PubMed · 4983616
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F Uno, T Kamiya, S Kobayashi, M Takasaki, T Nakamura. 1969. [Study on nursing ethics].. https://pubmed.ncbi.nlm.nih.gov/4983616/
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Sanitized accounts of research add little to the literature describing 'how' research is actually 'done'. This paper explores issues which emerged during the course of a longitudinal study which described the experiences of a cohort of 23 student nurses during their 3-year training for registration as general nurses in the United Kingdom. The approach used was that of grounded theory. The students' changing perspectives were collected by the researcher utilizing participant observation and unstructured interview in various clinical settings. In recognition of the fact that this is a 'reflexive' account it is written in the first person. Issues addressed include my 'immersion' in the research process, my relationship with the students, the challenges which derive from researching in a shifting context and the use of grounded theory within the context of the study. (All the names of students involved in the study are pseudonyms.)
This paper looks critically at the nature of nursing theory from three perspectives. Firstly, it examines the current state of nursing theory with a particular focus on Patricia Benner's work. This examination concludes that nursing theory is currently beset by the problems of scientific and moral relativism and philosophical incoherence because it has abandoned a traditional realist approach to the care of patients. Secondly, the roots of this contemporary nursing position are analysed and the conclusion is reached that nursing theorists are implicitly presuming this traditional 'common sense' view of nursing, although their own philosophical assumptions do not support it and indeed are removing the ground from beneath it. The traditional theory underpinning the quality of the nurse's care, and hence the ethos of nursing, is rearticulated. In conclusion it is suggested that nursing needs to debate the modernist views that are now holding sway in nursing and rediscover a theory for the care of patients that holds together the personal, the pastoral, the scientific and the technological aspects of patient care.