Transition to peace: Building a concept for nursing

Elsevier

Available online 20 April 2022, 151586

Applied Nursing ResearchHighlights•

Process of building the concept transition to peace

Experience of making difficult decisions at the end of life for loved ones

Ten-phase process of concept building

Transition to peace is defined as a rhythmic movement from trepidation to solace

AbstractPurpose

The purpose of this paper is to demonstrate the process of building the concept transition to peace which will provide a foundation for continued research and understanding of the experience of making difficult decisions for loved ones at the end of life.

Method

The development of this concept was guided by an established 10-phase process. The process began with a practice story about a family's experience of withdrawing medical care from a loved one at the end of life. A phenomenon of interest was derived from a practice story and developed into an emerging concept when linked to a theoretical lens. Preliminary core qualities to support the emerging concept were derived from the literature and a reconstructed story was obtained to demonstrate experiential support of the core qualities. Development of a mini-saga and refinement of core qualities with definitions followed. A model was constructed to demonstrate the relationship among the concepts. A mini-synthesis was then created to pull together the population of interest, definition of the concept, and a plan for future research.

Implications

End of life decision making for loved ones can result in feelings of fear and uncertainty for family members. As a concept, transition to peace will provide the foundation for a future program of research to gain further understanding of bringing a family to a place of peace when confronted with life changing decisions.

Keywords

Concept building

Fear

Trepidation

Peace

Solace

Decision-making

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