Philosophy-Science-Nursing Theory. NUR 601 Nursing Theory and Role Development Dr. Helen Hodges. Philosophy? Nursing Theory? ARGGHHHH. Right?.
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NUR 601 Nursing Theory and Role Development
Dr. Helen Hodges
▪ Defined knowledge base
▪ Power & authority over training & education
▪ Altruistic service
▪ Code of ethics
▪ Lengthy socialization
▪ Autonomy, and accountable to public
How would you characterize debates about nursing as a profession?
▪ Structure and tradition, ie delineation
▪ Worldview, ie philosophy
▪ Professional disciplines practical; research is prescriptive and descriptive
▪ Methods of knowledge development
Science is logical, systematic, & coherent way to solve problems and answer questions
Pure or basic (aka ‘bench science)
Natural, human, or social
Applied or practical
Philosophy studies concepts that structure thought processes, foundations, and presumptions
Nature of existence
Knowledge and reason
From what philosophers is nursing generally drawn?
۩Descartes & Spinoza (1600’s) …rationalists: ‘reason is superior to experience as a source for knowledge’ … through deduction and mathematics
۩Bacon (1600) …empiricist: experimentation and scientific method
۩ Kant (1700) …knowledge is relative; mind is active in knowing
۩Received View: rationalism … positivism …empiricism: Observation, testing, verification, explain, predict, mathematical, deduction, parts of the whole. Logical Positivism dominant philosophy of science until 1950’s
۩Perceived View: (aka interpretive view) phenomenology, human science, experience, context, holism, understanding meaning, patterns; feminism, critical theory (influence of gender, culture, society, & power)
“Scientific knowledge is transformed into nursing knowledge though contexts of nursing practice” (Reed, 2000/2009, p.100)
▪Schultz and Meleis (1988):
Clinical, conceptual, empirical
*Refers to complexity and degree of abstraction
A Metaparadigm is a “gestalt or total world view within a discipline … the broadest consensus within the discipline …of the general parameters”(Hardy, 2009/1978, (cited in Reed & Shearer, p.531)
What are the main concepts in Nursing's metaparadigm?