Abstract：
AIM:To examine and describe disciplinary discourses conducted through professional policy and regulatory documents in nursing and midwifery in Ireland. BACKGROUND:A key tenet of discourse theory is that group identities are constructed in public discourses and these discursively constructed identities become social realities. Professional identities can be extracted from both the explicit and latent content of discourse. Studies of nursing's disciplinary discourse have drawn attention to a dominant discourse that confers nursing with particular identities, which privilege the relational and affective aspects of nursing and, in the process, marginalize scientific knowledge and the technical and body work of nursing. DESIGN:We used critical discourse analysis to analyse a purposive sample of nursing and midwifery regulatory and policy documents. METHOD:We applied a four-part, sequential approach to analyse the selected texts. This involved identifying key words, phrases and statements that indicated dominant discourses that, in turn, revealed latent beliefs and assumptions. The focus of our analysis was on how the discourses construct professional identities. FINDINGS:Our analysis indicated recurring narratives that appeared to confer nurses and midwives with three dominant identities: "the knowledgeable practitioner," the "interpersonal practitioner" and the "accountable practitioner." The discourse also carried assumptions about the form and content of disciplinary knowledge. CONCLUSIONS:Academic study of identity construction in discourse is important to disciplinary development by raising nurses' and midwives' consciousness, alerting them to the ways that their own discourse can shape their identities, influence public and political opinion and, in the process, shape public policy on their professions.
journal_name
J Adv Nursjournal_title
Journal of advanced nursingauthors
Fealy G,Hegarty JM,McNamara M,Casey M,O'Leary D,Kennedy C,O'Reilly P,O'Connell R,Brady AM,Nicholson Edoi
10.1111/jan.13723subject
Has Abstractpub_date
2018-05-23 00:00:00eissn
0309-2402issn
1365-2648pub_type
杂志文章abstract：:The aim of this study was to elucidate the experiences of stroke victims during the course of disease and the first few months after discharge. Ten individuals, recently having suffered their first manifest stroke with lasting neurological symptoms, narrated their experiences and gave their views at two different appo...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1046/j.1365-2648.1997.1997025953.x
更新日期：1997-05-01 00:00:00
abstract：:This study utilizes four outcome measures to compare the success of a home nursing programme on a group of patients previously hospitalized and a non-hospitalized group. The outcome measures are: mortality, stabilization, hospitalization and nursing home confinement at discharge from the programme. No significant diff...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/j.1365-2648.1980.tb03187.x
更新日期：1980-11-01 00:00:00
abstract：:Despite the shift in recent policy toward people with severe and long-term mental health problems, there is considerable evidence that mental health nurses tend to prioritize clients with acute, neurotic or short-term problems and become demoralized when working with people with persistent needs and disabilities. Ment...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/j.1365-2648.1994.tb01193.x
更新日期：1994-06-01 00:00:00
abstract：:For the past two decades authors have discussed the lack of research-based nursing practice. Many explanations are afforded but few focus on the way in which the researcher plans to involve staff in each stage of the process. The desire by practitioners to become researchers has been confounded in the main by increasi...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/j.1365-2648.1990.tb01862.x
更新日期：1990-05-01 00:00:00
abstract：:The American Pain Society cites the failure of health care providers to routinely assess pain and pain relief as the most common reason for unrelieved pain in US hospitals. Lack of knowledge on the part of nurses about pain and its treatment is one of the major barriers to achieving comfort for those in pain. Thus, th...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1046/j.1365-2648.1996.00951.x
更新日期：1996-05-01 00:00:00
abstract：:This paper discusses the Verbal Protocol technique as presently used in the fields of psychology and computer sciences. It proposes that the technique is an appropriate design tool for studying clinical reasoning in many nursing contexts. An example is given, taken from a pilot study of a larger research project, of t...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/j.1365-2648.1989.tb01518.x
更新日期：1989-12-01 00:00:00
abstract：AIMS: This paper is a report of the development and testing of a questionnaire measuring knowledge and skills of cancer clinical trials nurse in Australia. BACKGROUND: The role of cancer clinical trials nurse, widely acknowledged as an integral member of the clinical research team, has evolved in recent years. Eleme...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/j.1365-2648.2011.05816.x
