Critical Interpretive Approach Research Articles

Nursing's metaparadigm concepts: disimpacting the debates.

Theoretical advances in nursing have been complicated by polarization and extreme positions regarding nursing's approach to its main metaparadigm concepts: person, health, environment and nursing. In this paper, the authors deconstruct some of the central arguments that are used to further this polarization. Using a critical interpretive approach, they explain some of the logical implications imposed by various extreme positions for the larger project of nursing's health and social mandate, and consider the effects of such polarization. On the basis of an appreciation of the serious difficulties inherent in certain philosophical and theoretical positions currently evident within nursing's literature, the authors argue for a less extreme and more integrated reference point for nursing's theory and practice.

Ethnography: studying the fate of health promotion in coronary families.

The concept of the 'mindful body', 'coronary candidacy' and "prevention paradox' are three of many interesting themes explored in this paper which examines how, and to what extent, health information is received and translated into the daily domestic setting by coronary family groups. Taking an ethnographic approach to collecting data highlights both the advantages and disadvantages of this methodology in practice. Certainly, the emergence of a health promotion orientation in health care is an area which is intimately connected to aspects of human culture and society that have long been a central concern of anthropologists. This mini-ethnography provides an anthropological understanding of the knowledge, beliefs and behaviours associated with heart disease and its prevention. The concept of the 'mindful body' is provided as a critical interpretive approach to analysing the potential outcome of prescribed lifestyle changes, as given to coronary sufferers and their families during the period following coronary artery bypass surgery. Data drawn from this study confirms the evidence of lay epidemiology which works within the cultural field of fate, luck and destiny, and which has interesting implications as to how nurses might plan for their health promotion strategies in the future.

Understanding major life decisions: A life history approach

Life decisions of the sort that provoke major life-structural transformations provide excellent material for the analysis of ideological processes at the level of the individual personality. Over the past two decades, cognitive and behavioral approaches to decision making have obscured the symbolic, semiotic, and sociocultural processes that govern the deciding consciousness, particularly when major life involvements are at stake. Such approaches lead logically to instrumentalistic “life management” strategies which further reduce the possibility that the fantasies, desires, and meanings of particular dilemmas and decisions will be reflected upon and understood critically. The ideological processes that structure life choices “from behind our backs” are thus given free entry into one of the important spaces where subjectivity might find expression. This article presents excerpts from depth interviews with a woman struggling with autonomy issues to illustrate a critical-interpretive approach to decision making in the context of the life history.

A Critical-interpretive Approach to the Ottoman Turkish Ġazel

The Islamic poetic tradition as it came to the Turks through Persian is characterized by a rather limited catalog of basic themes expressed by an equally limited number of standard tropes. The basic themes are usually quite easily recognizable (e.g. the sâkî theme, the bahâr theme, etc.), even though more than one basic theme may be included in a single poem. The standard tropes — for example, the moon for the face of the beloved, rubies for wine, drunkenness for mystical love — are also used over and over again without any serious attempt to freshen poetic expression by discarding them for new metaphores. Nevertheless, within this atmosphere of apparent similarity, contemporary critics placed high value on creativity, uniqueness, and the invention of ‘new’ fancies. Modern scholarship has, in most cases, attempted to resolve this paradox by stating that ‘creativity’ for the Ottoman poet consisted of rearranging and recombining traditional themes and tropes to create new patterns and, thereby, a subtle and precious uniqueness. Moreover, any internal cohesion or organization other than that provided by rhyme and meter is generally seen as fortuitous and unrelated to any conscious effort to present a unified poetic message. The result of this view is the rather pervasive conclusion that the Ottoman poet is no more creative than the child is ‘creative’ who operates a kaleidoscope which produces infinitely varied patterns, even though the mirrors (themes?) and colored bits of glass (tropes?) remain ever the same.