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Book part
Publication date: 11 December 2007

Helen Kohlen

The tradition of medicine has until now been characterized by an aspiration to provide as complete as possible a service of care to the populations to which it owes…

Abstract

The tradition of medicine has until now been characterized by an aspiration to provide as complete as possible a service of care to the populations to which it owes responsibility. The same holds for nursing and caring practices, but the tradition is loosening. Despite the collective assumption that medical and nursing practice rests on solid grounds of knowledge and is framed by a caring ethos, change in practice not only has typically come about in a complex and diffuse fashion, but has also come along with sacrifices, losses and deficits.

Details

Bioethical Issues, Sociological Perspectives
Type: Book
ISBN: 978-0-7623-1438-6

Article
Publication date: 31 December 2019

Lee Jerome and Victoria Brook

In 2016, the National Standards for School-based Initial Teacher Training (ITT) Mentors were published in England. The purpose of this paper is to critique these standards through…

Abstract

Purpose

In 2016, the National Standards for School-based Initial Teacher Training (ITT) Mentors were published in England. The purpose of this paper is to critique these standards through a comparison of how others have framed and defined the role of the mentor, drawing on equivalent standards already published in nursing (2008) and social work (2012).

Design/methodology/approach

An analysis of three sets of professional standards was conducted by adapting the “constant comparison” approach in which the researchers sought to combine a form of inductive coding with comparison across the texts. This enabled the identification of a number of common themes and omissions across the three sets of standards.

Findings

The analysis revealed the ITT mentor standards provide a comparatively limited account of the role of the mentor, particularly in relation to the process of assessment, the power dynamics between mentors and student teachers, and the school as an institutional site for professional learning.

Originality/value

The study’s originality lies in the inter-professional comparative analysis, which revealed a number of potentially contentious issues not immediately apparent from a close textual analysis of the ITT mentor standards.

Details

International Journal of Mentoring and Coaching in Education, vol. 9 no. 2
Type: Research Article
ISSN: 2046-6854

Keywords

Article
Publication date: 8 May 2018

Steven Jacobs

The purpose of this paper is threefold. First, this paper documents an analysis of mentorship models within the profession of nursing from the 1940s onward. From this analysis…

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Abstract

Purpose

The purpose of this paper is threefold. First, this paper documents an analysis of mentorship models within the profession of nursing from the 1940s onward. From this analysis, the author was able to categorize the evolution of mentorship models within nursing. Second, this paper identifies four specific contemporary challenges within nursing which relate directly to mentorship. Last, this paper attempts to place a nursing student peer mentorship model in context to best understand how it can benefit the profession of nursing and help address the four identified contemporary challenges within nursing.

Design/methodology/approach

The theoretical, philosophical, and research roots that have shaped and informed mentorship models in nursing are examined. The strengths and limitations of nursing mentorship models are analyzed in relation to contemporary challenges in nursing education and practice with a focus on undergraduate peer mentorship. This was achieved through a comprehensive literature review that examined mentorship in nursing from approximately 1940 to the present.

Findings

Since Nightingale’s time, five specific mentoring models have been created and adapted within the nursing profession. The five mentorship models identified within this paper are most prevalent within current and previous nursing mentorship literature and demonstrate how models within nursing have evolved from those positing a relatively paternalistic relationship to those favoring more collaborative and reciprocal relations between mentor and mentee. Further, it is argued in this paper that a nursing student peer mentorship model can assist in addressing four challenges which currently face the profession of nursing. These four challenges (which are prevalent in nursing literature) are mentoring as a professional responsibility, projected nursing shortages, communication in nursing, and the development of critical thinking skills.

Research limitations/implications

A limitation of this paper includes the fact that, despite the many challenges facing the profession of nursing today, this paper focuses on only four identified challenges. As it is impossible for one paper to address all of the contemporary challenges which face nursing today, as articulated below, this paper addresses four identified challenges because they relate to mentorship, nursing education, and nursing practice.

Practical implications

Providing opportunities for nursing students to participate in a peer mentoring relationship assists future nurses and the profession as a whole by generating tangible benefits. These benefits include an exposure to theories and models of mentorship and skills to help them fulfill their future professional responsibility of mentoring, development of relationships and skills that can increase both nurse and student retention, and improved communication and critical thinking skills. Last, this study can help nursing schools to identify and work with theories and models of mentorship that will improve their ability to stimulate critical thinking among their students.

Originality/value

This paper fills a gap in the literature by providing an analysis of the theoretical, philosophical, and research roots that have shaped and informed mentorship models in nursing from the 1940s onward. This analysis suggests that student peer mentorship may be the most effective model to address these four challenges in nursing: mentoring as a professional responsibility, projected nursing shortages, communication in nursing, and the development of critical thinking skills. This paper has the potential to make a timely contribution to the global debate regarding mentoring across the healthcare professions.

