Critical Theory for Science of Nursing Practice

Kim, Hesook Suzie; Holter, Inger Margrethe

doi:10.4135/9781452225753.n16

Cited by 20 publications

(16 citation statements)

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“…The philosophical foundations of CST, which advocate approaches to social existence that are free(er) of domination, power inequities and oppression, are appealing to nursing scholars interested in advancing critically oriented knowledge and praxis (Browne 2000). At the same time, critical scrutiny of nursing literature — particularly from North America — reveals that while the theoretical perspectives of Habermas’ version of CST are clearly articulated, the socialist political assumptions related to ideological critique and structural transformation are sometimes overlooked in favor of politically neutral applications in nursing theory and inquiries (see, for example, Kim and Holter 1995). Hence, by failing to give due consideration to the political philosophical assumptions underlying CST, we risk reproducing knowledge that is consistent with dominant liberal values, even when we attempt to apply critical perspectives 8…”

Section: Nursing Science Knowledge Development and Liberal Ideologicmentioning

confidence: 99%

The influence of liberal political ideology on nursing science

Browne

2001

Nursing Inquiry

109

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Previous notions of science as impartial and value-neutral have been refuted by contemporary views of science as influenced by social, political and ideological values. By locating nursing science in the dominant political ideology of liberalism, the author examines how nursing knowledge is influenced by liberal philosophical assumptions. The central tenets of liberal political philosophy - individualism, egalitarianism, freedom, tolerance, neutrality, and a free-market economy - are primarily manifested in relation to: (i) the individualistic focus of our science; (ii) our view of society as essentially egalitarian and equitable; (iii) our preference for politically neutral knowledge development, and (iv) an economy of knowledge development that supports rather than challenges the status quo. I argue that exposing, rather than ignoring, the liberal ideological values inherent in nursing science will render these assumptions open to debate, stimulate ongoing development of critically oriented knowledge, and increase our capacity to influence the social, political and economic determinants of health.

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Section: Nursing Science Knowledge Development and Liberal Ideologicmentioning

confidence: 99%

The influence of liberal political ideology on nursing science

Browne

2001

Nursing Inquiry

109

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“…A practitioner working from the critical theory perspective acknowledges power differences between individuals and groups, while advocating and working toward the ultimate goals of empowerment, enlightenment, emancipation, and social transformation (Browne, 2000;Kim & Holter, 1995). In the critical social theory paradigm, knowledge is not discoverable or universal but is created, and its creation and interpretation are grounded in language and considered in political, social, and historical context (Campbell & Bunting, 1991).…”

Section: Critical Theorymentioning

confidence: 98%

Critical Social and Medical Constructions of Perinatal Substance Misuse: Truth in the Making

Marcellus

2003

J Fam Nurs

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The care of women and newborns with prenatal drug and alcohol exposure has been widely recognized as a significant health and social issue. There are wide variations in the values, beliefs, and knowledge regarding perinatal substance misuse in health and child welfare professionals and when contrasted to the field of sociology. Sociology and critical social theory provide an alternative to a traditional medical perspective by using a contextual lens through which to move beyond the "medicalization" of health and illness toward an understanding that considers the historical, political, and social interpretations of perinatal substance misuse. However, the medical and critical social perspectives are often seen as incommensurable. This discussion of the health issues related to perinatal substance misuse and the analysis from a critical social perspective are provided as an attempt to move communities away from rhetoric and toward development of effective, supportive interventions that meet the health and social needs of substance-using women and their children.There is a dynamic and central role for sociological knowledge within the practice of nursing (Morrall, 2001). As nurses begin to question the appropriateness of a primarily positivist philosophy of medical and nursing science, alternate philosophies are actively sought that can contribute to a wider understanding of health, illness, and the JOURNAL

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“…The methodological foundation for such acritique constitutesself-reflection, which frees subjects from their external conditions of dependence (Nerheim, 2001). Using Habermas' theoryofcommunicativeaction, Kim and Holter (1995) and Nerheim (2001)demonstrated howadimension of action can be explicated in nursing wherethe relationship between nurses and patients is guided by communicativerationality.Linguistic understanding as the mechanism to coordinate actions thus comesintofocus. Throughthe concept of communicative rationality,itispossible to think of action and communication simultaneously.Thus, Habermas makes clear thataninternal connection exists between as ociologyt hata ims to understand meaning and the problem of ra-tionality, because communicative action always requires ar ational interpretation, at least at the beginning.…”

Section: Theory Development In Nursingmentioning

confidence: 99%

“…Habermas' further explorations in the formofatheory of communicative action (1981, 1981a) and his discourse ethics (1983,1991) have also been well-receivedbynursing science (Browne, 2000;Friesacher,2008Friesacher, , 2011aFriesacher, , 2015Hülsken-Giesler,2008;Kim & Holter,1995;Mosqueda-Diaz, 2014;Nerheim, 2001;Princeton, 2015;Ray,1999;Remmers, 2000). Kim and Holter (1995), as well as Nerheim (2001), initially took up Habermas' epistemological differentiation of interests within science. Using an emancipatoryu nderstanding of science and with it al arger concept of nursing action provides the opportunitytoresolvealienation and to reveal social processes that seem to be historically givena nd that appear as eternal and unchangeable necessaryconditions of life.…”

Section: Theory Development In Nursingmentioning

confidence: 99%

“…Throughthe concept of communicative rationality,itispossible to think of action and communication simultaneously.Thus, Habermas makes clear thataninternal connection exists between as ociologyt hata ims to understand meaning and the problem of ra-tionality, because communicative action always requires ar ational interpretation, at least at the beginning. Kim and Holter (1995) concluded that the "applicabilityo fc ritical theorya nd the theoryo fc ommunicative action to nursing is evidentwhen we view nursing practice as involving collaboration and mutualityb etween the nurse and client, which helps to empower clients and enhance their lot within the health care system" (p.218). The orientation toward understanding overcomes the single-track structure of communication and opens the wayfor areal double-track communication.…”

Section: Theory Development In Nursingmentioning

confidence: 99%

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