Department of General Health Studies, Division Nursing Science with focus on Person-Centred Care Research, Karl Landsteiner University of Health Sciences, Krems, Austria.
Vienna Doctoral School of Social Sciences, University of Vienna, Vienna, Austria.
Nurs Forum. 2022 Sep;57(5):954-962. doi: 10.1111/nuf.12767. Epub 2022 Jun 19.
To develop a theoretical definition of self-organization to increase the understanding of the Reconceptualized Uncertainty in Illness Theory (RUIT).
Mishel described the change of the uncertainty appraisal over time in people with a chronic illness by means of the RUIT. Therefore, she introduced the concept of self-organization. However, its meaning is difficult to comprehend because its descriptions remained highly abstract.
A principle-based concept analysis.
Entries of lexicons and journal publications, explicitly or implicitly addressing self-organization in the context of any social phenomenon.
We conducted a conceptually driven literature search in lexicons and four databases and performed citation tracking.
Self-organization stands for a transition between psychological instability and psychological adjustment. It is conditioned by illness-related obstacles or uncertainties that are perceived as life-threatening. This adaptation process shows overlaps with cognitive reframing and is promoted by time, resilience, social support, and positive development of the disease. It leads to empowerment and a new perspective of life and uncertainty.
We enhanced the understanding of the RUIT by developing a theoretical definition of self-organization on a lower level of abstraction and by proposing a new approximation for the operationalization by means of cognitive reframing.
为了提高对重新概念化的疾病不确定感理论（Reconceptualized Uncertainty in Illness Theory，RUIT）的理解，提出一个自我组织的理论定义。
米舍尔（Mishel）通过 RUIT 描述了慢性病患者在一段时间内对不确定性评估的变化。因此，她引入了自我组织的概念。然而，由于其描述仍然高度抽象，其含义难以理解。
基于原则的概念分析。
在任何社会现象的背景下，明确或隐含地涉及自我组织的词典条目和期刊出版物。
我们在词典和四个数据库中进行了概念驱动的文献检索，并进行了引文跟踪。
自我组织代表了心理不稳定和心理调整之间的过渡。它受到被视为威胁生命的与疾病相关的障碍或不确定性的影响。这个适应过程与认知重构重叠，并受到时间、韧性、社会支持和疾病的积极发展的促进。它导致赋权和对生活和不确定性的新视角。
我们通过在较低的抽象层次上为自我组织制定一个理论定义，并通过认知重构提出一个新的操作近似值，从而增强了对 RUIT 的理解。
