Structure of Nursing Knowledge (1).pdf

Structure of Nursing Knowledge Department of Nursing Dr. Lolit Avanzado Structure of Nursing Knowledge CONCEPTS vehicles of thought that involve images. • Are words that describe objects, properties, or events and are basic components of theory. • Types: 1. Empirical concepts 2. Inferential conce...

Structure of Nursing Knowledge Department of Nursing Dr. Lolit Avanzado Structure of Nursing Knowledge CONCEPTS vehicles of thought that involve images. • Are words that describe objects, properties, or events and are basic components of theory. • Types: 1. Empirical concepts 2. Inferential concepts 3. Abstract concepts • Metaparadigm • Set of concepts or ideas that is important to the discipline of nursing. Includes concepts that are central or core to nursing: person, health, nursing, environment. Metaparadigm • • specifies the main concepts that encompass the subject matter and the scope of discipline. There is a general agreement that nursing’s metaparadigm consists of the central concepts of person, environment, health and nursing Philosophy • • • Specifies the definitions of the metaparadigm concepts in each of the conceptual models of nursing. There are other theoretical works that may be considered philosophies, works that specify philosophical approaches to nursing. Ex. Nightingale, Watson, Erickson Models • • • • Representations of the interaction among and between the concepts showing patterns. In nursing, models are often designed by theory authors to depict the beliefs in their theory. VERBAL MODELS – worded statements, a form of closely related knowledge development. SCHEMATIC MODELS – diagrams, drawings, graphs and pictures that facilitate understanding. Proposition • Statements that explain the relationship between the concepts Process • A series of actions, changes or functions intended to bring about a desired result. Conceptual Framework • • • The of nursing care within the nursing process is directed by the way specific conceptual frameworks & theories define the person (patient), the environment, health & nursing. Outlines possible courses of action or to present a preferred approach to an idea or thought. Ex. Levine, Roger’s theory Orem, Johnson. Grand Theory • • • • • Level derived from the conceptual model and proposes an abstract testable theory. It provides a conceptual framework under which the key concepts and principles of the discipline can be identified. Ex: Roy’s theory as an adaptive system King’s theory of goal attainment Neuman’s theory of optimal client stability Middle Range Theory • • • • • • Is more precise and only analyses a particular situation with a limited number of variables. More specific focus, concrete in its level of abstraction Propose precise testable nursing practice question or situation. Specifics are such: patient’s age group, family situation Health conditions of the patient, location Action of the nurse which is the most important Practice Theory • Explores one situations found in nursing. • Analysis of theory is carried out to acquire knowledge of theoretical adequacy. Analysis Criteria 1. Clarity-speaks to the meaning of terms used and definitional consistency and structure speaks to the consistent structural forms of terms in the theory. The logical development and type of structure used should be clear, assumptions should be stated clearly and consistent with the goal of theory. 2. Simplicity –the theory should be sufficiently comprehensive presented at a level of abstraction to provide guidance few concepts as possible with as simplistic relations to aid clarity 3. Generality-speaks to the scope of application and the purpose within the theory. It varies by how abstract or concrete the theory is 4. Accessibility-accessible addresses the extent to which empirical indication for the concept to identified and to what extent the purposes of the theory can be attained. 5. Importance – the theory and practice creates understanding that is important to nursing practice. For listening