Skip to main content
Top
Published in: BMC Health Services Research 1/2015

Open Access 01-06-2015 | Research article

Evolutionary concept analysis of health seeking behavior in nursing: a systematic review

Authors: Sarieh Poortaghi, Afsaneh Raiesifar, Parisa Bozorgzad, Samad E. J. Golzari, Soroor Parvizy, Forough Rafii

Published in: BMC Health Services Research | Issue 1/2015

Login to get access

Abstract

Background

Although the research in health seeking behavior has been evolving, its concept remains ambiguous. Concept clarification, as a central basis of developing knowledge, plays an undeniable role in the formation of nursing sciences. As the initial step toward the development of theories and theoretical models, concept analysis is broadly used through which the goals can be used and tested. The aim of this study was to report an analysis of the concept of “health seeking behavior”.

Method

Employing a rigorous evolutionary concept analysis approach, the concept of health seeking behavior was examined for its implications, use, and significance in the discipline of nursing between 2000 and 2012. After applying inclusion and exclusion criteria, a total of 40 articles and 3 books were selected for the final analysis.

Results

The definition of attributes, antecedents, and consequences of health seeking behavior was performed through concept analysis. Core attributes (interactional, processing, intellectual, active, decision making based and measurable) were studied. The antecedents of concept were categorized as social, cultural, economic, disease pattern and issues related to health services. Health-seeking behavior resulted in health promotion and disease risk reduction. In addition, it led to predicting the future probable burden of the diseases, facilitation of the health status, early diagnosis, complete and effective treatment, and complication control.

