Concept Analysis of Posttraumatic Stress Disorder

PURPOSE Mental health nursing is not the same as psychiatry, so it is important for nurses to have an understanding of the defining attributes, antecedents, consequences, model cases, and empirical referents of post‐traumatic stress disorder (PTSD). METHOD Walker and Avant's (2005) method is us...

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Bibliographic Details
Published in:International journal of nursing knowledge 2018-07, Vol.29 (3), p.176-183
Main Author: Sekhon, Bikram
Format: Article
Language:English
Subjects:
Attributes
Clinical medicine
Clinical nursing
concept analysis
Conceptual analysis
Disruption
Fear & phobias
Helplessness
Learning
Meaning
Medical diagnosis
Mental health
nursing practice
Post traumatic stress disorder
posttraumatic stress disorder
Prevention
Professional practice
Psychiatric-mental health nursing
Psychiatry
PTSD
transformative learning
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Summary:PURPOSE Mental health nursing is not the same as psychiatry, so it is important for nurses to have an understanding of the defining attributes, antecedents, consequences, model cases, and empirical referents of post‐traumatic stress disorder (PTSD). METHOD Walker and Avant's (2005) method is used to guide this concept analysis of PTSD. FINDINGS Four attributes arise from this concept analysis, which are addressed through both the DSM‐IV and DSM‐5 (American Psychiatric Association, /): triggering event or events, re‐experiencing, fear, and helplessness. Though a majority of the defining attributes are addressed through both versions of the DSM, a key fifth attribute arises through this concept analysis: a disruption of meaning. CONCLUSIONS A better understanding of PTSD from a nursing perspective will help inform appropriate nursing interventions and prevention strategies, while expanding the knowledge synthesis and contribution of the nursing profession. PRACTICE IMPLICATIONS A model case, borderline case, and contrary case of PTSD are provided. Discussion of the importance of a lack or loss of meaning in PTSD is included, along with exploration of transformative learning theory to inform clinical practice for nurses addressing a disruption of meaning.
ISSN:2047-3087
2047-3095
DOI:10.1111/2047-3095.12177