Concept Analysis

Concept Analysis

Concept Analysis 150 150 Peter

Concept Analysis

Description of the Assignment

This assignment presents a modified method for conducting a concept analysis of one concept that is important and useful to the nurse practitioner role. The concept for this assignment must be supported by a published nursing theory. The selected concept is identified and then the elements of the analysis process are applied in order to synthesize knowledge for application as demonstrated through the creation of a model case. Theoretical applications of the concept are also discussed. Non-nursing theories may not be used. Scholarly literature is incorporated throughout the analysis.

Only the elements identified in this assignment should be used for this concept analysis.

Possible Concepts: The following concepts are not required; students may select one of these concepts or find another concept. Each selected concept must be associated with a nursing theory; the use of non-nursing theories is not allowed. If you have any questions regarding your concept or the nursing theory, please consult with your faculty member for assistance. Please note: the concepts of caring or cultural humility are not permitted for this assignment.

Adaptation
Burnout
Civility
Comfort
Compassion
Compassion fatigue
Competence
Empowerment
Engagement
Health
Leadership
Meaningfulness
Modeling
Noise
Pain
Quality of life
Resilience
Self-care
Sensory overload
Situational awareness
Criteria for Content

1. Definition/Explanation of the selected nursing concept
Defines/explains the concept using scholarly literature (a dictionary maybe used for this section only)
Support from nursing literature is required.

2. Defining attributes:

A minimum of three (3) attributes are required.
Support from nursing literature is required.
Explanation: An attribute identifies characteristics of a concept. For this question, the characteristics of the selected nursing concept are identified and discussed.

Antecedent and Consequence
1 antecedent of the selected nursing concept.
1 consequence of the selected nursing concept.
Support from nursing literature is required.
Explanation: An antecedent is an identifiable occurrence that happens before an event. An antecedent precedes a selected nursing concept. A consequence follows or is the result of an event. The selected consequence follows or is the result of the selected nursing concept.

4. Model Case

1 Model Case is created by the student and discussed substantively by demonstrating within the case each of the following areas:
Definition
All identified attributes
Theoretical Applications of the Concept
Explain how the concept applies to the selected nursing theory.
Support from nursing literature is required.
Reflection
Reflect on how the concept analysis findings apply to your advanced nursing practice, specifically as an NP.
Self-reflection may be written in first-person.
Preparing the Assignment
Criteria for Format and Special Instructions

Sample Paper

Concept Analysis

Concept analysis is an important process for gaining clarity of a concept for better understanding and utilization of the concept. Concept analysis aims to examine the attributes of the selected concept to distinguish the defining and irrelevant attributes of a concept. The discussion is a concept analysis of burnout and will include the definition of burnout, the defining attributes of burnout, antecedent and consequence, a model case, theoretical application of the concept, and reflection.

Definition/Explanation of the selected nursing concept:

The concept of burnout was coined in 1974 by Freudenberger after an observation of a reduction in commitment and motivation among volunteers in a mental health setting. This led to a common definition of burnout as a response to extreme stress at the workplace characterized by a feeling of being emotionally drained and a lack of emotional resources (Dall’Ora et al., 2020). Another definition of burnout is from the Merriam-Webster dictionary, where burnout is defined as exhaustion of a person’s physical and emotional strength or motivation, which results from frustration or prolonged stress. Burnout is, therefore, a common psychological phenomenon that is characterized by a decline in psychological, emotional, and physical energy due to work-related stress. The definitions represent the various uses of the concept. For the discussion, the definition of burnout from the Merriam-Webster dictionary will be adopted since it is simple and clear.

Three Defining Attributes of the Burnout

            Defining attributes of burnout that consistently appear in the literature include emotional exhaustion (EE), depersonalization (DP), and low personal accomplishment (PA) (Mudallal et al., 2017). Emotional exhaustion as an attribute of the concept refers to the state of being exhausted emotionally and physically due to work-related stress. EE is characterized by fatigue, low energy, depression, helplessness, and hopelessness. EE has been identified in the literature as the major component of burnout is exacerbated by inadequate sleep and excessive working hours (Shah et al., 2021). Depersonalization attribute is an interpersonal aspect of burnout that is manifested in negative behavior toward other people and detachment from instructions and caring. Low The PA attribute represents a state of negative evaluation of a person’s self as being unsuccessful, incompetent, and inadequate (Mudallal et al., 2017). Those affected exhibit low levels of contribution in their roles. The defining attributes occur when a person experiences stress in the workplace.