Conclusion

Health-seeking behavior, as a multi-dimensional concept, relies on time and context. An awareness of health-seeking behavior attributes antecedents and consequences results in promoting the status, importance and application of this concept in the nursing profession.
Literature
1.
go back to reference Viner RM, Ozer EM, Denny S, Marmot M, Resnick M, Fatusi A, Currie C. Adolescence and the social determinants of health. The Lancet, 2012; 379(9826), 1641-1652. Viner RM, Ozer EM, Denny S, Marmot M, Resnick M, Fatusi A, Currie C. Adolescence and the social determinants of health. The Lancet, 2012; 379(9826), 1641-1652.
2.
go back to reference Von Rueden U, Gosch A, Rajmil L, Bisegger C, Ravens-Sieberer U. Socioeconomic determinants of health related quality of life in childhood and adolescence: results from a European study. J Epidemiol Community Health. 2006;60(2):130–5.CrossRef Von Rueden U, Gosch A, Rajmil L, Bisegger C, Ravens-Sieberer U. Socioeconomic determinants of health related quality of life in childhood and adolescence: results from a European study. J Epidemiol Community Health. 2006;60(2):130–5.CrossRef
3.
go back to reference McMurray A. Community health and wellness. 2nd ed. Sydney: Mosby; 2003. p. 256–8. McMurray A. Community health and wellness. 2nd ed. Sydney: Mosby; 2003. p. 256–8.
4.
go back to reference Clark M. J. D. Community health nursing: Advocacy for population health. Upper Saddle River, NJ: Pearson Prentice Hall; 2007. Clark M. J. D. Community health nursing: Advocacy for population health. Upper Saddle River, NJ: Pearson Prentice Hall; 2007.
5.
go back to reference French D, Vedhara K, Kaptein AA, Weinman J. Health Psychology. UK:Wiley- Blackwell; 2010. French D, Vedhara K, Kaptein AA, Weinman J. Health Psychology. UK:Wiley- Blackwell; 2010.
6.
go back to reference Kulbok PA, Cox CL. Dimensions of adolescent health behavior. J Adolesc Health. 2002;31(5):394–400.CrossRefPubMed Kulbok PA, Cox CL. Dimensions of adolescent health behavior. J Adolesc Health. 2002;31(5):394–400.CrossRefPubMed
7.
go back to reference Chinn PL, Kramer MK. Theory and nursing: integrated knowledge development, vol. 5. Saint Louis: Mosby; 1999. Chinn PL, Kramer MK. Theory and nursing: integrated knowledge development, vol. 5. Saint Louis: Mosby; 1999.
8.
go back to reference MacKian S. A review of health seeking behaviour: problems and prospects. In: Health Systems Development Programme. 2003. MacKian S. A review of health seeking behaviour: problems and prospects. In: Health Systems Development Programme. 2003.
9.
go back to reference Glanz K, Rimer K, Viswanath K. Health behavior and health education; Theory, Research and Practice. 4th ed. San Francisco: Jossey-Bass; 2008. Glanz K, Rimer K, Viswanath K. Health behavior and health education; Theory, Research and Practice. 4th ed. San Francisco: Jossey-Bass; 2008.
10.
go back to reference Rosenstock IM. Historical origins of the health belief model. Health Educ Monogr. 1974;2:328–35.CrossRef Rosenstock IM. Historical origins of the health belief model. Health Educ Monogr. 1974;2:328–35.CrossRef
11.
go back to reference Conner M, Norman P. Predicting health behaviour. UK: McGraw-Hill Education; 2008. Conner M, Norman P. Predicting health behaviour. UK: McGraw-Hill Education; 2008.
12.
go back to reference Pandey KR, Jha AK, Dhungana R, Lamsal R. Health seeking behavior of parents for children with pneumonia. JNMA J Nepal Med Assoc. 2009;48(174):131.PubMed Pandey KR, Jha AK, Dhungana R, Lamsal R. Health seeking behavior of parents for children with pneumonia. JNMA J Nepal Med Assoc. 2009;48(174):131.PubMed
13.
go back to reference Hausmann-Muela S, Ribera JM, Nyamong I. Health-seeking behavior and the health systemresponse. In: Disease Control Priorities Project working paper. 2003. Hausmann-Muela S, Ribera JM, Nyamong I. Health-seeking behavior and the health systemresponse. In: Disease Control Priorities Project working paper. 2003.
14.
go back to reference Shaikh BT, Hatcher J. Health seeking behavior and health service utilization in Pakistan: challenging the policy makers. J Public Health. 2005;27(1):49–54.CrossRef Shaikh BT, Hatcher J. Health seeking behavior and health service utilization in Pakistan: challenging the policy makers. J Public Health. 2005;27(1):49–54.CrossRef
