Analysis of care narratives and patterns of knowledge in nursing: a qualitative systematic review
DOI:
https://doi.org/10.71112/7vpt2706Keywords:
Nursing Narrative, Knowledge, Nursing Care, Qualitative Research, anization of Care, Patterns of Knowing, CarperAbstract
Objective: To analyze nursing narratives from the perspective of Carper’s patterns of knowledge to understand the lived experience in care. Methods: Qualitative systematic review following PRISMA 2020 guidelines, with systematic search in Scopus, PubMed, SciELO and CINAHL until December 2023. Two independent reviewers conducted selection using Rayyan and assessed methodological quality with CASP. Results: Analysis of 45 narratives revealed holistic integration of the four knowledge patterns. Aesthetic knowledge allows creative application of scientific evidence, while personal and ethical knowledge underpin the therapeutic relationship. Significant barriers were identified including limited narrative competence, lack of patient cooperation and restrictive conditions. Conclusions: Narratives demonstrate the complexity of nursing knowledge, promoting humanized care that integrates patterns interdependently.
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Benner, P. (1982). From novice to expert. American Journal of Nursing, 82(3), 402–407. https://doi.org/10.1097/00000446-198282030-00004 DOI: https://doi.org/10.1097/00000446-198282030-00004
Benner, P., Sutphen, M., Leonard, V., y Day, L. (2010). Educating nurses: A call for radical transformation. Jossey-Bass.
Booth, A., Clarke, M., Dooley, G., Ghersi, D., Moher, D., Petticrew, M., y Stewart, L. (2012). The nuts and bolts of PROSPERO: An international prospective register of systematic reviews. Systematic Reviews, 1, 2. https://doi.org/10.1186/2046-4053-1-2 DOI: https://doi.org/10.1186/2046-4053-2-4
Braun, V., y Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77–101. https://doi.org/10.1191/1478088706qp063oa DOI: https://doi.org/10.1191/1478088706qp063oa
Brazil, K., Ozer, E., Cloutier, M. M., Levine, R., y Stryer, D. (2005). From theory to practice: Improving the impact of health services research. BMC Health Services Research, 5, 1. https://doi.org/10.1186/1472-6963-5-1 DOI: https://doi.org/10.1186/1472-6963-5-1
Carper, B. A. (1978). Fundamental patterns of knowing in nursing. Advances in Nursing Science, 1(1), 13–23. https://doi.org/10.1097/00012272-197810000-00004 DOI: https://doi.org/10.1097/00012272-197810000-00004
Carper, B. (1994). Fundamental patterns of knowing in nursing. En J. F. Kikuchi y H. Simmons (Eds.), Developing a philosophy of nursing (pp. 15–23). Sage Publications.
Charon, R. (2006). Narrative medicine: Honoring the stories of illness. Oxford University Press. https://doi.org/10.1093/oso/9780195166750.001.0001 DOI: https://doi.org/10.1093/oso/9780195166750.001.0001
Chinn, P. L., y Kramer, M. K. (2023). Integrated theory and knowledge development in nursing (10.ª ed.). Elsevier.
Critical Appraisal Skills Programme. (2018). https://casp-uk.net/casp-tools-checklists/
dos Santos Alves, D. F., da Silva, D., y de Brito Guirardello, E. (2017). Nursing practice environment, job outcomes and safety climate. Journal of Nursing Management, 25(1), 46–53. https://doi.org/10.1111/jonm.12427 DOI: https://doi.org/10.1111/jonm.12427
Durán de Villalobos, M. M. (2002). Marco epistemológico de la enfermería. Aquichán, 2(1), 7–18. http://www.scielo.org.co/scielo.php?script=sci_arttext&pid=S1657-59972002000100003
Escobar-Castellanos, B., y Sanhueza-Alvarado, O. (2018). Patrones de conocimiento de Carper y expresión en el cuidado de enfermería: Estudio de revisión. Enfermería (Montevideo), 7(1), 27–42. https://doi.org/10.22235/ech.v7i1.1540 DOI: https://doi.org/10.22235/ech.v7i1.1540
Freshwater, D., y Stickley, T. (2004). The heart of the art: Emotional intelligence in nurse education. Nursing Inquiry, 11(2), 91–98. https://doi.org/10.1111/j.1440-1800.2004.00201.x DOI: https://doi.org/10.1111/j.1440-1800.2004.00198.x
