NR501 Noise Concept Analysis EssayNR501 Noise Concept Analysis Essay

Introduction

Florence Nightingale describes needless noise as ‘the most cruel absence of care that can be inflicted either on sick or well’, in her book Notes on Nursing. Nightingale’s thoughts about the environment, nursing, and a person were generally grounded in experience. It is for this reason that she considered the most reliable way of obtaining and verifying knowledge to be through a person’s sense of observation. In most cases, the word noise arouses the feelings of apprehension and chaos NR501 Noise Concept Analysis Essay. In clinical settings, these feelings can further worsen an illness. Even though Florence Nightingale warned against “unnecessary noise” in regards to healing and health, she emphasized the need to differentiate between necessary and unnecessary noise.

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Based on the distinctions available, it is debatable as to whether necessary noise can be used to promote healing and good health in clinical settings. To distinguish the perception of noise further, Nightingale noted that what may be noise to one person may not necessarily be noise to another person. With Walker’s and Avant’s eight-step process of concept analysis, this paper analyzes the concept of noise using Katharine Kolcaba’s comfort theory. The definition of noise, comprehensive review of literature, defining attributes, antecedents, consequences and empirical referents will be provided. A model case, borderline case, and contrary case will also be provided to illustrate each of the defining attributes of noise. This analysis is essential for advancing theory development in nursing clinical practice, research and education.

Uses and Definition of the Concept

            The word noise initially originated from the word ‘nausea’ which is a Latin word for seasickness. Although the word ‘nausea’ has gradually evolved since the…

 

NR501 Concept Analysis Guidelines and Rubric

Purpose

This assignment provides the opportunity for the student to complete an analysis of a concept supported by a nursing theory using an identified process. The assignment fosters analytical thinking related to the selected concept as well as application within the profession.

Course Outcomes

Through this assignment, the student will demonstrate the ability to:

• (CO#1) Analyze theories from nursing and relevant fields with respect to their components, relationships among the components, logic of the propositions, comprehensiveness, and utility to advanced nursing. (PO1)
• (CO#3) Communicate the analysis of and proposed strategies for the use of a theory in nursing practice. (PO3, 7, 10)
• (CO#4)
• Demonstrate logical and creative thinking in the analysis and application of a theory to nursing practice. (PO4. 7)

 

Due Date Sunday 11:59 PM MT at the end of Week 3

Total Points Possible: 250 Points

Requirements

Description of the Assignment

This assignment presents a modified method for conducting a concept analysis of ONE concept that is important and useful to nursing.  The concept for this assignment must be supported by a published nursing theory. The selected concept is identified and then the elements of the analysis process are applied in order to synthesize knowledge for application as demonstrated through the creation of model, borderline, and contrary cases.  Theoretical applications of the concept are also discussed. Non-nursing theories may NOT be used. The paper concludes with a synthesis of the student’s new knowledge about the concept. The scholarly literature is incorporated throughout the analysis.

 

Only the elements identified in this assignment should be used for this concept analysis. 

Criteria for Content

1. Introduction

The introduction substantively presents all the following elements:

• Identifies the role of concept analysis within theory development.
• Identifies the selected nursing
• Identifies the nursing theory that addresses the selected concept.
• Names the sections of the paper.
• Scholarly support is required.

 

2. Definition/Explanation of the selected nursing concept

This section includes:

• Defines/explains the concept using scholarly literature (a dictionary maybe used for this section ONLY, and additional scholarly nursing references are required).
• A substantive discussion of this section with support from nursing literature is required.

 

3. Literature review

This section requires:

• A substantive discussion of at least 6 (six) scholarly nursing literature sources on the selected concept.
• Themes, ideas, and/or facts about the concept found in the reviewed sources are presented in an organized fashion.
• Support from nursing literature is required.

 

Please Note: Primary research articles about the selected nursing concept are the most useful resource for the literature review.

4. Defining attributes

For this section:

• A minimum of THREE (3) attributes are required.
• A substantive discussion of this section with support from nursing literature is required

 

Explanation:  An attribute identifies characteristics of a concept.  For this situation, the characteristics of the selected nursing concept are identified and discussed.

 

5. Antecedent and Consequence

This section requires the identification of:

• 1 antecedent of the selected nursing concept.
• 1 consequence of the selected nursing concept.
• A substantive discussion of the element with support from nursing literature is required.

 

Explanation:  An antecedent is an identifiable occurrence that precedes an event.  In this situation, an antecedent precedes a selected nursing concept. A consequence follows or is the result of an event.  In this situation a consequence follows or is the result of the selected nursing concept.

 

6. Empirical Referents

This section requires the identification of:

• 2 (two) empirical referents of the selected nursing concept.
• A substantive discussion of the element with support from nursing literature is required.

 

Explanation:  An empirical referent is an objective ways to measure or determine the presence of the selected nursing concept.

 

7. Construct Cases

Explanation: hypothetical or real-life situations demonstrating the use or absence of the concept.

This section requires the creation of a model case, borderline case, and contrary case.