15.
go back to reference Grundy J, Annear P. Health-seeking behavior studies: a literature review of study design and methods with a focus on Cambodia. In: Health Policy and Health Finance Knowledge Hub, Working Paper Series, vol. 7. 2010. Grundy J, Annear P. Health-seeking behavior studies: a literature review of study design and methods with a focus on Cambodia. In: Health Policy and Health Finance Knowledge Hub, Working Paper Series, vol. 7. 2010.
16.
go back to reference Roy LC, Torrez D, Dale JC. Ethnicity, traditional health beliefs, and health–seeking behavior: Guardians’ attitudes regarding their children’s medical treatment. J Pediatr Health Care. 2004;18(1):22–9. Roy LC, Torrez D, Dale JC. Ethnicity, traditional health beliefs, and health–seeking behavior: Guardians’ attitudes regarding their children’s medical treatment. J Pediatr Health Care. 2004;18(1):22–9.
17.
go back to reference Yanagisawa S, Mey V, Wakai, S. Comparison of health-seeking behavior between poor and better-off people after health sector reform in Cambodia. Public Health. 2004;118(1):21–30 Yanagisawa S, Mey V, Wakai, S. Comparison of health-seeking behavior between poor and better-off people after health sector reform in Cambodia. Public Health. 2004;118(1):21–30
18.
go back to reference Majaj L, Nassar M, De Allegri M. “It’s not easy to acknowledge that I’m ill”: a qualitative investigation into the health seeking behavior of rural Palestinian women. BMC Womens Health. 2013;13(1):26.CrossRefPubMedPubMedCentral Majaj L, Nassar M, De Allegri M. “It’s not easy to acknowledge that I’m ill”: a qualitative investigation into the health seeking behavior of rural Palestinian women. BMC Womens Health. 2013;13(1):26.CrossRefPubMedPubMedCentral
19.
go back to reference Onwujekwe O, Chukwuogo O, Ezeoke U , Uzochukwu B , Eze S. Asking people directly about preferred health-seeking behavior yields invalid response: an experiment in south-east Nigeria. J Public Health. 2011;33(1):93–100. Onwujekwe O, Chukwuogo O, Ezeoke U , Uzochukwu B , Eze S. Asking people directly about preferred health-seeking behavior yields invalid response: an experiment in south-east Nigeria. J Public Health. 2011;33(1):93–100.
20.
go back to reference Hesketh T, Ding QJ, Tomkins AM. Health and health care-seeking behavior of adolescents in urban and rural China. J Adolesc Health. 2003;33(4):271–4.CrossRefPubMed Hesketh T, Ding QJ, Tomkins AM. Health and health care-seeking behavior of adolescents in urban and rural China. J Adolesc Health. 2003;33(4):271–4.CrossRefPubMed
21.
go back to reference Beşiroğlu L, Çilli AS. The predictors of health care seeking behavior in obsessive-compulsive disorder. Compr Psychiatry. 2004;45(2):99–108.CrossRefPubMed Beşiroğlu L, Çilli AS. The predictors of health care seeking behavior in obsessive-compulsive disorder. Compr Psychiatry. 2004;45(2):99–108.CrossRefPubMed
22.
go back to reference Sepehri A, Moshiri S, Simpson W, Sarma S. Taking account of context: how important are household characteristics in explaining adult health-seeking behavior? The case of Vietnam. Health Policy Plan. 2008;23(6):397–407. Sepehri A, Moshiri S, Simpson W, Sarma S. Taking account of context: how important are household characteristics in explaining adult health-seeking behavior? The case of Vietnam. Health Policy Plan. 2008;23(6):397–407.
23.
go back to reference MacKian S. A review of health seeking behavior: problems and prospects. In: Health systems development. Manchester: University of Manchester; 2003. MacKian S. A review of health seeking behavior: problems and prospects. In: Health systems development. Manchester: University of Manchester; 2003.
24.
go back to reference Rodgers BL. Concept development in nursing: Foundations, techniques, and applications. 2nd ed. Saskatchewan: W.b. Saunders; 2000. p. 77–102. Rodgers BL. Concept development in nursing: Foundations, techniques, and applications. 2nd ed. Saskatchewan: W.b. Saunders; 2000. p. 77–102.
25.
go back to reference Walker LO, Avant KC. Strategies for theory construction in nursing. 4th ed. Norwalk: Appleton& Lange; 2004. Walker LO, Avant KC. Strategies for theory construction in nursing. 4th ed. Norwalk: Appleton& Lange; 2004.
