Concept development in Nursing and Midwifery: An overview of methodological approaches

Beecher, Claire; Devane, Declan; White, Mark; Greene, Richard A.; Dowling, Maura

doi:10.1111/ijn.12702

Cited by 13 publications

(11 citation statements)

References 37 publications

(95 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Concept analysis offers a means of defining or clarifying concepts, contextually, while also assisting to elucidate patterns of usage which can become a precursor of theory and knowledge development 9 . There are various methods available for formal concept analyses 10 . We chose Schwartz-Barcott and Kim’s hybrid model to analyse the concept of ‘trial recruitment’, because it is considered beneficial in helping resolve ambiguity surrounding a concept and is facilitative of concept expansion and purification 11 .…”

Section: Methodsmentioning

confidence: 99%

A concept analysis of ‘trial recruitment’ using the hybrid model

et al. 2022

Self Cite

View full text Add to dashboard Cite

Background: The International Committee of Medical Journal Editors (ICMJE) requires trials submitted for publication to be registered before recruitment of the first participant; however, there is ambiguity around the definition of recruitment and in anchoring the trial start date, end date, and recruitment, or as often interchangeably referred to, enrolment, temporally to trial processes. There is potential for variation in how recruitment is reported and understood in trial protocols and trial reports. We report on a concept analysis of ‘trial recruitment’ and develop an operational definition of ‘trial recruitment’. Methods: A concept analysis using the hybrid model. In Phase 1 we examined randomised and non-randomised trial reports (n=150) published between January 2018 and June 2019 to conceptually explore how recruitment was temporally aligned to the four time-points of screening/eligibility, consent, randomisation and allocation. A preliminary operational definition of ‘trial recruitment’ was determined. This definition was further explored, refined and finalised in Phase 2 (field work), through an interactive, discussion-focused workshop with trial recruiters and trial participants. Results: Of the 150 trial reports analysed, over half did not identify a clear time point of when recruitment took place and varying terminology is used when reporting on trial recruitment. In Phase 2, the workshop attendees agreed that the proposed definition of ‘trial recruitment’ offers an acceptable definition that provides a standardised approach of how trial recruitment may be temporally understood as part of overall trial processes. Conclusion: There is ambiguity around temporal descriptions of ‘trial recruitment’ in health care journals. Informed by the findings of this concept analysis we propose a temporal operational definition of trial recruitment based on i) trial recruitment of an individual or cluster and ii) the trial recruitment period.

show abstract

Section: Methodsmentioning

confidence: 99%

A concept analysis of ‘trial recruitment’ using the hybrid model

et al. 2022

Self Cite

View full text Add to dashboard Cite

show abstract

“…Concept analysis offers a means of defining or clarifying concepts, contextually, while also assisting to elucidate patterns of usage which can become a precursor of theory and knowledge development 7 . There are various methods available for formal concept analyses 8 . We chose Schwartz-Barcott and Kim's hybrid model to analyse the concept of 'trial recruitment', because it is considered beneficial in helping resolve ambiguity surrounding a concept and is facilitative of concept expansion and purification 9 .…”

Section: Methodsmentioning

confidence: 99%

A concept analysis of ‘trial recruitment’ using the hybrid model – Phase 1 findings

et al. 2020

Self Cite

View full text Add to dashboard Cite

Background: The International Committee of Medical Journal Editors (ICMJE) requires trials submitted for publication to be registered before enrolment of the first participant; however, there is ambiguity around the definition of recruitment and in anchoring the trial start date, end date, recruitment and enrolment, temporally to trial processes. There is potential for variation in how recruitment is reported and understood in trial protocols and trial reports. We report on Phase 1 of a concept analysis of ‘trial recruitment’ and develop a preliminary operational definition of ‘trial recruitment’. Methods: A concept analysis using the hybrid model. We searched randomised and non-randomised trial reports published between January 2018 and June 2019. Included studies were sourced from the five top journals in the category of medicine with the highest impact factor. We examined how recruitment was defined temporally to four time points; screening, consent, randomisation, and allocation. Results: Of the 150 trial reports analysed, over half did not identify a clear time point of when recruitment took place in relation to any of screening/consent/randomisation/allocation. The majority of the assessed trials provided a time frame in relation to the trial (i.e. start/end date), the process that this time frame referred to differed between studies. There was variation across studies in the terminology used to describe entry to the trial and often multiple terms were used interchangeably. Conclusion: There is ambiguity around temporal descriptions of ‘trial recruitment’ in health care journals. Informed by the findings of Phase 1, we developed a preliminary temporal operational definition of trial recruitment based on i) trial recruitment of an individual or cluster and ii) the trial recruitment period. In Phase 2 this definition will be discussed in focus groups with healthcare workers involved in designing/implementing/reporting on trials; to contribute to the final phase (analytical phase) of this concept analysis.

show abstract

“…Conceptual and theoretical research is critical for the development of a cohesive body of knowledge [216], otherwise the construct will continue to be used inconsistently. As Beecher [217] states, concept development is critical to the credibility of research and without it, available evidence may be based on false assumptions.…”

Section: How Do We Define and Measure Patient Empowerment?mentioning

confidence: 99%

Patient empowerment and its correlates in young persons with congenital heart disease

Mora

Sparud-Lundin

Burström

et al. 2019

European Journal of Cardiovascular Nursing

View full text Add to dashboard Cite

Objective: The objective of this study was to measure the level of empowerment and identify its correlates in young persons with congenital heart disease. Study design: Patients aged 14-18 years with congenital heart disease, and under active follow-up in one of four paediatric cardiology centres in Sweden were invited to participate in a cross-sectional study. A total of 202 young persons returned the questionnaires. Patient empowerment was measured with the Gothenburg Young Persons Empowerment Scale that allows the calculation of total and subscale scores. Univariate and multivariate linear regression analyses were undertaken to analyse possible correlates, including: sex, age, health behaviours, knowledge of congenital heart disease, quality of life, patient-reported health, congenital heart disease complexity, transition readiness and illness perception. Results: The mean empowerment score was 54.6±10.6 (scale of 15-75). Univariate analyses showed that empowerment was associated with age, quality of life, transition readiness, illness perception, health behaviours and patient-reported health (perceived physical appearance, treatment anxiety, cognitive problems and communication issues). However, multivariable linear regression analyses identified that only transition readiness (β=0.28, P<0.001) and communication (β=0.36, P<0.001) had a positive association with patient empowerment. These variables were also significantly associated with the subscale scores of the empowerment scale of knowledge and understanding (P<0.001), shared decision-making (P<0.001) and enabling others (P<0.01). The overall models' explained variance ranged from 8% to 37%. Conclusion: Patient empowerment was associated with transition readiness and fewer problems communicating. While it is not possible to establish the directionality of the associations, interventions looking to increase empowerment could benefit from using these variables (or measurements) for evaluation purposes.

show abstract

Concept development in Nursing and Midwifery: An overview of methodological approaches

Cited by 13 publications

References 37 publications

A concept analysis of ‘trial recruitment’ using the hybrid model

A concept analysis of ‘trial recruitment’ using the hybrid model

A concept analysis of ‘trial recruitment’ using the hybrid model – Phase 1 findings

Patient empowerment and its correlates in young persons with congenital heart disease

Contact Info

Product

Resources

About