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

Open Access 01-12-2015 | Research article

Nursing identity and patient-centredness in scholarly health services research: a computational text analysis of PubMed abstracts 1986–2013

Authors: Erica Bell, Steve Campbell, Lynette R Goldberg

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

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Abstract

Background

The most important and contested element of nursing identity may be the patient-centredness of nursing, though this concept is not well-treated in the nursing identity literature. More conceptually-based mapping of nursing identity constructs are needed to help nurses shape their identity. The field of computational text analytics offers new opportunities to scrutinise how growing disciplines such as health services research construct nursing identity. This paper maps the conceptual content of scholarly health services research in PubMed as it relates to the patient-centeredness of nursing.

Methods

Computational text analytics software was used to analyse all health services abstracts in the database PubMed since 1986. Abstracts were treated as indicative of the content of health services research. The database PubMed was searched for all research papers using the term “service” or “services” in the abstract or keywords for the period 01/01/1986 to 30/06/2013. A total of 234,926 abstracts were obtained. Leximancer software was used in 1) mapping of 4,144,458 instances of 107 concepts; 2) analysis of 106 paired concept co-occurrences for the nursing concept; and 3) sentiment analysis of the nursing concept versus patient, family and community concepts, and clinical concepts.

Results

Nursing is constructed within quality assurance or service implementation or workforce development concepts. It is relatively disconnected from patient, family or community care concepts.