26.
go back to reference Rodgers BL, Knafl KA. Concept development in nursing: Foundations, techniques, and applications. Philadelphia: Saunders; 2000. Rodgers BL, Knafl KA. Concept development in nursing: Foundations, techniques, and applications. Philadelphia: Saunders; 2000.
27.
go back to reference Polit F-D, Beck C-T. Nursing research: generating and assessing evidence for nursing practice. 8th ed. Philadelphia: Wolters Kluwer/Lippincott Williams & Wilkins; 2008. Polit F-D, Beck C-T. Nursing research: generating and assessing evidence for nursing practice. 8th ed. Philadelphia: Wolters Kluwer/Lippincott Williams & Wilkins; 2008.
28.
go back to reference Fleiss JL. Statistical methods for rates and proportions. 2dth ed. New York: Wiley; 1981. Fleiss JL. Statistical methods for rates and proportions. 2dth ed. New York: Wiley; 1981.
29.
go back to reference Hupcey JE, Penrod J. Concept analysis: examining the state of the science. Res Theory Nurs Pract. 2005;19(2):197–208.CrossRefPubMed Hupcey JE, Penrod J. Concept analysis: examining the state of the science. Res Theory Nurs Pract. 2005;19(2):197–208.CrossRefPubMed
30.
go back to reference Mackian S, Bedri N, Lovel H. Up the garden path and over the edge: where might health-seeking behavior take us? Health Policy Plan. 2004;19(3):137–46. Mackian S, Bedri N, Lovel H. Up the garden path and over the edge: where might health-seeking behavior take us? Health Policy Plan. 2004;19(3):137–46.
31.
go back to reference Igun U. Stages in health-seeking: a descriptive model. Soc Sci Med Part A: Med Psychol Med Soc. 1979;13:445–56.CrossRef Igun U. Stages in health-seeking: a descriptive model. Soc Sci Med Part A: Med Psychol Med Soc. 1979;13:445–56.CrossRef
32.
go back to reference Hampshire KR, Porter G, Owusu SA, Tanle A, Abane A. Out of the reach of children? Young people’s health-seeking practices and agency in Africa’s newly-emerging therapeutic landscapes. Soc Sci Med. 2011;73(5):702–10.CrossRefPubMed Hampshire KR, Porter G, Owusu SA, Tanle A, Abane A. Out of the reach of children? Young people’s health-seeking practices and agency in Africa’s newly-emerging therapeutic landscapes. Soc Sci Med. 2011;73(5):702–10.CrossRefPubMed
33.
go back to reference Yurkovich E E, Hopkins I, Rieke S. Health-seeking behaviors of Native American Indians with persistent mental illness: Completing the circle. Archives of psychiatric nursing, 2012; 26(2), e1-e11. Yurkovich E E, Hopkins I, Rieke S. Health-seeking behaviors of Native American Indians with persistent mental illness: Completing the circle. Archives of psychiatric nursing, 2012; 26(2), e1-e11.
34.
go back to reference Cutilli CC. Seeking health information: what sources do your patients use? Orthop Nurs. 2010;29(3):214.PubMed Cutilli CC. Seeking health information: what sources do your patients use? Orthop Nurs. 2010;29(3):214.PubMed
35.
go back to reference Thomas F. Transnational health and treatment networks: meaning, value and place in health seeking amongst southern African migrants in London. Health Place. 2010;16(3):606.CrossRefPubMed Thomas F. Transnational health and treatment networks: meaning, value and place in health seeking amongst southern African migrants in London. Health Place. 2010;16(3):606.CrossRefPubMed
36.
go back to reference Teerawichitchainan B, Phillips JF. Ethnic differentials in parental health seeking for childhood illness in Vietnam. Soc Sci Med. 2008;66(5):1118–30.CrossRefPubMed Teerawichitchainan B, Phillips JF. Ethnic differentials in parental health seeking for childhood illness in Vietnam. Soc Sci Med. 2008;66(5):1118–30.CrossRefPubMed
37.
go back to reference Anwar M, Green J, Norris P. Health-seeking behaviour in Pakistan: A narrative review of the existing literature. public health, 2012;126(6), 507-517. Anwar M, Green J, Norris P. Health-seeking behaviour in Pakistan: A narrative review of the existing literature. public health, 2012;126(6), 507-517.
38.
