Factors Involved in Praxis in Nursing Practice: A Qualitative Study

Introduction:Praxis is a process of applying knowledge in nursing practice to advance emancipatory goals in society and in the world and to eliminate any injustice and discrimination in care. Praxis requires the coherent application of patterns of knowing in nursing practice; however, understanding nursing knowledge is complex and using experiential knowledge alone cannot help us achieve it. The aim of this study was to determine the factors involved in praxis in nursing practice. Methods:The method adopted was qualitative. The researcher interviewed 19 nurses and attended eight observation sessions in different hospital departments. The findings were analyzed using conventional content analysis.Results:Findings from analyzing interviews and observations indicated that desirable and humanistic attributes and effective nurse-patient communication are facilitators of praxis. In contrast, prejudice, occupational barriers, negative thoughts, and discriminatory beliefs are barriers of praxis in nursing practice.Conclusion:If we consider praxis as the simultaneous application of all patterns of knowing alongside efforts to create social justice, factors that drive nurse performance toward social justice, facilitate praxis, and factors that contribute to varied degrees of discrimination and injustice, inhibit praxis. By identifying these factors, nurses may identify and eliminate social justice barriers to care.

Nurses' experiences of creating an artistic instrument for their nursing practice and professional development: an arts-informed narrative inquiry

My passion for the arts as a medium motivated me to create an art piece (artistic instrument) to enrich my nursing practice. This inspired me to explore how other nurses experience creating their own artistic instruments and what meaning these held for their nursing practice and professional development. In this arts-informed Narrative Inquiry, two participants engaged in a narrative interview and in the Narrative Reflective Process, an artistic approach to creative reflection. Participants’ stories were re-constructed and analyzed using the Narrative Inquiry three-dimensional space (temporality, sociality, and place), and examined through the theoretical lens of Patterns of Knowing. Findings revealed six narrative threads (empathy, quality of life, communication, power imbalances, and personal as well as professional development) highlighting the importance of person-centered care, the value of reflective practice, and the need for further research exploring the use of arts by healthcare providers across diverse educational and practice based settings.

Nurses' experiences of creating an artistic instrument for their nursing practice and professional development: an arts-informed narrative inquiry

My passion for the arts as a medium motivated me to create an art piece (artistic instrument) to enrich my nursing practice. This inspired me to explore how other nurses experience creating their own artistic instruments and what meaning these held for their nursing practice and professional development. In this arts-informed Narrative Inquiry, two participants engaged in a narrative interview and in the Narrative Reflective Process, an artistic approach to creative reflection. Participants’ stories were re-constructed and analyzed using the Narrative Inquiry three-dimensional space (temporality, sociality, and place), and examined through the theoretical lens of Patterns of Knowing. Findings revealed six narrative threads (empathy, quality of life, communication, power imbalances, and personal as well as professional development) highlighting the importance of person-centered care, the value of reflective practice, and the need for further research exploring the use of arts by healthcare providers across diverse educational and practice based settings.

Analysis of the Theory of Integrative Nurse Coaching

The Theory of Integrative Nurse Coaching (TINC) has been analyzed according to the method of Walker and Avant. We have found that TINC is a well-constructed mid-range theory in the discipline of nursing. Within the domain of holistic nursing, it is focused on the goal of healing the whole person, synthesizing a large amount of theoretical material related to the concept of healing and placing it within the context of nursing as a discipline. With underpinnings in holistic nursing, it aligns with numerous grand nursing theories via the metaparadigm, healing, and patterns of knowing. It is easily translated into holistic nursing practice, actualized in the role of the nurse coach. It describes a method of holistic nursing practice that is suitable for use in numerous settings, including lifestyle, chronic disease, and end of life, among others. Although there is little published research using the theory, there is potential for application in holistic nursing practice, education, research, policy, and administration. We have identified numerous potential research questions that would test the theory. In this time of global nursing shortage and burnout, it is notable that this mid-range theory explicitly describes how self-care of the nurse enhances client care.

Quilting emergent advanced practice nursing educator identity: an arts-informed approach

Objectives Arts-informed pedagogy in the graduate nursing classroom is used to support the integration of theory with advanced practice nursing (APN) competencies (Canadian Nurses Association, 2008, 2019). Methods Using the patterns of knowing (Carper, 1978; Chinn & Kramer, 2018), Iwasiw & Goldenberg’s curriculum development model (2015) and practice development (McCormack, Manley, & Titchen, 2013), two course professors facilitated the delivery of an innovative arts-informed approach in a nursing graduate program, the Quilt. Results The Quilt was meant to invite graduate students to critically reflect and create a visual depiction of their emergent identities as advanced practice nurse educators (APNEs). As three graduate student authors, we reflect on our experiences engaging with arts-informed pedagogy to explore the features of the collective APNE identity. The design and delivery of the Quilt is described. Conclusions Finally, we discuss the lessons learned, and the value of arts-informed pedagogy to support the meaningful integration of theory amongst graduate nursing students becoming APNEs.

How Nurses Apply Patterns of Knowing in Clinical Practice: A Grounded Theory Study

BACKGROUND፡ Nurses require a great deal of knowledge to provide a comprehensive and effective nursing care. A number of patterns have been put into place to help nurses acquire this knowledge. The aim of this study was to describe the core variable in the process of using patterns of knowing by nurses in clinical practice.METHODS: The study was conducted in qualitative and grounded theory approach, between April 2018 and January 2020. Semi-structured interviews were used for data collection. All the interviews were transcribed verbatim. Nineteen clinical nurses were interviewed, and eight observation sessions were conducted in different hospital departments. Participants were first selected through purposeful and then theoretical sampling. Data were analyzed and interpreted using constant comparison analysis approach.RESULTS: The findings of the study indicated that nurses apply the patterns of knowing in three ways in their clinical practice: "cohesion of patterns of knowing", "domination of some patterns of knowing" and "elimination of some patterns of knowing". The core variable of this process is cohesion of patterns of knowing in the domain of flexibility.CONCLUSION: The findings of the present study indicate that application of patterns of knowing is practiced in a range of nurse flexibility in clinical settings.

Evidence of nursing patterns of knowing communicated by the brazilian press before Florence Nightingale’s model

ABSTRACT Objective: to identify evidence of nursing patterns of knowing disseminated by the Brazilian press before the implementation of Florence Nightingale’s model in Brazil and categorize topics of journalistic articles according to Carper’s and White’s patterns of knowing. Methods: categorical content analysis of materials related to Florence Nightingale, published in Brazil between 1850 and 1919, collected at Hemeroteca Digital. Four analysts identified themes of journalistic article, performing classification in patterns of knowing. Results: there was a predominance of evidence of the sociopolitical pattern followed by the empirical pattern. In the analyses per decade, ethical and aesthetic patterns showed predominance between 1860 and 1870, respectively. Conclusion: White’s classification by nursing patterns of knowing was useful in understanding precursor themes of professional/disciplinary knowledge that spread in Brazil, linked to Nightingale’s character, in addition to the repercussions of her actions and her expanded sociopolitical perspective.