Details

International Journal of Mentoring and Coaching in Education, vol. 7 no. 2
Type: Research Article
ISSN: 2046-6854

Keywords

Article
Publication date: 26 July 2018

Jette Ernst and Astrid Jensen Schleiter

The purpose of this paper is to look at the ways in which standardization for patient safety is approached from different positions in the field, namely nurses and managers in a…

Abstract

Purpose

The purpose of this paper is to look at the ways in which standardization for patient safety is approached from different positions in the field, namely nurses and managers in a hospital department, the hospital management and standard inventers. We understand safety standardization and the responses to it as a strategizing process, where standards are legitimized, taken up, handled or countered.

Design/methodology/approach

Ethnographic fieldwork was conducted in a Danish hospital department. The study included observations, interviews and documents studies. The authors apply a Bourdieusian perspective, where the authors focus on the narratives told by standard inventers, managers and nurses to examine and understand their strategizing activities in relation to safety standardization. We understand strategizing as interested action emerging in the dialectics between a habitus and a position in a field.

Findings

The authors show how the standardization of work rests on the master narrative of patient safety management and how this narrative clashes with the nurses’ practical perception of good care, which rests on the counter-narrative of the clinical judgment.

Originality/value

Safety standardization in healthcare is often studied within the broader framework of performance management using functionalist outside-in and prescriptive approaches. This study contributes to this literature by approaching standardization and the responses to it as taking place in a dialectic movement between subjective shop floor experiences and wider field-level forces. Furthermore, the study contributes to the organization and management literature concerned with change and strategic action by endorsing the Bourdieusian conception of strategizing.

Details

Qualitative Research in Organizations and Management: An International Journal, vol. 13 no. 4
Type: Research Article
ISSN: 1746-5648

Keywords

Article
Publication date: 1 September 2006

Alyson Kettles and Phil Woods

Forensic nursing is a term applied to nurses working in many different areas of clinical practice, such as high security hospitals, medium secure units, low secure units, acute…

Abstract

Forensic nursing is a term applied to nurses working in many different areas of clinical practice, such as high security hospitals, medium secure units, low secure units, acute mental health wards, specialised private hospitals, psychiatric intensive care units, court liaison schemes, and outpatient, community and rehabilitation services. Rarely is the term defined in the general literature and as a concept it is multifaceted. Concept analysis is a method for exploring and evaluating the meaning of words. It gives precise definitions, both theoretical and operational, for use in theory, clinical practice and research. A concept analysis provides a logical basis for defining terms and helps us to refine and define a concept that derives from practice, research and theory. This paper uses the strategy of concept analysis to explore the term ‘forensic nursing’ and finds a working definition of forensic mental health nursing. The historical background and literature are reviewed using concept analysis to bring the term into focus and to define it more clearly. Forensic nursing is found to derive from forensic practice. A proposed definition of forensic nursing is given.

Details

The British Journal of Forensic Practice, vol. 8 no. 3
Type: Research Article
ISSN: 1463-6646

Keywords

Article
Publication date: 1 July 2001

Alyson Kettles, Cindy Peternelj‐Taylor, Phil Woods, Anita Hufft, Tom Van Erven, Hans Martin, Uwe Donisch‐Siedel, Alison Kuppen, Colin Holmes, Roger Almvik, Trond Hatling and David Robinson

Over the last decade there has been considerable growth in the role that psychiatric nurses play in providing care for the mentally disordered offender (MDO). Yet there has been…

Abstract

Over the last decade there has been considerable growth in the role that psychiatric nurses play in providing care for the mentally disordered offender (MDO). Yet there has been little written about this specialty from a global perspective. Examination of the literature illustrates a large body of research and development programmes reporting the development of services to the MDO, for example, self‐harm and clinical risk assessment. Such service development is growing at a rapid pace, yet training and education to meet the needs of this patient group is something that is added onto post registration courses. Furthermore, the lack of vision and career pathways into forensic care is stifling a growing profession, which is subject to continual permanent change and investigation. Leaders and professional associations have contributed little to this unique nursing group which plays a major role in the multidisciplinary care of a very demanding set of patient needs.

Details

The British Journal of Forensic Practice, vol. 3 no. 2
Type: Research Article
ISSN: 1463-6646

Article
Publication date: 10 May 2024

Changchang Chen, Xutong Zheng, Wenjie Chen, Hezi Mu, Man Zhang, Hongjuan Lang and Xuejun Hu

Developing nursing leadership has become a key policy priority to achieve universal health coverage. This study aims to explore the current status, developing trends and research…

Abstract

Purpose

Developing nursing leadership has become a key policy priority to achieve universal health coverage. This study aims to explore the current status, developing trends and research frontiers in the field of nursing leadership.

Design/methodology/approach

In total, 1,137 articles and reviews on nursing leadership from 1985 to 2022 were retrieved from the Web of Science Core Collection database. Trends of publications, journals, countries/regions, institutions, documents and keywords were visualized and analyzed using Microsoft Excel and CiteSpace software.