更新日期：2012-05-01 00:00:00
abstract：:Recent surveys show that children are still restricted from visiting their critically ill family and friends on many adult intensive care units throughout the country. The purpose of this small-scale exploratory pilot study was to examine and describe the experiences and perceptions of trained nurses towards children ...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1046/j.1365-2648.2000.01293.x
更新日期：2000-02-01 00:00:00
abstract：:Although fatigue has been identified as a major problem for individuals with chronic obstructive pulmonary disease and with asthma, no research was found in which the symptom was directly studied in persons with these conditions. From studies carried out on various patient populations, it appears that fatigue has some...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1046/j.1365-2648.1999.01102.x
更新日期：1999-08-01 00:00:00
abstract：AIMS:To empirically validate a conceptual model of Clinical Nurse Leader integrated care delivery. BACKGROUND:There is limited evidence of frontline care delivery models that consistently achieve quality patient outcomes. Clinical Nurse Leader integrated care delivery is a promising nursing model with a growing record...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/jan.13113
更新日期：2017-02-01 00:00:00
abstract：:Longitudinal panel studies have several distinct methodological and analytical advantages over cross-sectional studies for gaining an understanding of nurses' careers and developing strategies to facilitate retention. Panel studies do, however, present the researcher with a number of substantial challenges if maximum ...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1046/j.1365-2648.1994.20040729.x
更新日期：1994-10-01 00:00:00
abstract：:This article contrasts two clinical cases using a relatively new paradigm and theory, modelling and role-modelling. The concepts and linkages from modelling and role-modelling are presented and are the basis for analysing the outcomes of of two patients. The case study approach communicates an understanding of the the...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/j.1365-2648.1989.tb01640.x
更新日期：1989-09-01 00:00:00
abstract：AIM:This paper reports a literature review to examine the effectiveness of inducing hypothermia to decrease neurological deficit after out-of-hospital cardiac arrest. BACKGROUND:After cardiac arrest, severe neurological impairment is a major problem. Outcome after anoxic brain injury following cardiac arrest varies fr...
journal_title：Journal of advanced nursing
pub_type： 杂志文章,评审
doi：10.1111/j.1365-2648.2005.03574.x
更新日期：2005-10-01 00:00:00
abstract：AIM:The aim of this paper is to stimulate interest in the practical classroom application of concept mapping strategies as an approach that teachers can easily use to enhance collaborative learning. BACKGROUND:Concept mapping has been developed as a tool to support meaningful learning. However, much of the research li...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/j.1365-2648.2005.03478.x
更新日期：2005-07-01 00:00:00
abstract：AIMS:This article reports on the quantitative findings from a large mixed method study that determined the extent to which the provision of alternatives to an Emergency Department and Index of Relative Social Disadvantage score influenced non-urgent paediatric Emergency Department use. BACKGROUND:In Australia, there i...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/jan.12810
更新日期：2016-01-01 00:00:00
abstract：AIMS:To assess the reliance on intuitive and analytical approaches during clinical decision-making among novice clinicians and whether that reliance is associated with accurate decision-making. BACKGROUND:Nurse educators and managers tend to emphasize analysis over intuition during clinical decision-making though nurs...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/jan.13202
更新日期：2017-05-01 00:00:00
abstract：:Professions make extraordinary demands on its practitioners. Professionals are required to master substantive theory and technical skills. They also develop their own unique subcultures, demanding specific normative standards from their members, which are symbolized by professional ethical codes. In the health profess...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1046/j.1365-2648.1995.21010164.x
更新日期：1995-01-01 00:00:00
abstract：:There has been extensive speculation about the lack of research utilization in nursing but little attempt to quantify this phenomenon outside of North America. The current demands for evidence-based practice necessitate research utilization as one element of the process. As part of a larger project, this study aimed t...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1046/j.1365-2648.2000.01416.x
更新日期：2000-07-01 00:00:00
abstract：:Three variables were experimentally manipulated by simulation measurement using six vignettes in a completely randomized, partial hierarchical, experimental design: medical diagnosis (AIDS v. non-AIDS), sexual orientation (heterosexual v. homosexual) and intravenous drug-use history (IVDU v. non-IVDU). Following each ...
