Back to Search
Start Over
Exploring nursing expertise in residential care for older people: a mixed method study.
- Source :
-
Journal of Advanced Nursing (John Wiley & Sons, Inc.) . Oct2016, Vol. 72 Issue 10, p2524-2535. 12p. - Publication Year :
- 2016
-
Abstract
- Aims To explore the expertise of Registered Nurses in residential care for older people. Background As older people in residential care have many complex dependencies, nursing expertise is an essential component of care excellence. However, the work of these nurses can be invisible and, therefore, unrecognized. Thus, additional attention is required to illuminate such nursing expertise. Design A mixed method design was used in this study. Methods The research took place in 2012 in the Republic of Ireland. Twenty-three case study nurses were recruited from nursing homes. Each case study nurse involved five data collection methods: shadowing, interview with a colleague, interview with a resident, a demographic profile and a director of nursing survey. The study was also informed by a modified focus group. Qualitative data were analysed using directed content analysis using a conceptual framework generated from the literature on nursing expertise. Quantitative data were analysed using SPSS and presented in descriptive statistics. Findings The findings from the case studies and the modified focus group are presented in seven themes, which represent nursing expertise in residential care of older people: transitions, context of the nursing home, saliency, holistic practice knowledge, knowing the resident, moral agency and skilled know how. Conclusion Nursing expertise in residential care of older people is a complex phenomenon which encompasses many aspects of care delivery in a person-centred framework. By rendering this expertise visible, the need for appropriate and adequate skill mix for a growing residential care population is presented. [ABSTRACT FROM AUTHOR]
- Subjects :
- *CLINICAL competence
*CONCEPTUAL structures
*CONTENT analysis
*EMPLOYMENT
*EXPERTISE
*FOCUS groups
*GERIATRIC nursing
*HOLISTIC nursing
*INTERVIEWING
*LONG-term health care
*RESEARCH methodology
*CASE studies
*NURSE-patient relationships
*NURSES
*NURSING
*NURSING practice
*NURSING ethics
*NURSING home patients
*NURSING care facilities
*NURSING home employees
*SCIENTIFIC observation
*RESEARCH funding
*SURVEYS
*WORK environment
*EMPLOYEES' workload
*QUALITATIVE research
*OCCUPATIONAL roles
*QUANTITATIVE research
*EDUCATIONAL attainment
*THEMATIC analysis
*DATA analysis software
*WORK experience (Employment)
*DESCRIPTIVE statistics
RESEARCH evaluation
Subjects
Details
- Language :
- English
- ISSN :
- 03092402
- Volume :
- 72
- Issue :
- 10
- Database :
- Academic Search Index
- Journal :
- Journal of Advanced Nursing (John Wiley & Sons, Inc.)
- Publication Type :
- Academic Journal
- Accession number :
- 117924128
- Full Text :
- https://doi.org/10.1111/jan.13001