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Related Experiment Videos

Cultural negotiation: a constructivist-based model for nursing practice.

J Engebretson1, L Y Littleton

  • 1School of Nursing, Houston Health Science Center, University of Texas, USA.

Nursing Outlook
|October 26, 2001
PubMed
Summary

Middle-range theory, grounded in constructivism, bridges nursing theory and practice. This approach enhances the nursing process by emphasizing the interconnectedness of nurse and client within their cultural and social contexts.

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Area of Science:

  • Nursing Theory
  • Philosophy of Science

Background:

  • The application of grand nursing theories to practice is challenging.
  • Middle-range theories offer a pragmatic solution by bridging abstract concepts and clinical application.

Purpose of the Study:

  • To present a middle-range theory grounded in constructivism.
  • To link the nursing process with holism through the nurse-client relationship.
  • To contextualize the nursing process within cultural and social environments.

Main Methods:

  • Utilized constructivism as the philosophical foundation.
  • Developed a model integrating the nursing process, holism, and the nurse-client's subjective worlds.
  • Situated the nursing process within the cultural and social contexts of the nurse, client, and healthcare system.

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Main Results:

  • A new conceptualization of the nursing process emerged, emphasizing interdependence.
  • The model accommodates the diverse social values and beliefs of stakeholders.
  • Facilitated a holistic approach to nursing care by integrating individual perspectives.

Conclusions:

  • Middle-range theory, informed by constructivism, provides a viable framework for nursing.
  • This model redefines the nursing process to reflect the client-nurse interdependence.
  • The theory is adaptable to the complexities of the healthcare system and broader social contexts.