This article reflects on Barbara Carper's theory of nursing and explores the role of nursing research in enhancing patient care. It discusses the four patterns of knowing in nursing and focuses on the psychiatric specialty area. The article also provides insights into the best methods for conducting research in this area.
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Running head: NURSING RESEARCH Nursing Theory and Research Student's Name: Student's ID:
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1 NURSING RESEARCH Introduction The primary purpose of the paper is to reflect upon the "Way of knowing" theory, which was introduced by Barbara Carper. The theory consists of four patterns that help the nurses to improve nursing practices and patient care. The study also aims to evaluate a specific area of nursing that is important for nursing research. It will describe the role played by nursing research in the growth of applied medicine and examine the best approaches for conducting nursing research. Nurses play an essential role in providing effective and personal care to the patients and help them in the recovery process. Nursing research is crucial for the nurses in enhancing patient's care. Reflect on Barbara Carper's theory "Way of knowing" is the theory of nursing introduced by Barbara carper. He has identified four crucial patterns of knowing in nursing, which involves personal, empirical, ethical and aesthetic knowing. The different patterns of nursing knowledge are contributed to the care of the patient. Personal knowing– It is the first pattern of knowing identified in theory, which refers to the knowledge that a person has seen and experienced (De Oliveira, Garcia & Toledo, 2017). Thepersonalknowledgecomesthroughtheprocessofself-actualization,reflectionand observation. With the help of this knowledge, the nurses can set authentic as well as a therapeutic relationshipwiththepatientsbecauseitdrivesthemtowardsintegrity.Personalnursing knowledge helps to improve patient satisfaction and patient prognosis. It provides nurses in empathizing the family and patients in case of facing severe illnesses. The theory encourages the nurses to address not only physical but also the emotional needs of the patients. Ethical knowing– It is the other pattern of knowing in nursing that helps to develop moral code. The ethical knowledge of nurses based on their obligation to protect the lives of human. The code of ethics for nurses guide them to improve their moral sense. This pattern is difficult to integrate into nursing as people have diverse values or expectations. The ethical pattern helps the nurses to be sensitive to the moral values of the patients and family members
2 NURSING RESEARCH (Garrett & Cutting, 2015). It helps to improve the treatment of the patients and enable the family members to make ethical decisions. Empirical knowing– It is one of the scientific patterns of knowing in nursing that can be achieved through facts and research. The empirical knowledge is employed by nurses by using evidence based practices. It primarily focuses on scientific evidence and medical documents which help the nurses to treat the patients carefully and properly. Nurses improve their nursing practice by observation and practice in the hospitals and learn to insert IV fluids, medications and identify vital signs of the disease. Empirical knowledge enhances the treatment of patients as the nurses use evidence based methods to meet their needs (Bender & Elias, 2017). Aesthetic knowing– It is the last pattern of knowing that makes nursing an art and difficult to apply to the field of nursing. The principle of knowing theory deals with the ability of nurses so that they perceive the requirements of the patients (Alba, 2018). Through aesthetic knowledge, the nurses become empathetic to the tolerance level of the patient's pain when they knew that the person would recover soon. The nurses create personalized plans to help the individuals in the recovery process and thus, gain confidence among the individuals. Nursing area The health institutions contain an essential element in terms of delivering care services to individuals is nursing. Nursing is used in the prevention of diseases and cumulative health approaches. There are numerous specialty areas of nursing, but the psychiatric nursing area is of interest to me. The nurse plays a significant role in the psychiatric area by helping persons with mental illnesses (Hunter, Weber, Shattell & Harris, 2015). Psychiatric nurses work in hospitals and give patient care. They ensure that the individuals take their medication on time, stay safe from any injury and attend every counseling sessions. The nurses in this area work with groups, families and individuals to assessthe mental health requirements of the people. This area is of interest to me because it highly accesses to mental health care, which has become essential for the people. The specifics of nursing research include theory, practice and research application related to all settings of populations. With the help of nursing research on the psychiatric area, various facts, figures and data can be accomplished, which help the nurses
3 NURSING RESEARCH to improve their mental health care. It is valuable because it delivers a treatment plan to provide mental health care to the patients and help manage their anger and overcome depression (Delaney, Drew & Rushton, 2019). Role of nursing research Nursing research plays a vital role in the development of applied medicines. The nurses use research in order to give evidence-based care to the individuals and promote quality health outcomes for the persons. The research also uses to shape the various policies of health in mental care and at all the levels. Nursing research evaluates multiple findings that help the nurses in delivering more effective nursing care and enhancing the quality of life for persons with mental diseases or any other severe diseases (Hatfield et al., 2016). The nursing research enhances the understanding of the nurses regarding the illness and shows the path for creating new treatment plans to enhance patient outcomes. It helps nurses to understand information and develop knowledge regarding the medicines so that they can give proper medication to the individuals and identify correct medicines for particular diseases. The research help in making meaningful clinical decisions to drive quality