as a person’s view of their situation in life in the perspective of the culture and value systems where they live, and with regard to their expectations, goals, standards, and concerns (Sarwar et al., 2019). It is the physical and mental health that a person perceives over time. QoL is further defined as how a person is healthy, comfortable, and able to engage in or take pleasure in life events. The term QoL is innately ambiguous since it can refer to an individual’s experience of their life and the living conditions in which people find themselves (Sarwar et al., 2019). The purpose of this assignment is to describe the defining attributes of QoL, the antecedent and consequence, create a model case, and theoretically apply the concept.
Three Defining Attributes
The three defining attributes of QoL are: A feeling of satisfaction with one’s life generally; A satisfactory state of physical, emotional, social, and mental health as established by the person referred to; The mental ability to establish one’s own life as satisfactory (Van Leeuwen et al., 2019). For example, for a person to say they have a good QoL, they need to be satisfied with their overall life. Besides, they should be satisfied with their physical, emotional, social, and mental health. They should be satisfied with their body’s physiological performance to have balance and harmony with themselves and others. They should also have a positive self-esteem and body image and positive and productive social interactions, personal relationships, and social support (Van Leeuwen et al., 2019). Lastly, a person with a good QoL exhibits the mental ability to assess their life as satisfactory.
Antecedent and Consequence of The Concept
An antecedent is not necessarily a causative factor, but it is important for the concept to occur and can contribute to its cause. An antecedent of QoL is an individual’s ability to make a decision (Haraldstad et al., 2019). An individual may feel that it is important to get on with life. However, the decision often depends on the limitations their QoL imposes, such as physical activity and socialization levels. Individuals evaluate their lives and make decisions, which can sometimes improve or worsen their QoL (Haraldstad et al., 2019). On the other hand, consequences refer to factors that follow the occurrence. A consequence of QoL is acceptance of one’s circumstances. The results of a positive QoL are coping, adaptation, and satisfaction with life (Haraldstad et al., 2019). However, the results of a negative QoL are a lack of satisfaction and risk-taking behavior beyond that of a person’s age.
Model Case
A model case is an example of the use of a concept that shows all of its defining attributes. The following is a model case for QoL: A 32-year-old man gets home from work one evening. As he parks his SUV in the parking lot next to his wife’s car, his two children, 5-year-old and 3-year-old, run and scream with joy to welcome him home. He can also see his wife smiling and waving at him at the door. The children hug him and help him carry some snacks he brought for them. When he gets to the house, his wife hugs and welcomes him and offers him a cup of tea. He sits and tells himself, “I have the life I was dreaming of; there is nothing I wish to change.” He reflects on how lucky he is to have a happy family, a successful business, good health, and supportive friends. Many people look upon him and wish their life was a fraction of his.
The model case demonstrates the quality of life. The three defining attributes are presented in the case. The man has an overall sense of happiness and satisfaction with his life. He has the mental ability to evaluate his life. Besides, he feels he is in good health since he can do the things he wishes to. Furthermore, other people also assess her life be of quality.
Theoretical Applications of the Concept
Peplau’s nursing theory applies to the concept of QoL. QoL is entrenched in Peplau’s theory as an indefinable, extensive phenomenon. Peplau considers QoL as a subjective view of the condition of an individual’s life, which is equal to a person’s wellbeing and psychological wellness and often connected with health (Hagerty et al., 2018). A relationship is fundamental in Peplau’s theory, whereas QoL is considered a by-product of the relationship and thus significant to the theory. Peplau proposed that QoL is mostly a subjective perception and varies with changing conditions; (time and situation-dependent) (Hagerty et al., 2018). Nonetheless, QoL is considered an intangible quality in the theory.
Reflection
QoL concept applies to advanced nursing practice (APN) since APRNs must understand that QoL is the degree to which individuals enjoy a good life. Besides, APRNs should understand that a person enjoys a good life when they attain a balance in their relations with themselves and others by creating and maintaining adequate conditions and personal potentials over the life course. QoL, without a doubt, is relevant to APN practice. Patients often consult NP on how to achieve the best possible QoL for themselves or their loved ones. For an NP to help these patients and their families, they must themselves reflect on what is meant by QOL.
