Suranaree University of Technology, Muang, Thailand.
Nurs Health Sci. 2013 Mar;15(1):124-30. doi: 10.1111/nhs.12015. Epub 2013 Jan 16.
This study aimed to clarify the concept of productive engagement as it applies to older adults. The concept analysis was based on Walker and Avant's eight-step method. A literature review of articles published in English between 1990 and 2011 (n = 37) was conducted, using an electronic search of multiple sources. Results revealed that four defining attributes for productive engagement include continuing to work either paid or unpaid, caring for others, engaging in social activities, and growing spirituality. The antecedents of productive engagement are sociocultural factors as well as individual and institutional capacities. Meanwhile, the consequences are increased feelings of usefulness, improved health and well-being, aged successfully, and enhanced quality of life. Model, borderline, and contrary cases are presented to illustrate the concept's defining attributes. Defining the concept of productive engagement provides a basis for nurses and other health professionals to better understand productive engagement in older adults, thus effective strategic plans or programs for promoting productive roles among older adults can be further developed.
本研究旨在阐明生产性参与这一概念在老年人中的应用。概念分析基于沃克和 Avant 的八步方法。对 1990 年至 2011 年间以英文发表的文章进行了文献回顾（n=37），使用了多个来源的电子检索。结果表明，生产性参与的四个定义属性包括继续从事有偿或无偿工作、照顾他人、参与社会活动和培养精神性。生产性参与的前因是社会文化因素以及个人和机构能力。同时，其结果是增加有用感、改善健康和幸福感、成功老龄化和提高生活质量。提出了模型、边界和相反的情况来说明概念的定义属性。对生产性参与这一概念进行定义，为护士和其他卫生专业人员更好地理解老年人的生产性参与提供了基础，从而可以进一步制定促进老年人发挥生产性角色的有效战略计划或方案。
