This one-of-a-kind book provides an in-depth analysis of nursing practice as a concept and area of study, rather than as an aggregation of specific techniques and skills. The text addresses the essential features of nursing practice using a five-level nursing framework developed by the author. This framework promotes a deep understanding of how nursing should be holistically practiced rather than focusing on particular nursing competencies. The book stresses the importance of developing a multifaceted, adaptable approach to nursing that integrates all of its complexities, including philosophy, knowledge and knowing, and situational contingencies. Also addressed are the integral components of nursing practice, including essential tools, collaboration, knowledge application, competence, expertise, and quality of practice.
The book discusses and analyzes the five levels of nursing practiceóthe nursing perspective, nursing knowledge for practice, the philosophy of nursing practice, the dimension of nursing practice, and the process of nursing practiceóto provide a model for how nursing should be practiced in order to better serve patients and advance knowledge for practice. With its in-depth perspective and unique focus, the book draws from nursing knowledge, but also from the fields of philosophy and the social sciences. As such, it analyzes the essential features and characteristics of nursing practice through a broader lens. The book also includes a comprehensive bibliography from nursing, philosophy, and social sciences literature. It is designed as both a text for graduate-level nursing students and as an authoritative reference for practicing nurses, educators, and researchers.
Key Features:
- Presents a five-level analytical model of nursing practice developed by the author
- Provides an in-depth examination of the essential features and dimensions of nursing practice using this analytical model
- Addresses the essential tools of nursing practice; collaborative practice, knowledge application, and competence; expertise; and quality of practice
- Includes a comprehensive bibliography relevant to the study of nursing practice from nursing, philosophy, and the social sciences
Contents
Preface
1. Introduction
The Definition of Nursing Practice
Nursing Practice in the Context of the Health Care System, Society, and Culture
A Model for Nursing Practice
Summary and Questions for Reflection and Further Deliberation
2. The Client of Nursing
Nursing Perspective of Clients—Human Living
Human Dignity and Self-Determination in the Context of Nursing Practice
Client and Environment
Client in the Context of Family
Client in the Context of Society and Culture
Summary and Questions for Reflection and Further Deliberation
3. The Nursing Perspective for Practice
Holism
Health Orientation
Person-Centeredness
Caring
Nursing Gaze as Operationalization of the Nursing Perspective
The Nursing Perspective and a Nursing Perspective
Summary and Questions for Reflection and Further Deliberation
4. Nursing Knowledge for Practice
Nursing Epistemology
Nursing’s Substantive Knowledge Domains
Summary and Questions for Reflection and Further Deliberation
Notes
5. Three Philosophies of Nursing Practice: Philosophies of Care, Therapy, and Professional Work
The Philosophy of Care
The Philosophy of Therapy
The Philosophy of Professional Work
Summary and Questions for Reflection and Further Deliberation
6. Five Dimensions of Nursing Practice
Characterization of Nursing Practice
The Scientific Dimension
The Technical Dimension
The Ethical Dimension
The Aesthetic Dimension
The Existential Dimension
Summary and Questions for Reflection and Further Deliberation
7. The Process of Nursing Practice
The Process of Deliberation
The Process of Enactment
The Perspective, the Knowledge, and the Philosophy of Practice in the Process
The Dimension of Nursing Practice and the Process
Summary and Questions for Reflection and Further Deliberation
Notes
8. Essential Tools of Nursing Practice
Essential Tools in the General Practice Processes
Caring and Person-Oriented Essential Tools
Essential Tools of General Nursing Therapeutics
Professional Role–Related Essential Tools
Summary and Questions for Reflection and Further Deliberation
9. Collaborative Practice
Characteristics of Collaboration
Critical Premises of Collaboration
Processes of Collaboration
Determinants of Collaboration
Collaborative Practice in Nursing
Summary and Questions for Reflection and Further Deliberation
10. Knowledge Application in Nursing Practice
Knowledge-Based Practice
Processes of Knowledge Application in Nursing Practice
Critical Reflective Inquiry in Nursing Practice
Summary and Questions for Reflection and Further Deliberation
Note
11. Competence and Expertise in Nursing Practice, and Quality of Nursing Practice
Competence in Nursing Practice
Expertise in Nursing Practice
Quality of Care and Quality of Nursing Practice
Client Outcomes in Relation to Quality of Care
Summary and Questions for Reflection and Further Deliberation
12. Concluding Remarks
Future of Nursing Practice
Knowledge Development to Advance Nursing Practice
Summary and Questions for Reflection and Further Deliberation
Bibliography
Index