Childrens Hospital of Eastern Ontario (CHEO), Ottawa, Ontario, Canada; Department of Nursing, University of Ottawa, Ontario, Canada.
J Adv Nurs. 2014 Apr;70(4):756-67. doi: 10.1111/jan.12250. Epub 2013 Sep 11.
This paper aimed to explore the evolution of the concept of sustainability to facilitate further knowledge development in the discipline of nursing.
The concept of 'sustainability' emerged in the 1950s as a result of the environmental movement. The concept has been adapted by the discipline of management and is increasingly discussed in the context of health care. The concept remains ambiguous in the discipline of nursing, resulting in a struggle to articulate the role of nursing in the sustainability movement.
Rodgers evolutionary method of concept analysis was used.
Literature was searched from 1987-2011, including English, peer reviewed texts in the databases CINAHL and ABI/INFORM global. Two book chapters and grey literature were also included.
References were read and analysed according to antecedents, attributes, consequences, surrogate terms and related terms.
Defining antecedents, attributes and consequences highlight the complexity and diversity of the concept. Attributes include: sustainability as a condition of change, as process, as outcome, as dependent of multiple stakeholders, and as social consciousness. 'Sustainability' is a fragile concept highly dependent on the processes and stakeholders involved in its fruition. There is a distinct difference in the level of concept clarity between the disciplines of management and nursing.
The complexities associated with the concept of 'Sustainability' have led to its ambiguity. Nursing must, however, work to further clarify the concept to fully understand nursing's potential role in the sustainability movement.
本文旨在探讨可持续性概念的演变，以促进护理学科的进一步知识发展。
“可持续性”这一概念于 20 世纪 50 年代随着环境运动而出现。该概念已被管理学科所采用，并在医疗保健领域得到了越来越多的讨论。在护理学科中，该概念仍然模糊不清，导致难以阐明护理在可持续性运动中的作用。
采用了 Rodgers 进化方法的概念分析。
从 1987 年至 2011 年，对文献进行了搜索，包括 CINAHL 和 ABI/INFORM global 数据库中的英文同行评审文本。还包括了两章书籍章节和灰色文献。
根据先行词、属性、后果、替代词和相关词对参考文献进行阅读和分析。
定义先行词、属性和后果突出了该概念的复杂性和多样性。属性包括：可持续性作为变化的条件、作为过程、作为结果、作为多个利益相关者的依赖以及作为社会意识。“可持续性”是一个脆弱的概念，高度依赖于其实现过程和利益相关者。管理学科和护理学科之间在概念清晰度上存在明显差异。
与“可持续性”概念相关的复杂性导致了其模糊性。然而，护理必须努力进一步澄清这一概念，以充分理解护理在可持续性运动中的潜在作用。
