ArticlePDF Available

An expansion and elaboration of the hybrid model of concept development

... The concept of the successfully transitioned NLRN was analyzed using the hybrid model developed by Schwartz-Barcott and Kim [20] which includes three phases: theoretical, fieldwork, and the final analysis phase. This three-step hybrid model was deemed the most appropriate for the development of this concept due to its inclusion of nurses' perspectives, which enriches the limited research literature [21]. ...
... In the fieldwork phase, the concept is analyzed and clarified using qualitative methods. The final analysis phase constitutes a conceptual analysis of the findings obtained from the previous two phases to identify the concept's attributes, further clarifying its meaning and providing a definition [20]. ...
... In the final analytical phase, findings from the theoretical and the fieldwork phases were compared to produce a refined and comprehensive definition supported by research and the perceptions of the participants [20]. The concept of the success-fully transitioned NLRN was defined reliant on the emerging themes and attributes. ...
... In this study, to analyze the concept of conscience, a hybrid method was used, and comprised of theoretical, fieldwork, and analytical phases (13). This method of concept analysis is one of the methods for processing and developing concepts and theories. ...
... This method of concept analysis is one of the methods for processing and developing concepts and theories. In nursing, it is used to remove concepts' ambiguities and help reduce concepts' abstract load (13). The major usage of this model is to analyze a topic in nursing as well as in a specific field and context (14). ...
... In this study, to analyze the concept of conscience, a hybrid method was used, and comprised of theoretical, fieldwork, and analytical phases (13). This method of concept analysis is one of the methods for processing and developing concepts and theories. ...
... This method of concept analysis is one of the methods for processing and developing concepts and theories. In nursing, it is used to remove concepts' ambiguities and help reduce concepts' abstract load (13). The major usage of this model is to analyze a topic in nursing as well as in a specific field and context (14). ...
Article
Full-text available
Although conscience, as an ethical concept, has emerged widely in the field of nursing, its functional meaning and its effects on nurses' performance are not clear. Therefore, the present study aimed to analyze the concept of conscience in the context of Iranian nurses’ ethical performance. This study used a hybrid model including theoretical, fieldwork, and final analytic stages. In the theoretical phase, English and Persian articles published up to 2020 and indexed by scientific databases were analyzed. In the fieldwork phase, semi-structured in-depth interviews were conducted on nurse participants. The last two stages were jointly considered to draw the study’s conclusions. In the theoretical phase, conscience was considered as a context-dependent concept, an inner voice, and a criterion for distinguishing right from wrong. The fieldwork phase’ results were categorized into three themes: “perception of conscience”, “commands of conscience”, and “obedience to conscience. The final definition was reached by merging the theoretical and field stages. This article aimed at investigating the relevance of conscience to ethical practice in the nursing field. Findings show that conscience is an inner feeling or voice that plays a vital role in providing ethical care by nurses.
... Concept analysis is a technique for elucidating and expanding some abstract and complex concepts that overlap with other concepts and are encountered by health care providers in their interactions with clients. [28]. In current study, a hybrid model was used to analyze the concept of self-stigma in burn survivors. ...
... In the second phase, the emphasis is on gathering qualitative data through interviews and observations in order to refine the results of first phase. Lastly, the final analytical phase provides a working definition by comparing and combining the findings of the previous phases [28]. ...
Article
Aim As burn self-stigma has not been addressed yet, the purpose of current study is to analyze dimensions of the concept using literature and lived experiences of Iranian burn survivors. Methods Using hybrid concept analysis method, we investigated self-stigma in three phases (i.e. theoretical, fieldwork, and final analytical phase). In the first phase we reviewed the literature using PubMed, SCOPUS, Web of Science, Cochrane Library, OVID, SID and Google Scholar. Thirteen semi-structured interviews with burn survivors were conducted during the fieldwork phase. Two extra interviews with health care providers were undertaken for the aim of data triangulation. Textual content analysis and inductive content analysis were used to analyze the data of the first and second phases of this study, respectively. The findings of both phases were combined in the final analytical phase and a comprehensive definition was emerged. Results We assigned all our findings into three content areas (i.e. antecedents, properties and consequences), which are dimensions of self-stigma. In final analytical phase antecedent, properties and consequences of the concept were formed in one (society's misconception about burns), three (negative definition of self, emotional responses, and behavioral responses), and three (negative individual effects, negative social effects, and negative familial effects) categories, respectively. Based on these categories and their corresponding subcategories, a comprehensive definition of the concept was presented. Conclusion Burn self-stigma is a state in which burn survivors experience unfavorable thoughts and feelings about themselves as a result of society's misconceptions about them. They give emotional and behavioral responses that define them in a negative way. In the end, the burn survivor's individual, familial, and social dimensions are significantly impacted.
