By Howard S. Becker, Blanche Geer, Everett C. Hughes, Anselm L. Strauss
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Extra resources for Boys in White: Student Culture in Medical School
Evolving? In: J. Kikuchi & H. ), Developing a philosophy of nursing (pp. 43–60). Thousand Oaks, CA: Sage. Smith, M. C. (2008). Evaluation of middle range theories for the discipline of nursing. In: M. J. Smith & P. , pp. 293–306). New York: Springer. qxd 4/9/10 12:45 PM Page 20 Chapter 3 Choosing, Evaluating and Implementing Nursing Theories for Practice M ARILYN E. PARKER AND M ARLAINE C. S MITH Significance of Nursing Theory for Practice Responses to Questions from Practicing Nurses About Using Nursing Theory Choosing a Nursing Theory to Study A Reflective Exercise for Choosing a Nursing Theory for Practice Evaluation of Nursing Theory Implementing Theory-Guided Practice Summary References Marilyn E.
Paradigm Paradigm is the next level of the disciplinary structure of nursing. The notion of paradigm can be useful as a basis for understanding nursing knowledge. Paradigm is a global, general framework made up of assumptions about aspects of the discipline held by members to be essential in development of the discipline. The concept of paradigm comes from the work of Kuhn (1970, 1977), who used the term to describe models that guide scientific activity and knowledge development in disciplines.
Reports of nursing theory developed at this level include implications for instrument development, theory testing through research, and nursing practice strategies. Practice Level Theories Practice level theories have the most limited scope and level of abstraction and are developed for use within a specific range of nursing situations. Theories developed at this level have a more direct impact on nursing practice than do more abstract theories. Nursing practice theories provide frameworks for nursing interventions/activities and suggest outcomes and/or the impact of nursing practice.