The profession of nursing has a social mandate to contribute to health. The American Nursing Association’s current definition of nursing is “the protection, promotion, and optimization of health and abilities, prevention of illness and injury, facilitation of healing, alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of individuals, families, groups, communities, and populations” (2015, p. 1).
The academic discipline of nursing has a goal to generate knowledge that allows for nurses to achieve their professional mandate. Yet a defining issue for the nursing discipline since its inception has been the complexity of professional nursing practice, which precludes the notion that any single account of it can be adequate (Green, 2018; Holmes & Gastaldo, 2004, Bender & Holmes, 2019, Bender 2018).
This basic fact raises distinct challenges in conceptualizing nursing knowledge. Nursing knowledge is an ambiguous term that can mean the knowing practice of nurses in hospitals and communities, nursing theories, or the results of empirical research studies, to name but a few conceptualizations. This ambiguity and plurality challenge the notion of a “core” disciplinary knowledge, which as Sally Thorne has noted is “maddeningly elusive” (Thorne, 2014). It also raises critical questions about what constitutes the nursing discipline’s focus of inquiry and of methods for examining nursing phenomena. It has led to a defining disciplinary paradox: the dualism of nursing science and art, which has become a focus for nursing philosophy.