go back to reference Jackson MD, Coombs MP, Wright BE, Carney AA, Lewis-Fuller E, Reizo M.Self-reported noncommunicable chronic diseases and health-seeking behavior in rural Jamaica, following a health promotion intervention: a preliminary report. International Congress Series. Hirosaki; Elsevier; 2004. Jackson MD, Coombs MP, Wright BE, Carney AA, Lewis-Fuller E, Reizo M.Self-reported noncommunicable chronic diseases and health-seeking behavior in rural Jamaica, following a health promotion intervention: a preliminary report. International Congress Series. Hirosaki; Elsevier; 2004.
39.
go back to reference Agarwal A, Sethi A, Sareen D, Dhingra S. Treatment delay in oral and oropharyngeal cancer in our population: the role of socio-economic factors and health-seeking behavior. Indian J Otolaryngol Head Neck Surg. 2011;63(2):145–50. Agarwal A, Sethi A, Sareen D, Dhingra S. Treatment delay in oral and oropharyngeal cancer in our population: the role of socio-economic factors and health-seeking behavior. Indian J Otolaryngol Head Neck Surg. 2011;63(2):145–50.
40.
go back to reference Haavet OR, Straand J, Hjortdahl P, Saugstad OD. Do negative life experiences predict the health-careseeking of adolescents? A study of 10th-year students in Oslo, Norway. J Adolesc Health. 2005;37(2):128–34. Haavet OR, Straand J, Hjortdahl P, Saugstad OD. Do negative life experiences predict the health-careseeking of adolescents? A study of 10th-year students in Oslo, Norway. J Adolesc Health. 2005;37(2):128–34.
41.
go back to reference Lalchhuanawma R, Murhekar MV. Health-seeking behaviour for febrile illness in malaria-endemic Kolasib district, Mizoram, India. International health, 2012;4(4), 314-319. Lalchhuanawma R, Murhekar MV. Health-seeking behaviour for febrile illness in malaria-endemic Kolasib district, Mizoram, India. International health, 2012;4(4), 314-319.
42.
go back to reference Maree JE, Wright SCD. How would early detection be possible? An enquiry into cancer related knowledge, understanding and health seeking behavior of urban black women in Tshwane, South Africa. Eur J Oncol Nurs. 2010;14(3):190–6.CrossRefPubMed Maree JE, Wright SCD. How would early detection be possible? An enquiry into cancer related knowledge, understanding and health seeking behavior of urban black women in Tshwane, South Africa. Eur J Oncol Nurs. 2010;14(3):190–6.CrossRefPubMed
44.
go back to reference Mashreky S, Rahman A, Chowdhury SM, Svanström L, Shafinaz S, Khan TF, Rahman F. Health seeking behavior of parents of burned children in Bangladesh is related to family socioeconomics. Injury. 2010;41(5):528–32. Mashreky S, Rahman A, Chowdhury SM, Svanström L, Shafinaz S, Khan TF, Rahman F. Health seeking behavior of parents of burned children in Bangladesh is related to family socioeconomics. Injury. 2010;41(5):528–32.
45.
go back to reference Johansson E, Long NH, Diwan VK, Winkvist A. Gender and tuberculosis control: perspectives on health seeking behavior among men and women in Vietnam. Health Policy (Amsterdam, Netherlands). 2000;52(1):33.CrossRef Johansson E, Long NH, Diwan VK, Winkvist A. Gender and tuberculosis control: perspectives on health seeking behavior among men and women in Vietnam. Health Policy (Amsterdam, Netherlands). 2000;52(1):33.CrossRef
46.
go back to reference Beiersmann C, Sanou A Wladarsch E, De Allegri M, Kouyaté B, Müller O. Malaria in rural Burkina Faso: local illness concepts, patterns of traditional treatment and influence on health-seeking behavior. Malar J. 2007;6(1):106. Beiersmann C, Sanou A Wladarsch E, De Allegri M, Kouyaté B, Müller O. Malaria in rural Burkina Faso: local illness concepts, patterns of traditional treatment and influence on health-seeking behavior. Malar J. 2007;6(1):106.
47.
go back to reference Ahmed SM, Tomson G, Petzold M, Kabir ZN. Socioeconomic status overrides age and gender indetermining health-seeking behavior in rural Bangladesh. Bull World Health Organ. 2005;83(2):109–17. Ahmed SM, Tomson G, Petzold M, Kabir ZN. Socioeconomic status overrides age and gender indetermining health-seeking behavior in rural Bangladesh. Bull World Health Organ. 2005;83(2):109–17.
48.
go back to reference Rodgers BL. Concepts, analysis and the development of nursing knowledge: the evolutionary cycle. J Adv Nurs. 1989;14(4):330–5.CrossRefPubMed Rodgers BL. Concepts, analysis and the development of nursing knowledge: the evolutionary cycle. J Adv Nurs. 1989;14(4):330–5.CrossRefPubMed
49.
