Risjord Mark
Philosophy Department and Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, Georgia, USA.
J Adv Nurs. 2009 Mar;65(3):684-91. doi: 10.1111/j.1365-2648.2008.04903.x.
This study reports ways to strengthen the epistemological foundation of concept analysis and to clarify its ontology.
Nursing methods of concept analysis were derived from philosophy. In applying the philosophical ideas to nursing, changes were made that weakened the method. As a result, concept analyses often do not produce meaningful results.
Essays in nursing journals that critique or develop methods of concept analysis and philosophical writing about language.
Many methods of concept analysis presuppose that the meaning of a concept depends on context. This 'contextualism' has epistemological and ontological consequences. Epistemologically, justifying a proposed set of defining attributes requires showing that the attributes explain the contextual pattern of use. Ontologically, concepts change their meaning as the theoretical contexts change. This means that concepts can only be developed as part of larger theories. Theory development requires a commitment to moderate realism and so, concept development also presupposes moderate realism.
There are two forms of concept analysis: theoretical and colloquial. Each has its own purpose and evidence. The two forms can be used together and some theoretical developments will require both. Concept analysis must be based either on scientific literature or on colloquial usage. Concept analysis is not prior to theory development, but it must be part of theory development. It makes the meaning of a concept explicit, so that it can be part of testable and practical nursing theories.
本研究报告了加强概念分析的认识论基础并阐明其本体论的方法。
概念分析的护理方法源自哲学。在将哲学思想应用于护理时,进行了一些改变,这些改变削弱了该方法。结果,概念分析往往无法产生有意义的结果。
护理期刊中批评或发展概念分析方法的文章以及关于语言的哲学著作。
许多概念分析方法预先假定一个概念的意义取决于语境。这种“语境主义”具有认识论和本体论上的后果。在认识论上,为一组提议的定义属性进行辩护需要表明这些属性能够解释语境中的使用模式。在本体论上,随着理论语境的变化,概念的意义也会改变。这意味着概念只能作为更大理论的一部分来发展。理论发展需要致力于适度实在论,因此,概念发展也预先假定了适度实在论。
概念分析有两种形式:理论性的和通俗性的。每种形式都有其自身的目的和依据。这两种形式可以一起使用,并且一些理论发展将需要两者都用。概念分析必须基于科学文献或通俗用法。概念分析并非先于理论发展,但它必须是理论发展的一部分。它使一个概念的意义变得明确,以便它能够成为可检验的和实用的护理理论的一部分。