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Nursing Inquiry

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https://www.readbyqxmd.com/read/28776798/nursing-assistants-matters-an-ethnographic-study-of-knowledge-sharing-in-interprofessional-practice
#1
Annika Lindh Falk, Håkan Hult, Mats Hammar, Nick Hopwood, Madeleine Abrandt Dahlgren
Interprofessional collaboration involves some kind of knowledge sharing, which is essential and will be important in the future in regard to the opportunities and challenges in practices for delivering safe and effective health care. Nursing assistants are seldom mentioned as a group of health care workers that contribute to interprofessional collaboration in health care practice. The aim of this ethnographic study was to explore how the nursing assistants' knowledge can be shared in a team on a spinal cord injury rehabilitation ward...
August 3, 2017: Nursing Inquiry
https://www.readbyqxmd.com/read/28762593/influencing-everyday-activities-in-a-nursing-home-setting-a-call-for-ethical-and-responsive-engagement
#2
Margarita Mondaca, Staffan Josephsson, Arlene Katz, Lena Rosenberg
This study focuses on influence that older adults, living in nursing homes, have over everyday activities. Everyday activities are key to sustain a sense of stability, predictability, and enjoyment in the local world of people's everyday and therefore a critical dimension of the person-centeredness framework applied within gerontology. This narrative ethnographic study aimed to shed light on how influence can be situated contextually, and how it can emerge through activities as well as how it is negotiated in everyday by frail older adults living in a nursing home...
August 1, 2017: Nursing Inquiry
https://www.readbyqxmd.com/read/28730736/the-importance-of-moral-emotions-for-effective-collaboration-in-culturally-diverse-healthcare-teams
#3
Catherine Cook, Margaret Brunton
Moral emotions shape the effectiveness of culturally diverse teams. However, these emotions, which are integral to determining ethically responsive patient care and team relationships, typically go unrecognised. The contribution of emotions to moral deliberation is subjugated within the technorational environment of healthcare decision-making. Contemporary healthcare organisations rely on a multicultural workforce charged with the ethical care of vulnerable people. Limited extant literature examines the role of moral emotions in ethical decision-making among culturally diverse healthcare teams...
July 20, 2017: Nursing Inquiry
https://www.readbyqxmd.com/read/28704590/the-influence-of-democratic-racism-in-nursing-inquiry
#4
Carla T Hilario, Annette J Browne, Alysha McFadden
Neoliberal ideology and exclusionary policies based on racialized identities characterize the current contexts in North America and Western Europe. Nursing knowledge cannot be abstracted from social, political and historical contexts; the task of examining the influence of race and racial ideologies on disciplinary knowledge and inquiry therefore remains an important task. Contemporary analyses of the role and responsibility of the discipline in addressing race-based health and social inequities as a focus of nursing inquiry remain underdeveloped...
July 13, 2017: Nursing Inquiry
https://www.readbyqxmd.com/read/28685947/drawing-on-antiracist-approaches-toward-a-critical-antidiscriminatory-pedagogy-for-nursing
#5
Amélie Blanchet Garneau, Annette J Browne, Colleen Varcoe
Although nursing has a unique contribution to advancing social justice in health care practices and education, and although social justice has been claimed as a core value of nursing, there is little guidance regarding how to enact social justice in nursing practice and education. In this paper, we propose a critical antidiscriminatory pedagogy (CADP) for nursing as a promising path in this direction. We argue that because discrimination is inherent to the production and maintenance of inequities and injustices, adopting a CADP offers opportunities for students and practicing nurses to develop their capacity to counteract racism and other forms of individual and systemic discrimination in health care, and thus promote social justice...
July 7, 2017: Nursing Inquiry
https://www.readbyqxmd.com/read/28677848/the-impact-of-regulatory-perspectives-and-practices-on-professional-innovation-in-nursing
#6
Sarah Stahlke Wall
Since at least the 1970s in Canada, there have been calls for health system reforms based on innovative roles and expanded scopes of practice for nurses. Professional regulatory organizations, through legislation, define the standards and parameters of professional nursing practice. Nursing regulators emphasize public protection over the advancement of nursing; regulatory processes and decisions tend to be conservative and risk-averse. This study explored the impact that regulatory processes have on innovation in nursing roles...
