Reed Frances M, Fitzgerald Les, Rae Melanie
Rural Health School, La Trobe University, Bendigo, Victoria, Australia.
Nurse Res. 2016 Jan;23(3):37-41. doi: 10.7748/nr.23.3.37.s8.
To highlight philosophical and theoretical considerations for planning a mixed methods research design that can inform a practice model to guide rural district nursing end of life care.
Conceptual models of nursing in the community are general and lack guidance for rural district nursing care. A combination of pragmatism and nurse agency theory can provide a framework for ethical considerations in mixed methods research in the private world of rural district end of life care.
Reflection on experience gathered in a two-stage qualitative research phase, involving rural district nurses who use advocacy successfully, can inform a quantitative phase for testing and complementing the data. Ongoing data analysis and integration result in generalisable inferences to achieve the research objective.
Mixed methods research that creatively combines philosophical and theoretical elements to guide design in the particular ethical situation of community end of life care can be used to explore an emerging field of interest and test the findings for evidence to guide quality nursing practice.
Combining philosophy and nursing theory to guide mixed methods research design increases the opportunity for sound research outcomes that can inform a nursing model of care.
强调规划混合方法研究设计的哲学和理论考量，该设计可为实践模式提供信息，以指导农村地区临终护理。
社区护理的概念模型较为笼统，缺乏对农村地区护理的指导。实用主义和护士能动性理论的结合可为农村地区临终护理私人领域混合方法研究中的伦理考量提供框架。
对两阶段定性研究阶段收集的经验进行反思，该阶段涉及成功运用倡导的农村地区护士，可为测试和补充数据的定量阶段提供信息。持续的数据分析和整合会得出可推广的推论，以实现研究目标。
混合方法研究创造性地结合哲学和理论元素，以指导社区临终护理特定伦理情境下的设计，可用于探索一个新兴的研究领域，并检验研究结果以获取指导优质护理实践的证据。
结合哲学和护理理论来指导混合方法研究设计，增加了获得可靠研究结果的机会，这些结果可为护理模式提供信息。
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