Abstract：
AIM:To report a concept analysis of futility in health care. BACKGROUND:Each member of the healthcare team: the physician, the nurse, the patient, the family and all others involved perceive futility differently. The current evidence and knowledge in regard to futility in health care manifest a plethora of definitions, meanings and interpretations without consensus. DESIGN:Concept analysis. DATA SOURCES:Databases searched included Medline, Cumulative Index of Nursing and Allied Health Literature, Academic Search Premier, Cochrane Database of Systematic Reviews and PsycINFO. Search terms included "futil*," "concept analysis," "concept," "inefficacious," "non-beneficial," "ineffective" and "fruitless" from 1935-2016 to ensure a historical perspective of the concept. A total of 106 articles were retained to develop the concept. METHODS:Rogers' evolutionary concept analysis was used to evaluate the concept of futility from ancient medicine to the present. RESULTS:Seven antecedents (the patient/family autonomy, surrogate decision-making movement, the patient-family/physician relationship, physician authority, legislation and court rulings, catastrophic events and advancing medical technology) lead to four major attributes (quantitative, physiologic, qualitative, and disease-specific). Ultimately, futile care could lead to consequences such as litigation, advancing technology, increasing healthcare costs, rationing, moral distress and ethical dilemmas. CONCLUSION:Futility in health care demonstrates components of a cyclical process and a consensus definition is proposed. A framework is developed to clarify the concept and articulate relationships among attributes, antecedents and consequences. Further testing of the proposed definition and framework are needed.
journal_name
J Adv Nursjournal_title
Journal of advanced nursingauthors
Morata Ldoi
10.1111/jan.13526subject
Has Abstractpub_date
2018-06-01 00:00:00pages
1289-1300issue
6eissn
0309-2402issn
1365-2648journal_volume
74pub_type
杂志文章,评审abstract：:An intrasystem-intersystem model developed by Alfred Kuhn has been integrated into the nursing process model to serve as a model for patient-nurse interaction. In this conceptual model the patient and the nurse represent intrasystems with three components, the detector, selector and effector, which act to supply infor...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/j.1365-2648.1983.tb00301.x
更新日期：1983-03-01 00:00:00
abstract：AIM:To report a study conducted to explore childrearing concerns through an analysis of online parenting message boards managed by popular parenting magazines. Background. Increasingly, mothers appear to be turning to the Web for childrearing advice and support. However, no previous studies have examined the childrear...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/j.1365-2648.2012.06030.x
更新日期：2013-03-01 00:00:00
abstract：AIM:This paper presents the findings of a staff survey conducted at a 350-bed acute care facility located on the periphery of Toronto, Canada. BACKGROUND:Toronto's severe acute respiratory syndrome (SARS) crisis resulted in trauma-like effects at hospitals hardest hit by the disease. A systematic examination of the im...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/j.1365-2648.2005.03366.x
更新日期：2005-04-01 00:00:00
abstract：AIMS:To examine the effects of two factors on the transmission of clinical information at nursing handover. These factors were: (i) an affective statement expressing concern about the information; and (ii) verbal reference to a written summary of the information. BACKGROUND:Quality of communication at patient handover...
journal_title：Journal of advanced nursing
pub_type： 杂志文章,随机对照试验
doi：10.1111/jan.12484
更新日期：2015-01-01 00:00:00
abstract：AIM:This paper is a report of a literature review of the determinants of health and health behaviour relevant to coronary heart disease risk for women living on a low income. BACKGROUND:Coronary heart disease is now recognized as the biggest killer of women in both developed and developing countries. As in men, women'...
journal_title：Journal of advanced nursing
pub_type： 杂志文章,评审
doi：10.1111/j.1365-2648.2007.04418.x
更新日期：2007-11-01 00:00:00
abstract：AIMS:The aim of this study was to assess the predictive validity of the DA-5 with the addition of a strangulation item in evaluating the risk of an intimate partner violence (IPV) victim being nearly killed by an intimate partner. BACKGROUND:The DA-5 was developed as a short form of the Danger Assessment for use in he...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/jan.13459
更新日期：2017-12-01 00:00:00
abstract：BACKGROUND:The literature would suggest that midwives' attitudes towards the use of birth technology are mainly focused around issues of "trust and dependence" yet there has been no published research to refute or substantiate these beliefs. AIM:This paper reports on an empirical study that aimed to identify midwives'...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1046/j.1365-2648.2001.01876.x
更新日期：2001-08-01 00:00:00
abstract：AIM:This paper is a report of a study to explore nurses' perceptions of health promotion and health education practice in a Chinese provincial hospital. BACKGROUND:Health promotion and health education practices are based on universal constructs. Therefore, such practices should share common principles. To date, most ...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/j.1365-2648.2007.04479.x
更新日期：2008-01-01 00:00:00
abstract：AIM:To determine the association between time to first analgesic medication and emergency department length of stay (ED LOS). DESIGN:Retrospective cohort study. METHOD:We conducted this study in a large, inner-city emergency department and included adult patients who presented with pain as a symptom and received anal...