go back to reference Ahmed SM, Adams AM, Chowdhury M, Bhuiya A.Gender, socioeconomic development and healthseeking behavior in Bangladesh. Soc Sci Med. 2000;51(3):361–71. Ahmed SM, Adams AM, Chowdhury M, Bhuiya A.Gender, socioeconomic development and healthseeking behavior in Bangladesh. Soc Sci Med. 2000;51(3):361–71.
50.
go back to reference Landis JR, Koch GG. The measurement of observer agreement for categorical data. Biometrics. 1977;33(1):159–74.CrossRefPubMed Landis JR, Koch GG. The measurement of observer agreement for categorical data. Biometrics. 1977;33(1):159–74.CrossRefPubMed
51.
go back to reference Bhatti L, Fikree FF. Health-seeking behavior of Karachi women with reproductive tract infections. Soc Sci Med. 2002;54(1):105–17.CrossRefPubMed Bhatti L, Fikree FF. Health-seeking behavior of Karachi women with reproductive tract infections. Soc Sci Med. 2002;54(1):105–17.CrossRefPubMed
52.
go back to reference Robyn PJ, Fink G, Sié A, Sauerborn R. Health insurance and health-seeking behavior: Evidence from a randomized community-based insurance rollout in rural Burkina Faso. Social Science & Medicine, 2012;75(4), 595-603. Robyn PJ, Fink G, Sié A, Sauerborn R. Health insurance and health-seeking behavior: Evidence from a randomized community-based insurance rollout in rural Burkina Faso. Social Science & Medicine, 2012;75(4), 595-603.
53.
go back to reference Nyamongo IK. Health care switching behavior of malaria patients in a Kenyan rural community. Soc Sci Med. 2002;54:377–86.CrossRefPubMed Nyamongo IK. Health care switching behavior of malaria patients in a Kenyan rural community. Soc Sci Med. 2002;54:377–86.CrossRefPubMed
54.
go back to reference Chibwana AI, Mathanga DP, Chinkhumba J, Campbell CH.Socio-cultural predictors of health-seeking 10.1186/s12913-015-1181-9 behavior for febrile under-five children in Mwanza-Neno district, Malawi. Malar J. 2009;8(1):219. Chibwana AI, Mathanga DP, Chinkhumba J, Campbell CH.Socio-cultural predictors of health-seeking 10.1186/s12913-015-1181-9 behavior for febrile under-five children in Mwanza-Neno district, Malawi. Malar J. 2009;8(1):219.
55.
go back to reference Kalim N, Anwar I, Khan J, Blum LS, Moran AC, Botlero R, et al. Postpartum haemorrhage and eclampsia: differences in knowledge and care-seeking behavior in two districts of Bangladesh. J Health Popul Nutr. 2009;27(2):156.CrossRefPubMedPubMedCentral Kalim N, Anwar I, Khan J, Blum LS, Moran AC, Botlero R, et al. Postpartum haemorrhage and eclampsia: differences in knowledge and care-seeking behavior in two districts of Bangladesh. J Health Popul Nutr. 2009;27(2):156.CrossRefPubMedPubMedCentral
56.
go back to reference Zhang T, Liu X, Bromley H, Tang S. Perceptions of tuberculosis and health seeking behavior in rural Inner Mongolia, China. Health Policy. 2007;81(2):155–65. Zhang T, Liu X, Bromley H, Tang S. Perceptions of tuberculosis and health seeking behavior in rural Inner Mongolia, China. Health Policy. 2007;81(2):155–65.
57.
go back to reference Ahmed SM, Petzold M, Kabir ZN, Tomson G.Targeted intervention for the ultra poor in rural Bangladesh: Does it make any difference in their health-seeking behavior? Soc Sci Med. 2006;63(11):2899–911. Ahmed SM, Petzold M, Kabir ZN, Tomson G.Targeted intervention for the ultra poor in rural Bangladesh: Does it make any difference in their health-seeking behavior? Soc Sci Med. 2006;63(11):2899–911.
58.
go back to reference Kunda J, Fitzpatrick J, Kazwala R, French NP, Shirima G, MacMillan A, et al.Health-seeking behavior of human brucellosis cases in rural Tanzania. BMC Public Health. 2007;7(1):315 Kunda J, Fitzpatrick J, Kazwala R, French NP, Shirima G, MacMillan A, et al.Health-seeking behavior of human brucellosis cases in rural Tanzania. BMC Public Health. 2007;7(1):315
Metadata
Title
Evolutionary concept analysis of health seeking behavior in nursing: a systematic review
Authors
Sarieh Poortaghi
Afsaneh Raiesifar
Parisa Bozorgzad
Samad E. J. Golzari
Soroor Parvizy
Forough Rafii
Publication date
01-06-2015
Publisher
BioMed Central
Published in
BMC Health Services Research / Issue 1/2015
Electronic ISSN: 1472-6963
DOI
https://doi.org/10.1186/s12913-015-1181-9

Other articles of this Issue 1/2015

BMC Health Services Research 1/2015 Go to the issue