Caring from the Male Perspective: A Gender Neutral Concept

2012 ◽  
Vol 16 (4) ◽  
pp. 36-41 ◽  
Author(s):  
Normajean Colby,
Keyword(s):  
Registered Nurses ◽  
Nursing Practice ◽  
Research Question ◽  
Male Nurses ◽  
Naturalistic Inquiry ◽  
Purposive Sampling ◽  
Diverse Workforce ◽  
Gender Neutral

The profession seeks to recruit and retain qualified nurses, while embracing a diverse workforce. A descriptive naturalistic inquiry was undertaken with a population whose voice has not been actively solicited in the literature, that of practicing registered nurses (rns) who are male. the research question was, “What is the essence of nursing as perceived by practicing rns who are male?” through purposive sampling, 11 male nurses were interviewed. The meta-theme, nursing as caring, emerged as participants described the essence of their nursing practice as caring. This essence centered on caring for and caring about people. Findings support that caring, as a concept, transcends gender.

scholarly journals Test–Retest Reliability of the Genetics and Genomics in Nursing Practice Survey Instrument

2016 ◽  
Vol 24 (1) ◽  
pp. 54-68 ◽  
Author(s):  
Kathleen A. Calzone ◽  
Stacey Culp ◽  
Jean Jenkins ◽  
Sarah Caskey ◽  
Pamela B. Edwards ◽  
...  
Keyword(s):  
Health Care ◽  
Registered Nurses ◽  
Nursing Practice ◽  
Weighted Kappa ◽  
Retest Reliability ◽  
Practice Survey ◽  
Instrument Performance ◽  
Item Responses ◽  
Genetics And Genomics ◽  
Test Retest Reliability

Background and Purpose: Assessment of nursing genomic competency is critical given increasing genomic applications to health care. The study aims were to determine the test–retest reliability of the Genetics and Genomics in Nursing Practice Survey (GGNPS), which measures this competency, and to revise the survey accordingly. Methods: Registered nurses (n = 232) working at 2 Magnet-designated hospitals participating in a multiinstitutional genomic competency study completed the GGNPS. Cohen’s kappa and weighted kappa were used to measure the agreement of item responses between Time 1 and Time 2. Survey items were revised based on the results. Results: Mean agreement for the instrument was 0.407 (range = 0.150–1.000). Moderate agreement or higher was achieved in 39% of the items. Conclusions: GGNPS test–retest reliability was not optimal, and the instrument was refined based on the study findings. Further testing of the revised instrument is planned to assess the instrument performance.

Transformation Through Health Teaching for Adults with Intellectual and Developmental Disabilities: A Qualitative Study

2012 ◽  
Vol 50 (2) ◽  
pp. 129-139 ◽  
Author(s):  
Ginny Focht-New
Keyword(s):  
Developmental Disabilities ◽  
Qualitative Study ◽  
Registered Nurses ◽  
Developmental Process ◽  
Comparative Method ◽  
Intellectual And Developmental Disabilities ◽  
Naturalistic Inquiry ◽  
Teaching Activities ◽  
Increased Risk ◽  
Health Teaching

Abstract Adults with intellectual and developmental disabilities have medical conditions similar to those among the general population but with more complex presentation, a extended life expectancy, and increased risk of morbidity and mortality. These adults' health education has been inadequate. In this qualitative study, the author describes the experiences of 23 registered nurses who provide health teaching to adults with intellectual and developmental disabilities, selection of and health topics taught, and teaching activities put into practice. The author used a rigorous descriptive, naturalistic inquiry design with purposive (n  =  22) and snowball (n  =  1) sampling. Data were gathered through individual interviews, focus groups, and nonparticipant observations, and analyzed with a constant comparative method. Findings concerned the educators' developmental process, use of a social context to teach, and health-teaching activities. Registered nurses s described their transformation from insecure, novice health educators to confident and passionate educators of adults with intellectual and developmental disabilities. Findings apply to multiple disciplines.

scholarly journals Changing nursing practice within primary health care innovations: the case of advanced access model

BMC Nursing ◽  
2020 ◽  
Vol 19 (1) ◽  
Author(s):  
Sabina Abou Malham ◽  
Mylaine Breton ◽  
Nassera Touati ◽  
Lara Maillet ◽  
Arnaud Duhoux ◽  
...  
Keyword(s):  
Health Care ◽  
Registered Nurses ◽  
Nurse Practitioners ◽  
Thematic Analysis ◽  
Organizational Context ◽  
Nursing Practice ◽  
Influential Factors ◽  
Practice Change ◽  
Policy Support ◽  
Advanced Access

