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Action and reflection: practice and theory in nursing.

M Clarke

    Journal of Advanced Nursing
    |January 1, 1986
    PubMed
    Summary
    This summary is machine-generated.

    Shotter's theory of personal action offers a framework to resolve persistent nursing challenges, unifying theory and practice by defining nursing actions as deliberate and goal-oriented for patient benefit.

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    Area of Science:

    • Nursing Theory
    • Philosophy of Science
    • Healthcare Practice

    Background:

    • Persistent challenges in nursing include the theory-practice gap, the ideal versus reality in care, and the paradigm debate (science vs. arts).
    • Existing frameworks struggle to reconcile these fundamental issues within nursing.

    Purpose of the Study:

    • To propose Shotter's 'theory of personal action' as a resolution for key issues in nursing theory and practice.
    • To redefine nursing action through the lens of personal action theory, integrating deliberate thought and patient-centered goals.

    Main Methods:

    • Conceptual analysis applying Shotter's (1974, 1975) theory of personal action to nursing.
    • Exploration of the implications for nursing practice, research, theory building, and education.

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    Main Results:

    • Nursing action is conceptualized as a deliberate, goal-directed activity for patient benefit, inherently linking thought and action.
    • This integration forms the basis for nursing theory, focusing on the reasons for and reflections on nursing actions.
    • The theory provides a unified approach to nursing practice, research, and education.

    Conclusions:

    • Shotter's theory of personal action offers a robust framework for resolving the theory-practice separation in nursing.
    • It facilitates a more cohesive understanding of nursing as both a science and an art, grounded in purposeful action.
    • The application of this theory can enhance nursing practice, research, theory development, and educational strategies.