Findings

Nursing leadership research showed an overall increase in number despite slight fluctuations in annual publications. The USA was the leading country in nursing leadership research, and the University of Alberta was the most productive institution. The Journal of Nursing Management was the most widely published journal that focused on nursing leadership, followed by the Journal of Nursing Administration. Keyword analysis showed that the main research hotspots of nursing leadership are improvement, practice and impact of nursing leadership.

Originality/value

This article summarizes the current state and frontiers of nursing leadership for researchers, managers and policy makers, as well as follow-up, development and implementation of nursing leadership. More research is needed that focuses on the improvement, practice and impact of nursing leadership, which are cyclical, complementary and mutually reinforcing. Longitudinal and intervention studies of nursing leadership, especially on patient prognosis, are also particularly needed.

Details

Leadership in Health Services, vol. ahead-of-print no. ahead-of-print
Type: Research Article
ISSN: 1751-1879

Keywords

Article
Publication date: 1 August 2003

Judith Shamian, Linda O’Brien‐Pallas, Donna Thomson, Chris Alksnis and Michael Steven Kerr

States Canadian governments have, after a decade of health care downsizing, started to focus on issues of health human resources. Posits that nurses in particular experience…

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Abstract

States Canadian governments have, after a decade of health care downsizing, started to focus on issues of health human resources. Posits that nurses in particular experience higher rates of absenteeism and injury than other types of Canadian workers. Advocates that this study’s findings offers numerous ideas to managers of the system, unions, nurses, government and other parties on how to manage the system better for all involved and the improvement of the health care system.

Details

International Journal of Sociology and Social Policy, vol. 23 no. 8/9
Type: Research Article
ISSN: 0144-333X

Keywords

Article
Publication date: 10 August 2010

Sturle Nes and Anne Moen

The aim of the paper is to explore how multiple modes of knowledge play out in the consolidation of nursing procedures in construction of “local universality”. The paper seeks to…

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Abstract

Purpose

The aim of the paper is to explore how multiple modes of knowledge play out in the consolidation of nursing procedures in construction of “local universality”. The paper seeks to explore processes where nurses negotiate universal procedures that are to become local standards in a hospital.

Design/methodology/approach

The paper is based on a case study design. Working group sessions, where the activity was to consolidate different versions of nursing procedures were observed and videotaped. For this paper, transcribed videotaped observations, where tension‐laden situations were identified, are subject to interaction analysis.

Findings

In the negotiations to construct standards, multiple modes of knowledge play out; personal experience, collective expertise and formalized knowledge. The paper demonstrates the contributions these modes of knowledge make in a process of standardization. This shows that standards, as such, do not stay universal for very long, but are constructed as “local universalities”.

Research limitations/implications

The study elaborates on discursive negotiations of procedures to illustrate how local universality plays out in processes to constitute standards. It is a limitation because how the local universality plays out in clinical work, or make claims about practice transformation, cannot be described.

Originality/value

The paper shows the necessity of confronting standardized procedures through multiple modes of knowledge. The paper exemplifies productive interactions in the construction of local universality, and how professionals account for practice when facing formal and standardized procedures.

Details

Journal of Workplace Learning, vol. 22 no. 6
Type: Research Article
ISSN: 1366-5626

Keywords

Article
Publication date: 19 October 2017

Mahmoud Maharmeh

The aim of this study was to describe Jordanian critical care nurses’ experiences of autonomy in their clinical practice.

Abstract

Purpose

The aim of this study was to describe Jordanian critical care nurses’ experiences of autonomy in their clinical practice.

Design/methodology/approach

A descriptive correlational design was applied using a self-reported cross-sectional survey. A total of 110 registered nurses who met the eligibility criteria participated in this study. The data were collected by a structured questionnaire.

Findings

A majority of critical care nurses were autonomous in their decision-making and participation in decisions to take action in their clinical settings. Also, they were independent to develop their own knowledge. The study identified that their autonomy in action and acquired knowledge were influenced by a number of factors such as gender and area of practice.

Practical implications

Nurse’s autonomy could be increased if nurses are made aware of the current level of autonomy and explore new ways to increase empowerment. This could be offered through classroom lectures that concentrate on the concept of autonomy and its implication in practice. Nurses should demonstrate autonomous nursing care at the same time in the clinical practice. This could be done through collaboration between educators and clinical practice to help merge theory to practice.

Originality/value

Critical care nurses were more autonomous in action and knowledge base. This may negatively affect the quality of patient care and nurses’ job satisfaction. Therefore, improving nurses’ clinical decision-making autonomy could be done by the support of both hospital administrators and nurses themselves.

Details

Leadership in Health Services, vol. 30 no. 4
Type: Research Article
ISSN: 1751-1879

Keywords

21 – 30 of over 25000