Theoretical Foundation of Nursing Overview

Differentiation of Terms

Concept Conceptual framework Paradigm Metaparadigm Theory

Concepts

Abstract ideas or mental images of phenomena or reality Often called the building blocks of theories Examples: mass, energy, ego, id

Paradigm

A pattern of shared understanding and assumptions about reality and the world Include notions of reality that are largely unconscious or taken for granted Derived from cultural beliefs Examples: time, space

Metaparadigm

Concepts that can be superimposed on other concepts Four major metaparadigms in nursing o Person o Environment o Health o Nursing

Theory

Supposition or system of ideas proposed to explain a given phenomenon Attempt to explain relationships between concepts Offer ways to conceptualize central interests of a discipline Example: Freuds theory of the Unconscious

Purposes of Nursing Theory 1. Link among nursing theory, education, research, and clinical practice 2. Contributes to knowledge development

3. May direct education, research, and Practice The Living Tree of Nursing Theories

Criteria for Evaluating Theoretical Work Clarity- How clear is this theory?

Words often have multiple meanings within and across disciplines; therefore words should be defined caref from which it is derived. Diagrams and examples may facilitate clarity and should be consistent.

Simplicity- How simple is the theory?

Theory should have as few concepts as possible with simplistic relations to aid clarity.

The most useful theory provides the greatest sense of understanding.

Generality- How general is this theory?

To determine the generality of theory, the scope of concepts and goals within the theory are examined. The broader the scope, the greater the significance of the theory.

Empirical precision- How accessible is the theory?

Empirical precision is linked to the testability and ultimate use of a theory and it refers to theextent that the

Derivable Consequences- How important is this theory?

Propose that if research, theory, and practice are to be meaningfully related, then nursing theory should lend practice. Indicates that to be considered useful, it is essential for theory to develop and guide practice.