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Nursing Inquiry

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https://www.readbyqxmd.com/read/29790231/a-qualitative-investigation-of-hospital-visitors-experiences-using-the-analytic-lens-of-liminality-informing-nursing-practice-and-policy
#1
Janet Underwood, Christine Rhodes
This research aimed to inform nursing practice and policy by identifying satisfying and problematic experiences of hospital visitors during the hospitalisation episode of a significant other. An extensive contextual review revealed that healthcare systems in advanced economies face multiple pressures and that in England, the government leaves the determination of hospital visiting rules to individual trusts. The analytic lens of liminality provides rich interpretations of visitors' accounts and demonstrates the importance to visitors of structure (hospital rules and systems) and communitas (social bonding among liminal personae)...
May 22, 2018: Nursing Inquiry
https://www.readbyqxmd.com/read/29785757/a-nursing-solution-to-primary-care-delivery-shortfall
#2
Michael Carter, Phillip Moore, Nina Sublette
Many countries project that they will have difficulty to meet their demand for primary care based on an inadequate supply of primary care doctors. There are many reasons for this, and they tend to vary by country. The policy options available to these countries are to increase the number of local primary care doctors, recruit doctors from other countries, ration primary care, shift more primary care to specialists, or authorize other disciplines to provide primary care. This article examines lessons learned in the United States over the past 50 years and proposes that expanding the use of nurse practitioners is the best solution when measured by feasibility, costs, ethics, and scope of the care delivered...
May 21, 2018: Nursing Inquiry
https://www.readbyqxmd.com/read/29774970/priming-patient-safety-a-middle-range-theory-of-safety-goal-priming-via-safety-culture-communication
#3
Patricia S Groves, Jacinda L Bunch
The aim of this paper is discussion of a new middle-range theory of patient safety goal priming via safety culture communication. Bedside nurses are key to safe care, but there is little theory about how organizations can influence nursing behavior through safety culture to improve patient safety outcomes. We theorize patient safety goal priming via safety culture communication may support organizations in this endeavor. According to this theory, hospital safety culture communication activates a previously held patient safety goal and increases the perceived value of actions nurses can take to achieve that goal...
May 18, 2018: Nursing Inquiry
https://www.readbyqxmd.com/read/29707860/narrative-intelligence-in-nursing-storying-patient-lives-in-dementia-care
#4
Gary Witham, Carol Haigh
This paper examines narrative approaches to care within the context of dementia. It reviews the function of stories and explores some of the narrative genres that shape the cultural perceptions of dementia. We argue that narrative intelligence within healthcare is an important element in nurturing communal self-identity for people living with dementia. Listening and responding to stories and the cultural framework that this encompasses is an embodied action that is not just related to cognitive recall but situates us within a cultural community...
April 29, 2018: Nursing Inquiry
https://www.readbyqxmd.com/read/29642278/understanding-the-space-of-nursing-practice-in-colombia-a-critical-reflection-on-the-effects-of-health-system-reform
#5
Pilar Camargo Plazas
Worldwide, healthcare has been touched by neoliberal policies to the extent that it has some of its characteristics, such as being asymmetrical, competitive, dehumanized, and profit driven. In Colombia, Law 100/93 was created as an ambitious reform aimed at integrating the social security and public sectors of healthcare in order to create universal access, and at the same time to generate market competence with the objective of improving effectiveness and responsiveness. Instead, however, Colombian health reform has served to generate competition which has aggravated inequalities among people...
April 11, 2018: Nursing Inquiry
https://www.readbyqxmd.com/read/29637709/re-conceptualizing-the-nursing-metaparadigm-articulating-the-philosophical-ontology-of-the-nursing-discipline-that-orients-inquiry-and-practice
#6
Miriam Bender
Jacqueline Fawcett's nursing metaparadigm-the domains of person, health, environment, and nursing-remains popular in nursing curricula, despite having been repeatedly challenged as a logical philosophy of nursing. Fawcett appropriated the word "metaparadigm" (indirectly) from Margaret Masterman and Thomas Kuhn as a devise that allowed her to organize then-current areas of nursing interest into a philosophical "hierarchy of knowledge," and thereby claim nursing inquiry and practice as rigorously "scientific...
