Narratives, memorable cases and metaphors of night nursing: findings from an interpretative phenomenological study
The aim of the study was to explore the experiences of night nurses. An interpretative phenomenological study was undertaken, and 35 nurses working in Italian medical, surgical and intensive care units were purposely recruited. Data were gathered in 2010 by semi‐structured interviews, collecting nurses' narratives, memorable cases and metaphors, aimed at summarising the essence of work as a nurse during the night. The experience of night nursing is based on four interconnected themes: (i) working in a state of alert, (ii) growing by expanding autonomy and responsibility, (iii) assuring sensitive surveillance and (iv) exp...
Source: Nursing Inquiry - February 19, 2015 Category: Nursing Authors: Lucia Zannini, Maria Grazia Ghitti, Sonia Martin, Alvisa Palese, Luisa Saiani Tags: Feature Source Type: research
Managerialism, governmentality and the evolving regulatory climate
(Source: Nursing Inquiry)
Source: Nursing Inquiry - February 11, 2015 Category: Nursing Authors: Trudy Rudge Tags: Editorial Source Type: research
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(Source: Nursing Inquiry)
Source: Nursing Inquiry - February 11, 2015 Category: Nursing Tags: Issue Information Source Type: research
Educational silos in nursing education: a critical review of practical nurse education in Canada
The objectives of this poststructural critical review were to identify dominant discourses in practical nurse education literature and to analyze these discourses to uncover underlying beliefs, constructed truths, assumptions, ambiguities and sources of knowledge within the discursive landscape. Predominant themes in the discourses surrounding practical nurse education included conversations about the nurse shortage, expanded roles, collaboration, evidence‐based practice, role confusion, cost/efficiency, the history of practical nurse education and employer interests. The complex relationships between practical nursing a...
Source: Nursing Inquiry - December 16, 2014 Category: Nursing Authors: Diane L Butcher, Karen A MacKinnon Tags: Feature Source Type: research
Towards an understanding of the dynamic sociomaterial embodiment of interprofessional collaboration
This study challenges such an ideal as too far removed from the complex and contested relations of power that characterise the albeit skilful everyday social interactions which take place within healthcare practice, along with the associated pragmatic compromises made by disempowered practitioners. It is noted that these may be facilitated by modes of comforting myth and denial. To underline this point, psychiatric illness diagnosis is used as an illustrative example of how a historically powerful societal discourse can become thoroughly entrenched. The influence of a paradigmatically dominant discourse is shown to extend ...
Source: Nursing Inquiry - December 1, 2014 Category: Nursing Authors: Chris Essen, Dawn Freshwater, Jane Cahill Tags: Feature Source Type: research
Understanding the challenges of palliative care in everyday clinical practice: an example from a COPD action research project
This study reports on an action research project aimed at developing respiratory nursing practice to address the palliative care needs of patients with advanced chronic obstructive pulmonary disease (COPD). The findings suggest that interlevel dynamics at individual, team, interdepartmental and organisational levels are an important factor in the capacity of respiratory nurses to embed non‐specialist palliative care in their practice. At best, current efforts to embed palliative care in everyday practice may improve end‐of‐life care in the final hours/days/weeks of life. However, embedding palliative care in everyday...
Source: Nursing Inquiry - December 1, 2014 Category: Nursing Authors: Geralyn Hynes, Fiona Kavanagh, Christine Hogan, Kitty Ryan, Linda Rogers, Jenny Brosnan, David Coghlan Tags: Feature Source Type: research
‘Looking like a bad person’: vocabulary of motives and narrative analysis in a story of nursing collegiality
Collegiality among nurses is necessary for the accomplishment of the tasks of care, for safety and quality improvement and for professional self‐regulation. Nurses, especially in hospitals, are more likely to work in groups than other professionals, yet those relationships have not been well explored. Bullying, intimidation and fear are frequently identified, while respectful disagreements are rarely described. In this paper, a single story by a nurse about her conversational conflict with another nurse is given a close reading. I use the ‘triadic line’ of William Carlos Williams to format an extended excerpt of inte...
Source: Nursing Inquiry - November 10, 2014 Category: Nursing Authors: Stephen M. Padgett Tags: Feature Source Type: research
Evolving trends in nurse regulation: what are the policy impacts for nursing's social mandate?
