Utz S W, Ramos M C
School of Nursing, University of Virginia.
J Adv Nurs. 1993 May;18(5):742-51. doi: 10.1046/j.1365-2648.1993.18050742.x.
The optimum growth and scientific progress of nursing knowledge during the next century will depend upon the development and execution of focused programmes of clinical and theoretical research. The planning and design of such programmes must originate with the clear definition of nursing research questions. Nesting such questions within established theoretical frameworks provides a nursing context, lends precise language and suggests relevant variables for study. The development of a sequence of related studies exploring and describing the self-care needs of people with symptomatic mitral valve prolapse illustrates one such systematic research programme. Orem's Self-Care Deficit Theory of Nursing was used as a theoretical framework for four completed studies which describe one population's need for nursing assistance. The evolving nature of the research programme and plans for future research are discussed.
下个世纪护理知识的最佳增长和科学进步将取决于临床和理论研究重点项目的开展与实施。此类项目的规划与设计必须始于对护理研究问题的清晰界定。将这些问题置于既定的理论框架之中可提供护理背景，给出精确的语言表述并为研究提示相关变量。一项探索并描述有症状二尖瓣脱垂患者自我护理需求的系列相关研究的开展，便例证了这样一个系统的研究项目。奥瑞姆的护理自理缺陷理论被用作四项已完成研究的理论框架，这些研究描述了某一人群对护理协助的需求。本文还讨论了该研究项目的发展性质以及未来的研究计划。