July 5, 2017: Nursing Inquiry
https://www.readbyqxmd.com/read/28631389/to-stand-back-or-step-in-exploring-the-responses-of-employees-who-observe-workplace-bullying
#7
Sarah MacCurtain, Caroline Murphy, Michelle O'Sullivan, Juliet MacMahon, Tom Turner
Bullying remains a pervasive problem in healthcare, and evidence suggests systems in place are not utilised due to perceptions of ineffectiveness and inequity. This study examines bystander responses to bullying and factors that influence decisions to intervene. We explore relationships between bystanders' perceptions of psychological safety across three levels (organisation, supervisor and colleague) and reactions to witnessing bullying. We suggest psychological safety would be positively associated with the decision to intervene...
June 20, 2017: Nursing Inquiry
https://www.readbyqxmd.com/read/28631346/historically-informed-nursing-a-transnational-case-study-in-china
#8
Jun Lu, Sonya Grypma, Yingjuan Cao, Lijuan Bu, Lin Shen, Patricia M Davidson
The term 'nurse' (hushi-'caring scholar') did not enter the Chinese language until the early 20th century. Modern nursing-a fundamentally Western notion popularized by Nightingale and introduced to China in 1884-profoundly changed the way care of the sick was practiced. For 65 years, until 1949, nursing developed in China as a transnational project, with Western and Chinese influences shaping the profession of nursing in ways that linger today. Co-authored by Chinese, Canadian, and American nurses, this paper examines the early stages of nursing in one province of China as an exemplar of the transnational nature of nursing development...
June 20, 2017: Nursing Inquiry
https://www.readbyqxmd.com/read/28616899/improving-socially-constructed-cross-cultural-communication-in-aged-care-homes-a-critical-perspective
#9
Lily Dongxia Xiao, Eileen Willis, Ann Harrington, David Gillham, Anita De Bellis, Wendy Morey, Lesley Jeffers
Cultural diversity between residents and staff is significant in aged care homes in many developed nations in the context of international migration. This diversity can be a challenge to achieving effective cross-cultural communication. The aim of this study was to critically examine how staff and residents initiated effective cross-cultural communication and social cohesion that enabled positive changes to occur. A critical hermeneutic analysis underpinned by Giddens' Structuration Theory was applied to the study...
June 14, 2017: Nursing Inquiry
https://www.readbyqxmd.com/read/28597986/tensions-in-the-personal-world-of-the-nurse-family-carer-a-phenomenological-approach
#10
Loretto Quinney, Trudy Dwyer, Ysanne Chapman
The incidence of chronic illness is growing globally. As a result, there are fiscal and social implications for health delivery. Alongside the increased burden on health resources is the expectation that someone within the family will assume the responsibility of carer for those who are chronically ill. The expectation to assume the role of carer may be amplified for family members who are also nurses. Currently, there is little research that investigates the impact of nurses who are carers for family with a chronic illness...
June 9, 2017: Nursing Inquiry
https://www.readbyqxmd.com/read/28597981/reflections-on-patient-involvement-in-research-and-clinical-practice-a-secondary-analysis-of-women-s-perceptions-and-experiences-of-egg-aspiration-in-fertility-treatment
#11
Charlotte Handberg, Kirsten Beedholm, Vibeke Bregnballe, Annette Nielsen Nellemann, Lene Seibaek
The importance of patient involvement is increasing in healthcare, and initiatives are constantly implemented to reach the ideal of involved and educated patients. This secondary analysis was initially embedded in a randomized controlled study where the aim was to gain insight into perceptions and experiences within a group of women undergoing fertility treatment through two focus group interviews. In this secondary analysis, we investigated how patient involvement was strived for in both clinical practice and research...
June 9, 2017: Nursing Inquiry
https://www.readbyqxmd.com/read/28580736/professional-responsibility-and-decision-making-in-the-context-of-a-disease-focused-model-of-nursing-care-the-difficulties-experienced-by-spanish-nurses
#12
Olga Rodrigo, Jordi Caïs, Cristina Monforte-Royo
When, in 1977, nurse education in Spain was transferred to universities a more patient-centred, the Anglo-American philosophy of care was introduced into a context in which nurses had traditionally prioritised their technical skills. This paper examines the characteristics of the nurse's professional role in Spain, where the model of nursing practice has historically placed them in a position akin to that of physician assistants. The study design was qualitative and used the method of analytic induction. Participants were selected by means of theoretical sampling and then underwent in-depth interviews...
June 4, 2017: Nursing Inquiry
https://www.readbyqxmd.com/read/28580614/instrumentalisation-of-the-health-system-an-examination-of-the-impact-on-nursing-practice-and-patient-autonomy
#13
Jesús Molina-Mula, Elizabeth Peter, Julia Gallo-Estrada, Catalina Perelló-Campaner
Most current management systems of healthcare institutions correspond to a model of market ethics with its demands of competitiveness. This approach has been called managerialism and is couched in terms of much-needed efficiencies and effective management of budgetary constraints. The aim of this study was to analyse the decision-making of nurses through the impact of health institution management models on clinical practice. Based on Foucault's ethical theory, a qualitative study was conducted through a discourse analysis of the nursing records in a hospital unit...
