There are different types of knowledge and different ways of knowing. Four fundamental concepts of knowing in nursing highlighted by Caper (1978) are empirical, personal, ethical and aesthetic. He divided knowledge into two forms which are tacit and explicit. Tacit is insights and based on experience and not easily visible and expressible, difficult to share and communicate with others which is highly personal. Empirical sources of knowledge depend upon an individual’s manner of observing and responding to events in the outside world (Higgs et al, 2004). Whereas explicit is formal and based on rationality and easily can be expressed, shared, communicate which are highly universal principles. Rationalism comes from within the individual and depends upon theoretical reasoning rather than on data from the real world (Higgs et al, 2004).
Practice setting is a vital arena for construction of new knowledge by healthcare practitioners (Higgs et al, 2004). On reflection during this dissertation, explicit or empirical knowledge has played a large part in my decision to initiate and implement the new practice as it has involved analysis of current practice and reviewing current literature. It has enables me to recognised the philosophy of diabetic care that been practiced and the needs of appropriate development to improve diabetes care through more effective and up-dated philosophy of care. Besides that, I have identifies the conflict that exist in diabetes education practice not only at my practice but throughout the state in my country.
In designing a structured education program it-self has give a new knowledge in practice setting. I have learned that implementing change is not an easy job but it is fundamental for improving patients care and it involved managing people. My leadership skills have improved and develop to more satisfactory style, which is more to transformational. I have better understanding of change process and motivated with self confident to bring changes. My personal or tacit knowledge has leaded me to identify the needs for improving in this practice as I have sad experience with diabetes patients in my daily practice. Perhaps the tacit knowledge that lies embedded within and beneath my actions, activities and know-how, have enable me to explore, refining and theorising about my practice.
Although, I realise that empirical knowledge is vital, in reality a combination of knowledge is used to influence my practice and I believe that without all forms of knowledge being utilised my nursing practice would not be as effective as it could be. One thing I have learn, knowledge that generated through research, theorists or others does not always meets the needs of the particular practice in the field and fit the perceived needs of practitioner. Therefore as a health practitioner, I need to deconstruct and reconstruct...