| Objective：1. To develop the nursing discipline system for academic standardization andsystematization based on the situation of China and the international trends ofnursing education. It would be applied as the theoretical guideline in education ofpostgraduate nursing students and clinical nursing specialists, furthermore,promote nursing meta-theory research.2. To explore key factors influencing the progress of nursing disciplinethrough comparing features in different stages, in order to put forward suggestionsfor the development of nursing system in China.Methods:1. The domestic constructional strategy of related disciplines andstructures of nursing knowledge body in foreign countries were reviewed tofind out the current trends in the research of discipline system. The concepts ofnursing discipline system and its connotation were explored and defined usingtheoretical and literature research.2. Indicator system of entry conditions of secondary nursing disciplinewas formed by examining the current situation of nursing knowledge body andorganizational system in domestic and foreign countries, and inducing the basiccomponents of judging the maturity level of a discipline through bibliometric andcontent analysis.3. Indicator system of entry conditions of secondary nursing discipline werefurther supported using historical approach and case analysis, some items wererevised in the panel meeting.4. Logic starting point of nursing discipline system by taking the concept ofnursing as the entry point were established, then nursing domains and the involvedknowledge were gradually deduced using theoretical approach.5. A comparative method was used to explore characteristics of clinicalmedicine, preventive medicine and some humanities, social disciplines, and toprovide reference points for the construction of nursing discipline system.Combining the result of logic deduce with entry conditions of secondary nursingdiscipline, nursing discipline system composed of secondary nursing discipline and third-level nursing disciplines or research directions were constructed.6.The nursing discipline system were discussed and revised in the expertpanel meeting to discriminate differences between connotations of varioussub-disciplines as to clarify some blur understandings on such nursingsub-disciplines.7. Through theoretical approach, development framework and strategies ofnursing discipline system were put forward from ecological perspective by usingthe interdisciplinary mechanism as concepts transplant, combining entry conditionsof secondary nursing discipline.Results:1.The concepts of nursing discipline, level division method in discipline,nursing discipline system and related connotation were defined, four forms ofnursing discipline including knowledge, organizations, history, cultural beliefswere proposed,thus “health responds in human” as the logic starting point ofnursing discipline were established,from which the logic domains of medium,core,result and destination were deduced in the process of nursing practice.Themulti-dimensional, stereo sketch of body of nursing knowledge were described andtwo key factors, human and environment affecting health responds in human arerefined, with human and environment,caring were principal axis and healthresponds as outcome variable through nursing process.2. The present situation of knowledge innovation, knowledge disseminationand organization framework of nursing discipline were analyzed from macro views,thus the basic dimensions of maturity on nursing discipline were induced: theoryconnotation, knowledge innovation, knowledge dissemination, personnel trainingand social needs of health. Indicator system of entry conditions of secondarynursing discipline was formed through analyzing the distance between currentstatus of nursing discipline at home and abroad, refining contents in different basicdimensions above mentioned.3. Knowledge innovation, knowledge dissemination, personnel training andsocial needs of health were found to be the key factors affecting the evolution ofnursing discipline by vertically combing important events and documentsoccurred in the nursing history of China and the United States, The finding wasconformed by the case analyzing of community health nursing. Thus the indicator system of entry conditions of secondary nursing discipline were proved to bereasonable and discussed by35nursing experts to revise those details.4. Some related disciplines showed that internal logic dividing lines weremultiple dimensions, which provide evidences to divide nursing knowledge withmultiple logic lines. Humanistic nursing knowledge and scientific nursingknowledge system were divided through logic deducing from logic starting point,the former then include nursing principles and interdisciplinary nursing knowledge,the latter then include three knowledge clusters, namely nursing knowledge aboutlife cycle, caring technology and living environment, containing relevantsub-disciplines respectively. According to the entry conditions of secondarynursing discipline, integrating the results of bibliometric and history research,10alternative secondary nursing disciplines were filtered and discussed by27expertsin the panel meeting, and finally got relatively high approval from those experts.5. A development framework of nursing discipline system containing maininfluencing factors and future trends were put forward from ecological perspective,which provided the foundation for development strategies in the process of nursingdiscipline construction.Conclusion：1.In this study, we summarized various understandings about the nature ofnursing discipline in literatures at home and abroad, integrated the defined conceptof nursing and its connotation, established “health responds in human” as the logicstarting point for the nursing discipline system. Thus we described thecomplicated, stereo knowledge body of nursing along with such three keyfactors,namely human，environment and caring. These three logic principle lineslay the foundation of nursing meta-theory research.2. In this study, we analyzed the status quo of nursing discipline at home andabroad,explored key research areas and advanced studies in nursing subdisciplines,refined key influencing factors and touched the same and different points in thedevelopment of nursing discipline in China and foreign countries. The history dataabout the evolution of nursing discipline in China and the United States collectedduring this study could be reference for future history research.3. In this study, we established entry conditions of secondary nursingdiscipline in China, which would guide autonomously secondary disciplineapplication in future. We also constructed a nursing discipline system with integrity, scientificity, compatibility, reality, expansibility which was based on thecurrent situation and could be linked up with related medical disciplines.4. According to the developmen framework for nursing discipline system, weproposed such strategies for construction of nursing discipline:①consolidatebasic key elements, which lays a profound foundation for promoting developmentof nursing discipline;②Broaden the ecological resources to accelerate theinternationalization and standardization of nursing process in China;③absorbmore interdisciplinary knowledge to promote the prosperity of nursing science. |
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