• 1 Model Case is created by the student and discussed substantively by demonstrating within the case each of the following areas:
  • Definition
  • All identified attributes

 

Explanation:  A model case is an example of a hypothetical or real-life situation that demonstrates all of the attributes noted previously in this assignment.

 

• 1 Borderline Case is created by the student in which one or two of the previously identified attributes are missing.
• 1 Contrary Case is created by the student that demonstrates the opposite of the selected nursing concepts. All identified attributes of the concept are absent in this case.

 

Explanation:  Borderline case is a created case where one or two of the previously identified attributes are missing. Contrary case is a created case that demonstrate the complete opposite of the selected nursing concept – all identified attributes are missing.

 

8. Theoretical Applications of the Concept
   • Discuss the purpose of a concept analysis in relationship to theory.
   • Explain how the concept applies to the selected nursing theory.
   • A substantive discussion of the element with support from nursing literature is required.

 

9. Conclusion

This section requires:

• Summarization of key information regarding:
  • Selected nursing concept.
  • Selected nursing theory.
  • Application of concept analysis findings to advanced practice nursing (specific to selected specialty track professional role and/or area of practice).
• The concluding statements include self-reflection on the new knowledge gained from conducting a concept analysis. (Self-reflection may be written in first-person.)

 

Preparing the Assignment

Criteria for Format and Special Instructions

1. The paper (excluding the title page and reference page) should be at least 6, but no more than 8 pages. Points will be lost for not meeting these length requirements.
2. Title page, running head, body of paper, and reference page must follow APA guidelines as found in the 6^th edition of the manual. This includes the use of headings for each section of the paper except for the introduction where no heading is used.
3. The source of the concept for this assignment must be a published nursing Non-nursing theories may NOT be used.
4. A minimum of 6 (six) scholarly references must be used. Required textbooks for this course, and Chamberlain College of Nursing lesson information may NOT be used as scholarly references for this assignment. A dictionary maybe used as a reference for the section titled “Definition/Explanation of the selected nursing concept”, but it is NOT counted as one of the 6 required scholarly nursing references. Be aware that information from .com websites may be incorrect and should be avoided.
5. References are current – within a 5-year time frame unless a valid rationale is provided and the instructor has approved them.
6. Ideas and information from scholarly, peer reviewed, nursing sources must be cited and referenced correctly.
7. Rules of grammar, spelling, word usage, and punctuation are followed and consistent with formal, scientific writing.
8. PLEASE note: Do not rely on .com sites to identify the nursing theory as they do not provide accurate information in all cases.

Possible Concepts: The following concepts are not required; students may select one of these concepts or find another concept. Each selected concept must be associated with a nursing theory; the use of non-nursing theories is NOT allowed. If you have any questions regarding your concept or the nursing theory, please consult with your faculty member for assistance. Please note: the concepts of incivility and civility are not allowed for this assignment.

·         Adaptation ·         Burnout ·         Caring ·         Comfort ·         Compassion ·         Compassion fatigue ·         Competence ·         Cultural humility ·         Empowerment ·         Engagement ·         Health

·         Leadership ·         Meaningfulness ·         Modeling ·         Noise ·         Pain ·         Palliative care ·         Quality of life ·         Resilience ·         Self-care ·         Sensory overload ·         Situational awareness

Directions and Assignment Criteria

Assignment Criteria	Points	%	Description
Introduction	10	4	The introduction substantively presents all the following elements: ·         Identifies the role of concept analysis within theory development. ·         Identifies the selected nursing concept. ·         Identifies the nursing theory that addresses the selected concept. ·         Names the sections of the paper. ·         Scholarly support is required.
Definition/Explanation of Selected Concept	25	10	This section includes: ·         Defines/explains the concept using scholarly literature (a dictionary maybe used for this section ONLY, and additional scholarly nursing references are required). ·         A substantive discussion of this section with support from nursing literature is required.
Literature Review	35	14	This section requires: ·         A substantive discussion of at least 6 (six) scholarly nursing literature sources on the selected concept. ·         Themes, ideas, and/or facts about the concept found in the reviewed sources are presented in an organized fashion. ·         Support from nursing literature is required.
Defining Attributes	25	10	For this section: ·         A minimum of THREE (3) attributes are required. ·         A substantive discussion of this section with support from nursing literature is required
Antecedent & Consequence	25	10	This section requires the identification of: ·         1 antecedent of the selected nursing concept. ·         1 consequence of the selected nursing concept. ·         A substantive discussion of the element with support from nursing literature is required.
Empirical Referents	20	8	This section requires the identification of: ·         2 (two) empirical referents of the selected nursing concept. ·         A substantive discussion of the element with support from nursing literature is required.
Construct Cases	30	12	This section requires: ·         1 Model Case is created by the student and discussed substantively by demonstrating within the case each of the following areas: o   Definition o   All identified attributes ·         1 Borderline Case is created by the student in which one or two of the previously identified attributes are missing. ·         1 Contrary Case is created by the student that demonstrates the opposite of the selected nursing concepts. All identified attributes of the concept are absent in this case.
Theoretical Applications of the Concept	30	12	This section requires: ·         Discussion of the purpose of a concept analysis in relationship to theory. ·         Explanation on how the concept applies to the selected nursing theory. ·         A substantive discussion of the element with support from nursing literature is required.
Conclusion	10	4	This section requires: ·         Summarization of key information regarding: ·         Selected nursing concept. ·         Selected nursing theory. ·         Application of concept analysis findings to advanced practice nursing (specific to selected specialty track professional role and/or area of practice). ·         The concluding statements include self-reflection on the new knowledge gained from conducting a concept analysis. (Self-reflection may be written in first-person.)
Paper Specifications	20	8	A nursing theory was used.   The source of the concept for this assignment was a published nursing theory.  Non-nursing theories may NOT be used. Paper meets length requirements of 6 to 8 pages   Minimum of 6 scholarly nursing references A dictionary (except for Definition section), required textbooks for this course and Chamberlain College of Nursing lesson information, may NOT be used as scholarly references for this assignment.   References are current – within a 5-year time frame unless a valid rationale is provided and the instructor has approved them.
APA Format (6th edition)	10	4	Title page, running head, body of paper, and reference page must follow APA guidelines as found in the 6th edition of the manual. This includes the use of headings for each section of the paper except for the introduction where no heading is used. One deduction for each type of APA style error
Citations in Text	5	2	Ideas and information that come from readings must be cited and referenced correctly.
Writing Mechanics	5	2	Rules of grammar, spelling, word usage, and punctuation are followed and consistent with formal written work as found in the 6th edition of the APA manual.
Total	250	100 %	A quality assignment will meet or exceed all of the above requirements.

