Moral Distress as Moral Heuristic Missing the Mark.

I propose that moral distress may function as a moral heuristic, and one that misses its mark in signifying a fundamental source for nurses' moral suffering. Epistemic injustice is an insidious workplace wrongdoing that is glossed over or avoided in explicit explanations for nurse moral suffering and is substituted by an emphasis on the nurse's own wrongdoing. I discuss reasons and evidence for considering moral distress as a that obfuscates the role of epistemic injustice as a fundamental constraint on nurses' moral reasoning underlying moral suffering.

Exploring Psychedelics for Alleviating Existential and Spiritual Suffering in People With Serious Illnesses: Links to the Theory of Self-Transcendence.

The fields of palliative and holistic Nursing are dedicated to providing comprehensive care for the person, emphasizing special attention to the existential and spiritual aspects of care. Psychedelic-assisted therapy has emerged as a promising approach for symptom management in individuals with serious illnesses, particularly those of existential and spiritual origin. People who undergo challenging experiences, as is the case with serious illnesses, often undergo an identity crisis and question the purpose of their lives.

A New Nursing Aesthetic.

Conceptions of the art and aesthetics of nursing traditionally focus on the nurse and nursing practice. My purpose here is to propose a shift in thinking from this traditional focus that dominates the "art of nursing" literature, to consider a new nursing aesthetic that focuses on human beings proper: I present a framework based on everyday aesthetics, feminist aesthetics, and Deweyan perspectives, along with attention to the nursing disciplinary perspective of health and well-being. I conclude with a look ahead to philosophical questions and scientific issues regarding theorizing and scientific inquiry about the aesthetic to advance nursing knowledge.

Normative Ethical Theorizing.

Ethical issues are ubiquitous in nursing, yet there is a dearth of scholarship in normative ethics and ethical inquiry in nursing. In a concern to motivate interest in normative ethics and inquiry to build ethical knowledge, this article highlights some of the conceptual resources of normative ethics after describing the different types of ethics, including normative ethics. These conceptual resources of normative ethics include moral theories and the method of wide reflective equilibrium.

Disciplinary Maturity in Moving From Nurse Scientist to Nursing Scientist.

In this article, I discuss a provocative recommendation by the American Association of Colleges of Nursing for research doctorate education as it relates to nursing education and the broader question whether nursing scientists should be nurse scientists. I use tools from the tradition of analytic philosophy to examine issues and language underlying this discussion about nursing science, knowledge, and practice. I draw some conclusions based on my review of the association's documents and from philosophical perspectives on nursing science and practice.

Midrange Theory Evaluation to Advance Nursing Knowledge.

The author in this article presents a midrange theory evaluation framework as an update to nursing publications over the past 50 decades on theory evaluation criteria and incorporates recent philosophical perspectives on scientific theory and knowledge development. The intent also is to encourage a theorizing style that advances understanding and explanations of nursing phenomena for nursing practice as well as for the pure joy of knowing why something happens.

Selecting a theoretical framework to guide research on the COVID-19 pandemic impacts on nursing care delivery and the critical care work system (using Reed's Intermodern approach to theory critique).

Understanding the impact of COVID-19 on nursing care delivery in critical care work systems is urgently needed. Theoretical frameworks guide understanding of phenomena in research. In this paper, we critique four theoretical frameworks (Donabedian's Quality Model, the Quality Health Outcomes Model, the Systems Research Organizing Model, and the Systems Engineering (SEIPS) 2.

Standpoint Epistemology and Nursing Science.

In this article, I propose that engagement in nursing practice affords an epistemic advantage and should be included in defining nursing science and as a warrant for scientific knowledge. I appeal to standpoint epistemology, a philosophical theory, to support my proposal. A new conception of objectivity, which aligns with the contemporary practice of science and standpoint theory, is discussed.

Self-Transcendence: Moving from Spiritual Disequilibrium to Well-Being Across the Cancer Trajectory.

Objectives: To synthesize research results on self-transcendence among people affected by cancer and their caregivers to inform oncology nursing practices that promote well-being across the cancer trajectory. Self-transcendence is an inherent capacity to expand self-boundaries beyond the person's usual form to create something meaningful, whether it is a new purpose, perspective, situation, or artifact that fosters well-being.

Data Sources: Peer-reviewed, research-based publications, and peer-reviewed theoretical publications were used.

