Technology and humane nursing care: (ir)reconcilable or invented difference?

Barnard, Alan; Sandelowski, Margarete

doi:10.1046/j.1365-2648.2001.01768.x

Cited by 155 publications

(157 citation statements)

References 63 publications

(85 reference statements)

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“…In contrast, it has been shown that a technologically advanced caring environment may contribute to objectification of patients and nursing care, which may deprive patients of dignified subjectivity and separate nurses from their mission to care. A symbolic relationship between the technological environment and caring has previously been identified in acute settings [25,26].…”

Section: Discussionmentioning

confidence: 99%

The Interaction Between the Patient and Nurse Anesthetist Immediately Before Elective Coronary Artery Bypass Surgery

Berg¹,

Kaspersen²,

Unby³

et al. 2013

Journal of PeriAnesthesia Nursing

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Establishing a purposive interaction with a patient who is in a vulnerable situation prior to coronary artery bypass graft (CABG) surgery poses a challenge for the nurse anesthetist. The aim of this study was to identify and describe the interaction between the patient and nurse anesthetist immediately prior to elective CABG surgery. An observational study including 11 situations where the patient and the nurse anesthetist interacted was performed. A theoretical selection of patients and nurse anesthetists was made and data were analyzed using constant comparative method. The core category, Reassurance, emerged from the categories Continuity, Confirmation and Control. Continuity was characterized by expedient anesthesia nursing of high quality, Confirmation was related to communication in a trusting atmosphere and Control was associated with skilled nursing interventions in the thoracic operating theatre.In conclusion, reassurance can be achieved through a well-structured anesthesia nursing performance at the thoracic operating theatre, and by focusing on the patient and continuously giving him/her information during the preoperative preparation.

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Section: Discussionmentioning

confidence: 99%

The Interaction Between the Patient and Nurse Anesthetist Immediately Before Elective Coronary Artery Bypass Surgery

Berg¹,

Kaspersen²,

Unby³

et al. 2013

Journal of PeriAnesthesia Nursing

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“…Moreover, it is not technology itself that produces dehumanization, depersonalization, but the way individual technologies operate in the user's specific contexts (17) .…”

Section: Discussionmentioning

confidence: 99%

Tecnologia em ambiente de terapia intensiva: delineando uma figura-tipo de enfermeiro

Silva¹,

Ferreira

2011

Acta paul. enferm.

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Objective: To describe the characteristics of the figure-type of a nurse to work in intensive care environments, with reference to the social representations about technology. Methods: As a reference, we applied the theory of social representations. A qualitative research approach was used, with interviews with 11 novice and 13 veteran nurses, analyzed using thematic content analysis. Results: The meanings attributed to the environment, patients and caring from the social representation of technology, demanded the need for a figure-type of "nurse", characterized by personal qualities such as: proactive, emotional balance, communication/relationship skills; techniques such as observation skills and leadership, speed, dynamism, technical and expressive skills, to work in the scenario of intensive care. Conclusions: The clinical competence in these critical units raises the evaluation of cognitive and psychomotor skills of nurses. Keywords: Biomedical technology; Intensive therapy units/trends; Nursing care RESUMO Objetivo: Descrever as características da figura-tipo de enfermeiro para atuar em ambientes de terapia intensiva, tomando como referência as representações sociais elaboradas sobre a tecnologia. Métodos: Como referencial, aplicou-se a teoria das representações sociais. Pesquisa de abordagem qualitativa, com realização de entrevistas e com 11 enfermeiros novatos e 13 veteranos análise de conteúdo temático. Resultados: Os sentidos atribuídos ao ambiente, cliente e cuidado a partir da representação social da tecnologia, demandaram a necessidade de uma figuratipo de enfermeiro, caracterizada por qualidades pessoais, como postura pró-ativa, equilíbrio emocional, habilidade de comunicação/relacionamento; técnicas, como capacidade de observação e liderança, rapidez, dinamismo, habilidades técnicas e expressivas, para trabalhar no cenário da terapia intensiva. Conclusões: A competência clínica nas unidades críticas suscita avaliação das habilidades cognitivas e psicomotoras do enfermeiro. Descritores: Tecnologia biomédica; Unidades de Terapia Intensiva/tendências; Cuidados de enfermagem RESUMEN Objetivo: Describir las características de la figura-tipo de enfermero para actuar en ambientes de cuidados intensivos, tomando como referencia las representaciones sociales elaboradas sobre la tecnología. Métodos: Se aplicó la teoria de las representaciones sociales como referencial. Se trata de una investigación con abordaje cualitativo, realizado con entrevistas a 11 enfermeros novatos y 13 veteranos y análisis de contenido temático. Resultados: Los sentidos atribuidos al ambiente, cliente y cuidado a partir de la representación social de la tecnología, demandaron la necesidad de una figura-tipo de enfermero, caracterizada por cualidades personales, como postura proactiva, equilibrio emocional, habilidad de comunicación/relacionamiento; técnicas, como capacidad de observación y liderazgo, rapidez, dinamismo, habilidades técnicas y expresivas, para trabajar en el escenario Del cuidado intensivo. Conclusiones: La ...

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“…Although all nurses might not agree with this proposition, the parallels to be drawn within radiography are clear to see, however it could be argued that within radiography, technological competence is not so much a desirable skill, as an essential one. Like nursing, (Sandelowski, 2001) if radiographic technology is still naively perceived, even within radiography research, as an automated application of only hard technology, any attempt to define the role of the radiographer reduces the professional to merely performing a manual task, with the mindless application of medical science delivered on orders from physicians.…”

Section: Hard Technologymentioning

confidence: 99%

“…This continued polarisation might, it is suggested (Barnard and Sandelowski, 2001), comprise a discourse that is to the benefit of maintaining a distinctive professional identity to the detriment of patient care. It appears therefore that it may be in the interests of health care professionals to maintain the perceived Chapter 2 boundary.…”

Section: Soft Technological Determinismmentioning

confidence: 99%

“…The technological literature per se does not appear to make this conceptual bridge so it should be recorded with some suspicion at this stage. Barnard and Sandelowski (2001) in particular challenge the existence of the perceived barrier between technology and care and in doing so introduce new arguments. It is apparent that non-human joints, genetic engineering, and artificial intelligence systems blur the boundaries between animate and inanimate, man and machine (Balsamo, 1997;Channell, 1991;Haraway, 1991).…”

Section: Soft Technological Determinismmentioning

confidence: 99%

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