Abstract
Hemşirelik eğitimi, klinik becerilerin geliştirilmesinin yanı sıra, teorik bilgi ile uygulama arasındaki bütünleşmeyi sağlamayı amaçlayan kapsamlı bir süreçtir. Hemşirelik teorileri, hemşirelerin hasta bakımını iyileştirmek, profesyonel etik değerleri benimsemek ve bilimsel temellere dayalı kararlar almak için rehberlik sağlar. Bu teoriler arasında, son yıllarda Karmaşıklık Bütünleştirme Hemşirelik Teorisi (CINT), hemşirelik uygulamalarına dinamik bir yaklaşım sunarak sağlık hizmetlerinin karmaşıklığını anlamayı ve yönetmeyi amaçlar. CINT; Florence Nightingale tarafından vurgulanan insan, sağlık, çevre ve hemşire arasındaki etkileşimleri ele alarak, hemşirelerin klinik uygulamalarda karşılaştıkları karmaşık durumları daha etkili bir şekilde yönetmelerine yardımcı olur. Teori, pozitivizm ve pragmatizmle bağlantılı olup, bilimsel verilerin ve pratik çözümlerin entegrasyonunu vurgular. CINT'nin uygulanması, hemşirelerin bilgiyi bütünleştirmesini, dinamik karar verme, işbirliği, iletişim ve yansıtma süreçlerini güçlendirir. Uluslararası ve ulusal literatür, CINT'nin hemşirelik uygulamalarına rehberlik ederek sağlık hizmetlerinin kalitesini artırabileceğini göstermektedir. Bu teori, özellikle klinik ortamlarda esnek ve bütüncül bir yaklaşım benimsemeyi sağlayarak, hemşirelerin mesleki becerilerini geliştirmelerine katkıda bulunur. Bu makalede mesleği geliştirmede hemşirelere mantık, analiz, değerlendirme, deneyim, yansıma, sezgi veren tüm yararlı kriterleri içeren CINT teorisi tanıtılmaya çalışılmıştır.
References
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Abstract
Nursing education is a comprehensive process that aims not only to deve- lop clinical skills but also to integrate theoretical knowledge with practice. Nursing theories provide guidance for nurses to improve patient care, adopt professional ethical values, and make scientifically based decisions. Among these theories, the Complexity Integration Nursing Theory (CINT) has recent- ly offered a dynamic approach to nursing practice by aiming to understand and manage the complexity of healthcare services. CINT, addressing the interactions between person, health, environment, and nursing as empha- sized by Florence Nightingale, helps nurses manage complex situations en- countered in clinical practice more effectively. The theory is associated with positivism and pragmatism, highlighting the integration of scientific data and practical solutions. The implementation of CINT strengthens nurses' abilities to integrate knowledge, make dynamic decisions, collaborate, communicate, and reflect. Both international and national literature indicate that CINT can guide nursing practices and improve the quality of healthcare services. This theo- ry particularly supports the adoption of a flexible and holistic approach in clinical settings, contributing to the development of nurses' professional competen- cies. This article aims to introduce CINT as a theo- ry that encompasses all beneficial criteria—such as logic, analysis, evaluation, experience, reflection, and intuition—that support the advancement of the nur- sing profession.
References
- Heslop L, Ploeg J. Integrating theory and prac- tice in nursing education: A critical review of strategies and outcomes. J Nurs Educ Pract. 2023;13(3):45–54.
- Smith M, Brown T. Developing nursing competence through the integration of theory and clinical practice. Nurs Educ Perspect. 2023;44(1):22–30.
- Evans C. A framework for quality nursing education: Bridging the gap between theory and practice. Nurs Health Sci. 2023;25(4):12–20.
- Masters K. Nursing Theory and Conceptual Frameworks. 3rd ed. New York: Springer Pub- lishing; 2023.
- Nightingale F. Notes on Nursing: What It Is and What It Is Not. 2nd ed. Oxford: Oxford Universi- ty Press; 2024.
- Peplau HE. Interpersonal Relations in Nursing: A Conceptual Frame of Reference for Psychodynamic Nursing. 2nd ed. New York: Springer Publishing; 2024.
- Parker ME. The Four Metaparadigms of Nursing: An Interdisciplinary Perspective. Int J Nurs Theory Pract. 2023;15(2):84–92.
- McEwen M, Wills EM. Theoretical Foundations of Nursing. J Nurs Educ Pract. 2023;13(3):58–65.
- Fawcett J, Desanto-Madeya S. Nursing Theory: A Framework for Practice. 2nd ed. Philadelphia: F.A. Davis Company; 2023.