June 4, 2017: Nursing Inquiry
https://www.readbyqxmd.com/read/28569416/applying-cultural-safety-beyond-indigenous-contexts-insights-from-health-research-with-amish-and-low-german-mennonites
#14
Amélie Blanchet Garneau, Helen Farrar, HaiYan Fan, Judith Kulig
People who identify as members of religious communities, such as the Amish and Low German Mennonites, face challenges obtaining quality health care and engagement in research due in part to stereotypes that are conveyed through media and popular discourses. There is also a growing concern that even when these groups are engaged in research, the guiding frameworks of the research fail to consider the sociocultural or historical relations of power, further skewing power imbalances inherent in the research relationship...
June 1, 2017: Nursing Inquiry
https://www.readbyqxmd.com/read/28557113/governing-citizens-and-health-professionals-at-a-distance-a-critical-discourse-analysis-of-policies-of-intersectorial-collaboration-in-danish-health-care
#15
Anne Bendix Andersen, Kirsten Frederiksen, Raymond Kolbaek, Kirsten Beedholm
It is widely recognised that the delivery of services across health-care sectors faces multiple challenges related to incoherence in patient pathways. There are multiple reasons for this incoherence, which are often dealt with through national legislation and policy-making. This paper discusses policies as powerful actors and explores how effects of a concrete policy are adapted for intersectorial collaboration in Danish health-care. The paper is based on a critical discourse analysis of a central policy document in Danish health-care known as the 'Health Agreements'...
May 29, 2017: Nursing Inquiry
https://www.readbyqxmd.com/read/28544051/crisis-at-guy-s-hospital-1880-and-the-nature-of-nursing-work
#16
Sheri Tesseyman, Christine Hallett, Jane Brooks
This historical study aims to refine understanding of the nature of nursing work. The study focuses on the 1880 crisis at Guy's Hospital in London to examine the nature and meaning of nursing work, particularly the concept of nursing work as many 'little things.' In this paper, an examination of Margaret Lonsdale's writing offers an original contribution to our understanding of the ways in which nursing work differs from medical practice. In this way, we use the late-nineteenth-century controversy at Guy's Hospital as a prism through which to examine the contested nature of nursing work...
May 23, 2017: Nursing Inquiry
https://www.readbyqxmd.com/read/28691757/nursing-values-divided-we-stand
#17
Martin Lipscomb
No abstract text is available yet for this article.
July 2017: Nursing Inquiry
https://www.readbyqxmd.com/read/27862663/the-insight-and-challenge-of-reflexive-practice-in-an-ethnographic-study-of-black-traumatically-injured-patients-in-philadelphia
#18
Sara F Jacoby
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 interpretation of clinical culture...
July 2017: Nursing Inquiry
https://www.readbyqxmd.com/read/28421661/safety-in-psychiatric-inpatient-care-the-impact-of-risk-management-culture-on-mental-health-nursing-practice
#19
Allie Slemon, Emily Jenkins, Vicky Bungay
The discourse of safety has informed the care of individuals with mental illness through institutionalization and into modern psychiatric nursing practices. Confinement arose from safety: out of both societal stigma and fear for public safety, as well as benevolently paternalistic aims to protect individuals from self-harm. In this paper, we argue that within current psychiatric inpatient environments, safety is maintained as the predominant value, and risk management is the cornerstone of nursing care. Practices that accord with this value are legitimized and perpetuated through the safety discourse, despite evidence refuting their efficacy, and patient perspectives demonstrating harm...
April 18, 2017: Nursing Inquiry
https://www.readbyqxmd.com/read/28419738/academic-voice-on-feminism-presence-and-objectivity-in-writing
#20
Kim M Mitchell
Academic voice is an oft-discussed, yet variably defined concept, and confusion exists over its meaning, evaluation, and interpretation. This paper will explore perspectives on academic voice and counterarguments to the positivist origins of objectivity in academic writing. While many epistemological and methodological perspectives exist, the feminist literature on voice is explored here as the contrary position. From the feminist perspective, voice is a socially constructed concept that cannot be separated from the experiences, emotions, and identity of the writer and, thus, constitutes a reflection of an author's way of knowing...
April 16, 2017: Nursing Inquiry
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