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Theorical application of concept analysis
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Concept analysis of Anxiety
For many decades nursing has been developing tools to assist with development of theoretical and conceptual bases. Concept analysis has been identified by Walker and Avant (2005) as encouraging communication within the discipline it is being research in. Walker and Avant (2005) also point out that “the results of the concept analysis, the operational definition, the antecedents, and the defining attributes can provide scientists with an excellent beginning for a new tool or an excellent way to evaluate an old one” (p.64). Walker and Avant (2005) based their process on a “simplified” version of Wilson’s (1963) concept analysis procedure whereby there were 11 steps. Walker and Avant (2005) have condensed this process to 8 steps. For this particular concept analysis this is the process that will be used. The current nursing diagnosis “anxiety” will be used in this study as set forth by the North American Nursing Diagnosis Association.
Selection of the Concept
Within Walker and Avant (2005) the selection of a concept is the first step with concept analysis. With selection of a concept choice is important as it relates to the research within the area of interest. The concept needs to build on the phenomenon of concern within the discipline. With this in mind the concept of “anxiety” is in need of being examined as it relates to the post open-heart population. A tool is needed to identify anxiety associated specifically with the post open-heart patient in mind. Moreover anxiety has been scientifically researched and is in need of careful analysis for this population (Anjali & Ulrich, 2007; Akansel & Kaymaki, 2007; Christensen, 2007). The tool proposed is the Subjective Unit Discomfort Scale (Wolp...
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...d pressure, heart rate or respirations as well as light-headedness and dizziness.
Table 1
Empirical Referents of Anxiety
Physiological
Parasympathetic_ _________________Sympathetic________________
Nausea Increased blood pressure Dry mouth
Diarrhea Increased pulse Headaches
Frequent urination Increased respirations Restlessness
Dizziness Perspiration Pacing
Light-headedness Flushing Pupil dilation
Dyspnea Insomnia/nightmares
Behavioral_________
Expressions of helplessness Preoccupation
Feelings of inadequacy Rumination
Crying Inability to problem-solve
Difficulty concentrating Trembling
Conclusion
The information derived from this concept analysis will be used to develop an instrument to further the validation of environmental noise in post open-heart patients in the acute care setting.
The purpose of this paper is to describe what are the indication for a bedside open chest procedure. Define what a cardiac tamponade is and the causes along with why there is a need for a bedside open chest procedure. Describe the signs and symptoms of a cardiac tamponade along with what equipment is needed for measurement. A scenario will be created in order to allow for answering of questions that will challenge the nurse to perform critical thinking. Five questions will be addressed along with
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