Lopes Marlene Isabel, Wittmann-Price Ruth A
Author Affiliations: Universidade Católica Portuguesa, Centre for Interdisciplinary Research in Health, Faculty of Health Sciences and Nursing, Porto, Portugal (Ms Lopes); Health Sciences Research Unit: Nursing (UICISA: E), Nursing School of Coimbra (ESEnfC), Portugal (Ms Lopes); and W. Cary Edwards School of Nursing and Health Professions, Thomas Edison State University, Trenton, New Jersey (Dr Wittmann-Price).
Holist Nurs Pract. 2025;39(3):141-150. doi: 10.1097/HNP.0000000000000704. Epub 2024 Dec 26.
The use of theories in nursing reflects the discipline's progression toward autonomy and delineates its scope, directly guiding practice, research, education, and administration. This paper analyzes and evaluates the theoretical model for nursing care of women involved in health care decisions-The Wittmann-Price Theory of Emancipated Decision-Making in Women's Health Care-based on McEwen's systematic theory 3-phase evaluation method. Developed through a rigorous process, this theory centers on the concept of emancipation and its associated subconcepts crucial to decision-making in women's health. This included crafting explanatory propositions and incorporating them into a structured theoretical framework. Having been applied and refined in various clinical settings, the theory has improved in applicability and proven effective for guiding nursing care across diverse environments. Furthermore, fostering a flexible environment that enhances personal knowledge significantly contributes to emancipated decision-making, which is closely linked to decision satisfaction.
护理理论的应用反映了该学科向自主性发展的进程，并界定了其范围，直接指导实践、研究、教育和管理。本文基于麦克尤恩的系统理论三阶段评估方法，对参与医疗保健决策的女性护理理论模型——维特曼 - 普赖斯女性医疗保健解放性决策理论进行分析和评估。该理论经过严格的过程发展而来，以解放概念及其对女性健康决策至关重要的相关子概念为核心。这包括精心构建解释性命题并将其纳入结构化的理论框架。该理论已在各种临床环境中得到应用和完善，其适用性有所提高，并被证明在指导不同环境下的护理方面是有效的。此外，营造一个能显著提升个人知识的灵活环境，对解放性决策有很大帮助，而解放性决策与决策满意度密切相关。
