Abstract:
BACKGROUND:The past decade has seen increased patient acuity and shortened lengths of stays in acute care hospitals resulting in an intensification of the work undertaken by nursing staff in hospitals. This has ultimately led to a reconsideration of how nursing staff manage their work. AIM:The aim of this study was to understand how medical and surgical nurses from two Australian hospitals conceive their scope of practice in response to the available grade and skill mix of nurses and availability of unlicensed health care workers and other health care professionals. By exploring these meanings, this study aimed to build an understanding of how nursing work patterns were shifting in the face of changing patient acuity, patient profiles and nursing skill mix. METHOD:A constructivist methodology, using critical incident technique (CIT) was used to explore nurses' role and scope of practice. Twenty nurses, 16 registered nurses (RNs) and four enrolled nurses (ENs), discussed significant events during which they perceived they were undertaking either patient care activities they should be undertaking, or activities that should have either been delegated or undertaken by a higher level of care provider. FINDINGS:Five themes emerged from the data: (1) good nurses work in proximity to patients providing total patient care; (2) safeguarding patients; (3) picking up the slack to ensure patient safety; (4) developing teamwork strategies; and (5) privileging patients without mental illness or cognitive impairment. A pattern woven throughout these themes was the idea of negotiation. RNs were struggling with the notions that direct patient care was sometimes not the best use of their time, and delegation did not equate with laziness. CONCLUSION:Negotiation has become a fundamental aspect of nursing practice given the variety of nursing care providers currently employed in acute care settings. Negotiation has allowed nurses to redefine appropriate nurse-patient proximity, promote patient safety and find innovative ways of working in nursing teams.
journal_name
Int J Nurs Studjournal_title
International journal of nursing studiesauthors
Schluter J,Seaton P,Chaboyer Wdoi
10.1016/j.ijnurstu.2011.03.004subject
Has Abstractpub_date
2011-10-01 00:00:00pages
1211-22issue
10eissn
0020-7489issn
1873-491Xpii
S0020-7489(11)00094-0journal_volume
48pub_type
杂志文章abstract::Critical care nursing is an area of policy concern with respect to staffing projections, skill mix and educational preparation in both Canada and Australia. Despite many similarities between the health systems of these two countries, differences exist in both undergraduate and graduate specialty nursing education. In ...
journal_title:International journal of nursing studies
pub_type: 杂志文章,评审
doi:10.1016/j.ijnurstu.2007.06.006
更新日期:2008-07-01 00:00:00
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journal_title:International journal of nursing studies
pub_type: 杂志文章
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journal_title:International journal of nursing studies
pub_type: 杂志文章,评审
doi:10.1016/j.ijnurstu.2013.03.009
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journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2009.02.002
更新日期:2009-08-01 00:00:00
abstract:BACKGROUND:Heart failure is a global health care problem that causes a significant economic burden. Despite medical advancements, it's prognosis remains poor as many patients with heart failure experience symptoms that negatively impact Quality of Life. Caregivers are often responsible for helping and supporting family...
journal_title:International journal of nursing studies
pub_type: 杂志文章,评审
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journal_title:International journal of nursing studies
pub_type: 杂志文章,meta分析,评审
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journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2008.02.003
更新日期:2009-07-01 00:00:00
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journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2009.09.008
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journal_title:International journal of nursing studies
pub_type: 杂志文章,评审
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journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2012.11.002
更新日期:2013-02-01 00:00:00
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journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2004.07.008
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journal_title:International journal of nursing studies
pub_type: 杂志文章,多中心研究,随机对照试验
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journal_title:International journal of nursing studies
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.ijnurstu.2017.01.004
更新日期:2017-04-01 00:00:00
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journal_title:International journal of nursing studies
pub_type: 杂志文章,随机对照试验
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journal_title:International journal of nursing studies
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.ijnurstu.2018.03.015
更新日期:2018-06-01 00:00:00
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journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2016.09.001
更新日期:2016-11-01 00:00:00
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pub_type: 杂志文章,评审
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journal_title:International journal of nursing studies
pub_type: 杂志文章
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journal_title:International journal of nursing studies
pub_type: 临床试验,杂志文章,多中心研究,随机对照试验
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更新日期:2005-01-01 00:00:00
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pub_type: 杂志文章,多中心研究
doi:10.1016/j.ijnurstu.2006.09.008
更新日期:2008-03-01 00:00:00
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pub_type: 杂志文章
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pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2006.05.015
更新日期:2007-09-01 00:00:00
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journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/s0020-7489(01)00054-2
更新日期:2002-07-01 00:00:00
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journal_title:International journal of nursing studies
pub_type: 杂志文章
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更新日期:2004-01-01 00:00:00
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pub_type: 杂志文章,评审
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journal_title:International journal of nursing studies
pub_type: 杂志文章
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journal_title:International journal of nursing studies
pub_type: 杂志文章,评审
doi:10.1016/j.ijnurstu.2006.01.006
更新日期:2007-01-01 00:00:00
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journal_title:International journal of nursing studies
pub_type: 杂志文章
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更新日期:1995-10-01 00:00:00