Registered nurses views of caring in coronary care : a deductive and inductive content analysis

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Registered nurses views of caring in coronary care : a deductive and inductive content analysis

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Publication Article, peer reviewed scientific
Title Registered nurses views of caring in coronary care : a deductive and inductive content analysis
Author(s) Andersson, Ewa K ; Sjöström-Strand, Annica ; Willman, Ania ; Borglin, Gunilla
Date 2015
English abstract
Aim and objectives. To extend nurses' descriptions of how they understood caring, as reflected in the findings of an earlier study (i.e. the hierarchical outcome space) and to gain additional understandings and perspectives of nurses' views of caring in relation to a coronary care patient case. Background. Scientific literature from the 1970s-1990s contains descriptions of caring in nursing. In contrast, the contemporary literature on this topic- particularly in the context of coronary care - is very sparse, and the few studies that do contain descriptions rarely do so from the perspective of nurses. Design. Qualitative descriptive study. Methods. Twenty-one nurses were interviewed using the stimulated recall interview technique. The data were analysed using deductive and inductive qualitative content analysis. Result. The results of the iterative and integrated content analysis showed that the data mainly reproduced the content of the hierarchical outcome space describing how nurses could understand caring; however, in the outcome space, the relationship broke up (i.e. flipped). The nurses' views of caring could now also be understood as person-centredness"lurking" in the shadows; limited "potential" for safeguarding patients' best interests; counselling as virtually the "only" nursing intervention; and caring preceded by the "almighty" context. Their views offered alternative and, at times, contrasting perspectives of caring, thereby adding to our understanding of it. Conclusion. Caring was described as operating somewhere between the nurses caring values and the contextual conditions in which caring occured. This challenged their ability to sustain caring in accordance with their values and the patients' preferences. Relevance to clinical practice. To ensure that the essentials of caring are met at all times, nurses need to plan and deliver caring in a systematic way. The use of systematic structures in caring, as the nursing process, can help nurses to work in a person-centred way, while sustaining their professional values.
DOI http://dx.doi.org/10.1111/jocn.12975 (link to publisher's fulltext)
Publisher Wiley
Host/Issue Journal of Clinical Nursing;
ISSN 0962-1067
Pages 1-13
Language eng (iso)
Subject(s) caring
content analysis
context
deductive analysis
inductive analysis
nursing
qualitative design
Medicine
Research Subject Categories::MEDICINE
Handle http://hdl.handle.net/2043/19795 (link to this page)

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