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Posts tagged ‘Sylvia K. Wood’

Keeping the Nurse in the Nurse Practitioner

Editor’s note:
See information about the 2nd Annual Nursing

Theory Conference and future conferences here

Our current ANS featured article is titled “Keeping the Nurse in the Nurse Practitioner Returning to Our Disciplinary Roots of Knowing in Nursing” by Sylvia K. Wood, DNP, ANP-BC, AOCNP. In this article, Dr. Wood examines the factors that have shaped nurse practitioner education and provides the case for restoring nursing roots as central in the future.  The article is available for download while it is featured – we welcome your comments and responses to this challenge!  Here is a message from Dr. Wood about her work:

Sylvia Wood

Attending the 50th Anniversary 2019 Case Western Reserve theory conference, I was deeply moved to listen to the wise voices of nurse theorists leading our profession, warning us of current threats in losing our disciplinary perspective. Having attended an open session for the Future of Nursing 2020-2030 just two days earlier, and journey as a Ph.D. candidate, created a confluence of events that compelled me to bring this article forward. It is my honor to present it in this issue of ANS. As a nurse practitioner and nurse educator, I have witnessed both the loss of nurse theory-driven practice and diminished presence in our curricula. This article provides a historical background for the context of the issue, existing challenges for academic educators are presented with an analysis of the current literature and recommendations are offered.

For many years in NP practice, these questions never left my mind, what is it that NPs know and do that make them so distinct from other providers and why is their care so valuable in its own right? Why is what they know not made visible? I often observed that NPs, including myself, could not find the words to explain our nursing, our nursing knowledge, how this nursing knowledge shaped what we did in practice, or trace that knowledge back to nursing theory and nursing science. Nevertheless, the result of our NP care significantly improved patients’ health outcomes, healing, wellness, wholeness, and quality of life.

As NP practice has become more sophisticated, there has been a necessary expansion of education from other sciences and health-related disciplines. However, there is a decreasing emphasis on the theoretical foundations of nursing and nursing science, unmooring practice from its anchor to nursing. The result obscures not only NPs’ identity, and the relevance of our practice compared to other providers, but the nurse-sensitive patient outcomes as a consequence of it. The theoretical basis of nursing knowledge (nursology) is what distinguishes nurse practitioners from other health care providers and drives the results associated with it.

2020 is the Year of the Nurse and Midwife. It is also a critical time when the demand for NPs is on the rise, and NPs are advocating for full practice authority. Therefore, in honoring our contract with society, we have an ethical and moral obligation to know, articulate and demonstrate the scientific foundation underpinning the distinction of our practice by returning to our disciplinary roots of knowing in nursing to keep the nurse in the nurse practitioner.


Reprinted with permission: Baldwin, M. (2009). Tree of Life~Hope. [Web Image of Oil Painting]. EBSQ Self Representing Artists.

The autonomy of a profession rests more firmly on the uniqueness of its knowledge, knowledge gathered ever so slowly through the questioning of scientific inquiry. Nursing defined by power does not necessarily beget knowledge. But knowledge most often results in the ascription of power and is accompanied by autonomy (Fuller, 1978, p. 701).


Fuller, S. (1978). Holistic man and the science and practice of nursing. Nursing Outlook, 26, 700-704

Cancer Survivorship

The current featured article in ANS is titled “Transition to Cancer Survivorship: A Concept Analysis” by Sylvia K. Wood, DNP, ANP-BC, AOCNP. This article is available for download at no cost while it is featured. The author explains that ” . . .  it is when treatment ends when life as a new cancer survivor can fall apart. It is during this time of transition, a time of “in-between” having completed therapy, entering a new life in survivorship that both patients and providers are not well prepared” (p. 145).  Dr. Wood provided this background about her work:

Throughout my nursing career, I have always been in awe of my patients.  More than any one thing, patients have been my best teachers, witnessing their intimate struggles, their triumphs,

Sylvia K. Wood

supporting them through living with and surviving cancer.

Research has come so far in changing our prognostic expectations as precision medicine and symptom science are guiding therapeutic approaches with improved response rates. However, knowing how to care for survivors after cancer treatment ends, a distinct phase in the continuum of care throughout the rest of one’s life is developing survivorship science.

There is a wealth of knowledge about the early effects of cancer treatment, yet much more needed for late effects. There is knowledge of survivorship needs for some cancer types but much less for others.

Due to the heterogeneity of cancer disease states, and the diverse populations it affects opens unchartered territory for further research in the personal, sociopolitical and cultural aspects of cancer survivorship to promote health and well-being.

Transition to survivorship is lexicon commonly describing a timeframe, although the richness of past research that can illuminate a holistic understanding of this concept is lost without definition. Weaving together diverse strands of prior research and knowledge uncovers the depth of meaning, context, and gives voice to the multidimensional and temporal nature of this concept.

I hope that interested researchers can use this concept analysis to build theory and new knowledge adding to the growth of survivorship science that will improve the care we give enriching the lives of cancer survivors.

“The real voyage of discovery consists not in seeking new landscapes, but in having new eyes.”    ~ Marcel Proust

Futago-no-baka. (2013) Traveler [Photograph]. Copyright [2018] by Zerochan Anime Images. Retrieved from


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