Missed nursing care as an ‘art form’: The contradictions of nurses as carers
This article draws on the free‐text commentaries from trans‐Tasman studies that used the MISSCARE questionnaire to explore the reasons why nurses miss care. In this paper, we examine the idea that nurses perpetuate a self‐effacing approach to care, at the expense of patient care and professional accountability, using what they describe as the art of nursing to frame their claims of both nursing care and missed nursing care. We use historical dialogue alongside a paradigmatic analysis to examine why nurses allow themselves to continue working within settings that put their professional/personal selves aside in an atte...
Source: Nursing Inquiry - November 30, 2016 Category: Nursing Authors: Clare Harvey, Shona Thompson, Maria Pearson, Eileen Willis, Luisa Toffoli Tags: FEATURE Source Type: research
Does item overlap render measured relationships between pain and challenging behaviour trivial? Results from a multicentre cross ‐sectional study in 13 German nursing homes
Several studies suggest that pain is a trigger for challenging behaviour in older adults with cognitive impairment. However, such measured relationships might be confounded due to item overlap as instruments share similar or identical items. The purpose of this study was to examine whether the frequently observed association between pain and challenging behaviour might be traced back to item overlap. This multicentre cross‐sectional study was conducted in 13 nursing homes and examined pain (measure: Pain Assessment in Advanced Dementia Scale) and challenging behaviour (measure: Cohen‐Mansfield Agitation Inventory) in 1...
Source: Nursing Inquiry - November 30, 2016 Category: Nursing Authors: Patrick Kutschar, Zsuzsa Bauer, Irmela Gnass, J ürgen Osterbrink Tags: Feature Source Type: research
Lost in transformation? Reviving ethics of care in hospital cultures of evidence ‐based healthcare
Drawing on previous empirical research, we provide an exemplary narrative to illustrate how patients have experienced hospital care organized according to evidence‐based fast‐track programmes. The aim of this paper was to analyse and discuss if and how it is possible to include patients’ individual perspectives in an evidence‐based practice as seen from the point of view of nursing theory. The paper highlights two conflicting courses of development. One is a course of standardization founded on evidence‐based recommendations, which specify a set of rules that the patient must follow rigorously. The other is a cou...
Source: Nursing Inquiry - November 30, 2016 Category: Nursing Authors: Annelise Norlyk, Anita Haahr, Pia Dreyer, Bente Martinsen Tags: FEATURE Source Type: research
A critical analysis of scales to measure the attitude of nurses toward spiritual care and the frequency of spiritual nursing care activities
Quantitative studies have assessed nurses’ attitudes toward and frequency of spiritual care [SC] and which factors are of influence on this attitude and frequency. However, we had doubts about the construct validity of the scales used in these studies. Our objective was to evaluate scales measuring nursing SC. Articles about the development and psychometric evaluation of SC scales have been identified, using, Web of Science, and CINAHL, and evaluated with respect to the psychometric properties and item content of the scales. Item content was evaluated by each of the five authors with respect to the following questions: D...
Source: Nursing Inquiry - November 30, 2016 Category: Nursing Authors: Bert Garssen, Anne Frederieke Ebenau, Anja Visser, Nicoline Uwland, Marieke Groot Tags: FEATURE Source Type: research
Duty and dilemma: Perioperative nurses hiding an objection to participate in organ procurement surgery
Perioperative nurses assist in organ procurement surgery; however, there is a dearth of information of how they encounter making conscientious objection requests or refusals to participate in organ procurement surgery. Organ procurement surgical procedures can present to the operating room ad hoc and can catch a nurse who may not desire to participate by surprise with little opportunity to refuse as a result of staffing, skill mix or organizational work demands. This paper that stems from a larger doctoral research study exploring the experiences of perioperative nurses participating in multi‐organ procurement surgery us...
Source: Nursing Inquiry - November 30, 2016 Category: Nursing Authors: Zaneta Smith Tags: Feature Source Type: research
Expressions of cultural safety in public health nursing practice
Cultural safety is an essential concept within New Zealand nursing that is formally linked to registration and competency‐based practice certification. Despite its centrality to New Zealand nursing philosophies and the stated expectation of cultural safety as a practice element, there is limited evidence of its application in the literature. This research presents insight into public health nurse's (PHN) experiences, demonstrating the integration of cultural safety principles into practice. These findings emerged following secondary analysis of data from a collaborative, educative research project where PHNs explored the...
Source: Nursing Inquiry - November 30, 2016 Category: Nursing Authors: Anna Richardson, Judy Yarwood, Sandra Richardson Tags: Feature Source Type: research
Optimising qualitative longitudinal analysis: Insights from a study of traumatic brain injury recovery and adaptation
This article reviews three challenges encountered in a large longitudinal qualitative descriptive study about experiences of recovery and adaptation after traumatic brain injury in New Zealand, and the strategies and technologies used to address them. These were (i) tracking coding and analysis decisions during an extended analysis period; (ii) navigating interpretations over time and in response to new data; and (iii) exploiting data volume and complexity. Concept mapping during coding review, a considered combination of information technologies, employing both cross‐sectional and narrative analysis, and an expectation ...
