Models for designing health-oriented nursing practice : contributions to nursing practice and the nursing discipline / Des modèles pour concevoir la pratique infirmière pour la santé : quels apports à la pratique et la discipline infirmières ?

Health generally represents what nurses should strive for in their practice. However, due to their general nature, the definitions of health are problematic for designing a health-oriented nursing practice. Rather than attempting to design it through a conceptual definition of what health is, some authors from the human sciences suggest using models that allow for a concrete commitment to health. Although this avenue is little explored in nursing, it is suggested that these practice-oriented health models would make it possible to design actionable mechanisms that generate health through practices, like nursing. The objective of this article is, through existing practice-oriented health models, to propose actionable mechanisms of health-oriented nursing practice. By invoking two models, from the writings of the philosopher Nordenfelt, as well as the sociologist Venkatapuram, two illustrations are proposed, both of which allow us to propose different actionable mechanisms. Anchored in the values that support a health-oriented practice, as well as in a descriptive component, this reflection highlights the potential of such models to concretely pursue a health-oriented nursing practice. These proposals appear to be promising for the participation of nursing science in the transdisciplinary understanding of health.

La santé représente généralement ce vers quoi les infirmières devraient tendre dans leur pratique. Toutefois, par leurs natures générales et parfois divergentes, les définitions du concept de santé s'avèrent problématiques pour concevoir une pratique infirmière engagée pour la santé. Plutôt que de tenter de la concevoir par une définition du concept de santé, certains auteurs des sciences humaines suggèrent de recourir à des modèles qui permettent de s'y engager concrètement. À partir de modèles existants de pratique pour la santé, l'objectif de cet article est de proposer des mécanismes actionnables permettant de générer une pratique infirmière pour la santé. Par l'invocation de deux modèles, provenant des écrits du philosophe Nordenfelt, ainsi que du sociologue Venkatapuram, deux illustrations sont proposées, permettant toutes deux de concevoir différents mécanismes actionnables. Par un ancrage dans les valeurs constitutives d'une pratique pour la santé, et par une composante descriptive, cette réflexion met en évidence le potentiel de tels modèles pour poursuivre concrètement une pratique infirmière pour la santé. Ces propositions semblent porteuses à la participation des sciences infirmières à la compréhension transdisciplinaire du concept de santé.

[Recognition of nursing as an academic discipline in French-speaking Europe]. / La reconnaissance des sciences infirmières comme discipline académique en Europe francophone.

Nursing is recognized worldwide as an academic discipline. However, if we look at nursing training in Belgium, France, Luxembourg and Switzerland, this does not appear to be the case. Disparities persist not only in terms of initial training, but also in graduate and post-graduate training. This underlines the difficulties of establishing and recognizing nursing as an academic discipline in the French-speaking European area.

[For transdisciplinarity in nursing]. / Pour la transdisciplinarité en sciences infirmières.

In the 1960s, the integration of nursing training into university led to the development of theories specific to the discipline. Although described as "nursing-specific", these theories have significant conceptual shortcomings. Since 1990, interdisciplinary approaches have been emerging to enrich nursing practice and theory. Today, it is crucial to adopt a transdisciplinary approach in order to respond effectively to current and future healthcare needs.

[A rhizomic nursing discipline: theoretical knowledge for dealing with cared-for and nursing bodies]. / Une discipline infirmière rhizomique : des savoirs théoriques pour aborder les corps soignés et soignants.

The institutionalization of the nursing discipline within French universities can take a number of different paths, but must not ignore a fundamentally diverse practical reality. Heterogeneity is also evident in the abundance of theories available and mobilized to address objects of nursing interest. This text emphasizes this mobilization and presents a rhizomic nursing discipline that departs from a classical, vertical and hierarchical academic discipline. It draws on multiple theoretical contributions to address the encounter with cared-for bodies, and on critical perspectives to question the future of advanced practice nurses as a caring corps.

Beyond the classics: A comprehensive look at concept analysis methods in nursing education and research.

This editorial presents eight concept analysis methods for use in nursing research and education. In addition to the two classical methods of Walker and Avant's and Rodgers' concept analysis approaches that are typically utilized in nursing education and briefly discussed within this editorial, six additional methods are also presented including Schwartz-Barcott and Kim's Hybrid model, Chinn and Kramer's approach, Simultaneous Concept Analysis, Pragmatic Utility, Principle-Based Concept Analysis, and Semantic Concept Analysis. By familiarizing nursing educators, researchers, and students with these methods, educators can enhance their critical thinking and understanding of complex nursing concepts, preparing them for enhanced, multi-faceted contributions to nursing science.

The Uniqueness of Nursing in the Emerging Trend of Interdisciplinary Endeavors.