1 Antecedent and 1 Consequence of the concept

            According to Walker and Avant, antecedents refer to events that result in the occurrence of the concept. Burnout is influenced by organizational factors relating to the working environment, such as workload and time pressure. The primary antecedent of burnout is the working environment. A stressful working environment characterized by a high workload, lack of collaboration between nurses and physicians, and lack of support from the leaders contributes significantly to nurse burnout (Shah et al., 2021). The higher workload is associated with organizational factors such as low staffing ratios, which strains the available human resources with nurses working for longer shifts. According to Mudallal et al. (2017), long-term exposure to emotionally demanding events in both work and life settings results in burnout. The higher workload is associated with emotional exhaustion and depersonalization. Other factors such as lack of collaboration and strained relationships between nurses and physicians are also associated with burnout.

Consequences in concept analysis refer to events that occur as a result of the concept. Effects of burn can be categorized into three organizational, patient, and nurse-related outcomes. Burnout is a costly problem for the healthcare organization. According to Mudallal et al. (2017), burnout is associated with increased absenteeism and turnover rates, decreasing productivity of the staff while increasing the cost of hiring new staff. Burnout affects the commitment of the staff to the organization, increasing the probability of the staff leaving the organization for better jobs, especially where burnout stems from organizational factors such as higher workloads and lack of leadership support. The organization suffers from low nurse-to-patient ratios increasing staff shortage requiring the organization to hire new staff. Frequent hiring of the staff increases costs related to training and orientation of new employees, sourcing of new employees, or professional services utilized during employee recruitment or advertising.

The organization may also suffer costs related to loss of clients and bad reputation as burnout affects the quality of patient outcomes. According to Garcia et al. (2019), burnout is associated with a decrease in patient safety, patient dissatisfaction, and family and patient complaints. The outcomes stem from emotional fatigue and depersonalization as they trigger exhaustion and cynicism leading to the nurses being distant and cold to patients’ needs. Burnout affects key elements of safe and quality care such as open communication, teamwork, coordination of care, mutual learning, and professional stability (Garcia et al., 2019). Since burnout results in nurses being cynically detached, they are more likely to show aggressive attitudes to patients resulting in reduced patient satisfaction. Other effects include an increase in catheter-associated urinary infections, surgical sites infections, patient falls, and nosocomial infections (Dall’Ora et al., 2020).

A Model Case

A model case is an example of a case with all the outlined attributes. Miss J works on the medical surge floor, and she has worked in the organization for eight years. She is married and has two kids. She lives with her mother, who suffers from type 2 diabetes and has recently suffered complications. She works an extra day every week to raise money to fund her tuition and meet the medical costs for her mother’s care. For the last two weeks, she has been complaining about tiredness and back pains, which worsens by the end of her shift. At one point, she expressed how she felt drained and thought it would be impossible to report to her shift the next day. Other colleagues feel she has become more irritable for the last three weeks. She complains a lot and keeps constantly saying she might look for another career to pursue as she finds nursing demanding, and she no longer find satisfaction in dealing with patients. She has constantly expressed that she currently feels she is not capable of pursuing her advanced practice. She has missed several online classes. Two patients have reported that she is rude and does not listen. The management and the colleagues feel she should take a two-week paid leave.

The nurse in the model case exhibits all three attributes of burnout. Miss J exhibits the attribute of emotional exhaustion. She reports feeling drained and lacks the motivation to report to work the next day. The attribute of depersonalization is evident as the patient reports that she is rude and does not listen to them. Admitting that she might quit her job and seek another job and no longer feels capable of pursuing her masters’ degrees shows low personal accomplishment. Her concerns show a state of negative evaluation of self as being unsuccessful, incompetent, and inadequate.