journal_title：Journal of advanced nursing
pub_type： 临床试验,杂志文章,随机对照试验
doi：10.1111/j.1365-2648.1992.tb01844.x
更新日期：1992-10-01 00:00:00
abstract：AIMS:To identify the sociodemographic attributes, project characteristics and champion strategies that differentiate formal from informal nursing champions, and to test their success in terms of project spread and novelty. BACKGROUND:Champions spread innovation in healthcare organizations. Empirical research has not e...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/jan.13838
更新日期：2019-01-01 00:00:00
abstract：BACKGROUND:Clinical Nurse Specialists (CNS) play a major role in the delivery of specialist palliative care services to patients with advanced cancer, in hospital, hospice and community settings across the United Kingdom. A major component of their work focuses on the delivery of emotional care and support to patients ...
journal_title：Journal of advanced nursing
pub_type： 杂志文章,评审
doi：10.1046/j.1365-2648.2003.02749.x
更新日期：2003-09-01 00:00:00
abstract：AIM:Develop and test the validity and reliability of MISSCARE Survey-Ped adapted from previous versions of the MISSCARE Survey, which measures omitted nursing activities and the reasons why they were left undone. Our secondary aim was to pre-test the construct validity using Exploratory Factor Analysis (EFA). BACKGROU...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/jan.13837
更新日期：2018-12-01 00:00:00
abstract：:Many studies in western countries have shown that persons who have a high level of social support are likely to have better health behaviours, including use of preventive health services, than those who have low support. The present study aims to investigate the impact of level of social support among Thai pregnant wo...
journal_title：Journal of advanced nursing
pub_type： 杂志文章,多中心研究
doi：10.1046/j.1365-2648.1999.00901.x
更新日期：1999-02-01 00:00:00
abstract：BACKGROUND:There has been little research into coping process following renal transplantation, but it has been shown that health-related stress is not eliminated and that fear of rejection and economic factors are the most stressful issues. Coping strategies used have included prayer, looking at problems objectively, a...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1046/j.1365-2648.2003.02859.x
更新日期：2004-01-01 00:00:00
abstract：BACKGROUND:Although important progress has been made during the past decade, research on pain in people with intellectual disabilities is still scarce. Pain assessment in people with intellectual disabilities is a frequent and difficult problem, especially for nurses working with people with intellectual disabilities o...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1046/j.1365-2648.2003.02884.x
更新日期：2004-02-01 00:00:00
abstract：BACKGROUND:During a patient's stay on a surgical ward, nurses hold a great deal of responsibility for pain management, especially when analgesics are prescribed on a PRN ('as needed') basis. Despite the availability of effective analgesics and new technologies for drug administration, studies continue to demonstrate su...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1046/j.1365-2648.2001.01714.x
更新日期：2001-03-01 00:00:00
abstract：:Although there is increasing interest in women's health, there remains little empirical evidence concerning concepts related to health and women's life trajectory. Our purpose in conducting this research was to examine women's developmental stressors and coping during young adulthood. Lazarus and Folkman's coping mode...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1046/j.1365-2648.1998.00821.x
更新日期：1998-11-01 00:00:00
abstract：AIMS:Patients with heart failure exhibit poor adherence to self-care behaviours. Recent studies have shown a link between Type D personality, social support, and self-care behaviours of patients with chronic diseases. However, the mechanisms underlying this relationship have received little empirical attention in those...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/jan.14682
更新日期：2020-11-29 00:00:00
abstract：AIM:This paper is a report of a study conducted to explore the effects of promoting self-management on the well-being of patients having peritoneal dialysis. BACKGROUND:Peritoneal dialysis is a home-based treatment for end-stage renal disease. Promoting self-management has been shown to improve the health status of pe...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/j.1365-2648.2009.04993.x
更新日期：2009-07-01 00:00:00
abstract：AIMS:To review, discuss and compare nursing and midwifery regulatory and professional bodies' scope of practice and associated decision-making frameworks. BACKGROUND:Scope of practice in professional nursing and midwifery is an evolving process which needs to be responsive to clinical, service, societal, demographic a...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/jan.12660
更新日期：2015-08-01 00:00:00
