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This article provides a detailed analysis of the intellectual research project of Wilhelm Mann, one of the pioneers of experimental and educational psychology in Chile. Mann's work has been the object of so little analysis that his intellectual influences and networks are not clearly known. We analyzed 338 intratext citations from 22 works by Wilhelm Mann published during the period 1904-1915. As a result, we obtained a mapping of his cooperation networks and used a quantitative approach to study the authors who most influenced his career, among whom were William Stern, Herbert Spencer, Wilhelm Wundt, Alfred Binet, and Ernst Meumann. Mann was closely connected to the international and contemporary advances and discussions of his time, despite the lack of infrastructure and difficulties in communication. Mann was the first psychologist to develop a long-term project in Chile that aimed to measure the individualities of Chilean students and their intellectual development.

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Infant mortality (IM), an index that corresponds to the number of deaths among children up to one year, is an important social indicator of a region. It generally reflects the conditions of socioeconomic development - in addition, the access and quality of resources available for maternal and child health care. Monitoring its magnitude, thus, can help in the definition of public policies for its confrontation. The main causes of IM can be also associated with biological, behavioral, and public health issues. In this work, implication and association rules based on Formal Concept Analysis are used to recognize patterns in births occurring in the state of Amapá (located in the Brazilian Amazon), where the index of infant mortality is more severe.

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Nas últimas décadas, o termo autorregulação tem sido mencionado em pesquisas de diferentes áreas, entre elas a Educação. Devido a essa crescente utilização, questiona-se: quais são os elementos comuns no conceito de aprendizagem autorregulada apresentados em pesquisas internacionais? Neste estudo foram associados os métodos de revisão integrativa e de análise de conceitos. Na primeira etapa da análise de conceitos foi realizado um levantamento de artigos revisados por pares no Portal de Periódicos da CAPES, resultando em 372 trabalhos que permitiram indicar as áreas de utilização do termo. Na segunda etapa, aplicando os critérios de revisão integrativa, foram selecionados 67 trabalhos na base de periódicos ERIC. Entre os fatores comuns foi possível identificar que o processo de aprendizagem autorregulada inclui planejamento, autonomia, implementação de objetivos, metas e estratégias, controle de emoções, gerenciamento do tempo, valorização do conhecimento e execução de tarefas com êxito.

En las últimas décadas, el término autorregulación ha sido mencionado en investigaciones de distintas áreas, entre ellas la Educación. Debido a esa creciente utilización, se cuestiona: ¿cuáles son los elementos comunes en el concepto aprendizaje autorregulado presentados en investigaciones internacionales? En este estudio se asociaron los métodos de revisión integrativa y de análisis de conceptos. En la primera etapa del análisis de conceptos se realizó una recopilación de artículos revisados por pares en el Portal de Periódicos de la CAPES, resultando en 372 estudios que permitieron indicar las áreas de utilización del término. En la segunda etapa, aplicando los criterios de revisión integrativa, se seleccionados 67 estudios en la base de periódicos ERIC. Entre los factores comunes se identificó que el proceso aprendizaje autorregulado incluye planeamiento, autonomía, implementación de objetivos, metas y estrategias, control de emociones, gerenciamiento del tiempo, valoración del conocimiento y ejecución de tareas con éxito.

In recent decades, the term self-regulation has been mentioned in research in different areas, including Education. Due to this growing use, the question is: what are the common elements in the concept of self-regulation learning presented in international research? In this study, integrative review and concept analysis methods were associated. In the first stage of the concept analysis, a survey of peer-reviewed articles was carried out on the CAPES Periodicals Portal, resulting in 372 articles that allowed indicating the areas of use of the term. In the second stage, applying the integrative review criteria, 67 articles were selected from the ERIC journals. Among the common factors, it was possible to identify that the self-regulation learning process includes planning, autonomy, implementation of objectives, goals and strategies, control of emotions, time management, appreciation of knowledge and successful execution of tasks.