The author provides an introduction of the review of J. B. Butts and K. L. Rich's 4th edition of Philosophies and Theories for Advanced Nursing Practice (2022), pondering about preserving the uniqueness of nursing discipline and practice in the trend of interdisciplinary endeavors.

[Nursing at the heart of advanced practice]. / Les sciences infirmières au cœur d'une pratique avancée.

The posture of the advanced practice nurse (APN) is based on clinical leadership. Their missions contribute to improving the quality of care provided to patients and their families, as well as to deploying the skills of health professionals. It bases its clinical approach on nursing sciences. The RPN can be a lever for the development of the nursing discipline by conducting research or studies based on an epistemological approach.

Climate Change, Environmental Health, and Challenges for Nursing Discipline.

Current data and scientific predictions about the consequences of climate change are accurate in suggesting disaster. Since 2019, climate change has become a threat to human health, and major consequences on health and health systems are already observed. Climate change is a central concern for the nursing discipline, even though nursing theorists' understanding of the environment has led to problematic gaps that impact the current context. Today, nursing discipline is facing new challenges. Nurses are strategically placed to respond to the impacts of climate change through their practice, research, and training in developing, implementing, and sustaining innovation towards climate change mitigation and adaptation. It is urgent for them to adapt their practice to this reality to become agents of change.

[Concept of emotions in the nursing discipline, overview and benchmarks]. / Conception des émotions dans la discipline infirmière, survol et points de repère.

The following is how emotions are viewed within the nursing discipline. An exploration at the level of taxonomy, discipline, and nursing theories has been conducted. In addition, some articles are presented. It is also shown that emotions are part of the nursing discipline and that it would be relevant to explore the topic further.

[The advanced practice nurse as a health care influencer]. / L'infirmière en pratique avancée, une personne d'influence dans le domaine de la santé.

The skills that advanced practice nurses use with patients, health care professionals and within the health care system enable them to exercise real leadership. The use of conceptual models and theories in nursing, tools for tracking and valuing clinical judgment, and nursing diagnoses and other concepts are essential to guaranteeing their disciplinary identity and ensuring interprofessional collaboration.

["IPA helped me understand how my disease works."] / « L'IPA m'a aidée à comprendre le fonctionnement de ma maladie ¼.

The partnership between the patient and the advanced practice nurse (APN) is based on the relationship of trust established between them as well as on their exchanges. These exchanges allow the professional to better understand the situation and to adapt to each person. This cooperation is also achieved through interprofessional collaboration between the APN and the physician. During the fifth National Advanced Practice Nurse Day, a meeting was organized around this patient-APN partnership. Here are some excerpts.

Watson's View of Nursing Science Quarterly's 35th Anniversary.

This paper celebrates NSQ over the past 35 years, acknowledging its role in advancing and sustaining nursing as a distinct discipline, guided by unique knowledge, theories, and a maturing nursing science paradigm. A play on the number 35 can be considered significant and symbolic in numerology-as 35 represents the number 8. Eight represents wholeness, infinity, harmony, and leadership-all characteristics that NSQ has stood for as a leading nursing science publication.

Nursing Is the Light in Institutional Darkness: A Dialogue With Dr. Jean Watson.

The year 2022 is Nursing Science Quarterly's 35th year in publication, and we are interested in dialoging with some of the discipline's nurse theorists. We hope to uncover some influences and origins of their theoretical thinking and hear about their current projects related to nursing science. In this Scholarly Dialogue column, we dialogue with Dr. Jean Watson, nurse theorist, director of the Watson Caring Science Institute, and Distinguished Professor/Dean Emerita of University of Colorado Denver, College of Nursing.

Doctoral programmes in the nursing discipline: a scoping review.

BACKGROUND: This study aimed to map and summarise the state of the research regarding doctoral programs in nursing, as well as the issues debated in the context of nursing doctoral education. A Scoping Review in accordance with the Preferred Reporting Items for Systematic reviews and Meta-Analysis extension scoping reviews statement (PRISMA-ScR) was conducted. Three electronic bibliographic data bases were searched: Cumulative Index to Nursing and Allied Health Literature Complete, Medline (on EBSCO Host) and SCOPUS to identify empirical studies published between January 2009 and December 2019. The review process was based on framework identified by Arksey and O'Malley and further revised by Levac and colleagues. Analysis was performed with the use of the Donabedian framework regarding the structure of the doctorate programmes, the process, and the outcomes. RESULTS: The review included 41 articles, mostly originating in the United States (n=26) and Europe (n=8), mainly by collecting the perceptions of students and faculty members with descriptive studies. The following issues were investigated at the (a) structure level: Prerequisite for doctoral candidates, Qualifications of faculty members, Mission of doctoral programs; (b) process level: Doctoral programs contents, Doctoral programs resources and quality, Mentoring and supervision, Doing doctorate abroad; and (c) outcome level: Academic performance outcomes in doctoral programs, Doctoral graduates' competences, Doctoral students/graduates' satisfaction, Doctoral graduates' challenges. CONCLUSIONS: Doctoral programs have mainly been investigated to date with descriptive studies, suggesting more robust research investigating the effectiveness of strategies to prepare future scientists in the nursing discipline. Doctorates are different across countries, and there is no visible cooperation of scholars internationally; their structure and processes have been reported to be stable over the years, thus not following the research development in nursing, discipline and practice expectations. Moreover, no clear framework of outcomes in the short- and long-term have been established to date to measure the quality and effectiveness of doctorate education. National and global strategies might establish common structure, process and outcome frameworks, as well as promote robust studies that are capable of assessing the effectiveness of this field of education.

