Nursing philosophy : an international journal for healthcare professionals最新文献

{"title":"Are Benner's expert nurses near extinction?","authors":"Kimberley Bowen, D. Prentice","doi":"10.1111/nup.12114","DOIUrl":"https://doi.org/10.1111/nup.12114","url":null,"abstract":"","PeriodicalId":391694,"journal":{"name":"Nursing philosophy : an international journal for healthcare professionals","volume":"32 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134343074","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Realist evaluation caricatured: a reply to Porter.","authors":"R. Pawson","doi":"10.1111/nup.12118","DOIUrl":"https://doi.org/10.1111/nup.12118","url":null,"abstract":"","PeriodicalId":391694,"journal":{"name":"Nursing philosophy : an international journal for healthcare professionals","volume":"44 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128704239","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Foucault's legacy for nursing: are we beneficiaries or intestate heirs?","authors":"M. Clinton, R. A. Springer","doi":"10.1111/nup.12113","DOIUrl":"https://doi.org/10.1111/nup.12113","url":null,"abstract":"Drawing upon selected literature from the United Kingdom, Denmark, and Canada we examine how Foucault's concepts of 'episteme', 'rupture' 'parrhesia' 'care of the self', and 'problemitization' have been applied to particular contexts of leadership development, pedagogy, nursing knowledge, and the relationship between caring and politics. Our aims are threefold: to give examples of how selected Foucauldian concepts have been taken up in practice; to clarify how we are positioned today as nurses; and to invite more nurses to engage critically with historical inquiry and to engage in deep philosophical reflection about their relationship with nursing. We begin by examining the conditions and circumstances of Foucault's life, and conclude by posing the question in our subtitle to stimulate debate about the philosophical relevance of Foucauldian scholarship to nursing.","PeriodicalId":391694,"journal":{"name":"Nursing philosophy : an international journal for healthcare professionals","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129208778","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Critical realism in nursing: an emerging approach.","authors":"Catharine J. Schiller","doi":"10.1111/nup.12107","DOIUrl":"https://doi.org/10.1111/nup.12107","url":null,"abstract":"Critical realism, a philosophical framework originally developed by Roy Bhaskar in the 1970s, represents a relatively new approach to research generally and to nursing research in particular. This article explores the ontological and epistemological tenets of critical realism and examines the application of critical realist principles to nursing research and practice through a review of the literature. It is evident that few published nursing research studies have, as of yet, utilized critical realism as their paradigm of choice. Both the strengths and limitations of the presentation and use of critical realism in these studies are discussed in this article. Given the varying degrees of success of the authors in explicating critical realism as a philosophical framework, the value of critical realism to the research study, and the ways in which usage of the critical realist framework influenced development of the study and interpretation of findings, it is evident that the quality of future publications espousing the use of critical realism must continue to be strengthened significantly.","PeriodicalId":391694,"journal":{"name":"Nursing philosophy : an international journal for healthcare professionals","volume":"51 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124039619","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The meaning of illness in nursing practice: a philosophical model of communication and concept possession.","authors":"Halvor Nordby","doi":"10.1111/nup.12111","DOIUrl":"https://doi.org/10.1111/nup.12111","url":null,"abstract":"It is fundamental assumption in nursing theory that it is important for nurses to understand how patients experience states of ill health. This assumption is often related to aims of empathic understanding, but normative principles of social interpretation can have an important action-guiding role whenever nurses seek to understand patients' subjective horizons on the basis of active or passive expressions of meaning. The aim of this article is to present a philosophical theory of concept possession and to argue that it can shed light on how nurses should seek to understand patients' subjective perspectives on the meaning of illness. The two basic ideas in the theory are that patients' beliefs and thoughts about their experiences involve concepts and that concepts can be communicated on the basis of shared implicit conceptions of what they mean. These conditions of understanding have a striking application: nurse-patient communication is limited by many contextual factors, but it is often possible for nurses to detect shared implicit conceptions of the meaning of concepts of disease and illness. Furthermore, by acting as sympathetic linguistic experts and creating an atmosphere for dialogue, nurses can make patients feel comfortable about deferring to medical explanations of meaning that can constitute a communicative platform. The last part of the article uses a number of cases studies to show how these implications can be implemented as conceptual tools for securing meaningful communication about illness experiences in patient dialogue.","PeriodicalId":391694,"journal":{"name":"Nursing philosophy : an international journal for healthcare professionals","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134368127","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ceeing compassion in care: more than 'Six C'S'?","authors":"S. Pattison, R. Samuriwo","doi":"10.1111/nup.12110","DOIUrl":"https://doi.org/10.1111/nup.12110","url":null,"abstract":"Compassion is an apparently simple word. It is, however, actually a highly contested and ambiguous concept which can chase after real content and meaning. But, however, simple it may be or become, the realization of compassion in the UK National Health Service (NHS) is not easy. This is because compassion does not exist as an essence or good that can be dispensed. It is a range of activities and attitudes whose practice is inflected by complex contextual ecologies. In the broader debate about compassion in care, there has been a tendency to focus on