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The World Health Organization (WHO) proposed a set of criteria to be considered for the prioritization of COVID-19 candidate vaccines for further development of phase II/III clinical trials, thinking in a target audience that includes vaccine scientists, product developers, manufacturers, regulators, and funding agencies. In this paper, a knowledge-based or rational strategy is employed to perform a prioritization matrix of approved COVID-19 vaccines: BBIBP-CorV, JANSSEN, CORONAVAC, SPUTNIK V, MODERNA, PFIZER, and VAXZEVRIA, based on those proposed criteria by WHO, related to safety, efficacy, stability, implementation, and availability. We found that JANSSEN vaccine is the one with the highest score in the present study, but our analysis suggests that the WHO criteria could be more useful if they are considered separately, taking into account the social, demographic and economic characteristics of each country.

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Introducción: Un concepto es una idea acerca de algo o de una acción. Objetivo: Analizar el concepto "Violencia de Género" desde la perspectiva evolutiva de Rodgers. Materiales y métodos: Se utilizó el análisis evolutivo de conceptos mediante revisión de literatura publicada entre los años 2000 y 2018. Criterios de inclusión: Artículos de investigación, de implementación de estrategias, de política, tesis, libros, capítulos de libro y reportes, en las bases de datos Lilacs, Ebsco, SciELO, CINAHL, Web of Science, PubMed, Google Académico; también se incluyeron documentos de organizaciones internacionales, publicados del año 2000 al año 2018, en Español, Inglés o Portugués, y que pertenecieran al contexto iberoamericano. Resultados: La Violencia de género consiste en un fenómeno de orden estructural, social y político; resultado de la discriminación estructural originado por un sistema sexo-género-patriarcado. Se encontraron términos relacionados como inequidad de género, control, relaciones asimétricas y términos subrogados como violencia de pareja, contra la mujer y doméstica. Conclusiones: La violencia de género, constituye una violación a los derechos humanos, afecta la dignidad, la integridad física y moral, la libertad y la autonomía.

Introduction: A concept is an idea about something or an action. Objective: To analyze the concept of "Gender Violence" from the Rodgers' evolutionary perspective. Materials and methods: An evolutionary analysis of this concept was carried out through a review of literature published between 2000 and 2018. The inclusion criteria were: research articles related to implementation of strategies and politics; thesis; books; book chapters; and reports. They were found in the databases of Lilacs, Ebsco, SciELO, CINAHL, Web of Science, PubMed, and Google Scholar. The review also included documents from international organizations published from 2000 to 2018 in Spanish, English or Portuguese, which discussed Ibero-American issues. Results: Gender violence is a phenomenon with structural, social and political dimensions and is caused by the structural discrimination triggered by a sex-gender-patriarchy system. Related terms such as gender inequality, control, asymmetric relationships were found. Likewise, surrogate terms, i.e., violence against intimate partners, women and domestic violence, were also identified. Conclusions: Gender violence constitutes a violation against human rights that affects the dignity, physical and moral integrity, freedom, and autonomy of people.

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Abstract This article explores sociological consciousness, a framework of thought proposed by Peter Berger, and its potential value for occupational therapy. This article explores how Berger's four motifs (debunking, unrespectable, relativization, and cosmopolitan) of sociological consciousness can be taught as a process to help occupational therapists frame their thinking when approaching various clients and situations. The current study answers three questions: "What is sociological consciousness?", "Is sociological consciousness valuable?", and "Is sociological consciousness applicable to occupational therapy?" Wilson's method of concept analysis is used to understand this topic and its practical applications to occupational therapy. Using the Wilson method of analysis to break down the components of this concept, compare it to similar and contrary cases, and explore its social context, the findings suggest that sociological consciousness is relevant to occupational therapy and warrants inclusion in practice, research, curriculum, and continuing education. Sociological consciousness adds depth to clinical reasoning and promotes critical thinking and reflection on implicit biases which may negatively influence therapeutic interactions with clients.