Hsu, L. L., Huang, Y. H., y Hsieh, S. I. (2020). The effects of scenario-based communication training on nurses’ communication competence and self-efficacy. Journal of Nursing Research, 28(2), e75. https://doi.org/10.1097/jnr.0000000000000355 DOI: https://doi.org/10.1097/jnr.0000000000000355
Kleinman, A. (1988). The illness narratives: Suffering, healing, and the human condition. Basic Books. https://doi.org/10.1056/NEJM198901263200420 DOI: https://doi.org/10.1056/NEJM198901263200420
Liu, Y., Zhao, P., Wu, J., y Li, B. (2024). Impact of narrative nursing cognition, self-efficacy, and social support on narrative nursing practice among nurses: A cross-sectional study. BMC Nursing, 23, 624. https://doi.org/10.1186/s12912-024-02292-2 DOI: https://doi.org/10.1186/s12912-024-02292-2
Long, H. A., French, D. P., y Brooks, J. M. (2020). Optimising the value of the critical appraisal skills programme (CASP) tool for quality appraisal in qualitative evidence synthesis. Research Methods in Medicine & Health Sciences, 1(1), 31–42. https://doi.org/10.1177/2632084320947559 DOI: https://doi.org/10.1177/2632084320947559
Muñoz Angel, Y. M. (2019). Patrón de conocimiento personal identificado en narrativas de profesores de Enfermería. Revista Cuidarte, 10(2), e688. https://doi.org/10.15649/cuidarte.v10i2.688 DOI: https://doi.org/10.15649/cuidarte.v10i2.688
Ouzzani, M., Hammady, H., Fedorowicz, Z., y Elmagarmid, A. (2016). Rayyan—a web and mobile app for systematic reviews. Systematic Reviews, 5, 210. https://doi.org/10.1186/s13643-016-0384-4 DOI: https://doi.org/10.1186/s13643-016-0384-4
Page, M. J., McKenzie, J. E., Bossuyt, P. M., Boutron, I., Hoffmann, T. C., Mulrow, C. D., Shamseer, L., Tetzlaff, J. M., Akl, E. A., Brennan, S. E., Chou, R., Glanville, J., Grimshaw, J. M., Hróbjartsson, A., Lalu, M. M., Li, T., Loder, E. W., Mayo-Wilson, E., McDonald, S., … Moher, D. (2021). The PRISMA 2020 statement: An updated guideline for reporting systematic reviews. BMJ, 372, n71. https://doi.org/10.1136/bmj.n71 DOI: https://doi.org/10.1136/bmj.n71
Polit, D. F., & Beck, C. T. (2022). Essentials of nursing research: Appraising evidence for nursing practice (10th ed.). Wolters Kluwer.
Quiñonez-Mora, M. A., y Bueno-Robles, L. S. (2022). Narrativa “amar, cuidar y trascender”: Aporte al conocimiento de enfermería. Cultura de los Cuidados, 26(64), 148–160. https://doi.org/10.14198/cuid.2022.64.13 DOI: https://doi.org/10.14198/cuid.2022.64.13
Rathert, C., May, D. R., & Williams, E. S. (2011). Beyond service quality: The mediating role of patient safety perceptions in the patient experience-satisfaction relationship. Health Care Management Review, 36(4), 359–368. https://doi.org/10.1097/HMR.0b013e318219cda1 DOI: https://doi.org/10.1097/HMR.0b013e318219cda1
Sandelowski, M. (2000). Focus on research methods: Whatever happened to qualitative description? Research in Nursing & Health, 23(4), 334–340. https://doi.org/10.1002/1098-240X(200008)23:4<334::AID-NUR9>3.0.CO;2-G DOI: https://doi.org/10.1002/1098-240X(200008)23:4<334::AID-NUR9>3.0.CO;2-G
Tong, A., Flemming, K., McInnes, E., Oliver, S., y Craig, J. (2012). Enhancing transparency in reporting the synthesis of qualitative research: ENTREQ. BMC Medical Research Methodology, 12, 181. https://doi.org/10.1186/1471-2288-12-181 DOI: https://doi.org/10.1186/1471-2288-12-181
Valderrama Sanabria, M. L., Peña Pita, A. P., y Clavijo Álvarez, L. M. (2017). Narrativa: El estudiante de enfermería aprendiendo el arte de cuidar. Revista Cuidarte, 8(1), 1488–1498. https://doi.org/10.15649/cuidarte.v8i1.362 DOI: https://doi.org/10.15649/cuidarte.v8i1.362
White, J. (1995). Patterns of knowing: Review, critique, and update. Advances in Nursing Science, 17(4), 73–86. https://doi.org/10.1097/00012272-199506000-00007 DOI: https://doi.org/10.1097/00012272-199506000-00007
Witham, G., y Haigh, C. (2018). Narrative intelligence in nursing: Narrating the lives of persons with dementia. Nursing Inquiry, 25(3), e12244. https://doi.org/10.1111/nin.12244 DOI: https://doi.org/10.1111/nin.12244
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