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Key Issues in Nursing Theory: Developments, Challenges, and Future Directions.
Nurs Res. 2018 Mar/Apr; 67(2):81-92.NR

Abstract

BACKGROUND

Today, we face a situation some call the "profession at the crossroads." The problem is the development of the profession being threatened by an imbalance among philosophical, conceptual/theoretical, and empirical inquiry.

OBJECTIVES

The aims of this project are to (a) examine the development and contributions of theory, (b) outline the challenges we face in knowledge development, and (c) provide a structure for disciplinary knowledge that provides a unifying focus and renovates theories' place in nursing science that can direct the future of developing knowledge for practice.

METHODS

A personal narrative along with literature reviews. Narrative strategies included my own publications on theory, some relevant unpublished speeches, memories of meetings checked with concurrent attendees, and similar or dissimilar points of view in nursing theory textbooks.

RESULTS

Contributions of theoretical work in the 20th century included maturing of the discipline, clarifying the theoretical focus of nursing as holistic persons with processes and patterns for environmental integration to attain health, a plurality of grand theories for articulating and testing of theories in practice and research, identification of the mutual impact of theory and education and major conferences, and contributions globally. Twenty-first century developments used all levels of theories particularly for research. Questions are raised about the evaluation of theory. Detours and dead ends for theory development involved metatheory debates and specific events. Challenges identified relate to rapid changes in society, healthcare, and science. A pathway for the future is presented in a figure with its description of the structure of nursing knowledge.

DISCUSSION

The potential of this structure for developing future theory-based nursing knowledge for practice is envisioned, and strategies for creating this future are suggested.

Authors+Show Affiliations

Callista Roy, RN, PhD, FAAN, is Adjunct Professor, Mount St. Mary's University, Los Angeles, California. When this paper was written, she was Professor, Connell School of Nursing, Boston College, Chestnut Hill, Massachusetts.

Pub Type(s)

Historical Article
Journal Article

Language

eng

PubMed ID

29489629

Citation

Roy, Callista. "Key Issues in Nursing Theory: Developments, Challenges, and Future Directions." Nursing Research, vol. 67, no. 2, 2018, pp. 81-92.
Roy C. Key Issues in Nursing Theory: Developments, Challenges, and Future Directions. Nurs Res. 2018;67(2):81-92.
Roy, C. (2018). Key Issues in Nursing Theory: Developments, Challenges, and Future Directions. Nursing Research, 67(2), 81-92. https://doi.org/10.1097/NNR.0000000000000266
Roy C. Key Issues in Nursing Theory: Developments, Challenges, and Future Directions. Nurs Res. 2018;67(2):81-92. PubMed PMID: 29489629.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Key Issues in Nursing Theory: Developments, Challenges, and Future Directions. A1 - Roy,Callista, PY - 2018/3/1/entrez PY - 2018/3/1/pubmed PY - 2019/2/16/medline SP - 81 EP - 92 JF - Nursing research JO - Nurs Res VL - 67 IS - 2 N2 - BACKGROUND: Today, we face a situation some call the "profession at the crossroads." The problem is the development of the profession being threatened by an imbalance among philosophical, conceptual/theoretical, and empirical inquiry. OBJECTIVES: The aims of this project are to (a) examine the development and contributions of theory, (b) outline the challenges we face in knowledge development, and (c) provide a structure for disciplinary knowledge that provides a unifying focus and renovates theories' place in nursing science that can direct the future of developing knowledge for practice. METHODS: A personal narrative along with literature reviews. Narrative strategies included my own publications on theory, some relevant unpublished speeches, memories of meetings checked with concurrent attendees, and similar or dissimilar points of view in nursing theory textbooks. RESULTS: Contributions of theoretical work in the 20th century included maturing of the discipline, clarifying the theoretical focus of nursing as holistic persons with processes and patterns for environmental integration to attain health, a plurality of grand theories for articulating and testing of theories in practice and research, identification of the mutual impact of theory and education and major conferences, and contributions globally. Twenty-first century developments used all levels of theories particularly for research. Questions are raised about the evaluation of theory. Detours and dead ends for theory development involved metatheory debates and specific events. Challenges identified relate to rapid changes in society, healthcare, and science. A pathway for the future is presented in a figure with its description of the structure of nursing knowledge. DISCUSSION: The potential of this structure for developing future theory-based nursing knowledge for practice is envisioned, and strategies for creating this future are suggested. SN - 1538-9847 UR - https://www.unboundmedicine.com/medline/citation/29489629/Key_Issues_in_Nursing_Theory:_Developments,_Challenges,_and_Future_Directions L2 - http://dx.doi.org/10.1097/NNR.0000000000000266 DB - PRIME DP - Unbound Medicine ER -