Although homeless persons articulated many problems in the health care system encounters, they also described their own resourcefulness and the strategies they employ to manage being marginalized by society and the health care system. An increased understanding of health care experiences from the homeless persons' perspective can guide public health nursing emancipatory actions.
Historically, nursing students have questioned the value of a nursing research course and have not appreciated the research-practice link. These are important concerns in light of the increasing emphasis on evidence-based nursing practice. The purpose of this study was to develop innovative strategies for teaching undergraduate nursing research that engage millennial learners and emphasize the relationship between evidence-based practice and clinical outcomes. Innovative assignments were developed that included interactive learning, group work, and practical applications preferred by these learners. Using a Likert scale, students' perceived effectiveness of innovative assignments and more traditional assignments were compared. Results indicated a preference for active learning assignments, reading quizzes, clinical nurse researcher presentations, and collaboration with clinical course assignments. By combining traditional assignments with innovative strategies and nursing practice applications, millennial learners were engaged and able to clearly articulate the value of the research-practice link vital to evidence-based nursing practice.
Throughout their history, symbolic interactionism and critical perspective have been viewed as divergent theoretical perspectives with different philosophical underpinnings. A review of their historical and philosophical origins reveals both points of divergence and areas of convergence. Their underlying philosophies of science and views of human freedom are different as is their level of focus with symbolic interactionism having a micro perspective and critical perspective using a macro perspective. This micro/macro difference is reflected in the divergence of their major concepts, goals and basic tenets. While their underlying philosophies are different, however, they are not necessarily contradictory and areas of convergence may include the concepts of reference groups and looking glass self within symbolic interactionism and ideological hegemony within critical perspective. By using a pragmatic approach and combining symbolic interactionism and critical perspectives, both micro and macro levels come into focus and strategies for change across individual and societal levels can be developed and applied. Application of both symbolic interactionism and critical perspective to nursing research and scholarship offers exciting new opportunities for theory development and research methodologies. In nursing education, these two perspectives can give students added insight into patients' and families' problems at the micro level while, at the same time, giving them a lens to see and tools to apply to problems at the macro level in health care. In nursing practice, a combined symbolic interactionism/critical perspective approach assists nurses to give high-quality care at the individual level while also working at the macro level to address the manufacturers of illness. New research questions emerge from this combination of perspectives with new possibilities for theory development, a transformation in nursing education, and the potential for new practice strategies that can address individual client and larger system problems through empowerment of clients and nurses.
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