No abstract

We found that clinicians rated the complexity, compatibility, relative advantage, and overall clinical utility higher for the r-FLACC and NAPI compared with the NCCPC-PV, suggesting that these tools may be more readily adopted into clinical practice.

This paper presents a proposed model: The Attending Nursing Caring Model (ANCM) as an exemplar for advancing and transforming nursing practice within a reflective, theoretical and evidence-based context. Watson's theory of human caring is used as a guide for integrating theory, evidence and advanced therapeutics in the area of children's pain. The ANCM is offered as a programme for renewing the profession and its professional practices of caring-healing arts and science, during an era of decline, shortages, and crises in care, safety, and hospital and health reform. The ANCM elevates contemporary nursing's caring values, relationships, therapeutics and responsibilities to a higher/deeper order of caring science and professionalism, intersecting with other professions, while sustaining the finest of its heritage and traditions of healing.

Although a combination of quantitative and qualitative methods are being used increasingly in nursing research, little practical advice exists about the conduct of such studies. Conceptual triangulation offers one approach to multimethod research, addressing epistemologic and practical issues that have long plagued investigators. Conducting quantitative and qualitative research as parallel studies and using method-specific criteria for rigor provide an alternative to blending methodologic assumptions. Systematic examination of the support for findings guides judgments about model development, and the provision for multiple conceptual models resolves issues about the interpretation of findings.