Holism in nursing

Woods, Simon

doi:10.1007/978-1-349-14235-4_5

Philosophical Issues in Nursing 1998

DOI: 10.1007/978-1-349-14235-4_5

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Holism in nursing

Simon Woods¹

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Cited by 3 publications

(2 citation statements)

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“…All health professional education programmes are underpinned by strong ideals and values (UKCC 1986; CSP 2002; GMC 2005). In nursing, a philosophy of individualised, holistic care is explicit (Woods 1998). In the UK a nurse is expected to be a ‘knowledgeable doer’, with practice underpinned by research, and who is ethically responsible and accountable, and able to give individualised holistic care through caring and therapeutic interventions with patients and clients (UKCC 1986, 1999).…”

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The sustainability of ideals, values and the nursing mandate: evidence from a longitudinal qualitative study

2007

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This article reports on research that examines newly qualified UK nurses' experiences of implementing their ideals and values in contemporary nursing practice. Findings are presented from questionnaire and interview data from a longitudinal interpretive study of nurses' trajectories over time. On qualification nurses emerged with a coherent and strong set of espoused ideals around delivering high quality, patient-centred, holistic and evidence-based care. These were consistent with the current UK nursing mandate and had been transmitted and reinforced throughout their 'prequalification' programmes. The existence of professional and organisational constraints influenced their ability to implement these ideals and values once in practice. Data analysis revealed that within 2 years in practice the newly qualified nurses could be categorised as sustained idealists, compromised idealists, or crushed idealists. The majority experienced frustration and some level of 'burnout' as a consequence of their ideals and values being thwarted. This led to disillusionment, 'job-hopping' and, in some cases, a decision to leave the profession. These data are explored and discussed to inform the question of whether the current nursing mandate is sustainable.

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The sustainability of ideals, values and the nursing mandate: evidence from a longitudinal qualitative study

2007

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“…By attempting to focus on clarity, our efforts yield greater polarization and greater bifurcation. Woods' (1998) approach, highlighting another dilemma inherent in language, is to theorize two definitions of holism, a weak and strong one, suggesting that the former might provide greater clarity by paradoxically softening the position and description. When caught up in this conceptual windstorm and invested in particular conceptualizations, we risk losing the more critical edge, as the debris of the arguments obscures the larger landscape.…”

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confidence: 99%

Maintaining a critical edge: a response to Thorne's, ‘People and their parts: deconstructing the debates in theorizing nursing's clients’

Limacher

2001

Nursing Philosophy

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Tasks and routines in 21st century nursing: student nurses’ perceptions

Pearcey

2007

Br J Nurs

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The aim of this study was to explore final year nursing students' views about their clinical experiences. This was the second of three studies using a grounded theory approach overall with theoretical sampling of final year student nurses being chosen as a result of the initial study's findings. The sample was of a volunteer nature. The data collection tool was an open-ended questionnaire, with themes arising from the first study helping to form the questions. It was anticipated that more clinically experienced students would confirm, refute and perhaps provide "new" information about the reality of clinical nursing when compared with the sample of neophyte nurses from the first study. Data were analysed through initial coding of responses and then compared and contrasted to the data of study one. Findings included categories of views about the nurses' roles and tasks, clinical priorities of qualified nurses, holistic care, and care plans. The conclusion suggest that despite nursing theory proclaiming the advent of "new" nursing with hallmarks of holistic care and movement away from tasks and routines, the student nurses did not find this to be the case. Indeed, tasks and routines are what seemed to structure the work of nurses, with little evidence of holistic, patient-centred care occurring clinically.

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Holism in nursing

Cited by 3 publications

References 15 publications

The sustainability of ideals, values and the nursing mandate: evidence from a longitudinal qualitative study

The sustainability of ideals, values and the nursing mandate: evidence from a longitudinal qualitative study

Maintaining a critical edge: a response to Thorne's, ‘People and their parts: deconstructing the debates in theorizing nursing's clients’

Tasks and routines in 21st century nursing: student nurses’ perceptions

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