 

 

 

 

          Grading Rubric

Assignment Criteria	Exceptional (100%) Outstanding or highest level of performance	Exceeds (88%) Very good or high level of performance	Meets (80%) Competent or satisfactory level of performance	Needs Improvement (38%) Poor or failing level of performance	Developing (0) Unsatisfactory level of performance
Content Possible Points = 230 Points
Introduction	10 Points	9 Points	8 Points	4  Points	0 Points
	Presentation of information was exceptional and included all of the following elements:   Identifies the role of concept analysis within theory development.   Identifies the selected nursing concept.   Identifies the nursing theory from which the selected concept was obtained.   A nursing theory was used.   Identifies the sections of the paper.   Scholarly support from nursing literature was provided.	Presentation of information was good, but was superficial in places and included all of the following elements:   Identifies the role of concept analysis within theory development.   Identifies the selected nursing concept.   Identifies the nursing theory from which the selected concept was obtained.   A nursing theory was used.     Identifies the sections of the paper.   Scholarly support from nursing literature was provided.	Presentation of information was minimally demonstrated in the all of the following elements:   Identifies the role of concept analysis within theory development.   Identifies the selected nursing concept.   Identifies the nursing theory from which the selected concept was obtained.   A nursing theory was used.   Identifies the sections of the paper.   Limited scholarly support from nursing literature was provided.	Presentation of information in one or two of the following elements fails to meet expectations:   Identifies the role of concept analysis within theory development.   Identifies the selected nursing concept.   Identifies the nursing theory from which the selected concept was obtained.   A nursing theory was used.   Identifies the sections of the paper.   Limited or no scholarly support from nursing literature was provided.	Presentation of information is unsatisfactory in three or more of the following elements:   Identifies the role of concept analysis within theory development.   Identifies the selected nursing concept.   Identifies the nursing theory from which the selected concept was obtained.   A nursing theory was used.   Identifies the sections of the paper.     Limited or no scholarly support from nursing literature was provided.
Definition/ Explanation of Selected Concept	25  Points	22 Points	20 Points	10 Points	0 Points
	Presentation of information was exceptional and included all of the following elements:   Defines/explains the concept using scholarly literature (a dictionary maybe used for this section ONLY, and additional scholarly nursing references are required).   Provides support from scholarly sources.	Presentation of information was good, but was superficial in places and included all of the following elements:   Defines/explains the concept using scholarly literature (a dictionary maybe used for this section ONLY, and additional scholarly nursing references are required).   Provides support from scholarly sources.	Presentation of information was minimally demonstrated in the all of the following elements:   Defines/explains the concept using scholarly literature (a dictionary maybe used for this section ONLY, and additional scholarly nursing references are required).   Provides limited support from scholarly sources. NR501 Noise Concept Analysis Essay	Presentation of information in one  of the following elements fails to meet expectations:   Defines/explains the concept using scholarly literature (a dictionary maybe used for this section ONLY, and additional scholarly nursing references are required).   Provides limited or no scholarly support.	Presentation of information is unsatisfactory in each of the following elements:   Defines/explains the concept using scholarly literature (a dictionary maybe used for this section ONLY, and additional scholarly nursing references are required).   Provides limited or no scholarly support.
Literature Review	35 Points	31 Points	28 Points	13 Points	0 Points
	Presentation of information was exceptional and included all of the following elements:   A substantive discussion of at least 6 (six) nursing literature sources on the selected concept.   Themes, ideas, and/or facts about the concept found in the reviewed sources are presented in an organized fashion.	Presentation of information was good, but was superficial in places and included all of the following elements:   A substantive discussion of at least 6 (six) nursing literature sources on the selected concept.   Themes, ideas, and/or facts about the concept found in the reviewed sources are presented in an organized fashion. NR501 Noise Concept Analysis Essay	Presentation of information was minimally demonstrated in the all of the following elements:   A substantive discussion of at least 6 (six) nursing literature sources on the selected concept.   Themes, ideas, and/or facts about the concept found in the reviewed sources are presented in an organized fashion.	Presentation of information in one of the following elements fails to meet expectations:   A substantive discussion of at least 6 (six) nursing literature sources on the selected concept.   Themes, ideas, and/or facts about the concept found in the reviewed sources are presented in an organized fashion.	Presentation of information is unsatisfactory in each of the following elements:   A substantive discussion of at least 6 (six) nursing literature sources on the selected concept.   Themes, ideas, and/or facts about the concept found in the reviewed sources are presented in a disorganized fashion.
Defining Attributes	25  Points	22 Points	20 Points	10 Points	0 Points
	Presentation of information was exceptional and included all of the following elements:   A minimum of 3 (three) attributes   Support from scholarly sources provided.	Presentation of information was good, but was superficial in places and included all of the following elements:   A minimum of 3 (three) attributes are required.   Support from scholarly sources provided.	Presentation of information was minimally demonstrated in the all of the following elements:   A minimum of 3 (three) attributes are required.   Limited support from scholarly sources provided.	Presentation of information in one of the following elements fails to meet expectations:   One or two attributes of the selected nursing concepts were presented. NR501 Noise Concept Analysis Essay   Limited or no support from scholarly sources provided.	Presentation of information is unsatisfactory in each of the following elements:   No attributes of the selected nursing concept were presented.   Limited or no support from scholarly sources provided.
Antecedent & Consequence	25  Points	22 Points	20 Points	10 Points	0 Points