Resumo Este artigo explora a consciência sociológica, um quadro de pensamentos proposto por Peter Berger e seu potencial valor para a terapia ocupacional. Este artigo explora como os quatro motivos de Berger de consciência social (desmembramento, desrespeitabilidade, relativização e cosmopolitismo) podem ser ensinados como um processo de apoio aos terapeutas ocupacionais no processo de racionalização da interação com diversos pacientes e situações. O presente estudo responde a três perguntas: "O que é consciência sociológica?", "A consciência sociológica tem valor?" e "A consciência sociológica é aplicável à terapia ocupacional?" A análise conceitual do método de Wilson é utilizada para entender este tópico e suas aplicações práticas à terapia ocupacional. Utilizando o método de análise de Wilson para destrinchar os componentes deste conceito, os resultados sugerem que a consciência sociológica é relevante para a terapia ocupacional e garante inclusão na prática, pesquisa, curriculum e educação continuada. A consciência sociológica agrega profundidade à análise clínica e promove o pensamento crítico e reflexões em desvios implícitos que podem influenciar negativamente as interações terapêuticas com os pacientes.

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AIM: To report an analysis of the concept nursing care of overweight children. BACKGROUND: Patient care is the essence of nursing practice. Nursing professionals must define how to serve specific population groups, including overweight children, presenting real solutions to their problem. A clear conceptual analysis is necessary to unify nursing language and to contribute to nursing practice. DESIGN: Concept analysis. DATA SOURCES: The following databases were searched: COCHRANE, SCOPUS, LILACS, CINAHL, MEDLINE/PubMed, and CAPES Theses Library of Brazil. REVIEW METHODS: Walker and Avant's concept analysis methodology was adopted in this study. Twenty-two articles were analyzed, and the uses, attributes, antecedents, and outcomes of the concept were identified. The nursing care assumptions proposed by Virginia Henderson comprised the theoretical referential. RESULTS: The attributes of nursing care for overweight children included investigation, guidance, and monitoring of dietary, clinical, academic, and social aspects, along with evaluation of lifestyle and anthropometric data related to the affected children and their families. CONCLUSION: This study enabled the construction of a defined concept for nursing care of overweight children that may be useful in the construction of a medium-range theory. Further research is recommended to verify the usefulness of the nursing approach.

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AIM: To analyse and define the concept "evidence based practice readiness" in nurses. BACKGROUND: Evidence based practice readiness is a term commonly used in health literature, but without a clear understanding of what readiness means. Concept analysis is needed to define the meaning of evidence based practice readiness. METHOD: A concept analysis was conducted using Walker and Avant's method to clarify the defining attributes of evidence based practice readiness as well as antecedents and consequences. A Boolean search of PubMed and Cumulative Index for Nursing and Allied Health Literature was conducted and limited to those published after the year 2000. Eleven articles met the inclusion criteria for this analysis. RESULTS: Evidence based practice readiness incorporates personal and organisational readiness. Antecedents include the ability to recognize the need for evidence based practice, ability to access and interpret evidence based practice, and a supportive environment. CONCLUSION: The concept analysis demonstrates the complexity of the concept and its implications for nursing practice. The four pillars of evidence based practice readiness: nursing, training, equipping and leadership support are necessary to achieve evidence based practice readiness. IMPLICATIONS FOR NURSING MANAGEMENT: Nurse managers are in the position to address all elements of evidence based practice readiness. Creating an environment that fosters evidence based practice can improve patient outcomes, decreased health care cost, increase nurses' job satisfaction and decrease nursing turnover.

