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The unsayable: a concept analysis.

Kara L Schick Makaroff¹

¹Faculty of Nursing, University of Alberta, Canada. kara.schickmakaroff@ualberta.ca

Journal of Advanced Nursing

|July 7, 2012

Summary

This summary is machine-generated.

The unsayable refers to experiences of illness that cannot be fully expressed in language. Exploring this concept in nursing can help understand challenging patient experiences during illness.

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Area of Science:

Nursing
Philosophy
Psychology

Background:

Nursing acknowledges that some illness experiences are unsayable.
Previous focus has been on the sayable, neglecting the unsayable.
The concept's relevance to nursing practice remains underexplored.

Purpose of the Study:

To analyze the concept of the unsayable.
To examine its meaning and relevance for nursing practice.

Main Methods:

Literature search (1959-2011) in CINAHL, Web of Science, PsychINFO.
Rodgers' evolutionary concept analysis.
Analysis of surrogate terms, related concepts, attributes, antecedents, and consequences.

Main Results:

Identified surrogate terms, related concepts, attributes, antecedents, and consequences.
Defined the unsayable as unexpressed yet alluded to through language, potentially conscious or unconscious.
Noted significant differences in the concept's meaning between psychology and nursing.

Conclusions:

The unsayable concept is primarily developed outside nursing.
Exploring the unsayable in nursing can illuminate challenging patient experiences.
This analysis aids nurses in understanding ineffable aspects of illness.