Source: Nursing Inquiry - November 29, 2016 Category: Nursing Authors: Joanna K Fadyl, Alexis Channon, Alice Theadom, Kathryn M McPherson, Tags: Feature Source Type: research
Collaboration: A critical exploration of the care continuum
The purpose of this research was to explore the concept of collaboration within a specific healthcare context and to include the perspectives of healthcare users, a position largely lacking in previous studies. In applying a critical theoretical approach, the focus was on, as an exemplar, mothers with newborn babies who had spent more than 48 hr in a special care nursery. Semistructured interviews were undertaken with child health nurses, midwives and mothers. The three key theoretical findings on collaboration generated in the study point to layers of meanings around identity, knowledge and institutions of care. Findings...
Source: Nursing Inquiry - November 29, 2016 Category: Nursing Authors: Robyn A Penny, Carol Windsor Tags: Original Article Source Type: research
PhD without the Ph?
(Source: Nursing Inquiry)
Source: Nursing Inquiry - November 16, 2016 Category: Nursing Authors: Sally Thorne Tags: Editorial Source Type: research
Issue Infromation
(Source: Nursing Inquiry)
Source: Nursing Inquiry - November 16, 2016 Category: Nursing Tags: Issue Infromation Source Type: research
Disciplining virtue: investigating the discourses of opioid addiction in nursing
Two nurses diagnosed with opioid addiction launched legal action after being found guilty of unprofessional conduct due to addiction‐related behaviors. When covered by the media, their cases sparked both public and legal controversies. We are curious about the broader discursive framings that led to these strong reactions, and analyze the underlying structures of knowledge and power that shape the issue of opioid addiction in the profession of nursing through a critical discourse analysis of popular media, legal blogs and hearing tribunals. We argue that addiction in nursing is framed as personal choice, as a failure in ...
Source: Nursing Inquiry - September 6, 2016 Category: Nursing Authors: Diane Kunyk, Margaret Milner, Alissa Overend Tags: Feature Source Type: research
Delegation and supervision of healthcare assistants ’ work in the daily management of uncertainty and the unexpected in clinical practice: invisible learning among newly qualified nurses
The invisibility of nursing work has been discussed in the international literature but not in relation to learning clinical skills. Evans and Guile's (Practice‐based education: Perspectives and strategies, Rotterdam: Sense, 2012) theory of recontextualisation is used to explore the ways in which invisible or unplanned and unrecognised learning takes place as newly qualified nurses learn to delegate to and supervise the work of the healthcare assistant. In the British context, delegation and supervision are thought of as skills which are learnt “on the job.” We suggest that learning “on‐the‐job” is the invisi...
Source: Nursing Inquiry - September 4, 2016 Category: Nursing Authors: Helen T. Allan, Carin Magnusson, Karen Evans, Elaine Ball, Sue Westwood, Kathy Curtis, Khim Horton, Martin Johnson Tags: Feature Source Type: research
The insight and challenge of reflexive practice in an ethnographic study of black traumatically injured patients in Philadelphia
The integrity of critical ethnography requires engagement in reflexive practice at all phases of the research process. In this discussion paper, I explore the insights and challenges of reflexive practice in an ethnographic study of the recovery experiences of black trauma patients in a Philadelphia hospital. Observation and interviews were conducted with twelve patients who were admitted to trauma‐designated units of the hospital over the course of a year. During fieldwork, I learned the ways that my background as a professional nurse structured my way of being in clinical space and facilitated a particular interpretati...
Source: Nursing Inquiry - August 31, 2016 Category: Nursing Authors: Sara F Jacoby Tags: Feature Source Type: research
Critical thinking and contemporary mental health care: Michel Foucault's “history of the present”
This article will therefore propose that such capabilities can be productively situated within the context of the work of the French philosopher Michel Foucault, one of the most challenging, innovative and influential thinkers of the 20th century. However, rather than focusing exclusively upon the content of Foucault's work, it will be suggested that it is possible to discern a general methodological approach across that work, a methodological approach that he refers to as “the history of the present.” In doing so, Foucault's history of the present can be understood as a productive, albeit provisional, framework in whi...
Source: Nursing Inquiry - August 31, 2016 Category: Nursing Authors: Marc Roberts Tags: Feature Source Type: research
Discourses with potential to disrupt traditional nursing education: Nursing teachers ’ talk about norm‐critical competence
This paper describes the discourses underlying nursing teachers’ talk about their own norm‐critical competence. Norm criticism is an approach that promotes awareness and criticism of the norms and power structures that exert an excluding effect in society in general and in the healthcare encounter in particular. Given the unequal relationships that can exist in healthcare, for example relationships shaped by racism, sexism and classism, a norm‐critical approach to nursing education would help illuminate these matters. The studied empirical material consisted of focus group interviews. Nursing teachers discussed their...
Source: Nursing Inquiry - August 31, 2016 Category: Nursing Authors: Ellinor Tengelin, Elisabeth Dahlborg ‐Lyckhage Tags: Feature Source Type: research
