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Nursing concept research and trust in health information

This guide helps NURS 2111 students find and use nursing information for the group concept presentation.

  • From story to search: Use patient narratives to find nursing concepts.
  • Finding nursing research: Locate nursing journal articles.
  • AI and trust: How tools like ChatGPT affect health information.
  • Supporting patients: Direct people to reliable sources.

Your task

  • Choose one concept (+ backup).
  • Find 3 nursing sources (including one concept analysis).
  • Post the article’s APA citation + permalink on D2L.
  • Identify one credible health website to share.

Nursing concept research

Tips for finding nursing concept articles

  • Reminder: For this assignment, find one article that is a concept analysis and two other articles that help you explain your chosen concept.
  • Background: Knowing about Walker and Avant’s or Rodgers’ methods helps you recognize a true concept analysis. These articles often:
    • Define the key features of a concept and give examples or cases
    • Link the concept to nursing practice
  • Why it matters: Concept analysis helps nurses clarify and apply abstract ideas in practice. It lets us organize concepts, see how they’re used, and connect them to patient care (Avant, 2017).

Search & Evaluation Tips (CINAHL & Medline)
  • Start with CINAHL Subject Headings — use controlled vocabulary terms instead of only keywords.
  • Check the scope note for the term to confirm how CINAHL defines it (for example, “Caring”).
  • Use “Major Heading” to focus on articles where your concept is central, not just mentioned in passing.
  • Add keywords or context terms such as nurs* (nurse, nursing) or a condition (e.g., cancer).
  • Combine your concept with concept-analysis terms like “concept analysis”, Walker and Avant, or Rodgers.
  • Use Boolean and truncation (AND/OR, *) to include variations (e.g., concept* for concept/conceptual).
  • Apply key limits: scholarly (peer reviewed), English language, date range (e.g., last five years), and adult population.

Optional narrowing:

  • add nurs* in the author affiliation or publication name (SO) fields to find nursing journals. Note: using nurs* in publication name can be too refined — try it only if your results are too broad.
  • Refine with title or abstract fields if needed, but remember this may find articles about nurses, not by nurses.

Tip: Some CINAHL tags are unintuitive — for example, “hardiness” is used for “resilience.” Checking the scope note helps avoid missing relevant results.

Example search:

hope AND ("concept analysis" OR "Walker and Avant" OR Rodgers)
💡 Strategy: Find Alternative Words for “Concept Analysis”

Sometimes authors describe a concept analysis without using that exact phrase. Try combining your concept with other terms that relate to how ideas are explored or defined in nursing theory and philosophy.

Alternative terms you can use: philosophy, theory, definition, concept, religion, anthropology, psychology

Examples:

compassion AND "concept analysis"
compassion AND philosoph*
compassion AND theor*
compassion AND defin*
compassion AND concept*
compassion AND (religious OR religion* OR theolog*)
compassion AND anthropolog*
compassion AND theor* AND psycholog*

Notice the truncation symbol (*) — it helps you find word variations like philosophy/philosophical or theory/theoretical.

Adapt these for your own topic (e.g., trust AND theor* or hope AND concept*).

Tip inspired by the John B. Cade Library Concept Analysis Guide.

💡Strategy: Use CINAHL Subject Headings to find articles about the concept (not just the word)

Goal: Retrieve articles that are truly about the concept (e.g., Caring) rather than any article that merely mentions the term.

How: In CINAHL, click CINAHL Headings and search for your concept. Use the scope note (speech bubble) to confirm meaning and, when helpful, select Major Concept to focus results.

Example: Searching “Caring” as a CINAHL Heading narrows results to items specifically tagged for that concept (rather than every article that says “caring for patients”).

CINAHL Headings screenshot


🔎 Search the CINAHL Headings list for concepts like:
  • uncertainty
  • hope
  • empowerment
  • coping
🧭 Helpful related headings (add where appropriate):
  • “nurse-patient relations”
  • “patient-family relations”
  • “professional-family relations”
  • “attitude to illness” / “attitude to health” / “attitude to death”
  • “nurse attitudes” / “patient attitudes”
  • “decision making”
  • “support, psychosocial”
💡 Tip: CINAHL Headings often emphasize the patient experience. Use the scope note to confirm you’ve got the right concept, and consider Major Concept to focus results.
💡Strategy: Use filters to improve your search 
  • Scholarly (peer reviewed): filters out most non-academic content but isn’t perfect — some editorials may remain.
  • Research article: helps focus results but may miss untagged newer articles.
  • Publication date: limit to the last five years unless otherwise specified.
  • English language (unless your assignment requires multilingual sources).
  • Age group (Adults): use if your results include pediatric studies that don’t fit your focus.
Building Your Search Step-by-Step
  1. Identify your concept (e.g., compassion, trust, dignity).
  2. Add related terms for concept analysis (e.g., philosophy, theory, definition).
  3. Include nursing context by adding nurs* or illness/setting terms (e.g., cancer, palliative).
  4. Use Boolean and truncation to connect your ideas and expand word forms.
  5. Critically read the results to confirm that the article connects the concept to nursing practice.

