Publication:
Caring as a generative principle: reconfiguring the metaparadigm and operative mechanisms in nursing theory

dc.contributor.authorMuñoz Devea, Aaron
dc.contributor.authorMuñoz Devesa, Aarón
dc.contributor.authorRico Becerra, Juan Ignacio
dc.contributor.departmentCiencias Sociosanitarias
dc.contributor.otherFacultades de la UMU::Facultad de Ciencias Sociosanitarias (Lorca)
dc.date.accessioned2026-02-16T12:57:08Z
dc.date.available2026-02-16T12:57:08Z
dc.date.copyright© 2026 The Author(s)
dc.date.issued2026-02-15
dc.description.abstractAim(s) To develop a comparative meta-theory of nine caring theories by explicating their assumptions, operative mechanisms and consequences for nursing. Design Qualitative meta-theoretical document analysis. Methods Canonical texts were analysed using an intra-source strategy. Paginated statements were extracted and coded across assumptions, metaparadigm anchors (person, health, environment, nursing and care) and mechanisms linking caring intention to clinical action. Synthesis produced a typology and meta-theoretical propositions. Results Caring functioned as a generative principle that reorganised person, health, environment and nursing and care into distinct practice architectures. Six mechanism-based subfamilies were identified: transpersonal caritas; phenomenological and embodied clinical wisdom; ethical and relational caring; cultural and contextual caring; systemic and organisational caring; and operationalisable caring. Ten propositions linked assumptions to mechanisms and expected effects. Conclusion The caring school is best understood as an ordered set of non-equivalent caring mechanisms rather than a single doctrine, supporting translation to practice design, education and congruent evaluation. Implications for the Profession and/or Patient Care Mechanism-based comparison can reduce conceptual ambiguity and improve alignment between caring interventions and intended outcomes. Impact This study addresses the under-specification of how caring theories work. It provides a comparative typology and propositions that make mechanisms explicit, informing nursing education, theory development and caring-based practice in diverse settings. Reporting Method No EQUATOR reporting checklist is available for meta-theoretical discursive analyses; the manuscript follows Journal of Advanced Nursing guidance for discursive papers. Patient or Public Contribution This study did not include patient or public involvement in its design, conduct, or reporting.
dc.formatapplication/pdf
dc.format.extent15
dc.identifier.citationJournal of Advanced Nursing, 2026, Early View
dc.identifier.doihttps://doi.org/10.1111/jan.70544
dc.identifier.eissn1365-2648
dc.identifier.issn0309-2402
dc.identifier.urihttp://hdl.handle.net/10201/205821
dc.languageeng
dc.publisherWiley
dc.relationSin financiación externa a la Universidad
dc.relation.publisherversionhttps://onlinelibrary.wiley.com/doi/10.1111/jan.70544
dc.rightsAttribution 4.0 International*
dc.rights.accessRightsinfo:eu-repo/semantics/openAccess
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/*
dc.subjectMeta theory
dc.subjectNursing metapardigm
dc.subjectNursing theory
dc.subjectPhilosophy of nursing
dc.subjectCaring
dc.subject.odsNo relacionado con ningún objetivo de desarrollo sostenible
dc.titleCaring as a generative principle: reconfiguring the metaparadigm and operative mechanisms in nursing theory
dc.typeinfo:eu-repo/semantics/article
dc.type.versioninfo:eu-repo/semantics/publishedVersion
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relation.isAuthorOfPublication2db79777-dfe4-4848-97c3-f452b94bfdd3
relation.isAuthorOfPublication.latestForDiscovery6e679ad8-bfec-4b76-a4ba-52225182cec9
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