A Guide to Concept Analysis
Angela S. Foley, MSN-HCSM, RN n Alison H. Davis, PhD, RN, CHSE
F
or the clinical nurse specialist (CNS) engaged in re-
search or evidence-based practice (EBP), a concept
analysis can provide guidance when a concept of in-
terest does not have sufficient literature, is vaguely defined,
or is not understood clearly or when literature and research
do not match.
1
Once the concept is more concrete, the CNS
can explore and determine a study design or measurement
tool. There are several approaches to a concept analysis in-
cluding, but not limited to, the approaches by Chinn and
Jacobs,
2
Walker and Avant,
3
Rodgers,
4
and Sartori.
5
The
purpose of this article is to provide insight into a concept
analysis through definitions, purpose, and procedures and
provide an example of a concept analysis on empathy using
the Rodgers method of evolutionary concept analysis.
DEFINITIONS
A concept represents a symbol or a building block of a
bigger spectrum; it is the basis of what the researcher wants
to pursue.
6
In nursing, research can be applied through the
use of EBP. Research is a methodical and rigorous inquiry,
which provides answers to questions surrounding phenom-
ena.
7
Evidence-based practice is the gathering, evaluation,
and integration of research in combination with clinical ex-
pertise to inform nursing practice.
6
Research and EBP both
rely on a clear understanding of what is being studied or the
concept, which has been chosen by the researcher. A concept
analysis can be defined as the dissection of a concept into
simpler elements to promote clarity while providing mutual
understanding within nursing.
1
If the researcher notes a
lack of clarity surrounding the concept, a concept analysis
should be undertaken to achieve a better understanding of
the concept. A concept analysis can elucidate the meaning
of the concept in current use, which can contribute to the
future development of the concept.
2
RODGERS APPROACH TO CONCEPT ANALYSIS
Rodgers
4
offered a method of concept analysis referred to
as an evolutionary view of concepts, which ‘‘addresses
contemporary concerns valuing dynamism and interrela-
tionships within reality.’’
4(p332)
After the recognition of the
concept to be studied, it must be clearly defined. Because
concepts for analysis are sometimes vague or confusing
to the CNS researcher, simply using 1 definition would be
insufficient to the researcher. All associated conceptual de-
scriptions must be uncovered for the CNS researcher to
clearly understand the depth of a concept. Rodgers
6
stressed
that the significance of the concept to nursing should be
clearly delineated in other fields, occurrences, and/or pro-
fessions, as well.
Rodgers’
4
approach to concept analysis includes 7 phases,
which can be carried out simultaneously and not necessar-
ily in a linear manner. However, for clarity, these phases
are described linearly.
The phases of concept analysis are to
4
1. identify and name the concept of interest;
2. identify the surrogate terms and relevant uses
of the concept;
3. select an appropriate realm (sample) for data
collection;
4. recognize attributes of the concept;
5. ascertain the references, antecedents, and
consequences of the concept, if possible;
6. identify concepts related to the concept of
interest; and
7. generate a model case of the concept.
The Table delineates these phases and provides an
example of an abbreviated concept analysis.
Identify and Name the Concept of Interest
To begin the dissection of the identified concept of interest,
the CNS researcher must begin with the meaning to nurs-
ing. An initial review of the literature provides insight into
an elusive concept because the researcher can discover
what is known, not known, or confusing about a concept.
Author Affiliations: Nursing Instructor (Ms Foley) and Assistant Professor
of Nursing (Dr Davis), Louisiana State University Health - New Orleans.
The authors report no conflicts of interest.
Correspondence: Angela S. Foley, MSN-HCSM, RN, Louisiana State
University Health - New Orleans, 1900 Gravier St, New Orleans, LA 70112
(ascani@lsuhsc.edu).
DOI: 10.1097/NUR.0000000000000277
70 www.cns-journal.com March/April 2017
Clinical Nurse Specialist
A
Copyright B 2017
Wolters Kluwer Health, Inc. All rights reserved.
Using Research to Advance
Nursing Practice
Column Editor: Jan Foster, PhD, APRN, CNS
Copyright © 2017 Wolters Kluwer Health, Inc. All rights reserved.