Publication: Caring as a generative principle: reconfiguring the metaparadigm and operative mechanisms in nursing theory
| dc.contributor.author | Muñoz Devea, Aaron | |
| dc.contributor.author | Muñoz Devesa, Aarón | |
| dc.contributor.author | Rico Becerra, Juan Ignacio | |
| dc.contributor.department | Ciencias Sociosanitarias | |
| dc.contributor.other | Facultades de la UMU::Facultad de Ciencias Sociosanitarias (Lorca) | |
| dc.date.accessioned | 2026-02-16T12:57:08Z | |
| dc.date.available | 2026-02-16T12:57:08Z | |
| dc.date.copyright | © 2026 The Author(s) | |
| dc.date.issued | 2026-02-15 | |
| dc.description.abstract | Aim(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.format | application/pdf | |
| dc.format.extent | 15 | |
| dc.identifier.citation | Journal of Advanced Nursing, 2026, Early View | |
| dc.identifier.doi | https://doi.org/10.1111/jan.70544 | |
| dc.identifier.eissn | 1365-2648 | |
| dc.identifier.issn | 0309-2402 | |
| dc.identifier.uri | http://hdl.handle.net/10201/205821 | |
| dc.language | eng | |
| dc.publisher | Wiley | |
| dc.relation | Sin financiación externa a la Universidad | |
| dc.relation.publisherversion | https://onlinelibrary.wiley.com/doi/10.1111/jan.70544 | |
| dc.rights | Attribution 4.0 International | * |
| dc.rights.accessRights | info:eu-repo/semantics/openAccess | |
| dc.rights.uri | http://creativecommons.org/licenses/by/4.0/ | * |
| dc.subject | Meta theory | |
| dc.subject | Nursing metapardigm | |
| dc.subject | Nursing theory | |
| dc.subject | Philosophy of nursing | |
| dc.subject | Caring | |
| dc.subject.ods | No relacionado con ningún objetivo de desarrollo sostenible | |
| dc.title | Caring as a generative principle: reconfiguring the metaparadigm and operative mechanisms in nursing theory | |
| dc.type | info:eu-repo/semantics/article | |
| dc.type.version | info:eu-repo/semantics/publishedVersion | |
| dspace.entity.type | Publication | es |
| relation.isAuthorOfPublication | 6e679ad8-bfec-4b76-a4ba-52225182cec9 | |
| relation.isAuthorOfPublication | 2db79777-dfe4-4848-97c3-f452b94bfdd3 | |
| relation.isAuthorOfPublication.latestForDiscovery | 6e679ad8-bfec-4b76-a4ba-52225182cec9 |
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