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NSQXXX10.1177/0894318419882029Nursing Science QuarterlyFawcett/Essays on Nursing Science

Essays on Nursing Science

Nursing Science Quarterly

Thoughts About Nursing Science and


2020, Vol. 33(1) 97­–99
© The Author(s) 2019
Article reuse guidelines:
Nursing Sciencing Revisited sagepub.com/journals-permissions
DOI: 10.1177/0894318419882029
https://doi.org/10.1177/0894318419882029
journals.sagepub.com/home/nsq

Jacqueline Fawcett, RN; PhD; FAAN1

Abstract
This essay includes an update of the first essay for this column, published in the first issue of 2012. The current essay includes
various definitions of nursing as a discipline, and definitions of science, nursing science, and Parsesciencing, as well as a
discussion of the work of nurse scientists. The Nursing Now initiative is identified as a way in which the contributions of the
work of nurse scientists can be highlighted on a global scale.

Keywords
nursing, nursing now, nursing science, parsesciencing, science

In the 25th anniversary issue of NSQ, I first wrote about living and dying” (Willis, Grace, & Roy, 2008, pp.
nursing science and sciencing (Fawcett, 2012). In this essay, E32–E33).
I am revisiting and updating what I wrote then. The starting •• “The core focus of nursing, the metaparadigm, is the
place is various definitions of nursing as a discipline—that human-universe-health process” (Parse, 1997, p. 74).
is, the central focus of our discipline and practice profession. •• “Nursing is the study of human health and illness pro-
Next, definitions of science and nursing science are given, cesses. Nursing practice is facilitating, supporting and
followed by a discussion of sciencing. This essay continues assisting individuals, families, communities, and/or
with a discussion of what nurse scientists do and ends with societies to enhance, maintain and recover health,
an idea of how to advance understanding of nursing science, and to reduce and ameliorate the effects of illness.
sciencing, and nurse scientists’ work. Nursing’s relational practice and science are directed
toward the explicit outcome of health related quality
of life within the immediate and larger environmental
Nursing contexts” (Thorne et al., 1998, p. 1265).
The definition of nursing as a discipline and practice profes- •• “The central phenomenon [of nursing] is the respect
sion—or the disciplinary focus—continues to evolve. For for or the restoration of human dignity, our being in
example, I recently defined nursing (which I referred to as nur- community, our sea, our moral imperative” (Jacobs,
sology) as “knowledge of the phenomena of interest to 2001, p. 33).
[nurses], which are [why, when, where, and how nurses] col-
laborate with other human beings as they experience wellness,
Science and Nursing Science
illness, and disease, within the context of their environments.”
(Fawcett, 2019, p. 919). A dictionary definition of science is “a discipline, field of
Although more detailed lists of definitions of nursing by study, or activity concerned with theory rather than method,
several nurses are given by Chinn (2019) and Smith (2019), or requiring the knowledge and systematic application of
a few exemplary definitions are listed here: principles, rather than relying on traditional rules, acquired
skill, or intuition” (Oxford English Dictionary Online,
•• “Nursing is the study of caring in the human health 1910/2014). Another definition, which includes methods, is
experience” (Newman, Sime, & Corcoran-Perry, 1991,
p. 3). 1
Professor, Department of Nursing, University of Massachusetts Boston,
•• “[H]uman care, health, and environmental cultural Boston, MA, USA
context must become the central focus, essence, and
dominant domains of nursing knowledge” (Leininger, Contributing Editor:
Jacqueline Fawcett RN; PhD; FAAN, Professor, College of Nursing and
1995, p. 97). Health Sciences, University of Massachusetts Boston, 100 Morrissey
•• The focus of the discipline is “facilitating humaniza- Boulevard, Boston, MA 02125-3393, USA.
tion, meaning, choice, quality of life, and healing in Email: jacqueline.fawcett@umb.edu
98 Nursing Science Quarterly 33(1)

