WEEK 12: FUTURE OF NURSING PHILOSOPHY AND THEORY Flashcards
What is the purpose of nursing knowledge according to Fawcett?
To develop philosophies, conceptual models, and theories that guide nursing practice, research, and advance the discipline.
Define ‘philosophy of nursing’ as per Fawcett.
A statement that explains what nurses focus on, how they understand it, and the values that guide their actions.
What is a conceptual model in nursing?
A set of ideas that guide how nurses work and provide different ways to look at nursing.
Why is it dangerous to not use nursing-specific knowledge?
It risks making nursing too much like medicine and losing what makes it unique..
What are the nine stages of perspective transformation in nursing?
Stability, dissonance, confusion, dwelling with uncertainty, saturation, synthesis, resolution, reconceptualization, and return to stability.
What is Benner’s Novice to Expert model?
A framework for nursing skill acquisition progressing through novice, advanced beginner, competent, proficient, and expert stages.
List the future directions for nursing as discussed in Class 12.
Lifting barriers, strengthening education, disaster response, valuing community nursing, leadership roles, nurse well-being, and better payment models.
What are Carper’s four ways of knowing?
Empirical (science of nursing)
ethical (moral knowledge)
personal (self-awareness)
aesthetic (art of nursing).
What does Fawcett critique about ‘advanced nursing practice’?
She thinks it focuses too much on basic medical tasks instead of growing the nursing field.
What is the relationship between technology and humane care in nursing?
Technology isn’t naturally dehumanizing; it depends on how it’s used and combined with caring practices.
Define ‘ontological choreography’ as per the Technology & Human Care article.
The process by which technology and personal identity interact, allowing patients to maintain agency through objectification.
What does ‘technological determinism’ imply?
The idea that technology solely drives outcomes, ignoring its contextual and relational influences.
What is the focus of nursing’s unitary-transformative paradigm?
A holistic view prioritizing patterns of health and consciousness over isolated problems.
What are the central concepts of the nursing discipline?
Health, caring, consciousness, mutual process, patterning, presence, and meaning.
How does nursing praxis integrate theory, research, and practice?
By using theory to guide practice, which informs research and generates knowledge, creating a continuous cycle.
What is the essence of consciousness in nursing?
It is the informational pattern of the nurse-patient-environment field, encompassing sensation, intellect, emotion, and intention.
What is the significance of caring in nursing according to Newman?
Caring facilitates transformative connections between nurses and patients, promoting health and mutual understanding.
How does the mutual process unfold in nursing relationships?
Through intentional presence, reflection, and shared meaning between nurses and patients.
What is the relationship between health and consciousness in Newman’s theory?
Health is seen as a process of expanding consciousness, integrating illness and wellness into a unified whole.
What are Carper’s ways of knowing applied to technology in nursing?
Technology must be viewed through empirical, ethical, personal, and aesthetic lenses to enhance holistic care.
How does technology support humane care?
By enhancing diagnostic and therapeutic precision while maintaining focus on patient individuality and dignity.
What are the dangers of relying on non-nursing research in evidence-based practice?
It may not align with nursing theories and could devalue nursing’s unique knowledge base.
What is the role of perspective transformation in nursing education?
To enable nurses to shift paradigms and integrate new theories and models into practice.
Why is the nurse-patient relationship central to nursing practice?
It provides the foundation for understanding health patterns and guiding meaningful interventions.
What does ‘health as expanding consciousness’ imply?
Health involves a transformative process toward greater awareness and integration of life experiences.
How does nursing address cultural and technological challenges?
By integrating cultural sensitivity with technology to enhance personalized and effective care.
What is the impact of perspective transformation on nurse autonomy?
It empowers nurses to adopt independent, theory-guided practices rather than relying on medical models.
How is caring conceptualized within the unitary paradigm?
As participative patterning that respects and supports the life stories and choices of patients.
What are the stages of skill acquisition in Benner’s model?
Novice, advanced beginner, competent, proficient, and expert.
How can technology reconcile with humanistic nursing care?
By being used as a tool to support rather than replace the relational aspects of care.
What is the role of conceptual models in nursing?
They provide alternative guides for how nurses interact with patients and view the nursing process.
What are nurse-sensitive patient outcomes?
Outcomes directly related to nursing care, reflecting its unique contributions to patient health.
What is the concept of ‘health’ in the unitary paradigm?
A dynamic process of evolving consciousness, integrating illness and wellness as part of a unified whole.
What is ‘resonancy’ in nursing practice?
The way information is shared as a resonating wave, connecting nurse, patient, and environment.
How can technology enhance the nurse-patient relationship?
By providing tools for better diagnosis and care planning, while supporting nurses in delivering individualized care.