Analysis of the concept of powerlessness in individuals with stroke

Authors

  • Renan Alves Silva Nurse, Master. Federal University of Ceará, Brazil. email: renan.dehon@gmail.com
  • Álissan Karine Lima Martins Nurse, Ph.D. Professor, Regional University of Cariri, Brazil. email: alissan.martins@urca.br
  • Natália Barreto de Castro Nurse, Master. Federal University of Ceará, Brazil. email: nataliabarretodecastro@hotmail.com
  • Anna Virgínia Viana Nurse, Master. Federal University of Ceará, Brazil. email: annavirginiaviana@gmail.com
  • Howard Karl Butcher Nurse, Ph.D. Center for Nursing Classification and Clinical Effectiveness. College of Nursing. University of Iowa, USA. email: howard-butcher@uiowa.edu
  • Viviane Martins da Silva Nurse, Ph.D. Professor, Federal University of Ceará, Brazil. email: viviane.silva@outlook.com

DOI:

https://doi.org/10.17533/udea.iee.v35n3a07

Keywords:

Helplessness, learned, stroke, standardized nursing terminology, concept formation, nursing diagnosis.

Abstract

Objective: To identify and analyze the concept of the powerlessness in individuals with stroke, according to the NANDA-I Taxonomy.

Methods. Concept analysis from online access of four databases using the descriptors: impotence; helplessness, learned; Stroke, depression in languages: Portuguese, English and Spanish.

Results. The critical attributes of the feeling of powerlessness are: fragility, helplessness, lack of control, and power to chieve  the proposed results for recovery and adaptation. Eleven new antecedents were found. It is recommended to reformulate three antecedents present in the taxonomy. Fourteen consequent were found. It is suggested to amend three consequential from the review.

Conclusion. With the analysis, a more complete concept of the powerlessness was elaborated allowing clarifying the critical attributes that, in turn, will help the rehabilitating nurse to recognize the signs and symptoms and to strengthen mechanisms of tolerance and resistance to stress.

 

How to cite this article: Silva RA, Martins AKL, Castro NB, Viana AV, Butcher HK, Silva VM. Analysis of the concept of powerlessness in individuals with stroke. Invest. Educ. Enferm. 2017; 35(3):306-319.


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References

(1) Lima ACMACC, Silva AL, Guerra DR, Barbosa IV, Bezerra KC, Oria MOB. Nursing diagnoses in patients with cerebral vascular accident: an integrative review. Rev. Bras. Enferm. 2016; 69(4):738-45

(2) Herdman TH, Kamitsuru S. (Ed.). NANDA International nursing diagnosis: Definitions & classification, 2015–2017. Oxford: Wiley-Blackwell; 2015.

(3) Walker LO, Avant KC. Concept development. In: Walker LO, Avant KC. Strategies for theory construction in nursing. 5rd ed. Norwalk: Appleton & Lange; 2011:109-121.

(4) Zhang WN, Pan YH, Wang XY, Zhao Y. A prospective study of the incidence and correlated factors of post-stroke depression in china. PLoS One. 2013; 8(11):78-81

(5) Whittemore R, Knafl K. The integrative review: updated methodology. J. Adv. Nurs. 2005; 52(5):546-53.

(6) Fontenele FC, Pagliuca LMF, Cardoso MVLML. Skin care of the newborn: concept analysis. Esc. Anna Nery. 2012; 16(3):480-5.

(7) Erdmann AL, Peiter CC, Lanzoni GMM. Brazilian research groups in nursing: comparison of 2006 and 2016 profiles. Rev. Gaúcha Enferm. 2017; 38(2):e69051.

(8) Morais EAS, Rojas SSO, Veiga VC. Health indicators in the care for neurocritical patients. Rev. Rene. 2014; 15(2):189-95 .

(9) Seligman MEP, Peterson C, Maier SF. Learned helplessness: a theory for the age of personal control. New York: Oxford University Press; 1975.

(10) Carvalho EC, Cruz DALM, Herdman TH. Contribution of standardized languages for knowledge production, clinical reasoning and clinical Nursing practice. Rev. Bras. Enferm. 2013; 66(esp):134-41.

(11) Bousso RS, Poles K, Cruz DALM. Conceitos e teorias na enfermagem. Rev. Esc. Enferm. USP 2014; 48(1):144-8.

(12) Santos ER, Souza MF, Gutiérrez MGR, Maria VLR, Barros ALBL. Validation of the concept Risk for Decreased Cardiac Output. Rev. Latino-Am. Enferm. 2013;21(Spec):97-104.