“a branch of study that deals with a connected body of dem- scientists, then, are nurses who are experts in or students of
onstrated truths or with observed facts systematically classi- the phenomena of interest to the members of the discipline of
fied and more or less comprehended by general laws, and nursing.
incorporating trustworthy methods (now esp. those involv- Nurse scientists conduct research designed to generate
ing the scientific method and which incorporate falsifiable new middle-range and situation-specific theories and test
hypotheses) for the discovery of new truth in its own domain” existing middle-range and situation-specific theories derived
(Oxford English Dictionary Online, 1910/2014). Within the from nursing conceptual models and grand theories. These
discipline of nursing, Rogers (1964) defined science as “a theories, which are products of the work of nurse scientists,
body of knowledge characterized by descriptive, explanatory constitute the evidence needed for evidence-based practice.
and predictive principles about the life process of [human The ultimate goal of all this work is formulation of guide-
beings]” (p. 37). lines for practice, including assessment formats and inter-
vention protocols. Thus, although nurse scientists are
engaged in the work of knowledge development and dissem-
Nursing Science
ination, they always are aware of the need to translate their
Nursing science, which typically is regarded as a basic sci- work into practical activities that are targeted to enhancing
ence, is the nursing discipline-specific knowledge that is the quality of life of those people who seek nurses’ service.
generated by means of empirical research and other methods
of inquiry, such as historical inquiry and philosophical
inquiry. The goal of nursing science is to “expand knowledge
Advancing Understanding of Nursing
about human experiences through research and creative con- Science, Sciencing, and Nurse
ceptualization” (Parse, as cited in Fawcett, 2001, p. 127). Scientists’ Work
Nursing Now is the perfect opportunity to showcase nursing
Sciencing science, to communicate to the global community the intel-
lectual component of nursing—that is, the science (or sci-
The definitions of science indicate that, as Parse (2001) encing) that undergirds nursing practice. Nursing Now, a
pointed out, science refers to a type of inquiry that involves 3-year global program of the Burdett Trust of Nursing, is
pursuit and achievement of what is regarded as absolute being conducted in collaboration with the International
truth that does not have to be disputed and does not change. Council of Nurses (ICN) and the World Health Organization
She then proposed that the term Parsesciencing “is in stark (WHO). The campaign website (https://www.icn.ch/what-
contrast to science . . . [and] implies that knowing is ever- we-do/campaigns/nursing-now) includes this explanation of
changing with new experiences” (Parse, 2001, p. 1). Nursing Now:
Furthermore, Parsesciencing “is coming to know; it is an
ongoing inquiry to discover and understand” the phenomena Nurses are at the heart of most health teams, playing a crucial
that are the focus of each nursing conceptual model and role in health promotion, disease prevention and treatment. As
theory (Parse, 2010, p. 281). Clearly, Parse regards science the health professionals who are closest to the community, they
as anything but static or absolute truth. Furthermore, Parse have a particular role in developing new models of community-
(2014) described Parsesciencing as the horizon of inquiry based care and support local efforts to promote health and
used for study of the theory of humanbecoming. prevent disease. (para 2)
Later, Parse (2016) indicated that Parsesciencing is a
basic mode of inquiry, which is consistent with Rogers’s I encourage all nurses to participate in the Nursing Now
(1964) early claim that nursing is a basic science. Given campaign by sharing their work with campaign leaders and
Rogers’s continuing focus on the continual change and evo- by pledging support for the campaign via https://www.nurs-
lution of human and environmental energy fields, it is quite ingnow.org/join-the-campaign/. In doing so, nurses world-
possible that Rogers would have agreed with Parse that sci- wide will gain even more recognition than we now have.
ence certainly is not static or focused on discovery of abso-
lute truths but instead always is changing. Perhaps Rogers Conclusion
even would also have used the term sciencing rather than
science. Chinn’s words, written in 2008, provide what I consider a
satisfying conclusion for this essay. She stated:

The Work of Nurse Scientists The discipline is distinguished by the social and cultural
constraints that are imposed both externally and internally. The
Paraphrasing a dictionary definition of a man of science and a definition of the science, the phenomena [of] concern, the
woman of science, a scientist can be defined as a person who group’s collectively accepted knowledge, the accepted method
is “an expert in or student of one or more branches of . . . sci- and practices—all form a structure without which the discipline
ence” (Oxford English Dictionary Online, 1910/2014). Nurse would be indistinguishable. (Chinn, 2008, p. 1).
Fawcett/Essays on Nursing Science 99

Declaration of Conflicting Interests Leininger, M. M. (1995). Transcultural nursing: Concepts, theo-


ries, research and practices. New York, NY: McGraw-Hill.
The author declared no potential conflicts of interest with respect to
Newman, M. A., Sime, A. M., & Corcoran-Perry, S. A. (1991).
the authorship and/or publication of this review.
The focus of the discipline of nursing. Advances in Nursing
Science, 14(1), 1–6.
Funding Oxford English Dictionary Online. (1910/2014). Definitions of sci-
The author received no financial support for the authorship and/or ence. Retrieved from https://www-oed-com.ezproxy.lib.umb
publication of this review. .edu/view/Entry/172672?redirectedFrom=science#eid
Parse, R. R. (1997). The language of nursing knowledge: Saying
ORCID iD what we mean. In I. M. King & J. Fawcett (Eds.), The language
of nursing theory and metatheory (pp. 73–77). Indianapolis,
Jacqueline Fawcett https://orcid.org/0000-0002-1091-8873
IN: Sigma Theta Tau International Center Nursing Press.
Parse, R. R. (2001). Qualitative inquiry: The path of sciencing.
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