Patterns of nursing: A review of nursing in a large metropolitan hospital
Fitzgerald, Mary, Pearson, Alan, Walsh, Kenneth, Long, Lesley, and Heinrich, Naomi (2003) Patterns of nursing: A review of nursing in a large metropolitan hospital. Journal of Clinical Nursing, 12 (3). pp. 326-332.
|PDF - Repository staff only - Requires a PDF viewer such as GSview, Xpdf or Adobe Acrobat Reader|
In this Clinical Practice Development project we set out to identify and describe current approaches to the management and delivery of nursing care in an Australian Metropolitan Teaching Hospital. Using a simple descriptive design, data were collected to elicit patterns of care provided by nursing teams. We sought to demonstrate patterns described by nursing teams (interviews) and actual patterns of care (observation). As expected there was a degree of incongruence between the espoused and actual patterns of care. Interview data revealed that most study wards had a view of nursing that emphasizes meeting the total care needs of patients and their families through offering biopsychosocial and educative care. The observational data revealed that a relatively large proportion of time was expended on actitivies that were not regarded as important by staff when interviewed (eg documentation) while relatively small amounts of time were observed to be spent educating patients or communicating with relatives of patients. The identification of this type of gap creates a dissonance in clinicians that can be used to stimulate change through PD. Clinicians used the information to stimulate discussion and to reivew team value statements.
Copyright 2003 Blackwell Publishing. The definitive version is available at www.blackwell-synergy.com
|Keywords:||Clinical Practice Development, Nursing philosophy, Patterns of care, Work sampling, Work systems|
|FoR Codes:||11 MEDICAL AND HEALTH SCIENCES > 1110 Nursing > 111099 Nursing not elsewhere classified @ 0%|
|Deposited On:||08 Nov 2006|
|Last Modified:||24 May 2013 00:21|
Last 12 Months: 0
|Citation Counts with External Providers:||Web of Science: 12|
Repository Staff Only: item control page