A Holistic Framework for Nursing Time: Implications for Theory, Practice, and Research

Jones, Terry

doi:10.1111/j.1744-6198.2010.00180.x

Cited by 42 publications

(37 citation statements)

References 65 publications

(67 reference statements)

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“…Additionally, when clock time is insufficient, the nurses structure their time and tasks according to a fixed rhythm of routines and rules, being preoccupied and single minded with the task in hand. This can mean that the nurses become blinkered or almost 'blind' to the patient's appeals, with an attitude of looking without seeing and hearing without listening (Jones 2010). While science, knowledge and technology are fundamental instruments to the practice of nursing and our civilization, as Benner (2001) alerts, when these are ill used, they can become sinister instruments and threatening to the logic of nursing care.…”

Section: The Power or The Lack Of It In Nursing Carementioning

confidence: 96%

RETRACTED ARTICLE: The encounter with the vulnerable body: applying the lens of caring practice

Laranjeira

2014

Med Health Care and Philos

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Humans can never escape their existential vulnerability and it is shown even in the example from holistic care, where health care providers really try to understand the complexities of care and life itself. Applying a integrated and humanistic approach, this theoretical paper analyses the ways and mechanisms of power that appear in a nurse-patient relationship as both a challenge and an imperative of contemporary caring practice. This will be demonstrated by one example from caring practice that illustrates the strategies of power that emerge in a body care interaction. Findings indicate the existence of power exercised by the nurse over and with the patient and concurrently another power exercised upon the nurse, that leads the nurse to control his/her participation in care, as well as that of the patient-the power of organization the nurse feels as regulator of time and obligation to render care. The control of participation in care is a mode of exercising power that frames and disciplines real time as a function of dividing activities in organized time. It is the responsibility of the nurse to be aware of the power imbalance, to recognize the potential for patients to feel intimidated and to create a therapeutic alliance. The right use of power in the nurse-patient interaction guarantees the patient's needs are foremost and the patient's vulnerability is sheltered.

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Section: The Power or The Lack Of It In Nursing Carementioning

confidence: 96%

RETRACTED ARTICLE: The encounter with the vulnerable body: applying the lens of caring practice

Laranjeira

2014

Med Health Care and Philos

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“…The intrinsic and instrumental value of time spent with patients has been described in the literature, and the sustained momentum behind the Transforming Care at the Bedside (TCAB) initiative provides further testimony to the significance of nursing time allocation to nurse leaders. 21,22 …”

Section: Definition and Evolution Of Radiofrequency Identification Tementioning

confidence: 99%

Radiofrequency Identification

Jones

2012

CIN: Computers, Informatics, Nursing

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A national campaign is underway to increase the amount of time staff nurses spend at the bedside of hospitalized patients through redesign of the work environment. This kind of work redesign requires robust data depicting what nurses do and how they spend their time. Historically, these kinds of data have been difficult, costly, and time consuming to collect. Wireless capture of data on the movement of humans within the work environment (ie, time and motion) is now possible through radiofrequency identification technology. When small tracking devices the size of a quarter are affixed to their clothing, the movement of nurses throughout a patient care unit can be monitored. The duration and frequency of patient interaction are captured along with the duration of time spent in other locations of interest to include nurses’ station, supply room, medication room, doctors’ station, electronic documentation stations, family waiting rooms, and the hallway. Patterns of nurse movement and time allocation can be efficiently identified, and the effects of staffing practices, workflows, and unit layout evaluated. Integration of radiofrequency identification time and motion data with other databases enables nurse leaders to link nursing time to important cost and quality outcomes. Nurse leaders should explore the usefulness of radiofrequency identification technology in addressing data needs for nurse time and motion.

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“…To fulfill the professional, ethical obligations of welfare service work, sufficient allocation of time is crucial (Jones 2010). Andersson (2008: 342) suggests that the question of the temporal requirements of care has been largely neglected in current welfare service research that takes a moral standpoint and idealised focus on closeness and reciprocity, while trivializing the actual, temporal constraints of care in the execution of tasks.…”

Section: Contemporary Temporal Framing Of Welfare Service Workmentioning

confidence: 99%

“…In terms of good care, the balance between the societal and institutional temporal frames and workers' and clients' experiences of time is crucial, as they together shape and define the practice of care (Jones 2010). Recently, the neoliberal reforms of the welfare states and the scarcity of public resources have actualized the challenges of temporal management of welfare service work by increasingly compressing it to be measured by the units of clock time.…”

Section: Introductionmentioning

confidence: 99%

Living on a knife’s edge: Temporal conflicts in welfare service work

Hirvonen

Husso

2012

Time & Society

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This article considers the temporal variations of social and health care workers' agency from the point of view of the social structures and practices of the contemporary Finnish public service sector. It finds that the contemporary Finnish public sector increasingly operates according to market principles and economic framing of time, contrary to the relational understanding of time in care practices. To maintain their sense of self as skilled professionals, workers actively reassess and adjust their identities according to the exigencies of the contemporary working life, but not without difficulties. The results of the interview study reflect the intuitive, habitual and innovative nature of temporality of care practices, but also the constraints that the contemporary, economic-rationalistic temporal frame in working life poses on welfare service work. The results suggest that the question of time management is therefore central not only from the point of view of the efficiency of service production but from the point of view of welfare service workers' exercise of their professional agency.

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A Holistic Framework for Nursing Time: Implications for Theory, Practice, and Research

Cited by 42 publications

References 65 publications

RETRACTED ARTICLE: The encounter with the vulnerable body: applying the lens of caring practice

RETRACTED ARTICLE: The encounter with the vulnerable body: applying the lens of caring practice

Radiofrequency Identification

Living on a knife’s edge: Temporal conflicts in welfare service work

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