Professional nurses’ facilitation of self-care in intensive care units: A concept analysis

• Published in: International journal of nursing sciences Vol. 7; no. 4; pp. 446 - 452
• Main Authors: Chipu, Mpho, Downing, Charlene
• Format: Journal Article
• Language: English
• Published: China Elsevier B.V 10-10-2020; Department of Nursing, Faculty of Health Sciences, University of Johannesburg, Doornfontein Campus, Johannesburg, South Africa; Chinese Nursing Association
• Subjects: Intensive care units; Original; Self care; Self-compassion; Self-control; Self-efficacy; Self-management; Self-regulation; Intensive care units; Self care; Self-control; Self-compassion; Self-efficacy; Self-management; Self-regulation
• ISSN: 2352-0132; 2096-6296; 2352-0132
• DOI: 10.1016/j.ijnss.2020.08.002

This article aims to provide an in-depth analysis of the concept of self-care in the intensive care unit and outline its defining attributes, antecedents, consequences and empirical referents.
The literature was searched electronically using databases such as CINAHL, Medline, Psych INFO, ERIC, ScienceDirect, Amed, EBSCO (Health Source: Nursing and Academic Edition), Sage, Ujoogle and Google Scholar. Articles from 2013 to 2020 were searched to target recent and up-to-date information about the definitions, attributes, antecedents and consequences of the concept of self-care. Walker and Avant’s framework was utilised to analyse the concept of self-care.
The results of the concept analysis identified seven attributes, namely process, activity, capability, autonomous choice, education, self-control and interaction. The seven identified antecedents are self-motivation, participation, commitment, resources, religious and cultural beliefs, social, spiritual and professional support, and the availability of time. The consequences are the maintenance of health and wellbeing, autonomy, increased self-esteem, disease prevention, empowerment, increased social support and the ability to cope with stress.
The result of the concept analysis was used to describe a model to facilitate professional nurses’ self-care in the intensive care unit.