151-Wk1 Patterns Of Knowing Lecture - Randy Nguyen

Front 1

Nursing Research?

Back 1

-Creates new knowledge
-Foundation for nursing practice
-Can address actual or potential client issues
-Can test nursing theory or generate theory
-Creates evidence-informed practice

Front 2

Evidence informend Practice?

Back 2

“The integration of the most informative research evidence with evidence from expert clinical practice and other sources to produce the best possible care for clients” (Potter et al., 2009, p.75)

Front 3

RNAO Best Practice Guidelines

Back 3

-Developed in 1999 with funding from the Ontario Government

-The purpose of this multi-year program is to support Ontario Nurses by providing them with Best Practice Guidelines for client care. There are currently 42 published guidelines.

-These guidelines are available to all Canadian nurses at:
http://www.rnao.org/Page.asp?PageID=861&SiteNodeID=133

Front 4

Three approaches to knowledge development:

Back 4

Epistemology

Ontology

Methodology

Front 5

Kneller (1971) – Five Kinds of Knowledge

Back 5

1) Revealed Knowledge

2) Intuitive Knowledge

3) Rational Knowledge

4) Empirical Knowledge

5) Authoritative Knowledge

Front 6

Carper (1978) – 4 Patterns of Knowing

Back 6

1) Empirics: The Science of Nursing
-Systematic research


2) Esthetics: The Art of Nursing
-Appreciation, empathy, and understanding
-Creative and innovative

3) Personal Knowledge
-“Knowledge derived from the depth and power of the interpersonal relationship with the client” (Potter et al., 2006, p.85)
-Therapeutic use of self, engagement
-The nurse “rejects approaching the patient-client as an object and strives instead to actualize an authentic personal relationship between two persons” (Carper, 1978, p. 19).

4) Ethics: The Moral Component
-“Focused on matters of obligation or what ought to be done” (Carper, 1978, p. 20)
-Choosing the best of two or more actions


The fifth type of knowing???
5)Emancipatory Knowledge: The Social, Economic, and Political Component
-Knowledge that allows change to occur
-“Identify social and structural changes that are required to right social and institutional wrongs” (Chinn & Kramer, 2008, pg. 78)
-Florence Nightingale