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Toward a caring culture in professional nursing
K M Rayman1, G C Ellison, G E Holmes
1Department of Professional Roles and Mental Health Nursing, East Tennessee State University College of Nursing, Johnson City 37614-0658, USA.
Summary
The nursing profession's caring community is threatened by healthcare changes. This study offers guidelines to preserve compassionate nursing practice within organizational culture.
Area of Science:
- Nursing
- Healthcare Management
- Organizational Psychology
Background:
- The nursing profession is traditionally rooted in the value of caring.
- Current healthcare system changes create stressful and unsupportive practice environments for nurses.
- Economic and political factors jeopardize the ideal of nursing as a caring community.
Purpose of the Study:
- To review the impact of managed care on the nursing profession.
- To reaffirm the importance of the caring community in nursing.
- To provide practical guidelines for maintaining caring practice.
Main Methods:
- Literature review on managed care's impact on nursing.
- Analysis of factors affecting the nursing practice environment.
- Development of assessment guidelines and recommendations.
Main Results:
- Managed care significantly impacts the nursing environment, often negatively.
- The concept of a caring community remains vital to nursing.
- Organizational culture is a key determinant of caring practice.
Conclusions:
- Nurses face significant challenges to maintaining a caring practice environment.
- Specific strategies and guidelines are necessary to support the nursing caring community.
- Fostering a supportive organizational culture is crucial for preserving compassionate nursing care.
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