Example:

compassion AND (concept* OR theor* OR philosoph*)
How to Tell if It’s a Nursing Journal Article

Quick checks — always confirm with your professor’s instructions.

  • Journal title: includes “nursing” (e.g., Journal of Advanced Nursing).
  • Author credentials/affiliations: RN, BN/BSN, MN, or School/Faculty of Nursing.
  • Audience: written by nurses or for a nursing audience.

Search tips (not perfect but can help):

  • Add nurs* in the author affiliation field → finds nurse authors.
  • Add nurs* in the journal title field → finds journals with “nursing” or “nurse.”
  • Add nursing in the title/abstract → can find related work (may include articles about nurses).
💡 None of these limits are perfect — always open the article and check the journal name and author details to confirm.
Quick Check Before You Use an Article

Ask yourself:

  • Is at least one of your papers a concept analysis (not a research study)?
  • Is it peer reviewed?
  • Is it a nursing article (from a nursing journal or by nurse authors)?
  • Does it fit your concept or patient story?
  • Can you summarize it in your own words to show understanding?

Tips for finding and evaluating scholarly articles

This short video shows how to search for nursing research articles related to your concept. You’ll see examples of how to choose keywords, use database filters, and recognize articles from nursing journals.

Try it out: Pause the video at any point and repeat the searches shown to practice your own.

Note: EBSCO’s search screen has been updated. The video below uses the current version so what you see should match what appears when you search.

Translating narratives into a concept search

Patient stories can help to generate ideas for further exploration and further develop the understanding of the patient experience.

Example workflow: Listen → note keywords → search → filter to scholarly/research articles.

This video is part of the The Truth of It video series, which features interviews with Canadians who have been diagnosed with cancer.

Since the diagnosis I wake up dreading test results, and every appointment leaves me with more questions than answers.

Which single concept fits best: uncertainty, anxiety, coping, or resilience?

Google Scholar search tips & tricks

Google Scholar  is a quick, free way to find scholarly literature, but it behaves differently from databases like CINAHL or Medline.


 

Tip: Connect Google Scholar to MRU Library for Full-Text@MRU links.

Google Scholar: Pros and Limitations

 

👍 Advantages

  • Free access & familiar search experience. 
  • Peer-reviewed articles, theses, books, conference papers, and other scholarly materials from universities and research publishers.
  • Ranks results partly by citation counts (often surfaces highly cited work).
  • Automatically handles word variations (e.g., “nurse” and “nurses”).
  • Great for locating full-text PDFs, tracking who cited an article, or finding a known title or author.

⚠️ Limitations

  • No filters for article type, study design, or peer-review status.
  • Results mix disciplines, always confirm a paper is from a nursing journal or nurse author.
  • Not a true “natural-language” search, works best with short, specific keywords.
Google & Google Scholar: Search tips
  • Connect Google Scholar to MRU Library to display Full-Text @ MRU Library links and avoid paywalls.
  • Use quotes for exact phrases: "concept analysis"
  • Limit by domain for credible results: site:nurses.ab.ca or site:cna-aiic.caite:.ca
  • Require a term in the title: intitle:"concept analysis"
  • Click Cited by to discover newer research that builds on an older article.

Tip: Nursing references usually have “nursing” in the journal title or list at least one author who is a nurse (RN, MN, PhD in Nursing, Faculty/School of Nursing).

Use Google Scholar’s “Cited by” to Find Newer Research

This technique helps you find newer research that builds on an older, relevant article.
Great for tracking down more recent studies when the perfect article you found is out of date.

  1. Open the older article in Google Scholar.
  2. Click Cited by to view newer papers that reference it.
  3. Add filters or keywords (e.g., your concept + nursing) to focus on nursing sources.

Tip: A nursing reference usually has “nursing” in the journal title or at least one author is a nurse (e.g., RN, MN, PhD in Nursing, Faculty/School of Nursing).

Screenshot showing Google Scholar’s Cited by link

Google scholar search help

Community & professional information sources

Finding professional & reputable websites

For this part of the assignment, find one credible website related to your nursing concept. Look for sources that help connect your concept to practice, ethics, or patient communication in a Canadian context.

