Deqin Huang

Aim: Parents' postnatal sense of security is often mentioned in recent publications, but there is no consensus on its definitions and measurement. A concept analysis was conducted to clarify the definition, the attributes, antecedents and the consequences of parents' postnatal sense of security and to promote consistency in its usage.Design: Walker and Avant's eight‐step concept analysis model was adopted to define the concept of parents' postnatal sense of security.Methods: A comprehensive search of multiple databases (Sinomed, CNKI, Wanfang database, CINAHL, PubMed, Embase, Web of Science, ProQuest, PsyInfo and Cochrane Library) was conducted to identify relevant articles from the inception of the databases until December 2022. In addition, a manual search was performed to gather any additional papers related to the topic. Ultimately, a total of 48 articles were included in the concept analysis.Results: Three attributes were identified: perceive one's physical well‐being not being threatened, feel confident and in control of the parenting role, feel confident in one's available relationships. The identified antecedents were: being prepared for child rearing, being in familiar or safe environment, general well‐being of the baby and parents, support from medical staff and family members, being empowered by medical staff. Consequences of parents' postnatal sense of security included successful adaptation to the parental role, decreased postpartum depression symptoms in mothers, successful infant care and the development of parent‐infant relationship.

Background: Currently, the definition and naming of reflexive hospice care (RHC) vary, hindering its correct application in hospice care. Aims and Objectives: The study aims to understand the meaning of RHC by clarifying its uses, attributes, antecedents, and consequences. Design: The study focused on concept analysis. Methods: Walker and Avant's model was adopted for concept analysis, with a review based on PRISMA principles. Results: RHC included three attributes: supporting a person verbally, actionally, spiritually, materially, and/or through actions; providing reverse care (from patient to his/her relatives, friends, and/or care team); and a two-way flow of love. Its antecedents were terminal patients' knowledge, affection, and intention for RHC, strong emotional connection between patients and their family members, and medical staff's knowledge and skills of RHC. Its consequences benefit the patients and their family members, medical staff, and society. Conclusions: RHC could improve patients' quality of life, alleviate the anxiety and depression of their family members, and deepen society's cognition of life and death. There is an urgent need to develop strategies, assessment tools, and courses for RHC to promote its application. Relevance to Clinical Practice: Terminally ill patients who provide RHC will have better quality-of-life outcomes and face death more peacefully. Identifying the concept of RHC can help nurses and other health care professionals who wish to serve patients and their families better in hospice care.