	Presentation of information was exceptional and included all of the following elements:   1 antecedent of the selected nursing concept.   1 consequence of the selected nursing concept.   Support from scholarly nursing literature provided.	Presentation of information was good, but was superficial in places and included all of the following elements:   1 antecedent of the selected nursing concept.   1 consequence of the selected nursing concept.   Support from scholarly nursing literature provided.	Presentation of information was minimally demonstrated in the all of the following elements:   1 antecedent of the selected nursing concept.   1 consequence of the selected nursing concept.   Limited support from scholarly nursing literature provided.	Presentation of information in one of the following elements fails to meet expectations:   1 antecedent of the selected nursing concept.   1 consequence of the selected nursing concept.   Limited or no support from scholarly nursing literature was provided.	Presentation of information is unsatisfactory in two or more of the following elements:   1 antecedent of the selected nursing concept. 1 consequence of selected nursing concept.   Limited or no support from scholarly literature was provided.
Empirical Referents	20  Points	18 Points	16 Points	8 Points	0 Points
	Presentation of information was exceptional and included all of the following elements: NR501 Noise Concept Analysis Essay   2 (two) empirical referents of the selected nursing concept.   Support from scholarly nursing literature provided.	Presentation of information was good, but was superficial in places and included all of the following elements:   2 (two) empirical referents of the selected nursing concept.   Support from scholarly nursing literature provided.	Presentation of information was minimally demonstrated in the all of the following elements:   2 (two) empirical referents of the selected nursing concept.   Limited support from scholarly nursing literature provided.	Presentation of information in one of the following elements fails to meet expectations:   2(two) empirical referents of the selected nursing concept.   Limited or no support from scholarly nursing literature was provided.	Presentation of information is unsatisfactory in each of the following elements:   2(two) empirical referents of the selected nursing concept.     Limited or no support from scholarly nursing literature was provided.
Construct Cases	30 Points	26 Points	24 Points	11 Points	0 Points
	Presentation of information was exceptional and included all of the following elements:   1 Model Case is created by the student and discussed substantively by demonstrating within the case each of the following areas: ·         Definition ·         All identified attributes 1 Borderline Case is created by the student in which one or two of the previously identified attributes are missing. 1 Contrary Case is created by the student that demonstrates the opposite of the selected nursing concepts. All identified attributes of the concept are absent in this case.	Presentation of information was good, but was superficial in places and included all of the following elements:   1 Model Case is created by the student and discussed substantively by demonstrating within the case each of the following areas: ·         Definition ·         All identified attributes 1 Borderline Case is created by the student in which one or two of the previously identified attributes are missing. 1 Contrary Case is created by the student that demonstrates the opposite of the selected nursing concepts. All identified attributes of the concept are absent in this case.	Presentation of information was minimally demonstrated in the all of the following elements:   1 Model Case is created by the student and discussed substantively by demonstrating within the case each of the following areas: ·         Definition ·         All identified attributes 1 Borderline Case is created by the student in which one or two of the previously identified attributes are missing. 1 Contrary Case is created by the student that demonstrates the opposite of the selected nursing concepts. All identified attributes of the concept are absent in this case.	Presentation of information in one of the following elements fails to meet expectations:   1 Model Case is created by the student and discussed substantively by demonstrating within the case each of the following areas: ·         Definition ·         All identified attributes 1 Borderline Case is created by the student in which one or two of the previously identified attributes are missing. 1 Contrary Case is created by the student that demonstrates the opposite of the selected nursing concepts. All identified attributes of the concept are absent in this case. NR501 Noise Concept Analysis Essay	Presentation of information is unsatisfactory in two or more of the following elements:     1 Model Case is created by the student and discussed substantively by demonstrating within the case each of the following areas: ·         Definition ·         All identified attributes 1 Borderline Case is created by the student in which one or two of the previously identified attributes are missing. 1 Contrary Case is created by the student that demonstrates the opposite of the selected nursing concepts. All identified attributes of the concept are absent in this case.
Theoretical Applications of the Concept	30 Points	26 Points	24 Points	11 Points	0 Points
	Presentation of information was exceptional and included all of the following elements:   Discusses the purpose of a concept analysis in relationship to theory.   Explains how the concept applies to the selected nursing theory.   A substantive discussion of the element with support from nursing literature is required.	Presentation of information was good, but was superficial in places and included all of the following elements:   Discusses the purpose of a concept analysis in relationship to theory.   Explains how the concept applies to the selected nursing theory.     A substantive discussion of the element with support from nursing literature is required.	Presentation of information was minimally demonstrated in the all of the following elements:   Discusses the purpose of a concept analysis in relationship to theory.   Explains how the concept applies to the selected nursing theory.   A substantive discussion of the element with support from nursing literature is required.	Presentation of information in one of the following elements fails to meet expectations:   Discusses the purpose of a concept analysis in relationship to theory.   Explains how the concept applies to the selected nursing theory.   A substantive discussion of the element with support from nursing literature is required.	Presentation of information is unsatisfactory in two or more of the following elements:   Discusses the purpose of a concept analysis in relationship to theory.   Explains how the concept applies to the selected nursing theory.   A substantive discussion of the element with support from nursing literature is required.
Conclusion	10 Points	9 Points	8 Points	4  Points	0 Points