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AIM: This study aims to analyse the concept of cancer survivorship using Rodgers' evolutionary concept analysis model. BACKGROUND: The lack of a consensus definition as well as the confusion and debate concerning the definitions of "survivor" and "cancer survivorship" hinder an understanding of the intrinsic needs associated with the latter. DESIGN: Concept analysis. METHOD: A systematic literature search was performed using the following databases: PubMed, CINAHL, Web of Science, LILACS, and PsycINFO with studies published between 2000 and 2014. The final sample contained 39 studies that were analysed on the basis of Rodgers' model and inductive thematic analysis, discussed through the lens of the medical anthropology concept of culture. FINDINGS: Cancer survivorship is a broad concept that can be understood using 8 themes: changes in life plans, positive and negative aspect dualities, life reflections, identity change, individual experiences, symptom control, the need for support, and quality of care. These themes are summarized using 2 attributes: liminality process and culturally congruent care. CONCLUSIONS: This article contributes to understanding of cancer survivorship and the processes that are intrinsic to this concept. It calls for future investigations to enhance cancer survivorship across its 2 domains at the personal (patient's life) and clinical (nursing practice) levels.

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PURPOSE: To clarify the concept of risk for delayed surgical recovery (00246) and to define the empirical referents for identification of predictive factors of delay in recovery. METHOD: A concept analysis was developed based on the eight steps proposed by Walker and Avant. RESULTS: Defining attributes were determined and antecedents and consequents identified. Cases were proposed cases and empirical referents established. CONCLUSION: The results provided evidences and instrumentalize empirical referents, which may support an accurate nursing diagnosis. IMPLICATIONS FOR NURSING PRACTICE: This clarification may contribute to the return to daily activities in a shortest time and promote surgical safety of the patient. OBJETIVOS: Clarificar o conceito de risco de recuperação cirúrgica retardada (00246) e definir as referências empíricas para a identificação dos fatores preditores de atraso na recuperação. MÉTODO: Foi desenvolvida a análise de conceito desse fenômeno, com base nas oito etapas propostas por Walker e Avant. RESULTADOS: Foram determinados os atributos definidores e identificados seus antecedentes e consequentes. Foram propostos casos e estabelecidas as referências empíricas. CONCLUSÕES: Os resultados proporcionaram evidências e instrumentalização das referências empíricas, o que pode auxiliar na acurácia do diagnóstico de enfermagem. IMPLICAÇÕES PARA A PRÁTICA DE ENFERMAGEM: Esta clarificação poderá contribuir para o retorno do paciente às atividades diárias em um tempo mais curto e promoção da segurança cirúrgica.

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Objective: To analyze "nursing education" using Rodgers' evolutionary conceptual analysis. Method: An analysis was performed based on Rodgers' evolutionary conceptual analysis. Data collection was performed in June 2017 using the following databases: Lilacs, SciELO, Scopus, Cinahl, Web of Science, PubMed and Cochrane with the descriptors "teaching" and "nursing". The year of publication, country of origin, concept, attributes, antecedents, consequences, surrogate terms and related concepts were evaluated in the analysis of the studies. Results: The antecedents and consequences were punctuated in determinant aspects for the construction of the concept of nursing education and characteristics inherent to the training process; surrogate terms address factors of educational follow-up; the attributes of the concept may be related to the fundamentals of the teaching-learning process and resources related to teaching strategies. Conclusion: The concept of nursing education is dynamic and seeks to train professionals so that they can offer adequate care to the patient according to the transformations and needs of different populations.

Objetivo: Analizar el concepto "enseñanza de enfermería" bajo la perspectiva evolucionaria de Rodgers. Método: Análisis de concepto. La recogida de dato fue realizada en junio de 2017, en las bases de datos: Lilacs, SciELO, Scopus, Cinahl, Web of Science, PubMed and Cochrane; descodificadores "enseñanza" y "enfermería". Se evaluó el año de publicación, país de origen, concepto, atributos, antecedentes, consecuentes, términos substitutos y conceptos relacionados. Resultados: Los antecedentes y consecuentes fueron puntuados en aspectos determinantes para la construcción del concepto de enseñanza de enfermería y características inherentes al proceso de formación; los términos substitutos abordan factores del seguimiento educativo; los atributos del concepto pueden ser relacionados con los fundamentos del proceso de enseñanza-aprendizaje y recursos referentes a las estrategias de enseñanza. Conclusión: El concepto de enseñanza de enfermería es dinámico y busca formar profesionales capaces de ofrecer una asistencia adecuada al paciente conforme las transformaciones y necesidades de las múltiples poblaciones.