The Philosophical Turn to Mixed Methods for Nursing Science.

In this article, I explore the turn to mixed methods in nursing. I examine the alignment of key characteristics (philosophical underpinnings and the concept of integration) of mixed methods with nursing's disciplinary perspective and its links with theory. I also provide a brief overview of the history and current status of mixed methods and conclude by looking to the future to suggest an additional twist in the turn to mixed methods for nursing science.

The Epistemic Dignity of Knowledge Developed Through Nursing Practice.

In this article, I revisit a philosophical idea from Intermodernism about generating knowledge through nursing practice and examine how this may enhance the epistemic dignity of knowledge. is an evaluation of knowledge (formalized in theories) as possessing quality and worth as knowledge and as held in esteem by a disciplinary community and others. The philosophical turn toward the practice of science is discussed along with contemporary work on theoretical virtues as qualities of scientific theory.

Explanatory Power and Nursing Theory.

A theme of this article is the theory-research link and its essential role in advancing nursing science and practice. Concern is expressed over the current status of nursing theory relative to the advances in research and practice. Soon-to-be and current theoreticians and scientists are encouraged to champion not just proper but scientific nursing theories that have explanatory power.

Moving On: From Metaparadigm to Midparadigm for Knowledge Development.

This column on Philosophical Issues introduces a conceptual innovation, the , designed to facilitate continued development of nursing knowledge while moving beyond the metaparadigm. The midparadigm is a conceptual structure lower in abstraction than a metaparadigm consisting of an organization of concepts that reflect shared scientific and practical values for theory development in reference to a practice-relevant context. In this introductory article, I explain its philosophical rationale and provide other groundwork about the midparadigm.

Adaptive Preferences: A Philosophical Issue Raised by an Expanded Model of Health.

The concept of , as a phenomenon that inhibits human flourishing, has received considerable attention in the philosophical literature but not so much in the nursing literature. Yet given the nursing perspective of health, it is a relevant, if not critical, problem for practice as well as an intriguing area for scientific inquiry. As background, I present a review of dominant philosophical models of health from which I synthesize an expanded model of health that integrates naturalist and normative philosophical dimensions.

Deriving the Practice-Primed Decision Model from a naturalistic decision-making perspective for acute care nursing research.

Aim: The purpose of this article is to present the derivation of the Practice Primed Decision Model from a naturalistic decision-making framework for use in guiding future nursing decision-making research.

Background: Acute care nurses make decisions in demanding environments under the influence of many factors. The influence of these factors on nurse decision-making is not well understood leading to gaps in understanding how to best support acute care nurse decision-making.

Healing Pattern: A Natural Kind in Nursing?

This article focuses on the philosophical notion of natural kind to explore healing pattern as a relevant and natural process in nursing science and practice. A goal in doing this is to facilitate continued empirical investigation of and evidence for nursing's ontological claim about the existence of a healing pattern. I review various accounts of natural kind, with applications to nursing and the healing pattern.

Intermodernism: A Philosophical Perspective for Development of Scientific Nursing Theory.

Nursing is not only a professional practice, it is a scientific practice as well. One aspect of this practice involves development of scientific theory. In this article, I present a philosophical perspective called intermodernism for considering the content, structure, and process of scientific theory.

Entanglement and the Relevance of Method in Qualitative Research.

This brief article is an introduction to the feature article on self-reflection in interpretive phenomenology research. Self-reflection is discussed as a method that warrants more explicit description in the practice of qualitative research. Research does not occur in an epistemic vacuum.

Philosophical Issues and Nursing Science.

The author of this article introduces a new column that will explore philosophical issues of concern to nurse scientists. In this initial column, I review the general terrain of philosophy in nursing science and explore some philosophical issues relevant to theory development. One conclusion is that inquiry into philosophical issues may help expand our repertoire of conceptual tools useful in building scientific knowledge and facilitating theoretical progress.

Philosophical Clarity and Justifying the Scope of Advanced Practice Nursing.

The United States (US) Department of Veterans Affairs proposed a policy change for nursing practice that would grant full practice authority to advanced practice registered nurses (APRNs) nationwide. In this article, the author briefly explains this proposed policy and explores the relevance and implications of bringing philosophy into policy debates and discussions about the nature and scope of practice.