The nursing process presented as routine care actions: building its meaning in clinical nurses' perspective

Abstract

Starting from this initiative, teaching and practice strategies were developed to provide tools to use the nursing process in the curricula of undergraduate programs and in health institutions.These strategies aimed to incorporate it as a nursing care method, focused on care and also to facilitate its integration in the construction movement of health care as a social and collective good. In the attempt to address these questions, this study aimed to: understand the meaning attributed to the nursing process by nurses from a hospitalization unit in Mexico and describe actions they perform at this unit according to the meaning they attribute to the nursing process. THEORETICAL AND METHODOLOGICAL FRAMEWORKSThis qualitative study is based on SymbolicInteractionism because it emphasizes the nature of social interaction, the dynamics and social activity involving actors, in the perspective that considers an active human being in his(er) environment as an organism that interacts with others and with the self.Interaction means that the actions of each human being are continually constructed, which in part depends on what others do, influencing each other.In acting and interacting, language is used that originates from intersubjectivity, basically operating in symbolic realities sustained in this intersubjective space (9) . Symbolic interactionism is a social science perspective designed to produce knowledge on collective human life and its conduct; focusing on the meaning events have for human beings and symbols used to attribute meaning to them. These symbols are socially developed during interaction and are agreed upon inside groups.Symbolic interactionism is based on the following principles: human beings act in relation to objects based on meanings these have to them; the meaning attributed to objects/things originates from social interactions between human beings; meanings are manipulated and changed through an interpretative process, developed by human beings when they are faced with objects and themselves (10) .Human interaction is mediated by the use of symbols, interpretation and investigation of the meaning of others' actions.Grounded Theory (GT) was the methodological framework of this study, which is rooted in SymbolicInteractionism and aims to generate theory as from obtained data, submitted to systematic and comparative analysis, organized in conceptual categories that explain the phenomenon under study. 330GT is a method that maintains a close relation between systematic data collection, analysis and theory that emerge during investigation. The theory emerges from reality and is not a mere connection of concepts based on experience or assumptions on how things should be or work (11) .This methodological design demands ongoing data comparison, the researcher's theoretical sensitivity, theoretical sampling of empirical reality, notes that corroborate the process of open, axial and selective codification so as to assure the conceptual development and density. The result of this codification and integration ...

The visibility of hygiene self-care in nurse-to-nurse shift change reports

“…The differences between theoretical and practical information, which harm the implementation of the nursing process, are indicated (11) . The need to seek strategies to minimize this gap is highlighted in order to implement the continuous development of the work process, taking the challenge of a critical and reflexive paradigm (12) , in which, even in the face of limitations in the communicative process, nurses show possibilities for changes emphasizing professional education and qualification (13) . It implies that professionals should have an interest and responsibility in the face of routine situations as reinforced in a study addressing the preparedness of nurses to deliver care (14) .…”

Adaptation and validation of the instrument positions on the nursing process

“…According to research results, in baccalaureate nurses' perspective, the NP is understood as a routine and mechanic activity (16)(17)(18) . The discourse of a nursing technician identifies the nursing prescription as a routine, something that is almost similar for everyone (5) .…”

“…This reveals the insufficient theoretical and practical preparation of nurses and other nursing team members to accomplished NCS when they finish their basic education (19) . Although some studies report on difficulties and resistance in the implementation process of the NP in health institutions (17)(18)20) , since 1986, when the Law on Professional Nursing Practice (21) was issued, in theory, the NP is part of baccalaureate nurses' role, which may explain why it figures as an ideal to be achieved, with significant, positive and valid aspects, despite the distance among academic knowledge, know-how and legislation in nursing (22) .…”

Professional nurses' understanding of clinical judgement: A contextual inquiry

“…Effective noticing Tanner (2006;208) describes noticing as information gathering, which involves focused observation, searching for evidence by identifying relevant sources of patient data and recognising deviations from expected patterns, rooted in the nurse's integrated knowledge, experience, ethical perspectives and relationship with the patient. Clinical judgement in nursing has become synonymous with the nursing process model of practice, viewed as a problem solving activity in which nurses use their critical and creative thinking skills to apply their nursing knowledge, attitudes, values and logic during patient assessment, utilising both deductive and inductive reasoning to express patient care (Chabeli, 2007:74;Mann, 2012:27;Ledesma-Delgado &Mendes, 2009:329 andRivas, Garcia, Arenas, Lagos, &Lopez, 2012:18).…”