Skip to main content

Re-reading nursing and re-writing practice: towards an empirically based reformulation of the nursing mandate

Buy Article:

$43.00 plus tax (Refund Policy)

ALLEN D. Nursing Inquiry 2004; 11: 271 –283

Re-reading nursing and re-writing practice: towards an empirically-based reformulation of the nursing mandate

This article examines field studies of nursing work published in the English language between 1993 and 2003 as the first step towards an empirically based reformulation of the nursing mandate. A decade of ethnographic research reveals that, contrary to contemporary theories which promote an image of nursing work centred on individualised unmediated caring relationships, in real-life practice the core nursing contribution is that of the healthcare mediator. Eight bundles of activity that comprise this intermediary role are described utilising evidence from the literature. The mismatch between nursing's culture and ideals and the structure and constraints of the work setting is a chronic source of practitioner dissatisfaction. It is argued that the profession has little to gain by pursuing an agenda of holistic patient care centred on emotional intimacy and that an alternative occupational mandate focused on the healthcare mediator function might make for more humane health services and a more viable professional future.
No References
No Citations
No Supplementary Data
No Article Media
No Metrics

Keywords: ethnography; intermediary; jurisdiction; mandate; work

Document Type: Research Article

Publication date: 2004-12-01

  • Access Key
  • Free content
  • Partial Free content
  • New content
  • Open access content
  • Partial Open access content
  • Subscribed content
  • Partial Subscribed content
  • Free trial content
Cookie Policy
Cookie Policy
Ingenta Connect website makes use of cookies so as to keep track of data that you have filled in. I am Happy with this Find out more