This text provides an introduction to a new and emerging area of nursing scholarship, that of philosophy of nursing. It describes the nature of the philosophy of nursing and then focuses on three areas of enquiry central to nursing theory and practice: knowledge, persons and care. Having developed positive accounts of these key areas, the nature of nursing is then examined. Throughout there is critical engagement with the work of leading nurse writers, in particular Benner and Wrubel, and Carper.

While nurses can and do behave as intentional political agents, claims that nurses collectively do , should or must act to advance political objectives lack credibility. This paper challenges the coherence and legitimacy of political demands placed upon nurses. It is not suggested that nurses ought not to contribute to political discourse and activity. That would be foolish. However, the idea that nursing can own or exhibit a general political will is discarded. It is suggested that to protect and advance (...) political discussion, to aid explanatory adequacy and clarity, the form in which nursing associates itself with political claims merits critical appraisal. Thus significant numbers of nurses probably reject or disagree with many of the political claims that attach to them – claims often made on their behalf. More specifically, the individual beliefs and goals of nurses can be in conflict with the political pronouncements of nursing scholars and organizations . It is proposed that nurses need not share substantive normative beliefs/goals and, if this proposal holds, group descriptors such as ‘nurses’ and ‘nursing’ cannot meaningfully or easily attach to political claims. Shared value theory is linked to the fallacy of composition and the concept of collective ascription error is introduced to explore the implausibility of using group descriptors such as ‘nurses’ and ‘nursing’ to refer to the beliefs/goals of all nurses. (shrink)

Nursing takes a practicalist turn as the authors explore answers to the question: Will nursing continue to be viewed as an applied science, or will its reinterpretation as a caring practice be fully realized? By overvaluing medical science, particularly in the nursing diagnosis movement, scholars have inadvertantly distorted nursing practice. Nursing is a caring practice that transcends the limits of technology. This thoughtful book will inspire discussions of ethics, issues and trends, and theory and research.

In his attempt to explain and draw together disparate aspects of the tradition of the virtues MacIntyre develops a complex and specific concept that he terms a practice. By a practice he means to describe certain types of activities in which excellences can be pursued and that offer those engaged in a practice access to the goods internal to that practice.Sellman and Wainwright have both suggested that there are advantages to be had in understanding nursing as a practice in this (...) MacIntyrean sense. This paper suggests that nursing should be considered as a particular type of MacIntyrean practice, and I have used the term a professional practice to identify this species.This paper also considers some of the implications of such a perspective and suggests that one benefit of thinking of nursing as a professional practice is that it may offer a route by which the virtues necessary for nursing can be identified. (shrink)

When appraising research papers, how much understanding is enough? More specifically, in deciding whether research results can inform practice, do appraisers need to substantively understand how findings are derived or is it sufficient simply to grasp that suitable analytic techniques were chosen and used by researchers? The degree or depth of understanding that research appraisers need to attain before findings can legitimately/sensibly inform practice is underexplored. In this paper it is argued that, where knowledge/justified beliefs derived from research evidence prompt (...) actions that materially affect patient care, appraisers have an epistemic duty to demand high (maximal) rather than low (minimal) levels of understanding regards finding derivation (i.e. appraisers have a duty to seek a superior epistemic situation). If this argument holds assumptions about appraiser competence/ability and the feasibility of currentUKconceptions of evidence based practice are destabilized. (shrink)