Challenging the interprofessional epistemic boundaries: The practices of informing in nurse-physician interaction

Caronia, Letizia; Saglietti, Marzia; Chieregato, Arturo

doi:10.1016/j.socscimed.2019.112732

Cited by 7 publications

(4 citation statements)

References 56 publications

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“…We found that nurses seem to face a balancing act when communicating with doctors, on the surface conforming with the traditional hierarchy, but essentially violating it by guiding doctors in their work, which is in line with previous findings discussed by Caronia et al. (2020).…”

Section: Discussionsupporting

confidence: 92%

“We have to be the link between everyone”: A discursive psychology approach to defining registered nurses’ professional identity

Norberg

Strand

2021

Nursing Open

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Background The occupational health and safety of registered nurses is unsatisfactory, often including high work demands in combination with insufficient acknowledgement. Implicit expectations influence their working conditions, many of which are set by the nurses themselves. Therefore, we aimed to explore how professional identity was discursively constructed by Swedish registered nurses in research interviews about night shift work. Design and Methods Ten semi‐structured interviews with registered nurses were analysed using a discursive psychology approach. The Standards for reporting qualitative research guided the reporting. Results The professional identity of registered nurses included a theoretical professional aspect as well as a unique experience‐based competence. With their overview and breadth of competence, registered nurses constitute the hub of healthcare activities, also mastering tasks in the fields of other health professions. This opacity of professional boundaries is associated with boundless expectations of the registered nurse. Additionally, the professional identity stipulates always putting the patient's best interests first, and one's own needs second.

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Section: Discussionsupporting

confidence: 92%

“We have to be the link between everyone”: A discursive psychology approach to defining registered nurses’ professional identity

Norberg

Strand

2021

Nursing Open

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“…Being assigned undue responsibility is a complicated work environment issue that concerns, among other things, role stress and threats to the professional identity. In addition, from time to time nurses face a balancing act when communicating with doctors, on the surface conforming with the traditional hierarchy, but essentially violating it by guiding doctors in their work (Caronia et al, 2020 ).…”

Section: Discussionmentioning

confidence: 99%

The meaning of decision latitude in registered nurses’ night work

Lindahl Norberg,

Falkstedt

2023

International Journal of Qualitative Studies on Health and Well

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Purpose For many employees today, the work situation and work content differ from those of the industrial workers that were originally in mind when the well-known demand-control-support model was developed. The aim of this study was to gain a deeper understanding of the meaning of control, i.e., decision latitude, in post-industrial society, using night-working registered nurses as an example. Methods As an example of a modern human service occupation in a value-based organization we choose registered nurses. Twenty-nine registered nurses from 11 departments at three different hospitals participated in semi-structured interviews. The analysis used a thematic approach and was deductive, based on an operationalization of decision latitude. Results Findings indicate that the specific meaning of decision latitude is influenced by the specific work organization. Moreover, decision latitude appears to interact in a complex way with demands and support at work. Conclusions Decision latitude appears to be influenced by the specific work organization. Thus, when we address self-reported decision latitude, it can have different meanings and potentially different effects in different contexts. Moreover, the interface and interplay between the three constructs decision latitude, demand and support seems to be relevant and complex.

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“…According to Kurhila and Lehtimaja, transferring the information, especially the vital signs and test results, shows their competency because it needs linguistic-interactional choices, which involve the care and medical expertise [39]. Thus, doctors can make decisions faster with the proper information given by nurses [40].…”

Section: Discussionmentioning

confidence: 99%

Nurse’s Roles in Patient-Family Decision Making for Palliative Patients in Indonesia and Malaysia

Abdullah

Huriah

Arianti

et al. 2021

Open Access Maced J Med Sci

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BACKGROUND: The limited palliative care services can affect the late in palliative care management, such as late in decision making. Decision making is one of the crucial processes that every patient with life-threatening health life-limiting illness needs to overcome. Nurses can be the third party between the patients and physicians in helping them with decision making. AIM: The aim of this study was to explore the differences perspectives of palliative care decision making for palliative patients and families in Indonesia and Malaysia. METHODOLOGY: The study design used qualitative method with the phenomenology approach. The sample size of this study was 12 participants from two different study settings. They were three palliative nurses and three physicians from each country, selected by purposive sampling. The study was carried out at PKU Muhammadiyah Yogyakarta Hospital and Tuanku Fauziah Hospital Kangar, Perlis, Malaysia. Data collection used in-depth interview. The interpretative phenomenology analysis was used to analyze the data. RESULTS: There were differences in the perspectives of palliative care services in Indonesia and Malaysia based on the culture form each of the countries. Nurses played a supportive role in ensuring that the care delivered to the patients and families were effective and efficient. Lack of staff was one of the challenges for Indonesia and Malaysia palliative care services need to face. CONCLUSION: Three themes emerged from the collected data; there were views on palliative care, nurses’ supportive roles, and limited resources. To encounter the challenges and difficulties that interrupt the care delivery to the patients, nurses need to improve knowledge about palliative and their skills.

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Challenging the interprofessional epistemic boundaries: The practices of informing in nurse-physician interaction

Cited by 7 publications

References 56 publications

“We have to be the link between everyone”: A discursive psychology approach to defining registered nurses’ professional identity

“We have to be the link between everyone”: A discursive psychology approach to defining registered nurses’ professional identity

The meaning of decision latitude in registered nurses’ night work

Nurse’s Roles in Patient-Family Decision Making for Palliative Patients in Indonesia and Malaysia

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