Week 2 Flashcards

1
Q

Equity and Social Justice in Developing Theories

A

This chapter presents an analysis of the ideological structures that shape theory development in nursing and proposes that theory, particularly situation-specific theory, can reach beyond structures and systems that sustain inequities. Specific characteristics of situation-specific theory are examined in light of the emancipatory approaches that address social injustice.

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2
Q

Caring in Nursing Theory

A

Theories of caring in nursing, developed over decades, are rooted in the ethical principle of respect for human dignity and an expectation of nurse behaviour that demonstrates caritas. This article describes the context and evolution of caring-theory development; presents an overview of caring theories, their components, and studies framed by a caring theory; and examines the current state of caring-theory development. The body of knowledge framed by caring theories, constructs, and models contributes to caring science. Caring science depends on how future research and scholarship are guided, translated, disseminated, and expanded to strengthen caring science and to direct nursing praxis.

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3
Q

Feminist Theory in Sociology

A

Key areas of focus within feminist theory include:

discrimination and exclusion on the basis of sex and gender
objectification
structural and economic inequality
power and oppression
gender roles and stereotypes

In reality, feminist theory has always been about viewing the social world in a way that illuminates the forces that create and support inequality, oppression, and injustice, and in doing so, promotes the pursuit of equality and justice.

That said, since the experiences and perspectives of women and girls were historically excluded for years from social theory and social science, much feminist theory has focused on their interactions and experiences within society to ensure that half the world’s population is not left out of how we see and understand social forces, relations, and problems.

Part of what makes feminist theory creative and inclusive is that it often considers how systems of power and oppression interact, which is to say it does not just focus on gendered power and oppression, but on how this might intersect with systemic racism, a hierarchical class system, sexuality, nationality, and (dis)ability, among other things.

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4
Q

Understanding Critical Theory

A

Critical theory is a social theory oriented toward critiquing and changing society as a whole. It differs from traditional theory, which focuses only on understanding or explaining society. Critical theories aim to dig beneath the surface of social life and uncover the assumptions that keep human beings from a full and true understanding of how the world works.

Critical theory emerged out of the Marxist tradition and was developed by a group of sociologists at the University of Frankfurt in Germany who referred to themselves as The Frankfurt School.

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5
Q

Postcolonial Theory

A

Postcolonial theory is a body of thought primarily concerned with accounting for the political, aesthetic, economic, historical, and social impact of European colonial rule around the world in the 18th through the 20th century. Postcolonial theory takes many different shapes and interventions, but all share a fundamental claim: that the world we inhabit is impossible to understand except in relationship to the history of imperialism and colonial rule. This means that it is impossible to conceive of “European philosophy,” “European literature,” or “European history” as existing in the absence of Europe’s colonial encounters and oppression around the world. It also suggests that colonized world stands at the forgotten center of global modernity.

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6
Q

Post-Structuralism

A

Post-structuralism denotes a way of theorizing that emerged around the 1950s, predominantly in France, among otherwise extremely diverse intellectuals (although many question this label). Most thinkers termed post-structuralist, as well as the legitimating struggles and heated debates, were prominent until about the 1980s. Beyond this date, the debates died down and many once radical post-structuralist ideas were subsequently absorbed into mainstream disciplines. As the name suggests, a post-structuralist way of thinking is rooted in structuralism, but it also represents a retrospective critique of certain structuralist commitments. Like structuralism, post-structuralism identifies a way of theorizing that belongs equally to literary theory (the systematic study of literary texts), philosophy (especially the study of how thought works, insofar as thinking is carried out in language), and critical theory (emancipatory social science via discourse analysis and ideology critique). The starting points for a post-structural theoretical vision within this enormous terrain of interdisciplinary scholarship are language, signification, and semiotics.

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7
Q

Theory and Reasoning in Everyday Life

A

Abstract vs Concrete Concepts

Theory & research are perceived to be abstract concepts

Become more concrete when you examine their roles in everyday activities and events

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8
Q

Concept

A

A mental formulating of objects or events, representing the basic way in which ideas are organized and communicated

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9
Q

Conceptualization

A

the process of formulating concepts

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10
Q

Operational definitions

A

A description of concepts, articulated in such a way that they can be applied to decision making in practice. It links concepts with other concepts and with theories, and it often includes the essential properties and distinguishing features of a concept.

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11
Q

Theory

A

A purposeful set of assumptions or propositions about concepts, shows relationships between concepts and thereby provides a systematic view of phenomena so that they may be explained, predicted, or prescribed.

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12
Q

Assumption

A

A description of concepts or connection of two concepts that are accepted as factual or true; includes “taken for granted” ideas about the nature and purpose of concepts as well as the structure of theory.

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13
Q

Proposition

A

A declarative assertion

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14
Q

Phenomenon

A

An aspect of reality that can be consciously sensed or experienced; nursing concepts and theories represent the theoretical approach to making sense of aspects of reality of concern to nursing.

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15
Q

Theoretical model

A

Mental representation of how things work.

