RECOVERY ORIENTED NURSING CARE IN MENTAL HEALTH SETTING: CONCEPT ANALYSIS USING WALKER AND AVANT’S FRAMEWORK

Abstract

BACKGROUND: Recovery is a prominent but dynamically changing concept in mental health nursing. Although it has been widely adopted, its characteristics and theoretical underpinnings need to be articulated more clearly.

AIM: The aim of this paper is to examine the concept of recovery through the lens of Walker and Avant’s framework (2019) and examine its fit with Ivan Pavlov’s behavioral theory and the author-developed AAA (agency, adaptive capacity, and autonomy) framework, which integrates the concepts of agency, adaptive capacity, and autonomy drawn from self-determination, resilience, and hope theories.

METHODS: A literature-based concept analysis was performed to examine the defining attributes, antecedents, and consequences. Models and exemplars were created to better understand the conceptual boundaries, and the theories were employed to interpret the results.

RESULTS: The defining attributes are individualized and strength-based care, hope and independence enhancement, collaborative nurse and patient relationships, and social support development. The main antecedent is the transformation from the biomedical paradigm to person-centered care, and the main consequence is patient empowerment. Pavlov’s theory helps to facilitate behavioral change by developing coping mechanisms, while the author-developed AAA framework supports recovery by promoting agency, autonomy, and adaptive capacity within the recovery process.

CONCLUSION: By integrating behavioral theory and the author-developed AAA framework, the theoretical base of mental health nursing practice with a focus on recovery can be strengthened, and its application in advanced practice can be ensured.

KEYWORDS: recovery, mental health nursing, concept analysis.