the actions or behaviours of healthcare professionals that are perceived to be indicative of ‘compassionate care’. The focus on actions as indicators of compassion is understandable in the light of the shortcomings that have been identified in the care delivered in some parts of the NHS, but it overlooks the complexity of compassion as a state of mind or intellectual outlook. Distinguishing between compassion as a state of mind and actions that show compassion is important, but it can be challenging in health care as there are a myriad of contextual and organization factors that impact on the quality of care such as staffing levels (Ausserhofer et al., 2013; Aiken et al., 2014; Ball et al., 2014). The NHS Commissioning Board Chief Nursing Officer for England and the Department of Health Chief Nursing Adviser (2012) published ‘Compassion in Practice’ which set out their vision and strategy for the delivery of care with compassion to patients by nurses, midwives, and care staff. The aim of this vision and strategy was to ensure that nurses, midwives, and care staff consistently deliver high quality to patients predicated on the six key principles of courage, competence, communication, commitment, care, and compassion (NHS CB CNO England & DH CNA, 2012, NHS, 2014). As a result, over time Compassion in Practice has come to be known colloquially as the ‘6 c’s’ of care. ‘Compassion in Practice’ was initially set out as a three-year strategy to build a culture of compassion in care in the NHS when it was published in 2012. Since then, the delivery of safe, high-quality care has become a priority for governments and healthcare professionals across the globe (Dixon-Woods et al., 2013; Jha et al., 2013; Najjar et al., 2013; Robert et al., 2014). In the UK, the Francis (2013), Berwick et al. (2013), Keogh (2013), Clwyd & Hart (2013), and Andrews & Butler (2014) reports have all underscored the imperative to ensure that patients consistently receive the best possible care with compassion, dignity, and respect. Given that tenure of ‘Compassion in Practice’ is coming to an end, this is an opportune moment to revisit the concept of six c’s of care and to start ‘Ceeing compassion’ in a broader sense.","PeriodicalId":391694,"journal":{"name":"Nursing philosophy : an international journal for healthcare professionals","volume":"17 2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131177548","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Power of My.","authors":"D. Sellman","doi":"10.1111/nup.12119","DOIUrl":"https://doi.org/10.1111/nup.12119","url":null,"abstract":"","PeriodicalId":391694,"journal":{"name":"Nursing philosophy : an international journal for healthcare professionals","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122729703","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Dignity and the capabilities approach in long-term care for older people.","authors":"Jari Pirhonen","doi":"10.1111/nup.12057","DOIUrl":"https://doi.org/10.1111/nup.12057","url":null,"abstract":"<p><p>The ageing populations of the Western world present a wide range of economic, social, and cultural implications, and given the challenges posed by deteriorating maintenance ratios, the scenario is somewhat worrying. In this paper, I investigate whether Martha C. Nussbaum's capabilities approach could secure dignity for older people in long-term care, despite the per capita decreases in resources. My key research question asks, 'What implications does Nussbaum's list of central human capabilities have for practical social care?' My methodology combines Nussbaum's list with ethnographic data gathered from a Finnish sheltered home for older people. On the basis of this study, it seems that the capabilities approach is a plausible framework for the ethics of care because it highlights differences in the ability to function and thus differences in opportunities to pursue a good life. The ideas presented in this article could assist social policy planners and executives in creating policies and practices that help old people to maintain their dignity until the end of their days. </p>","PeriodicalId":391694,"journal":{"name":"Nursing philosophy : an international journal for healthcare professionals","volume":" ","pages":"29-39"},"PeriodicalIF":2.2,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/nup.12057","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40295799","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Research report appraisal: how much understanding is enough?","authors":"Martin Lipscomb","doi":"10.1111/nup.12054","DOIUrl":"https://doi.org/10.1111/nup.12054","url":null,"abstract":"When appraising research papers, how much understanding is enough? More specifically, in deciding whether research results can inform practice, do appraisers need to substantively understand how findings are derived or is it sufficient simply to grasp that suitable analytic techniques were chosen and used by researchers? The degree or depth of understanding that research appraisers need to attain before findings can legitimately/sensibly inform practice is underexplored. In this paper it is argued that, where knowledge/justified beliefs derived from research evidence prompt actions that materially affect patient care, appraisers have an epistemic duty to demand high (maximal) rather than low (minimal) levels of understanding regards finding derivation (i.e. appraisers have a duty to seek a superior epistemic situation). If this argument holds assumptions about appraiser competence/ability and the feasibility of current UK conceptions of evidence based practice are destabilized.","PeriodicalId":391694,"journal":{"name":"Nursing philosophy : an international journal for healthcare professionals","volume":" ","pages":"157-70"},"PeriodicalIF":2.2,"publicationDate":"2014-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/nup.12054","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40301752","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Slow and nursing.","authors":"Derek Sellman","doi":"10.1111/nup.12056","DOIUrl":"https://doi.org/10.1111/nup.12056","url":null,"abstract":"","PeriodicalId":391694,"journal":{"name":"Nursing philosophy : an international journal for healthcare professionals","volume":" ","pages":"79-80"},"PeriodicalIF":2.2,"publicationDate":"2014-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/nup.12056","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40280226","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}