Nursing theory development: successes and challenges

Central to this paper is the belief that developing nursing theory is fundamental to establishing nursing's scientific foundation. Therefore, the paper examines successes and challenges in nursing theory development. This is achieved by evaluating both the present status of nursing theory as well as ideas for future directions. Within present status, the author considers three areas--those in which there is agreement, those in which both opinions differ and the prescribed course of relationships has not yet been achieved, and those which may serve as catalysts for future progress. A tripartite framework is also used to contemplate future directions by evaluating how nursing's knowledge has developed, what improvements and refinements might take place, and how the domains of nursing might be expanded. The author concludes that satisfaction and pride in current successes are not only justified but may motivate future pursuits; pursuits that are necessary to advancing the discipline of nursing.     

Using meta‐ethnography to understand the emotional impact of caring for people with increasing cognitive impairment

The majority of people with degenerative neurological conditions are cared for within their own families. Cognitive impairment can be a significant and increasing symptom of these conditions. In this article we report how a team of experienced researchers carried out a meta‐ethnography of qualitative research articles focusing on the impact of caring for a loved one with cognitive impairment. We followed the seven‐step process outlined by Noblit and Hare. Synthesized findings from 31 papers suggest emotional impact is complex and uncertain and varies from day to day. The benefit of using meta‐ethnography is that the results represent a larger sample size and a reinterpretation of multiple studies can hold greater application for practice. The results of this study offer an opportunity for nurses to be aware of both the positive and negative sides of caring and being cared for. This knowledge can be used to discuss with patients and carers how best to prepare for decreasing cognition and still maintain a worthwhile quality of life.