Making a difference : the lived world of nursing practice in an acute care setting : a thesis presented in partial fulfilment of the requirements for the degree of Master of Arts in Nursing at Massey University

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dc.contributor.authorPaterson, Bronwyn
dc.date.accessioned2015-01-21T02:20:27Z
dc.date.available2015-01-21T02:20:27Z
dc.date.issued1989
dc.description.abstractThis study examines the practice world of twenty two registered nurses working in medical and surgical wards of an acute general hospital in New Zealand. It is argued that nursing practice is a complex, context-specific, activity and needs to be studied using methods that do not assume an objective, context-free reality. The work of Patricia Benner (1984) guided this study which utilised a qualitative research approach to enter the lived world of nursing practice. Through descriptions of work days and a sharing of clinical exemplars, an understanding of the broader context of nursing practice was gained, areas of skilled performance in nursing emerged, and the meaning of making a difference for the nurses in the study examined. The central role of mutual advice and support in facilitating significant incidents in practice was apparent. An examination of the types of experiences which challenge current practice and change it in some way provided insight into the importance of experience in developing clinical expertise and the vital role of local knowledge in facilitating practice. Nursing practice emerged as crucial to patient welfare and safety in the acute care setting.en_US
dc.identifier.urihttp://hdl.handle.net/10179/6120
dc.language.isoenen_US
dc.publisherMassey Universityen_US
dc.rightsThe Authoren_US
dc.subjectIntensive care nursingen_US
dc.subjectNursingen_US
dc.subjectNew Zealanden_US
dc.subjectPractice and researchen_US
dc.titleMaking a difference : the lived world of nursing practice in an acute care setting : a thesis presented in partial fulfilment of the requirements for the degree of Master of Arts in Nursing at Massey Universityen_US
dc.typeThesisen_US
massey.contributor.authorPaterson, Bronwynen_US
thesis.degree.disciplineNursingen_US
thesis.degree.grantorMassey Universityen_US
thesis.degree.levelMastersen_US
thesis.degree.nameMaster of Arts (M. A.)en_US
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