scholarly journals The meaning of nursing 200 years after Nightingale - perceptions of professional practice in the intensivist context

2021 ◽  
Vol 74 (2) ◽  
Author(s):  
Emanuelle Caires Dias Araújo Nunes ◽  
Regina Szylit
Keyword(s):  
Intensive Care ◽  
Professional Identity ◽  
Professional Practice ◽  
Methodological Framework ◽  
Structured Interviews ◽  
Interpretive Interactionism ◽  
Intensive Care Nurses ◽  
Self Image ◽  
Professional Self ◽  
One Year

ABSTRACT Objectives: to know the meaning of contemporary nursing from the experience of intensive care nurses. Methods: qualitative research based on the theoretical framework of Symbolic Interactionism and the methodological framework of Interpretive Interactionism. The setting was a general hospital in Bahia, being carried out with 12 nurses working in intensive care for at least one year, through semi-structured interviews and drawing-text-theme technique, whose data were organized according to Miles and Huberman and analyzed upon the referential. Results: the sense of being a nurse was evidenced; a being for care, resulting from the experience in intensive care, capable of promoting the development of professional self-image, by causing, in nurses, other skills - besides the scientific ones, such as empathy, creativity, spirituality and compassion. Final Considerations: the sense of being a nurse, currently, expresses developments inherited from the Nightingalean proposal, but transcends the technical-managerial emphasis of this to a humanistic care perspective converging with our contemporary professional identity: a being for care.

scholarly journals Influence of the care of the self in the work of intensive care nurses

2021 ◽  
Vol 55 ◽  
Author(s):  
Edson José da Silva Júnior ◽  
Alexandre Pazetto Balsanelli ◽  
Vanessa Ribeiro Neves
Keyword(s):  
Intensive Care ◽  
Leadership Development ◽  
Positive Influence ◽  
The Self ◽  
University Hospital ◽  
Care Of The Self ◽  
Structured Interviews ◽  
Intensive Care Nurses ◽  
One Year ◽  
Object Of Study

ABSTRACT Objective: To analyze the influence of the care of the self in the work of intensive care nurses. Method: Qualitative study, carried out through thematic oral history. Semi-structured interviews were carried out with intensive care nurses who had worked in the area for at least one year and worked in a university hospital located in the south area of the city of São Paulo, Brazil. The script was composed by the guiding question “Does the care of the self affect your professional practice? In what way?”. Other questions related to the object of study were added according to the development of each narrative. The speeches were transcribed, transcreated, and analyzed using the Content Analysis Technique. Results: 13 nurses participated in the research. The following categories emerged in their speeches: “Caring for oneself means providing safer care” and “Care of the self and the leadership of intensive care nurses”. Conclusion: Practices related to the care of the self, had a positive influence on the work process of the intensive care nurse. This influence was mainly associated with patient safety and leadership development, an important managerial competence.

Intensive care nurses’ experiences of Covid-19 care: A practical and ethical challenge – a qualitative descriptive design

2021 ◽  
pp. 205715852110627
Author(s):  
Anna-Lena Stenlund ◽  
Gunilla Strandberg
Keyword(s):  
Intensive Care ◽  
Qualitative Content Analysis ◽  
Treatment Strategies ◽  
Ethical Challenge ◽  
Ethical Challenges ◽  
Structured Interviews ◽  
Intensive Care Nurses ◽  
Qualitative Descriptive ◽  
Heavy Burden ◽  
New Treatment

The Covid-19 pandemic has generated new experiences of intensive care. It has entailed new working methods, treatment strategies, and ethical dilemmas. The aim of this study was to describe intensive care nurses’ experiences of Covid-19 care and its ethical challenges. Data collection consisted of 11 individual semi-structured interviews and a qualitative content analysis was used. The COREQ checklist was followed. Three main themes emerged: to meet Covid-19 patients’ needs for specifically tailored intensive care; to have a changed approach to the excluded relatives is unethical, but defensible; and to strive to protect ethical values needs to be considered as good enough. In conclusion, ICU nurses shouldered a heavy burden in taking responsibility for the safety of these patients, continuously learning about new treatment strategies. Caring for Covid-19 patients was to strive to make the best of the situation.

