Is technology the best medicine? Three practice theoretical perspectives on medication administration technologies in nursing
Even though it is often presumed that the use of technology like medication administration technology is both safer and more effective, the importance of nurses' know‐how is not to be underestimated. In this article, we accordingly try to argue that nurses' labor, including their different forms of knowledge, must play a crucial role in the development, implementation and use of medication administration technology. Using three different theoretical perspectives (‘heuristic lenses') and integrating this with our own ethnographic research, we will explore how nursing practices change through the use of medication techno...
Source: Nursing Inquiry - September 1, 2015 Category: Nursing Authors: Marcel JMH Boonen, Frans JH Vosman, Alistair R Niemeijer Tags: Review Source Type: research
‘Risk or Right’: a discourse analysis of midwifery and obstetric colleges’ homebirth position statements
Within the context of global debates about safety and ethics of supporting women to give birth at home, it is important to analyse documents governing midwifery and obstetric practice and influence decision‐making around place of birth. In Australia, the United States and the United Kingdom, relatively small numbers of women choose to give birth at home despite their midwifery colleges' support. In the United States and Australia, the obstetric colleges do not support homebirth and these countries have lower numbers of women who birth at home, compared with the United Kingdom. There are numerous regulatory and industry c...
Source: Nursing Inquiry - September 1, 2015 Category: Nursing Authors: Sharon Licqurish, Alicia Evans Tags: Feature Source Type: research
The social organization of a sedentary life for residents in long‐term care
Worldwide, the literature reports that many residents in long‐term care (LTC) homes are sedentary. In Canada, personal support workers (PSWs) provide most of the direct care in LTC homes and could play a key role in promoting activity for residents. The purpose of this institutional ethnographic study was to uncover the social organization of LTC work and to discover how this organization influenced the physical activity of residents. Data were collected in two LTC homes in Ontario, Canada through participant observations with PSWs and interviews with people within and external to the homes. Findings explicate the links ...
Source: Nursing Inquiry - August 29, 2015 Category: Nursing Authors: Kathleen Benjamin, Janet Rankin, Nancy Edwards, Jenny Ploeg, Frances Legault Tags: Feature Source Type: research
Rounding, work intensification and new public management
In this study, we argue that contemporary nursing care has been overtaken by new public management strategies aimed at curtailing budgets in the public hospital sector in Australia. Drawing on qualitative interviews with 15 nurses from one public acute hospital with supporting documentary evidence, we demonstrate what happens to nursing work when management imposes rounding as a risk reduction strategy. In the case study outlined rounding was introduced across all wards in response to missed care, which in turn arose as a result of work intensification produced by efficiency, productivity, effectiveness and accountability ...
Source: Nursing Inquiry - August 28, 2015 Category: Nursing Authors: Eileen Willis, Luisa Toffoli, Julie Henderson, Leah Couzner, Patricia Hamilton, Claire Verrall, Ian Blackman Tags: Feature Source Type: research
The social organization of a sedentary life for residents in long ‐term care
Worldwide, the literature reports that many residents in long‐term care (LTC) homes are sedentary. In Canada, personal support workers (PSWs) provide most of the direct care in LTC homes and could play a key role in promoting activity for residents. The purpose of this institutional ethnographic study was to uncover the social organization of LTC work and to discover how this organization influenced the physical activity of residents. Data were collected in two LTC homes in Ontario, Canada through participant observations with PSWs and interviews with people within and external to the homes. Findings explicate the links ...
Source: Nursing Inquiry - August 27, 2015 Category: Nursing Authors: Kathleen Benjamin, Janet Rankin, Nancy Edwards, Jenny Ploeg, Frances Legault Tags: Feature Source Type: research
Safe staffing and the global mandate for health
(Source: Nursing Inquiry)
Source: Nursing Inquiry - August 17, 2015 Category: Nursing Authors: Sally Thorne Tags: Editorial Source Type: research
Issue Information
(Source: Nursing Inquiry)
Source: Nursing Inquiry - August 17, 2015 Category: Nursing Tags: Issue Information Source Type: research
Scandals in health‐care: their impact on health policy and nursing
Conclusions are drawn about the impact of these events on the future of the profession and on health policy directions. Recent events have raised public anxieties about caring practices in nursing. Health policy reform driven by scandal may obscure the effect of under resourcing in health services and poses a very real threat to the continued support for state‐run services. Understanding the socially constructed nature of scandal enables the nurse to develop a greater critical awareness of policy contexts in order that they can influence health service reform. (Source: Nursing Inquiry)
Source: Nursing Inquiry - July 19, 2015 Category: Nursing Authors: Jacqueline S. Hutchison Tags: Feature Source Type: research
Transforming a conservative clinical setting: ICU nurses' strategies to improve care for patients' relatives through a participatory action research
This study focuses on change strategies generated through a dialogical–reflexive–participatory process designed to improve the care of families of critically ill patients in an intensive care unit (ICU) using a participatory action research in a tertiary hospital in the Balearic Islands (Spain). Eleven professionals (representatives) participated in 11 discussion groups and five in‐depth interviews. They represented the opinions of 49 colleagues (participants). Four main change strategies were created: (i) Institutionally supported practices were confronted to make a shift from professional‐centered work to a more ...
