The illusion of progress in nursing

Herdman, Elizabeth

doi:10.1046/j.1466-769x.2001.00030.x

Cited by 18 publications

(18 citation statements)

References 30 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…These caring behaviours involve learning to share responsibility with families. This requires a change in the NICU culture from one where care is driven by tradition and established power bases (Kawlik, 1996; Turrill, 1999; Ward, 1999; Herdman, 2001; Johns, 2001) to one where the family is an integral part of the care‐giving process from the beginning. The delivery of neonatal care depends on teamwork among health care professionals.…”

Section: Discussionmentioning

confidence: 99%

Parents' perceptions of staff competency in a neonatal intensive care unit

Cescutti-Butler

Galvin

2003

Journal of Clinical Nursing

View full text Add to dashboard Cite

* The aim of this study was to explore and describe parents' perceptions of staff competency in a neonatal intensive care unit (NICU). The study set out to use a grounded theory approach that was modified because of a number of constraints. Eight parents whose babies met a number of inclusion criteria were interviewed using focused conversational interviews. They were then transcribed and thematically analysed. The research approach was modified as the study developed because of practical and ethical access reasons: the sampling strategy and lack of opportunity to exploit fully the constant comparative method. * Four key themes which conceptualize competency as caring emerged from the data: parents are facilitated to integrate into the unit and do not feel a burden; parents feel in control whilst in the unit; parents have a choice to opt out from observing tasks and procedures on their baby; parents and the interprofessional team communicate well and provide appropriate information. These are discussed in the context of available literature. * In conclusion, the results of the study serve to highlight how parents' perceptions of competence in a professional are not based solely on skills and tasks but on many caring behaviours. The grounded theory approach has generated a number of areas for exploration, in particular, ideas about the conceptual basis of caring in an NICU context and its links to competence. The caring behaviours involve learning to share responsibility with families. The findings suggest that when there is 'a handing over' of control to parents and a greater emphasis on parent support, they feel less like 'guests'. These ideas are supported by the available literature. A number of methodological issues are raised.

show abstract

Section: Discussionmentioning

confidence: 99%

Parents' perceptions of staff competency in a neonatal intensive care unit

Cescutti-Butler

Galvin

2003

Journal of Clinical Nursing

View full text Add to dashboard Cite

show abstract

“…Far from rejecting theorization, these authors suggest that postmodern approaches create new ways of doing research to sort out ideologies influencing nursing practice. Moreover, these approaches question the status quo that impinges on the integration of marginalized knowledge in nursing theories (Anderson 1990; Allen 1992; Cheek and Porter 1997; Im and Meleis 1999; Cheek 1999; Meleis and Im 1999; Tang and Anderson 1999; Anderson 2000a; Anderson 2000b; Herdman 2001; Im and Meleis 2001; Stevenson and Beech 2001).…”

Section: From Postmodernism To Postcolonialismmentioning

confidence: 99%

Implementing a postcolonial feminist perspective in nursing research related to non‐Western populations

Racine

2003

Nursing Inquiry

View full text Add to dashboard Cite

In this article, I argue that implementing a postcolonial feminist perspective in nursing research transcends the limitations of modern cultural theories in exploring the health problems of non-Western populations. Providing nursing care in pluralist countries like Canada remains a challenge for nurses. First, nurses must reflect on their ethnic background and stereotypes that may impinge on the understanding of cultural differences. Second, dominant health ideologies that underpin nurses' everyday practice and the structural barriers that may constrain the utilization of public healthcare services by non-Western populations must be further examined. Postcolonial feminism is aimed at addressing health inequities stemming from social discriminative practices. I will draw on extant literature and data of an ongoing ethnography exploring the Haitian caregivers' ways of caring for ageing relatives at home to unveil how the larger social and cultural world has an impact on caregivers' everyday lives. Marginalized locations represent privileged sites from which health problems, intersecting with power, race, gender, and social classes, can be addressed. Postcolonial feminism provides the analytic lens to look at the impact of these factors in shaping health experiences. It also suggests redirecting nursing cultural research and practice to achieve social justice in the healthcare system.

show abstract

“…In particular, the ACNP is expected to initiate invasive diagnostic and procedural tasks, prescribe medication and contribute to the medical diagnosis of a condition. This incursion into the medical domain could be viewed as an attempt by nursing to gain greater status and make nursing more acceptable to the dominant medical group (Herdman 2001; Georges 2003). As the ACNP role is developed as an APN role, this type of power differential within the nursing profession needs to be recognized as it may ultimately undermine nursing's status and create greater internal tensions for members from within the nursing profession (Daiski 2004).…”

Section: Praxismentioning

confidence: 99%

“…Herdman (2001) warns of the difficulty for nursing to continue to align itself with medicine and medical technology. When the role is defined by the increasing complexity of the tasks or the use of specialized technology, this can be viewed as increasing specialization not as APN.…”

Section: Praxismentioning

confidence: 99%

Praxis and the role development of the acute care nurse practitioner

Kilpatrick

2008

Nursing Inquiry

View full text Add to dashboard Cite

Acute care nurse practitioner roles have been introduced in many countries. The acute care nurse practitioner provides nursing and medical care to meet the complex needs of patients and their families using a holistic, health-centred approach. There are many pressures to adopt a performance framework and execute activities and tasks. Little time may be left to explore domains of advanced practice nursing and develop other forms of knowledge. The primary objective of praxis is to integrate theory, practice and art, and facilitate the recognition and valuing of different types of knowledge through reflection. With this framework, the acute care nurse practitioner assumes the role of clinician and researcher. Praxis can be used to develop the acute care nurse practitioner role as an advanced practice nursing role. A praxis framework permeates all aspects of the acute care nurse practitioner's practice. Praxis influences how relationships are structured with patients, families and colleagues in the work setting. Decision-makers at different levels need to recognize the contribution of praxis in the full development of the acute care nurse practitioner role. Different strategies can be used by educators to assist students and practitioners to develop a praxis framework.

show abstract

The illusion of progress in nursing

Cited by 18 publications

References 30 publications

Parents' perceptions of staff competency in a neonatal intensive care unit

Parents' perceptions of staff competency in a neonatal intensive care unit

Implementing a postcolonial feminist perspective in nursing research related to non‐Western populations

Praxis and the role development of the acute care nurse practitioner

Contact Info

Product

Resources

About