Giving birth to a supervisory identity built upon pedagogical perspectives on teaching: The case of a novice physical education cooperating teacher

2019 ◽  
Vol 26 (2) ◽  
pp. 353-374 ◽  
Author(s):  
Mariana Amaral-da-Cunha ◽  
Amândio Graça ◽  
Paula Batista ◽  
Ann MacPhail
Keyword(s):  
Preservice Teachers ◽  
Physical Education ◽  
Professional Identity ◽  
Personal Characteristics ◽  
Initial Teacher Education ◽  
Cooperating Teacher ◽  
Structured Interviews ◽  
Teaching Perspectives ◽  
School Placement ◽  
One Year

Teaching perspectives in initial teacher education are useful analytical tools for exploring the development of professional identity and the supervisory practices of cooperating teachers working with preservice teachers on school placement. A case study design was employed with an experienced physical education teacher newly appointed as a cooperating teacher to a cohort of three physical education preservice teachers to examine how his professional identity was challenged by the demands of the new role as a mentor. Data were collected throughout a one-year school placement and included three semi-structured interviews and the cooperating teacher’s weekly journal entries. Analysis was informed by grounded theory coding procedures. Open codes were collapsed into three metaphorical axial themes: (a) the chameleon, (b) a tailor-made cooperating teacher, and (c) the liaison of relations. To perform his new role as a cooperating teacher and surpass the emergent supervisory challenges in developing a pedagogical relationship with his first cohort of preservice teachers, the cooperating teacher called upon his educational perspectives on teaching physical education built on constructive, collaborative and inquiry premises, but ended up practising teaching perspectives echoing an apprenticeship model due to the preservice teachers’ personal characteristics.

scholarly journals New graduate registered nurses' perceptions of transitioning to professional practice after completion of the new graduate guarantee orientation program

2021 ◽  
Author(s):  
Jo'Anne Guay
Keyword(s):  
Registered Nurses ◽  
Professional Practice ◽  
Safety Net ◽  
Academic Hospital ◽  
Structured Interviews ◽  
New Graduate ◽  
Professional Self ◽  
Transition Experiences ◽  
Nurses Perceptions

In Canada, the projected shortage of Registered Nurses (RNs) by 2022 is 60,000. This shortage is accentuated as Canadian New Graduate Registered Nurses (NGRNs) experience difficulties transitioning to professional practice. This study sought to explore NGRNs’ transition experiences in the 12 months post New Graduate Guarantee (NGG) orientation informed by Charmaz’s grounded theory methodology. Semi-structured interviews were conducted with ten NGRNs working in one urban, academic hospital in Ontario. The theory’s overarching category Discovering Professional Self highlights the NGRNs’ transition experiences as a progressive process with transitory setbacks. The early part of the process, described as Surviving without a Safety Net, involved Experiencing Fear, Figuring it Out, and Learning on the Job. In the later part of the process, the NGRNs’ experienced a Turning of the Tables as they described Being Trusted, Gaining Confidence, and Feeling Comfortable in their professional role. Recommendations focus on strategies to enhance NGRNs’ transition experienc

Identifying Performance Obstacles among Intensive Care Nurses

2005 ◽  
Vol 49 (11) ◽  
pp. 1019-1023 ◽  
Author(s):  
Ayse P. Gurses ◽  
Pascale Carayon
Keyword(s):  
Intensive Care ◽  
Work Organization ◽  
Cross Sectional Study ◽  
Physical Work ◽  
Nursing Workload ◽  
Structured Interviews ◽  
Cross Sectional ◽  
Quality Of Working Life ◽  
Intensive Care Nurses ◽  
Performance Obstacles

In this paper, we compare findings of two studies aimed at identifying performance obstacles among intensive care nurses. The first study is a qualitative study where data was collected from 15 intensive care nurses using individual, semi-structured interviews. The second study is a cross-sectional study conducted among 298 nurses from 17 intensive care units (ICUs) of seven hospitals using a questionnaire survey. Based on the results of these two studies, the most commonly experienced performance obstacles among ICU nurses include inadequate help from others, tools and equipment, ineffective inter-provider communication, materials and supplies, poor physical work environment, and family issues. The results of these two studies have implications regarding efforts aimed at redesigning ICU work organization in order to reduce nursing workload and improve quality of working life and quality and safety of care.