Conclusions

For those who agree that patient-centredness should be a part of nursing identity in practice, this study suggests that there is a need for development of health services research into both the nature of the caring construct in nursing identity and its expression in practice. More fundamentally, the study raises questions about whether health services research cultures even value the politically popular idea of nurses as patient-centred caregivers and whether they should.
Literature
1.
Descartes R. Discourse on Method and Meditations on First Philosophy. USA: Hackett Publishing; 1998.
2.
Freud S. The Basic Writings of Sigmund Freud (Psychopathology of Everyday Life, the Interpretation of Dreams, and Three Contributions To the Theory of Sex). New York: Random House; 1995.
3.
Erikson E. Identity: Youth and Crisis. New York: Norton; 1968.
4.
Bourdieu P. Distinction: A Social Critique of the Judgment of Taste. Oxford: Routledge; 1984.
5.
Foucault M. Discipline and Punish: The Birth of the Prison. Harmondsworth: Penguin; 1977.
6.
Foucault M. Power/Knowledge: Selected Interviews and Other Writings 1972–1977. New York: Random House; 1981.
7.
Harré R, Moghaddam F, Cairnie T, Rothbart D, Sabat S. Recent advances in positioning theory. Theory Psychol. 2009;19(1):5–31.CrossRef
8.
Harré R, Moghaddam F. The Self and Others: Positioning Individuals and Groups in Personal, Political, and Cultural Contexts. Westport, CT: Praeger; 2003.
9.
Harré R, van Langehove L. Positioning Theory. Oxford: Blackwell; 1999.
10.
Hoeve YT, Jansen G, Roodbol P. The nursing profession: public image, self-concept and professional identity. A discussion paper. J Adv Nurs. 2014;70(2):295–309.CrossRefPubMed
11.
Hurley J. A qualitative study of mental health nurse identities: many roles, one profession. Int J Ment Health Nurs. 2009;18(6):383–90.CrossRefPubMed
12.
Brown J, Stevens J, Kermode S. Supporting student nurse professionalisation: the role of the clinical teacher. Nurse Educ Today. 2012;32(5):606–10.CrossRefPubMed
13.
Johnson M, Cowin LS, Wilson I, Young H. Professional identity and nursing: contemporary theoretical developments and future research challenges. Int Nurs Rev. 2012;59(4):562–9.CrossRefPubMed
14.
Cowin LS, Johnson M, Wilson I, Borgese K. The psychometric properties of five Professional Identity measures in a sample of nursing students. Nurse Educ Today. 2013;33(6):608–13.CrossRefPubMed
15.
Worthington M, Salamonson Y, Weaver R, Cleary M. Predictive validity of the Macleod Clark professional identity scale for undergraduate nursing students. Nurse Educ Today. 2013;33(3):187–91.CrossRefPubMed
16.
Hercelinskyj G, Cruickshank M, Brown P, Phillips B. Perceptions from the front line: Professional identity in mental health nursing. Int J Ment Health Nurs. 2014;23(1):24–32.CrossRefPubMed
17.
Miskelly P, Duncan L: 'I'm actually being the grown-up now': leadership, maturity and professional identity development. J Nurs Manag 2013, doi:10.1111/jonm.12030
18.
19.
Flynn M, McKeown M. Nurse staffing levels revisited: a consideration of key issues in nurse staffing levels and skill mix research. J Nurs Manag. 2009;17(6):759–66.CrossRefPubMed
20.
Tubbs-Cooley HL, Martsolf DS, Pickler RH, Morrison CF, Wardlaw CE. Development of a regional nursing research partnership for academic and practice collaborations. Nurs Res Pract. 2013;2013:473864.PubMedPubMedCentral
21.
Elliott L, Kennedy C, Raeside R: Professional role identity in shaping community nurses' reactions to nursing policy. J Nurs Manag 2013, doi:10.1111/jonm.12153.
22.
Kreindler SA: The politics of patient-centred care. Health Expect 2013, doi:10.1111/hex.12087.
23.
24.
25.
Gillett K. A critical discourse analysis of British national newspaper representations of the academic level of nurse education: too clever for our own good? Nurs Inq. 2012;19(4):297–307.CrossRefPubMed
26.
27.
Jasmine T. Art, science, or both? Keeping the care in nursing. Nurs Clin North Am. 2009;44(4):415–21.CrossRefPubMed
28.
29.
Watson J, Smith MC. Caring science and the science of unitary human beings: a trans-theoretical discourse for nursing knowledge development. J Adv Nurs. 2002;37(5):452–61.CrossRefPubMed
30.
