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KMID : 0388320230300040459
Journal of Korean Academy of Fundamental Nursing
2023 Volume.30 No. 4 p.459 ~ p.468
Proactive Nursing: A Concept Analysis
Kim Da-Yeong

Shin Hyun-Jeong
Chang Sung-Ok
Abstract
Purpose: The aim of this study was to identify a clear definition of proactive nursing and to elucidate the essenceof proactive nursing required in the current healthcare context.

Methods: A concept analysis using Walker andAvant¡¯s approach was conducted.

Results: The defining attributes of proactive nursing included surveilling tosurface problems, employing practices beyond the established protocols, tailoring a path toward the care goal,and arranging resources in advance. The antecedents were that nurses have their own theoretical and experientialknowledge, possess a professional identity, understand clients¡¯ status, and have accessible resources. Theconsequences arising from proactive nursing were ensuring client safety, achieving the care goals efficiently, andimproving nurses¡¯ job satisfaction. Through this concept analysis, proactive nursing was defined as taking theinitiative for practices during the care process that utilize creative methods and taking advantage of variousresources to identify or solve implicit problems of clients.

Conclusion: This concept analysis provided a clearmeaning structure for proactive nursing, enabling a better understanding and communication of the concept withinthe nursing discipline. A clear definition of proactive nursing would lead nurses to practice in a more proactive wayin the current healthcare system, resulting in improved quality of care and greater safety for clients.
KEYWORD
Nursing process, Nursing theory, Practice patterns, Nurses¡¯
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