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Related Experiment Videos

Using nursing science does not guarantee nursing excellence.

Don Flaming1

  • 1Medicine Hat College, School of Nursing, Medicine Hat, Alberta, Canada. dflaming@acd.mhc.ab.ca

Research and Theory for Nursing Practice
|December 11, 2002
PubMed
Summary
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Nursing excellence requires more than just knowledge; it involves practical wisdom (techne) and ethical character (phronesis). Phronetic practice, guided by morals and dispositions, navigates complex situations for true nursing excellence.

Area of Science:

  • Nursing Science
  • Philosophy of Practice
  • Ethics in Healthcare

Background:

  • Traditional nursing excellence models emphasize knowledge acquisition and application from nursing science.
  • This techne-based approach, while valuable, struggles with the inherent ambiguities of daily nursing practice.
  • A gap exists in conceptualizing how nurses achieve excellence beyond mere technical competence.

Purpose of the Study:

  • To critique the limitations of a purely knowledge-based (techne-ical) model for achieving nursing excellence.
  • To propose and advocate for a phronetic, ontological conceptualization of nursing practice.
  • To explore how moral character and practical wisdom contribute to superior nursing care.

Main Methods:

  • Conceptual analysis comparing techne-based and phronetic approaches to nursing practice.

Related Experiment Videos

  • Philosophical examination of ancient Greek concepts of techne and phronesis in a modern nursing context.
  • Argumentation for the integration of ontological dispositions and practical wisdom in nursing.

    • Main Results:

    • Techne-ical practice, focused on applying scientific knowledge, leads to competent nursing but not necessarily excellence.
    • Phronetic practice, guided by a nurse's morals, habits, and dispositions, effectively navigates complex clinical situations.
    • Ontological dispositions are crucial for addressing the 'rough ground' of nursing, distinguishing excellence from competence.

    Conclusions:

    • Nursing excellence is better understood through a phronetic, ontological lens rather than solely through techne-ical knowledge.
    • Developing nurses' practical wisdom and ethical character is essential for achieving true nursing excellence.
    • A shift towards valuing phronetic practice is necessary to foster environments where nursing excellence can flourish.