Advancing nursing practice: Defining of Practical and Theoretical Knowledge

Work nursing knowledge, which in the past has been accepted as the provenance of advanced practice.

The advancing practice is central to the development of nursing practice and it takes on many different forms depending on its use. To many it has become synonymous with the work of the advanced or expert practitioner; others have viewed it as a process of continuing professional development and skills acquisition. Moreover, it is becoming closely linked with practice development. And so many discussions are there for to what constitutes the knowledge necessary for advancing and advanced practice, and it has been suggested that theoretical and practical knowledge form the cornerstone of advanced knowledge.

A thematic analysis of the current discourse relating to knowledge integration models in an advancing and advanced practice arena was used to identify concurrent themes relating to the knowing‐how knowing‐that done work which commonly used to classify the knowledge necessary for advanced nursing practice.

There is a dichotomy as to what constitutes knowledge for advanced and advancing practice. So many are proposed a variety of different models, but it is the application and integration of theoretical and practical knowledge that defines and develops the advancement of nursing practice. And another work maybe shows differences in the way that nursing knowledge important for advancing practice is perceived, developed and coordinated.

What has inevitably been neglected is that there are various other variables which when transposed into the existing knowing‐how knowing‐that framework allows for advanced knowledge to be better defined. One of the more notable variables is pattern recognition, which became the focus of work on expert practice. Therefore, if this is included into the knowing‐how knowing‐that work, the knowing‐how becomes the knowledge that contributes to advancing and advanced practice and the knowing‐that becomes the governing action based on a deeper understanding of the problem or issue.

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