Lee Sumi, Lee Jinhae, Hwang Yugyeong, Ko Il Sun
Department of Nursing, Graduate School, Yonsei University, Seoul, Korea.
Team of Inpatient Affairance, Severance Hospital, Seoul, Korea.
J Korean Acad Nurs. 2020 Apr;50(2):178-190. doi: 10.4040/jkan.2020.50.2.178.
The purpose of this study was to identify trends of nursing concept development in Korean journal papers to improve accurate understanding of nursing concepts.
A systematic review of 216 concept development articles published from 1970 to 2018 that met the inclusion criteria was conducted using Research Information Sharing Service (RISS) databases.
The most common method of concept development was Walker and Avant's concept analysis method, identified in 139 (64.3%) of the 216 studies, followed by 48 examples of hybrid models (22.2%) and 15 examples of evolutionary methods (6.9%). Chinn and Kramer's method, Norris's clarification, Wilson's method, and others were also used. The concepts of "spirituality" and "fatigue" were most frequently analyzed. Among the 139 studies that used Walker and Avant's concept analysis method, 127 studies (91.4%) applied all the recommended steps; the others applied the recommended steps partially, omitting description of model cases/additional cases, antecedents/consequences, and empirical indicators. Among the studies using the hybrid model, among two (5.7%) did not describe attributes, three (8.5%) did not provide definitions, and 16 (45.7%) did not present empirical indicators in the final stage.
Among concept development studies published in Korean journals, Walker and Avant's concept analysis method is most commonly used. In case of most studies using Walker and Avant's method a suitable concept analysis process is applied, but in case of other studies using the other concept development method, a suitable concept analysis process is not applied. Therefore, a suitable concept analysis process must be applied for concept development in nursing research.
本研究旨在确定韩国期刊论文中护理概念发展的趋势，以提高对护理概念的准确理解。
使用韩国研究信息共享服务（RISS）数据库，对1970年至2018年发表的216篇符合纳入标准的概念发展文章进行系统综述。
最常用的概念发展方法是沃克和阿凡特的概念分析法，在216项研究中的139项（64.3%）中被采用，其次是48个混合模型实例（22.2%）和15个进化方法实例（6.9%）。还使用了钦和克莱默的方法、诺里斯的澄清法、威尔逊的方法等。“灵性”和“疲劳”的概念分析最为频繁。在使用沃克和阿凡特概念分析法的139项研究中，127项研究（91.4%）应用了所有推荐步骤；其他研究部分应用了推荐步骤，省略了模型案例/附加案例、前因/后果和实证指标的描述。在使用混合模型的研究中，两项（5.7%）未描述属性，三项（8.5%）未提供定义，16项（45.7%）在最后阶段未呈现实证指标。
在韩国期刊发表的概念发展研究中，沃克和阿凡特的概念分析法最常被使用。在大多数使用沃克和阿凡特方法的研究中，应用了合适的概念分析过程，但在使用其他概念发展方法的其他研究中，未应用合适的概念分析过程。因此，在护理研究中的概念发展必须应用合适的概念分析过程。
