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Advancing nursing practice: redefining the theoretical and practical integration of knowledge.
1Bournemouth University, Bournemouth, UK. mchristensen@bournemouth.ac.uk
Journal of Clinical Nursing
|February 16, 2011
Summary
This study proposes an alternative framework for nursing knowledge, integrating practical and theoretical knowing-how and knowing-that. This enhanced model better defines advanced nursing practice by including variables like pattern recognition for improved clinical decision-making.
Area of Science:
- Nursing Science
- Knowledge Management
- Professional Development
Background:
- Advancing practice is crucial in nursing, encompassing expert practice, professional development, and practice development.
- Discussions persist regarding the knowledge base required for advanced nursing practice, with theoretical and practical knowledge often cited as foundational.
- Existing frameworks for nursing knowledge require refinement to fully encompass the complexities of advanced practice.
Purpose of the Study:
- To propose an alternative framework for understanding nursing knowledge, specifically the knowing-how and knowing-that components.
- To offer a new perspective on the knowledge essential for advancing and advanced nursing practice.
- To address the limitations of current models in defining the full scope of advanced nursing knowledge.
Main Methods:
- A discursive approach was employed to explore the meaning and integration of knowledge in advancing nursing practice.
- Thematic analysis of existing literature on knowledge integration models in advanced practice was conducted.
- Concurrent themes related to the knowing-how/knowing-that framework were identified within the discourse on advanced nursing practice.
Main Results:
- A dichotomy exists regarding the definition of knowledge for advanced and advancing nursing practice.
- The integration of theoretical and practical knowledge is key to advancing nursing practice.
- Current frameworks, like knowing-how/knowing-that, can be enhanced by incorporating additional variables.
Conclusions:
- An alternative framework for nursing knowledge is proposed, integrating knowing-how and knowing-that with additional variables.
- Incorporating elements such as pattern recognition into the knowing-how/knowing-that framework can refine the definition of advanced nursing knowledge.
- This enhanced framework may improve the perception, development, and coordination of nursing knowledge crucial for advancing practice.
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