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16
Q

Conceptual framework

A

The theoretical structures that links concepts together for a specific purpose. When its purpose is to show how something works, it can also be described as a theoretical model. Nursing conceptual frameworks link major concepts and phenomena to direct nursing decisions (e.g., what to assess, how to make sense of data, what to plan, how to enact a plan, and how to evaluate whether the plan has had the intended outcome). Conceptual frameworks are also often referred to as. nursing models or nursing theories.

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17
Q

NURSING KNOWLEDGE

A

Concepts
-ideas

Conceptual Frameworks
-describes an idea

Theories
-describes a set of ideas

Models
-A drawing of a framework or idea – help us to better understand them

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18
Q

What are concepts?

A

Abstract ideas or mental images of phenomena or reality
Often called the “building blocks” of theories
Concepts can be: 1) concrete; 2) inferential or 3) abstract
Reflect: What are some concepts that apply to nursing?

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19
Q

What are concepts?

A

Abstract ideas or mental images of phenomena or reality
Often called the “building blocks” of theories
Concepts can be: 1) concrete; 2) inferential or 3) abstract
Reflect: What are some concepts that apply to nursing?

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20
Q

What are conceptual frameworks?

A

Goal is to understand how effective nurses systematically organize knowledge about nursing to understand an individual patient’s situation.

Frameworks and models sought to depict theoretical structures that would enable a nurse to grasp a clinical situation within the larger context of available options.

Often referred to as nursing theories

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21
Q

Metaparadigm Concepts

A

A metaparadigm is a global conceptual framework or theory

4 main concepts
- Nursing
- person
- health
- environment/situation

22
Q

Ways of Knowing

A

Science is one of several forms of knowledge

Ways of knowing refers to patterns of knowledge application in nursing practice

Empirical science; ethical, personal, aesthetic, and sociopolitical knowledge; and critical thinking

23
Q

What do we mean by the word ‘theory’?

A

Purposeful set of assumptions or propositions that identify the relationships between concepts
Provides a systematic view for explaining, predicting, and prescribing phenomena

24
Q

Nursing Theory

A

Knowledge about nursing organized for nurses to use in a professional and accountable manner

A perspective for viewing clients’ situations, a way to organize data, and a method of analyzing and interpreting information, to render nursing practice coherent and informed

25
Q

Types of Theory

A

Grand
Middle-range
Descriptive
Prescriptive

26
Q

Major Theoretical Models

A

Practice-based theories
Needs theories
Interactionist theories
Systems theories
Simultaneity theories

27
Q

Practice-Based Theories

A

Florence Nightingale
The McGill Model
Patricia Benner – skill acquisition

28
Q

Needs Theories

A

Virginia Henderson
Dorothea Orem

29
Q

Interactions Theories

A

Hildegard Peplau
Joyce Travelbee
Evelyn Adam

30
Q

Simultaneity Theories

A

Martha Rogers
Rosemarie Parse
Jean Watson

31
Q

What is Critical Theory?

A

Critical theory is a social theory oriented toward critiquing and changing society. It differs from traditional theory, which focuses only on understanding or explaining society.

Critical theories aim to dig beneath the surface of social life and uncover the assumptions that keep human beings from a full and true understanding of how the world works.

Critical theory emerged out of the Marxist tradition and was developed by a group of sociologists at the University of Frankfurt in Germany who referred to themselves as The Frankfurt School.

32
Q

Critical Lens

A
  • social orders involve domination and power
  • knowledge is shaped by power relations
  • truth can never be separated from values/ideologies
33
Q

Core Elements of Critical Theory

A

These distinguish CT from its traditional counterparts:
a distinctive theory of how social change has been and might be brought about
adherence to an ethical social justice framework that aspires to better society
engagement in dialectical analysis that conceptualizes critical analysis in the context of socially situated power relations
reflective accountability concerning critical theory’s own practices

34
Q

Critical feminist

A

Intrapersonal - how do gender, class, age, ability, size, and other forms of social positioning shape understanding?
Interpersonal
Contextual

Interpersonal - How do gender, race, class, age, ability, size, and forms of social positioning shape each interpersonal relationship?

Contextual - How are gender, race, class, age, ability, size, and other forms of social positioning shaping people and situation?

35
Q

Postcolonial

A

Intra - How do history colonial relations and racism shape understanding?

Inter - How do history, colonial relations, and racism shape each interpersonal relationship?

Contextual - How do history, colonial structures and arrangements?

36
Q

Poststructural

A

intra - how does language shape understanding

inter - how does language shape each interpersonal relationship

contextual - how does language shape social structures and arrangements

37
Q

Intersectionality as Critical Theory

A

Core Constructs
*Relationality
*Power
*Social inequality
*Social context
*Complexity
*Social justice
Guiding Premises

(1) Race, class, gender, and similar systems of power are interdependent and mutually construct one another.
(2) Intersecting power relations produce complex, interdependent social inequalities of race, class, gender, sexuality, nationality, ethnicity, ability, and age.
(3) The social location of individuals and groups within intersecting power relations shapes their experiences within and perspectives on the social world.
(4) Solving social problems within a given local,
regional, national, or global context requires intersectional analyses.

