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An evolutionary concept analysis of "patients' values".

Mehri Karimi-Dehkordi1, Jude Spiers1, Alexander M Clark1

  • 1University of Alberta, Faculty of Nursing, Edmonton, AB, Canada.

Nursing Outlook
|May 11, 2019
PubMed
Summary

Patients' values are core beliefs influencing health decisions, especially in chronic diseases. Understanding these values is crucial for ethical nursing care and patient-centered decision-making.

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Area of Science:

  • Nursing Science
  • Bioethics
  • Health Psychology

Background:

  • Patient values are central to ethical nursing care but remain ambiguously defined.
  • Despite frequent use in guidelines, the concept of patient values lacks explicit analysis.
  • Clarifying patient values is essential for respecting patient autonomy and ensuring quality care.

Purpose of the Study:

  • To investigate the key elements and attributes of patient values.
  • To analyze the concept of patient values within theoretical and empirical nursing literature.

Main Methods:

  • Rodgers' evolutionary concept analysis approach was employed.
  • Systematic review of theoretical and empirical literature on patient values.

Main Results:

Keywords:
BeliefsConcept analysisDecision makingDiseaseEthical nursing careEvolutionaryNeedsPatients’ values

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  • Patient values are identified as core, hierarchical individual beliefs.
  • The priority of values can shift within the context of illness, particularly chronic diseases.
  • Values guide health-related decision-making, influenced by intrinsic needs and social context.

Conclusions:

  • Patient values are dynamic and context-dependent, particularly in disease states.
  • Understanding the nuanced nature of patient values is critical for personalized and ethical healthcare.
  • Further research should explore how varying values impact specific health decisions in diverse patient populations.