NR501 Week 3: Concept Analysis References
Hagerty, T. A., Samuels, W., Norcini-Pala, A., & Gigliotti, E. (2018). Peplau’s Theory of Interpersonal Relations: An Alternate Factor Structure for Patient Experience Data?. Nursing science quarterly, 30(2), 160–167. https://doi.org/10.1177/0894318417693286
Haraldstad, K., Wahl, A., Andenæs, R., Andersen, J. R., Andersen, M. H., Beisland, E., … & Helseth, S. (2019). A systematic review of quality of life research in medicine and health sciences. Quality of life Research, 28(10), 2641-2650. https://doi.org/10.1007/s11136-019-02214-9
Sarwar, S., Aleem, A., & Nadeem, M. A. (2019). Health-Related Quality of Life (HRQOL) and its correlation with academic performance of medical students. Pakistan journal of medical sciences, 35(1), 266–270. https://doi.org/10.12669/pjms.35.1.147
Van Leeuwen, K. M., Van Loon, M. S., Van Nes, F. A., Bosmans, J. E., De Vet, H. C., Ket, J. C., … & Ostelo, R. W. (2019). What does quality of life mean to older adults? A thematic synthesis. PloS one, 14(3), e0213263. https://doi.org/10.1371/journal.pone.0213263
Concept Analysis Template
Name:
Definition/Explanation of the selected nursing concept:
The selected nursing concept for this analysis is compassion. Compassion is a durable concept that is largely used in nursing and healthcare. It has behavioral and emotional elements that influence the actions of nurses in their practice. Compassion is among the crucial elements and determinants of quality nursing care. Compassion has several definitions. For example, the Oxford dictionary defines it as sympathetic concern and pity for one’s suffering. The term also refers to the empathizing with a person who is suffering or harmed. It also refers to the feeling of being aware of another person’s suffering coupled with the intention to help them overcome the suffering (Tierney et al., 2019; Younas & Maddigan, 2019). Other authors have also defined it as a basic human kindness with deep awareness of others suffering coupled with the effort or wish to relieve it (Tierney et al., 2019).
Three defining attributes:
Compassion has several attributes. They include the authentic presence, noticing sufferings of others, and showing empathy towards the suffering. It is also the connectedness that nurses have with the suffering, engaging emotionally with others, and being motivated to assist or support others overcome their challenges. Compassion also has the attribute of seeking to empower the vulnerable to overcome their health problems, negotiating how to prevent or alleviate suffering, and using knowledge and skills to prevent, alleviate, or manage distress or suffering (Galetz, 2019).
1 Antecedent and 1 Consequence of the concept:
One antecedent of compassion is respect. Nurses must demonstrate respect to others for them to understand their sufferings or experiences. The respect helps them to understand the problem from the patient’s perspective and how to address it better. Respect also helps nurses to identify ethical practices that they can use to enhance the patient outcomes (Younas & Maddigan, 2019).
One consequence of compassion is trust between patient and the nurse. Compassionate care increases the trust that patients have towards the care given by the nurses. It also strengthens the professional relationship among them, which result in additional outcomes such as patient satisfaction, empowerment, and adherence to treatment plans. The strengthened trust also eliminates or reduces fear that patients could have towards healthcare systems and interventions (Younas & Maddigan, 2019). Therefore, patients are empowered to take responsibility for their health, hence, the realization of optimum outcomes in the care process.
Model Case:
A model case of compassion is a nurse involved in the care of a patient with terminal illness. The nurse must implement patient-centered interventions to promote peaceful death in such a patient. In this case, the nurse must demonstrate compassion by understanding the unique experiences of the patient, his or her sufferings, and attempt to implement interventions to minimize them. For example, the nurse administers analgesics to minimize pain in end of life care for patient’s psychological comfort and wellbeing.
Theoretical Applications of the Concept:
Dorothea Orem’s theory of self-care utilizes the concept of compassion. Accordingly, nurses must understand the experiences of their patients for them to assist the patients meet their needs. For example, nurses caring for a cancer patient understand the chronic pain that patients experience and implement interventions to reduce their suffering (Tierney et al., 2019).
Reflection:
I always apply the concept of compassion in my nursing practice. I always strive to understand what a disease means to the patient and explore evidence-based interventions to enhance treatment outcomes. I also go an extra mile to see that the additional factors that do not relate to the disease are addressed for optimum recovery. I also apply compassion by ensuring that the decisions that I make do not predispose patients to any unintended harm. Therefore, compassion is part of my professional practice.
