In search of scientific objectivity: Is there such a property for paediatric concussion?

Area of Science:

• Pediatric neurology
• Nursing science
• Public health

Background:

• Concussions represent a significant global public health issue, particularly impacting the pediatric population.
• Current understanding and nursing practice for pediatric concussions are predominantly shaped by a biomedical perspective.
• This narrow focus may limit the comprehensive care of young patients with brain injuries.

Purpose of the Study:

• To critically evaluate the biomedical perspective of pediatric concussions using Thomas Kuhn's concept of objectivity.
• To explore the advantages and limitations of the biomedical approach in pediatric concussion nursing.
• To propose a systems perspective as a more holistic framework for nursing care of pediatric concussions.

Main Methods:

• Literature review and analysis of current research on pediatric concussions.
• Application of Thomas Kuhn's philosophy of science to assess objectivity in the biomedical model.
• Integration of clinical examples to illustrate practical implications for nursing.

Main Results:

• The biomedical perspective offers valuable insights but has limitations in capturing the full complexity of pediatric concussions.
• Alternative viewpoints are often marginalized due to perceptions of lacking objectivity.
• A systems perspective can provide a more comprehensive understanding of the multifaceted nature of pediatric concussion.

Conclusions:

• The biomedical model, while important, is insufficient as the sole framework for pediatric concussion nursing.
• A systems perspective is proposed to better address the complexities of concussion care in children and youth.
• Integrating the biomedical perspective within a broader systems approach can enhance nursing knowledge and practice for pediatric concussion management.