From Ministry Towards Spiritual Competence. Changing Perspectives in Spiritual Care in the Netherlands

2014 ◽  
Vol 27 (1) ◽  
pp. 103-129 ◽  
Author(s):  
Wim Smeets ◽  
Tessa Morice-Calkhoven
Keyword(s):  
Professional Identity ◽  
Professional Practice ◽  
Spiritual Care ◽  
Healthcare Systems ◽  
Contemporary Society ◽  
Structured Interviews ◽  
Medical Specialists ◽  
The Core ◽  
Competence Profile

In the ‘crisis of ministry’ alternatives are considered to a worldview-based spiritual positioning of spiritual caregivers. One of the concepts in this discussion is that of spiritual competence. We addressed the question: what are the attitudes of spiritual caregivers (and their educators) towards ministry and spiritual competence? In terms of the volume the question is: to what extent does a specific denominational concept such as ministry still relate to religion as it is lived in contemporary society, more specifically in healthcare systems? Ministry we defined as worldview representation in public and semi-public settings. There is a tension between representation and communication of religion, or, between authorisation and competence in the role of the minister. Quantitative empirical research clarified that spiritual caregivers regard the ministry positively. But they doubt their representation task, and have a multiple worldview orientation towards communication. Spiritual competence can be situated on the level of the person, professional practice, professional identity and legitimation. This analysis can be related to, e.g. the competence profile of medical specialists and praxis-oriented models of spiritual care. Semi-structured interviews with educators of spiritual caregivers put forward a balance in personal and professional spirituality, the role of reflexivity and some basic —, core — and heuristic competencies. Spiritual competence is at the core of the identity of spiritual care. Further research should reveal the extent to which this concept is an umbrella term, an alternative or even a substitute for ministry, conceptually and organisationally.

scholarly journals New graduate registered nurses' perceptions of transitioning to professional practice after completion of the new graduate guarantee orientation program

2021 ◽  
Author(s):  
Jo'Anne Guay
Keyword(s):  
Registered Nurses ◽  
Professional Practice ◽  
Safety Net ◽  
Academic Hospital ◽  
Structured Interviews ◽  
New Graduate ◽  
Professional Self ◽  
Transition Experiences ◽  
Nurses Perceptions

In Canada, the projected shortage of Registered Nurses (RNs) by 2022 is 60,000. This shortage is accentuated as Canadian New Graduate Registered Nurses (NGRNs) experience difficulties transitioning to professional practice. This study sought to explore NGRNs’ transition experiences in the 12 months post New Graduate Guarantee (NGG) orientation informed by Charmaz’s grounded theory methodology. Semi-structured interviews were conducted with ten NGRNs working in one urban, academic hospital in Ontario. The theory’s overarching category Discovering Professional Self highlights the NGRNs’ transition experiences as a progressive process with transitory setbacks. The early part of the process, described as Surviving without a Safety Net, involved Experiencing Fear, Figuring it Out, and Learning on the Job. In the later part of the process, the NGRNs’ experienced a Turning of the Tables as they described Being Trusted, Gaining Confidence, and Feeling Comfortable in their professional role. Recommendations focus on strategies to enhance NGRNs’ transition experienc

Impediments to the formation of intensive care nurses' professional identify

2018 ◽  
Vol 26 (6) ◽  
pp. 1873-1885 ◽  
Author(s):  
Somayeh Mousazadeh ◽  
Shahrzad Yektatalab ◽  
Marzieh Momennasab ◽  
Soroor Parvizy
Keyword(s):  
Intensive Care Unit ◽  
Content Analysis ◽  
Intensive Care ◽  
Professional Identity ◽  
Professional Status ◽  
Analysis Method ◽  
Nursing Knowledge ◽  
Intensive Care Nurses ◽  
Content Analysis Method ◽  
Conventional Content Analysis