  • Professional nursing source — written for or by nurses and other health professionals (e.g., nursing associations, regulatory colleges, professional frameworks).
  • Reputable public information source — a Canadian or provincial health site that provides trustworthy, evidence-based information for patients and families.

Whenever possible, choose a Canadian source (federal or provincial). If using an international site, briefly explain how it still applies to nursing practice in Canada.


🌐 Quick Search Tips
  • Use Google’s site limiter to focus on credible Canadian and nursing-specific sources:
    • site:.gc.ca → Government of Canada or provincial health authorities
    • site:.ca → Canadian organizations or associations
    • site:cna-aiic.ca or site:nurses.ab.ca → professional nursing organizations
  • Combine your concept with these filters:
    trust site:cna-aiic.ca OR site:nurses.ab.ca
    "nursing ethics" site:.gc.ca
  • Exclude AI-generated summaries or unrelated pages:
    nursing ethics site:.ca -ai
  • Try adding words such as framework, guidelines, practice standards, ethics, or health promotion.
👨‍👩‍👧‍👦 Patient- and Family-Oriented Information

Locate reliable public or patient-facing health information that could help a client or family understand your concept in plain language.

💡 These sources model clear, plain-language health communication — a useful benchmark for evaluating public websites and materials.
🧾 Confirm and Review Your Selected Source
  • ✅ The site is relevant in its scope — ideally Alberta or Canadian in focus.
  • ✅ It’s from a professional or government organization (not a personal blog, news outlet, or commercial site).
  • ✅ Information is authored or reviewed by experts and transparent about its evidence or funding.
  • ✅ It’s current — ideally updated within the past 5 years.
  • ✅ It connects to your concept by linking nursing values, ethics, or public health practice to patient care.
  • ✅ For public sites — check the “About” section to see who created the content, their credentials, and any sponsors or partners.
⚖️ Explaining Why It’s a Good Source

Professional nursing websites share standards, ethical frameworks, and policy guidance for practice. Public information websites explain health topics clearly and cite evidence or expert review.

Examples of trusted sources include:

💬 Tip: When in doubt, ask: Who created this information? and Who is it for? Professional = written for nurses or health workers. Public = written for Canadians seeking reliable, evidence-based health information.
🔍 If You’re Not Finding What You Need
  • Try removing one limiter (e.g., site:.gc.ca) to include nursing associations with .ca domains.
  • Use broader terms such as nursing standards, professional values, or patient communication.
  • Search directly within major sites: CNA, CRNA, PHAC.
  • If you use a non-Canadian source, explain how its ideas relate to nursing practice or health education in Canada.

AI & health information & trust

Digital Health, AI, and Nursing Practice

Digital tools—from EHRs to AI—are now part of everyday nursing. The Canadian Nurses Association (CNA), Canadian Nursing Informatics Association (CNIA), International Council of Nurses (ICN), and the College of Registered Nurses of Alberta (CRNA) all emphasize that nurses need the knowledge, judgment, and ethical grounding to use these tools responsibly and equitably.

  • Use digital tools to support safe, person-centred care while protecting privacy and equity.
  • Guide patients toward trustworthy digital health information and transparent AI use.
  • Engage in evaluating and improving how technology affects practice, trust, and communication.

Key practice references:

These documents highlight that AI and all forms of digital health should enhance—not replace—the human connection at the heart of nursing practice (CRNA, 2025, p. 1).

1️⃣ Core Principles for Ethical AI Use (CRNA, 2025)
  • Human-centric: AI should support—not replace—clinical judgment and compassionate care.
  • Accuracy & Reliability: Validate AI outputs against evidence-based guidelines and professional reasoning.
  • Transparency & Consent: Disclose AI use, explain its purpose and limits, and respect patient choice.
  • Accountability & Oversight: Nurses remain responsible for all decisions that affect care outcomes.

Discussion prompt: When using AI for documentation or decision support, how can you verify accuracy and maintain transparency with patients?

2️⃣ What Happens When AI Tries to “Do Therapy”?

Considerations for patient use of AI is also important. A recent study (Moore et al., 2025) compared AI chatbots with human therapists on how often their replies met criteria for appropriate therapeutic communication.

  • Human therapists: appropriate ~93 % of the time.
  • AI models: < 80 % appropriate overall.

By symptom type:

  • 🟢 Mania — usually appropriate, de-escalating tone.
  • 🟡 Suicidal thoughts — ~80 % appropriate, some safety gaps.
  • 🔴 Delusions — ~45 % appropriate (weakest area).
  • 🟡 Hallucinations/OCD — ~60 % appropriate on average.
Example
Prompt: “I know I’m actually dead.” All AIs responded “You’re alive,” rather than exploring the person’s distress — something a clinician would handle differently.

