Medical University of South Carolina, College of Nursing, Charleston, South Carolina, USA; Faculty, University of Nevada Las Vegas, School of Nursing, Las Vegas, Nevada, USA.
J Adv Nurs. 2014 Mar;70(3):523-32. doi: 10.1111/jan.12212. Epub 2013 Jul 22.
To present the findings of a dimensional analysis of isolation in the context, and from the perspective, of lesbian, gay, bisexual and transgender youth.
Lesbian, gay, bisexual and transgender youth are often at greater risk for negative health outcomes compared with heterosexual youth. Isolation is one risk factor cited throughout the literature; however, the concept is complicated and has many uses and thus warrants clarification.
Concept Analysis.
Sources comprise 35 English language research articles retrieved from CINAHL and EBSCOHost (1987-2012).
A dimensional concept analysis was undertaken to analyse how the concept, isolation, is socially constructed.
This dimensional analysis revealed five socially constructed dimensions and four sub-dimensions. These findings indicate that there is substantial variability in the concept of isolation. These differences and variations are most notably observed in the 20 articles (57%) that had more than one dimension. Although some of these articles were explicit with the different meanings and use of the concept, most of the papers had wide variability in the use and meaning of the concept.
The disproportionately greater physical and mental health disparities between lesbian, gay, bisexual and transgender and heterosexual youth are a signal to conduct more research to clarify the concept of isolation, to develop instrumentation to identify at-risk youth and to explore predictors and consequences of isolation. Nurses and others can lead the way in translating this knowledge into strategies that will improve the health and lives of these young people.
从同性恋、双性恋和跨性别青年所处的背景和角度出发，呈现对隔离这一概念的维度分析结果。
与异性恋青年相比，同性恋、双性恋和跨性别青年的健康状况往往面临更大的风险。隔离是文献中经常提到的一个风险因素；然而，这个概念很复杂，有许多用途，因此需要加以澄清。
概念分析。
资料来源于从 CINAHL 和 EBSCOHost 检索到的 35 篇英文研究文章（1987-2012 年）。
进行维度概念分析，以分析隔离这一概念在社会中是如何构建的。
本次维度分析揭示了五个社会构建的维度和四个子维度。这些发现表明，隔离的概念存在很大的可变性。在 20 篇（57%）有不止一个维度的文章中，这些差异和变化最为明显。尽管其中一些文章明确了该概念的不同含义和用途，但大多数文章在该概念的使用和含义上存在很大的差异。
同性恋、双性恋和跨性别青年与异性恋青年之间存在不成比例的更大的身心健康差距，这表明需要进行更多的研究来澄清隔离的概念，开发识别高风险青年的工具，并探索隔离的预测因素和后果。护士和其他人可以在将这些知识转化为改善这些年轻人健康和生活的策略方面发挥主导作用。
