Nursing expertise: a course of ambiguity and evolution in a concept
In this article, we clarify and describe the nature of nursing expertise and provide a framework to guide its identification and further development. To have utility and rigour, concept‐driven research and theories of practice require underlying concepts that are robust, valid and reliable. Advancing understanding of a concept requires careful attention to explicating its knowledge, metaphors and conceptual meaning. Examining the concepts and metaphors of nursing expertise, and how they have been interpreted into the nursing discourse, we aimed to synthesise definitions and similarities between concepts and elicit the de...
Source: Nursing Inquiry - June 5, 2016 Category: Nursing Authors: Marie Hutchinson, Mary Higson, Michelle Cleary, Debra Jackson Tags: Feature Source Type: research
What we're trying to solve: the back and forth of engaged interdisciplinary inquiry
Interdisciplinary research assumes that teams of highly specialized scientists develop new knowledge by bridging their respective horizons. Nurse educators preparing nursing doctoral students to conduct interdisciplinary research need insight into how members of interdisciplinary research teams experience knowledge horizons in these complex contexts. Based on the work of the philosopher Bernard Lonergan, this pilot study uses Transcendental Method for Research with Human Subjects to explore interdisciplinary researchers' experiences with and attitudes toward interdisciplinary research. Results reveal the overarching concep...
Source: Nursing Inquiry - May 31, 2016 Category: Nursing Authors: Anne T Kane, Donna J Perry Tags: Feature Source Type: research
Exploring the impact of gender inequities on the promotion of cardiovascular health of women in Pakistan
Cardiovascular disease exerts an enormous burden on women's health. The intake of a healthy diet may reduce this burden. However, social norms and economic constraints are often factors that restrain women from paying attention to their diet. Underpinned by critical realism, this study explores how gender/sex influences decision‐making regarding food consumption among women of low socioeconomic status (SES). The study was carried out at two cardiac facilities in Karachi, Pakistan, on 24 participants (male and female from different ethnic backgrounds), who had received health education. Using an interpretive descriptive a...
Source: Nursing Inquiry - May 31, 2016 Category: Nursing Authors: Rubina Barolia, Alexander M. Clark, Gina Higginbottom Tags: Feature Source Type: research
The caring concept, its behaviours and obstacles: perceptions from a qualitative study of undergraduate nursing students
Developing caring competences is considered to be one of the most important aims of undergraduate nursing education and the role of clinical placement is recognised as special in this regard. Students' reflection on caring, their experience and obstacles in being caring is recommended as a key strategy in the process of teaching and studying the nursing discipline. Therefore, the aim of this study was to describe the concept of caring, its manifestations and possible obstacles while caring, as perceived by first‐year nursing students before and after their first clinical placement. Qualitative content analysis of 15 Poli...
Source: Nursing Inquiry - May 31, 2016 Category: Nursing Authors: Beata Dobrowolska, Alvisa Palese Tags: Feature Source Type: research
Supporting transvisibility and gender diversity in nursing practice and education: embracing cultural safety
This article seeks to raise readers’ awareness about the problems inherent to transinvisibility and to propose several curricular and structural‐level interventions that may serve to gradually increase the recognition of gender diversity in the planning and delivery of nursing education and practice. Contextualized in gender and intersectionality theory, cultural safety is presented as a viable and appropriate framework for engaging in these upstream approaches to addressing gender diversity in nursing education and practice. Among the structural interventions proposed are as follows: inclusive information systems, cre...
Source: Nursing Inquiry - May 31, 2016 Category: Nursing Authors: Peter Kellett, Chantelle Fitton Tags: Feature Source Type: research
Engagement practices that join scientific methods with community wisdom: designing a patient ‐centered, randomized control trial with a Pacific Islander community
This article illustrates how a collaborative research process can successfully engage an underserved minority community to address health disparities. Pacific Islanders, including the Marshallese, are one of the fastest growing US populations. They face significant health disparities, including extremely high rates of type 2 diabetes. This article describes the engagement process of designing patient‐centered outcomes research with Marshallese stakeholders, highlighting the specific influences of their input on a randomized control trial to address diabetes. Over 18 months, an interdisciplinary research team used commun...
Source: Nursing Inquiry - May 31, 2016 Category: Nursing Authors: Pearl Anna McElfish, Peter A Goulden, Zoran Bursac, Jonell Hudson, Rachel S Purvis, Karen H Kim Yeary, Nia Aitaoto, Peter O Kohler Tags: Feature Source Type: research
Engagement practices that join scientific methods with community wisdom: designing a patient‐centered, randomized control trial with a Pacific Islander community
This article illustrates how a collaborative research process can successfully engage an underserved minority community to address health disparities. Pacific Islanders, including the Marshallese, are one of the fastest growing US populations. They face significant health disparities, including extremely high rates of type 2 diabetes. This article describes the engagement process of designing patient‐centered outcomes research with Marshallese stakeholders, highlighting the specific influences of their input on a randomized control trial to address diabetes. Over 18 months, an interdisciplinary research team used commun...
