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Related Experiment Videos

Procedure manuals and textually mediated death.

B Quested1, T Rudge

  • 1School of Nursing, Flinders University, Adelaide, South Australia. beverleigh@ozemail.com.au

Nursing Inquiry
|February 15, 2002
PubMed
Summary

Hospital procedure manuals reflect nursing care practices and institutional values. Critical discourse analysis reveals how these documents perpetuate dominant nursing ideologies and are shaped by organizational, healthcare system, and societal forces.

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Area of Science:

  • Nursing Studies
  • Sociology of Healthcare
  • Discourse Analysis

Background:

  • Procedure manuals are key documents reflecting and shaping nursing practice.
  • Understanding the discourse within these manuals offers insight into nursing ideologies.
  • Organizational values and beliefs are often embedded within documented nursing procedures.

Purpose of the Study:

  • To critically analyze a hospital procedure manual using discourse analysis.
  • To explore how nursing discourses are framed and perpetuated in practice documents.
  • To examine the institutionalization of values and beliefs, using 'Last offices' as a case study.

Main Methods:

  • Critical discourse analysis was applied to a hospital procedure manual.
  • A specific excerpt, 'Last offices' (care of the deceased patient), was analyzed.

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  • The analysis focused on identifying embedded ideologies and institutional influences.

    • Main Results:

    • Procedure manuals were found to reproduce hegemonic ideologies within nursing.
    • The 'Last offices' excerpt demonstrated the embedding of organizational values into nursing care.
    • Nursing practices are shown to be influenced by multiple intersecting forces: organizational, healthcare system, and societal.

    Conclusions:

    • Procedure manuals are not neutral documents but actively construct nursing practice.
    • Analysis of these manuals reveals the complex interplay of power and ideology in healthcare.
    • Nursing practice is shaped by a confluence of institutional and societal factors.