Clinical Wisdom: The Essential Foundation of “Good” Nursing Care

Haggerty, Lois A.; Grace, Pamela J.

doi:10.1016/j.profnurs.2007.06.010

Cited by 38 publications

(41 citation statements)

References 13 publications

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“…Research has also indicated that there is a need for guidance and ethical competence building in nursing practice [10,15,24]. Ethical competence in nursing has by Jormsri et al [21] been described as consisting of three dimensions, namely; moral perception, judgement and behaviour.…”

Section: Introductionmentioning

confidence: 99%

Ethical Dilemmas and Ethical Competence in the Daily Work of Research Nurses

2009

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In spite of the growing interest in nursing ethics, few studies have focused on ethical dilemmas experienced by nurses working with clinical studies as 'research nurses'. The aim of the present study was to describe and explore ethical dilemmas that Swedish research nurses experience in their day-to-day work. In a qualitative study a purposeful sample of six research nurses from five wards of differing disciplines in four Swedish hospitals was interviewed. The analysis displayed several examples of ethical dilemmas, primarily tensions between the nurses' obligations to the study and to the patients involved. A guiding moral principle for the nurses was patient-centeredness, where the interest of research must not override the interest of the patient. In situations where tensions between research and patient interests occurred, and doctors and nurses disagreed upon the judgement, the nurses sometimes chose to follow the doctors' advice, and thus acted against their own moral judgment. Such situations seemed to create feelings of moral distress among the nurses. They described their profession as being 'invisible' and as lacking opportunities for ethical competence building. The conclusion is that research nurses frequently experience severe and difficult ethical dilemmas in their daily work. They need to be acknowledged as a particular profession in the health care organisation and encouraged to develop their specific ethical competence.

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Section: Introductionmentioning

confidence: 99%

Ethical Dilemmas and Ethical Competence in the Daily Work of Research Nurses

2009

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“…Having these traits requires nurses to understand the problem at hand, make distinctions between alternatives, and think creatively about the solution (Nelson, 2002). Wisdom concerns ethics and involves values and the desire to achieve a common good (Haggerty & Grace, 2008; Uhrenfeldt & Hall, 2007). Finally, the concept encompasses intuition and emotion (Edmondson & Pearce, 2007).…”

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confidence: 99%

Nurses’ Wisdom in Action in the Emergency Department

Matney¹,

Staggers

Clark

2016

Global Qualitative Nursing Research

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Nurses seek to understand better what practicing with wisdom means and how to apply wisdom to practice; however, the experience of wisdom in nursing has not been well defined or researched. This study was designed to understand how emergency department (ED) nurses construct the meaning of wisdom within the culture of clinical nursing practice. Using Charmaz’s constructivist grounded theory methodology, we developed a preliminary theory capturing the experience of wisdom in practice. The core theoretical model focuses on two juxtaposed processes, technical and affective, and is grounded in expertise. Significant findings were the recognition of affective categories, such as emotional intelligence, required to practice using wisdom. Results reinforce and extend the current wisdom literature and provide a new perspective on wisdom in practice in a nursing context.

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“…This base represents the maturity of the mentoring relationships, the changes in the mentees' practice, knowledge and behaviour as a result of their mentoring experiences and interactions with the patients, fellow health care professionals, and senior clinicians including the mentor as mentees progress through different stages of the project [47][48][49][50]. This aspect of Krishna's Mentoring Pyramid underscores the need for a fluid learning theory for mentoring, which makes up the foundation of the mentoring framework for building blocks of the pyramid to be built upon.…”

Section: Figure 1: Krishna's Mentoring Pyramidmentioning

confidence: 99%

Towards a Practice Guided Evidence Based Theory of Mentoring in Palliative Care

Wesley¹,

Ikbal²,

Jingting³

et al. 2017

J Palliat Care Med

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Provision of end of life care and coping with the emotional and existential distress engendered by palliative care demands the provision of holistic support and training for palliativists. Mentoring is an effective means of meeting this need; however little is known of mentoring in palliative care and a universally accepted learning theory of mentoring remains lacking in this setting. To advance mentoring practice in palliative care, we review the only two evidenced based mentoring theories based upon narrative reviews of mentoring practice in the key specialties within palliative care teams.Building upon mentoring's mentee, mentor and organizational dependent, goal specific, context sensitive features highlighted in both recent reviews of mentoring this paper proffers a working theory of mentoring. Constructed Krishna's Mentoring Pyramid that underlines the 5 core elements of successful mentoring programs, we propose melding elements of the cognitive apprenticeship model with the adult learning theory using the multi-theories model of adult learning offers an effective starting point for a mentoring theory.More context-specific studies are needed to provide better insight into the validity of this framework in the ongoing pursuit of an interprofessional mentoring theory in Palliative Medicine.

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Clinical Wisdom: The Essential Foundation of “Good” Nursing Care

Cited by 38 publications

References 13 publications

Ethical Dilemmas and Ethical Competence in the Daily Work of Research Nurses

Ethical Dilemmas and Ethical Competence in the Daily Work of Research Nurses

Nurses’ Wisdom in Action in the Emergency Department

Towards a Practice Guided Evidence Based Theory of Mentoring in Palliative Care

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