care. The research based on nursing area comprises of many priorities which include increasing disease prevention and health promotion, enhance quality life by managing symptoms or signs of mental illness, develop palliative care, increase innovation in nursing practice and improve self- management to manage own care. Best methods for conducting research The best approaches for conducting nursing research in relation to the psychiatric specialty area of nurses are qualitative and quantitative research methods. Qualitative method of research used by the psychiatric nurses to evaluate or examine several thoughts, experiences and perceptions of people (Gentles, Charles, Ploeg & McKibbon, 2015). Through these research methods, the nurses observe the cultural beliefs and learn communication patterns or personal interaction. It helps them to give counseling to the mentally ill people and quality care to recover from the disease. Quantitative methods provide the nurses knowledge of essential variables,
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4 NURSING RESEARCH numbers and percentages related to the causes of the diseases (Rosenthal, 2016). It helps in giving proper treatment to the individuals and understand the traits of different persons. The essential topics that will be covered for conducting the nursing research include perspectives in psychiatric care, anxiety, depression, learning disability, suicide, dementia, autism and sleep disorders (Hogan & Grumet, 2016). The topics relate to my literature review in many ways. Like literature review, it will also offer descriptions of the diseases, causes and treatment to cure. Moreover, it provides evidence-based knowledge that helps in the prevention of mental illnesses and helps psychiatric nurses to gain information based on the treatment of people. A literature review evaluates the findings of various authors on the topic; similarly, nursing research identifies the perceptions of different authors and provides facts and data on the topic. The topic qualifiesas research worthy because it contributeshuge benefit to the psychiatric nurses. The research based on the nursing area helps the nurses to obtain various information about the perceptions and beliefs of the individuals on the particular disease. The psychiatric nurses can learn many ideas that assist in delivering medications, advocating the family of the patients and counseling the individual to overcome the mental diseases (Tabak et al., 2016). The psychiatric area consists of many research questions and issues that make it as research worthy. Several criteria make the topic acceptable for nursing research such as relevance or importance, avoidance of duplication, feasibility, the urgency of information needed, ethical acceptabilityandapplicabilityofoutcomesandrecommendations(Slimmer,Wendt& Martinkus, 2016). The nursing research on psychiatric area will consider several questions on each criteria and address a priority issue. The criteria make the research essential for the nurses to get wide information on mental illness and adopt an effective treatment plan to prevent the illness. Conclusion It is concluded from the above that nursing research on evidence based practices is essential for the nurses to promote quality care to the patients. Four essential patterns of knowing
5 NURSING RESEARCH were recognized by Barbara Carper to help nurses in gaining a holistic method to understand and treat the individuals. Personal, empirical, ethical and aesthetic are the patterns of knowing in nursing. The psychiatric area is valuable in nursing because it aids the individuals in overcome mental health problem. The nursing research on the area plays a vital role in the development of useful medicine. Qualitative and quantitative methods are the best approaches for conducting nursing research. The topic is acceptable for research due to multiple criteria, such as importance or feasibility.
6 NURSING RESEARCH References Alba, B. (2018). Factors that impact on emergency nurses' ethical decision-making ability. Nursing ethics, 25(7), 855-866. Bender, M., & Elias, D. (2017). Reorienting esthetic knowing as an appropriate "object" of scientific inquiry to advance understanding of a critical pattern of nursing knowledge in practice. Advances in Nursing Science, 40(1), 24-36. De Oliveira, A., Garcia, A. P. R. F., & Toledo, V. P. (2017). Patterns of knowledge used by nurses in caring for the patient in the first psychotic outbreak. Escola Anna Nery Revista de Enfermagem, 21(3), 1-8. Delaney, K. R., Drew, B. L., & Rushton, A. (2019). Report on the APNA national psychiatric mental health advanced practice registered nurse survey. Journal of the American Psychiatric Nurses Association, 25(2), 146-155. Garrett, B. M., & Cutting, R. L. (2015). Ways of knowing: realism, non‐realism, nominalism and a typology revisited with a counter perspective for nursing science. Nursing Inquiry, 22(2), 95-105. Gentles, S. J., Charles, C., Ploeg, J., & McKibbon, K. (2015). Sampling in qualitative research: Insights from an overview of the methods literature. The Qualitative Report, 20(11), 1772-1789. Hatfield, L. A., Kutney-Lee, A., Hallowell, S. G., Del Guidice, M., Ellis, L. N., Verica, L., & Aiken, L. H. (2016). Fostering clinical nurse research in a hospital context. JONA: The Journal of Nursing Administration, 46(5), 245-249. Hogan, M. F., & Grumet, J. G. (2016). Suicide prevention: an emerging priority for health care. Health Affairs, 35(6), 1084-1090. Hunter, L., Weber, T., Shattell, M., & Harris, B. A. (2015). Nursing students' attitudes about psychiatric mental health nursing. Issues in Mental Health Nursing, 36(1), 29-34.
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7 NURSING RESEARCH Rosenthal, M. (2016). Qualitative research methods: Why, when, and how to conduct interviews and focus groups in pharmacy research. Currents in pharmacy teaching and learning, 8(4), 509-516. Slimmer, L. W., Wendt, A., & Martinkus, D. (2016). Effect of psychiatric clinical learning site on nursing students' attitudes toward mental illness and psychiatric nursing. Journal of Nursing Education, 29(3), 127-133. Tabak, I., Zabłocka‐Żytka, L., Ryan, P., Poma, S. Z., Joronen, K., Viganò, G., ... & Dawson, I. (2016). Needs, expectations and consequences for children growing up in a family where the parent has a mental illness. International journal of mental health nursing, 25(4), 319- 329.