Thorne Sally, Stephens Jennifer, Truant Tracy
School of Nursing, University of British Columbia, Vancouver, British Columbia, Canada.
Faculty of Applied Science, University of British Columbia, Vancouver, British Columbia, Canada.
J Adv Nurs. 2016 Feb;72(2):451-60. doi: 10.1111/jan.12822. Epub 2015 Sep 28.
To discuss the implications of drawing on core nursing knowledge as theoretical scaffolding for qualitative nursing enquiry.
Although nurse scholars have been using qualitative methods for decades, much of their methodological direction derives from conventional approaches developed for answering questions in the social sciences. The quality of available knowledge to inform practice can be enhanced through the selection of study design options informed by an appreciation for the nature of nursing knowledge.
Discussion paper.
Drawing on the body of extant literature dealing with nursing's theoretical and qualitative research traditions, we consider contextual factors that have shaped the application of qualitative research approaches in nursing, including prior attempts to align method with the structure and form of disciplinary knowledge. On this basis, we critically reflect on design considerations that would follow logically from core features associated with a nursing epistemology.
The substantive knowledge used by nurses to inform their practice includes both aspects developed at the level of the general and also that which pertains to application in the unique context of the particular. It must be contextually relevant to a fluid and dynamic healthcare environment and adaptable to distinctive patient conditions. Finally, it must align with nursing's moral mandate and action imperative.
Qualitative research design components informed by nursing's disciplinary epistemology will help ensure a logical line of reasoning in our enquiries that remains true to the nature and structure of practice knowledge.
探讨借鉴核心护理知识作为质性护理研究的理论框架的意义。
尽管护理学者使用质性方法已有数十年，但他们的许多方法指导源自为回答社会科学问题而发展的传统方法。通过选择基于对护理知识本质的理解的研究设计选项，可以提高用于指导实践的现有知识的质量。
讨论文件。
借鉴现存的关于护理理论和质性研究传统的文献，我们考虑了影响质性研究方法在护理中应用的背景因素，包括先前将方法与学科知识的结构和形式相匹配的尝试。在此基础上，我们批判性地反思了从与护理认识论相关的核心特征中逻辑推导出来的设计考量。
护士用于指导实践的实质性知识包括在一般层面发展的方面以及与特定独特背景下的应用相关的方面。它必须与动态变化的医疗环境在背景上相关，并能适应独特的患者情况。最后，它必须与护理的道德使命和行动要求相一致。
由护理学科认识论指导的质性研究设计要素将有助于确保我们研究中的推理逻辑符合实践知识的本质和结构。