... Articles that do not offer any substantial (theoretical) basis underlying the clarification of the concepts will be excluded. Empirical studies will be included if they serve the purpose of concept clarification (e.g., hybrid concept analysis which combines empirical research/fieldwork such as expert interviews with the analysis of a concept [34]). ...
Preprint
Full-text available
Introduction. The terms "precision medicine" and "personalised medicine" have become key terms in health-related research, and in science-related public communication. However, the application of these two concepts and their interpretation in various disciplines are heterogeneous, which also affects research translation and public awareness. This leads to confusion regarding the use and distinction of the two concepts. Methods and analysis. Our study aims at using Rodger's concept analysis method to systematically examine and distinguish the current understanding of the concepts "precision medicine" and "personalised medicine" in clinical medicine, biomedicine (incorporating genomics and bioinformatics), health services research; physics, chemistry, engineering; machine learning, and artificial intelligence, and to identify their respective attributes (clusters of characteristics) and surrogate and related terms. We will analyse similarities and differences in definitions in the respective disciplines and across different (sub)disciplines. The analysis procedure will include (1) a concept identification, (2) a setting, sample, and data source selection, (3) data collection, (4) data analysis and data summary, (5) identification of examples, and (6) identification of implications for further concept development. Ethics and dissemination. Following ethical and research standards, we will comprehensively report the methodology for a systematic analysis following Roger's[1] concept analysis method. Our systematic concept analysis will contribute to the clarification of the two concepts and distinction in their application in given settings and circumstances. Such a broader concept analysis will contribute to non-systematic syntheses of the concepts, or occasional systematic reviews on one of the concepts that have been published in specific disciplines, in order to facilitate interdisciplinary communication, translational medical research, and implementation science.
... Conceptual clarity would facilitate communication among researchers and the application of research findings related to SC. Conducting a concept analysis could be an important next step in clarifying the term of SC for future research. More specifically, a hybrid concept analysis that integrates theoretical and fieldwork analyses would be beneficial in providing conceptual clarity to the definition and measurement of SC beyond the scope of this review(Schwartz-Barcott & Kim, 2000). ...
Article
Full-text available
Social isolation has been linked to numerous health risks, including depression and mortality. Parents raising children in low-income and under-resourced communities are at an increased risk for experiencing social isolation and its negative effects. Social connectedness (SC), one's sense of belongingness and connection to other people, or a community, has been linked to reduced social isolation and improved health outcomes in the general population, yet little is known about the impact SC has on parents with low incomes. This integrative review aims to describe the current state of the science surrounding SC in parents with low incomes, summarize how SC is being defined and measured, evaluate the quality of the science, and identify gaps in the literature to guide future research. Five electronic databases were searched, yielding 15 articles for inclusion. Empirical studies meeting the following criteria were included: population focused on parents who have low incomes or live in low-income communities and have dependent children, outcomes were parent-centered, SC was a study variable or a qualitative finding, and publication date was before March 2021. Findings emphasize SC as a promising construct that may be protective in the health and well-being of parents and children living in low-income communities. However, a lack of consensus on definitions and measures of SC makes it difficult to build a strong science base for understanding these potential benefits. Future research should focus on understanding the mechanisms by which SC works to benefit parents and their children.
... The components of partnership were identified in the author's previous study (Jang, 2020), which analysed the concept of partnership between facility staff and family. The study conducted by Jang (2020) used the hybrid model reported by Schwartz- Barcott and Kim (2000). By integrating theoretical analysis through a systematic literature review with an empirical process that reflects the situation in the field through focus group interview (FGI), the dimension and attributes of the concept were identified. ...
