J Korean Acad Adult Nurs.
2001 Mar;13(1):53-69.
Investigation of Espoused Theories in Nursing Practice
- Affiliations
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- 1College of Nursing, Seoul National University, Korea.
- 2College of Nursing, Rhode Island University, Korea.
- 3Department of Nursing, Wonju College, Korea.
- 4Department of Nursing, Kyungwon College, Korea.
- 5College of Nursing, Kyung Hee University, Korea.
- 6Department of Nursing, Hanyang University, Korea.
- 7Department of Nursing, Kangwon National University, Korea.
- 8Department of Nursing, Chonnam University, Korea.
- 9Department of Nursing, Koshin University, Korea.
- 10Department of Nursing, Chung Ang University, Korea.
- 11Department of Nursing, Seoul National University Hospital, Korea.
- 12Red cross Nursing College, Korea.
Abstract
- As a nursing practice involves nurses'actions in a specific context of health care, this study has focused on exploring the espoused theories in nursing practice within the action science perspectives. Espoused theories are the belief, principles, and rationale expressed by the practitioner as guiding her/his actions in a situation of practice. The data were analysed qualitatively and 25 elements of espoused theories of nursing action were identified and clustered into 6 categories. The 25 elements of espoused theories are as follows: The clinical nurse worked in wholistic and individual nursing, focussed on the patient's needed, comfort and supportive nursing (5 theories of nursing goal); excellent skills, knowledge based, assessment and data collection, explaining, educating or a scientific basis(6 theories of nursing intervention): advocacy, value oriented, treatment, accountability and commitment(4 theories of nursing ethics); human respect, partnership, trust(3 theories of patient-nurse relationship) : knowledgable, accumulated clinical experiences and personally lived experiences, positive perspectives(4 theories of nurse), role of intervention, rewarding, peer relationship(3 theories of situations). The above mentioned espoused theories are similar to that of nursing textbooks which students learned through basic nursing education and almost the same as the Acts ofa Nurse in Korean. However, we are doubtful whether nurses actually do as they think. Therefore, it is recommended to review the theories-in-use in order to find any discrepancies between the espoused theories and the reality of nursing actions.
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