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In healthcare, Carper's fundamental ways of knowing is a typology that attempts to classify the different sources from which knowledge and beliefs in professional practice (originally specifically nursing) can be or have been derived. It was proposed by Barbara A. Carper, a professor at the College of Nursing at Texas Woman's University, in 1978.
The four stages of competence arranged as a pyramid. In psychology, the four stages of competence, or the "conscious competence" learning model, relates to the psychological states involved in the process of progressing from incompetence to competence in a skill.
The nursing process uses clinical judgement to strike a balance of epistemology between personal interpretation and research evidence in which critical thinking may play a part to categorize the clients issue and course of action. Nursing offers diverse patterns of knowing. [5] Nursing knowledge has embraced pluralism since the 1970s. [6]
An example is how having diabetes mellitus causes the person's nutritional activities to differ from those of a person without diabetes. Psychological- the impact of not only emotion, but cognition, spiritual beliefs and the ability to understand. Roper explained this was about "knowing, thinking, hoping, feeling and believing".
Potential of aggregation and modes of appropriation: Explicit knowledge can be aggregated at a single location, stored in objective forms, and appropriated without the participation of the knowing subject. Tacit knowledge, in contrast, is personal and contextual; it is distributed across knowing subjects, and cannot easily be aggregated.
In 2009, with Dr. Marguerite Purnell as co-editor, published, A Contemporary Nursing Process: The (Un)Bearable Weight of Knowing in Nursing by Springer Publishing Co. Locsin, R. (2016) Technological Competency as Caring in Nursing: A Model for Practice (rev ed). Silliman University Press, Dumaguete, Philippines.