جستجوی مقالات مرتبط با کلیدواژه "رویکرد واکر و آوانت" در نشریات گروه "پزشکی"

 With the beginning of the pandemic caused by the COVID-19 virus, the concept of social distancing received a lot of attention and was used in many public health announcements. However, this concept is vague and inexpressive and in the scientific literature, there is no consensus about what is called social distancing. Considering the multi-dimensional view and the ambiguity in different dimensions of social distancing, the need for further development and efforts to achieve a deep perception of this concept is felt. Therefore, this study was conducted with the aim of analyzing the concept of social distancing and determining its dimensions and characteristics.

 The analysis of the concept of social distancing, based on Walker and Avant's approach, was done in eight steps: Choosing a concept; determining the purpose of analysis; identifying the uses of the concept; defining attributes, antecedents and consequences; identifying model, borderline and contrary cases and finally, empirical referents. The articles within the time span of 2019-22 were searched in electronic databases PubMed, ProQuest, CINAHL, Irandoc, SID and Google Scholar search engine, using the keywords social distancing and social distance.

Ethical Considerations:

 In the current research, the ethical aspects of the review study have been observed, including the originality of the texts, honesty and trustworthiness.

 The result of the search was 480 articles, which were screened according to the research criteria and finally, 23 articles that had repeatedly been used to define or describe the antecedents, characteristics and consequences of the desired concept were analyzed. After analyzing the studies, the concept of social distancing was found to have certain qualities: Preventing the transmission of infectious diseases, recommending staying at home and being quarantined, being culture-oriented and the passage of time.

 In this study, a definition of social distancing was obtained, which is also supported by the literature. According to this definition, social distancing is a health protection and preventive measure, which prevents or reduces the transmission of contagious diseases through recommending keeping physical distance from others, staying at home and being quarantined during the outbreak of infectious diseases. Future studies can use this definition in designing preventive interventions related to the adverse consequences of this concept. Furthermore, this definition can be the basis for better teaching this phenomenon to students. Since concepts such as social distancing are always associated with issues like changing social relations and ethical challenges, the need for more reflection on the application of this concept is felt, due to the lack of respect for individuals’ independence.

Implicit rationing of nursing care is a growing concern in health care systems and can cause adverse consequences for patients. Considering the importance of the issue in the health system, it is necessary to clarify the different dimensions of this concept. Therefore, this study was conducted to clarify the concept of implicit rationing of nursing care using Walker and Avant's approach.

Walker and Avant’s approach was used to analyze the concept of implicit rationing of care. The search was conducted in the Web of Science, PubMed, and Scopus, SID, Iran Medex, Magiran databases using the keywords of implicit rationing, nursing care, implicit rationing of nursing care, and rationing of nursing care without a time limit until October 2023. Finally, according to entry and exit criteria, 13 relevant articles were analyzed.

The review of the literature showed that the concept of implicit rationing of nursing care is a complex concept with numerous dimensions. The antecedents of this concept are related to patients, nurses, and the organization. Decision-making, prioritization, outcome assessment, obligation to perform nursing care, and disruptions in the process of performing nursing interventions were identified as the determining features of the concept of implicit rationing of nursing care.

The present study showed that implicit rationing of nursing care was a multifaceted concept. Nursing managers and researchers can use the results of this study to design effective measures and interventions to reduce its incidence.

 Substance abuse disorders are a major concern in today's world, which have both emotional and physical impacts on substance abusers. A significant part of these complications is caused by marking these patients with stigma and labeling them. The analysis of the concept of stigma regarding substance abuse disorders was carried out with the aim of reaching semantic integration, reducing ambiguities and increasing stability in the application of this concept.

 This study was conducted with the aim of clarifying and analyzing the concept of the stigma of substance abuse disorders and determining its dimensions and characteristics, using the concept analysis approach of Walker and Avant in 2022.

Ethical Considerations:

 In the current research, the ethical aspects of the review study, including the originality of the texts, honesty and trustworthiness, have been observed.

 After analyzing the studies, the characteristics of the multi-dimensional psycho-social process were obtained: Pervasiveness in different areas of life, rapid spread in the society, being based on the socio-cultural context, dependence on the type and the quantity of substance consumption and being chronic.

 In this conceptual study, a comprehensive definition of the stigma of substance abuse disorders, along with antecedents, characteristics and consequences, was achieved through the process of conceptual analysis. The investigation of the findings eventually led to model, borderline and contrary cases. The presented definition, which is also supported by the literature, claims that the stigma of substance abuse disorders is a chronic, multidimensional psycho-social process, which is pervasive in different areas of the affected individual's life, along with rapid spread in the society. Moreover, it is based on the socio-cultural context and depends on the type and the quantity of substance consumption. The unfair and criminalizing practices of healthcare and non-healthcare organizations, the social beliefs regarding the undesirable identity of the affected individual, people's ignorance, the relatives’ lack of personal experience in dealing with the substance abuser, the socioeconomic power gap between the stigmatizer and the affected individual and demographic characteristics trigger stigmatization. Stigmatization leads to comprehensive vulnerability of the stigmatized individual’s credibility and health in different aspects: personal, functional, family, social, cultural, economic and political. This definition as well as its antecedents, consequences and empirical references can be a basis for a more comprehensive perception and future applied studies.

Care is a complex and subjective concept, and most nursing theorists consider it the most important action of nurses in dealing with patients. However, inaccuracy in providing comprehensive care by the medical staff has caused disintegration of care and thus the concept of fragmented care (FC) is formed. Although this concept is often used by researchers, its dimensions have not been fully identified. The aim of this study was to analyze the concept of FC.

Concept Analysis of FC based on the Walker and Avant's method (2019) was carried out in eight steps by searching and analyzing studies from reliable information databases such as Scopus, Pubmed, Web of Sciences, and Google Scholar search engine. We used the keywords: Fragmentation, Fragmented, and Care without time limit until May 2022. Finally, 26 articles related to the concept were analyzed.

FC had different dimensions. Lack of coordination, planning, teamwork, and holistic view were the most important dimensions. This type of care can occur at different relationship levels of nurse-patient, both within and between wards and different medical centers.

The present study identified different dimensions of the concept of FC. Future studies can use the results of this study to develop a scale as well as to design interventions effective in reducing its incidence.