Health, science, and religion in contemporary American culture.
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This article examines the current position of the biological sciences in relation to nursing theory and practice. The authors suggest that current nursing practice places too great an emphasis on behavioural approaches to practice and not enough on biological sciences. The introduction to the series reiterates the reasons why nurse education has highlighted the importance of these sciences in the past, and suggests that the trend away from them could be detrimental to care.
As nursing has striven to acquire professional autonomy, the biological sciences have been marginalized in the teaching and practice of nursing. The authors of this article argue that with the expected expansion of nursing roles--including nurse prescribing--the need to consider the place of the biosciences in nursing has become more acute.
Medical science is increasingly dominated by slogans, a characteristic reflecting its growing bureaucratic and corporate structure. Chief amongst these slogans is the idea that genomics will transform the public health. I believe this view is mistaken. Using studies of the genetics of skin cancer and the genetics of skin pigmentation, I describe how recent discoveries have contributed to our understanding of these topics and of human evolution. I contrast these discoveries with insights gained from other approaches, particularly those based on clinical studies. The 'IKEA model of medical advance'--you just do the basic science in the laboratory and self-assemble in the clinic--is not only damaging to clinical advance, but reflects a widespread ignorance about the nature of disease and how clinical discovery arises. We need to think more about disease and less about genes; more in the clinic and less in the laboratory.
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Although the breakthrough of molecular biology has favoured reductionist perspectives, a countertrend has recently emerged which emphasises multidisciplinary approaches linking research efforts in different fields in what has become known by such terms as 'integrative biology.' Subscribing to this trend entails critical reflection on the epistemological status of different models and explanations in order to avoid the fallacy of misplaced concreteness (i.e., totalising views or ideals of science). One strategy is to articulate more clearly the scope and relationships of concepts and models vis-à-vis the phenomena or 'system(s)' they are intended to represent. Thus, models and explanations at different systemic levels should be seen as mutually complementary, a standpoint for which the article provides a metatheoretical rationale.
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