Skip to main content

Open Access Nurses' Construction of Clinical Situations: A Study Conducted in an Acute-Care Setting in Norway L'interprétation que font les infirmières des situations cliniques: compte-rendu d'une étude menée dans un cadre de soins actifs en Norvège

Download Article:
 Download
(PDF 101.9 kb)
 

Abstract:

The purpose of this study was to describe the nature of clinical constructions that nurses make in their practice. The study was based on a qualitative descriptive design in an acute-care setting in Norway with a convenience sample of 6 registered nurses providing direct patient care. These nurses were considered typical staff nurses working in acute-care settings. Data were collected through observation of and in-depth interviews with participants during 3 full shifts for each nurse and also from nursing documents regarding the patients. Qualitative data analyses were carried out using a method that coalesces analyses of the parts with analysis of the whole. The findings revealed that nurses encounter patients and provide direct care by formulating pictures of encountered clinical situations with a specific way of "seeing," which the authors conceptualize as a comprehensive nursing gaze. This nursing gaze was the basis upon which the nurses arrived at clinical constructions. There is a need for further research to investigate how nurses differentiate the significance of information in arriving at clinical constructions, and to investigate aspects of the nursing gaze in various clinical settings.

French
Cette étude avait pour but de décrire la nature des interprétations cliniques élaborées par les infirmières dans le cadre de leur pratique. Fondée sur un modèle qualitatif et descriptif, elle a été menée en Norvège dans un cadre de soins actifs. On a sélectionné un échantillon de commodité constitué de six infirmières autorisées procurant des soins directs, que l'on a jugées représentatives des infirmières travaillant dans ce contexte. Les données ont été recueillies par observation pendant trois quarts de travail complets et à l'aide d'entrevues en profondeur auprès de chacune des participantes; on a également consulté les dossiers établis par les infirmières sur les patients. On a procédé à une analyse qualitative des données à l'aide d'une méthode permettant d'unir l'analyse des parties et celle du tout. Les conclusions révèlent qu'au fur et à mesure des contacts avec les patients et des soins qu'elles leur donnent, les infirmières composent un tableau fondé sur une façon particulière d'« envisager » chaque situation clinique, que les auteures désignent ici par le concept de « vue d'ensemble des soins infirmiers ». C'est sur la base de cette dernière que les infirmières fondent leur interprétation des cas cliniques. Il sera nécessaire d'entreprendre d'autres recherches pour étudier comment les infirmières jugent de la portée des renseignements à leur disposition dans la formulation de cette interprétation et pour analyser les caractéristiques de cette vue d'ensemble selon différents cadres cliniques.

Keywords: CLINICAL CONSTRUCTION; NURSING GAZE; NURSING PRACTICE

Document Type: Research Article

Publication date: June 1, 2004

More about this publication?
  • To the CJNR Readership:

    We are excited to report that as of January 2016, the CJNR (Canadian Journal of Nursing Research) is being published under the SAGE Publications, Inc. banner.

    All inquiries relating to future issues of CJNR should be directed to:

    Daniel Ruth
    Senior Acquisitions Editor
    SAGE Publications In
    T (805) 410-7251
    E dan.ruth@sagepub.com
    www.sagepub.com

    Currently published issues of the CJNR (1969-2015) are being moved to the McGill online archives where they will be hosted in perpetuity. This migration should be completed by Spring 2016. During this transition, all issues of CJNR remain accessible to our readers as before:

    1) Past issues of CJNR from 2003 to December 2015 through ingentaconnect.

    2) Issues from 2002 to 1969 can be accessed through the CJNR digital archive.

    We understand that this is a significant change. Please be confident that all parties are working diligently to make this a seamless transition that will further advance the scope and impact of CJNR.

    Thank you.
  • Editorial Board
  • Information for Authors
  • Subscribe to this Title
  • Archives
  • Overview / Permissions
  • ingentaconnect is not responsible for the content or availability of external websites
mcgill/cjnr/2004/00000036/00000002/art00009
dcterms_title,dcterms_description,pub_keyword
6
5
20
40
5

Access Key

Free Content
Free content
New Content
New content
Open Access Content
Open access content
Subscribed Content
Subscribed content
Free Trial Content
Free trial content
Cookie Policy
X
Cookie Policy
ingentaconnect 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