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Harmony: a concept analysis
1University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA. easkyrobine@uams.edu
Journal of Advanced Nursing
|July 5, 2007
Summary
Harmony in nursing is crucial for positive nurse-patient relationships, impacting health outcomes. This concept analysis clarifies harmony
Area of Science:
- Nursing Science
- Concept Analysis
- Healthcare Relationship Dynamics
Background:
- The concept of harmony is historically underdefined in nursing research, often conflated with musical contexts.
- Harmony's application in nursing extends beyond music, encompassing environmental, mind-body-spirit, and relational aspects.
- Previous literature uses 'harmony' variably to describe physical attributes, connections, and as an adjective.
Purpose of the Study:
- To conduct a concept analysis of harmony within the nursing context.
- To clarify the definition and attributes of harmony relevant to nursing practice and research.
- To explore the significance and consequences of harmony in healthcare settings.
Main Methods:
- A comprehensive literature search was performed across CINAHL, MEDLINE, PubMed, and OVID databases (1998-2003).
- The keyword 'harmony' was used, and reference lists of identified papers were searched for additional sources.
- Wilson's process for concept analysis was applied to 29 selected papers.
Main Results:
- Harmony is identified as a key element in personal, professional, and nurse-patient relationships.
- The core attributes of harmony influencing patient-clinician and clinician-clinician interactions are balance, peace, and rhythm.
- Consequences of harmony include a pleasant environment, satisfaction, positive self-concept, and effective nursing interventions.
Conclusions:
- Harmony holds significant potential relevance across various nursing domains.
- Achieving positive nurse-patient relationships necessitates harmony, manifested through a pleasant environment, satisfaction, positive self-concept, and effective interventions.
- Further exploration and application of the concept of harmony can enhance nursing practice and patient care.
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