Rehnsfeldt Arne, Arman Maria, Lindström Unni Å
Stord/Haugesund University College, Stord, Norway.
Karolinska Institutet, Huddinge, Sweden.
Scand J Caring Sci. 2017 Sep;31(3):641-646. doi: 10.1111/scs.12380. Epub 2016 Nov 14.
Clinical caring science will be described from a theory of science perspective.
The aim of this theoretical article to give a comprehensive overview of clinical caring science as a human science-based discipline grounded in a theory of science argumentation.
Clinical caring science seeks idiographic or specific variations of the ontology, concepts and theories, formulated by caring science. The rationale is the insight that the research questions do not change when they are addressed in different contexts. The academic subject contains a concept order with ethos concepts, core and basic concepts and practice concepts that unites systematic caring science with clinical caring science. In accordance with a hermeneutic tradition, the idea of the caring act is based on the degree to which the theory base is hermeneutically appropriated by the caregiver. The better the ethos, essential concepts and theories are understood, the better the caring act can be understood. In order to understand the concept order related to clinical caring science, an example is given from an ongoing project in a disaster context.
The concept order is an appropriate way of making sense of the essence of clinical caring science. The idea of the concept order is that concepts on all levels need to be united with each other. A research project in clinical caring science can start anywhere on the concept order, either in ethos, core concepts, basic concepts, practice concepts or in concrete clinical phenomena, as long as no parts are locked out of the concept order as an entity. If, for example, research on patient participation as a phenomenon is not related to core and basic concepts, there is a risqué that the research becomes meaningless.
将从科学理论的视角来描述临床关怀科学。
这篇理论文章的目的是全面概述临床关怀科学,它是一门基于人文科学且以科学理论论证为基础的学科。
临床关怀科学探寻由关怀科学所阐述的本体论、概念和理论的独特或特定变体。其基本原理在于认识到,当研究问题在不同背景下被探讨时,它们并不会改变。该学术主题包含一个概念秩序,其中有风气概念、核心和基本概念以及实践概念,这些将系统关怀科学与临床关怀科学统一起来。依照诠释学传统,关怀行为的理念基于照顾者对理论基础进行诠释性运用的程度。对风气、基本概念和理论理解得越好,就越能理解关怀行为。为了理解与临床关怀科学相关的概念秩序,从一个正在进行的灾难背景项目中给出了一个例子。
概念秩序是理解临床关怀科学本质的一种恰当方式。概念秩序的理念是,所有层面的概念都需要相互统一。临床关怀科学中的一个研究项目可以从概念秩序的任何一处开始,无论是在风气、核心概念、基本概念、实践概念还是具体的临床现象中,只要没有部分作为一个整体被排除在概念秩序之外。例如,如果将患者参与作为一种现象的研究与核心概念和基本概念无关,那么该研究就有变得毫无意义的风险。