Meaning of wellness in caring science based on Rodgers's evolutionary concept analysis.

IF 1.9 4区 医学 Q2 NURSING Scandinavian Journal of Caring Sciences Pub Date : 2024-03-01 Epub Date: 2023-07-28 DOI:10.1111/scs.13196
Monica Eriksson, Anette Ekström-Bergström, Susann Arvidsson, Henrika Jormfeldt, Stina Thorstensson, Ulrica Åström, Ingela Lundgren, Åsa Roxberg
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Abstract

Background: Wellness is a holistic, multidimensional, and process-oriented property on a continuum. It has been used interchangeably with and is undifferentiated from concepts such as health and well-being without an in-depth clarification of its theoretical foundations and a reflection on its meaning. The concept of wellness is frequently used, but its definition remains unclear.

Aim: To conceptually and theoretically explore the concept of wellness to contribute to a deeper understanding in caring science.

Method: Rodgers' evolutionary concept analysis was applied to the theoretical investigation of data from publications of international origins. The focus was on antecedents, attributes, consequences, surrogate and related terms, and contextual references. A literature search was performed through a manual review of reference lists and an online search in CINAHL and PubMed via EBSCO, and in ProQuest. Abstracts were examined to identify relevant studies for further review. The inclusion criteria were peer-reviewed papers in English; papers published in scientific journals using the surrogate terms 'wellness', 'health', 'health care', and 'health care and wellness'; and papers discussing and/or defining the concept of wellness. Twenty-six studies met the inclusion criteria.

Results: Based on the findings from this concept analysis, a definition of wellness was developed: 'a holistic and multidimensional concept represented on a continuum of being well that goes beyond health'. Implications for nursing practice were correspondingly presented.

Conclusion: Wellness is defined as a holistic and comprehensive multidimensional concept represented on a continuum of being well, that goes beyond health. It calls attention by applying the salutogenic perspective to health promotion in caring science. It is strongly related to individual lifestyle and health behaviour and is frequently used interchangeably with health and well-being without an in-depth clarification of its theoretical foundation.

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基于罗杰斯进化概念分析的关爱科学中的健康含义。
背景:健康是一个整体的、多维的、以过程为导向的连续属性。在没有深入阐明其理论基础和反思其内涵的情况下,它一直与健康和幸福等概念交替使用,没有区别。目的:从概念和理论上探讨 "健康 "的概念,以促进对关爱科学的深入理解:方法:采用罗杰斯的进化概念分析方法,对来自国际出版物的数据进行理论研究。重点是前因、属性、后果、替代词和相关词以及上下文参考。文献检索是通过人工查阅参考文献目录,以及通过 EBSCO 和 ProQuest 在 CINAHL 和 PubMed 上进行在线检索来完成的。对摘要进行了审查,以确定进一步审查的相关研究。纳入标准包括:经同行评审的英文论文;在科学期刊上发表的使用 "健康"、"保健"、"医疗保健 "和 "医疗保健与健康 "等替代术语的论文;讨论和/或定义健康概念的论文。共有 26 项研究符合纳入标准:根据概念分析的结果,提出了 "健康 "的定义:"一个全面、多维的概念,体现在超越健康的连续统一体中"。结论:"健康 "被定义为一个全面、综合的概念:结论:"健康 "被定义为在 "健康 "的连续体上体现的一个整体和全面的多维概念,它超越了健康的范畴。通过在护理科学中应用 "致敬 "视角来促进健康,它唤起了人们的关注。它与个人生活方式和健康行为密切相关,经常与健康和幸福交替使用,但没有深入阐明其理论基础。
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来源期刊
CiteScore
4.60
自引率
5.30%
发文量
71
期刊介绍: Scandinavian Journal of Caring Sciences is an established quarterly, peer reviewed Journal with an outstanding international reputation. As the official publication of the Nordic College of Caring Science, the Journal shares their mission to contribute to the development and advancement of scientific knowledge on caring related to health, well-being, illness and the alleviation of human suffering. The emphasis is on research that has a patient, family and community focus and which promotes an interdisciplinary team approach. Of special interest are scholarly articles addressing and initiating dialogue on theoretical, empirical and methodological concerns related to critical issues. All articles are expected to demonstrate respect for human dignity and accountability to society. In addition to original research the Journal also publishes reviews, meta-syntheses and meta-analyses.
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