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Individualized care: its conceptualization and practice within a multiethnic society.

K Gerrish1

  • 1School of Nursing and Midwifery, University of Sheffield, Northern General Hospital, Sheffield, England.

Journal of Advanced Nursing
|July 25, 2000
PubMed
Summary
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District nurses

Area of Science:

  • Nursing
  • Sociology
  • Public Health

Background:

  • Ethnographic study on individualized care provision.
  • Focus on district nurses serving diverse ethnic populations in an English National Health Service (NHS) Trust.

Purpose of the Study:

  • To explore how district nurses conceptualize and practice individualized care.
  • To examine the implications for patients from minority ethnic backgrounds.

Main Methods:

  • Two-stage study: organizational profile and participant observation.
  • Data collection via in-depth interviews, policy document review, and field notes.
  • Analysis using dimensional analysis principles on interview transcripts and field notes.

Main Results:

Related Experiment Videos

  • Identified six principles of individualized care: respecting individuality, holistic care, focusing on nursing needs, promoting independence, partnership and negotiation, and equity and fairness.
  • Observed modifications in practice due to internal inconsistencies, policy directives, and external factors.
  • Highlighted complexity in adjusting individualized care ideals to everyday nursing realities.

Conclusions:

  • Individualized care ideals are adjusted and reworked in practice within a multi-ethnic society.
  • Questions raised about the appropriateness of current individualized care interpretation and practice.
  • Findings have implications for culturally sensitive nursing care delivery.