NR501 Concept Analysis Paper

NR501 Concept Analysis Paper

NR501 Concept Analysis Paper

Concept Analysis

Concept analysis plays a key role in helping individuals understand various aspects and phenomena. In nursing, the analysis can be an important route to understanding various theories used to support nursing practice and patient care. Through a concept analysis, nurses can also explore and appreciate the characteristics of a concept and evaluate various concepts that make up a theory (Cooper et al., 2020). The importance of concept analysis has attracted interest from different researchers who have since then published research articles exploring concept analysis and the methods used for the same.

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The phenomenon of interest is a chronic kidney disease which is one of the several complications of type II diabetes that patients may experience. Studies have shown medications are successful in preventing chronic kidney disease in diabetic individuals. Specifically, Sodium-glucose cotransporter 2 inhibitors have shown positive results in reducing the risk of kidney transplants, dialysis, and demise in type II diabetic patients (Baigent et al., 2022). As an FNP, the role of education and prevention of CKD can greatly benefit adult patients in the outpatient setting. Therefore, the purpose of this assignment is to write a concept analysis paper on a phenomenon of interest and select a concept analysis article for the phenomenon. In addition, this paper will explore the origin of the theory, the relevance of the concept analysis to the phenomenon of interest, and the transferability of the concept analysis to other phenomena of interest.

The Purpose of Conducting the Concept Analysis

The focus of the concept analysis is based on an article authored by Hisni et al. (2023). The article is entitled “Concept Analysis of Self-management in a Patient with diabetic nephropathy.” The purpose of conducting this concept analysis was to explain the concept of self-management and explore various aspects of self-management in patients with diabetes. The analysis focused on using borderline-related cases and model cases to explain the antecedents and consequences. The researchers used the Walker and Avant concept approach in their concept analysis.

The Relevance of the Concept Analysis to the POI

Hinsi et al. (2023) focused on self-management as a concept. They argue that self-management enables sick individuals to regulate and control their behavior, hence impacting their health behavior. Therefore, it is important to use self-management education in patients with diabetes to help prevent the ensuring complications such as chronic kidney disease. According to the analysis, even though self-management approaches have been proven to impact behavior change, there have been a few studies that focus on self-management education and the self-management needs of patients with diabetes and diabetic neuropathy.

The concept analysis is important to the POI since it shows the importance of integrating self-management approaches in diabetic care to help prevent conditions such as chronic kidney disease. The analysis is also relevant to the POI as it shows the impacts of self-management are possible when self-management education is offered, as suggested in the introductory part explaining POI (Lin et al., 2020). Through such an approach, individuals with diabetes and at risk of developing chronic kidney disease can have improved health status, improved health behavior, reduced health care costs, reduced mortality, and improved health status.

The Transferability of the Concept Analysis to Other Phenomena of Interest

The researchers focused self-management concept as the center of the concept analysis. The transferability of this concept analysis is high as it can be used in the management and other chronic conditions such as hypertension. Most chronic conditions require a patient care plan which considers the patient’s preferences and input, as the patient is expected to perform various self-care activities that would enable them to adhere to the treatment plan and requirements.  Therefore this is where the concept of self-management and self-management education comes in. The nurses offering care to patients with chronic conditions such as hypertension can use various strategies to educate the patients on the requirements of self-management, such as the use of the correct diet, engaging in physical exercise, avoiding certain foods, carrying out various monitoring activities and adhering to the treatment regimen plans (Putri et al., 2021). Therefore, this concept analysis can be applied to a wide range of chronic conditions for better patient outcomes when applying self-management as a concept.

The Major Concepts or Elements of the Selected Concept Analysis Article

Walker and Avant (2019) specify how concept analysis. Therefore, this section discusses various aspects of the analysis. The concept identified in the article is self-management. According to the authors, self-management refers to a habit or behavioral change strategy characterized by monitoring and self-regulation by the patient in the form of self-rewards stimulus control, and self-monitoring exercises. It also refers to the education offered by healthcare professionals, including management and monitoring of the condition in collaboration with the patients. According to the source, self-management also entails the ability to manage and set one’s self. As such, the researchers focused on self-management as a concept in caring for patients with diabetes mellitus who are at risk of various chronic conditions such as chronic kidney disease.

Description of the Antecedents

The authors also described antecedents as part of the concept analysis. The described antecedents include knowledge, self-efficacy, social support, health literacy or insight into health, motivation, and health belief. Knowledge forms a main component of self-management. Therefore, healthcare professionals should always perform a comprehensive assessment of the patient’s knowledge before commencing a self-management intervention. Such a strategy helps in determining the patient’s knowledge. According to the analysis, self-efficacy is a person’s perception of how well one can function considering a particular situation. For example, patients with diabetes mellitus usually perceive that they should not take in a lot of rice and steer off a lot of carbohydrates (Lennerz et al., 2021). Therefore, healthcare professionals should use education to straighten such perceptions.