	Presentation of information was exceptional and included all of the following elements:   Summarizes information on selected nursing concept.   Summarizes information on selected nursing theory.   Summarizes the application of concept analysis findings to advanced nursing practice.   Self-reflection on the new knowledge gained regarding concept analysis.	Presentation of information was good, but was superficial in places and included all of the following elements:   Summarizes information on selected nursing concept. NR501 Noise Concept Analysis Essay   Summarizes information on selected nursing theory.   Summarizes the application of concept analysis findings to advanced nursing practice.   Self-reflection on the new knowledge gained regarding concept analysis.	Presentation of information was minimally demonstrated in the all of the following elements:   Summarizes information on selected nursing concept.   Summarizes information on selected nursing theory.   Summarizes the application of concept analysis findings to advanced nursing practice.   Self-reflection on the new knowledge gained regarding concept analysis.	Presentation of information in one or two of the following elements fails to meet expectations:   Summarizes information on selected nursing concept.   Summarizes information on selected nursing theory.   Summarizes the application of concept analysis findings to advanced nursing practice. NR501 Noise Concept Analysis Essay   Self-reflection on the new knowledge gained regarding concept analysis.	Presentation of information is unsatisfactory in three or more of the following elements:   Summarizes information on selected nursing concept.   Summarizes information on selected nursing theory.   Summarizes the application of concept analysis findings to advanced nursing practice.   Self-reflection on the new knowledge gained regarding concept analysis.
Paper Specifications	20  Points	18 Points	16 Points	8 Points	0 Points
	This section included all of the following:   A nursing theory was used.   The source of the concept for this assignment was a published nursing theory. Paper meet length requirements of 6 to 8 page.   Minimum of 6 scholarly nursing references   A dictionary (except for Definition section), required textbooks for this course and Chamberlain College of Nursing lesson information, were NOT used as scholarly references.   References are current – within a 5-year time frame unless a valid rationale was provided and the instructor approved them.	This section included three of the following:   A nursing theory was used.   The source of the concept for this assignment was a published nursing theory.   Paper meet length requirements of 6 to 8 pages   Minimum of 6 scholarly nursing references A dictionary (except for Definition section), required textbooks for this course and Chamberlain College of Nursing lesson information, were NOT used as scholarly references.   References are current – within a 5-year time frame unless a valid rationale was provided and the instructor approved them.	This section included only two of the following:   A nursing theory was used.   The source of the concept for this assignment was a published nursing theory. Paper meet length requirements of 6 to 8 pages   Minimum of 6 scholarly nursing references A dictionary (except for Definition section), required textbooks for this course and Chamberlain College of Nursing lesson information, were NOT used as scholarly references.   References are current – within a 5-year time frame unless a valid rationale was provided and the instructor approved them.	This section included only one of the following:   A nursing theory was used.   The source of the concept for this assignment was a published nursing theory.   Paper meet length requirements of 6 to 8 pages   Minimum of 6 scholarly nursing references A dictionary (except for Definition section), required textbooks for this course and Chamberlain College of Nursing lesson information, were NOT used as scholarly references.   References are current – within a 5-year time frame unless a valid rationale was provided and the instructor approved them.	This section included none of the following:   A nursing theory was used.   The source of the concept for this assignment was a published nursing theory.   Paper meet length requirements of 6 to 8 pages   Minimum of 6 scholarly nursing references A dictionary (except for Definition section), required textbooks for this course and Chamberlain College of Nursing lesson information, were NOT used as scholarly references.   References are current – within a 5-year time frame unless a valid rationale was provided and the instructor approved them.
		Content Subtotal	NR501 Noise Concept Analysis Essay		_____of  230 points
Format Possible Points =  20 Points
APA Style	10 Points	9 Points	8 Points	4  Points	0 Points
	APA guidelines, as per the 6th edition of the manual, are demonstrated for the ·         title page, ·         running head, ·         body of paper (including citations and headings), and ·         reference page One deduction for each type of APA format error   0 to 1 APA error was present	APA guidelines, as per the 6th edition of the manual, are demonstrated for the ·         title page, ·         running head, ·         body of paper (including citations and headings), and ·         reference page   One deduction for each type of APA format error   2 –  3 APA errors were present	APA guidelines, as per the 6th edition of the manual, are demonstrated for the ·         title page, ·         running head, ·         body of paper (including citations and headings), and ·         reference page   One deduction for each type of APA format error   4 – 5 APA were are present	APA guidelines, as per the 6th edition of the manual, are demonstrated for the ·         title page, ·         running head, ·         body of paper (including citations and headings), and ·         reference page   One deduction for each type of APA format error   6 – 7 APA were are  present	APA guidelines, as per the 6th edition of the manual, are demonstrated for the ·         title page, ·         running head, ·         body of paper (including citations and headings), and ·         reference page   One deduction for each type of APA format error   8 or greater APA errors were present
Citations	5  Points	4  Points	3 Points	2 Points	0 Points
	There were 0-1 errors in the crediting of ideas, and information  that contributed to knowledge   Permission to use references older than 5 years was obtained from faculty.	There were 2-3  errors in the crediting of ideas, and information that contributed to knowledge   Permission to use references older than 5 years was NOT obtained from faculty.	There were 4-5 errors in the crediting of ideas, and information that contributed to knowledge	There were 6-7 errors in the crediting of ideas, and information that contributed to knowledge NR501 Noise Concept Analysis Essay	There were 8 or greater errors in the crediting of ideas, and information that contributed to knowledge
Writing Quality	5  Points	4  Points	3 Points	2 Points	0 Points
	1–2 errors or exceptions to the rules of grammar, spelling, word usage, punctuation and other aspects of formal written work as found in the 6th edition of the APA manual	3 – 4 errors or exceptions to the rules of grammar, spelling, word usage, punctuation and other aspects of formal written work as found in the 6th edition of the APA manual	5 – 6 errors or exceptions to the rules of grammar, spelling, word usage, punctuation and other aspects of formal written work as found in the 6th edition of the APA manual	7 – 8 errors or exceptions to the rules of grammar, spelling, word usage, punctuation and other aspects of formal written work as found in the 6th edition of the APA manual	9 or greater errors or exceptions to the rules of grammar, spelling, word usage, punctuation and other aspects of formal written work as found in the 6th edition of the APA manual