McKenna H. Nursing Theories and Models. London: Routledge; 1997.
31.
McCance T, McKenna H, Boore J. Caring: dealing with a difficult concept. Int J Nurs Stud. 1997;34:241–8.CrossRefPubMed
32.
Leininger M. The phenomenon of caring: importance, research questions and theoretical considerations. In: Leininger M, editor. Caring: an Essential Human Need. Thorofare New Jersey: Slack; 1981. p. 2–15.
33.
Morse J, Bottorff J, Neander W, Solberg S. Comparative analysis of conceptualisations and theories of caring. IMAGE: J Nurs Sch. 1991;23:119–27.
34.
Watson R, Deary IJ, Lea A. A longitudinal study into the perceptions of caring among student nurses using multivariate analysis of the Caring Dimensions Inventory. J Adv Nurs. 1999;30(5):1080–9.CrossRefPubMed
35.
Lea A, Watson R, Deary IJ. Caring in nursing: a multivariate analysis. J Adv Nurs. 1998;28(3):662–71.CrossRefPubMed
36.
Watson R, Deary IJ, Lea A. A longitudinal study into the perceptions of caring and nursing among student nurses. J Adv Nurs. 1999;29(5):1228–37.CrossRefPubMed
37.
Watson R, Lea A. The caring dimensions inventory (CDI): content validity, reliability and scaling. J Adv Nurs. 1997;25(1):87–94.CrossRefPubMed
38.
Watson J. Assessing and Measuring Caring in Nurisng and Health. New York: Springer; 2001.
39.
40.
Chaboyer W, Wallis M, Duffield C, Courtney M, Seaton P, Holzhauser K, et al. A comparison of activities undertaken by enrolled and registered nurses on medical wards in Australia: an observational study. Int J Nurs Stud. 2008;45(9):1274–84.CrossRefPubMed
41.
Colombo F, et al.: Help Wanted?: Providing and Paying for Long-Term Care, OECD Health Policy Studies, OECD Publishing. DOI: 10.1787/9789264097759-en
42.
Hewitt J. Redressing the balance in mental health nursing education: arguments for a values-based approach. Int J Ment Health Nurs. 2009;18(5):368–79.CrossRefPubMed
43.
44.
Cara CM, Nyberg JJ, Brousseau S. Fostering the coexistence of caring philosophy and economics in today's health care system. Nurs Adm Q. 2011;35(1):6–14.CrossRefPubMed
45.
Pilnick A, Dingwall R. On the remarkable persistence of asymmetry in doctor/patient interaction: A critical review. Soc Sci Med. 2011;72(8):1374–82.CrossRefPubMed
46.
DH. Essence of Care. London: Department of Health; 2010.
47.
NSWH. Essentials of Care. Sydney: NSW Health; 2011.
48.
D'Antonio P. Cultivating constituencies: the story of the east Harlem nursing and health service, 1928–1941. Am J Public Health. 2013;103(6):988–96.CrossRefPubMedPubMedCentral
49.
50.
Ioannidis J. Materializing research promises: opportunities, priorities and conflicts in translational medicine. J Transl Med. 2004;2(1):5. doi:10.1186/1479-5876-1182-1185.CrossRefPubMedPubMedCentral
51.
Bell E. Great 21st Century debates about the usefulness of research: Can they help rural research? Rural Soc. 2008;18(1):3–16.CrossRef
52.
Fyffe T. Nursing shaping and influencing health and social care policy. J Nurs Manag. 2009;17(6):698–706.CrossRefPubMed
53.
Bird S, Klein E, Loper E. Natural Language Processing with Python. Sebastapol, CA: O'Reilly Media, Inc; 2009.
54.
Cambria E, White B. Jumping NLP curves: a review of natural language processing research [review article]. Comput Intell Mag, IEEE. 2014;9(2):48–57.CrossRef
55.
Kern ML, Eichstaedt JC, Schwartz HA, Park G, Ungar LH, Stillwell DJ, et al. From "Sooo excited!!!" to "So proud": using language to study development. Dev Psychol. 2014;50(1):178–88.CrossRefPubMed
56.
57.
Forbush TB, Gundlapalli AV, Palmer MN, Shen S, South BR, Divita G, et al. Sitting on pins and needles": characterization of symptom descriptions in clinical notes. AMIA Summits Transl Sci Proc AMIA Summit Transl Sci. 2013;2013:67–71.
58.
Cole TS, Frankovich J, Iyer S, Lependu P, Bauer-Mehren A, Shah NH. Profiling risk factors for chronic uveitis in juvenile idiopathic arthritis: a new model for EHR-based research. Pediatr Rheumatol. 2013;11(1):45. doi:10.1186/1546-0096-11-45.CrossRef
59.
Carrell DS, Halgrim S, Tran DT, Buist DS, Chubak J, Chapman WW, et al. Using natural language processing to improve efficiency of manual chart abstraction in research: the case of breast cancer recurrence. Am J Epidemiol. 2014;179(6):749–58.CrossRefPubMedPubMedCentral
60.