Article
Full-text available
Background: A partnership between staff and families is crucial to maintain nursing home residents' health and promote quality of care, and currently, there is a need for a measurement tool to assess the partnership. Objectives: This study aimed to develop a tool for assessing the partnership between staff and the families of older adult nursing home residents from the perspective of staff members and to verify its reliability and validity. Methods: The instrument was developed in the following four stages: (1) generation of an item pool via literature review and focus group interview, (2) experts' content validity analysis of 32 items, (3) a preliminary survey on 30 staff members and (4) validity and reliability tests of the instrument on 346 staff members in nursing homes between July and October 2018. Results: The final instrument consists of 17-items in four categories (family's trust and support, collaborative relationship and communication, encouragement to participate in care and professional care). Each item was rated on a 4-point Likert scale, and the higher scores indicating better partnership between staff and families of nursing home residents. The reliability of the instrument was 0.90, and the test-retest intra-class correlation coefficient was 0.96. Conclusion: The Scale for Staff-Family Partnership in Long-term Care (SSFPLC) showed acceptable reliability and validity as an instrument to assess the partnership between nursing home staff and families. Implications for practice: This tool can be used for evaluating staff and family partnerships within nursing homes.
Article
Background The term delirium has been defined in medical diagnosis criteria as a multidimensional disorder. However, the term acute confusion is included in nursing classifications. Delirium can be a serious complication assessed in a patient after a surgical procedure. Still, the patient's delirium frequently remains unrecognised. Care of patients with delirium after surgical procedure is complex, and it challenges nursing expertise. From the nurses’ viewpoint, delirium is associated with ambiguity of concepts and lack of knowledge. Objective The aim of this study was to describe the concepts of delirium and acute confusion, as well as the associated dimensions, in adult patients in a surgical context from the nursing perspective. Design The study used Schwartz and Barcott's hybrid concept analysis with theoretical, fieldwork, and final analytical phases. Settings Surgical wards, surgical intensive care units, and post-anaesthesia care units Data sources A systematic literature search was performed through Pubmed (Medline), Cinahl, PsycInfo, and Embase. Participants Registered nurses and licensed practical nurses (n = 105) participated in the fieldwork phase. Methods In the theoretical phase, the concepts’ working definitions were formulated based on a systematic literature search with the year limitations from 2000 until February 2021. At the fieldwork phase, the nurses’ descriptions of patients with delirium were analysed using the deductive content analysis method. At the final analytical phase, findings were combined and reported. Results The concepts of delirium, subsyndromal delirium, and acute confusion are well defined in the literature. From the perspective of the nurses in the study, concepts were seen as a continuum not as individual diagnoses. Nurses described the continuum of delirium as a process with acute onset, duration, and recovery with the associated dimensions of symptoms, symptom severity, risk factors, and early signs. The acute phase of delirium was emphasised, and preoperative or prolonged disturbance did not seem to be relevant in the surgical care context. Patients’ compliance with care may be decreased with the continuum of delirium, which might challenge both patients’ recovery from surgery and the quality of nursing care. Conclusions In clinical practice the nurses used term confusion inaccurately. The term acute confusion might be used when illustrating an early stage of delirium. Nurses could benefit from further education where the theoretical knowledge is combined with the clinical practice. The discussion about the delirium, which covers the time both before surgery and after the acute phase should be increased.
Article
The author of this essay presents a new approach to concept analysis based on the usage pattern of words, in contrast to literature-based analysis of concepts. This new approach is based on the premise that words exist, whereas concepts do not exist.
Article
Self-management support has been identified as an effective nursing intervention for improving outcomes for people with chronic conditions, yet this concept lacks a clear definition. Furthermore, the concept has not been used in school nursing literature despite the clear connection between school nursing practice and tenets of self-management support. Additionally, the concept has not been explored in the context of difficult-to-manage mental health concerns, such as psychogenic nonepileptic seizures. A conversion disorder in which seizure events in the absence of abnormal brainwave activity result from stress, psychogenic nonepileptic seizures affect the quality of life and school experience for students experiencing them and could be addressed through self-management support. This hybrid concept analysis included a review of extant literature and semi-structured interviews with school nurses to ascertain a definition of self-management support in the context of school nursing using care of students with psychogenic nonepileptic seizures as an exemplar.
ResearchGate has not been able to resolve any references for this publication.