Evidence-Based Practice, Paradigms, and Theories in Nursing Introduction

Evidence-Based Practice, Paradigms, and Theories in Nursing

 

Introduction

Like any science, nursing is based on a set of paradigms and theories that validate and guide the research efforts undertaken within the nursing field and practice implications for better patient outcomes.

Scientific Paradigms of Nursing Science

 

Nursing is an emerging science that evolves according to the theoretical and practical perspectives used for the provision of health care services to people. The multifaceted nature of human health as the main subject of nursing science causes a multifaceted paradigmatic nature of nursing.

Ontology entails a set of scientific beliefs and attitudes a researcher follows when conducting a research inquiry. From the ontological perspective, nursing science functions within three main paradigms, including positivism (the integration of foundationalism and empiricism), interpretivism, and critical theory (Ryan, 2018).

Positivism is a scientific paradigm that prioritizes empirical evidence in research and uses experiments and quantitative inquiry (Ryan, 2018). This paradigm is predominantly objective.

Interpretivism is a paradigm that states that “truth and knowledge are subjective, as well as culturally and historically situated, based on people’s experiences and their understanding of them” (Ryan, 2018, p. 48).

Unlike positivism and interpretivism, the critical theory argues that knowledge is subject to external influences, must be viewed from a historical perspective, and should be challenged (Ryan, 2018).

Nursing Theory and Research

A scientific theory is a set of concepts and notions that intertwine in a particular system of relationships. Nursing science has generated and used multiple theories to conceptualize and research the phenomenons of human health, environment, and nursing. Depending on the scope of phenomena at hand, there are meta-, grand, middle-range, and micro theories differentiated in nursing science.

 

Meta-theories are used to explore the theoretical frameworks of science.

Grand theories are generated “to define the purpose and structure of nursing practice” (Arif et al., 2019, p. 46).

Middle-range theories contain variables and testable ideas that allow for concept analysis, a narrower investigation of phenomena, and the generation of conceptual models in nursing. Micro theories are the frameworks that generate particular concepts pertaining to nursing practice.

The application of nursing theories allows for conducting research in multiple areas of nursing theory and practice with the priority set on an evidence basis.

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