journal_title：Journal of advanced nursing
pub_type： 杂志文章,评审
doi：10.1111/jan.14216
更新日期：2020-01-01 00:00:00
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journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1046/j.1365-2648.2002.02315.x
更新日期：2002-09-01 00:00:00
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journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/jan.14658
更新日期：2020-11-22 00:00:00
abstract：AIM:This paper reports a study to interpret and understand bulimia nervosa as women experience it. BACKGROUND:Research into bulimia nervosa has focused on prevalence rates, health complications, comorbidity, neurochemical dysregulation, and cultural influences. Despite a multitude of investigations, little published r...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/j.1365-2648.2004.03262.x
更新日期：2005-01-01 00:00:00
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journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1046/j.1365-2648.1998.00733.x
更新日期：1998-10-01 00:00:00
abstract：:This paper discusses parents' perceptions of their stress when their children are hospitalized with long-term disabilities. The study used a qualitative method. Data were collected with 40 parents through in-hospital interviews, and were analysed using the method of constant, comparative analysis. Parents' own interpr...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/j.1365-2648.1984.tb00381.x
更新日期：1984-07-01 00:00:00
abstract：:Historical and contemporary conceptualizations of caregiving have not addressed the active role of care recipients within caregiver-care-recipient relationships. Using an interpretive synthesis method, the authors developed the concept of protective care-receiving from three qualitative studies of different groups of ...
journal_title：Journal of advanced nursing
pub_type： 杂志文章,评审
doi：10.1046/j.1365-2648.1997.1997025532.x
更新日期：1997-03-01 00:00:00
abstract：:In order to compare the characteristics, preventive interventions and outcomes of single and multiple fallers, a retrospective cross-sectional study was conducted in a 680-bed acute-care hospital in Western Australia. Fifty patients falling more than once (multiple fallers) were randomly selected from all patients rep...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1046/j.1365-2648.1993.18121895.x
更新日期：1993-12-01 00:00:00
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journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1046/j.1365-2648.2002.02276.x
更新日期：2002-08-01 00:00:00
abstract：AIMS:To evaluate hope in hepatitis C patients 9 years after curative treatment with pegylated interferon and ribavirin. BACKGROUND:Successful treatment of hepatitis C leads to improved quality of life in responders compared with non-responders. The long-term effect of successful treatment on hope in these patients is ...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/jan.13487
更新日期：2018-03-01 00:00:00
abstract：AIM:To evaluate the effectiveness of the application of topical heat, high pressure or a combination of both on antebrachial venous cannulation. DESIGN:A cross-over clinical trial blinded for haemolysis analysis. METHODS:This cross-over clinical trial with two periods was performed in the Clinical Trial Unit of Hospi...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/jan.14655
更新日期：2020-11-20 00:00:00
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journal_title：Journal of advanced nursing
pub_type： 杂志文章
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更新日期：2012-03-01 00:00:00
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journal_title：Journal of advanced nursing
pub_type： 杂志文章
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更新日期：2008-05-01 00:00:00
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journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/j.1365-2648.2003.02970.x
更新日期：2004-04-01 00:00:00
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journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/j.1365-2648.1991.tb01562.x
更新日期：1991-11-01 00:00:00
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journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/j.1365-2648.2011.05854.x
更新日期：2012-08-01 00:00:00
abstract：AIMS:To identify the variables that affect family management of childhood atopic dermatitis and establish a prediction model based on Bandura's self-efficacy theory. BACKGROUND:Atopic dermatitis is a chronic recurrent skin disease and common health problem in childhood. It is necessary to use an approach that includes...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
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更新日期：2018-06-01 00:00:00
abstract：AIM:This paper is a report of an evaluation of the effects of a motivational interviewing smoking cessation programme on smoking rates of pregnant women. BACKGROUND:Cigarette smoking during pregnancy is an important public health problem. Smoking cessation programmes provide women with an opportunity to learn how to p...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
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更新日期：2010-06-01 00:00:00
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journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1046/j.1365-2648.1996.10911.x
更新日期：1996-05-01 00:00:00
abstract：AIMS:This paper is a report of a correlational study of the relations of nurse agreeableness and negative supervisor mood to nurses' intentions to help their colleagues. BACKGROUND:Nursing collaboration is important to high quality care. Previous studies have identified agreeableness and negative mood of supervisors a...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
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更新日期：2012-03-01 00:00:00
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journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1046/j.1365-2648.2002.02066.x
更新日期：2002-01-01 00:00:00
abstract：AIM:To describe the proposed Culturally Competent Community Care (CCCC) model, and the process of development and testing of the model. BACKGROUND:Community health nurses are challenged to provide culturally competent care in all types of communities. However, existing models have not provided community nurses with sp...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1046/j.1365-2648.2001.01929.x
更新日期：2001-09-01 00:00:00
