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Mapping knowledge in chronic illness

N M Dluhy1

  • 1College of Nursing, University of Massachusetts Dartmouth 02747, USA.

Journal of Advanced Nursing
|June 1, 1995
PubMed
Summary

This study introduces a method for mapping diverse nursing knowledge in chronic illness, identifying key themes and areas for theory development to bridge the gap between research and practice.

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Area of Science:

  • Nursing Science
  • Philosophy of Science

Background:

  • Theory-based nursing practice necessitates an integrated knowledge base to address complex human conditions.
  • Diverse philosophical perspectives are valued, requiring methods to connect different viewpoints.
  • A complementary knowledge model underpins this research, emphasizing the integration of varied perspectives.

Purpose of the Study:

  • To propose and test a method for mapping pluralistic knowledge within chronic illness nursing.
  • To identify connections between different ontological and epistemological viewpoints in nursing literature.
  • To reveal trends and underdeveloped areas in chronic illness nursing knowledge.

Main Methods:

  • A philosophical research approach was employed, founded on a complementary knowledge model.
  • A systematic review of over 300 references was conducted to identify major themes and conceptual categories.
  • A knowledge mapping method was developed, representing knowledge through combinations of ontology and epistemology.

Main Results:

  • Six major themes, comprising 20 conceptual categories, were identified in the nursing literature on chronic illness.
  • Analysis revealed distinct trends and areas of minimal development, such as holism.
  • The mapping method facilitates understanding of a large knowledge domain and identifies potential linkages for knowledge cumulation.

Conclusions:

  • Mapping pluralistic knowledge in chronic illness offers a way to understand the existing data and identify areas for theory development.
  • Fatigue, pain, symptom management, daily living with illness, and social support are promising areas for building mid-range theories.
  • Developing a cumulative knowledge base is crucial for narrowing the gap between nursing theory and practice.

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