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Poor Care: A Walker and Avant Concept Analysis.

Hasan Khalili¹, Abbas Heydari²

¹Department of Medical Surgical Nursing, School of Nursing and Midwifery, Mashhad university of Medical Sciences, Mashhad, Iran.

Journal of Caring Sciences

|May 1, 2023

Summary

This summary is machine-generated.

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Poor nursing care, characterized by inadequate evaluation and patient management, stems from factors like high workload and insufficient staffing. Addressing this concept is crucial for improving healthcare standards and patient outcomes.

Area of Science:

Nursing Science
Healthcare Quality

Background:

The concept of poor care in nursing lacks a common understanding among healthcare providers.
Frequent media discussions highlight the prevalence of poor care, necessitating conceptual clarification.

Purpose of the Study:

To clarify the concept of poor care within the nursing context.
To emphasize the significance of addressing poor care in healthcare settings.

Main Methods:

Concept analysis utilizing the 8-step Walker and Avant method.
Systematic literature search across SCOPUS, PubMed, ISI, and Embase databases.
Inclusion of 32 articles from an initial pool of 550 sources.

Main Results:

Key attributes of poor care include inadequate evaluation, inappropriate patient management, and treatment delays.

Keywords:

Concept analysis Nursing care Poor care Quality of health care Walker and Avant

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Antecedents contributing to poor care encompass high nursing workload, patient complexity, and workforce/educational factors.

Poor care involves deviations from expected standards in clinical and interpersonal health services.

Conclusions:

Poor care is defined as undesirable and unacceptable standards in healthcare delivery.
It encompasses both omissions and commissions in patient care, impacting patients, providers, and caregivers.
Conceptual clarity on poor care is essential for targeted interventions and quality improvement.