行动智慧理论在临床护理中的发展。

Development of a Theory of Wisdom-in-Action for Clinical Nursing.

机构信息

Intermountain Healthcare, Salt Lake City, Utah and College of Nursing, University of Utah, Salt Lake City, Utah (Dr Matney); School of Nursing, University of Texas Health Science Center, San Antonio (Dr Avant); School of Nursing, University of California Los Angeles (Dr Clark); and College of Nursing and Department of Biomedical Informatics, University of Utah, Salt Lake City (Dr Staggers).

出版信息

ANS Adv Nurs Sci. 2020 Jan/Mar;43(1):28-41. doi: 10.1097/ANS.0000000000000304.

DOI:10.1097/ANS.0000000000000304

PMID:31922981

Abstract

Nurses published dialogues on wisdom; yet, a conceptual model is unavailable. We present the development process for a theory of wisdom-in-action for clinical nursing developed in 3 phases: (1) a deductively derived model using derivation and synthesis; (2) inductively, a constructivist grounded theory captured the experience of wisdom in nursing practice; and (3) the 2 theories were synthesized into a nascent theory. The theory describes 2 antecedent dimensions, person-related and setting-related factors, and 2 types of wisdom, general and personal. The theory provides a framework for translating wisdom in nursing practice, depicting both the science and art of nursing.

摘要

护士发表了有关智慧的对话；然而，目前还没有可用的概念模型。我们介绍了在三个阶段开发临床护理行动智慧理论的过程：（1）使用演绎和综合推导得出的演绎模型；（2）通过归纳，建构主义扎根理论捕捉了护理实践中的智慧经验；（3）将这两个理论综合为一个初步理论。该理论描述了两个前提维度，与人和环境相关的因素，以及两种类型的智慧，一般智慧和个人智慧。该理论为将护理实践中的智慧转化提供了一个框架，描绘了护理的科学性和艺术性。