2. Introduction
⢠Philosophy of science is the perspective the
nurse utilizes in every patient, family, or group
encounter.
⢠Each individual has his or her own philosophy
that determines the ideas he or she is or is not
open to.
⢠It is important for nurses to examine their
philosophy and question the assumptions they
make.
3. What Is Science?
⢠Science is from the Latin word scientia, which
means âknowledge.â
⢠It refers to both processes and outcomes of
processes, such as general laws and
observations.
⢠Laws are utilized in systematic ways to create
a body of knowledge about a topic.
4. Natural Hard Sciences
⢠Physics, mathematics, and chemistry are examples of
natural sciences.
⢠Considered âpure,â or stand alone, unique bodies of
knowledge.
⢠Based on the assumption that reality is objective and,
therefore, reproducible and reliable.
⢠Explanations are reasonable, constant and consistent,
accurate, objective, discoverable, and understandable
⢠In medicine, they assume a disease focus rather than a
person focus.
5. Soft Applied Sciences
⢠Sociology, psychology, and anthropology are
examples of applied sciences.
⢠Focus is on the application of bodies of knowledge to
meet human needs.
⢠Rely on inherent assumptions of natural sciences but
do not assume that reality is objective.
⢠In medicine, soft applied sciences are found in social
work, psychotherapy and examination of healthcare
disparities.
6. Human Science
⢠Emphasizes the importance of individual scientists on
the scientific process.
⢠Posits that the nature of science and role of the
scientist are different when a subject is viewed as
human science rather than natural or applied
science.
⢠The scientist and the subject cannot be separated
from each other
⢠In medicine, human science is the nurseâs
recognition of himself or herself as a scientist
involved in providing care.
7. Scientific Method: Physical Science
⢠Natural science relies on a linear problem solving
process, or the scientific method.
⢠Method is base on the assumption that observation
is universal.
⢠The goal is accurate, reproducible events that do not
take researcher individuality or consciousness into
account (control through prediction).
⢠Decisions scientists make impact results, which
introduces a subjective element.
8. The Aim of Science
⢠Natural sciences aim to develop knowledge
for the sake of developing knowledge and
search for truth.
⢠Applied sciences aim to utilize knowledge by
applying it to a specific purpose.
⢠Human science aims to improve quality of life
and highlight individual importance by
understanding what helps people maximize
their functional abilities.
9. Scientific Method: Human Science
⢠Due to its concrete rather than abstract
nature, human science utilizes different
methods than natural sciences.
⢠Scientists and subjects are treated as parts of
the same whole and methods are dynamic
while still being rigorous.
⢠Contextual consistency, purposive sampling,
question validity, and message validation are
emphasized.
10. Criteria for Science (1 of 2)
⢠Science must differentiate itself from non-
science or pseudoscience; this is particularly
true of natural sciences and relies on five
criteria:
â Intersubjective testing: Two people observing the
same entity the same way should obtain the same
results
â Reliability: The same result is achieved time and
again under the same conditions
11. Criteria for Science (2 of 2)
â Definiteness and precision: Creating identical
circumstances for repeat experiments leads to the
same results.
â Coherence: A focus on the connectedness of the
parts of an experiment and their relation to one
another.
â Comprehensiveness and scope: The ability of an
outcome to be used for something other than its
intended purpose.
12. Questions for the Practitioner
⢠Is nursing pure or applied science?
⢠Is care provided for the purpose of prediction and
control?
⢠Are there universals in patient care provision?
⢠Does an external world independent of human
consciousness color patient care?
⢠Does nursing satisfy the five science criteria?
⢠Is nursing practice objective?
13. Philosophy
⢠Philosophy comes from the Greek philosophia which
means âlove of wisdom.â
⢠Involves the search for meaning and represents a
perspective and its set of beliefs.
⢠Is both a process and an outcome.
⢠It is the application of a belief to situations known
and unknown.
⢠Relies on epistemology and ontology in the
application of a belief to situations.
14. Philosophy of Science
⢠Philosophy of science is where the two disciplines
meet to examine a body of knowledge and the
approaches used to study it.
⢠In nursing, it is an examination of concepts, theories,
and laws as they relate to practice, understanding,
deliberate thought, and evolution of praxis.
⢠Requires mindfulness of objective and individual
perspectives and comfort with the assumptions and
underpinnings of the various philosophical
perspectives.
