NR 501 Week 3 Discussion DQ 1 Steps of Concept Analysis

NR 501 Week 3 Discussion DQ 1 Steps of Concept Analysis

 

A Sample Answer For the Assignment: NR 501 Week 3 Discussion DQ 1 Steps of Concept Analysis

The World Health Organization (WHO) defines Quality of life (QoL) as a person’s view of their situation in life in the perspective of the culture and value systems where they live, and with regard to their expectations, goals, standards, and concerns (Sarwar et al., 2019). It is the physical and mental health that a person perceives over time.

QoL is further defined as how a person is healthy, comfortable, and able to engage in or take pleasure in life events. The term QoL is innately ambiguous since it can refer to an individual’s experience of their life and the living conditions in which people find themselves (Sarwar et al., 2019). The purpose of this assignment is to describe the defining attributes of QoL, the antecedent and consequence, create a model case, and theoretically apply the concept.

Three Defining Attributes

The three defining attributes of QoL are: A feeling of satisfaction with one’s life generally; A satisfactory state of physical, emotional, social, and mental health as established by the person referred to; The mental ability to establish one’s own life as satisfactory (Van Leeuwen et al., 2019). For example, for a person to say they have a good QoL, they need to be satisfied with their overall life. Besides, they should be satisfied with their physical, emotional, social, and mental health.

They should be satisfied with their body’s physiological performance to have balance and harmony with themselves and others. They should also have a positive self-esteem and body image and positive and productive social interactions, personal relationships, and social support (Van Leeuwen et al., 2019). Lastly, a person with a good QoL exhibits the mental ability to assess their life as satisfactory.

 Antecedent and Consequence of The Concept

An antecedent is not necessarily a causative factor, but it is important for the concept to occur and can contribute to its cause. An antecedent of QoL is an individual’s ability to make a decision (Haraldstad et al., 2019). An individual may feel that it is important to get on with life. However, the decision often depends on the limitations their QoL imposes, such as physical activity and socialization levels.

Individuals evaluate their lives and make decisions, which can sometimes improve or worsen their QoL (Haraldstad et al., 2019). On the other hand, consequences refer to factors that follow the occurrence. A consequence of QoL is acceptance of one’s circumstances. The results of a positive QoL are coping, adaptation, and satisfaction with life (Haraldstad et al., 2019). However, the results of a negative QoL are a lack of satisfaction and risk-taking behavior beyond that of a person’s age.

Model Case

A model case is an example of the use of a concept that shows all of its defining attributes. The following is a model case for QoL:  A 32-year-old man gets home from work one evening. As he parks his SUV in the parking lot next to his wife’s car, his two children, 5-year-old and 3-year-old, run and scream with joy to welcome him home. He can also see his wife smiling and waving at him at the door.

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The children hug him and help him carry some snacks he brought for them. When he gets to the house, his wife hugs and welcomes him and offers him a cup of tea. He sits and tells himself, “I have the life I was dreaming of; there is nothing I wish to change.” He reflects on how lucky he is to have a happy family, a successful business, good health, and supportive friends. Many people look upon him and wish their life was a fraction of his.

The model case demonstrates the quality of life. The three defining attributes are presented in the case. The man has an overall sense of happiness and satisfaction with his life. He has the mental ability to evaluate his life. Besides, he feels he is in good health since he can do the things he wishes to. Furthermore, other people also assess her life be of quality.

Theoretical Applications of the Concept

Peplau’s nursing theory applies to the concept of QoL. QoL is entrenched in Peplau’s theory as an indefinable, extensive phenomenon. Peplau considers QoL as a subjective view of the condition of an individual’s life, which is equal to a person’s wellbeing and psychological wellness and often connected with health (Hagerty et al., 2018).

A relationship is fundamental in Peplau’s theory, whereas QoL is considered a by-product of the relationship and thus significant to the theory. Peplau proposed that QoL is mostly a subjective perception and varies with changing conditions; (time and situation-dependent) (Hagerty et al., 2018). Nonetheless, QoL is considered an intangible quality in the theory.

Reflection

QoL concept applies to advanced nursing practice (APN) since APRNs must understand that QoL is the degree to which individuals enjoy a good life. Besides, APRNs should understand that a person enjoys a good life when they attain a balance in their relations with themselves and others by creating and maintaining adequate conditions and personal potentials over the life course. QoL, without a doubt, is relevant to APN practice.

