Oncology Nursing Forum Assignment

Oncology Nursing Forum Assignment
Oncology Nursing Forum Assignment

Explicit Assumptions About Knowing

Conceptual Foundations is a new column for Oncology Nursing Forum (ONF) that focuses on the frameworks that underpin research and practice initiatives. The purpose of this inaugural column is to provide an overview of what conceptual frameworks are, related terms, the role of conceptual frameworks in the research process, and why these frameworks matter. The majority of articles published in ONF are research manuscripts. Readers include student nurses, practicing oncology nurses, nurse managers, advanced practice on- cology nurses, nurse scientists, and people in other disciplines who are interested in patients with cancer. In the guidelines for ONF articles, peer reviewers are asked to address the conceptual model/ theory (if needed) that is included in the manuscript. For all who read, apply, and create knowledge, un- derstanding the conceptual frame- work underlying a research study is an essential skill to master. The conceptual framework may be ex- plicitly identified by the author or may be implicit. If not specifically stated, the reader must detect the underlying assumptions that form a conceptual foundation.

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Definitions and Related Terms

What is a conceptual framework? Concept is defined as “an abstract or generic idea generalized from

Marie Flannery, PhD, RN, AOCN®, Associate Editor CONCEPTUAL FOUNDATIONS

Flannery is a research assistant professor in the School of Nursing at the University of Rochester Medical Center in New York.

No financial relationships to disclose.

Flannery can be reached at Marie_Flannery@URMC .Rochester.edu, with copy to editor at ONFEditor@ ons.org.

Key words: concept; theory; framework; model; oncology

ONF, 43(2), 245–247.

doi: 10.1188/16.ONF.245-247

particular instances” (“Concept,” n.d., para. 1). Framework is de- fined as “the basic structure of something: a set of ideas or facts that provide support for some- thing” or “a supporting structure” (“Framework,” n.d., para. 1). Taken together, a conceptual framework consists of specified abstract ideas that are joined in an identified structure. Conceptual frameworks identify what is important in un- derstanding a phenomenon and provide guidance for relationships. No universally accepted definition exists for conceptual framework, and the term is sometimes used interchangeably with conceptual model, theoretical framework, and theory (Powers & Knapp, 2011).

Many terms are related to con- ceptual frameworks (see Table 1). Epistemology is a branch of philosophy that studies “how we know” and the justification of knowledge claims. Varying epis- temologic philosophic traditions have emphasized different aspects and views of knowledge, certainty, and truth, and have provided dif- fering interpretations of theory and concepts. Empirical philosophic traditions influence much of the current research and emphasize the systematic observation of real- ity through sensory observation (Powers & Knapp, 2011). Worldview refers to a general orientation or set of beliefs about how the world operates. Paradigm, a term coined by philosopher Thomas Kuhn,


also refers to a system of beliefs about knowledge, often specific to a discipline. Theory is a term with many definitions; in the research realm, a scientific theory includes a set of statements or principles that explain phenomena. A theory is one type of a conceptual frame- work that always will include at least two concepts and at least one relational statement. Of note, not all conceptual frameworks will qualify as a theory. A model refers to a graphic representation; it may be a two-dimensional diagram or a three-dimensional mock-up. A con- ceptual model is a diagram or draw- ing of the conceptual framework.

A conceptual framework may be reflected in the worldview, ma- jor paradigm, or general orienting framework of the author. A con- ceptual model may be referenced or drawn in the article. A theory

may be referenced and explained. A conceptual framework may not be explicitly stated but may be discern- ible to the reader by the author’s stated and unstated assumptions. Specifically, the reader may be able to discern the framework used by what is studied, how it is studied, and what is measured. What is not included in the study also may be an indication of the implied framework. A concept that may seem vital to a clinician or researcher but was not included in the study may reflect its relative lack of prominence in the author’s conceptual framework.

Conceptual Frameworks and the Research Process

In the guidelines for manuscripts submitted to ONF, reviewers are asked to critique the use of con- ceptual frameworks in two specific

components of the manuscript. The literature review and discussion section guidelines specifically ask reviewers to consider the concep- tual framework or theory (if need- ed) that is used in the manuscript.

However, the integration of a con- ceptual framework actually threads and weaves through all compo- nents of the research process. The orienting framework or worldview provides a specific lens as to how an area of study is seen and how a clinical problem is identified. The choice of a theory or conceptual framework provides structure for the content that is included in the background and literature review. The framework or theory may be specifically discussed and a figure of the conceptual model included. The conceptual framework influ- ences the choice of method, set- ting, sample, instruments, proce- dures, and analysis strategies. The reviewer (and reader) often looks for a sense of coherence, logical consistency, and logical flow in a research study. The integration of a conceptual framework through all phases of the research process can provide a sense of coherence. For example, if the conceptual frame- work specifies that both patient and caregiver experiences are criti- cal to understanding the clinical issue, one might choose to conduct a descriptive longitudinal study conducted in the home setting; include patients and caregivers in the sample; include open-ended in- terviews, in addition to structured questionnaires, as measurement modalities; and include dyadic eval- uation techniques in the analysis.

The discussion section may in- clude comments on whether the conceptual framework worked or was helpful in the study, if the framework was supported or incon- sistent with study findings, or what revisions to the framework may be needed. Similarly, any practice implications and knowledge trans- lation may be influenced by the

TABLE 1. Terminology and Definitions for Conceptual Frameworks and Related Terms

Term Definition

Concept Abstract idea; building blocks of theory

Conceptual framework

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