Clinical Nursing Concept Analysis

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The purpose of this concept analysis is to analyze the concept of stress in relation to clinical nursing practice.

This concept analysis was conducted on the basis of the Walker and Avant method. This approach includes the following steps:
• Select a concept.
• Determine the aims or purpose of the analysis.
• Identify all uses of the concept.
• Determine defining attributes.
• Identify a model case.
• Identify a borderline, related, contrary, invented, and illegitimate case.
• Identify antecedents and consequences.
• Define empirical referents.
Coughlan, M., Cronin, P., & Ryan, F. (2013). Doing a literature review in nursing, health and social care. Los Angeles, CA: Sage.

Merriam-Webster Dictionary (2015) defines stress as a state of mental
…show more content…
O., Doody, O., & Lyons, R. (2013). The effect of stress on health and its implications for nursing. British Journal of Nursing, 22(16), 969-973 5p.

Kirsten (2012) defines stress as a state of mental or emotional strain or tension resulting from adverse or demanding circumstances.
Kirsten, W. (2012). Stress: Symptoms, Causes, Approaches for Stress Reduction. Positive Health, (197), 1.

McIntosh and Sheppy (2013) conclude that stress in nursing can be very incapacitating, leading to emotional disturbances and disorders, and it also has direct physiological consequences including illness and exhaustion.
McIntosh, B., & Sheppy, B. (2013). Effects of stress on nursing integrity. Nursing Standard, 27(25), 35-39 5p.

The expectation for the future use of this concept includes increasing the understanding of stress, broadening communication, creating a more supportive and caring work environment, and supporting future education and research on the topic.

Defining attributes:
• Presence of a stimulus that interferes with the normal state of mind
• Perception of a stimulus to be a disturbance
• A physiological or psychological strain that applies notable tension
• A quantitative reaction to the stimuli
• Environmental
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Recently she has been experiencing increasing amounts of anxiety at work. The turnover rate for nurses is very high, leaving her and her coworkers in a position to pick up a heavier work load. She has days when she is sent to other units to work where she feels out of place from her normal element. She has working overtime and occasionally picking up extra shifts. She feels like her off days are not long enough. She never seems to be motivated about going to work.

Borderline case
Jasmine has been an RN for several years. She is now a float pool nurse. She is getting paid more but she has been sent to the more difficult units to work. She has been having seven patients every shift she works. She is considering going back to the med-surg unit but then thinks about how she does not have to have the same patients every day. Being in the float pool, she gets to experience new patients every day and gets to avoid some of the challenging patients that have long hospital stays.

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