Format Subtotal	_____of   20 points
Total Points	_____of  250 points
Comments:

 

 

Introduction

Florence Nightingale describes needless noise as ‘the most cruel absence of care that can be inflicted either on sick or well’, in her book Notes on Nursing. Nightingale’s thoughts about the environment, nursing, and a person were generally grounded in experience. It is for this reason that she considered the most reliable way of obtaining and verifying knowledge to be through a person’s sense of observation. In most cases, the word noise arouses the feelings of apprehension and chaos. In clinical settings, these feelings can further worsen an illness. Even though Florence Nightingale warned against “unnecessary noise” in regards to healing and health, she emphasized the need to differentiate between necessary and unnecessary noise. NR501 Noise Concept Analysis Essay

Based on the distinctions available, it is debatable as to whether necessary noise can be used to promote healing and good health in clinical settings. To distinguish the perception of noise further, Nightingale noted that what may be noise to one person may not necessarily be noise to another person. With Walker’s and Avant’s eight-step process of concept analysis, this paper analyzes the concept of noise using Katharine Kolcaba’s comfort theory. The definition of noise, comprehensive review of literature, defining attributes, antecedents, consequences and empirical referents will be provided. A model case, borderline case, and contrary case will also be provided to illustrate each of the defining attributes of noise. This analysis is essential for advancing theory development in nursing clinical practice, research and education.

