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CHAPTER 3  Theory Development Process  31

           are to some degree attempting to predict. This form    highly  developed  form  of  theory  development  that
           of theory organization consists of a set of concepts, a   builds successively on previous research findings in
           set of definitions, a set of existence statements, and a   the researchers’ area of research with extensive theory
           set of theoretical statements specifying a causal pro-  building and testing over time. Figure 3-1 displays a
           cess (Reynolds, 1971). Concepts include abstract and   causal model for testing a theory of active coping. The
           concrete ideas. Existence statements function as they   broken lines show direction of expected linkage. The
           do in axiomatic theories to describe the scope condi-  dotted  lines  indicate  potential  new  relationships.
           tions  of  the  theory;  that  is,  the  assumed  situations   The arrows indicate the direction of cause that is pre-
           where the theory applies (Dubin, 1978; Hage, 1972;   dicted in the hypotheses of the study. The numbers
           Reynolds,  1971).  Causal  statements  specify  the  hy-  along the lines identify previous studies that lend sup-
           pothesized effects of one variable upon one or more   port for the relationships being proposed.
           other  variables  for  testing.  In  complex  causal  pro-
           cesses, feedback loops and paths of influence through   Contemporary Issues in Nursing
           several variables are hypothesized in a set of interre-  Theory Development
           lated causal statements (Mullins, 1971; Nowak, 1975).
           Reynolds  (1971)  concludes  that  the  causal  process   Theoretical Boundaries and Levels
           form  of  theory  provides  for  testing  an  explanation    to Advance Nursing Science
           of  the  process  of  how  events  happen.  He  identified   Since  Fawcett’s  (1984)  seminal  proposal  of  the  four
           several advantages of the causal process form of orga-  metaparadigm concepts: person, environment, health,
           nization. First, like axiomatic theory, it provides for   and nursing, general agreement has emerged among
           highly  abstract,  theoretical  concepts.  Second,  like    nursing scholars such that the proposed framework
           axiomatic  theory,  this  form  permits  more  efficient   is now used without reference to the author for the
           research testing with its interrelated theoretical state-  development of nursing science. In general, a metapar-
           ments. Finally, the causal process statements provide   adigm  should  specify  the  broad  boundaries  of  the
           a sense of understanding in the phenomenon of inter-  phenomenon of concern in a discipline, for example,
           est  that  is  not  possible  with  other  forms.  This  is  a   to  set  nursing  apart  from  other  disciplines,  such  as






                                                             Passive/
                                                             avoidance
                                     1,2,3,4 (+)              coping
                                             1,2,3 (+)                         1,3 (+)
                                                                 1,2,3 (+)
                                 1,2,3,4 (+)             1,2,3 (+)
                        Conflicts         Perceived                           Psychological
                                           stress                               distress


                                           1,2,3 (+)


                        Available/         1,2,4 (+)          Active
                         enacted                              coping
                       social support

                   FIGURE 3-1   Causal model of active coping. (From Ducharme, F., Ricard, N., Duquette, A., & Lachance, I.
                   (1998). Empirical testing of a longitudinal model derived from the Roy Adaptation Model. Nursing Science
                   Quarterly, 11(4), 149–159.)
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