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An ontological view of advanced practice nursing
Cynthia Arslanian-Engoren1, Frank D Hicks, Ann L Whall
1University of Michigan, School of Nursing, Ann Arbor, MI 48109-0482, USA. cmae@umich.edu
Research and Theory for Nursing Practice
|December 15, 2005
Summary
This study emphasizes the need for advanced practice nursing to define its unique ontological and epistemological perspective. Adopting nursing
Area of Science:
- Nursing Philosophy
- Advanced Practice Nursing
- Ontology
Background:
- Advanced practice nursing (APN) prioritizes research-derived knowledge for patient care.
- A distinct nursing metatheoretical space is crucial to avoid adopting other disciplines' values.
- Current APN curricula may inadvertently mirror medicine's logical positivist paradigm.
Purpose of the Study:
- To present a unique ontological perspective for advanced practice nursing.
- To guide the development of APN education, practice, and research.
- To establish a distinct philosophical foundation for nursing.
Main Methods:
- Philosophical inquiry into nursing's ontological and epistemological foundations.
- Analysis of existing APN curricula and their alignment with nursing theory.
- Conceptualization of a nursing-centered ontological framework.
Main Results:
- Nursing possesses a unique ontological and epistemological stance.
- Failure to define this stance risks adopting non-nursing practice values.
- A clear ontological perspective is essential for APN's distinct identity.
Conclusions:
- Establishing a unique ontological perspective is vital for advanced practice nursing.
- This perspective should inform APN education, practice, and research.
- A defined nursing ontology ensures care aligns with nursing's core values.
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