Thorne S E, Kirkham S R, Henderson A
University of British Columbia, Vancouver, Canada.
Nurs Inq. 1999 Jun;6(2):123-31. doi: 10.1046/j.1440-1800.1999.00016.x.
Whilst the notions of paradigm and paradigm shift have become popularized in nursing's scholarly literature, there has been relatively little critical analysis of their impact upon theoretical understanding. In this paper, the authors attempt to deconstruct the ways in which paradigm discourse has been applied in nursing scholarship, looking beyond the claims that are made in the name of paradigm shifts to the apparent motivation underlying those claims. Comparing discourse associated with the paradigm shifts that have emerged in nursing education, research and practice theory, they reveal an inherently divisive purpose to which paradigm language is commonly used, and examine the implications of the discourse for nursing knowledge development. On the basis of this analysis, the authors urge a cautious approach to the extremes of paradigm claims, and argue for a more thoughtful and lively dialogue regarding the interests served by locating ideological positions within paradigm language.
虽然范式和范式转变的概念在护理学术文献中已得到普及,但对于它们对理论理解的影响却相对缺乏批判性分析。在本文中,作者试图解构范式话语在护理学术研究中的应用方式,审视那些以范式转变之名提出的主张背后的潜在动机,而非仅仅关注这些主张本身。通过比较与护理教育、研究及实践理论中出现的范式转变相关的话语,他们揭示了范式语言通常被用于一种本质上具有分裂性的目的,并探讨了这种话语对护理知识发展的影响。基于这一分析,作者敦促对范式主张的极端情况持谨慎态度,并主张就将意识形态立场置于范式语言中所服务的利益展开更深入、更活跃的对话。