Nursing identity and patient-centredness in scholarly health services research: a computational text analysis of PubMed abstracts 1986–2013
نویسندگان
چکیده
BACKGROUND The most important and contested element of nursing identity may be the patient-centredness of nursing, though this concept is not well-treated in the nursing identity literature. More conceptually-based mapping of nursing identity constructs are needed to help nurses shape their identity. The field of computational text analytics offers new opportunities to scrutinise how growing disciplines such as health services research construct nursing identity. This paper maps the conceptual content of scholarly health services research in PubMed as it relates to the patient-centeredness of nursing. METHODS Computational text analytics software was used to analyse all health services abstracts in the database PubMed since 1986. Abstracts were treated as indicative of the content of health services research. The database PubMed was searched for all research papers using the term "service" or "services" in the abstract or keywords for the period 01/01/1986 to 30/06/2013. A total of 234,926 abstracts were obtained. Leximancer software was used in 1) mapping of 4,144,458 instances of 107 concepts; 2) analysis of 106 paired concept co-occurrences for the nursing concept; and 3) sentiment analysis of the nursing concept versus patient, family and community concepts, and clinical concepts. RESULTS Nursing is constructed within quality assurance or service implementation or workforce development concepts. It is relatively disconnected from patient, family or community care concepts. CONCLUSIONS For those who agree that patient-centredness should be a part of nursing identity in practice, this study suggests that there is a need for development of health services research into both the nature of the caring construct in nursing identity and its expression in practice. More fundamentally, the study raises questions about whether health services research cultures even value the politically popular idea of nurses as patient-centred caregivers and whether they should.
منابع مشابه
A Genre Analysis of Persian Research Article Abstracts: Communicative Moves and Author Identity
Most studies within the area of genre analysis, particularly those conducted in Iran, have exclusively used text analysis. While such investigations have led to important understandings of generic features of texts, it can be argued that incorporating interview data for triangulation can lead to better understanding of generic features of texts. Along this line, this paper reports the results o...
متن کاملInterprofessional Education a Response to Health System Challenges
Introduction: Extensive changes in the health field have compelled many organizations of health sciences education to seek for the most effective educational approaches. Meanwhile, interprofessional education as a novel and efficient approach has recieved attention internationally. We conducted this study for introducing interprofessional education with a focus on its backgrounds and formation ...
متن کاملThe role of urban municipal governments in reducing health inequities: A meta-narrative mapping analysis
BACKGROUND The 1986 Ottawa Charter for Health Promotion coincided with a preponderance of research, worldwide, on the social determinants of health and health inequities. Despite the establishment of a 'health inequities knowledge base', the precise roles for municipal governments in reducing health inequities at the local level remain poorly defined. The objective of this study was to monitor ...
متن کاملA narrative review of patient education in emergency departments: challenges and solutions
Patient education in emergency departments faces complexities and challenges due to the wide variety of clinical care provided in this setting. Despite widespread recognition of the value and benefits of education, we frequently see that patient education in hospital emergency departments is less than optimal and that emergency departments are not employed as venues conducive to providing suita...
متن کاملManagers’ Perspective toward Responsiveness in Non Clinical Services
Background and Objectives: Responsiveness is a measure of how well a healthcare organization performs in accordance with patients’ expectations and is a central factor to patient satisfaction. To enhance responsiveness in a health facility, the first step is to identify its current situation. This study was conducted to evaluate the responsiveness of a sample of hospitals in Ya...
متن کامل