Meaning, Discrepancy, and Satisfaction in the Nurse Role

Brennan, Kathleen

doi:10.1080/02732170903051359

Cited by 7 publications

(11 citation statements)

References 46 publications

(53 reference statements)

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“…Multiple roles could lead to role ambiguities through the imprecision generated by overlapping expectations 48. It is argued that nursing roles in general are in transition from the ideal of a selfless, tender, domestic approach to a more technical, autonomous and collaborative approach 49. Patients' expectations and views on nurses' attitudes are also essential to highlight in order to decrease role problems.…”

Section: Discussionmentioning

confidence: 99%

Diabetes specialist nurses’ perceptions of their multifaceted role

Boström

Isaksson

Lundman

et al. 2012

European Diabetes Nursing

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The aim of this study was to explore diabetes specialist nurses' (DSNs') perceptions of their professional role in diabetes care. Exploratory interviews were used to elicit DSNs' perceptions of their professional role. Twenty‐nine DSNs working in 23 primary health care centres in northern Sweden were interviewed in focus groups. Data were analysed using qualitative content analysis. The DSNs described their profession as encompassing five major roles: ‘expert’, ‘fosterer’, ‘executive’, ‘leader’, and ‘role model’. Challenges interpreted as role ambiguities included feeling uninformed, fragmented, resigned, pressed for time, and self‐reproachful. The profession of DSN was interpreted as multifaceted, with various roles and role ambiguities. Patient‐centred care and empowerment, which are recommended in diabetes care, can be difficult to achieve when DSNs experience role ambiguity. Lack of clarity about role demands and difficulty in reconciling different roles may have a negative impact on DSNs' attitudes in clinical encounters and could inhibit patient‐centred care. The development of the DSN profession requires improved awareness of the DSN's professional role in the clinical encounter, not only to improve the care of patients with diabetes, but also to retain these professionals. Copyright © 2012 FEND. Published by John Wiley & Sons, Ltd.

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Section: Discussionmentioning

confidence: 99%

Diabetes specialist nurses’ perceptions of their multifaceted role

Boström

Isaksson

Lundman

et al. 2012

European Diabetes Nursing

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“…For example, Brennan (2009) argues that discrepancies between how nurses see themselves and how they are expected to act lowers job satisfaction. In addition, Burke (2004) points out that we have numerous studies of the enactment of identity, but we need to pay more attention to the goals of identity, such as gaining legitimacy, providing meaning, or extracting more labor from others.…”

Section: Identities Of Care Workersmentioning

confidence: 99%

Integrating Dark Humor and Compassion

Cain

2012

Journal of Contemporary Ethnography

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In The Presentation of Self in Everyday Life, Goffman drew attention to the various ways that individuals present themselves across settings. One aspect of his discussion was the division of space into front and back regions. In this article, I use data from two years participant observation and forty-one interviews with hospice workers to examine the ways that workers identify as well as how they use those identities to account for discrepancies between front and back region behaviors. Front stage behaviors emphasize compassion, while backstage behaviors include dark humor, strategizing, and detachment. This article argues that workers create a hospice identity that emphasizes authentic emotional expression and enlightenment about death as a way to explain away discrepancies in behavior. This work challenges assumptions that fronts are only performances and that back regions are more authentic by showing how workers integrate the two into a professional sense of self.

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“…This trajectory towards a remoulded professional identity seemed to be an iterative process of going back and forth between previous assumptions and new ways of thinking, which was not always easy for the RNs and created a substantial feeling of insecurity. Previous research shows that a professional role provides a nurse with a set of assumptions about the content and meaning of the nurse-patient relationship, which creates a necessary psychological security that enables everyday work [30,31]. Thus, challenges to basic assumptions can prompt what Schein calls "learning anxiety" and if this anxiety is not handled correctly, the process of change will be impeded [30] p.303).…”

Section: Remoulding the Professional Rolementioning

confidence: 99%

Registered nurses’ experiences of communication with patients when practising person–centred care over the phone: a qualitative interview study

et al. 2020

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Background: To explore registered nurses' (RNs') experiences of practising person-centred care (PCC) by telephone with people diagnosed with chronic obstructive pulmonary disease and/or chronic heart failure. Methods: Qualitative interview study. Four RNs were individually interviewed before, during, and after participating in an intervention practising PCC by telephone. The interviews were analysed using qualitative content analysis. Results: The results reflect three categories of their experience: realize the complexity of practising PCC by distance, gain insight into what PCC communication meant to RNs and their approach, and develop the professional role by practising PCC theory and ethics. Conclusions: PCC over the telephone facilitate healthcare and support patients. Through careful listening, the RNs (1) created space for the individual patients to express their thoughts and feelings and (2) emphasized each patient's capabilities and resources. The RNs also gained an understanding of PCC and what it means to patients and to themselves as practitioners. Potential implications are that it is important for RNs practising PCC by telephone to remould their role, to listen carefully, and to communicate as equals in conversations that respect both parties' knowledge and expertise. Health professionals need supervision and support to fully understand the person-centred approach and provide communications that support it.

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Meaning, Discrepancy, and Satisfaction in the Nurse Role

Cited by 7 publications

References 46 publications

Diabetes specialist nurses’ perceptions of their multifaceted role

Diabetes specialist nurses’ perceptions of their multifaceted role

Integrating Dark Humor and Compassion

Registered nurses’ experiences of communication with patients when practising person–centred care over the phone: a qualitative interview study

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