Gee Michelle L, Copeland Darcy
School of Nursing, University of Northern Colorado, Greeley (Ms Gee and Dr Copeland); and St Anthony Hospital, Centura Health, Frisco, Colorado (Dr Copeland).
ANS Adv Nurs Sci. 2023;46(1):E16-E28. doi: 10.1097/ANS.0000000000000434. Epub 2022 Sep 3.
Nurses in a variety of settings frequently use behavior modification strategies to promote health behavior change. Shaming is one such behavior modification tool, but its use in nursing is poorly understood. A concept analysis using Walker and Avant's method was performed. After an extensive literature review, a conceptual definition of shaming is proposed and defining attributes, antecedents, and consequences are presented. Shaming is also differentiated from related concepts often used synonymously such as stigmatization and incivility. Shaming as a behavior modification strategy is incongruous with nursing values and its utilization in nursing warrants further investigation.
在各种环境中的护士经常使用行为矫正策略来促进健康行为的改变。羞辱就是这样一种行为矫正工具,但它在护理中的应用却鲜为人知。采用沃克和阿万特的方法进行了一项概念分析。在广泛的文献综述之后,提出了羞辱的概念定义,并呈现了定义属性、前因和后果。羞辱也与经常被同义使用的相关概念如污名化和无礼区分开来。作为一种行为矫正策略,羞辱与护理价值观不一致,其在护理中的应用值得进一步研究。