The next antecedent is social support which has also been shown to be important to self-management. Therefore, social support among patients with chronic kidney diseases and diabetes greatly determines the health outcomes of such patients. The better the social support system, such as the presence of family members like spouses and siblings, the better the outcomes for these patients.  Insight into health or health literacy. This antecedent is directly connected to self-management behavior, as the greater the person’s health insight, the better the self-management behavior. As such, patients with chronic kidney disease need to have enough insight into the condition to help improve the chances of positive outcomes. The antecedents can be used to predict the outcomes related to chronic kidney disease. For example, patients with better knowledge regarding the condition would lead to better outcomes (Shlipak et al., 2021). In addition, the presence of adequate social support will also help the patients to have a stronger will to participate in the treatment and care plans, hence improving the care outcomes and patient satisfaction.

Description of the Attributes

As part of the analysis, the authors also defined and discussed the attributes. The attributes discussed in the analysis include individual ability or personal skills, emotional management and medication, lifetime task, decision-making, and problem-solving in health care. Individual ability or personal skills refers to self-management connected to a person’s ability to explore decision-making, problem-solving, appropriate use of resources, goal achievement, and partnership (Hinsi et al.,2023). The self-management as part of attributes covers emotional management, role, and medication. In addition, lifetime task entails implementing self-management over a long lifetime to help achieve the expected goals. The researcher also described obedience as one of the attributes. According to them, people should be obedient and active when carrying out the nursing process, and they should also be responsible for the nursing process.

The described attributes helped in establishing the operational definition of self-management as a process connected to personal skills used in achieving expected goals when engaging in the treatment of various conditions, such as chronic illnesses. These attributes are related to the POI in that patients with chronic kidney disease need to follow care plans to achieve the treatment goals as part of self-management. In addition, self-management can be applied through education through a long-term plan to ensure that the patients achieve the expected goals (Dineen-Griffin et al., 2019). Patients with chronic kidney disease also need to be obedient and active in the care programs so that they fully participate in the prevention, treatment, and management processes that improve their condition. Pharmacological approaches form a central part of the management of chronic kidney disease. Hence the patients need to adhere to the medication regimen as appropriate.

The Consequences and the Effects of the Consequences on the POI

As parts of the analysis, there are also consequences. The consequence of self-management as a concept in the prevention and treatment of chronic diseases occurs after self-management has been offered. The implication is that those who carry out self-management behavior as prescribed by professionals are known to have better health behavior, lower health spending, better life quality, lower death rates, and an overall improvement in health status (Dineen-Griffin et al.,2019).

These consequences affect the POI. For example, when self-care management is used among patients with chronic kidney diseases, the patients are able to engage in desired behavioral changes and adhere to prescribed plans such as using a low-sodium diet, consuming low-fat foods, and eating more healthy meals. The implication is that they have better patient outcomes and improved health (Hinsi et al., 2023). Following the directives also limits the visits to the emergency department and hospital admissions hence lower health spending. Following the care plans also positively impact patient outcomes as the patients will be in a position to prevent other comorbidities known to accompany chronic kidney diseases. The implication is that the patients would mainly focus on fighting chronic kidney disease as the main disease.

Conclusion

This write-up has focused on concept analysis. Therefore, a peer-reviewed journal discussing concept analysis relevant to the POI was chosen and analyzed in relation to the concept analysis. Therefore, various aspects such as the major concepts, antecedents, consequences, and attributes have all been explored, and how they are all related to the POI. As such, from the write-up, it is evident that self-management can be a major part of the prevention, treatment, and management of chronic kidney disease.

References

Baigent, C., Emberson, J., Haynes, R., Herrington, W. G., Judge, P., Landray, M. J., … & Zannad, F. (2022). Impact of diabetes on the effects of sodium glucose co-transporter-2 inhibitors on kidney outcomes: Collaborative meta-analysis of large placebo-controlled trials. The Lancet, 400(10365), 1788-1801. https://doi.org/10.1016/S0140-6736(22)02074-8

Cooper, A. L., Brown, J. A., Rees, C. S., & Leslie, G. D. (2020). Nurse resilience: A concept analysis. International Journal of Mental Health Nursing, 29(4), 553–575. https://doi.org/10.1111/inm.12721

Dineen-Griffin, S., Garcia-Cardenas, V., Williams, K., & Benrimoj, S. I. (2019). Helping patients help themselves: a systematic review of self-management support strategies in primary health care practice. PloS One, 14(8), e0220116. https://doi.org/10.1371/journal.pone.0220116

Hisni, D., Soewondo, P., Dahlia, D., & Ayubi, D. (2023). Concept analysis of self-management in patient with diabetes nephropathy. Jurnal Endurance, 8(2), 363-368.