15. How Do We Know?
⢠Key Question in philosophy of science
⢠Tradition
⢠Authorities (institution, police, professor, church)
⢠Doctrine
⢠Reason
⢠Common sense
⢠Science
â Knowledge derived from methods that may be linear or
complex (chaotic) depending on the view and approach
16. Analytic Philosophy (1 of 3)
⢠Focuses more on the use of the process of logic and
rational discourse than on the subject itself.
⢠Focuses on the search for a single truth through
scientific process.
⢠Closely associated with logical positivism, rigid
adherence to the scientific method, and the belief in
external world structure.
⢠Based on the belief that a statement is meaningful
only if it is proven true or false through
experimentation.
17. Analytic Philosophy: Logical Positivism (2 of 3)
⢠Four rules of logical positivism
â Phenomenalism
â Nominalism,
â The denial of cognitive value in value judgments and
normative statements
â The essential unity of the scientific method
⢠Requires a rigid adherence to the scientific method,
a belief in cause and effect, replicability, and an
unwavering belief in an external world structure that
remains independent of self.
⢠Belief in verifiability principle.
18. Analytic Philosophy (2 of 3)
⢠Criticized as too rigid, too deductive, and lacking
recognition of the human experience.
⢠Logical positivism segued into empiricism.
⢠The scientific method is paramount, but truths must be
generated by experience
⢠Both logical positivism and empiricism were
incorporated into the received view (realism).
⢠Theories are either right or wrong and must be formalized
and axiomized
⢠Based on the search for a single truth
19. Continental Philosophy (1 of 3)
⢠Focuses on the connection of an idea to the
world and historical context around that idea.
⢠About the relationships among people, ideas,
meaning, and historical connectedness rather
than theories or truths.
⢠Human science is dominated by continental
philosophy and is based on connectedness, not
cause and effect.
⢠It examines lived experiences in the past as well
as the present and historical context.
20. ⢠Phenomenology: There is value in universal experience.
â Focus on examining phenomena that appear in the consciousness of the
subjects
â From an examination of personal experience, the essences of the
phenomena are drawn
⢠Hermeneutics: deals with the interpretation of a message that
is being delivered.
â Meaning and understanding are the aims of philosophical inquiry
â Assumes that people are social and dialogical beings; that culture,
language, skills, and experiences create shared understandings; that
there is a continual circle of connectedness and understanding; that
understanding precedes interpretation; and that the interpreter and the
interpreted are seen as one
Continental Philosophy (2 of 3)
21. Continental Philosophy(3 of 3)
⢠Post-structuralism: The messageâs meaning is determined
by the recipientâs perception and the vehicle for delivery is
not significant to the message.
â The study of structures is a cultural phenomenon open to
interpretations/ misinterpretations
â Equalizes the imbalance of power between providers and patients
⢠All varieties evolve around context, meaning, and the
knowing of the subject.
⢠Collectively, continental philosophies may also be called
the perceived view, antirealism, or idealism.
22. Perceived View
⢠A continental philosophy suggesting that theories are
neither right nor wrong and that observation leads to
value-laden theories.
⢠Observation involves utilization of the senses and the
mind and is subjective due to the physical and
mental components involved.
⢠Many different methods and kinds of theories must
be used to obtain either truth or understanding.
⢠Use methods appropriate to the question which may
be either quantitative, qualitative, or both.
23. Chaos and Complexity
⢠Contemporary philosophers synthesize analytic and
continental philosophy into a new and emerging philosophy
of science.
⢠This philosophy incorporates chaos and complexity science to
bring together truth and understanding in a dynamic way.
⢠Posits that the universe is a whole made of interrelated parts.
â Complex adaptive, dynamic systems are connected to the
environment and influenced both by what comes before and what
comes after
⢠Assumptions include embeddedness, distributed control,
multi-directionality, coexistence of order and disorder, and
unpredictable outcomes.
24. Question the Assumptions
⢠Philosophy of science is complex and many schools of
thought exist.
⢠When reflecting on your philosophy, it is important to
consider several questions:
â What are the assumptions of each philosophy?
â Do you aim to control or understand?
â Is there only one way to resolve a problem?
â What is your praxis wedded to?
â How can you be the best practitioner possible?
â What do patients, families, and communities need?
â Are you the nurse you want to be?
25. Conclusion
⢠Science and philosophy require examination of
both knowledge and understanding.
⢠It is important to understand the ideological
differences of different scientific and
philosophical schools and incorporate portions of
each in your individual philosophy.
⢠Utilizing a philosophy that constantly questions
assumptions will help you evolve as a nurse.