Source: Nursing Inquiry - July 19, 2015 Category: Nursing Authors: Concha Zaforteza, Denise Gastaldo, Cristina Moreno, Andreu Bover, Rosa Miró, Margalida Miró Tags: Feature Source Type: research
Discourses of aggression in forensic mental health: a critical discourse analysis of mental health nursing staff records
Managing aggression in mental health hospitals is an important and challenging task for clinical nursing staff. A majority of studies focus on the perspective of clinicians, and research mainly depicts aggression by referring to patient‐related factors. This qualitative study investigates how aggression is communicated in forensic mental health nursing records. The aim of the study was to gain insight into the discursive practices used by forensic mental health nursing staff when they record observed aggressive incidents. Textual accounts were extracted from the Staff Observation Aggression Scale‐Revised (SOAS‐R), an...
Source: Nursing Inquiry - July 3, 2015 Category: Nursing Authors: Lene L Berring, Liselotte Pedersen, Niels Buus Tags: Feature Source Type: research
Social science and linguistic text analysis of nurses’ records: a systematic review and critique
The two aims of the paper were to systematically review and critique social science and linguistic text analyses of nursing records in order to inform future research in this emerging area of research. Systematic searches in reference databases and in citation indexes identified 12 articles that included analyses of the social and linguistic features of records and recording. Two reviewers extracted data using established criteria for the evaluation of qualitative research papers. A common characteristic of nursing records was the economical use of language with local meanings that conveyed little information to the uninit...
Source: Nursing Inquiry - June 24, 2015 Category: Nursing Authors: Niels Buus, Bridget Elizabeth Hamilton Tags: Review Source Type: research
An analysis of England's nursing policy on compassion and the 6Cs: the hidden presence of M. Simone Roach's model of caring
This study suggests that without explicit reference to Roach's ideas, and her underlying theoretical base, the CNO requirement has the effect of turning virtues into commodities and a form of external control, described by Ritzer as a McDonaldized dehumanization. This study, which has international relevance beyond England and the UK, suggests that the CNO revise their policy by acknowledging Roach's 6Cs and openly discuss the implications of her work for their policy. (Source: Nursing Inquiry)
Source: Nursing Inquiry - June 8, 2015 Category: Nursing Authors: Ann Bradshaw Tags: Feature Source Type: research
Quality care as ethical care: a poststructural analysis of palliative and supportive district nursing care
Quality of care is a prominent discourse in modern health‐care and has previously been conceptualised in terms of ethics. In addition, the role of knowledge has been suggested as being particularly influential with regard to the nurse–patient–carer relationship. However, to date, no analyses have examined how knowledge (as an ethical concept) impinges on quality of care. Qualitative semi‐structured interviews were conducted with 26 patients with palliative and supportive care needs receiving district nursing care and thirteen of their lay carers. Poststructural discourse analysis techniques were utilised to take an...
Source: Nursing Inquiry - June 1, 2015 Category: Nursing Authors: Maurice Nagington, Catherine Walshe, Karen A Luker Tags: Feature Source Type: research
Health prevention in the era of biosocieties: a critical analysis of the ‘Seek‐and‐Treat’ paradigm in HIV/AIDS prevention
On 18 November 2014, the United Nations launched an urgent new campaign to end AIDS as a global health threat by 2030. With its proposed strategy, the UN follows leading scientists who had declared the failure of former prevention strategies and now were promoting a ‘Seek and Treat for Optimal Prevention’ (STOP) approach as the most cost‐effective response to the pandemic to meet the goal of ‘an AIDS‐free generation’. STOP combines antiretroviral therapy and routine HIV screening to find persons unaware that they are HIV‐positive, because research has shown that people consistently change their behaviour (i.e...
Source: Nursing Inquiry - June 1, 2015 Category: Nursing Authors: Thomas Foth, Patrick O'Byrne, Dave Holmes Tags: Feature Source Type: research
A consistent course of events or a series of coincidences: nursing in Poland from the 19th to the 21st century
The development of nursing began in Poland much later than it did elsewhere, for instance in the United Kingdom, the United States, or Germany, and it came up against difficult conditions. After a brief twenty‐year period of development between 1918 and 1939, it almost stalled during the war (1939–45), only to be followed by nearly twenty years of chaos. Nursing started to come out of this difficult period at the beginning of the 1960s. The turn of the 21st century saw the emergence of extensive professional development and training opportunities for nurses. This change was brought about as much by political, social an...
Source: Nursing Inquiry - June 1, 2015 Category: Nursing Authors: Anna Majda, Ewa Ziarko, Joanna Zalewska‐Puchała Tags: Review Source Type: research