Poulin C, Shiner B, Thompson P, Vepstas L, Young-Xu Y, Goertzel B, et al. Predicting the risk of suicide by analyzing the text of clinical notes. PLoS One. 2014;9(1):e85733.CrossRefPubMedPubMedCentral
61.
Watts BV, Shiner B, Zubkoff L, Carpenter-Song E, Ronconi JM, Coldwell CM. Implementation of evidence-based psychotherapies for posttraumatic stress disorder in VA specialty clinics. Psychiatr Serv. 2014;65(5):648–53.CrossRefPubMed
62.
63.
Imler TD, Morea J, Imperiale TF. Clinical decision support with natural language processing facilitates determination of colonoscopy surveillance intervals. Clin Gastroenterol Hepatol. 2014;12(7):1130–6.CrossRefPubMed
64.
Halper F. Predictive analytics: the Hurwitz victory index report. In: Hurwitz Victory Index. Needham, MA, USA: Hurwitz & Associates; 2011.
65.
66.
Smith AE, Humphreys MS. Evaluation of unsupervised semantic mapping of natural language with Leximancer concept mapping. Behav Res Methods Fig. 2006;38(2):262–79.CrossRef
67.
Baker SC, Gallois C, Driedger SM, Santesso N. Communication accommodation and managing musculoskeletal disorders: doctors' and patients' perspectives. Health Commun. 2011;26(4):379–88.CrossRefPubMed
68.
Cretchley J, Gallois C, Chenery H, Smith A. Conversations between carers and people with schizophrenia: a qualitative analysis using leximancer. Qual Health Res. 2010;20(12):1611–28.CrossRefPubMed
69.
Hepworth N, Paxton SJ. Pathways to help-seeking in bulimia nervosa and binge eating problems: a concept mapping approach. Int J Eating Disord. 2007;40(6):493–504.CrossRef
70.
Hewett DG, Watson BM, Gallois C, Ward M, Leggett BA. Intergroup communication between hospital doctors: implications for quality of patient care. Soc Sci Med. 2009;69(12):1732–40.CrossRefPubMed
71.
Kuyini AB, Alhassan A-RK, Mahama FK. The Ghana community-based rehabilitation program for people with disabilities: what happened at the end of donor support? J Soc Work Disabil Rehabil. 2011;10(4):247–67.CrossRefPubMed
72.
Kyle GJ, Nissen L, Tett S. Perception of prescription medicine sample packs among Australian professional, government, industry, and consumer organizations, based on automated textual analysis of one-on-one interviews. Clin Ther. 2008;30(12):2461–73.CrossRefPubMed
73.
Pakenham KI, Tilling J, Cretchley J. Parenting difficulties and resources: the perspectives of parents with multiple sclerosis and their partners. Rehabil Psychol. 2012;57(1):52–60.CrossRefPubMed
74.
Travaglia JF, Westbrook MT, Braithwaite J. Implementation of a patient safety incident management system as viewed by doctors, nurses and allied health professionals. Health (London, England: 1997). 2009;13(3):277–96.CrossRef
75.
Friedman A, Smiraglia R. Nodes and arcs: concept map, semiotics, and knowledge organization. J Doc. 2013;69(1):27–48.CrossRef
76.
Saussure F. Course in General Linguistics. London: Duckworth; 1916.
77.
Chi DL, Tucker-Seeley R. Gender-stratified models to examine the relationship between financial hardship and self-reported oral health for older US Men and women. Am J Public Health. 2013;103(8):1507–15.CrossRefPubMedPubMedCentral
78.
79.
Porter T. Trust in Numbers: The Pursuit of Objectivity in Science and Public Life. Princeton: Princeton University Press; 1995.
80.
Pang B, Lee L. Opinion mining and sentiment analysis. Foundations Trends Inf Retrieval. 2008;2(1–2):1–135.CrossRef
81.
Iley K. Occupational changes in nursing: the situation of enrolled nurses. J Adv Nurs. 2004;45(4):360–70.CrossRefPubMed
82.
Fairclough N. Discourse and Social Change. Cambridge: Polity Press; 1992.
83.
Fairclough N. Critical Discourse Analysis. London: Longman; 1995.
84.
Kelly J, Fealy GM, Watson R. The image of you: constructing nursing identities in YouTube. J Adv Nurs. 2012;68(8):1804–13.CrossRefPubMed
Metadata
Title
Nursing identity and patient-centredness in scholarly health services research: a computational text analysis of PubMed abstracts 1986–2013
Authors
Erica Bell
Steve Campbell
Lynette R Goldberg
Publication date
01-12-2015
Publisher
BioMed Central
Published in
BMC Health Services Research / Issue 1/2015
Electronic ISSN: 1472-6963
DOI
https://doi.org/10.1186/s12913-014-0660-8

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