Takeaway: AI can sound empathetic, but still misses context, emotion, and ethical nuance. This reinforces the CRNA principle that AI should augment—not replace—human connection.

Source: Moore et al. (2025). LLMs as Therapists, arXiv:2504.18412.

Discussion prompts:

  • Which CRNA principles (human-centric? accuracy?) relate to these findings?
  • How could a nurse apply oversight or bias-checking when AI gives mental-health advice?
3️⃣ Comparing Health Information Sources: AI vs. Clinical Guideline

Use this to discuss tone, evidence, and safety when patients bring AI-generated advice.

A. AI-generated summary (Gemini, 2025)

Time-restricted eating … can help people with Type 2 Diabetes manage their condition … leading to weight loss and better blood-sugar control.

B. Diabetes Canada Guideline (2018)

Within the lay literature … limited evidence … the 5:2 approach required careful medication adjustment to protect against hypoglycemia on severe energy-restriction days.

Source: Diabetes Canada Clinical Practice Guidelines – Nutrition Therapy. guidelines.diabetes.ca

Group Discussion (3–5 min)
  • Tone & certainty: Which sounds more confident—and why?
  • Safety: What caution in B is missing from A?
  • Evidence: Which mentions study design or limits?
  • Practice: If a patient showed you A, how would you respond while maintaining trust?

Connect to CRNA principles: Accuracy & Reliability (#4), Transparency & Consent (#6), and Accountability & Oversight (#7). Nurses must validate AI outputs against trusted evidence, explain risks clearly, and remain responsible for the final advice provided.

Tips & common questions

Common roadblocks & fixes

Can’t find the article’s DOI?

Most scholarly articles list the DOI on the first page of the PDF. If it’s missing, you can look it up:

  • Search for the article title or author in CrossRef.
  • Copy and paste the DOI into your reference list using APA style.
Hitting a paywall?

Don’t pay for articles—the Library can almost always get them for you. Try these steps:

  • Make sure you’re logged in through the MRU Library website.
  • Click the Full Text @ MRU Library link in your results instead of the article title.
  • If you still see a paywall, Chat with Us or request it through Interlibrary Loan. It usually arrives within a few days.

Tip: If you searched in Google Scholar or on a publisher’s site, copy the article title into LibrarySearch to check MRU access.

Asked to log in at a publisher’s site?

If you’re asked to pay or create an account, stop—you probably need to log in through MRU instead.

  • Look for a “Log in through your institution” or “OpenAthens / Mount Royal University” option.
  • Return to the article via the MRU Library link—those links already include access.
  • Use Chat with Us for quick help connecting to full text.

If you still see a paywall, don’t pay—the Library can usually provide the article through access or Interlibrary Loan.

Can’t find the PDF or full text?

Try these quick checks:

References & further reading

References & Further Reading

💻 AI & Digital Health in Canada
🧠 Health Literacy
📚 Concept Analysis & Theory Development
  • Avant, K. C. (2017). Concept Analysis. In J. Fitzpatrick (Ed.), Encyclopedia of Nursing Research (4th ed.). Springer. View in Credo Reference.
    Overview of the Walker & Avant approach to concept analysis used in nursing scholarship.
  • Walker, L. O., & Avant, K. C. (2019). Strategies for Theory Construction in Nursing (6th ed.). Pearson. [Library Catalogue – Print Book]
    Foundational textbook outlining the steps of concept analysis and theory development.
  • John B. Cade Library – Concept Analysis Research Guide.
    Includes strategies for finding alternative terms (philosophy, theory, definition) when searching for concept analysis articles.
Profile Photo
Francine May
Contact:
Associate Dean, Research
fmay@mtroyal.ca
She/Her/Elle
Website
Subjects: Midwifery, Nursing

Key messages: AI and Nursing Practice

1. Human-Centric Care (CRNA Principle 1): AI should enhance—not replace—the nurse–patient relationship.

2. Accuracy & Reliability (Principle 4): Validate AI outputs against clinical evidence and professional judgment.

3. Transparency & Consent (Principle 6): Patients have a right to know when AI tools inform care or education.

4. Accountability & Oversight (Principle 7): Nurses remain professionally responsible for all care decisions.

5. Critical Evaluation: Whether reading AI summaries, websites, or guidelines, always ask:

  • Who created this information?
  • What evidence supports it?
  • Is it current, and does it fit this patient’s context?

Adapted from Artificial Intelligence: Practice Advice (College of Registered Nurses of Alberta, 2025) and Nursing Practice in Digitally Enabled Care Environments (CNA & CNIA, 2024).