April 10, 2018: Nursing Inquiry
https://www.readbyqxmd.com/read/29633472/-men-just-drink-more-than-women-women-have-friends-to-talk-to-gendered-understandings-of-depression-among-healthcare-professionals-and-their-implications
#7
Jeppe Oute, Janis Tondora, Stinne Glasdam
Little is known about how gendered understandings of patients can inform professionals' discretionary actions and decisions to include or exclude in clinical practice. Using Connell's poststructuralist perspectives on gender as an analytic framework, this article aims to investigate how professionals' articulations of depression are framed by signs of masculinity and femininity, and how these articulations inform service provision to patients with depression in clinical psychiatry. Building on interview data drawn from an ethnographic study, the article shows how the professionals' articulations reflected a gender binary that framed how the feminized patients were often connected to psychiatric care while masculinized patients were referred to separate alcohol or substance use treatment outside the psychiatric institution...
April 6, 2018: Nursing Inquiry
https://www.readbyqxmd.com/read/29607615/a-nursing-theory-guided-framework-for-genetic-and-epigenetic-research
#8
Katherine A Maki, Holli A DeVon
The notion that genetics, through natural selection, determines innate traits has led to much debate and divergence of thought on the impact of innate traits on the human phenotype. The purpose of this synthesis was to examine how innate theory informs genetic research and how understanding innate theory through the lens of Martha Rogers' theory of unitary human beings can offer a contemporary view of how innate traits can inform epigenetic and genetic research. We also propose a new conceptual model for genetic and epigenetic research...
April 1, 2018: Nursing Inquiry
https://www.readbyqxmd.com/read/29607602/bedside-nurses-roles-in-discharge-collaboration-in-general-internal-medicine-disconnected-disempowered-and-devalued
#9
Joanne Goldman, Kathleen MacMillan, Simon Kitto, Robert Wu, Ivan Silver, Scott Reeves
Collaboration among nurses and other healthcare professionals is needed for effective hospital discharge planning. However, interprofessional interactions and practices related to discharge vary within and across hospitals. These interactions are influenced by the ways in which healthcare professionals' roles are being shaped by hospital discharge priorities. This study explored the experience of bedside nurses' interprofessional collaboration in relation to discharge in a general medicine unit. An ethnographic approach was employed to obtain an in-depth insight into the perceptions and practices of nurses and other healthcare professionals regarding collaborative practices around discharge...
April 1, 2018: Nursing Inquiry
https://www.readbyqxmd.com/read/29575412/understanding-access-to-healthcare-among-indigenous-peoples-a-comparative-analysis-of-biomedical-and-postcolonial-perspectives
#10
Tara Horrill, Diana E McMillan, Annette S H Schultz, Genevieve Thompson
As nursing professionals, we believe access to healthcare is fundamental to health and that it is a determinant of health. Therefore, evidence suggesting access to healthcare is problematic for many Indigenous peoples is concerning. While biomedical perspectives underlie our current understanding of access, considering alternate perspectives could expand our awareness of and ability to address this issue. In this paper, we critique how access to healthcare is understood through a biomedical lens, how a postcolonial theoretical lens can extend that understanding, and the subsequent implications this alternative view raises for the nursing profession...
March 25, 2018: Nursing Inquiry
https://www.readbyqxmd.com/read/29573054/relational-ethics-of-delirium-care-findings-from-a-hospice-ethnography
#11
David Kenneth Wright, Susan Brajtman, Mary Ellen Macdonald
Delirium, a common syndrome in terminally ill people, presents specific challenges to a good death in end-of-life care. This paper examines the relational engagement between hospice nurses and their patients in a context of end-of-life delirium. Ethnographic fieldwork spanning 15 months was conducted at a freestanding residential hospice in eastern Canada. A shared value system was apparent within the nursing community of hospice; patients' comfort and dignity were deemed most at stake and therefore commanded nurses' primary attention...
March 24, 2018: Nursing Inquiry
https://www.readbyqxmd.com/read/29504191/facilitating-a-dedicated-focus-on-the-human-dimensions-of-care-in-practice-settings-development-of-a-new-humanised-care-assessment-tool-hcat-to-sensitise-care
#12
Kathleen T Galvin, Claire Sloan, Fiona Cowdell, Caroline Ellis-Hill, Carole Pound, Roger Watson, Steven Ersser, Sheila Brooks
There is limited consensus about what constitutes humanly sensitive care, or how it can be sustained in care settings. A new humanised care assessment tool may point to caring practices that are up to the task of meeting persons as humans within busy healthcare environments. This paper describes qualitative development of a tool that is conceptually sensitive to human dimensions of care informed by a life-world philosophical orientation. Items were generated to reflect eight theoretical dimensions that constitute what makes care feel humanly focused...
