Concept analysis of anxiety.
ABSTRACT Anxiety, a nursing diagnosis that impacts clients in all settings and nurses throughout the profession, is clarified through the technique of concept analysis. Uses of the concept of anxiety in prominent theories of human behavior and in nursing are reviewed. Four critical attributes occurring in all cases of anxiety are identified--model cases, a related case, a contrary case, and an illegitimate case are presented. Antecedents to anxiety are identified. Consequences of anxiety are discussed. Empirical referents that demonstrate occurrence of the concept of anxiety are determined, classified, and related to critical attributes. This concept analysis provides an essential conceptual base for instrument development and clinical research on anxiety.
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ABSTRACT: Integrative therapies have gained support in the literature as a method to control pain and anxiety. Many institutions have integrated massage therapy into their programs. Few studies have looked at the specific benefits of massage therapy for cardiac surgical patients. These patients undergo long surgical procedures and often complain of back, shoulder, and neck pain or general stress and tension. Clinical nurse specialist identify the benefits for patients and bring the evidence on massage therapy to the clinical setting. This article will provide an overview of the benefits of massage in the reduction of pain, anxiety, and tension in cardiac surgical patients. Reports of benefits seen with integration of massage in 1 cardiac surgical unit as part of evidence-based practice initiative for management of pain will be described. A clinical case example of a patient who has experienced cardiac surgery and received massage therapy will be shared.Clinical Nurse Specialist 05/2007; 21(3):161-5; quiz 166-7. DOI:10.1097/01.NUR.0000270014.97457.d5 · 0.90 Impact Factor
Article: A concept analysis of panic.[Show abstract] [Hide abstract]
ABSTRACT: Minimal attention has been focused on the concept of panic in the discipline of nursing. Hindering a greater understanding of panic is its lack of explication and development in nursing. To help remedy this situation, a concept analysis of panic was performed. The hybrid model of concept development was used, which consists of an initial theoretical phase, a fieldwork phase, and a final analytical phase. In the theoretical phase, after a cross-disciplinary literature search was done, existing definitions and measurement of the concept of panic were analyzed, and a working definition of panic was formulated. In the fieldwork phase, women experiencing postpartum panic disorder were interviewed to collect qualitative data for further analysis of panic. The final phase focused on comparing and contrasting the findings from the theoretical phase with the insights discovered from the fieldwork. Applicability of panic across nursing is addressed along with implications for nursing theory, practice, and research.Archives of Psychiatric Nursing 11/1996; 10(5):265-75. DOI:10.1016/S0883-9417(96)80035-5 · 1.03 Impact Factor
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ABSTRACT: To propose an evidence-based model (EBM) to improve diagnostic accuracy in nursing. Published literature, experience, and expertise of authors. Using an EBM directs clinicians on how to use the best available evidence from the literature to determine the best fit between cues and diagnoses, integrate this evidence with clinician expertise and patient preferences, and conduct a self-evaluation of the process. Use of an EBM to teach nurses how to ask relevant diagnostic questions and provide a framework for nurse educators to teach evidenced-based practice may lead to developing more competent diagnosticians and improving diagnostic accuracy in nursing.International Journal of Nursing Terminologies and Classifications 10/2004; 15(4):114-22. DOI:10.1111/j.1744-618X.2004.tb00008.x · 0.90 Impact Factor