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dc.contributor.advisorReed, Pamela G.
dc.contributor.authorTerry, Heidi Eva
dc.creatorTerry, Heidi Eva
dc.date.accessioned2018-05-21T19:29:29Z
dc.date.available2018-05-21T19:29:29Z
dc.date.issued2018
dc.identifier.urihttp://hdl.handle.net/10150/627701
dc.description.abstractThe purpose of this critical inquiry was to identify and describe philosophical perspectives in published primary reports of acute coronary syndrome nursing research. A state of the science literature review revealed a dearth of studies regarding the philosophical perspectives underlying nursing research. A descriptive study incorporating systematic and integrative literature review strategies was performed. The conceptual framework used in the analysis was based upon Fawcett's (1993) three philosophical worldviews synthesized from various sources: Reaction, Reciprocal-interaction, and Simultaneous action. Quantitative and qualitative data analysis techniques such as descriptive statistics and matrix analysis of patterns and themes was performed on the 43 articles included in the study sample. Seven themes were identified: 1) Disease Management, 2) Health Pattern Recognition and Experiences, 3) Human Agency, 4) Integrative Nursing for Symptom Management, 5) Nursing Knowledge and Guideline Recommendations, 6) Patient Education, and 7) Symptom Management. Although there was a lack of explicit philosophical perspectives underlying acute coronary syndrome nursing research, a majority of articles aligned with two nursing philosophical perspectives; simultaneous action worldview and reciprocal-interaction worldview, as compared to the reaction worldview considered to be more representative of a non-nursing philosophical perspective (e.g. the biomedical model). Whereas no key tenets of Fawcett’s conceptual framework specify gender and ethnicity characteristics, results also revealed most articles described sample groups as predominantly male and white. In addition, an overlap in thematic categorizations between the simultaneous action and reciprocal-interaction views suggested the need for a more comprehensive nursing philosophy for nursing knowledge development. The extant philosophical view proposed to address the ontological and epistemological overlap is Reed's (2011) intermodernism. In conclusion, nurses across diverse practice areas must be more diligent in explicitly identifying philosophical perspectives underlying nursing research as well as incorporating diverse gender and ethnic patient populations into their studies. The integration of the more humanistic, emancipatory, and holistic philosophical perspective of intermodernism into nursing knowledge development is warranted.en_US
dc.language.isoen_USen_US
dc.publisherThe University of Arizona.en_US
dc.rightsCopyright © is held by the author. Digital access to this material is made possible by the University Libraries, University of Arizona. Further transmission, reproduction or presentation (such as public display or performance) of protected items is prohibited except with permission of the author.en_US
dc.subjectFawcett's (1993) Conceptual Frameworken_US
dc.subjectintermodernismen_US
dc.subjectnursing epistemologyen_US
dc.subjectnursing ontologyen_US
dc.subjectnursing researchen_US
dc.subjectphilosophical viewsen_US
dc.titleCritical Inquiry Into Philosophical Perspectives Underlying Nursing Research on Acute Coronary Syndromeen_US
dc.typetexten_US
dc.typeElectronic Dissertationen_US
thesis.degree.grantorUniversity of Arizonaen_US
thesis.degree.leveldoctoralen_US
dc.contributor.committeememberCrist, Janice
dc.contributor.committeememberKoithan, Mary
thesis.degree.disciplineGraduate Collegeen_US
thesis.degree.disciplineNursingen_US
thesis.degree.namePh.D.en_US
refterms.dateFOA2018-05-21T19:29:30Z


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