Lennerz, B. S., Koutnik, A. P., Azova, S., Wolfsdorf, J. I., & Ludwig, D. S. (2021). Carbohydrate restriction for diabetes: rediscovering centuries-old wisdom. The Journal of Clinical Investigation, 131(1). https://doi.org/10.1172/JCI142246

Lin, C. C., & Hwang, S. J. (2020). Patient-centered self-management in patients with chronic kidney disease: challenges and implications. International Journal of Environmental Research and Public Health, 17(24), 9443. https://www.mdpi.com/1660-4601/17/24/9443#

Putri, S. E., Rekawati, E., & Wati, D. N. K. (2021). Effectiveness of self-management on adherence to self-care and on health status among elderly people with hypertension. Journal of Public Health Research, 10(1_suppl), jphr-2021. https://doi.org/10.4081/jphr.2021.2406

Shlipak, M. G., Tummalapalli, S. L., Boulware, L. E., Grams, M. E., Ix, J. H., Jha, V., … & Zomer, E. (2021). The case for early identification and intervention of chronic kidney disease: Conclusions from a Kidney Disease: Improving Global Outcomes (KDIGO) Controversies Conference. Kidney International, 99(1), 34–47. https://doi.org/10.1016/j.kint.2020.10.012

Walker, L. O., & Avant, K. C. (2019). Strategies for theory construction in nursing. Boston: Person.

Concept Map

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POI: Chronic kidney disease is just one of the many complications a type II diabetic can experience. Studies have shown medications are successful in preventing chronic kidney disease in diabetic individuals. Specifically, Sodium-glucose cotransporter 2 inhibitors have shown positive results in reducing the risk of kidney transplants, dialysis, and demise in type II diabetic patients. As an FNP, the role of education and prevention of CKD can greatly benefit adult patients in the outpatient setting.

The peer-reviewed articles below discuss the various methods of concept analysis and help explain the importance of concept analysis to the development of nursing knowledge. The articles may be retrieved from the Biomedical Library.

Foley, A. S., & Davis, A. H. (2017). A guide to concept analysis. Clinical Nurse Specialist: Journal for Advanced Nursing Practice, 31(2), 70–73. doi:10.1097/NUR.0000000000000277

Schiller, C. J. (2018). Teaching concept analysis to graduate nursing students. Nursing Forum, 53(2), 248–254. doi:10.1111/nuf.12233

Walker, L.O. & Avant, K.C. (2005). Concept analysis: Strategies for theory construction in nursing (4th ed.). Upper Saddle River, N.J.: Pearson Prentice Hall. Link to ArticleDownload Link to Article

The final resource is an example of a concept analysis article from the peer-reviewed literature and two of the authors are faculty in the USA College of Nursing (Dr Wesley Davis and Dr Chrystal Lewis).

Please note that you may not use this article for this assignment, as there are literally hundreds of published concept analysis articles in the literature from which to choose, and this article is recommended as an example of what you are looking for to complete this assignment.

Davis, W. D., Evans, D. D., Fiebig, W., & Lewis, C. L. (2020). Emergency care: Operationalizing the practice through a concept analysis. Journal of the American Association of Nurse Practitioners, 32(5), 359–366. doi:10.1097/JXX.0000000000000229

Module 4 Paper: Concept Analysis

Module 4 Paper: Concept Analysis

Criteria Ratings Pts
This criterion is linked to a Learning OutcomeIntroduction and Thesis Statement
1. Briefly state your Phenomenon of Interest, and introduce the selected Concept Analysis article in one paragraph.

2. Conclude the introductory paragraph with a direct thesis statement that informs the reader of your purpose, or primary objective of the paper

3. A citation and reference should be included for the Concept Analysis article.

4. Attach a copy of the selected concept analysis article.

2.5 to >2.25 pts

Exceeds Expectations

The information fully addresses the required elements and demonstrates an understanding of the material.

2.25 to >2.0 pts

Meets Expectations

Adequately address the required elements.

2 to >1.75 pts

Needs Improvement

Information fails to address the required elements.

1.75 to >0 pts

Inadequate

Information is missing or is inadequate to satisfy the requirements,

2.5 pts

This criterion is linked to a Learning OutcomeConcept Analysis Description

1. Describe the origin of the theory or the published author’s (not yours) purpose for conducting the Concept Analysis.

2. Discuss the relevance of the Concept Analysis to your POI.

3. Discuss the transferability of the Concept Analysis to other phenomena of interest. The more widely the Concept Analysis can be applied, the greater its transferability.