Objetivo: Analisar o conceito "ensino de enfermagem" na perspectiva evolucionária de Rodgers. Método: Análise de conceito baseada no modelo evolucionário de Rodgers. A coleta de dados foi realizada em junho de 2017 nas seguintes bases de dados: Lilacs, SciELO, Scopus, Cinahl, Web of Science, PubMed e Cochrane, mediante o uso dos descritores "ensino" e "enfermagem". Para análise dos estudos, avaliou-se o ano de publicação, país de origem, conceito, atributos, antecedentes, consequentes, termos substitutos e conceitos relacionados. Resultados: Os antecedentes e consequentes foram pontuados em aspectos determinantes para construção do conceito de ensino de enfermagem e características inerentes ao processo de formação; os termos substitutos abordam fatores do segmento educacional; os atributos do conceito podem ser relacionados à fundamentos do processo de ensino-aprendizagem e recursos referentes às estratégias de ensino. Conclusão: Denota-se que o conceito de ensino de enfermagem é dinâmico e busca formar profissionais capazes de oferecer uma assistência adequada ao paciente, conforme as transformações e necessidades das múltiplas populações.

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The process of assigning workload to nurses is significant in promoting high nursing retention rates, and positive patient outcomes. The concept, workload is widely used but there is no clear delineation of the concept as it relates to nursing. The aim of this analysis was to explore the concept of workload, as it relates to nursing using the Walker and Avant method. The analysis revealed: a) three attributes (time, mental state, and assignment); b) four antecedents (health, environment, nursing, and person); c) and three consequences (safety of practice, retention rate and cost). It is essential that nursing leaders create and use a systematic approach to guide the staffing process to create a balance workload. As a result, nursing practice will be safer and optimal patient outcomes will be achieved.

El proceso de asignación de responsabilidad de trabajo a las enfermeras es importante en la promoción de retención de enfermeras y resultados positivos de los pacientes. El concepto de asignación de trabajo es ampliamente utilizado pero no hay ninguna medida especifica del concepto a lo que se refiere al oficio de la enfermera. El objetivo de este análisis fue explorar el concepto de asignación de trabajo, a lo que se refiere a enfermería, utilizando el método de Walker y Avant. El análisis reveló a) tres atributos (hora, estado mental y asignación), antecedentes b) cuatro (salud, entorno, enfermería y persona), c) y tres consecuencias (seguridad de la práctica, la tasa de retención y el costo). Es fundamental que líderes de enfermería crean y utilizan un enfoque sistemático para guiar el proceso de asignación de personal para crear una carga de trabajo equilibrada. Como resultado, será más segura la práctica de enfermería y se mejorarán los resultados de los pacientes

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In research literature, the concept of critical thinking has been widely utilized in nursing education. However, critical thinking has been defined and evaluated using a variety of methods. This paper presents a concept analysis to define and clarify the concept of critical thinking to provide a deeper understanding of how critical thinking can be incorporated into nursing education through the use of simulation exercises. A theoretical definition and sample cases were developed to illuminate the concept as well as a discussion of the antecedents, consequences, and empirical referents of critical thinking.

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AIM: To report on the analysis of the concept of the stigma of mental illness within the Haitian American community. BACKGROUND: Mental illness is a highly stigmatized condition within certain communities making it challenging for individuals to seek effective treatment. The consequences of such stigma can have lifelong corollaries for the individuals, the families and the communities. INTRODUCTION: The concept of stigma is not fully developed in nursing; clarity of the concept of stigma of mental illness is still needed in the nursing literature. In order to assist patients in accessing mental health services, the concept of stigma must first be clarified. METHODS: The method used for this concept analysis was that of Walker and Avant. FINDINGS: Five attributes were identified, creating the following definition: labelling, stereotype, negative attitude, emotional response, and discrimination. The antecedents for stigma of mental illness are lack of knowledge about mental illness, emotional state and cultural beliefs and values. IMPLICATIONS FOR NURSING AND HEALTH POLICY: The origins of stigmatization of mental illness among Haitian Americans need to be understood. Mental health illnesses are stigmatized within the Haitian culture, which presents as a barrier to accessing help for many Haitian American women suffering from mental illness. The defining attributes can be used to develop tools to help clinicians identify patients being stigmatized. Once stigma is recognized, nurses can develop strategies and policies that can mitigate the effects of stigmatization of mental illness among this patient population. CONCLUSION: Further research is essential to examine the ways in which this concept impacts the Haitian American community, as well as effective strategies to help minimize its effects.