- Leininger M. Culture Care Theory: A Model for Providing Culturally Competent and Empathet- ic Care. J Transcult Nurs. 2023;34(2):110–8.
- Kolcaba K. Comfort Theory and Practice: A Vision for Holistic Health Care and Research. New York: Springer Publishing; 2024.
- Van Sell SL, Kalofissudis IA. The evolving es- sence of the science of nursing: A complexity integration nursing theory. The Authors; 2010.
- Allen PM. A complex systems approach to learning in adaptive networks. Int J Innov Manag. 2001;5(2):149–80.
- Ritzer G. The current status of sociological theory: The new syntheses. In: Ritzer G, editor. Frontiers of Social Theory. The New Syntheses. New York: Columbia University Press; 1990. p. 1–30.
- Van Sell SL. Metatheory for unifying nursing complexity integration nursing theory. Int J Nurs Clin Pract. 2017;41:233.
- Dossey BM. Theory of integral nursing. ANS Adv Nurs Sci. 2008;31(1):E52–73.
- Dossey BM. Integral and holistic nursing. In: Dossey BM, Keegan L, editors. Holistic Nurs- ing: A Handbook for Practice. 5th ed. Sudbury (MA): Jones & Bartlett; 2008.
- White KM, Dudley-Brown S. Translation of Evidence into Nursing and Health Care. New York: Springer Publishing Company; 2012.
- Kuhn TS. The structure of scientific revolutions. Vol. 962. Chicago: University of Chicago Press; 1997.
- Watson J. Nursing: The Philosophy and Sci- ence of Caring. Denver (CO): University Press of Colorado; 1999.
- Dossey BM. Holistic Nursing: A Handbook for Practice. Burlington (MA): Jones & Bartlett Publishers; 2013.
- Holliday S, Jacobs LM. The Role of Positivism in Evidence-Based Nursing: Bridging the Gap between Theory and Practice. J Nurs Educ Pract. 2022;12(3):42–50.
- Viana MSB. The New Positivism and the Crisis of the Social Sciences. J Soc Sci Humanit Res. 2021;32(4):224–39.
- Bennett SL, Wilson PM. Pragmatism in Nursing Practice: Integrating Theory with Clinical Problem Solving. J Nurs Philos. 2024;25(1):48–60.
- Jones LM, Turner SC. Integrating Complexity and Positivism in Nursing: Toward a Holistic Approach to Patient Care. J Nurs Theory Pract. 2024;18(2):145–58.
- Turner OJ, Robinson CA. Pragmatism and Complexity Theory in Nursing: Bridging the Gap Between Practical Solutions and Dynamic Healthcare Needs. J Nurs Theory Pract. 2024;26(1):21–34.
- Kurtz CF, Snowden DJ. The Cynefin Framework: A Guide to Leading Complex Systems. J Nurs Adm. 2023;53(4):206–11.
- Lown BA, Auerbach AD. Leadership in Complex Adaptive Systems: Lessons for Nursing Practice. Nurs Outlook. 2023;71(2):176–84.
- Stanga N, Oquin L. Critical Review of the Evolving Essence of the Science of Nursing: Complexity Integration Nursing Theory (CINT). Int J Nurs Clin Pract. 2017;4(226):2.
- Suliman M, Sohail M, Shaheen M, Rehman UU. A Proposed Philosophy of Nursing in the light of Nursing Metatheory. J Saidu Med Coll Swat. 2022;12(2):106–9.
- Carroll Á, Collins C, McKenzie J, Stokes D, Darley A. Application of complexity theory in health and social care research: a scoping review. BMJ Open. 2023;13(3):e069180.
- Buldur E, Yıldırım Y, Aykar F. İntegral Hemşirelik Teorisi ve Yenidoğan Yoğun Bakımlarda Uygulanan Non-Farmakolojik Yöntemlere Teorinin Entegre Edilmesi. İzmir Katip ʆelebi Üniversitesi Sağlık Bilimleri Fakültesi Dergisi. 2023;8(1):221–7.
- Ay A, Yıldırım Y, Türeyen A. İntegral Hemşirelik Kuramının Astımlı Olguda Dispne Yönetimine Entegre Edilmesi. Hemşirelik Bilimi Dergisi. 2023;6(3):188–92.
Details
| Primary Language | Turkish |
|---|---|
| Subjects | Nurse Education |
| Journal Section | Reviews |
| Authors | |
| Publication Date | July 3, 2025 |
| Submission Date | November 25, 2024 |
| Acceptance Date | May 12, 2025 |
| Published in Issue | Year 2025 Volume: 4 Issue: 2 |
