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日常护理中的知识转化:从循证实践到基于探究的实践。

Knowledge translation in everyday nursing: from evidence-based to inquiry-based practice.

作者信息

Doane Gweneth Hartrick, Varcoe Colleen

机构信息

School of Nursing, University of Victoria, Victoria, Canada.

出版信息

ANS Adv Nurs Sci. 2008 Oct-Dec;31(4):283-95. doi: 10.1097/01.ANS.0000341409.17424.7f.

Abstract

The interconnection of theory, evidence, and practice is most often conceptualized as an epistemological enterprise. In this article, we shift the discussion from one that is solely concerned with epistemology to one that considers the significance of ontology and the way in which epistemology and ontology are intricately intertwined in every nursing action. Drawing on deconstructive hermeneutics, we contend that to understand and affect the interconnection of theory, evidence, and practice, an ontological inquiry at the action level is required. Using a nursing practice example, we illustrate the complexities of knowledge translation and how effective integration of knowledge into practice involves an embodied process of ontological inquiry and action. This inquiry process draws on theory and evidence to enlarge and imagine possibilities for action in particular moments, situations, and contexts and rests in a way-of-being in which the interconnection of theory, evidence, and practice is embodied.

摘要

理论、证据和实践的相互联系通常被概念化为一种认识论事业。在本文中,我们将讨论从仅关注认识论的讨论转向考虑本体论的重要性以及认识论和本体论在每一项护理行动中如何错综复杂地交织在一起的讨论。借鉴解构诠释学,我们认为,要理解并影响理论、证据和实践的相互联系,需要在行动层面进行本体论探究。通过一个护理实践示例,我们说明了知识转化的复杂性,以及知识有效融入实践如何涉及本体论探究和行动的具体体现过程。这个探究过程借鉴理论和证据,以拓展并设想在特定时刻、情形和背景下的行动可能性,并且基于一种存在方式,在这种存在方式中,理论、证据和实践的相互联系得以体现。

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