title: Transforming care in nursing: a concept analysis.
abstract: Although the concept of 'Transforming care' is promising for improving health care, there is no consensus in the field as to its definition. The aim of this concept analysis is to develop a deeper understanding of the term 'Transforming care' within the nursing discipline, in order to facilitate its comprehension, implementation, and evaluation. We performed a comprehensive literature review on electronic databases such as Medline (PubMed), Cinahl (Ebsco), Cochrane Library, PsycINFO (Ovid), Web of Science, Wiley-Blackwell, ScienceDirect, and SpringerLink and used Walker and Avant's approach to analyse the concept. From the 20 studies selected for this analysis, 3 main attributes of 'Transforming care' were identified: patient-centredness, evidence-based change, and transformational leadership driven. We suggest an operational definition to facilitate the implementation of the concept in practice. Furthermore, we propose that implementation is guided by the following key ideas: (1) fostering a culture of continuous improvement; (2) encouraging bottom-up initiatives; (3) promoting patient-centred care; and (4) using transformational leadership. Lastly, the evaluation of 'Transforming care' initiatives should assess care processes and professionals' and patients' outcomes.
authors.affiliation: a Faculty of Nursing , University of Navarra , Irunlarrea, 1, 31008 , Pamplona (Navarra) , Spain.|b Area of Nursing Research, Training and Development , Clínica Universidad de Navarra , Pío XII, 36, 31008 , Pamplona (Navarra) , Spain.
authors.forename: Mónica
authors.initials: M
authors.lastname: Vázquez-Calatayud
authors.affiliation: a Faculty of Nursing , University of Navarra , Irunlarrea, 1, 31008 , Pamplona (Navarra) , Spain.|b Area of Nursing Research, Training and Development , Clínica Universidad de Navarra , Pío XII, 36, 31008 , Pamplona (Navarra) , Spain.
authors.forename: Cristina
authors.initials: C
authors.lastname: Oroviogoicoechea
authors.affiliation: a Faculty of Nursing , University of Navarra , Irunlarrea, 1, 31008 , Pamplona (Navarra) , Spain.
authors.forename: Maribel
authors.initials: M
authors.lastname: Saracibar
authors.affiliation: a Faculty of Nursing , University of Navarra , Irunlarrea, 1, 31008 , Pamplona (Navarra) , Spain.
authors.forename: María J
authors.initials: MJ
authors.lastname: Pumar-Méndez
mesh_terms: D000328:Adult; D003210:Concept Formation; D005260:Female; D006801:Humans; D007857:Leadership; D008297:Male; D008875:Middle Aged; D009936:Organizational Innovation; D018802:Patient-Centered Care / Q000458:organization & administration*
keywords: concept analysis; patient’s safety; quality of nursing care; transforming care