NR501 Week 3: Concept Analysis References
Galetz, E. (2019). The empathy-compassion matrix: Using a comparison concept analysis to identify care components. Nursing Forum, 54(3), 448–454. https://doi.org/10.1111/nuf.12353
Tierney, S., Bivins, R., & Seers, K. (2019). Compassion in nursing: Solution or stereotype? Nursing Inquiry, 26(1), e12271. https://doi.org/10.1111/nin.12271
Younas, A., & Maddigan, J. (2019). Proposing a policy framework for nursing education for fostering compassion in nursing students: A critical review. Journal of Advanced Nursing, 75(8), 1621–1636. https://doi.org/10.1111/jan.13946
NR501NP-10808 Week 3: Concept Analysis
Week 3: Concept Analysis
Due Jan 29 by 11:59pm Points 175 Submitting a file upload
Purpose
This assignment provides the opportunity for the student to complete an analysis of a concept found in the nurse practitioner role supported by a nursing theory using an identified process. The assignment fosters analytical thinking related to the selected concept as well as application within the profession.
Activity Learning Outcomes
Through this assignment, the student will demonstrate the ability to:
Through this assignment, the student will demonstrate the ability to:
CO 1: Demonstrate logical and creative thinking in the analysis and application of a theory to nursing practice. (PO 2, 5)
CO 4: Analyze theories from nursing and relevant fields with respect to the components, relationship among the components, and the application to advanced nursing practice. (PO 1)
Compassion Fatigue: Concept Analysis
Introduction
In nursing theory development, concept analysis plays a critical role, as they constitute scientific knowledge. Concepts also make up variables which can be measured or explained within a particular theory. In this paper, the analysis of compassion fatigue as a concept is critical in understanding the theory of care. Nursing theories influence the nursing profession in many ways and shape how nurses serve in their practice. They provide guidance and knowledge useful for individuals in the nursing profession. Similarly, theories provide a model that helps define and support the nursing practice, auspicious solutions for nursing problems or issues, and promote the quality of care patients receive. The theory of human caring by Watson is applicable to the nursing practice, particularly in helping nurses foreclose as regards compassion fatigue. This theory argues for the creation of a caring and loving relationship between the patient and the nurse (Pajnkihar, Štiglic, & Vrbnjak, 2017). The existence of such a relationship requires the nurse to exhibit empathy, compassion, and be authentically present in the course of providing care. This theory is useful in promoting the welfare of the nurses and patients as nurses who care about their own welfare tend to more likely promote the welfare of others. To provide the best care, nurses must possess a healthy body, spirit, and mind (Clark, 2016). The intention of this paper is to dig into the phenomenon of compassion fatigue in connection to the theory by Watson. The paper also provides recommendations for nurses in forestalling and managing compassion fatigue. First, compassion fatigue is defined and explained in connection with the theory. This is achieved in the definition and literature review sections. The paper then analyzes the attributes of compassion fatigue and look at its antecedents and consequences. The paper also analyzes the empirical referents, which are the objective ways in which compassion fatigue can be measured. Next, the paper presents three cases, one of which is a model case and two others, a borderline case and a contrasting case. The next section addresses the theoretical applications of compassion fatigue in relation to the theory. Finally, a conclusion is provided, which is a summary of the findings and a description of the link between compassion fatigue and Watson’s nursing theory.
Definition/Explanation of the Compassion Fatigue
Patients have numerous physical, spiritual, and emotional demands. Nurses working in emergency departments, hospice, pediatrics, oncology, family care, mental health, and public health might experience stress associated with patients’ death, trauma, suffering, and/or their chronic disease. If nurses do not manage these stressful demands, they could develop compassion fatigue. At times, nurses provide too much compassionate care of others that they forget to address their own needs (Nolte, Downing, Temane, & Hastings-Tolsma, 2017). People who choose the nursing profession do so knowing that they will be required to provide compassionate care to individuals with critical spiritual, emotional, mental, and physical needs. Nevertheless, nurses may experience stress when the needs of patients are exceedingly overwhelming.
