Hosseini Fatemeh, Alavi Negin Masoud, Mohammadi Eesa, Sadat Zohreh
PhD Candidate of Nursing, Trauma Nursing Research Center, Kashan University of Medical Sciences, Kashan, Iran.
Trauma Nursing Research Center, Kashan University of Medical Sciences, Kashan, Iran.
Iran J Nurs Midwifery Res. 2021 Jan 18;26(1):1-10. doi: 10.4103/ijnmr.IJNMR_15_20. eCollection 2021 Jan-Feb.
In this scoping review, the concept of patients' motivation and the tools that have been designed to measure this concept in clinical settings are presented.
Arksey and O'Malley's framework was used in conducting the current scoping review. Google Scholar, PubMed, Scopus, and Web of Science databases were searched for relevant English articles published between January 1995 and January 2020 using the keywords motivation and tool, and their synonyms. Out of 2820 articles, 34 articles were chosen and were entered into the final analysis. Definitions of patients' motivation were determined using Kyngäs ., content analysis method.
The findings showed that new tools had been developed in 38% of the studies and other studies had revised or translated existing questionnaires. Moreover, 62% of the tools were used to measure patient motivation in mental disorders. Most of the studies did not clearly define the concept of patient motivation in the clinical environment. The findings of content analysis outlined the 3 categories of motivation determinant factors, decisions, and behaviors that determine overall levels of motivations and its consequences.
Motivation is a dynamic concept and is a result of internal and external motives that lead to decisions and behaviors. There are limited tools for measuring motivation in clinical settings. This addresses the need to design specific tools in various diseases, especially chronic diseases. By the concept defined in this study, it is possible to design a short tool with general application that can be used in all diseases.
在本范围综述中，介绍了患者动机的概念以及为在临床环境中测量该概念而设计的工具。
在进行当前的范围综述时使用了阿克西和奥马利的框架。通过使用关键词“动机”和“工具”及其同义词，在谷歌学术、PubMed、Scopus和科学网数据库中搜索了1995年1月至2020年1月期间发表的相关英文文章。在2820篇文章中，选择了34篇文章进行最终分析。使用金加斯等人的内容分析法确定患者动机的定义。
研究结果表明，38%的研究开发了新工具，其他研究对现有的问卷进行了修订或翻译。此外，62%的工具用于测量精神障碍患者的动机。大多数研究没有在临床环境中明确界定患者动机的概念。内容分析的结果概述了动机决定因素、决策和行为的3个类别，这些决定了动机的总体水平及其后果。
动机是一个动态概念，是导致决策和行为的内部和外部动机的结果。在临床环境中测量动机的工具有限。这凸显了针对各种疾病，尤其是慢性病设计特定工具的必要性。根据本研究中定义的概念，有可能设计一种具有普遍适用性的简短工具，可用于所有疾病。