Background: Nurses face challenges regarding professional identify. Being unaware of these challenges and not owning positive professional identify leads to a lack of self-confidence. Thus, nurses face problems in interpersonal communication and lose their attachment to their profession. Few studies have engaged with impediments to forming positive professional identity in relation to intensive care nurses. Objective: The purpose of this study is to investigate the impediments to forming positive professional identity in nurses working in intensive care unit. Research design: In this study, the conventional content analysis method was used in order to obtain the impediments to forming positive professional identities in nurses. Data were collected through 15 semi-structured interviews and 2 focus group interviews from March 2015 to June 2016. Purposive sampling was used and participants were recruited until data saturation was reached; they were then analyzed using the conventional content analysis method. Participants and research context: In total, 24 intensive care unit nurses from one hospital in Northern Iran were selected through purposive sampling. Ethical consideration: This study was approved by the Ethics Committee of Shiraz University of Medical Sciences. Findings: Four main themes of professional identity challenges were extracted from the analysis of the data: neglect of professional status of nursing; distrust of nursing knowledge; unprofessional performance; and low professional attraction. Discussion and conclusion: Nurses stated that the neglect of the professional status of nursing and distrust of nursing knowledge have always been a hindrance in forming a positive professional identity. They also mentioned that unprofessional performance and low professional attraction are the other influencing factors in this regard. Thus, detecting these factors can guide nurses and their managers towards creating positive professional identity, and as a result, will improve their job satisfaction, professional advancement, and durability.

Intensive Care Nurses’ Experiences Related to Dying Patients: A Qualitative Study

2021 ◽  
pp. 003022282110518
Author(s):  
Selin Keskin Kızıltepe ◽  
Zeliha Koç
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Thematic Analysis ◽  
Structured Interviews ◽  
Coping Methods ◽  
Intensive Care Nurses ◽  
Qualitative Thematic Analysis ◽  
Dying Patients ◽  
First Time ◽  
Purposive Sample

Objective: To describe intensive care nurses’ experiences of caring for dying patients. Method: This study was carried out between July 15, 2019, and September 15, 2019, in a university hospital’s intensive care unit. We conducted in-depth semi-structured interviews with a purposive sample of 14 intensive care nurses to describe their experiences related to patient deaths. Qualitative thematic analysis was used to identify, analyse and report the identified themes. Results: Four themes were identified: (I) Emotions experienced the first time their patient passed away; (II) feelings and thoughts on impact of death; (III) difficulties encountered when providing care and (IV) coping methods with this situation. Conclusion: Despite the passage of time, nurses are unable to forget their death experiences when they first encountered. They oftentimes use ineffective methods of coping and were negatively affected physically and emotionally.

scholarly journals The Experiences of Intensive Care Nurses in Advocacy of COVID-19 Patients

2021 ◽  
Vol 8 ◽  
pp. 237437352110565
Author(s):  
Bahman Aghaie ◽  
Reza Norouzadeh ◽  
Ehsan Sharifipour ◽  
Alireza Koohpaei ◽  
Reza Negarandeh ◽  
...  
Keyword(s):  
Patient Safety ◽  
Intensive Care ◽  
Qualitative Content Analysis ◽  
Active Role ◽  
Structured Interviews ◽  
Intensive Care Nurses ◽  
Clinical Nurses ◽  
Number Of Patients ◽  
Patient Advocates ◽  
Life Threatening

The lack of face-to-face interactions with families, the increase in the number of patients admitted to the ICU, nursing staff shortages, and inadequate personal protective equipment has created many challenges for nurses in advocacy of the COVID-19 patient with life-threatening conditions. This study aimed to explore the experiences of intensive care nurses in the advocacy of COVID-19 patients. This study was performed using a qualitative content analysis method with Graneheim and Lundman approach, Iran, 2020. Data were collected through semi-structured interviews with eighteen clinical nurses from the intensive care units of three hospitals. Themes extracted from the nurses’ statements were promoting patient safety (informing physicians about the complications and consequences of treatment, preventing medical errors, protecting patients from threats), respecting the patients’ values (providing comfort at the end of life, providing a comfortable environment, commitment to confidentiality, cultural observance, respect for individualism, fair care), and informing (clarifying clinical conditions, describing available services, and being the patients’ voice). ICU nurses in health crises such as COVID-19 as patient advocates should promote patient safety, respect patients’ values, and inform them. The results of this study could help enhance the active role of intensive care nurses in the advocacy of COVID-19 patients.

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