What type of questions and methods are suitable for the complex practice environment based on your experience or readings?

Good evening Caroline!

Thank you for sharing your views on the the mandala with the unitary-transformative worldview. I appreciate how this is described phenomena “self organizing” and “in process with the environment” (Reed & Shearer). In healthcare, we are often trying to fight back against the environment, or the nature of how are bodies are changing, so these concepts actually seem pretty controversial to me and more in alignment with the paradigm shift we see happening to embrace the DNP and practitioner role in knowledge generation (Reed & Shearer 2018).

Conversely, the interactive-integrative model describes human beings as being active in a passive environment. This reminded me of the medical model heavily focused on research in the absence of context. I share your appreciation for the unitary-transformative view, and believe relying on a passive environment can be critiqued the same way Kitson et al. (1998) criticized conceptual models for being “unidimensional, suggesting some linearity and logic” in an area where things are often more nuanced.

Kitson, A., Harvey, G., & McCormack, B. (1998). Enabling the implementation of evidence based practice: a conceptual framework. Quality in health care : QHC, 7(3), 149–158.

Reed, P. G., Shearer, N. B. (2018) Nursing Knowledge and Theory Innovation: Advancing the science of practice (2^nd edition). Springer Publishing Company

Thank you for your post. I agree that nurses play an integral role in the development of knowledge. It is important for nurses to seek opportunities for the development of new knowledge, and the practice setting is an ideal context to do so. As you stated, it is this knowledge intertwined with the application of theory which gives way to new knowledge. However, the work does not end there. Interventions are revised and refined until they are optimal for a specific setting, culture or population (Reed & Shearer, 2017). As you mentioned, it is this constant revision that feeds improvement and contributes to innovations in knowledge development. Great post

Great post, I enjoyed reading and learning your perspective on this weeks readings.

I like the questions you proposed – “Who decides the role of the DNP and PhD nurse when it comes to optimizing interventions, and making changes in health policy? How can DNP and PhD nurses work together in knowledge generation without sticking to a specific phase?” I think these questions are important to answer since we learned how blurred and messy the lines can be. By defining and diferentiating, DNP and PhD nurses are able to focus on indivual tasks while effectively collaborating with the other on the rest. Collaboration is essential for knowledge generation and implementation.

I also really like how you added that the madalas helped you see what really matters and that personal beliefs and passions are driving factors in our nursing paths and the care we deliver.