Advancing the science of unfinished nursing care: Exploring the benefits of cross‐disciplinary knowledge exchange, knowledge integration and transdisciplinarity

: 目的: 本文旨在探讨跨学科知识交流和整合在推进未经护理科学中的作用,并为日益壮大的国际学者群体发展理论提供初步指导。 背景: 未竟护理,又称错过护理或配给护理,是一个非常普遍的问题,对世界各地的患者、护士和医疗机构都有负面影响。这是由有效资源分配的结构性障碍造成的“有害”的可持续性问题,这些障碍一直阻碍着传统的解决方案。与该问题相关的研究活动在全球呈上升趋势,但由于对该问题存在不一致的概念以及缺乏围绕这一现象的强有力理论,该趋势受到阻碍。学术活动需要统一的概念框架,促进未竟护理科学强有力的发展。 设计: 讨论文件。 数据来源: 本讨论稿的产生基于我们在未竟护理相关国际和跨学科研究合作中的经验。 这些经验的背景科学知识演进的相关经典和现有文献。 对护理的启示: 未竟护理问题跨越多个学科。对该问题感兴趣的学者进行有意义的跨学科知识整合并走向跨学科研究是必要的。 结论: 以结构理论为指导的元理论应被作为未完成护理问题跨学科研究的促进策略。. BACKGROUND: Unfinished nursing care, also known as missed care or rationed care is a highly prevalent problem with negative consequences for patients, nurses and healthcare organizations around the world. It presents as a 'wicked' sustainability problem resulting from structural obstacles to effective resource allocation that have been resistant to conventional solutions. Research activity related to this problem is on the rise internationally but is hindered by inconsistencies in conceptualizations of the problem and lack of robust theory development around the phenomenon. A unified conceptual framework is needed to focus scholarly activities and facilitate advancement of a robust science of unfinished nursing care. DESIGN: Discussion paper. DATA SOURCES: This discussion paper is based on our own experiences in international and interdisciplinary research partnerships related to unfinished nursing care. These experiences are placed in the context of both classic and current literature related to the evolution of scientific knowledge. IMPLICATIONS FOR NURSING: The problem of unfinished nursing care crosses multiple scientific disciplines. It is imperative that the community of scholars interested in solving this wicked problem engage in meaningful cross-disciplinary knowledge integration and move towards transdisciplinarity. CONCLUSION: Metatheorizing guided by structuration theory should be considered as a strategy to promote transdiciplinarity around the problem of unfinished nursing care.