Connectedness in the Context of Patient-Provider Relationships: A Concept Analysis
Identifieur interne : 003688 ( Pmc/Corpus ); précédent : 003687; suivant : 003689Connectedness in the Context of Patient-Provider Relationships: A Concept Analysis
Auteurs : Celeste R. Phillips-Salimi ; Joan E. Haase ; Wendy Carter KookenSource :
- Journal of advanced nursing [ 0309-2402 ] ; 2011.
Abstract
This paper is a report of an analysis of the concept of connectedness.
Previous attempts to conceptualize patient–provider relationships were limited in explaining how such relationships are fostered and maintained, and how they influence patient outcomes. Connectedness is a concept that may provide insights into the advantages of patient–provider relationships; however, the usefulness of this concept in health care is limited by its conceptual ambiguity. Although connectedness is widely used to describe other social relationships, little consistency exists among its definitions and measures.
Sources identified through CINAHL, OVID, PubMed, and PsychINFO databases, as well as references lists of selected articles, between 1983 and 2010.
A hybrid concept analysis approach was used, involving a combination of traditional concept analysis strategies that included: describing historical conceptualizations, identifying attributes, critiquing existing definitions, examining boundaries, and identifying antecedents and consequences.
Using five distinct historical perspectives, seven attributes of connectedness were identified: intimacy, sense of belonging, caring, empathy, respect, trust, and reciprocity. A broad definition of connectedness, which can be used in the context of patient–provider relationships, was developed. A preliminary theoretical framework of connectedness was derived from the identified antecedents, attributes, and consequences.
Research efforts to advance the concept of connectedness in patient–provider relationships have been hampered by a lack of conceptual clarity. This concept analysis offers a clearer understanding of connectedness, provides recommendations for future research, and suggests practice implications.
Url:
DOI: 10.1111/j.1365-2648.2011.05763.x
PubMed: 21771040
PubMed Central: 3601779
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PMC:3601779Le document en format XML
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<author><name sortKey="Phillips Salimi, Celeste R" sort="Phillips Salimi, Celeste R" uniqKey="Phillips Salimi C" first="Celeste R." last="Phillips-Salimi">Celeste R. Phillips-Salimi</name>
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<author><name sortKey="Haase, Joan E" sort="Haase, Joan E" uniqKey="Haase J" first="Joan E." last="Haase">Joan E. Haase</name>
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<author><name sortKey="Kooken, Wendy Carter" sort="Kooken, Wendy Carter" uniqKey="Kooken W" first="Wendy Carter" last="Kooken">Wendy Carter Kooken</name>
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<author><name sortKey="Haase, Joan E" sort="Haase, Joan E" uniqKey="Haase J" first="Joan E." last="Haase">Joan E. Haase</name>
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<author><name sortKey="Kooken, Wendy Carter" sort="Kooken, Wendy Carter" uniqKey="Kooken W" first="Wendy Carter" last="Kooken">Wendy Carter Kooken</name>
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<front><div type="abstract" xml:lang="en"><sec id="S1"><title>Aim</title>
<p id="P1">This paper is a report of an analysis of the concept of connectedness.</p>
</sec>
<sec id="S2"><title>Background</title>
<p id="P2">Previous attempts to conceptualize patient–provider relationships were limited in explaining how such relationships are fostered and maintained, and how they influence patient outcomes. Connectedness is a concept that may provide insights into the advantages of patient–provider relationships; however, the usefulness of this concept in health care is limited by its conceptual ambiguity. Although connectedness is widely used to describe other social relationships, little consistency exists among its definitions and measures.</p>
</sec>
<sec id="S3"><title>Data Sources</title>
<p id="P3">Sources identified through CINAHL, OVID, PubMed, and PsychINFO databases, as well as references lists of selected articles, between 1983 and 2010.</p>
</sec>
<sec id="S4"><title>Review Methods</title>
<p id="P4">A hybrid concept analysis approach was used, involving a combination of traditional concept analysis strategies that included: describing historical conceptualizations, identifying attributes, critiquing existing definitions, examining boundaries, and identifying antecedents and consequences.</p>
</sec>
<sec id="S5"><title>Results</title>
<p id="P5">Using five distinct historical perspectives, seven attributes of connectedness were identified: intimacy, sense of belonging, caring, empathy, respect, trust, and reciprocity. A broad definition of connectedness, which can be used in the context of patient–provider relationships, was developed. A preliminary theoretical framework of connectedness was derived from the identified antecedents, attributes, and consequences.</p>
</sec>
<sec id="S6"><title>Conclusion</title>
