The purpose of this study was to describe nursing art from the perspective of patients who had been nursed in a critical care unit. The study pursued two objectives: (a) to generate stories of occasions in which nursing was considered art in a critical care setting and (b) to describe the meanings made manifest in those stories. Using a narrative inquiry, 10 persons were interviewed twice for the purpose of answering the research question. Stories were generated in open-ended interviews, tape recorded, and analyzed by the primary researcher using Van Manen's hermeneutic phenomenological framework. Five themes were found to represent critically ill persons' experience of nursing art: (a) perpetual presence, (b) knowing the other, (c) intimacy and agony, (d) deep detail, and (e) honoring the body. The stories cultivated a human face and contextual detail for the abstract holistic concept of nursing art.
The following story emerged as one product of a study designed to describe how the art of nursing was perceived and understood by patients during a critical illness. Two in-depth interviews were conducted during the recovery phase of this person's illness to answer the question: When is nursing (considered) art? The initial lead-in to the discussion was, "Tell me a story about a nursing situation that really stood out in your mind-one that was significant and meaningful." And, "what was the experience like for you?" The interviews were tape-recorded, transcribed, condensed into a short story, and shared with the participant. The researcher also composed a response to the person's story that personally expressed what the story triggered for her. According to Reason and Hawkins (1988), such a response provided an opportunity for the researcher to "deepen" the story told and thus deepen the experience it contained rather than merely analyzing it. Undergraduate students were invited to reflect and respond to the "aesthetic face" of nursing from the perspective of a person who was nursed while critically ill. Two examples of student responses are included.
Nursing is considered both science and art. Artful nursing has been essential for holistic nursing practice since the time of Nightingale, but it is getting neglected and has been lately limited to nursing literature (Gramling, 2004). This qualitative study seeks to gain an understanding of the perceptions of active nurses in Pakistan about nursing art and yields four major themes: artful nursing is embedded in humane responsiveness, artful nursing has healing power, artful nursing is a satisfying experience, and artful nursing is invisible in nursing practice. Study participants valued nursing art, and their perceptions illuminate Watson's Theory of Human Caring (1988).
Purpose Nurse practitioners (NPs) are in a unique position to address the problem of opioid use disorders (OUDs) because they provide a large percentage of primary care services (Agency for Healthcare Research and Quality, 2014). This study aimed to increase doctoral NP students' beliefs/attitudes about their ability to care for and about individuals with OUDs through a multifaceted educational approach, guided by social cognitive theory. Methods Researchers used a quasi-experimental pre/post design. Five doctoral students attended lectures and 16 hours of direct clinical exposure to individuals with OUDs at a medication-assisted treatment center. The 22-item Drug and Drug Problems Perception Questionnaire examined students' attitudes toward individuals with OUDs before and after receiving this multifaceted education. Students completed reflective writings. Descriptive statistics and effect sizes were computed, and reflective writings were reviewed. Results Changes in Drug and Drug Problems Perception Questionnaire scores before and after intervention showed a fairly large effect size. This suggests that the intervention may have clinical significance for practice and is likely to attain statistical significance with a larger sample size. Greatest changes occurred in students' perceptions of role adequacy and self-esteem scores, indicative of higher self-efficacy. Measured score increases correspond to increases in confidence, knowledge, and skills to therapeutically engage with this population. Conclusion Doctoral NP students had more positive attitudes and beliefs about individuals with OUDs after the multifaceted intervention. Enhancement of self-esteem and adequacy in the caregiver role for this population were promising signals that education can reduce stigma. Further study is warranted with a larger and more diverse sample.
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