Uses and Definition of the Concept

            The word noise initially originated from the word ‘nausea’ which is a Latin word for seasickness. Although the word ‘nausea’ has gradually evolved since the 13^th century to the present day ‘noise’ with different spellings and pronunciations, its meaning is the same. The Oxford English Dictionary defines noise as sound the can be perceived and evaluated either as a subject or an object. NR501 Noise Concept Analysis Essay. Even although its quantification as a dual concept is possible, a lot of literature discusses noise as a subjective concept.

Katharine Kolcaba explains comfort as an essential need for everyone for ease, relief or transcendence due to stressful healthcare issues. The comfort theory emphasizes on the four meta paradigms of nursing which include the social, physical, environmental and psychospiritual aspects to reduce tension and anxiety (Boudiab & Kolcaba, 2015).  Therefore, in the context of noise as a form of stimulus that causes stress, anxiety, tension and slows healing, the comfort theory can be used by nurses to implement necessary interventions to promote a healing environment and ensure that the outcome of comfort is attained NR501 Noise Concept Analysis Essay.

Literature Review

Basner et al., (2014), explain that although noise is generally considered as disruptive, it is however dependent on individual perception. In community and clinical settings, noise as heard by families, patients and even healthcare staff originate from a combination of mechanical and human sounds. Beutel et al., (2016) shares similar sentiments by acknowledging that, with the advancement in technology over the years, medical device systems have also evolved for use in monitoring patients for specific problems in the clinical setting, contributing to noisy environments. Similarly, according to Katz (2014), with the gradually growing number of patients who require monitoring through modern medical technology, an increase in necessary and unnecessary noise in clinical settings should be expected. This, therefore, triggers the issue of noise as a vital concern among nurses.

Noise is acknowledged as a major contributor to nurse’s environmental distractions which hinder their ability to provide critical care, to effectively handle their responsibilities and achieve desired health outcomes (Wang et al., 2014).  Thus, noise has emerged as a significant concept in nursing and is also a focus of the National Patient Safety Goal. According to a report by The Joint Commission, between the years 2009-2012, there were reports of 98 noise-related events. Of this, 80 resulted in deaths, 14 led to permanent loss of cognition and five resulted in prolonged hospital stays (West & Abbott, 2014).  Majority of these incidences were linked to unnecessary noise from the misuse of alarms and malfunctioning alarms. NR501 Noise Concept Analysis Essay

Attributes

The most evident defining attributes of noise as evidenced in literature are as follows: a phenomenon that is invisible and influential, an adaptive perception and a healing environment.            Based on the first attribute, noise is recognized as a phenomenon that is both invisible and influential that can either repair or impair (King, 2019). This depicts noise as an aspect which affects cognition and can increase a person’s vulnerability to a stimulus, suffocate ambitions, result in emotional suffering and trigger cognition problems.

The second attribute of noise as an adaptive perception gives a validation of Nightingale’s differentiation of necessary and unnecessary noise and its implications (King, 2019). Generally, everyone is differently impacted by noise based on the immediate surrounding and situation. Similarly, what is currently described as noise may not be described as noise in the future. When recognized based on personal perception, nurses can facilitate an environment that promotes good health and healing.

The principles in the above-mentioned attributes reveal the significance of the third attribute of a healing environment. Literature reveals noise as a noxious and unwanted stimulus which negatively impacts an individual’s psychological and physiological well-being. NR501 Noise Concept Analysis Essay. To exemplify this attribute, nurses are responsible for creating an environment which promotes healing. The best environment is that which necessitates noise to be manipulated by changing how the stimulus is perceived.

Antecedents, Consequences and Empirical Referents

Antecedents and Consequences

One of the most cognizant antecedents of noise is sound. Although the production of sound is necessary, another antecedent of essence is having a hearing ability. After production and hearing of sound, one needs exposure to different sounds to be able to differentiate the unpleasant and pleasant sounds (Katz, 2014). The last antecedent is a provoking stimulus which should happen before noise. This antecedent reveals the significant impact that noise can have on a person who needs a healing environment.
A consequence refers to the results of the application of a concept. Research reveals that there are numerous consequences for noise. However, based on the attributes discussed in this paper, the major consequence of noise is that of a positive change that can promote a healing environment.

Empirical Referents

Based on Walker and Avant’s concept analysis process, empirical referents are ways of either measuring or recognizing a concept’s attributes or defining characteristics.  Besides, empirical referents are important in recognizing the validity of a concept. Noise levels can be measured with different instruments. However, in this context, the best empirical reference for noise is decibels (King, 2019). Alternatively, noise can also be measured through a qualitative analysis of a person’s perception since noise is solely based on how an individual perceives it.