<p id="P6">Research efforts to advance the concept of connectedness in patient–provider relationships have been hampered by a lack of conceptual clarity. This concept analysis offers a clearer understanding of connectedness, provides recommendations for future research, and suggests practice implications.</p>
</sec>
</div>
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<front><journal-meta><journal-id journal-id-type="nlm-journal-id">7609811</journal-id>
<journal-id journal-id-type="pubmed-jr-id">4420</journal-id>
<journal-id journal-id-type="nlm-ta">J Adv Nurs</journal-id>
<journal-id journal-id-type="iso-abbrev">J Adv Nurs</journal-id>
<journal-title-group><journal-title>Journal of advanced nursing</journal-title>
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<issn pub-type="ppub">0309-2402</issn>
<issn pub-type="epub">1365-2648</issn>
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<article-id pub-id-type="doi">10.1111/j.1365-2648.2011.05763.x</article-id>
<article-id pub-id-type="manuscript">NIHMS295937</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Article</subject>
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<title-group><article-title>Connectedness in the Context of Patient-Provider Relationships: A Concept Analysis</article-title>
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<contrib-group><contrib contrib-type="author"><name><surname>Phillips-Salimi</surname>
<given-names>Celeste R.</given-names>
</name>
<degrees>PhD, RN, CPON</degrees>
<aff id="A1">Assistant Professor, University of Kentucky College of Nursing, Lexington, KY</aff>
</contrib>
<contrib contrib-type="author"><name><surname>Haase</surname>
<given-names>Joan E.</given-names>
</name>
<degrees>PhD, RN, FAAN</degrees>
<aff id="A2">Holmquist Professor of Pediatric Oncology Nursing, Indiana University School of Nursing, Indianapolis, IN</aff>
</contrib>
<contrib contrib-type="author"><name><surname>Kooken</surname>
<given-names>Wendy Carter</given-names>
</name>
<degrees>PhD, RN</degrees>
<aff id="A3">Postdoctoral Fellow, Indiana University School of Nursing, Indianapolis, IN</aff>
</contrib>
</contrib-group>
<author-notes><corresp id="cor1"><italic>Corresponding Author</italic>
: Celeste R. Phillips-Salimi, PhD, RN, CPON; University of Kentucky College of Nursing, 315 CON Building, Lexington, KY45036; Fax: 859-323-1057; Phone: 859-323-0282; <email>cphillips-salimi@uky.edu</email>
</corresp>
</author-notes>
<pub-date pub-type="nihms-submitted"><day>13</day>
<month>12</month>
<year>2011</year>
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<pub-date pub-type="epub"><day>20</day>
<month>7</month>
<year>2011</year>
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<pub-date pub-type="ppub"><month>1</month>
<year>2012</year>
</pub-date>
<pub-date pub-type="pmc-release"><day>18</day>
<month>3</month>
<year>2013</year>
</pub-date>
<volume>68</volume>
<issue>1</issue>
<fpage>230</fpage>
<lpage>245</lpage>
<abstract><sec id="S1"><title>Aim</title>
<p id="P1">This paper is a report of an analysis of the concept of connectedness.</p>
</sec>
<sec id="S2"><title>Background</title>
<p id="P2">Previous attempts to conceptualize patient–provider relationships were limited in explaining how such relationships are fostered and maintained, and how they influence patient outcomes. Connectedness is a concept that may provide insights into the advantages of patient–provider relationships; however, the usefulness of this concept in health care is limited by its conceptual ambiguity. Although connectedness is widely used to describe other social relationships, little consistency exists among its definitions and measures.</p>
</sec>
<sec id="S3"><title>Data Sources</title>
<p id="P3">Sources identified through CINAHL, OVID, PubMed, and PsychINFO databases, as well as references lists of selected articles, between 1983 and 2010.</p>
</sec>
<sec id="S4"><title>Review Methods</title>
<p id="P4">A hybrid concept analysis approach was used, involving a combination of traditional concept analysis strategies that included: describing historical conceptualizations, identifying attributes, critiquing existing definitions, examining boundaries, and identifying antecedents and consequences.</p>
</sec>
<sec id="S5"><title>Results</title>
<p id="P5">Using five distinct historical perspectives, seven attributes of connectedness were identified: intimacy, sense of belonging, caring, empathy, respect, trust, and reciprocity. A broad definition of connectedness, which can be used in the context of patient–provider relationships, was developed. A preliminary theoretical framework of connectedness was derived from the identified antecedents, attributes, and consequences.</p>
</sec>
<sec id="S6"><title>Conclusion</title>
<p id="P6">Research efforts to advance the concept of connectedness in patient–provider relationships have been hampered by a lack of conceptual clarity. This concept analysis offers a clearer understanding of connectedness, provides recommendations for future research, and suggests practice implications.</p>
</sec>
</abstract>
<kwd-group><kwd>concept analysis</kwd>
<kwd>connectedness</kwd>
<kwd>patient–provider relationships</kwd>
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<funding-group><award-group><funding-source country="United States">National Institute of Nursing Research : NINR</funding-source>
<award-id>F31 NR009733-01A1 || NR</award-id>
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