Meichlinger Jasmin, Kobleder Andrea, Mayer Hanna
Institute for Applied Nursing Sciences, University of Applied Sciences of Eastern Switzerland, Gallen, Switzerland; Department of Nursing Science, University of Vienna, Vienna, Austria
Institute for Applied Nursing Sciences, University of Applied Sciences of Eastern Switzerland, Gallen, Switzerland.
Res Theory Nurs Pract. 2021 Sep 13. doi: 10.1891/RTNP-D-20-00183.
The Reconceptualized Uncertainty in Illness Theory (RUIT) includes the concept of "probabilistic thinking" intending to explain the positive reappraisal of uncertainty in chronic illness. However, the description of the concept is vague, thereby limiting the understanding of the theory. Thus, the aim was to develop a theoretical definition of probabilistic thinking in order to increase the explanatory value of RUIT.
We conducted a principle-based concept analysis by means of a conceptually driven literature search. Methods consisted of database, dictionary, lexicon, and free web searching as well as citation tracking. We analyzed the concept in terms of (a) epistemology, (b) pragmatics, (c) logic, and (d) linguistics.
The final data set included 27 publications, 14 of them from nursing. (a) Probabilistic thinking is a coping strategy to handle uncertainty. It involves a focus on either possibilities (in nursing) or probabilities (in other disciplines). (b) There is a lack of operationalization in nursing, though three measurements focusing the handling of probabilities are offered in psychology. (c) Nursing authors interpreting probabilistic thinking as accepted uncertainty lacked logical appropriateness, since probability negotiates uncertainty. (d) Probabilistic thinking is used synonymously with positive thinking and probabilistic reasoning.
Nurses working with chronically ill patients should consider the findings for the application of RUIT. They should recognize whether uncertainty is perceived as a danger and encourage probabilistic thinking. Efforts are necessary to achieve a common language between nursing and other disciplines in order to avoid misunderstandings in clinical practice and research.
重新概念化的疾病不确定理论（RUIT）包含“概率性思维”这一概念，旨在解释慢性病患者对不确定性的积极重新评估。然而，该概念的描述较为模糊，从而限制了对这一理论的理解。因此，本研究旨在为概率性思维制定一个理论定义，以提高RUIT的解释力。
我们通过基于概念驱动的文献检索进行了一项基于原则的概念分析。方法包括数据库、词典、词汇表和免费网络搜索以及引文追踪。我们从（a）认识论、（b）语用学、（c）逻辑学和（d）语言学四个方面对该概念进行了分析。
最终数据集包括27篇出版物，其中14篇来自护理学领域。（a）概率性思维是应对不确定性的一种应对策略。它涉及关注可能性（在护理学中）或概率（在其他学科中）。（b）护理学中缺乏操作性定义，尽管心理学领域提供了三种关注概率处理的测量方法。（c）护理学作者将概率性思维解释为可接受的不确定性缺乏逻辑合理性，因为概率是对不确定性的权衡。（d）概率性思维与积极思维和概率推理同义使用。
照顾慢性病患者的护士应考虑这些研究结果以应用RUIT。他们应认识到不确定性是否被视为一种危险，并鼓励概率性思维。有必要努力在护理学和其他学科之间达成一种共同语言，以避免临床实践和研究中的误解。