Cases

Model Case

C.K and her daughter B.C loved listening to moderate music at home. On the other hand, her neighbors would request her to turn down the music since it created loud noise which made it difficult and nearly impossible to hold a conversation. While performing her usual house chores and routines in the house, C.K was not bothered with the music. However, once she kept still, she could complain about the noise from a neighbor who loved watching a specific television program that used to be her deceased mother’s favorite.  The memories of her childhood were not pleasant and listening to her neighbor tune in to this program every day made her remember how her father brutally treated her mother. One night, her father came home heavily drank and as usual started his fights and quarrels with her mother. At around midnight, she found her mother hand committed suicide and a suicide note beside her wishing her best wishes in life. As a child, C.K was taken into protective custody and enrolled for counseling for several months. After her mother’s death, C.K is very protective of her daughter and they do things which they enjoy together.  Through the grief process, C.K discovered the most effective strategies that worked for her as she continues to cope with her mother’s loss. Right now, one thing that C.K appreciates is endless noise in the background. NR501 Noise Concept Analysis Essay.

Borderline Case

A borderline case is that which maintains most of the defining characteristics with several exceptions as follows:

Emma, a pediatric nurse who works in the ICU has mastered the art of playing cool and classical music on post-operative clients in recovery. For infants and neonates, Emma uses sound equipment which produces a sound similar to a mother’s heartbeat and breathing pattern. The sounds have proven to relive the infants and neonates of anxiety and soothe them to sleep which promotes a conducive environment for healing. Besides, Emma utilizes touch and often talks to the infants as a sign of comfort and relieving tension. This is combined with a specific time for a silence followed by rest.

Contrary Case

A contrary case that illustrates an analysis of the concept of noise is one that contrasts in terms of perception and structure. A perfect example may be illustrated in this case: A first-time mother who is learning the technique of breastfeeding is tensed, anxious and unsure about she is positioning her baby to the breast. However, at her bedside, there is a nurse who is continuously instructing and encouraging her on how it should be done. The nurse improves the mother’s morale and self-confidence.  While in the process, a physician interrupts making the child stop suckling and stare. Other distractors including a technician who approaches to record the vital signs also scare the infant making it difficult for it to lath on. In this case, the numerous interruptions in the form of talking or asking for permission to take vitals are noise and potential bonding distractors for both the mother and the baby.

Theoretical Applications

Identifying noise as a vital component of nursing education, practice and research can influence further research on how to promote good health outcomes as well as improve patient care. While noise is generally regarded to be a harmful stimulus, it is also necessary to determine whether all noise is negative. As emphasized by Hogan & Harvey (2015), creating a very conducive environment which influences positive change in clinical and classroom settings should be a major focus of the concept of noise as supported by Katharine Kolcaba’s comfort theory NR501 Noise Concept Analysis Essay.

Reducing noise gives patients comfort and make them stress-free and more restful. This, in turn, reduces anxiety and stress. According to Boudiab & Kolcaba (2015) ensuring comfort increases the level of patient satisfaction resulting in improved health outcomes.  In today’s highly complex healthcare environment that is characterized by the use of gradually evolving high end and sophisticated technology, it is less likely that noise will diminish anytime soon. As change agents with exceptional transformational skills, nurses can help to ensure patients comfort for good health outcomes. Through shared governance in policy change and clinical practice, nurses can engage relevant stakeholders

Conclusion

As discussed, the concept of noise improves the clinical understanding of how its dynamics can be used to improve nursing education, practice, and research to promote good health outcomes and improve patient care. Noise is a phenomenon that is invisible and influential, an adaptive perception and a healing environment. Katharine Kolcaba’s comfort theory explains how eliminating environmental stressors such as noise promotes a conducive environment, guarantees comfort and good health outcomes. In advanced nursing practice, the major implications of this concept are directly linked to

 

 

References

Basner, M., Babisch, W., Davis, A., Brink, M., Clark, C., Janssen, S., & Stansfeld, S. (2014). Auditory and non-auditory effects of noise on health. The Lancet, 383(9925), 1325-1332.

Beutel, M. E., Jünger, C., Klein, E. M., Wild, P., Lackner, K., Blettner, M., & Münzel, T. (2016). Noise annoyance is associated with depression and anxiety in the general population-the contribution of aircraft noise. PloS one, 11(5), e0155357. NR501 Noise Concept Analysis Essay

Boudiab, L. D., & Kolcaba, K. (2015). Comfort Theory. Advances in Nursing Science, 38(4), 270-278.

Hogan, L. J., & Harvey, R. L. (2015). Creating a culture of safety by reducing noise levels in the OR. AORN Journal, 102(4), 410-e1.

Katz, J. D. (2014). Noise in the operating room. Anesthesiology: The Journal of the American Society of Anesthesiologists, 121(4), 894-898.

King, A. C. (2019). A Concept Analysis of Noise.

Noise. (n.d.). In Oxford English dictionary. (2^nd. ed.).

Wang, D., Aubertin, C., Barrowman, N., Moreau, K., Dunn, S., & Harrold, J. (2014). Examining the effects of a targeted noise reduction program in a neonatal intensive care unit. Archives of Disease in Childhood-Fetal and Neonatal Edition, 99(3), F203-F208.

West, P., & Abbott, P. (2014). Alarm fatigue: A concept analysis. Online Journal of Nursing Informatics, 18(2). NR501 Noise Concept Analysis Essay