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AIM: A concept analysis of nurse practitioner (NP) role transition. BACKGROUND: The Affordable Care Act is expected to provide 32 million Americans with health insurance, and NPs are gaining attention in addressing this increasing demand for healthcare providers. However, there is limited analysis of the transition from registered nurse to NP. Oftentimes, during this transition, there is a shift from an experienced, expert status to an inexperienced, novice status, with a subsequent loss of confidence in one's ability and competence. This can hinder successful role development and affect employment continuity within the first year of practice. METHODS AND SOURCES: NP role transition was examined using Walker and Avant's method of concept analysis. Electronic databases were searched using the terms role transition and nurse practitioner. Thirty articles from nursing, psychology, and business were included. FINDINGS AND CONCLUSIONS: The four defining attributes of NP role transition are absorption of the role, the shift from provider of care to prescriber of care, straddling two identities, and mixed emotions. Personal and environmental antecedents and consequences of the concept are identified. The development of empirical knowledge on NP role transition through further research is important in order for new-to-practice NPs to become high-quality, full-functioning providers.

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La Liga Nacional de Enfermería exigió que todos los programas de enfermería incluyeran el pensamiento crítico como parte importante de sus programas de estudio. Aunque el concepto es ampliamente utilizado no hay una Clara definición de sus usos en enfermería. El objetivo de este análisis fue explorar el concepto de pensamiento crítico en enfermería utilizando el método de Walker y Avant. El análisis de concepto reveló a) diferentes significados y usos del concepto; b) atributos (valoración, evaluación, y mentalidad abierta); c) antecedentes (problema, actitud inquisitiva, y necesidad de respuestas); d) consecuencias (práctica segura, confianza en las decisiones de enfermería); e) referentes empíricos. Una aproximación sistemática es necesaria para guiar a las enfermeras y a los estudiantes de enfermería para que desarrollen pensamiento crítico. Es esencial que los estudiantes de enfermería aprendan sobre pensamiento critico desde el inicio de su educación en enfermería. Como resultado las decisiones de enfermería serán aún más precisas y los pacientes tendrán mejores resultados.

All nursing education programs were mandated by the National League of Nursing to include critical thinking as a major component in curriculums. Although the term is widely used, there is no clear definition of the usages of the concept in nursing. The aim of this analysis was to explore the concept of critical thinking, as it relates to nursing using the Walker and Avant method. The analysis revealed: a) different meanings and uses of the concept, including; b) attributes (assessment, evaluation, and open-mind); c) antecedents (problem, questioning attitude, and need for answers); d) consequences (safer practice and confidence in nurse's decision making); and e) empirical referents. A systematic approach is needed to guide nurses and nursing students in the path of cultivating critical thinking. It is essential that nursing students learn about critical thinking from the beginning of their nursing education. As a result, nursing decision will be more accurate and the clients' outcomes will be improved.

