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CHAPTER 37  State of the Art and Science of Nursing Theory  715

                                                         conferences  alternate  between  the  United  States
                  Person Environment Health Nursing      and other countries. The 2010, the conference was held
                                                         in  Thailand.  Parse’s  Institute  of  Humanbecoming
                     Conceptual models of nursing        and Watson’s Consortium on Caring Science draw
                                                         international  applicants  each  year.  The  12th  Interna-
                       Grand theories, theories
                                                         tional  Biennial  Neuman  Systems  Model  Symposium
                                                         was  titled  Enhancing  Global  Health  with  Nursing
                                                         Theories—NSM.  This  may  be  attributed  to  global
                                                         communication, increased world travel, and transla-
                       Middle range theories             tion  of  nursing  theory  textbooks  into  other  lan-
                                                         guages.  Nurses  around  the  world  are  embracing
                                                         nursing theory as they experience its utility in their
                                                         practice. Numerous nursing journals publish articles
                                                         by international scholars such as: Journal of Nursing
                             Themes
                                                         Scholarship, Nursing Science Quarterly, Journal of Ad-
                       Qualitative interpretation        vanced  Nursing,  Visions:  The  Journal  of  Rogerian
                                                         Nursing Science,and International Journal for Human
                              Text                       Caring, to name a few.
                                                             Various  editions  of  Nursing  Theorists  and  Their
           FIGURE 37-1   Middle-range theory in a generic structure of   Work (Marriner Tomey, 1989, 1994; Marriner Tomey
           nursing  knowledge  from  quantitative  research  methods  and   & Alligood, 1998; 2002; 2006; Alligood & Marriner
           qualitative research approaches.  (Includes data from Fawcett, J.   Tomey, 2010) and Nursing Theory: Utilization and Ap-
           [2005]. Contemporary nursing knowledge: Nursing models and   plication  (Alligood  &  Marriner  Tomey,  1997,  2002,
           theories. Philadelphia: F. A. Davis.)
                                                         2006; Alligood, 2010a) have been published in classi-
                                                         cal  Chinese,  which  is  Taiwanese,  Finnish,  German,
             Application  of  middle-range  theories  in  nursing   Italian, Japanese, Korean, Spanish, and Portuguese as
           practice is improving nursing practice quality, whether   well as international circulation to English-speaking
           developed quantitatively or qualitatively. Both approaches   countries. Publications demonstrate global interest in
           are at the level of practice and develop useful nursing   nursing conceptual models and nursing theories. In
           knowledge. Consideration of middle-range theory in a   addition, the theoretical works of international theo-
           generic structure of knowledge reveals that theory from   rists are included in this text: Evelyn Adam, Canada
           the  hypothetical-deductive  method  and  theory  from   (Chapter  5).  Roper,  Logan,  and  Tierney,  Scotland
           qualitative approaches arrives at a similar level of abstrac-  (Chapter  5),  Katie  Eriksson,  Finland  (Chapter  11),
           tion. In spite of different philosophical bases, methods,   Phil  Barker,  Ireland  (Chapter  32),  Kari  Martinsen,
           and  approaches,  the  knowledge  is  at  a  similar  level  of   Norway  (Chapter  10),  and  Nightingale,  England
           abstraction (Figure 37–1).                    (Chapter 6). A PubMed search of nursing theory pub-
                                                         lications  in  each  language  possible  in  PubMed  was
                                                         conducted on October 23, 2008, and again on August
            Global Communities of Nursing                24, 2012, which is evidence of growth. (Table 37–1)
            Scholars                                       Current trends indicate that global consciousness has
           In addition to the growth stimulated by a broader phi-  arrived  evidenced  by  nursing  theory  articles  from
           losophy of nursing science and emergence of middle-  around  the  world  in  nursing  journals  in  the  United
           range theories, a major contribution to the state of the   States and other countries (Hisama, 1999; Im & Chang,
           art  and  science  of  nursing  theory  is  globalization  of   2012; Tanaka, Katsuno, and Towako, et al., 2012). Sigma
           communities of nurse scholars with vast communica-  Theta  Tau  International  with  worldwide  membership
           tion via the Internet. Most nursing conceptual model   and  international  conferences  has  contributed  along
           and  theory  societies  or  consortia  have  international   with  the  Internet.  The  Journal  of  Nursing  Scholarship
           members.  The  International  Orem  Society  biennial   features articles from global members (Palese, Tomietto,
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