(13) Souza JM, Veríssimo MLÓR. Desenvolvimento infantil: análise de um novo conceito. Rev. LatinoAm. Enfermagem. 2015; 23(6):1097-104.

(14) Romanzini AE, Carvalho EC, Galvão CM. Delayed surgical recovery: a concept analysis. Rev. Bras. Enferm. 2015; 68(5):668-75.

(15) Santos SMJ, Araújo TL, Cavalcante TF, Galindo Neto, NM. Acute pain in myocardial infarction: analysis of concept. Rev. Gaúcha Enferm. 2015; 36(3):102-8.

(16) Guedes NG, Lopes MVO, Cavalcante TF, Moreira RP, Araujo T. Review of nursing diagnosis sedentary lifestyle in individuals with hypertension: con- 318 47(3):742-9.

(17) Moysés AMB, Durant LC, Almeida AM, Gozzo TO. Revisão integrativa dos fatores relacionados do diagnóstico de enfermagem náusea na quimioterapia antineoplásica. Rev. Latino-Am. Enferm. 2016; 24:e2812.

(18) Gonçalves RCS, Santana RF. Nursing diagnosis for material and sterilization center: concept analysis. Rev. Enferm. UFPE. 2016; 10(2):485-94.

(19) Delphino TM, Santana RF, Souza PA. Concept clarification of «delayed surgical recovery» for clinical practice implementation. Rev. Enferm. Referência. 2015; 4(6):131-9.

(20) Tornabeni J, Miller JF. The power of partnership to shape the future of nursing: the evolution of the Clinical Nurse Leader. J. Nursing Managem. 2008; 16:608-13.

(21) Butcher H, Kirkpatrick HK. Powerlessness. In: McFarland G, Thomas MD (Eds.). Psychiatric mental health nursing: aplication of the nursing process. Philadelphia: Lippincott; 1991. P:370-7.

(22) Miller JF. Coping with chronic illness: overcoming powerlessness (3rd ed.). Philadelphia: FA Davis; 2000.

(23) Davidhizar R. Powerlessness of caregivers in home care. J. Clin. Nurs. 1994; 3(3):155-8.

(24) Bright R. Grief and powerlessness: helping people regain control of their lives. Brsitol, PA: Jessica Kingsley Publishers; 1996.

(25) Nyström AE, Segesten KM. On sources of powerlessness in nursing home life. J. Adv. Nurs. 1994;19:124-33.

(26) Roberts SL, White BS. Powerlessness and personal control model applied to the myocardial infarction patient. Prog. Cardiovascul. Nurs. 1990; 5(3):84-94.

(27) Braga CG, Cruz DALM. Powerlessness assessment tool for adult patients. Rev. Esc. Enferm. USP. 2009; 43(Spe):1062-9.

(28) Zhang WN, Pan YH, Wang XY, Zhao Y. A prospective study of the incidence and correlated factors of post-stroke depression in china. PLoS One. 2013; 8(11):78-81.

(29) Skidmore ER, Whyte EM, Holm MB, Becker JT, Butters MA, Dew MA, et al. Arch. Phys. Med. Rehabil. 2010; 91(2):203-7

(30) Mitchell PH, Veith RC, Becker KJ, Buzaitis A, Cain KC, Fruin M, et al. Brief psychosocial-behavioral intervention with antidepressant reduces poststroke depression significantly more than usual care with antidepressant: living well with stroke: randomized, controlled trial. Stroke. 2009; 40(9): 3073-8.

(31) Andrade NA, Fernandes MGM, Nóbrega MML, Garcia TR, Costa KNFM. Análise do conceito fragilidade em idosos. Rev Texto & Context Enferm. 2012 21(4):748-56.

(32) Ottenbacher KJ, Graham JE, Ottenbacher AJ, Lee J, Al Snih S, Karmarkar A et al. GV. Hospital readmission in persons with stroke following postacute inpatient rehabilitation. J. Gerontol. Biol. Sci. Med. Sci. 2012;67(8):875-81.

(33) Barbosa AC, Medeiros LS, Duarte N, Meneses C. Factores preditivos de depressão pós-acidente vascular cerebral: estudo retrospectivo numa unidade de reabilitação. Acta Med. Port. 2011; 24(2):175-80.