4. Provide at least two (2) ) peer-reviewed references IN ADDITION to the Concept Analysis article (excluding textbooks).

6 to >5.4 pts

Exceeds Expectations

The information fully addresses the required elements and demonstrates an understanding of linking a Concept Analysis to a POI. Content is well supported with peer-reviewed references.

5.4 to >4.8 pts

Meets Expectations

The information was basic and addressed the majority of the required elements in some manner. Content may not be well supported by peer-reviewed literature.

4.8 to >4.2 pts

Needs Improvement

The information did not address the required elements. Content may not be well supported by peer-reviewed literature.

4.2 to >0 pts

Inadequate

Information is missing or is inadequate to satisfy the requirements.

6 pts

This criterion is linked to a Learning OutcomeCritical Appraisal of Concept Analysis

Identify the major concepts or elements of the selected Concept Analysis article, as described by Walker and Avant (2019), and discuss the following:

1. Concept: Identify the Concept.

2. Antecedents: Describe the antecedents and how the antecedents may be used to predict outcomes related to your POI.

3. Attributes: Describe the attributes and in what way the attributes are related to your POI.

4. Consequences: Describe the consequences and the effect of the consequences on your POI.

Support this section with at least three (3) peer-reviewed or scholarly references (excluding textbooks).

8 to >7.2 pts

Exceeds Expectations

The Concept Analysis fully addresses the required elements and demonstrates an understanding of the relationships between each of the elements and the concept. Content is well supported with peer-reviewed or scholarly references.

7.2 to >6.4 pts

Meets Expectations

The information was basic and addressed the majority of the required elements in some manner. Content may not be well supported with peer-reviewed or scholarly references.

6.4 to >5.6 pts

Needs Improvement

The information did not address the required elements.

5.6 to >0 pts

Inadequate

Information is missing or is inadequate to satisfy the requirement.

8 pts

This criterion is linked to a Learning OutcomeConcept Map (Include as an Appendix)

Construct a Concept Map of the major elements relevant to your Phenomenon of Interest, and include it as an appendix in your paper. The Concept Map should include the following:

1. Your phenomenon of interest

2. The Concept

3. Antecedents

4. Attributes

5. Consequences

5 to >4.5 pts

Exceeds Expectations

The information fully addresses the required elements and demonstrates an understanding of the concept analysis on the POI.

4.5 to >4.0 pts

Meets Expectations

The information was basic and addressed the majority of the required elements in some manner.

4 to >3.5 pts

Needs Improvement

The information did not address the required elements.

3.5 to >0 pts

Inadequate

Information is missing or is inadequate to satisfy the requirement.

5 pts

This criterion is linked to a Learning OutcomeConclusion

1. Summarize the major points of the paper in one (1) paragraph.

2. No new information or new references should be included in this section.

1 to >0.9 pts

Exceeds Expectations

The information fully summarizes the major points in the paper, without including any new information or references

0.9 to >0.8 pts

Meets Expectations

The information was basic and addressed the majority of the required elements in some manner.

0.8 to >0.7 pts

Needs Improvement

The information did not address the required elements.

0.7 to >0 pts

Inadequate

Information is missing or is inadequate to satisfy the requirement.

1 pts

This criterion is linked to a Learning OutcomeGraduate-level Scholarship

Demonstrate Graduate Level Scholarship

1. Formal, scholarly writing style with no first-person language.

2. Writing should be clear and concise and free of grammatical and spelling errors

3. Organize work by headings

4. Writing should be free of APA 7th errors, including citations and references.

5. Turnitin similarity score supports that the paper is your original work.

6. College of Nursing approved format for the title page.

7. A minimum of six (6) peer-reviewed references (excluding textbooks).

8. Paper not to exceed seven (7) pages (excluding title page, reference page, and any appendices).

9. Follow all assignment instructions, and do not use direct quotes unless providing a brief definition.

10. Additional deductions may apply for late submissions, plagiarism, or lack of scholarship and professionalism.

2.5 to >2.25 pts

Exceeds Expectations

Demonstrates graduate-level scholarship with one (1) to two (2) types of error (the error may have been repeated multiple times). Faculty discretion will apply.

2.25 to >2.0 pts

Meets Expectations

Demonstrates minimal graduate-level scholarship with three (3) types of errors (the error type may have been repeated multiple times). Faculty discretion will apply.

2 to >1.75 pts

Needs Improvement

Does not demonstrate graduate-level scholarship with four (4) types of error (the error type may have been repeated multiple times). Faculty discretion will apply.

1.75 to >0 pts

Inadequate

Does not demonstrate graduate-level scholarship with five (5) or more types of error (the error type may have been repeated multiple times). Faculty discretion will apply.

2.5 pts

Total Points: 25