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Practical nursing judgment: a moderate realist conception.

J F Kikuchi1, H Simmons

  • 1Faculty of Nursing, University of Alberta, Edmonton, Canada.

Scholarly Inquiry for Nursing Practice
|July 27, 1999
PubMed
Summary
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This study addresses the trend of nurses relying solely on subjective judgments by proposing a moderate realism approach. This philosophical framework supports evidence-based nursing practice, integrating objective principles with individual patient circumstances for better care.

Area of Science:

  • Nursing Philosophy
  • Epistemology in Healthcare

Background:

  • Idealist philosophy influences nursing, leading to dismissal of objective truths in clinical judgment.
  • A trend towards solely subjective decision-making in nursing practice is concerning.

Purpose of the Study:

  • To present a conception of practical nursing judgment grounded in moderate realism.
  • To offer a philosophical framework to counteract the trend of purely subjective nursing decisions.

Main Methods:

  • Philosophical analysis of idealist and realist perspectives on judgment.
  • Development of a moderate realism-based model for nursing decision-making.

Main Results:

  • The proposed model integrates subjective and objective aspects in nursing decisions.

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  • Nursing principles are grounded in natural needs, rights, and obligations.

    • Conclusions:

    • Moderate realism provides a basis for individualized, just, benevolent, and sensible nursing care.
    • This approach supports making nursing decisions that enhance patient well-being.