A concept is usually one or two words that convey meaning, understanding or feelings between or among individuals within a same discipline. Some concepts relevant to nursing are health, nursing, managed care, coping and parenting. A concept analysis is the first step in communicating meanings, understandings and feelings. A concept is usually a measurable variable in an hypothesis, assumption, or proposition.
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The intervention of pacing is regularly recommended for chronic pain patients. However, pacing is poorly defined and appears to be interpreted in varying, potentially contradictory manners within the field of chronic pain.
An examination of the background literature demonstrates that while pacing is often one part of a multidisciplinary pain management program, outcome research is hindered by a lack of a clear and shared definition of this currently ill-defined construct.
A standardized concept analysis process including literature scoping to identify all uses of the concept, analysis to determine defining attributes of the concept and identification of model, borderline and contrary cases was used to determine what the concept of pacing does and does not represent within the current evidence base.
A conceptual model including the core attributes of action, time, balance, learning and self-management emerged. From these attributes, an evidence-based definition for pacing was composed and distributed to stakeholders for review.
After consideration of stakeholder feedback, the emergent definition of pacing was finalized as follows: The findings of the present concept analysis will help to standardize the use and definition of the term pacing across disciplines for the purposes of both pain management and research.
Chronic noncancer pain CNCP is a common condition that affects individuals of all ages in a variety of ways that can cause suffering and disability 12. CNCP has been described as pain that is both continuous and long-term, or as pain that persists after the expected healing time following injury 3.
Prevalent CNCP conditions include fibromyalgia, chronic low back pain, chronic headaches, neuropathic pain and myofascial pain syndrome, among others 2.
Individuals living with CNCP commonly experience disturbed sleep and a reduction in overall physical and mental functioning 2.
CNCP is also associated with reductions in quality of life and the ability to adjust and adapt psychologically to new challenges and situations 5. Indeed, CNCP is characterized as significantly impacting physical health, emotional well-being and virtually every area of life 1.
Pain self-management strategies are central to CNCP treatment and are concerned with improving self-efficacy, reducing suffering and enhancing quality of life 6 — 8.
The literature demonstrates that individuals with CNCP may experience a higher quality of life when the focus is shifted from a linear model of cause-and-effect focusing on cure toward the biopsychosocial model, which is more responsive to the complex nature of CNCP 9. A biopsychosocial approach emphasizes functional assessment, enhanced patient control and predictability, and strategies for self-management of pain Research consistently demonstrates the importance of including psychological factors in the management of chronic pain While a biomedical model focuses on the etiological and physiological explanations of chronic pain, a biopsychosocial model provides a framework incorporating not only these physiological processes, but also psychological and social-contextual variables that can perpetuate chronic pain These three components of biological, psychological and social contexts interact and influence one another and, in turn, this influences the experience of chronic pain The literature suggests that the biopsychosocial model is considered to be the most heuristic approach to chronic pain management Management Focusing on Acute Pain: A Multidisciplinary Concept Analysis The concept of managing acute pain is extremely significant to nursing as pain is one of the most common problems for which patients seek out health care resources.
using concept analysis is to distinguish between the defin-ing attributes of a concept and its irrelevant attributes. It is a process of determining the similarities and differences between concepts. Since concepts, such as suffering, are closely related to pain, it is important to distinguish the concept of pain from other related concepts.
The Concept Analysis of Pain Jennifer N. Fain Chamberlain College of Nursing Nursing May The Concept Analysis of Pain Pain is the most frequent nursing diagnosis and the most common problems for which patients in the clinical setting seek help (Mobily, Herr, & Kelley, ). Concept Analysis preventable errors ().
The purpose of this paper is to respond to a peer reviewed concept analysis article, describing the method of analysis, the steps of the process, results for each step and to apply the concept to a practice situation. Just as nature is explained through reference to the laws of physics, so human behavior can be explained by reference to the two primary motives of pleasure and pain; this is the theory of psychological hedonism.
Patient outcomes in the field of nursing: A concept analysis. Author links open overlay panel Ying Liu a Kay Coalson Avant b Yupin Aungsuroch c Xin-Yu Zhang a Ping Jiang a.
The purpose of our concept analysis is to clarify and describe the multifaceted nature of patient outcomes within the field of nursing.