Nursesʼ stories

Parker, Randy Spreen

doi:10.1097/00012272-199009000-00005

Cited by 71 publications

(4 citation statements)

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“…Sjuksköterskor behöver ha såväl kunskaper och färdigheter som motivation för att ta den plats som är knuten till professionen och det etiska ansvaret. Detta kan ibland vara en utmaning speciellt i vårdkulturer där sjuksköterskan ses som någon med en assisterande och/eller koordinerande funktion snarare än som en autonom professionsutövare, och där standardiserade metoder uppfattas som oförenliga med de egna idealen och i värsta fall kan innebära att sjuksköterskor överväger att byta arbete (Barker, 2008;Lee, Chiang & Kuo, 2019;Lindberg-Sand, 1996;Parker, 1990). Att synliggöra de sex kompetensområdena kan vara ett stöd för att synliggöra sjuksköterskors kunnande och bidra till en vård med hög kvalitet (Sherwood & Barnsteiner, 2012).…”

Section: Att Göra Bruk Av Sin Kompetensunclassified

Kulturell trygghet for den samiske pasienten i møter med helsevesenet

Nymo¹

2021

Handlingsrom for Profesjonalisert Velferd

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This chapter focuses on how nurses should act towards Sámi patients in order to promote cultural safety in meetings with the healthcare system. The method applied is a secondary analysis of interviews of 12 persons, as well as participatory observations. The findings show that there still are barriers between health personnel and Sámi patients due to the historic legacy and lack of knowledge. The barriers can be linguistic challenges, different understandings of an illness’s causes and authority distance due to the notion of the Sámi as inferior human beings.

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Section: Att Göra Bruk Av Sin Kompetensunclassified

Kulturell trygghet for den samiske pasienten i møter med helsevesenet

Nymo¹

2021

Handlingsrom for Profesjonalisert Velferd

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“…At this point we focus on the nurse-patient relationship. Parker (1990) describes a nurse-patient relationship as the co-construction of meaning between nurses and patients. As the journey unfolds, the nurse and patient are mutually receptive to change, and both are aware that the final destination remains open to negotiation.…”

Section: Literature Overviewmentioning

confidence: 99%

“…Mutuality is a negotiation process between the nurse and patient as the relationship develops. Tarlier (2004) relates negotiation to the construction of the relationship, whilst Parker (1990) considers negotiation to be the final outcome. Peplau (1988) conceptualizes the nurse-patient relationship as a process to solve health problems: at one end are two people with separate goals and interests, and at the other end, two people working together to solve a health difficulty about which there is a common understanding.…”

Section: Literature Overviewmentioning

confidence: 99%

Realizing autonomy in responsive relationships

Moser

Houtepen

Spreeuwenberg

et al. 2010

Med Health Care and Philos

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The goal of this article is to augment the ethical discussion among nurses with the findings from empirical research on autonomy of older adults with type 2 diabetes mellitus. There are many factors influencing autonomy. These include: health conditions, treatment, knowledge, experience and skills, personal approach as well as familial patterns, type of relationship, life history and social context. Fifteen older adults with type 2 diabetes mellitus were interviewed in a nurse-led diabetes clinic. These participants perceive three processes which support autonomy in responsive relationships: preserving patterns of concern and interaction, nurturing collaborative responsibilities and being closely engaged in trustful and helpful family relations. People with diabetes realize autonomy in various responsive relationships in their unique life context. Next, we performed a literature review of care ethics and caring in nursing with regard to relational autonomy. We classified the literature in five strands of care: attitude-oriented, dialogue-oriented, activity-oriented, relationship-oriented and life-oriented. According to our respondents, autonomy in responsive relationships is fostered when patient, nurses, professionals of the health team and family members carry out care activities supported by a relational attitude of care. They can best realize autonomy in relationships with others when several essential aspects of care and caring are present in their lives. Therefore, we advocate a comprehensive approach to care and caring.

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“…Narratives afford the teller and the analyst an opportunity to witness and re-live the private professional human engagements that usually remain invisible and unknowable;6 they help in describing the context, culture, and complexity of organizations7–10 and open a “window” into the day-to-day lived experiences and manners in which professionals make decisions 11. Narratives embody the story-teller’s values,12 and their analysis allows the researcher to understand real situations13 and uncover stories that would otherwise remain below the surface 14…”

Section: Introductionmentioning

confidence: 99%

Understanding Values in a Large Health Care Organization through Work-Life Narratives of High-Performing Employees

Karnieli‐Miller¹,

Taylor²,

Inui³

et al. 2011

Rambam Maimonides Med J

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Objective—To understand high-performing frontline employees’ values as reflected in their narratives of day-to-day interactions in a large health care organization.Methods—A total of 150 employees representing various roles within the organization were interviewed and asked to share work-life narratives (WLNs) about value-affirming situations (i.e. situations in which they believed their actions to be fully aligned with their values) and value-challenging situations (i.e. when their actions or the actions of others were not consistent with their values), using methods based on appreciative inquiry.Results—The analysis revealed 10 broad values. Most of the value-affirming WLNs were about the story-teller and team providing care for the patient/family. Half of the value-challenging WLNs were about the story-teller or a patient and barriers created by the organization, supervisor, or physician. Almost half of these focused on “treating others with disrespect/respect”. Only 15% of the value-challenging WLNs contained a resolution reached by the participants, often leaving them describing unresolved and frequently negative feelings.Conclusions—Appreciative inquiry and thematic analysis methods were found to be an effective tool for understanding the important and sometimes competing role personal and institutional values play in day-to-day work. There is remarkable potential in using WLNs as a way to surface and reinforce shared values and, perhaps more importantly, respectfully to identify and discuss conflicting personal and professional values.

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Nursesʼ stories

Cited by 71 publications

References 0 publications

Kulturell trygghet for den samiske pasienten i møter med helsevesenet

Kulturell trygghet for den samiske pasienten i møter med helsevesenet

Realizing autonomy in responsive relationships

Understanding Values in a Large Health Care Organization through Work-Life Narratives of High-Performing Employees

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