Complex critical realism: Tenets and application in nursing research

Journal article

Clark, Alexander Michael, Lissel, Sue L. and Davis, Carol. (2008). Complex critical realism: Tenets and application in nursing research. Advances in Nursing Science. 31(4), pp. 67 - 79. https://doi.org/10.1097/01.ANS.0000341421.34457.2a
AuthorsClark, Alexander Michael, Lissel, Sue L. and Davis, Carol
Abstract

Aim: To outline the main tenets of critical realism (CR), its use, and future application in nursing. Background: Little work has been done to discuss how CR can be applied to nursing research. Findings: The tenets of CR include recognition of reality independent of human perceptions, a generative view of causation in open systems, and a focus on explanations and methodological eclecticism using a postdisciplinary approach. Critical realism is useful for (1) understanding complex outcomes, (2) optimizing interventions, and (3) researching biopsychosocial pathways. Such questions are central to evidence-based practice, chronic disease management, and population health. Conclusions: Critical realism is philosophically strong and potentially useful for nursing research.

Keywordsframework; nursing research; ontology; philosophy; realism; realist; theory
Year2008
JournalAdvances in Nursing Science
Journal citation31 (4), pp. 67 - 79
PublisherLippincott Williams & Wilkins
ISSN0161-9268
Digital Object Identifier (DOI)https://doi.org/10.1097/01.ANS.0000341421.34457.2a
Page range67 - 79
Research GroupMary MacKillop Institute for Health Research
Place of publicationUnited States of America
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https://acuresearchbank.acu.edu.au/item/8v7wz/complex-critical-realism-tenets-and-application-in-nursing-research

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Clark, Alexander Michael, Dalal, Hayes M., Dafoe, William, Stone, James A. and Lewin, Robert J.P.. (2009). Effectiveness of secondary prevention programmes in CHD. The Lancet. 373(9676), pp. 1671 - 1671. https://doi.org/10.1016/S0140-6736(09)60931-4
Qualitative research: What it is and what it can contribute to cardiology in the young
Clark, Alexander Michael. (2009). Qualitative research: What it is and what it can contribute to cardiology in the young. Cardiology in the Young. 19(2), pp. 131 - 144. https://doi.org/10.1017/S1047951109003746
Socioeconomic status and cardiovascular disease: Risks and implications for care
Clark, Alexander Michael, DesMeules, Marie, Luo, Wei, Duncan, Amanda S. and Wielgosz, Andy. (2009). Socioeconomic status and cardiovascular disease: Risks and implications for care. Nature Reviews Cardiology. 6(11), pp. 712 - 722. https://doi.org/10.1038/nrcardio.2009.163
What is strength of evidence for heart failure disease- management programs?
Clark, Alexander Michael, Savard, Lori A. and Thompson, David Robert. (2009). What is strength of evidence for heart failure disease- management programs? Journal of the American College of Cardiology. 54(5), pp. 397 - 401. https://doi.org/10.1016/j.jacc.2009.04.051
A systematic review of the effectiveness of cutaneous warming systems to prevent hypothermia
Galvuo, Cristina M., Marck, Patricia B., Sawada, Namie O. and Clark, Alexander Michael. (2009). A systematic review of the effectiveness of cutaneous warming systems to prevent hypothermia. Journal of Clinical Nursing. 18(5), pp. 627 - 636. https://doi.org/10.1111/j.1365-2702.2008.02668.x
The potential of nursing to reduce the burden of heart failure in rural Canada: What strategies should nurses prioritize?
Clark, Alexander Michael, Freydberg, N. O., Heath, S. L., Savard, L., McDonald, Marla and Strain, L.. (2008). The potential of nursing to reduce the burden of heart failure in rural Canada: What strategies should nurses prioritize? Canadian Journal of Cardiovascular Nursing. 18(4), pp. 40 - 46.
The future of management programmes for heart failure
Clark, Alex and Thompson, David. (2008). The future of management programmes for heart failure. The Lancet. 372(9641), pp. 784 - 786. https://doi.org/10.1016/S0140-6736(08)61317-3
Patients' experiences of disruptions associated with post-stroke dysarthria
Dickson, Sylvia, Barbour, Rosaline S., Brady, Marian, Clark, Alexander Michael and Paton, Gillian. (2008). Patients' experiences of disruptions associated with post-stroke dysarthria. International Journal of Language and Communication Disorders. 43(2), pp. 135 - 153. https://doi.org/10.1080/13682820701862228
Commentary by Clark
Clark, Alex. (2008). Commentary by Clark. Western Journal of Nursing Research. 30(4), pp. 491 - 494. https://doi.org/10.1177/0193945907303142
The complex nature of informal care in home-based heart failure management
Clark, Alexander Michael, Reid, Machar, Morrison, Caroline E., Capewell, Simon, Murdoch, David L. and McMurray, John J.. (2008). The complex nature of informal care in home-based heart failure management. Journal of Advanced Nursing. 61(4), pp. 373 - 383. https://doi.org/10.1111/j.1365-2648.2007.04527.x