(34) Rabin BA, Burdea GC, Roll DT, Hundal JS, Damiani F, Pollack S. Integrative rehabilitation of elderly stroke survivors: the design and evaluation of the BrightArm. Disabil. Rehabil. Assist. Technol. ;7(4):323-35.

(35) Thomas SA, Walker MF, Macniven JA, Haworth H, Lincoln NB. Communication and Low Mood (CALM): a randomized controlled trial of behavioural therapy for stroke patients with aphasia. Clin. Rehabil. 2013;27(5):398-408.

(36) Vickery CD. Assessment and correlates of selfesteem following stroke using a pictorial measure. Clin. Rehabil. 2006; 20(12):1075-84.

(37) Tang WK, Chen YK, Lu JY, Chu WCW, Mok VCT, Ungvari GS, et al. Cerebral microbleeds and depression in lacunar stroke. Stroke. 2011; 42:2443-6.

(38) Ayerbe L, Ayis S, Rudd AG, Heuschmann PU, Wolfe CD. Natural history, predictors, and associations of depression 5 years after stroke: the South London stroke register. Stroke. 2011; 42(7):1907-11.

(39) Asplund K, Jonsson F, Eriksson M, Stegmayr B, Appelros P, Norrving B et al. Patient dissatisfaction with acute stroke care. Stroke. 2009; 40:3851-6.

(40) Saxena SK, Ng TP, Yong D, Fong NP, Koh G. Functional outcomes in inpatient rehabilitative care of stroke patients: predictive factors and the effect of therapy intensity. Qual. Prim. Care. 2006:14(3):145-53.

(41) Kim DS, Park YG, Choi JH, Im SH, Jung KJ, Cha YA et al. Effects of music therapy on mood in stroke patients. Yonsei Med. J. 2011; 52(6): 977-81. 319

(42) Vickery CD, Sepehri A, Evans CC. Self-esteem in an acute stroke rehabilitation sample: a control group comparison. Clin. Rehabil. 2008; 22(2):179-87.

(43) Kim MK, Kang SD. Effects of art therapy using color on purpose in life in patients with stroke and their caregivers. Yonsei Med. J. 2013; 54(1):15-20.

(44) Chau JP, Thompson DR, Chang AM, Woo J. Psychometric properties of the Chinese version of State Self-Esteem Scale: an analysis of data from a cross-sectional survey of patients in the first four months after stroke. J. Clin. Nurs. 2012; 21(22):3268-75.

(45) Roach SS. Introdução à enfermagem gerontológica. Rio de Janeiro: Guanabara Koogan; 2009.

(46) Willey JZ, Disla N, Moon YP, Paik MC, Sacco RL, Boden-Albala B et al. Early depressed mood after stroke predicts long-term disability: the northern manhattan stroke study (NOMASS). Stroke. 2010; 41(9):1896-1900.

(47) Hommel M, Trabucco-Miguel S, Naegele B, Gonnet N, Jaillard A. Cognitive determinants of social functioning after a first ever mild to moderate stroke at vocational age. J. Neurol. Neurosurg. Psychiatr. 2009; 80(8):876-80.

(48) Fonseca FB, Rizzotto MLF. Construção de instrumento para avaliação sócio-funcional em idosos. Texto Contexto -Enferm. 2008; 17(2):365-73.

(49) Yang SY, Kong KH. Level and predictors of participation in patients with stroke undergoing inpatient rehabilitation. Singapore Med. J. 2013; 54(10):564-8.

(50) Batcho CS, Stoquart G, Thonnard JL. Brisk walking can promote functional recovery in chronic stroke patients. J Rehabil. Med. 2013; 45(9):854-9.

(51) Katayama M, Naritomi H, Oomura M, Nukata M, Yamamoto S, Araki K et al. Case reports of unexpected suicides in patients within six months afterstroke. Kobe J. Med. Sci. 2011; 56(5):184-94.

(52) Schulenberg SE, Schnetzer LW, Buchanan EM. The purpose in life test-short form: development and psychometric support. J. Happiness Stud. 2011; 12:861-76.

Published

2017-10-12

How to Cite

Alves Silva, R., Lima Martins, Álissan K., Barreto de Castro, N., Viana, A. V., Butcher, H. K., & Martins da Silva, V. (2017). Analysis of the concept of powerlessness in individuals with stroke. Investigación Y Educación En Enfermería, 35(3). https://doi.org/10.17533/udea.iee.v35n3a07

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Section

ORIGINAL ARTICLES / ARTÍCULOS ORIGINALES / ARTIGOS ORIGINAIS

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