ANS. Advances in nursing science
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Components that promote nurse innovation in acute care hospitals are explicated in the Acute Care Nursing Innovation Model. Grounded in nursing care delivery systems and excellent management-organizations perspectives, nurse executives and 30 nurse "intrapreneurs" from 10 innovative hospitals spanning the United States shared their experiences and insights through semistructured, tape-recorded telephone interviews. Guided by interpretive interactionist strategies, the essential components, characteristics, and interrelationships are conceptualized and described so that others may be successful in their innovative endeavors. Successful innovation is dependent on the fit between and among the components; the better the fit, the more likely the innovation will succeed.
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Research to date in the field of nursing ethics has overlooked the nature of the guiding moral framework in nursing practice, while focusing primarily on the moral reasoning and moral behaviors among nurses. This research depicts two moral frameworks--a principle-oriented ethic and the ethic of care--as they are experienced by practicing critical care nurses. The interdependence of these two frameworks as they inform the moral experience of the nurse is demonstrated in the analysis of a complex nurse narrative that depicts the nurse's moral struggle.
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The place of scholarly research in nursing has not been well studied. Ethical inquiry, as scholarly research, has been included in this neglect. ⋯ Forms of ethics research identified are scholarly, empirical, and dual mode. Questions considered are: Is ethics research research? What are the forms of ethics research? What is the role of empiricism in ethics research? And what is the relationship of ethics research to the moral concerns of nursing? Ethics research explores the basic moral norms undergirding nursing research, practice, and education.
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Maslow's hierarchy of basic human needs provides a major theoretical framework in nursing science. The purpose of this study was to empirically test Maslow's need theory, specifically at the levels of physiological and security needs, using a hologeistic comparative method. Thirty cultures taken from the 60 cultural units in the Health Relations Area Files (HRAF) Probability Sample were found to have data available for examining hypotheses about thermoregulatory (physiological) and protective (security) behaviors practiced prior to sleep onset. The findings demonstrate there is initial worldwide empirical evidence to support Maslow's need hierarchy.