We present a critical policy analysis of the impact of recent regulatory trends on what the International Council of Nurses considers nursing's three ‘pillars’ – the profession of nursing, socioeconomic welfare of nurses and nurse regulation. Themes surfacing from this analysis include regulatory discontinuity, a tightening of regulatory control, and an increasingly managerial governance culture. These themes illuminate insights and strategies required to renew and revitalize the social mandate of our profession amidst a climate of urgency in the questioning of nurse scholars with respect to the future of the profess...
Source: Nursing Inquiry - November 8, 2014 Category: Nursing Authors: Susan Duncan, Sally Thorne, Patricia Rodney Tags: Feature Source Type: research
Tribute to a nursing inquiry giant
(Source: Nursing Inquiry)
Source: Nursing Inquiry - November 8, 2014 Category: Nursing Authors: Sally Thorne Tags: Editorial Source Type: research
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(Source: Nursing Inquiry)
Source: Nursing Inquiry - November 8, 2014 Category: Nursing Tags: Issue Information Source Type: research
A matter of taste: evaluating the quality of qualitative research
Driven by an impetus to standardize, numerous checklists have been devised to address quality in qualitative research, but these standards and the mindset driving them offer no language with which to speak about taste, or the aesthetic sensibilities that play such a key role in evaluating the goodness of any object. In this article, quality appraisal in qualitative research is considered in the context of taste, that is, in the discernment involved in judging the value of research and in the recognition of the key role reviewer preferences, sensibilities and membership in one or more taste communities play in these judgeme...
Source: Nursing Inquiry - September 12, 2014 Category: Nursing Authors: Margarete Sandelowski Tags: Feature Source Type: research
Perpetuating ‘New Public Management’ at the expense of nurses' patient education: a discourse analysis
This study aimed to explore the conditions for nurses' daily patient education work by focusing on managers' way of speaking about the patient education provided by nurses in hospital care. An explorative, qualitative design with a social constructionist perspective was used. Data were collected from three focus group interviews and analysed by means of critical discourse analysis. Discursive practice can be explained by the ideology of hegemony. Due to a heavy workload and lack of time, managers could ‘see’ neither their role as a supporter of the patient education provided by nurses, nor their role in the development...
Source: Nursing Inquiry - September 1, 2014 Category: Nursing Authors: Anne‐Louise Bergh, Febe Friberg, Eva Persson, Elisabeth Dahlborg‐Lyckhage Tags: Feature Source Type: research
The process of Danish nurses’ professionalization and patterns of thought in the 20th century
In this article,we address how the professionalization process is reflected in the way Danish nursing textbooks present ‘nursing’ to new members of the profession during the 20th century. The discussion is based on a discourse analysis of seven Danish textbooks on basic nursing published between 1904 and 1996. The analysis was inspired by the work of Michel Foucault, in particular the concepts of rupture and rules of formation. First, we explain how the dominating role of the human body in nursing textbooks disappears in the mid‐20th century. This transformation can of course be attributed to changes in tasks and res...
Source: Nursing Inquiry - September 1, 2014 Category: Nursing Authors: Kirsten Beedholm, Kirsten Frederiksen Tags: Feature Source Type: research
A systematic review of instruments measuring patients′ perceptions of patient‐centred nursing care
This systematic review identified and evaluated instruments measuring patients' perceptions of patient‐centred nursing care. Of 2629 studies reviewed, 12 were eligible for inclusion. Four instruments were reported: The Individualized Care Scale, the Client‐Centred Care Questionnaire, the Oncology patients' Perceptions of the Quality of Nursing Care Scale and the Smoliner scale. These instruments cover themes addressing patient participation and the clinician–patient relationship. Instruments were shown to have satisfactory psychometric properties, although not all were adequately assessed. More research is needed reg...
Source: Nursing Inquiry - September 1, 2014 Category: Nursing Authors: Stefan Köberich, Erik Farin Tags: Review Source Type: research
The construction and legitimation of workplace bullying in the public sector: insight into power dynamics and organisational failures in health and social care
In this study, employing Foucault's framework of power, we illuminate bullying as a feature of structures of power and knowledge in public sector institutions. Our analysis draws upon the experiences of a large sample (n = 3345) of workers in Australian public sector agencies – the type with which most nurses in the public setting will be familiar. In foregrounding these power dynamics, we provide further insight into how cultures that are antithetical to institutional missions can arise and seek to broaden the debate on the dynamics of care failures within public sector institutions. Understanding the practices of pow...
Source: Nursing Inquiry - August 19, 2014 Category: Nursing Authors: Marie Hutchinson, Debra Jackson Tags: Feature Source Type: research
