Overcoming Concept Analysis
Overcoming Concept Analysis
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Nurses perform vita roles of helping individuals and populations with complicated health problems and help them to achieve positive health outcomes regardless of their mental and physical conditions, their lifestyles, their environments, or social behaviors, and choices. Their responsibilities are often demanding and fraught with nuanced approaches and meanings that differ between healthcare professionals and providers. This concept analysis paper utilizes Sabei and Lasater (2016) concept analysis strategy to elucidate the meaning of overcoming and comprehensively to examine its attributes. Sample cases from research and nursing practice with homeless families will significantly help in developing the concept to enhance further understanding. The results of this study will be critical in facilitating comprehension of the idea and its practical and theoretical implications for the nursing field.
Definition and Uses of Concept
The American Heritage Dictionary provides that overcoming comes from ofercuman, an old English word that means to defeat another person either in conflict or competition; to get the better of; to prevail over, conquer, or surmount; or to overwhelm, or overpower as with emotion (Pickett, 2018). Various professionals have put multiple examples to show the use of the concept. For instance, the songs of protest, spiritual awakening, and activism provides profound examples of how the term can be applied. The key anthem of the Civil Rights Movement, “We Shall Overcome” denotes conquering barriers of racial discrimination (Botsch, 2018).
Defining Attributes
Just like signs and symptoms are critical in defining a disease, defining attributes are fundamental in differentiating one concept from another, which assists in clarifying its meaning. The concept of overcoming can be linked to three critical defining characteristics. These are (1) the capacity to acknowledge or recognize the existence of a behavior, event, situation, or problem that is undesirable; (2) showing determination, desire, and readiness to surmount or change the problem, situation, behavior, or event; and, (3) holding strong beliefs and views that surmounting or changing the problem, situation, action, or event will have positive impacts on one's life. As a result, overcoming is defined as a thoughtful and deliberate process used by people to conquer or change a self-perceived problem, adversity, or a challenge to achieve a healthier and happier life (Sabei & Lasater, 2016). It is the process in which people seek hope, trust, caring, and teamwork characteristics that are required for a healthy lifestyle.
Antecedents
Antecedents refers to attributes or events that must occur before the occurrence of the concept (Sabei & Lasater, 2016) The overcoming process requires one first to establish the need to change the current status quo for better, i.e., address the problem, situation, behavior, or event at hand. The change of behavior depends on one's expectations and the ability to execute the new behavior. Self-efficacy plays an instrumental role in facilitating overcoming; individuals must believe in their potential to make and sustain the required changes to be able to overcome that problem. For one to overcome a situation, then change is fundamental. That means the person must undergo through the five stages of the Change Model, including pre-contemplation, contemplation, preparation, modification, and maintaining the change (Krebs et al., 2018).
Consequences
Consequences refer to the events that happen due to the occurrence of a concept that can easily arouse new ideas or areas for research relating to particular concepts. Probable consequences of overcoming a problem, event, situation, or behavior include achieving a high-quality and more stable life, gaining hope, living a meaningful life, and surmounting challenges and obstacles to attaining a healthy and satisfactory future. These are particularly positive processes that yield positive results (Sabei & Lasater, 2016).
Model Case
Y.Z is a 26-year old Black American woman who is residing in a subsidized house in New York, United States. In November 2015, she was assaulted by her husband when she was eight months pregnant. This act instilled a lot of fear, and she had to leave for her safety and that of her 3-year old son. She only had $10 in her pocket, few clothes, and three diapers when she left. Y.Z was terrified of her situation and knew that being homeless with a kid is a desperate situation and thus immediately sought refuge at another home. She also tried to reach her husband and extended family for help, but no one seemed concerned. However, she realized that it is her alone who would change her situation and thus sought legal aid services, and applied for assistance with emergency houses. An agency offered her a new home, and she was able to relocate within two months, enrolled children in school, and secured a job in the city to take care of her family. This case study demonstrates all the attributes of overcoming. For instance, the woman was hopeful for a better future; that's why she sought a job to change the situation of her family. She was caring for the kids and trusted the agency would do something; that's why she approached it. Teamwork is also evident in the way the agency worked with the woman in a short duration.
Borderline Case
X.W is a 25-year-old Latino female who was recently given a new house by an agency for homeless alongside a 5-year old daughter after staying for several months with no place to call home. This incident was the third of the woman being homeless in two years, and she has a pregnancy that is eight months old that she got with her current boyfriend, who was recently imprisoned. She also has a 3-year old son who is hospitalized nursing a complicated cardiac condition. This tragedy befell on the woman when she was financially dependent on a male partner who was unable to support the family. Though X.W is new to New York City, when she became homeless, she was motivated and hopeful of securing a house to reunite with her family. She trusts the agency for the homeless will do something about her condition but needs the support of other people to do it in the shortest time possible. However, frustrations began when she failed to get the teamwork of other people, such as local authorities who could have helped her secure the house quickly. Finally, she manages to reunite with her son after a long time, although she doesn't care a lot because she has no plans to search for employment to foot his medical bills and take care of her young family.
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Contrary Case
U.V is a Black American woman residing in New York shelters for the homeless with a 3-year old son. She seems to have lost hope of the future and has no plans of working her way to rent her apartment for the family. U.V is offered a job by a particular company to get money for taking care of the family that is living from hand to mouth but declines, showing how uncaring she is becoming. Her previous husband offers to team with her and work for the betterment of the family but insists that she has lost trust in him and doesn't love her anymore after he abandoned the family two years ago.
Implications for Nursing Practice
There is still a shortage of evidence on the concept of overcoming, and future studies need to explore this concept in depth. Proper analysis of the concepts provides a useful tool for nurses to design clinical interventions that enhance the process and contributes to physical, environmental, and psychosocial outcomes. Overcoming and its defining attributes such as hope, trust, teamwork, and caring are fundamental to patients and the nurses who work with these people. This research demonstrates that overcoming is a crucial component in helping homeless mothers get out of their status quo to pursue better and happier lives.
References
Botsch, R. E. (2018). We Shall Not Overcome: Populism and Southern Blue-Collar Workers. UNC Press Books.
Krebs, P., Norcross, J. C., Nicholson, J. M., & Prochaska, J. O. (2018). Stages of change and psychotherapy outcomes: A review and meta‐analysis. Journal of clinical psychology, 74(11), 1964-1979.
Pickett, J. P. (Ed.). (2018). The American heritage dictionary of the English language. Houghton Mifflin Harcourt.
Sabei, S. D. A., & Lasater, K. (2016). Simulation debriefing for clinical judgment development: A concept analysis. Nurse Education Today, 45, 42-47.
