As more nurses embrace precision science,there is a tendency to utilize theoretical frameworks from other disciplines thus,placing nursing at risk of losing its autonomy and independence.The discipline has fallen prey...As more nurses embrace precision science,there is a tendency to utilize theoretical frameworks from other disciplines thus,placing nursing at risk of losing its autonomy and independence.The discipline has fallen prey to internal binary opposition,eliminating opportunities to engage in civil discourse.To explore how the roles nurses select might fit together in a theoretical framework and help nurses understand how the roles they choose to support their identity as nurses,this paper introduced a model of nursing that includes the bench scientists,the policy activists,and bedside nurses,using the Neuman Systems Model(NSM).The Nurse Role Integration Model(NRIM)espouses the basic tenets of NSM:prevention counteracts stressors from penetrating the client's lines of defense thus,reducing stress response.Primary prevention reflects the work of the nurse bench scientists,investigating the underlying mechanisms behind pathophysiology;secondary prevention is applied nurse scientists who build upon nurse researchers'work,identifying and testing potential interventions;tertiary prevention is nurse policy activists,the fulcrum,who leverage primary and secondary findings to argue policy change at all levels.Once policy change is adopted,bedside nurses are educated and implement the change.This lens provides an opportunity to create greater solidarity,strengthening the unity and autonomy of the discipline.展开更多
基金Research reported in this discussion paper was supported by the National Institute for Nursing Research of the National Institutes of Health under award number[1 F32 NR01859101].Special thanks to Dr.E.Carol Polifroni,EdD,NEA-BC,CNE RN,ANEF for her unwavering support,guidance,and encouragement to see this disc scussion published.
文摘As more nurses embrace precision science,there is a tendency to utilize theoretical frameworks from other disciplines thus,placing nursing at risk of losing its autonomy and independence.The discipline has fallen prey to internal binary opposition,eliminating opportunities to engage in civil discourse.To explore how the roles nurses select might fit together in a theoretical framework and help nurses understand how the roles they choose to support their identity as nurses,this paper introduced a model of nursing that includes the bench scientists,the policy activists,and bedside nurses,using the Neuman Systems Model(NSM).The Nurse Role Integration Model(NRIM)espouses the basic tenets of NSM:prevention counteracts stressors from penetrating the client's lines of defense thus,reducing stress response.Primary prevention reflects the work of the nurse bench scientists,investigating the underlying mechanisms behind pathophysiology;secondary prevention is applied nurse scientists who build upon nurse researchers'work,identifying and testing potential interventions;tertiary prevention is nurse policy activists,the fulcrum,who leverage primary and secondary findings to argue policy change at all levels.Once policy change is adopted,bedside nurses are educated and implement the change.This lens provides an opportunity to create greater solidarity,strengthening the unity and autonomy of the discipline.