March 4, 2018: Nursing Inquiry
https://www.readbyqxmd.com/read/29656539/confronting-bias-in-health-care
#13
EDITORIAL
Sally Thorne
No abstract text is available yet for this article.
April 2018: Nursing Inquiry
https://www.readbyqxmd.com/read/28762593/influencing-everyday-activities-in-a-nursing-home-setting-a-call-for-ethical-and-responsive-engagement
#14
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...
April 2018: Nursing Inquiry
https://www.readbyqxmd.com/read/29473260/textually-mediated-discourses-in-canadian-news-stories-situating-nurses-salaries-as-the-problem
#15
Ann-Marie Urban
The aim of this article is to elucidate how nurses are positioned in Canadian news stories regarding their salaries. While the image of nursing in mass media has been widely studied, few studies explore how nurses are constructed in news stories. Drawing on ideas from institutional ethnography together with discourse analysis, this discussion highlights public textual discourses about nurses' salaries in Canadian news stories. The media discourse was found to distort the issues by focusing attention on nurses...
February 22, 2018: Nursing Inquiry
https://www.readbyqxmd.com/read/29446189/parents-experiences-of-neonatal-transfer-a-meta-study-of-qualitative-research-2000-2017
#16
REVIEW
Hanne Aagaard, Elisabeth O C Hall, Mette S Ludvigsen, Lisbeth Uhrenfeldt, Liv Fegran
Transfers of critically ill neonates are frequent phenomena. Even though parents' participation is regarded as crucial in neonatal care, a transfer often means that parents and neonates are separated. A systematic review of the parents' experiences of neonatal transfer is lacking. This paper describes a meta-study addressing qualitative research about parents' experiences of neonatal transfer. Through deconstruction and reflections of theories, methods, and empirical data, the aim was to achieve a deeper understanding of theoretical, empirical, contextual, historical, and methodological issues of qualitative studies concerning parents' experiences of neonatal transfer over the course of this meta-study (2000-2017)...
February 15, 2018: Nursing Inquiry
https://www.readbyqxmd.com/read/29363230/self-management-for-bipolar-disorder-and-the-construction-of-the-ethical-self
#17
Lynere Wilson, Marie Crowe, Anne Scott, Cameron Lacey
The promotion of the self-managing capacities of people has become a marker of contemporary mental health practice, yet self-management remains a largely uncontested construct in mental health settings. This discourse analysis based upon the work of Foucault investigates self-management practices for bipolar disorder and their action upon how a person with bipolar disorder comes to think of who they are and how they should live. Using Foucault's framework for exploring the ethical self and transcripts of interviews with people living with bipolar disorder, this discourse analysis finds that the discursive practices of self-management for bipolar disorder are prescribing a restricted regime for living based upon the quintessential neo-liberal subject using practices that are focused upon managing an unreliable and problematic self...
January 23, 2018: Nursing Inquiry
https://www.readbyqxmd.com/read/29327398/ways-of-knowing-on-the-internet-a-qualitative-review-of-cancer-websites-from-a-critical-nursing-perspective
#18
Kristen R Haase, Roanne T Thomas, Wendy Gifford, Lorraine F Holtslander
People diagnosed with cancer typically want information from their doctor or nurse. However, many individuals now turn to the Internet to tackle unmet information needs and to complement healthcare professional information. The purpose of this study was to qualitatively explore the content of commonly searched cancer websites from a critical nursing perspective, as this information is accessible, and allows patients to address their information needs in ways that healthcare professionals cannot. This qualitative examination of websites is informed by Carper's fundamental patterns of knowing and complemented with the critical view to technology espoused by the philosophy of technology...
January 12, 2018: Nursing Inquiry
https://www.readbyqxmd.com/read/29345094/but-is-it-evidence
#19
EDITORIAL
Sally Thorne
No abstract text is available yet for this article.
January 2018: Nursing Inquiry
https://www.readbyqxmd.com/read/28677848/the-impact-of-regulatory-perspectives-and-practices-on-professional-innovation-in-nursing
#20
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...
January 2018: Nursing Inquiry
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