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How experienced practitioners gain knowledge.

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    Nursing practice in the UK evolved towards holistic care, prompting an examination of its knowledge base. Barbara Carper

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    Area of Science:

    • Nursing
    • Philosophy of Knowledge
    • Professional Development

    Background:

    • The 1970s saw a shift in UK nursing from rigid rules to autonomous, holistic practice.
    • This evolution necessitated a deeper understanding of nursing's foundational knowledge and its application.
    • Barbara Carper's (1978) model of Fundamental Patterns of Knowing in Nursing emerged as a key framework.

    Purpose of the Study:

    • To describe Barbara Carper's Fundamental Patterns of Knowing in Nursing.
    • To connect Carper's model to major worldviews on knowledge acquisition (positivism, naturalism, critical social theory).
    • To illustrate the practical application of Carper's model in reflective nursing practice.

    Main Methods:

    • Conceptual analysis linking Carper's patterns to philosophical worldviews.
    • Description of a UK-based curriculum utilizing Carper's model for structured reflective practice.
    • Inclusion of a practitioner diary example to demonstrate reflective application.

    Main Results:

    • Carper's model provides a structure for understanding the multifaceted nature of nursing knowledge.
    • The model was successfully integrated into a UK nursing curriculum for reflective practice.
    • Reflective practice, informed by Carper's patterns, aids in processing complex patient interactions.

    Conclusions:

    • Barbara Carper's Fundamental Patterns of Knowing offer a valuable lens for nursing knowledge development and practice.
    • Structured reflective practice, guided by Carper's model, enhances nurses' ability to integrate different knowledge types.
    • The model supports the transition towards more autonomous and holistic nursing care.