Patients often consult NP on how to achieve the best possible QoL for themselves or their loved ones. For an NP to help these patients and their families, they must themselves reflect on what is meant by QOL.

References

Hagerty, T. A., Samuels, W., Norcini-Pala, A., & Gigliotti, E. (2018). Peplau’s Theory of Interpersonal Relations: An Alternate Factor Structure for Patient Experience Data?. Nursing science quarterly, 30(2), 160–167. https://doi.org/10.1177/0894318417693286

Haraldstad, K., Wahl, A., Andenæs, R., Andersen, J. R., Andersen, M. H., Beisland, E., … & Helseth, S. (2019). A systematic review of quality of life research in medicine and health sciences. Quality of life Research, 28(10), 2641-2650. https://doi.org/10.1007/s11136-019-02214-9

Sarwar, S., Aleem, A., & Nadeem, M. A. (2019). Health-Related Quality of Life (HRQOL) and its correlation with academic performance of medical students. Pakistan journal of medical sciences, 35(1), 266–270. https://doi.org/10.12669/pjms.35.1.147

Van Leeuwen, K. M., Van Loon, M. S., Van Nes, F. A., Bosmans, J. E., De Vet, H. C., Ket, J. C., … & Ostelo, R. W. (2019). What does quality of life mean to older adults? A thematic synthesis. PloS one, 14(3), e0213263. https://doi.org/10.1371/journal.pone.0213263

I really love the concept of health literacy. I think that it is an important topic when discussing care and the understanding of patient needs. Currently, I work in the South Bronx and find that there is a great need for understanding and interpretation of healthcare information. We have care plan meetings with patients and families that can sometimes be very frustrating. The social workers present documents for the patients to sign and they refuse.

I have identified the need to present documents to patients in a private setting and offer assistance to completing the paperwork. As a healthcare provider, we cannot take for granted that the patient can read or understand the content of the instructions. Limited levels of education or understanding may be present. Healthcare information is pertinent to their care. Surgical follow up care, medication review, treatment instructions and discharge planning. I agree that the provider communication has a major impact on patient outcomes.

Our communication and delivery method is key to the interpreting healthcare information. If traditional methods of communication are not successful, there are many ways to deliver effective healthcare information to patients/families. Technology has offered alternative methods of delivering healthcare information if a patient/family has difficulty in literacy. As a nurse and a patient advocate, I want to make certain that my patient can continue the plan of care for the best results/outcomes.

Logan,R.A.(2016).Robert A Logan- Seeking an expanded,multidimensional conceptual approach to health literacy and health disparities research.Information & use,36 (3/4),217-241

Select a nursing concept (be sure to use a nursing theory) and then provide a response to each one of the steps included in a concept analysis regarding your selected concept.  This information does not have to be comprehensive but provides a foundation to the upcoming assignment.  Be sure to include a scholarly reference.

Yes and no we can make a distinction between “Care” and “Caring”.  Yes, we can make a distinction in the sense that I personally see caring as feeling and exhibiting concern /empathy for others. Caring is a feeling that requires for the participants to act on it. The best critical thinking nurse that provides the best care for their patients might not necessarily be caring, such nurse might lack the compassion/ empathy to providing care and that does not mean the patient will not receive a quality care.

However, not showing empathy or compassion while providing care may demean the value of care provided. Caring has remained the art and science of nursing’s essence through time and into today’s practice. Understanding the concept of “care” helps to explain and assist in understanding how nursing is a caring job, and in providing care (Adams, 2016).  I will also say No we cannot make a distinction because, providing care and caring go together and used in our daily practice.

While most nurses by default provide care, it comes naturally because their line of responsibility dictates that they provide care to their patients, family and friends meeting all their basic needs, ranging from activities of daily living, to treating physical, safety and physiological needs. Providing care becomes part of a daily routine, and all these, they could easily achieve without being Caring I.e., without showing a caring attitude, emotion, feelings or empathy. Their uncaring attitude is masked by the excellent care they provide. For instance, in my unit, I work with quite a few seasoned nurses that are good in providing care but do not show any compassion/ caring towards the laboring patients. However, their level of commitment to providing care may make them come across as caring.

Reference

Adams, L. Y. (2016). The conundrum of caring in nursing. International Journal of Caring

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