Source: Nursing Inquiry - May 31, 2016 Category: Nursing Authors: Pearl Anna McElfish, Peter A Goulden, Zoran Bursac, Jonell Hudson, Rachel S Purvis, Karen H Kim Yeary, Nia Aitaoto, Peter O Kohler Tags: Feature Source Type: research
Breeding new forms of life: a critical reflection on extreme variances of bareback sex
Many men who have sex with men (MSM) express feeling marginalized by discourses within public health and sexual health nursing that determine bareback sex is deviant and unsafe. Their resistance to risk‐based discourses can be seen within radical sex practices such as deliberately becoming‐infected with HIV (bug‐chasing) and breeding‐infection (gift‐giving). The metaphors of bug‐chasing and gift‐giving, particularly those spread across global online spaces, can influence the sexual experiences and practices of MSM. A metaphor analysis was conducted of Internet forums discussing HIV chasing and gifting metapho...
Source: Nursing Inquiry - May 31, 2016 Category: Nursing Authors: Chad Hammond, Dave Holmes, Mathieu Mercier Tags: Feature Source Type: research
Challenging ‘girls only’ publicly funded human papillomavirus vaccination programmes
This analysis examines the ‘girls only’ policy for publicly funded human papillomavirus (HPV) vaccination programmes. Current funding policy in most Canadian provinces covers ‘girls only’ with the goal of reducing mortality and morbidity rates of HPV‐related cervical cancer. Recent studies indicate increasing rates of other HPV‐related cancers among cisgender men and women. The HPV vaccine is proving effective against some of these cancers. Statistics on HPV vaccine uptake among individuals with different gender expressions are scarce. Critics argue that a ‘girls only’ HPV vaccine policy is inequitable. We ...
Source: Nursing Inquiry - May 20, 2016 Category: Nursing Authors: Victoria G Law, Diana L Gustafson Tags: Feature Source Type: research
Social simulation theory: a framework to explain nurses' understanding of patients' experiences of ill‐health
A fundamental aim in caring practice is to understand patients' experiences of ill‐health. These experiences have a qualitative content and cannot, unlike thoughts and beliefs with conceptual content, directly be expressed in words. Nurses therefore face a variety of interpretive challenges when they aim to understand patients' subjective perspectives on disease and illness. The article argues that theories on social simulation can shed light on how nurses manage to meet these challenges. The core assumption of social simulationism is that we do not understand other people by forming mental representations of how they th...
Source: Nursing Inquiry - May 19, 2016 Category: Nursing Authors: Halvor Nordby Tags: Feature Source Type: research
Research toward clinical wisdom
(Source: Nursing Inquiry)
Source: Nursing Inquiry - May 16, 2016 Category: Nursing Authors: Sally Thorne Tags: Editorial Source Type: research
Issue Information
(Source: Nursing Inquiry)
Source: Nursing Inquiry - May 16, 2016 Category: Nursing Tags: Issue Information Source Type: research
Meaning making in long ‐term care: what do certified nursing assistants think?
Certified nursing assistants (CNAs) provide up to 80% of the direct care to older adults in long‐term care facilities. CNAs are perceived as being at the bottom of the hierarchy among healthcare professionals often negatively affecting their job satisfaction. However, many CNAs persevere in providing quality care and even reporting high levels of job satisfaction. The aim of the present investigation was to identify primary themes that may help CNAs make meaning of their chosen career; thus potentially partially explaining increases in job satisfaction among this group. Focus groups were conducted with CNAs at three long...
Source: Nursing Inquiry - April 3, 2016 Category: Nursing Authors: Michelle Gray, Barbara Shadden, Jean Henry, Ro Di Brezzo, Alishia Ferguson, Inza Fort Tags: Feature Source Type: research
There be dragons: effects of unexplored religion on nurses ’ competence in spiritual care
On ancient maps unexplored lands were simply labeled ‘there be dragons’ indicating the fear that attends the unknown. Despite three decades of theoretical and empirical work on spirituality in nursing, evidence still suggests that nurses do not feel competent to engage in spiritual care. In this paper I propose that one of the reasons for this is a theory–theory gap between religion and spirituality. Generalized anxiety about the role of religion in society has led to under‐theorizing in nursing about religious care. As a result, when religion and spirituality overlap at the point of care, nurses are left without t...
Source: Nursing Inquiry - April 3, 2016 Category: Nursing Authors: Barbara Pesut Tags: Feature Source Type: research
Meaning making in long‐term care: what do certified nursing assistants think?
Certified nursing assistants (CNAs) provide up to 80% of the direct care to older adults in long‐term care facilities. CNAs are perceived as being at the bottom of the hierarchy among healthcare professionals often negatively affecting their job satisfaction. However, many CNAs persevere in providing quality care and even reporting high levels of job satisfaction. The aim of the present investigation was to identify primary themes that may help CNAs make meaning of their chosen career; thus potentially partially explaining increases in job satisfaction among this group. Focus groups were conducted with CNAs at three long...
Source: Nursing Inquiry - April 3, 2016 Category: Nursing Authors: Michelle Gray, Barbara Shadden, Jean Henry, Ro Di Brezzo, Alishia Ferguson, Inza Fort Tags: Feature Source Type: research
