Curriculum reconceptualization: integrating the voices of revolution.
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Biomedical subjects
Publications and source records attributed to P Moccia.
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One resolution to the debate about whether quantitative or qualitative methods are appropriate or adequate for nursing's research concerns has been to argue that either or both are legitimate, depending on the research problem. This article suggests that the overt debate is a manifestation of more fundamental differences over ontologies, epistemologies, values, and intentions, and that the compromise solutions mask basic issues that nursing needs to address as nursing science is advanced. Several of the hidden choices in the debate about methods are made explicit, and their implications for nursing practice are identified.
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Although this critique accepts the assumptions of Wilson and Fitzpatrick concerning a necessary congruence between a science's world view and its method of inquiry, it refutes their argument for Bunge's dialectic as a method appropriate for the study of human phenomena. It is argued that Bunge's dialectic is developed from a dualistic universe and is, therefore, incompatible with Rogers's views on the unitary nature of phenomena. Another, more internally consistent interpretation of the dialectic is introduced for consideration as an alternative.
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Stevens' question "Who Gets Care?" is in the tradition of those arguing for increased access and a more equitable distribution of society's benefits. As such, it provides a framework for nursing scholarship concerned with social as contrasted with individual interventions. Nursing's Agenda for Health Care Reform advances the argument still further by questioning the ideology reinforced by the current system, and offering an alternative system, alternative services and agents. In so doing, the proposed agenda questions the dominant ideology and is, therefore, more accurately a radical departure from the status quo than a reform. While there are some implicit assumptions of both reform and radical change embedded within the work of those addressing a "curriculum revolution," the discussion would benefit from explicit expositions of both the social construction and social function of higher education.
Homelessness, increases in infant mortality, Supreme Court decisions against abortion and affirmative action, and corruption among housing officials are all aspects of the patriarchal control of society that is destroying the health of individuals and communities. Nursing must assume a leadership role not only in offering new ways to structure health care, but in reordering the values of society as a whole.
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