Concept Analysis on Stress Among Nurses

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Nursinghttp://nsq.sagepub.com/ Science Quarterly

Unity of Knowledge in the Advancement of Nursing Knowledge
Karen K. Giuliano, Lynda Tyer-Viola and Ruth Palan Lopez Nurs Sci Q 2005 18: 243 DOI: 10.1177/0894318405277527 The online version of this article can be found at: http://nsq.sagepub.com/content/18/3/243

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Nursing Science Quarterly , Knowledge in Nursing 10.1177/0894318405277527 18:3, July 2005

ARTICLE

Unity of Knowledge in the Advancement of Nursing Knowledge
Clinical Research Specialist, Philips Medical Systems, Andover, MA Clinical Nurse Specialist, Massachusetts General Hospital, Boston, MA Gerontological Nurse Practitioner, Assistant Clinical Professor, MGH Institute of Health Professions, Boston, MA During the past 20 years, we have witnessed an explosion in nursing knowledge providing the discipline with diverse and multifaceted theoretical frameworks and paradigms. One knowledge theme that pervades the dialogue in the scholarly literature is that of multiple ways of knowing. With the acknowledgement that the fundamental nature of nursing knowledge is grounded in the understanding of human nature and its response to its environment, comes an imperative for a consilience of knowledge. The purpose of this article is to present such a unified worldview by articulating a vision of nursing knowledge, a meaning of unity of knowledge, and a challenge to the discipline to embrace inclusive rather than exclusive ways of knowing. There are many windows through which we can look out into the world, searching for meaning . . . . Most of us . . . clear a tiny peephole and stare through. No wonder we are confused by the tiny fraction of the whole that we see.

Karen K. Giuliano, RN; PhD; FAAN Lynda Tyer-Viola, RN; PhD

Ruth Palan Lopez, RN; PhD

The explosion in nursing knowledge

Goodall, 2000, p. 10

over the past 20 years has provided the discipline with diverse and multifaceted theoretical frameworks and paradigms. Within this diversity exists disagreement on both the fundamental nature of nursing knowledge and how that knowledge is known. There is some agreement that nursing knowledge should be grounded in the understanding of human nature and its relationship to the environment (Schwartz-Barcott, 1999). In addition, there is some consensus that nursing knowledge should be grounded more practically in the pursuit of describing phenomena, explaining relationships, predicting consequences, or prescribing nursing care Nursing Science Quarterly, Vol. 18 No. 3, July 2005, 243-248 DOI: 10.1177/0894318405277527 © 2005 Sage Publications

(Meleis, 1997). Clearly, these two sets of beliefs are not mutually exclusive, and thus, nursing has come to support the importance of multiple ways of knowing and the value of pluralistic methods of inquiry (Chinn & Kramer, 1999; Forbes et al., 1999). However, simultaneous concern has been expressed that knowledge generated from multiple worldviews or paradigms can ultimately lead to a fragmentation of nursing knowledge (Taylor, 1997). This notion only strengthens the point expressed by Cody and Mitchell (2002) that “the need for nurses to articulate a coherent philosophical foundation for nursing has never been greater” (p. 4). While the notion of pluralism is certainly widespread in the nursing literature, in most cases this pluralism is seen as relativistic and not as a way of coalescing all nursing knowledge. The purpose of this article...
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