Abstract Background The advanced access (AA) model has attracted much interest across Canada and worldwide as a means of ensuring timely access to health care. While nurses contribute significantly to improving access in primary healthcare, little is known about the practice changes involved in this innovative model. This study explores the experience of nurse practitioners and registered nurses with implementation of the AA model, and identifies factors that facilitate or impede change. Methods We used a longitudinal qualitative approach, nested within a multiple case study conducted in four university family medicine groups in Quebec that were early adopters of AA. We conducted semi-structured interviews with two types of purposively selected nurses: nurse practitioners (NPs) (n = 6) and registered nurses (RNs) (n = 5). Each nurse was interviewed twice over a 14-month period. One NP was replaced by another during the second interviews. Data were analyzed using thematic analysis based on two principles of AA and the Niezen & Mathijssen Network Model (2014). Results Over time, RNs were not able to review the appointment system according to the AA philosophy. Half of NPs managed to operate according to AA. Regarding collaborative practice, RNs were still struggling to participate in team-based care. NPs were providing independent and collaborative patient care in both consultative and joint practice, and were assuming leadership in managing patients with acute and chronic diseases. Thematic analysis revealed influential factors at the institutional, organizational, professional, individual and patient level, which acted mainly as facilitators for NPs and barriers for RNs. These factors were: 1) policy and legislation; 2) organizational policy support (leadership and strategies to support nurses’ practice change); facility and employment arrangements (supply and availability of human resources); Inter-professional collegiality; 3) professional boundaries; 4) knowledge and capabilities; and 5) patient perceptions. Conclusions Our findings suggest that healthcare decision-makers and organizations need to redefine the boundaries of each category of nursing practice within AA, and create an optimal professional and organizational context that supports practice transformation. They highlight the need to structure teamwork efficiently, and integrate and maximize nurses’ capacities within the team throughout AA implementation in order to reduce waiting times.

An integrative review of the role of registered nurses in remote and isolated practice

2010 ◽  
Vol 34 (2) ◽  
pp. 239 ◽  
Author(s):  
Meaghan Coyle ◽  
Mohammad A. Al-Motlaq ◽  
Jane Mills ◽  
Karen Francis ◽  
Melanie Birks
Keyword(s):  
Registered Nurses ◽  
Burden Of Disease ◽  
Nursing Practice ◽  
Grey Literature ◽  
South Australia ◽  
Remote Areas ◽  
Primary Health ◽  
The Impact ◽  
Conditions Of Work

Objective.To examine the role of the registered nurse in remote and isolated areas of Queensland, the Northern Territory, South Australia and Western Australia; and to illustrate the impact of the burden of disease on nursing practice. Data sources.A literature search was undertaken using electronic databases and the grey literature (including policy documents, project reports and position descriptions). Data synthesis.The role of the nurse in remote areas is diverse, and varies according to the context of practice. Although some states and territories offer formal programs to prepare nurses for the role, it is unclear whether this is routinely provided. The burden of disease is higher in remote Australia, and although nurses work to reduce the burden, the need to provide primary care can be at the expense of primary health care. Conclusions.Whilst the nature of nursing practice is influenced by many factors, considerable agreement exists between states and territories around the role of the registered nurses in remote and isolated communities. The higher burden of disease in remote and isolated areas of Australia impacts on nursing practice, and nurses are uniquely placed to assist in reducing the burden of disease. Greater agreement around what constitutes ‘remote’ is needed. What is known about the topic?Many papers have reported on the difficulties encountered by registered nurses in remote and isolated practice; however, there is a dearth of information describing the role of registered nurses in remote or isolated Australian communities. What does this paper add?This review describes the diverse role of nurses and their role in addressing the burden of disease in remote and isolated Australia. Comparison between states and territories highlights differences in preparation for the role. What are the implications for practitioners?National agreement is needed around preparation for practice, conditions of work, and what constitutes ‘remote’. Greater utilisation of the nursing workforce in remote and isolated areas would assist in addressing the burden of disease.

Validity of the Italian Code of Ethics for everyday nursing practice

2016 ◽  
Vol 25 (7) ◽  
pp. 906-917
Author(s):  
Paola Gobbi ◽  
Maria Grazia Castoldi ◽  
Rosa Anna Alagna ◽  
Anna Brunoldi ◽  
Chiara Pari ◽  
...  
Keyword(s):  
Decision Making ◽  
Clinical Practice ◽  
Nursing Practice ◽  
Code Of Ethics ◽  
Research Question ◽  
Daily Practice ◽  
Ethical Considerations ◽  
Clinical Competencies ◽  
Ethical Problems ◽  
Specific Theme

