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Individualized care: its conceptualization and practice within a multiethnic society
1School of Nursing and Midwifery, University of Sheffield, Northern General Hospital, Sheffield, England.
Journal of Advanced Nursing
|July 25, 2000
Summary
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:
- 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.
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