Agenor Christine, Conner Norma, Aroian Karen
a University of Central Florida College of Nursing , Orlando , Florida , USA.
Issues Ment Health Nurs. 2017 Nov;38(11):915-923. doi: 10.1080/01612840.2017.1355945. Epub 2017 Sep 6.
Mental health is an important measure of public health (WHO, 2004); however, nursing practice and research continues to prioritize mental illness, rather than well-being (Wand, 2011). Flourishing is a recent concept in the field of well-being. The term has been used sparingly in nursing practice and research, and conceptual clarification is needed to promote comprehensive understanding of the phenomenon. The purpose of this study is to critically analyze flourishing, assess the maturity of the concept, and provide recommendations for future research, education, and practice.
The concept of flourishing was analyzed using the evolutionary approach to concept analysis (Rodgers, 2000). A search for articles on flourishing within the context of well-being was conducted through CINAHL, MEDLINE, and PsycINFO. A sample of 32 articles and 1 book was reviewed. Data were reviewed for concept attributes, antecedents, consequences, surrogate terms and related concepts.
Four models of flourishing were identified with six overlapping attributes: meaning, positive relationships, engagement, competence, positive emotion, and self-esteem. Limited longitudinal and predictive studies have been conducted, but there is evidence for several antecedents and outcomes of flourishing. Research is ongoing primarily in psychology and sociology and is lacking in other disciplines.
The concept of flourishing is immature; however, evidence is building for related concepts. A lack of consistent terminology regarding flourishing prevents knowledge development of flourishing as a distinct concept. Further multidisciplinary research is needed to establish standard operational and conceptual definitions and develop effective interventions.
心理健康是公共卫生的一项重要指标（世界卫生组织，2004年）；然而，护理实践和研究仍继续将精神疾病而非幸福感作为优先事项（万德，2011年）。蓬勃发展是幸福感领域中一个较新的概念。该术语在护理实践和研究中的使用较少，需要进行概念澄清以促进对这一现象的全面理解。本研究的目的是批判性地分析蓬勃发展，评估该概念的成熟度，并为未来的研究、教育和实践提供建议。
采用概念分析的进化方法（罗杰斯，2000年）对蓬勃发展的概念进行分析。通过CINAHL、MEDLINE和PsycINFO在幸福感背景下搜索有关蓬勃发展的文章。对32篇文章和1本书的样本进行了综述。对数据进行了概念属性、前因、后果、替代术语和相关概念的审查。
确定了四种蓬勃发展模型，具有六个重叠属性：意义、积极关系、参与、能力、积极情绪和自尊。已经进行了有限的纵向和预测性研究，但有证据表明蓬勃发展有几个前因和结果。研究主要在心理学和社会学领域进行，其他学科缺乏相关研究。
蓬勃发展的概念尚不成熟；然而，有关相关概念的证据正在积累。关于蓬勃发展缺乏一致的术语阻碍了将其作为一个独特概念的知识发展。需要进一步开展多学科研究，以建立标准的操作和概念定义，并开发有效的干预措施。
