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Nursing Research

Janice M Morse
BACKGROUND: Qualitative research is frequently context bound, lacks generalizability, and is limited in scope. OBJECTIVES: The purpose of this article was to describe a method, theoretical coalescence, that provides a strategy for analyzing complex, high-level concepts and for developing generalizable theory. Theoretical coalescence is a method of theoretical expansion, inductive inquiry, of theory development, that uses data (rather than themes, categories, and published extracts of data) as the primary source for analysis...
January 23, 2018: Nursing Research
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No abstract text is available yet for this article.
March 2018: Nursing Research
Nalini N Jairath, Cynthia J Peden-McAlpine, Mary C Sullivan, Judith A Vessey, Susan J Henly
BACKGROUND: Articles from three landmark symposia on theory for nursing-published in Nursing Research in 1968-1969-served as a key underpinning for the development of nursing as an academic discipline. The current special issue on Theory and Theorizing in Nursing Science celebrates the 50th anniversary of publication of these seminal works in nursing theory. OBJECTIVE: The purpose of this commentary is to consider the future of nursing theory development in light of articles published in the anniversary issue...
March 2018: Nursing Research
Mohamad M Saab, Margaret Landers, Josephine Hegarty
BACKGROUND: Health outcomes among men are markedly poorer than women. Testicular disorders can be life-threatening if left untreated. Few studies promoting awareness of testicular disorders have been underpinned by theory. Theory-based interventions are more likely to achieve positive health outcomes than interventions that lack a theoretical foundation. OBJECTIVES: The purpose of the study is to present a theory-focused analysis of the preconscious awareness to action framework (PAAF), developed to enhance testicular awareness and help-seeking intentions and behaviors among men...
March 2018: Nursing Research
Denise Saint Arnault
BACKGROUND: The recent interest in defining and theorizing about social determinants of health has illuminated the importance of culture as a central phenomenon of interest. However, cultural processes appear in multiple places in social determinants of health models, and their specifics are not delineated or operationalized. OBJECTIVES: This theory development article describes the complexity of defining cultural variables and uses medical anthropology to show how cultural domains, constructs, and variables can be defined...
March 2018: Nursing Research
Denise J Drevdahl
BACKGROUND: As a discipline, nursing emphasizes the importance of culture to care. Cultural competence is seen in nursing practice, education, and research as essential for addressing health disparities-particularly racial and ethnic disparities. There now is broad consensus that the causes for health disparities lie beyond the individual and are found in the structures of society. Current cultural competency theories and conceptual models, however, focus on the individual and do little to address the social/structural determinants of health...
March 2018: Nursing Research
Ashley M Weber, Tondi M Harrison, Deborah K Steward
BACKGROUND: Oxytocin (OT), an affiliation hormone released during supportive social interactions, provides an exemplar of how social environments are reflected in our neurobiology from the beginning of life. A growing body of OT research has uncovered previously unknown functions of OT, including modulation of parenting behaviors, neuroprotection, affiliation, and bonding. Regulation theory provides a strong framework for describing how the maternal care environment affects infant neurodevelopment through a symphony of molecules that form the neurobiological milieu of the developing infant brain...
March 2018: Nursing Research
Karen A Monsen, Teresa J Kelechi, Marion E McRae, Michelle A Mathiason, Karen S Martin
BACKGROUND: The growth and diversification of nursing theory, nursing terminology, and nursing data enable a convergence of theory- and data-driven discovery in the era of big data research. Existing datasets can be viewed through theoretical and terminology perspectives using visualization techniques in order to reveal new patterns and generate hypotheses. The Omaha System is a standardized terminology and metamodel that makes explicit the theoretical perspective of the nursing discipline and enables terminology-theory testing research...
March 2018: Nursing Research
Paul F Cook, Sarah J Schmiege, Blaine Reeder, Sara Horton-Deutsch, Nancy K Lowe, Paula Meek
BACKGROUND: Health promotion and chronic disease management both require behavior change, but people find it hard to change behavior despite having good intentions. The problem arises because patients' narratives about experiences and intentions are filtered through memory and language. These narratives inaccurately reflect intuitive decision-making or actual behaviors. OBJECTIVES: We propose a principle-temporal immediacy-as a moderator variable that explains which of two mental systems (narrative or intuitive) will be activated in any given situation...