Background: The research question for this study was as follows: Is the Code of Ethics for Nurses in Italy (Code) a valid or useful decision-making instrument for nurses faced with ethical problems in their daily clinical practice? Method: Focus groups were conducted to analyze specific ethical problems through 11 case studies. The analysis was conducted using sections of the Code as well as other relevant documents. Each focus group had a specific theme and nurses participated freely in the discussions according to their respective clinical competencies. Ethical considerations: The executive administrative committee of the local nursing licensing council provided approval for conducting this project. Measures were taken to protect the confidentiality of consenting participants. Findings: The answer to the research question posed for this investigation was predominantly positive. Many sections of the Code were useful for discussion and identifying possible solutions for the ethical problems presented in the 11 cases. Conclusion: We concluded that the Code of Ethics for Nurses in Italy can be a valuable aid in daily practice in most clinical situations that can give rise to ethical problems.

Comportment: A Caring Attribute in the Formation of an Intentional Practice

2010 ◽  
Vol 14 (4) ◽  
pp. 22-26 ◽  
Author(s):  
M. Simone Roach, ◽  
Colleen Maykut,
Keyword(s):  
Registered Nurses ◽  
Nursing Practice ◽  
The Other ◽  
Human Being

The attribute of comportment is intended to convey the nurse’s belief that dress and language reflect the professional’s respect for the patient, family, and colleagues. Comportment, as a caring attribute, has the potential to offer an opportunity to concurrently visually represent the intentionality of a nursing practice and demonstrate professionalism. Adherence to professional dress and address demonstrates respect for the dignity of a person as a human being. Registered nurses must demonstrate commitment to their caring practice by recognizing the need of the other as more important than their own need for self-expression.

Using the Canadian Code Of Ethics for Registered Nurses to Explore Ethics in Palliative Care Research

2004 ◽  
Vol 11 (6) ◽  
pp. 600-609 ◽  
Author(s):  
Kelly Arraf ◽  
Ginny Cox ◽  
Kathleen Oberle
Keyword(s):  
Palliative Care ◽  
Registered Nurses ◽  
Nursing Practice ◽  
Ethical Issues ◽  
Code Of Ethics ◽  
Direct Benefit ◽  
Care Research ◽  
Dying Patients ◽  
Moral Dimensions ◽  
Excellent Care

Nursing research in palliative care raises specific and challenging ethical issues. Questions have arisen about whether such research is morally justified, given the low likelihood of direct benefit to dying patients as research participants. The Canadian Code of ethics for registered nurses outlines eight primary values intended to guide nursing practice. We use these values to explore the moral dimensions of research with the palliative care population. Our conclusion is that palliative care research is needed to foster excellent care for these patients and their families, but that nurses must remain constantly vigilant to ensure that participants are protected from resultant harms. Through this exploration we highlight particular considerations that nurse researchers must contemplate when accessing a vulnerable population.

scholarly journals Transitioning to nursing practice in Lebanon: Challenges in professional, occupational and cultural identity formation

2018 ◽  
Vol 8 (6) ◽  
pp. 38 ◽  
Author(s):  
Murielle Madi ◽  
Michael Clinton ◽  
Myrna Doumit ◽  
Sawsan Ezzeddine ◽  
Ursula Rizk
Keyword(s):  
Nursing Students ◽  
Identity Formation ◽  
Registered Nurses ◽  
Nursing Faculty ◽  
Nursing Practice ◽  
Early Adulthood ◽  
Nurse Leaders ◽  
First Year ◽  
Administrative Roles ◽  
Hospital Administrators

The aim of this study was to identify the challenges graduates from three of Lebanon’s leading universities face as they transition from the role of student to first year registered nurse. Focus group discussions and one joint interview were conducted with 16 first year registered nurses transitioning to practice in university medical centers in Greater Beirut. Thematic analysis was used to summarize the challenges faced by the graduates. Initially, three descriptive themes were used to summarize the data: classroom learning, workplace realities, and “wanting a life”. Together the three themes indicted that classroom instruction of baccalaureate nursing students in Lebanon raises expectations for ideal practice that cannot be realized in clinical units with high workloads and nursing shortages. As a result, first year registered nurses are made to feel unwelcome unless they compromise their values and adapt quickly to the pace of work. The three initial themes were revised deductively from the perspective of ego-identity theory to explain the relationship between transitioning to nursing practice and identity formation in late adolescence and early adulthood.  If the pressures of identity formation are not addressed, first year registered nurses in Lebanon will be at risk for acquiescing to task-centered practice, abandoning bedside care for administrative roles, or leaving nursing. The evidence for this conclusion will interest nursing faculty, hospital administrators, nurse leaders, registered nurses, physicians, and nursing students.

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