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Unravelling Uncertainty Inception: When We Really Know That We Don't Know?
Lara Daniela Matos Cunha1,2,3, Filipa Ventura2, Márcia Pestana-Santos2,4
1School of Medicine and Biomedical Sciences (ICBAS), University of Porto (UP), Porto, Portugal.
Summary
Nurses grapple with decision-making challenges due to uncertainty in clinical practice. Understanding uncertainty tolerance is crucial for effective nursing care and adapting to complex situations.
Area of Science:
- Nursing Philosophy
- Clinical Reasoning
- Epistemology
Background:
- Healthcare professionals use technical rationality, but practice's uncertainty creates epistemological dilemmas for nurses.
- Decision-making under uncertainty is a daily challenge in nursing.
- Few nursing researchers have explored the epistemological relevance of uncertainty in practice.
Purpose of the Study:
- To examine the inception of uncertainty within nursing reasoning.
- To explore the philosophical underpinnings of perceived uncertainty in nursing.
- To frame the decision-making challenges nurses face.
Main Methods:
- Discussion paper based on insights from a panel at the 26th International Nursing Philosophy Conference.
- Intertwining introspection, abstraction, and conference discussions.
- Briefly addressing philosophical underpinnings of uncertainty.
Main Results:
- Uncertainty arises from the interaction of known and unknown factors in clinical reasoning.
- Nurses' perception and consciousness of uncertainty influence empirical reasoning.
- Individual responses to uncertainty vary based on tolerance levels.
Conclusions:
- Navigating uncertainty requires adaptability and understanding of challenges, not just positivity or logical consistency.
- Moral appropriateness in nursing is linked to adaptability in uncertain situations.
- Further examination of uncertainty's role in nursing consciousness and empirical reasoning is warranted.
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