Jeffs Lianne, Merkley Jane, Ronald Kara, Newton Gary, Yang Lily, Gray Carolyn Steele
Sinai Health, Toronto, Ontario, Canada.
Bloomberg Faculty of Nursing, University of Toronto, Toronto, Ontario, Canada.
J Adv Nurs. 2023 Mar;79(3):991-1002. doi: 10.1111/jan.15404. Epub 2022 Aug 11.
This manuscript aims to provide a description of an evidence-informed Science of Care practice-based research and innovation framework that may serve as a guiding framework to generate new discoveries and knowledge around fundamental care in a more integrated manner.
New ways of thinking about models of care and implementation strategies in transdisciplinary teams are required to accelerate inquiry and embed new knowledge and innovation into practice settings. A new way of thinking starts with an explicit articulation and commitment to the core business of the healthcare industry which is to provide quality fundamental care.
This discursive paper delineates an iteratively derived Science of Care research and innovation framework (Science of Care Framework) that draws from a targeted literature review.
The Science of Care Framework integrates caring science with safety and symptom sciences with implementation, improvement, innovation and team sciences. Each science dimension is described in terms of seminal and evolving evidence and theoretical explanations, focusing on how these disciplines can support fundamental care.
The Science of Care Framework can serve as a catalyst to guide future efforts to propel new knowledge and discoveries around fundamental care and how best to implement it into clinical practice through a transdisciplinary lens.
IMPACT ON NURSING SCIENCE, PRACTICE, OR DISCIPLINARY KNOWLEDGE: The Science of Care Framework can accelerate nursing discipline-specific knowledge generation alongside inter and transdisciplinary insights. The novel articulation of the Science of Care Framework can be used to guide further inquiries that are co-designed, and led, by nurses into integrated models of care and innovations in clinical practice.
本论文旨在描述一个基于循证的护理科学实践研究与创新框架，该框架可作为一个指导框架，以更综合的方式围绕基础护理产生新的发现和知识。
需要新的思维方式来思考跨学科团队中的护理模式和实施策略，以加速探究并将新知识和创新融入实践环境。一种新的思维方式始于对医疗行业核心业务的明确阐述和承诺，即提供高质量的基础护理。
这篇论述性论文勾勒出一个通过有针对性的文献综述迭代得出的护理科学研究与创新框架（护理科学框架）。
护理科学框架将关怀科学与安全和症状科学与实施、改进、创新及团队科学整合在一起。每个科学维度都根据开创性和不断发展的证据及理论解释进行描述，重点关注这些学科如何支持基础护理。
护理科学框架可作为一种催化剂，指导未来围绕基础护理推动新知识和发现的努力，以及如何通过跨学科视角将其最佳地应用于临床实践。
对护理科学、实践或学科知识的影响：护理科学框架可加速护理学科特定知识的生成以及跨学科和多学科的见解。护理科学框架的新颖阐述可用于指导由护士共同设计和主导的进一步探究，以形成综合护理模式和临床实践中的创新。
