Schirghuber J, Schrems B. Being wheelchair-bound and being bedridden: Two concept analyses.
Nurs Open 2023;
10:2075-2087. [PMID:
36336822 PMCID:
PMC10006658 DOI:
10.1002/nop2.1455]
[Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/21/2021] [Revised: 03/28/2022] [Accepted: 10/22/2022] [Indexed: 11/09/2022] Open
Abstract
AIM
Analysis of the concepts and development of a conceptual definition of being wheelchair-bound and being bedridden.
DESIGN
Concept analysis.
METHODS
Walker and Avant´s concept analysis method was used. A thematic analysis guided the determination of the attributes, antecedents and consequences.
RESULTS
Being wheelchair-bound and being bedridden are defined as permanent states in which people are bound to an object. Being passively bound to a wheelchair and being bedridden both mean an increasing restriction of the life-space. Being passive wheelchair-bound often represents a preliminary stage to being bedridden. Both concepts have six attributes: in need of help, powerlessness, life-space confinement, mobility limitation, endurance and weakness. They differ in the main feature maintaining an independent sitting position. Physical immobility and physiological instability are antecedents with the following influencing factors: illness, complexity, burden, endogenous/exogenous booster. The consequences are the progression of inactivity and all related physical and psycho-social problems.
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