Adhere to the people-centered approach and actively respond to the aging of the population—there is a lot to be done for nursing / 中国实用护理杂志

Effective response to the aging of China′s population bears on the overall development of the country and the well-being of hundreds of millions of people. From the elderly social participation, intelligent media use and calm better death as the entry point actively promote healthy aging, happy aging through the community nursing, information nursing, hospice care and other perspectives. Nursing has always adhered to the people-centered, social reality needs as the guidance. It is expected to provide reference for improving the welfare construction of the broad masses of people represented by the elderly and facilitating the all-round promotion of the Healthy China strategy.

Racialization in nursing: Rediscovering Antonio Gramsci's concepts of hegemony and subalternity.

Although Gramsci's notions of hegemony and subalternity may seem outdated in this 21st century, a critical examination of the literature shows that these concepts apply in this global pandemic and political context. Racialization is a form of structural violence. In this paper, I also explore Gramsci's' notion of engaged intellectuals to support the idea of social and political activism in nursing. Nurse scholars call for the decolonization of the discipline. Gramsci's philosophical approach to hegemony can be extended to racialization in nursing. Gramsci's notions of civil society and state can help nurses to see the structures that create racism in nursing and society.

Thoughts About Advancement of the Discipline: Dark Clouds and Bright Lights.

In this essay, several nurse scholars who are particularly concerned about the contemporary state of nursing science present their specific concerns (dark clouds) about the advancement of our discipline and the ways in which the concerns have been addressed (bright lights). This essay is the first of two essays that were catalyzed by Barrett's paper, "Again, What Is Nursing Science?" The second essay will be published in the next issue Nursing Science Quarterly.

Establishing nursing research fund to promote the development of nursing discipline / 中华医学科研管理杂志

Objective To explore a series of achievements by the Chinese Nursing Association in setting up a nursing research fund.Methods We analyze the background,management process and output of the nursing research fund established by the Chinese Nursing Association since 2014.Results Up to now,the Chinese Nursing Association has organized and reviewed proposals nationally for five times,79 out of 485 submitted proposals were funded with a total amount of 1,575,000 Yuan.Conclusions With the standardized management on the nursing research projects,a long-term mechanism of nursing research development has been gradually formed and a series of the outstanding and important achievements in the research were produced,positively promoting the leap-forward development in the nursing research and discipline construction.

Can nursing epistemology embrace p-values?

The use of correlational probability values (p-values) as a means of evaluating evidence in nursing and health care has largely been accepted uncritically. There are reasons to be concerned about an uncritical adherence to the use of significance testing, which has been located in the natural science paradigm. p-values have served in hypothesis and statistical testing, such as in randomized controlled trials and meta-analyses to support what has been portrayed as the highest levels of evidence in the framework of evidence-based practice. Nursing has been minimally involved in the rich debate about the controversies of treating significance testing as evidentiary in the health and social sciences. In this paper, we join the dialogue by examining how and why this statistical mechanism has become entrenched as the gold standard for determining what constitutes legitimate scientific knowledge in the postpositivistic paradigm. We argue that nursing needs to critically reflect on the limitations associated with this tool of the evidence-based movement, given the complexities and contextual factors that are inherent to nursing epistemology. Such reflection will inform our thinking about what constitutes substantive knowledge for the nursing discipline.

The Two Nursing Disciplinary Scientific Revolutions: Florence Nightingale and Martha E. Rogers.

The purpose of this essay is to share Kan Koffi's ideas about scientific revolutions in the discipline of nursing. Koffi has proposed that the works of Florence Nightingale and Martha E. Rogers represent two scientific revolutions in nursing as a learned discipline. The outcome of these two scientific revolutions is a catalyst for critical disciplinary and paradigmatic debate about the universal conceptualization of nursing's distinctive professional and scientific knowledge.