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Complex critical realism: tenets and application in nursing research.
Alexander M Clark1, Sue L Lissel, Caroline Davis
1Faculty of Nursing, University of Alberta, Edmonton, Alberta, Canada. Alex.clark@ualberta.ca
Critical realism (CR) offers a robust philosophical framework for nursing research, emphasizing an independent reality and complex causation. Its application aids in understanding outcomes, optimizing interventions, and exploring biopsychosocial factors in health.
Area of Science:
- Philosophy of Science
- Nursing Research Methodology
Background:
- Limited discussion exists on applying critical realism (CR) to nursing research.
- This paper addresses this gap by outlining CR's tenets and relevance.
Purpose of the Study:
- To delineate the core principles of critical realism (CR).
- To explore the current and potential applications of CR within nursing.
- To highlight CR's utility in advancing nursing scholarship.
Main Methods:
- Philosophical analysis of critical realism.
- Review of existing literature on CR and nursing.
- Conceptual application of CR tenets to nursing research contexts.
Main Results:
- Critical realism (CR) is defined by its recognition of an independent reality, a generative view of causation in open systems, and a focus on explanations.
- CR supports methodological eclecticism through a postdisciplinary approach.
- CR is valuable for understanding complex health outcomes, optimizing interventions, and researching biopsychosocial pathways.
Conclusions:
- Critical realism (CR) provides a philosophically sound foundation for nursing research.
- CR has significant potential to enhance the rigor and scope of nursing inquiry.
- Its application is pertinent to evidence-based practice, chronic disease management, and population health.
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