March 2018: Nursing Research
Alison L Kitson
BACKGROUND: Nursing theories have attempted to shape the everyday practice of clinical nurses and patient care. However, many theories-because of their level of abstraction and distance from everyday caring activity-have failed to help nurses undertake the routine practical aspects of nursing care in a theoretically informed way. OBJECTIVE: The purpose of the paper is to present a point-of-care theoretical framework, called the fundamentals of care (FOC) framework, which explains, guides, and potentially predicts the quality of care nurses provide to patients, their carers, and family members...
March 2018: Nursing Research
Catherine Green
BACKGROUND: Today, when nurses are expected to manage large stores of data while providing precision care to individuals or groups of patients, it seems more important than ever that we understand the nature of nursing. Recently, there has been a renewed interest in examining what nursing is and how a clear understanding would impact nursing practice. OBJECTIVE: The goal of this article is to review an ontological account of nursing that seeks to understand the nature of nursing by showing the relation between the goal and structure of nursing care in association with the persons who are its recipients and practitioners...
March 2018: Nursing Research
Callista Roy
BACKGROUND: Today, we face a situation some call the "profession at the crossroads." The problem is the development of the profession being threatened by an imbalance among philosophical, conceptual/theoretical, and empirical inquiry. OBJECTIVES: The aims of this project are to (a) examine the development and contributions of theory, (b) outline the challenges we face in knowledge development, and (c) provide a structure for disciplinary knowledge that provides a unifying focus and renovates theories' place in nursing science that can direct the future of developing knowledge for practice...
March 2018: Nursing Research
Leslie H Nicoll
OVERVIEW: Two influential publications in nursing, Nursing Research and Perspectives on Nursing Theory, are used to illustrate how a specific technology change-the invention and marketing of the photocopier-influenced knowledge dissemination and information utilization in nursing, perhaps in ways not immediately apparent. METHODS: Content analysis and historical comparison, using editorials from Nursing Research, historical reports on technology development, and personal reflections on the genesis of Perspectives on Nursing Theory are used to create an argument for the role of technology in peer review, information utilization, and knowledge development in nursing...
March 2018: Nursing Research
Dominique A Tobbell
BACKGROUND: Beginning in the late 1950s and intensifying through the 1960s and 1970s, nurse educators, researchers, and scholars worked to establish nursing as an academic discipline. These nursing leaders argued that the development of nursing theory was not only critical to nursing's academic project but also to improving nursing practice and patient care. OBJECTIVES: The purpose of the article is to examine the context for the development of nursing theory and the characteristics of early theory development from the 1950s through the early 1980s...
March 2018: Nursing Research
Rita H Pickler
No abstract text is available yet for this article.
March 2018: Nursing Research
Rita H Pickler
No abstract text is available yet for this article.
January 2018: Nursing Research
Emilio Fariña-López, Gabriel J Estévez-Guerra, M Luz Polo-Luque, Alica Hanzeliková Pogrányivá, Eva Penelo
BACKGROUND: Physical restraint is often used during the hospitalization of elderly people. However, this procedure is associated with adverse outcomes; therefore, it is necessary to be aware of the circumstances that promote restraint use, such as the perceptions of professionals who use it. OBJECTIVES: The purpose of the research was to determine the situations in which nursing staff considered the use of physical restraint as most important and to evaluate the possible associations with the sociodemographic and professional variables...
January 2018: Nursing Research
Joanes Faustine Mboineki, Weihong Zhang
BACKGROUND: The Tanzanian health sector suffers from shortages of healthcare workers as well as uneven distribution of healthcare workers in urban and rural areas. Task shifting-delegation of tasks from professionals to other healthcare team members with less training, such as medical attendants-is practiced, compromising quality of care. Advanced practice nursing is underutilized. OBJECTIVE: The purpose of this study was to explore the views of nurses and physicians on current responses to shortages of healthcare workers and the potential for utilization of advanced practice nurses...
January 2018: Nursing Research
Tanya Mailhot, Patrick Lavoie, Marc-André Maheu-Cadotte, Guillaume Fontaine, Alexis Cournoyer, José Côté, France Dupuis, Thierry Karsenti, Sylvie Cossette
BACKGROUND: Measuring engagement and other reactions of patients and health professionals to e-health and e-learning interventions remains a challenge for researchers. OBJECTIVE: The aim of this pilot study was to assess the feasibility and acceptability of using a wireless electroencephalography (EEG) device to measure affective (anxiety, enjoyment, relaxation) and cognitive (attention, engagement, interest) reactions of patients and healthcare professionals during e-health or e-learning interventions...
January 2018: Nursing Research
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