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[护士与研究:内容与方法。本期使用的前提与指南。1. 为何推出研究专题]

[Nurses and research: contents and methods. Premise and guide to the use of this issue. 1. Why a special issue for research].

出版信息

Riv Inferm. 1998 Jan-Mar;17(1):2-7.

PMID:9687800
Abstract

For the first time in its history, this journal assumes the unusual form of a monograph: the issue is dedicated to the problems of research methodology, as it applies to the nursing context and activities. The purpose and the contents which are developed along the eight "chapters" can be summarised as follows: 1. It is widely recognised that health care systems are undergoing a profound and rapid transformation phase, which is obviously affecting the nursing profession and roles. To minimize the very real risk of being passive observers of the changes, a propositive strategy based on diffuse and intense research activities (aiming at describing, anticipating, assessing, experimenting changes and hypotheses) appears to be a priority choice (besides the more classical and needed institutional battles and arrangements). 2. Since its very beginning (back 15 years ago), this journal had adopted among its main objectives and distinctive features, the promotion of a research oriented mentality in a profession which (mainly, but not exclusively in Italy) has been characterised more in terms of executive and basically dependent tasks. The key thesis all over the years has been that, to be relevant for the whole profession, research should not be conceived as a separate or élite area of interest but it should be as close as possible (in its scope and methods), to the routine activities of the majority of the nurses. 3. The years long experience has produced (both through the materials which have been published, and the training initiatives which the Rdl has promoted) an important body of concepts and suggestions, which appear to be possibly useful to integrate the existing standard literature dedicated to research methods and designs. 4. The structure chosen for the overall organisation of the issue tries to comply to this "experimental" background: after a first part focused on the close articulation between the conceptual and historical specificities of nursing research (chapter 1 and 2), the more traditional themes of research textbooks are developed as components and expression of a process which suggests, the exigences and possibilities of an "empowerment" of the profession, with respect to its technical tasks and its institutional responsibilities (see chapters 3 to 6). The last chapters concentrate on the two apparently opposite trends and challenges, of both institutional changes and methodological exigencies and evolutions; on the one side, the re-discovery of the "old" qualitative - narrative competences and resources; on the other side the requirements of a health structure which is increasingly centered on administrative-managerial criteria and rules. 5. Coherently with the roots in the concrete experiences which has led to this issue, each chapter tries not to be a repetition of general principles and definitions, but to develop around real-life situations and cases, in order to provide "explicit" framework of application for the definitions and the methodological instruments. 6. A last (possibly interesting) characteristic of the issue, is the fact that it has been conceived, and it is formally presented and proposed (see chapter 1) as a "work in progress". The text is formally offered to the readers-users as a draft on which to work actively: observations, comments, integrations are requested and stimulated. Over a six month period, a collective writing project is launched so that the preparation of a "final" methodological text could become in itself a participatory (and expectedly didactic and rewarding) research activity.

摘要

本期刊有史以来首次采用专著这种不同寻常的形式

本期致力于研究方法论问题,因为它适用于护理领域和活动。沿着八个“章节”展开的目的和内容可总结如下:1. 人们普遍认识到,医疗保健系统正处于深刻而快速的转型阶段,这显然正在影响护理专业和角色。为尽量降低成为变革被动旁观者这一切实存在的风险,基于广泛而深入的研究活动(旨在描述、预测、评估、试验变革及假设)的积极策略似乎是优先选择(除了更传统且必要的制度斗争和安排之外)。2. 自创刊之初(15年前)起,本期刊就在其主要目标和显著特征中纳入了在一个(主要但不限于意大利)一直以执行性和基本依赖性任务为特点的专业中推广研究导向思维方式。多年来的关键论点一直是,要对整个专业有意义,研究不应被视为一个单独的或精英化的兴趣领域,而应在其范围和方法上尽可能贴近大多数护士的日常活动。3. 多年的经验(通过已发表的材料以及本期刊所推动的培训举措)产生了大量概念和建议,这些似乎可能有助于整合现有的专门论述研究方法和设计的标准文献。4. 为本期整体组织所选择的结构试图符合这一“实验性”背景:在第一部分聚焦于护理研究的概念和历史特殊性之间的紧密联系(第1章和第2章)之后,研究教科书的更传统主题作为一个过程的组成部分和表现形式展开,该过程表明了该专业在其技术任务和机构责任方面“赋权”的要求和可能性(见第3章至第6章)。最后几章集中探讨两个看似相反的趋势和挑战,即制度变革以及方法要求和演变;一方面是对“旧的”定性 - 叙述能力和资源的重新发现;另一方面是日益以行政管理标准和规则为中心的卫生结构的要求。5. 与促成本期的具体经验根源相一致,每一章都力求不重复一般原则和定义,而是围绕实际情况和案例展开,以便为定义和方法工具提供“明确的”应用框架。6. 本期最后一个(可能有趣的)特点是,它被构思并正式呈现和提议(见第1章)为一项“正在进行的工作”。文本正式作为一份草稿提供给读者 - 用户,供其积极参与:欢迎并鼓励提出意见、评论和补充。在六个月的时间里,启动了一个集体写作项目,以便编写一份“最终”方法论文本本身能够成为一项参与性的(预期具有教学意义且有回报的)研究活动。

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