38
Q

Feminist Theory

A

A major branch within sociology that shifts its assumptions, analytic lens, and topical focus away from the male viewpoint and experience toward that of women.

Shines a light on social problems, trends, and issues that are otherwise overlooked or misidentified by the historically dominant male perspective within social theory.

Key areas of focus:
discrimination and exclusionbased on sex and gender
objectification
structural and economic inequality
power and oppression
gender roles and stereotypes

39
Q

Postcolonial Theory

A

A body of thought primarily concerned with accounting for the political, aesthetic, economic, historical, and social impact of European colonial rule around the world in the 18th through the 20th century.

Fundamental claim: that the world we inhabit is impossible to understand except in relationship to the history of imperialism and colonial rule.

It is impossible to conceive of “European philosophy,” “European literature,” or “European history” as existing in the absence of Europe’s colonial encounters and oppression around the world.

Suggests that colonized world stands at the forgotten center of global modernity.

40
Q

Possibilities of a Decolonizing Filter

A

Key tenets
Explicit emphasis on colonial and neocolonial relations; the continuities of history
Attention to global relations
Attention to material relations
Attention to the intersections among racism, material relations, and colonial power
Ask yourself: How do we identify our assumptions of racial superiority or inferiority?
Race is not a biologic phenomenon.
Attention to how history and economics intertwine to advantage some and disadvantage others

41
Q

Poststructuralism

A

Post-structuralism denotes a way of theorizing that emerged around the 1950s, predominantly in France. Prominent until about the 1980s.

As the name suggests, a post-structuralist way of thinking is rooted in structuralism, but it also represents a retrospective critique of certain structuralist commitments.

Like structuralism, post-structuralism identifies a way of theorizing that belongs equally to literary theory (the systematic study of literary texts), philosophy (especially the study of how thought works, insofar as thinking is carried out in language), and critical theory (emancipatory social science via discourse analysis and ideology critique).

42
Q

Using a Poststructural Filter

A

Ask yourself: How does language affect people’s experiences of health and health care? Barriers Miscommunication
How is language used- focus on language in action.
Language is integral to how power operates.

language affects people’s experiences of health and health care because it can cause barriers and miscommunication if the language is unclear or unfamiliar, or it can smooth out the healthcare experience by comforting the patient through language

43
Q

What is Constructivist Theory?

A

A theory of teaching and learning

Our BSN curriculum is based on constructivist theory

Main principles:
Knowledge is constructed, rather than innate, or passively absorbed
Learning is an active process
All knowledge is socially constructed
All knowledge is personal
Learning exists in the mind

44
Q

Nurses Creating Change

A

Use knowledge for social change and emancipatory political aims.
Understand people’s circumstances; do not judge them.
Take people’s circumstances into account when planning care.
Look for ways to affect circumstances that are beyond individual control.

45
Q

Middle Range Theory

A

Relevant to the empirical
Less abstract than Grand Nursing Theories
Concerned with specific phenomena found in nursing practice
Useful to nurse researchers who want to test interventions, develop practice
Guidelines, and improve specific conditions for patients, families, students and nurses

Middle-range nursing theories are narrower in scope than grand nursing theories and offer an effective bridge between grand nursing theories and nursing practice. They present concepts and propositions at a lower level of abstraction and hold great promise for increasing theory-based research and nursing practice strategies

46
Q

Middle Range Theory Examples

A

There are not great examples of mid-range theories in the text, the following three examples of mid range theories focus on caring, and the way caring can transpire in the context of nursing

Theory of Comfort
The declining significance of comfort for patients
Developed to potentially place comfort once again in the forefront of healthcare
Comfort exists in three forms: relief, ease, and transcendence
The Theory of Chronic Sorrow
Helping nurses work with and understand the responses of patients and families who have experienced a significant loss
The Theory of Mastery of Stress
This theory explains the mechanisms through which suffering affects an individual’s sense of community and connectedness with other
How individuals master difficulties and bad circumstances

47
Q

Theorizing in the Future

A

To stimulate thinking
To create a broad understanding of the science and practice of the nursing discipline
To provide a rationale for nursing actions and decisions

48
Q

A Global View of Nursing Theory

A

Theory is expansive across the globe.
Theories are shared and adapted between countries and across the world.
Adapted to the population and its needs

49
Q

Nursing theory is important to the development of the nursing discipline for what reason?

A

It articulates the role of nurses and differentiates nursing from other professions.

50
Q

While Jane and Marcy are studying for a nursing exam, Marcy asks what the difference is between a theory and a conceptual framework. Which of these statements made by Jane would reflect an accurate understanding of the two terms?

A

“A theory explicitly states the relationship between concepts, while a conceptual framework is a group of related concepts.”

Correct: Although the terms are sometimes used interchangeably within nursing literature, a conceptual framework provides an overall view of a group of concepts, while a theory takes things one step further and articulates the relationships between the concepts.