Visible and invisible caring in nursing from the perspectives of patients and nurses in the gerontological context

Canzan, Federica; Heilemann, MarySue V.; Saiani, Luisa; Mortari, Luigina; Ambrosi, Elisa

doi:10.1111/scs.12105

Cited by 19 publications

(31 citation statements)

References 31 publications

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“…This, to a large extent, refers to invisible tasks essential for health service delivery [22]. An Italian study demonstrated that nurses described invisible care as reflexivity, review of care actions, collaborating with colleagues, being 'competent', and being aware of their clinical skills [23]. These phenomena were also mentioned by the participants when reflecting nursing activities being visible through the RAFAELA system.…”

Section: Discussionmentioning

confidence: 99%

A Qualitative Study of Manager Experiences Using the RAFAELA System

Hustad¹,

Hellesø²,

Andersen³

2015

OJN

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Objective: The objective was to explore manager experiences using the RAFAELA system. Background: The RAFAELA system was developed in Finland during the 1990s to create a work situation where patients' care needs were balanced with personnel resources. The system is used in almost all hospitals in Finland and is implemented in several European countries. However, the system has never been evaluated outside Finland. This study, focusing on the managers' perspective, represents the second report from a larger Norwegian evaluation project of the RAFAELA system. Methods: An explorative qualitative design was chosen. Data were collected by individual in-depth interviews at a university hospital in Norway during 2012-2013. A total of 10 informants in various management positions were interviewed. The tape-recorded interviews were transcribed verbatim, and the transcripts were analysed using Kvale's method for content analysis. Results: Four main themes emerged from the qualitative data: making the invisible visible; a common language; a system for prospective planning; and a resource-demanding tool. Conclusions: The study indicated that the RAFAELA system provided useful information about the patients' care needs and nursing activities. Also the system provided a common reference frame for discussing nursing, staffing and allocation. Although the managers considered the RAFAELA to be time consuming in the implementation phase, they considered the system to be an important tool.

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Section: Discussionmentioning

confidence: 99%

A Qualitative Study of Manager Experiences Using the RAFAELA System

Hustad¹,

Hellesø²,

Andersen³

2015

OJN

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“…In one longitudinal QD study (Kneck, Fagerberg, Eriksson, & Lundman, 2014), the researchers presented the findings as key patterns of learning for persons living with diabetes; in another longitudinal QD study (Stegenga & Macpherson, 2014), findings were presented as processes and themes regarding patients' identity work across the cancer trajectory. In another two studies, the researchers described and compared themes or categories from two different perspectives, such as those of patients and nurses (Canzan, Heilemann, Saiani, Mortari, & Ambrosi, 2014) or of parents and children (Marcinowicz et al, 2014). Additionally, Ma (2014) reported themes using both participants' language and the researcher's language.…”

Section: Presentation Of Findingsmentioning

confidence: 99%

Characteristics of Qualitative Descriptive Studies: A Systematic Review

Kim

Sefcik

Bradway

2016

Research in Nursing & Health

1,402

933

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Qualitative description (QD) is a term that is widely used to describe qualitative studies of health care and nursing-related phenomena. However, limited discussions regarding QD are found in the existing literature. In this systematic review, we identified characteristics of methods and findings reported in research articles published in 2014 whose authors identified the work as QD. After searching and screening, data were extracted from the sample of 55 QD articles and examined to characterize research objectives, design justification, theoretical/philosophical frameworks, sampling and sample size, data collection and sources, data analysis, and presentation of findings. In this review, three primary findings were identified. First, despite inconsistencies, most articles included characteristics consistent with limited, available QD definitions and descriptions. Next, flexibility or variability of methods was common and desirable for obtaining rich data and achieving understanding of a phenomenon. Finally, justification for how a QD approach was chosen and why it would be an appropriate fit for a particular study was limited in the sample and, therefore, in need of increased attention. Based on these findings, recommendations include encouragement to researchers to provide as many details as possible regarding the methods of their QD study so that readers can determine whether the methods used were reasonable and effective in producing useful findings.

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“…The concept of care is central to the development of nursing practice, but has been (and remains) a slippery concept that is difficult to nail down. [54][55][56][57] In line with the dual processing perspective of expert clinical practice, [58] caring needs to be viewed simultaneously as the interaction between "interpersonal interaction" and "therapeutic intervention", [51] so that it may add coherence to the complex experiences of being a patient and being a carer. The central position of "care" (as indicated in Figure 3) is exactly where one might anticipate finding a threshold concept to allow it to perform its integrative function.…”

Section: Resultsmentioning

confidence: 99%

A single-case study of carer agency

Kinchin

Wilkinson

2016

JNEP

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This paper highlights the role of single case methods in focussing on the learning needs of a marginalised group-family caregivers. It analyses the role of carer agency to help healthcare professionals view key incidents as inclusive learning opportunities for professionals, patients and carers. Through circumstance, one of the authors found himself to be in the position of primary carer for his elderly father whilst simultaneously engaged professionally in dialogue about clinical pedagogy. The paper presents a post hoc research design, using participant observational data of a single-case study, triangulated with reference to professional practice and current research literature. The primary data source for this paper is a carer's autoethnographic narrative that was constructed during, and then reflecting back on a period of extended participant observation. The importance of carer agency in sustaining patient care is discussed as a factor in shared decision-making, facilitating a deliberative model of physician-patient relationships. The paper showcases the high degree of resonance with the research literature that can be generated from a single case study whose teaching value goes beyond its clinical generalizeability.

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Visible and invisible caring in nursing from the perspectives of patients and nurses in the gerontological context

Cited by 19 publications

References 31 publications

A Qualitative Study of Manager Experiences Using the RAFAELA System

A Qualitative Study of Manager Experiences Using the RAFAELA System

Characteristics of Qualitative Descriptive Studies: A Systematic Review

A single-case study of carer agency

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