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La enfermería se ha preocupado por ampliar su marco conceptual basándose en el análisis de conceptos y la investigación de fenómenos propios. Según Morse, "Las técnicas de análisis de concepto se han convertido en una parte estándar de los programas de doctorado en enfermería. A pesar de estas ventajas, hay una gran cantidad de exploración conceptual que todavía no se ha logrado" (1). Este artículo argumenta el análisis del concepto de salud cardiovascular, utilizando la revisión de literatura y entrevistas a profesionales de la salud y a personas cercanas al fenómeno de la enfermedad cardiovascular en una ciudad del departamento de Córdoba, Colombia. El propósito es ilustrar un análisis que oriente al/a enfermero/a en el abordaje del cuidado de la salud cardiovascular de forma efectiva y acorde con las necesidades de las personas. Para la exploración conceptual, se utilizó el método de Rodgers (2, 3), quien propuso el punto de vista evolutivo para el desarrollo de conceptos a partir de datos brutos (literatura publicada o entrevistas) considerando el contexto (antecedentes, consecuencias y relaciones con otros conceptos). Al explorar los conceptos, es evidente que no hay claridad en el significado de la salud cardiovascular, tanto para las personas que viven en situación de enfermedad cardiovascular como para los profesionales de la salud, lo que corrobora la importancia del análisis para futuros procesos de clarificación e identificación conceptual. En este sentido, se esboza una propuesta de definición del concepto explorado, con los principales atributos para su comprensión desde una visión disciplinar bajo los supuestos de la Teoría de Dorothea Orem.

Abstract The nursing has worried to extend its conceptual frame, being based on the analysis of concepts and the investigation of the own phenomena. According to Morse, "the techniques of concept analysis have become a standard part of the programs of doctorate in infirmary; in spite of these advantages, there is a great amount of conceptual exploration that has still not been obtained". This article argues the analysis of the concepts of cardiovascular health, using like the revision of literature and interviews to professionals of health and people who live in situation of cardiovascular disease in a city of the Cordoba department, Colombia, in order to identify what the people think about this concept, sufficiently to illustrate an analysis that orients to the nurse in the boarding of the care of the cardiovascular health of an effective and in agreement with the needs of the people. For the conceptual exploration, we used the method of Rodgers (2, 3), who proposed the evolutionary point of view for the development of concepts from gross data (published literature or interview), considering context (antecedents, consequences and relations with other concepts). When exploring the analysis of the concepts, it is evident that there is no clarity in the concept cardiovascular health, as much in the group of people who live in situation of cardiovascular disease like in the professionals of the health, which corroborates the importance of the analysis for the unification of concepts. This is a reason why a new definition of the concept is explored, with its main attributes for the understanding from a vision sets out to discipline under the assumptions of the theory of Dorothea Orem.

A enfermagem tem se preocupado por ampliar seu marco conceitual, baseando-se na análise de conceitos e a pesquisa de fenômenospróprios. Segundo Morse, "As técnicas de análise de conceito converteram-se em um padrão dos programas de doutorado em enfermagem. Apesar destas vantagens, háuma grande quantidade de exploraçãoconceitual que ainda não se conseguiu" (1). Este artigo argumenta a análise do conceito de saúde cardiovascular, utilizando a revisão de literatura e entrevistas a profissionais da saúde e a pessoas próximas ao fenômeno da doença cardiovascular em uma cidade do departamento de Córdoba, na Colômbia. O propósito é ilustrar uma análise que oriente ao/a enfermeiro/a na abordagem do cuidado da saúde cardiovascular, de forma efetiva e acorde àsnecessidades das pessoas. Para a exploraçãoconceitual, utilizou-se o método de Rodgers (2, 3), quem propôs o ponto de vista evolutivo para o desenvolvimento de conceitos a partir de dados brutos (literatura publicada ou entrevistas), considerando o contexto (antecedentes, consequências e relaciones com outros conceitos). Ao explorar os conceitos, evidenciou-se que não existe clareza no significado da saúde cardiovascular, tanto para as pessoas que vivem em situação de doença cardiovascular, como para os profissionais da saúde, o que corrobora a importância da análise para futuros processos de clarificação e identificaçãoconceitual. Neste sentido, esboça-se uma proposta de definição do conceito explorado, com os principais atributos para sua compreensão, desde uma visão disciplinar, sob os supostos da Teoria de Dorothea Orem.

