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Biomedical subjects

S A Packard

Publications and source records attributed to S A Packard.

6 recordsLinked to original sources

Explanation in nursing science.

Is it possible to explain that which we do in nursing and in most human sciences? Is explanation/prediction our goal? Instead, should the goal be understanding/interpretation? Might the goal be both understanding and explanation? Is nursing, as a human science, focused on individuality or generalizability? This paper explores the current debate in relation to explanation and understanding. The traditional view of explanation is addressed as is the dichotomous view of understanding. A third view on explanation and understanding, designed by Miller (1983), is offered as a possible middle ground between the two diverse views as an approach for nursing as a human science.

Humanism↗

The nature of scientific truth.

The purpose of this article is to share with the readers the authors' views on the need for a philosophical foundation in nursing scholarship. The philosophical premises of realism, idealism, and empiricism are discussed. In addition, the research methods most appropriately used with each philosophical stance are identified and discussed. The authors strongly suggest that nursing epistemology will not advance along the lines of good science until all nursing theorists, thinkers, and philosophers identify their underpinning philosophical positions prior to the discovery of theory, through research and other scientific endeavors. A nursing science fiction account of discovery and theory is used to illustrate the points made within the article.

Humans↗

The dilemma of nursing science: current quandaries and lack of direction.

The theme of this paper is the need to address the central question in nursing science. It is hypothesized that in the absence of a central, unifying question, the view of nursing as an applied science, the current research methodological debate, and the social policy statement definition of nursing have hindered nursing's ability to advance the science of nursing. The authors suggest that the terminology of applied science has been wrongfully interpreted as immediate application to nursing practice, that the research methodological debate has occurred because the focus of research efforts is on the means and not the end, and that the policy statement implies a stimulus-response approach to human behavior.

Humans↗

Organ donation as gift exchange.

Organ donation, considered by sociologists as a type of gift exchange, involves moral, social, psychological, religious and legal issues. This gift exchange paradigm can be used as a framework to understand donor and recipient issues, cadaveric organ donation and the importance of the role of nurses during organ procurement.

Beneficence↗

Rules and regulations governing nursing education.

The purpose of this article is to report on a national survey of the 51 state boards of examiners in the United States that govern and regulate nursing education. Data were gathered from the written rules and regulations of each of the state agencies, and content analysis was performed focusing on the following categories: qualifications (State board members, program directors, faculty, and preceptors); roles and responsibilities (state board members, faculty, preceptors, and clinical agencies); and process and content of the nursing education curriculum and program. Findings of the study indicate specific problem areas in the regulating of basic nursing education programs. The following were among the major issues identified: (1) educational qualifications for board membership are virtually nonexistent, (2) in many situations different requirements exist for various types of programs, and (3) there is great disparity from state to state regarding both the content deemed as necessary in nursing education and in the mandated process of that education. The investigators noted that several patterns lend credence to a need for a national plan regarding the state regulation of basic nursing education.

Curriculum↗

Activities and interactions of baccalaureate nursing students in clinical practica.

Basic nursing education is governed by individual state rules and regulations lacking in uniformity across the United States and based on unstated and perhaps mistaken assumptions. At the same time, there is increasing evidence of problems and difficulties with the current traditional model of nursing education. Before proposing changes in said model, the authors chose to examine what it is that a nursing student does in a clinical area. The perspective of activities and interactions was chosen to illustrate, through a nonparticipant observation study, the patterns and utilization of time during a scheduled clinical experience for baccalaureate nursing students. The goal of the study was to determine who, other than the client/patient, influences the student learning at the clinical site and how learning time is spent. Two schools (one private and one public) and nine clinical sites with 37 observations were used to collect the data for this study. Findings are best summarized in four (overlapping) categories of school time, registered nurse (RN) staff time, hospital staff time, and supervised time. School time, or time spent interacting with the instructor, another student, and/or the student on his/her own in the practice setting (time exclusive of staff input) constituted 84 per cent of all time. RN staff time that was time spent with either the primary nurse or other RNs on the unit used 10 per cent of the student time, Fourteen per cent of student time was spent in hospital staff time, which includes interactions with any nursing staff or other hospital personnel.(ABSTRACT TRUNCATED AT 250 WORDS)

Clinical Competence↗