Im E O, Meleis A I
Department of Health Maintenance, School of Nursing, University of Wisconsin, Milwaukee, USA.
ANS Adv Nurs Sci. 1999 Dec;22(2):11-24. doi: 10.1097/00012272-199912000-00003.
It is imperative to further develop theoretical bases in nursing, which incorporate diversities and complexities in nursing phenomena, and which consider sociopolitical, cultural, and historic contexts of nursing encounters. Situation-specific theories are proposed in this work as a future direction of such theoretical bases in nursing. Philosophical roots and properties of situation-specific theories are discussed, and an integrative approach to developing this type of theories is suggested. Situation-specific theories could be based on the assumptions of post-empiricism, critical social theory and feminism, and or hermeneutics. Six properties of situation-specific theories are presented: (1) low level of abstraction, (2) reflection of specific nursing phenomena, (3) context, (4) connection to research and/or practice, (5) incorporation of diversities, and (6) limits in generalization. The proposed integrative approach to developing situation-specific theories includes (1) a nursing perspective, (2) a linkage among theory, research, and practice, and (3) a conceptual scheme based on internal and external dialogues.
进一步发展护理理论基础势在必行,这些理论基础应纳入护理现象中的多样性和复杂性,并考虑护理情境的社会政治、文化和历史背景。本文提出特定情境理论作为护理领域此类理论基础的未来发展方向。讨论了特定情境理论的哲学根源和特性,并提出了发展这类理论的综合方法。特定情境理论可以基于后实证主义、批判社会理论、女性主义和/或诠释学的假设。本文介绍了特定情境理论的六个特性:(1)低抽象水平,(2)反映特定护理现象,(3)情境,(4)与研究和/或实践的联系,(5)纳入多样性,(6)概括的局限性。所提出的发展特定情境理论的综合方法包括:(1)护理视角,(2)理论、研究和实践之间的联系,以及(3)基于内部和外部对话的概念框架。