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Nurses who engage with their work are more productive, provide safer care, and are more likely to provide an outstanding patient experience. However, the concept of nurse engagement has been used in diff erent contexts and with diff erent meanings, transforming into an ambiguous concept. The aim of this article is to analyze the concept of nurse engagement, as it relates to the patient experience, using the Walker and Avant method. The concept analysis revealed: a) various meanings and uses of the concept; b) attributes (self-effi cacy; autonomy and control over nursing practice; and optimizing nurse communication); c) antecedents (empowerment and job resources); d) consequences (greater satisfaction with their working environment; more autonomy within their practice; better commitment to their job and their patients; and a stronger patient safety culture); and e) empirical referents. The Institute of Medicine recognized nurse engagement as a signifi cant factor having a direct eff ect on the patients experience. Consequently, having a clear concept of nurse engagement can generate further research and lead to developing interventions and education that will encourage and enhance nurse engagement, and the patients experience.

Las enfermeras comprometidas con su trabajo son más productivas, entregan un cuidado más seguro y tienen mayores posibilidades que sus pacientes tengan una excelente experiencia. Sin embargo, el concepto de la “enfermera comprometida’ ha sido utilizado en diferentes contextos y con diferentes significados, transformándolo en un concepto ambiguo. El objetivo de este artículo es analizar el concepto de enfermera comprometida en relación con la experiencia del paciente; para el análisis se utilizó el método de Walker y Avant. El análisis de concepto reveló: a) diferentes significados y usos del concepto; b) atributos (autoeficacia, autonomía, control de la práctica de enfermería; y optimalización de la comunicación en enfermería); c) antecedentes (empoderamiento, recursos en el trabajo; d) consecuencias (alta satisfacción con el ambiente de trabajo, mayor autonomía en la clínica, mayor dedicación a su trabajo y una mayor cultura de seguridad para sus pacientes); e) referentes empíricos. El Instituto de Medicina (IOM) reconoce el compromiso de la enfermera como un factor que tiene efecto directo en la experiencia de los pacientes. En conclusión, teniendo claro el concepto de enfermera comprometida, se pueden generar nuevas investigaciones que conduzcan a desarrollar intervenciones educativas que incentiven el compromiso de las enfermeras y mejoren la experiencia de los pacientes.

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PURPOSE: This article is a report of an analysis of the concept of posttraumatic stress disorder (PTSD) and its application to the nursing population. BACKGROUND: Nurses are at an increased risk for work-related stress resulting in retention issues and impaired functioning in work and home environment. The nursing discipline has been inconsistent with the concepts used to describe the distress and resultant discussions related to the comprehensive nature of the distress experienced, heavily focusing on existing medical language that emphasizes disorders and psychopathology. REVIEW METHODS: Walker and Avant's strategy for concept analysis was used in this analysis. A literature review for 1994-2011 was conducted for the following keywords: secondary traumatic stress, compassion fatigue, vicarious traumatization, posttraumatic stress disorder, and nurse. RESULTS: The concept of posttraumatic stress disorder in the nursing population is best described within the context of the Nurse as Wounded Healer theory. Essential attributes include intrusions, avoidance, and hyperarousal. The consequences include worldview changes, retention issues, sleep disruption, and social network disturbances. CONCLUSION: This concept analysis viewed through The Nurse as Wounded Healer lens, offers clarity to the concept of PTSD within the nursing population and identifies limitations to prior conceptualizations.

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PURPOSE: To analyze the concept of prenatal obesity within a psychoneuroimmunology framework. CONCLUSION: By considering the psychosocial, neurological, endocrine, and immunological contributions, a psychoneuroimmunology framework maintains a holistic focus. Identifying the multidirectional mechanisms linking these systems will provide valuable insight into the mechanisms by which prenatal obesity increases the rate of adverse pregnancy outcomes. PRACTICE IMPLICATIONS: Utilization of the concept of prenatal obesity within a psychoneuroimmunology framework will facilitate multidisciplinary research to identify underlying mechanisms by which prenatal obesity leads to adverse pregnancy outcomes, as well as the development of interventions to treat obesity before, during, and after pregnancy.

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