Andrews Gavin J, Moon Graham
Faculty of Nursing, University of Toronto, Canada.
Worldviews Evid Based Nurs. 2005;2(3):142-56. doi: 10.1111/j.1741-6787.2005.00025.x.
This, the second and final article in the short health geography series, articulates how, moving beyond the models and assumptions associated with the metaparadigm of Nursing Environment, as a focused subdisciplinary approach, health geography might provide unique insights into nursing. A case study of a fictional yet somewhat typical children's hospital is presented and demonstrates some wide-ranging geographical issues and research questions (and hence potential geographical data) pertaining to nursing and the allied health professions. Indeed, this broad-brush approach is purposeful to make as many connections as possible to readers with varied theoretical, methodological, empirical, and practice expertise. In addition to the case study, to indicate further how geographical inquiry might locate quite comfortably in nursing research, the article also makes some initial and tentative connections between geography and an established nursing framework for the uptake of research evidence for practice. Although it is acknowledged that geographical inquiry should certainly never have the first call on researching the relationships between nurses and their environments, it is argued that its conceptual focus on space and place provides dedicated and detailed attention and a sound basis for a reformed, "spatialized" route to a more comprehensive understanding. Moreover, it is argued that it also demonstrates great versatility in terms of the scales and the subject matter with which it might engage. Some important issues certainly remain with respect to what might be the correct form of engagement between geographical and nursing research, but arguably, as a reformed disciplinary approach, health geography has the potential to provide a wealth of focused evidence for nursing practice.
这是简短的健康地理学系列文章中的第二篇,也是最后一篇。文章阐述了作为一种聚焦的子学科方法,健康地理学如何超越与护理环境元范式相关的模型和假设,为护理提供独特的见解。文中呈现了一个虚构但颇具代表性的儿童医院的案例研究,展示了一些与护理及相关健康专业有关的广泛地理问题和研究问题(以及潜在的地理数据)。事实上,这种宽泛的方法旨在与具有不同理论、方法、实证和实践专业知识的读者建立尽可能多的联系。除了案例研究,为进一步说明地理探究如何能很好地融入护理研究,本文还在地理学与一个已确立的用于将研究证据应用于实践的护理框架之间建立了一些初步和尝试性的联系。尽管人们承认地理探究在研究护士与其环境之间的关系时肯定不应占据首要位置,但本文认为,其对空间和地点的概念性关注提供了专注而详细的审视,为走向更全面理解的改革后的“空间化”路径奠定了坚实基础。此外,本文认为它在可能涉及的尺度和主题方面也展现出极大的通用性。关于地理研究与护理研究之间正确的结合形式,确实仍存在一些重要问题,但可以说,作为一种改革后的学科方法,健康地理学有潜力为护理实践提供大量有针对性的证据。