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Knowledge constructions in nursing practice: understanding and integrating different forms of knowledge.

Inger James¹, Birgitta Andershed, Bernt Gustavsson

¹School of Health and Medical Sciences, Örebro University, Örebro, Sweden. inger.james@oru.se

Qualitative Health Research

|June 22, 2010

Summary

Nurses construct knowledge through a continuous hermeneutic spiral, integrating various sources like patient records and interactions. This process involves episteme, techne, and phronesis for comprehensive patient understanding.

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Area of Science:

Nursing Science
Epistemology
Qualitative Research

Background:

Understanding how nurses acquire and utilize knowledge is crucial for patient care.
Existing literature often categorizes nursing knowledge, but the dynamic construction process requires further exploration.

Purpose of the Study:

To investigate the forms of knowledge nurses employ in their practice.
To elucidate the process by which nurses construct knowledge during patient care.

Main Methods:

Combined ethnographic and hermeneutic study design.
Data collection through participant observation, informal conversations, and interviews.
Analysis guided by hermeneutic spiral methodology.

Main Results:

Nurses' knowledge construction follows a 'hermeneutic spiral' of understanding.
Knowledge is derived from diverse sources: patient records, handover reports, patient interaction, and direct observation.
Deepened understanding is achieved through sensitivity, humor, emotional involvement, and critical self-reflection.
Interaction with colleagues, patients, doctors, and relatives facilitates knowledge acquisition.
Nurses proactively seek to anticipate patient needs and situations.

Conclusions:

Nursing knowledge is an integrated blend of episteme (theoretical knowledge), techne (practical skills), and phronesis (practical wisdom).
The hermeneutic spiral model effectively describes the dynamic and iterative nature of nursing knowledge construction.
Continuous learning and critical engagement are fundamental to achieving a holistic understanding of the patient's situation.