PDF(Pubmed)
Abstract：
Nursing science is at serious risk of extinction. The lack of funding for research, absence of healthcare policies underpinned by nursing science, and general lack of understanding of nursing metaparadigms all contribute to the stunted growth in nursing science. Doctoral research is a platform for the development and refinement of nursing science. The purpose of this qualitative retrospective document review was to describe the doctoral contribution to nursing in sub-Saharan Africa (SSA). Electronic dissertations for doctoral degrees in nursing within a 5-year period from universities in SSA were included. The extracted data comprising the purpose of the studies, the models used in the studies, and the studies\' contributions to nursing science were analyzed against a knowledge contribution framework. In total, 166 documents were included, mostly from South African universities, with a predominant focus on developing models, frameworks, and strategies within nursing practice. Only 17% of the studies applied grand nursing theories or models, with the rest of the studies applying theories from other disciplines. The contribution to nursing science from the doctoral studies was poor. The low uptake of nursing models in doctoral research in SSA may significantly contribute to the lack of refinement of nursing science within SSA. Structured approaches focused on integrating the nursing metaparadigms, theories, and models and fundamental underpins for doctoral education in Africa are essential to influencing the refinement of nursing science.
摘要：
护理科学面临严重的灭绝风险。缺乏研究经费，缺乏以护理科学为基础的医疗保健政策，以及对护理后医学的普遍缺乏了解都是导致护理科学发展迟缓的原因。博士研究是护理科学发展和完善的平台。这项定性回顾性文件审查的目的是描述博士对撒哈拉以南非洲（SSA）护理的贡献。包括SSA大学在5年内获得护理博士学位的电子论文。提取的数据包括研究目的，研究中使用的模型，并根据知识贡献框架分析了研究对护理科学的贡献。总的来说,共有166份文件，大部分来自南非的大学，主要专注于开发模型，框架，以及护理实践中的策略。只有17%的研究应用了大护理理论或模型，其余的研究应用其他学科的理论。博士研究对护理科学的贡献很差。SSA博士研究中护理模型的低吸收可能会导致SSA中护理科学缺乏完善。结构化的方法侧重于整合护理元数据库，理论,非洲博士教育的模式和基础对于影响护理科学的完善至关重要。