Compassion fatigue denotes depletion in various needs linked to care provided to patients with considerable physical suffering and emotional instability. It refers to a distinctive type of burnout that people experience in the course of giving care. Professionals who are likely to experience compassion fatigue include those working in the emergency room, those who provide care for cancer patients, and first responders. The phenomenon is characterized by a personal experience of pain in the course of providing empathetic support to patients or their families (Nolte et al., 2017). This condition is common among nurses with weak communication and interpersonal skills. Self-assessment can significantly help nurses identify stressors that contribute to compassion fatigue.
Due Date:
Sunday 11:59 PM MT at the end of Week 3. Students are expected to submit assignments by the time they are due. Assignments submitted after the due date and time will receive a deduction of 10% of the total points possible for that assignment for each day the assignment is late. Assignments will be accepted, with penalty as described, up to a maximum of three days late, after which point a zero will be recorded for the assignment.
When the assignment is placed in the dropbox, it will automatically be submitted to Turnitin. You may submit the assignment one additional time before the due date to lower the Turnitin score. If you choose to resubmit, the second submission will be considered final and subject to grading. Once the due date for the assignment passes, you may not resubmit to lower a Turnitin score.
Total Points Possible: 175
Requirements:
Description of the Assignment
This assignment presents a modified method for conducting a concept analysis of one concept that is important and useful to the nurse practitioner role. The concept for this assignment must be supported by a published nursing theory. The selected concept is identified and then the elements of the analysis process are applied in order to synthesize knowledge for application as demonstrated through the creation of a model case. Theoretical applications of the concept are also discussed. Non-nursing theories may not be used. Scholarly literature is incorporated throughout the analysis.
Only the elements identified in this assignment should be used for this concept analysis.
Possible Concepts: The following concepts are not required; students may select one of these concepts or find another concept. Each selected concept must be associated with a nursing theory; the use of non-nursing theories is not allowed. If you have any questions regarding your concept or the nursing theory, please consult with your faculty member for assistance. Please note: the concepts of caring or cultural humility are not permitted for this assignment.
Adaptation
Burnout
Civility
Comfort
Compassion
Compassion fatigue
Competence
Empowerment
Engagement
Health
Leadership
Meaningfulness
Modeling
Noise
Pain
Quality of life
Resilience
Self-care
Sensory overload
Situational awareness
Criteria for Content
Definition/Explanation of the selected nursing concept
Defines/explains the concept using scholarly literature (a dictionary maybe used for this section only)
Support from nursing literature is required.
2. Defining attributes:
A minimum of three (3) attributes are required.
Support from nursing literature is required.
Explanation: An attribute identifies characteristics of a concept. For this question, the characteristics of the selected nursing concept are identified and discussed.
Antecedent and Consequence
1 antecedent of the selected nursing concept.
1 consequence of the selected nursing concept.
Support from nursing literature is required.
Explanation: An antecedent is an identifiable occurrence that happens before an event. An antecedent precedes a selected nursing concept. A consequence follows or is the result of an event. The selected consequence follows or is the result of the selected nursing concept.
4. Model Case
1 Model Case is created by the student and discussed substantively by demonstrating within the case each of the following areas:
Definition
All identified attributes
Theoretical Applications of the Concept
Explain how the concept applies to the selected nursing theory.
Support from nursing literature is required.
Reflection
Reflect on how the concept analysis findings apply to your advanced nursing practice, specifically as an NP.
Self-reflection may be written in first-person.
Preparing the Assignment
Criteria for Format and Special Instructions
The worksheet should be typed, double spaced, and written in complete sentences. (Concept Analysis Worksheet)Links to an external site.
Reference page and in-text citations must follow APA guidelines as found in the current edition of the manual.
The source of the concept for this assignment must be a published nursing Non-nursing theories may not be used.
A minimum of 4 (four) scholarly references must be used. Required textbooks for this course, and Chamberlain College of Nursing lesson information may not be used as scholarly references for this assignment. A dictionary maybe used as a reference for the section titled “Definition/Explanation of the selected nursing concept”, but it is not counted as one of the 4 required scholarly nursing references. Be aware that information from .com websites may be incorrect and should be avoided.
References are current – within a 5-year time frame unless a valid rationale is provided and the instructor has approved them.
Ideas and information from scholarly, peer reviewed, nursing sources must be ci
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