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Related Experiment Videos

Exploring nursing expertise: nurses talk nursing.

Sally Hardy1, Robert Garbett, Angie Titchen

  • 1The Expertise in Practice (pilot) Project, The RCN Institute, London, UK. S.Hardy@uea.ac.uk

Nursing Inquiry
|August 30, 2002
PubMed
Summary
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This study explores how nurses define and express their expertise. Findings reveal that nursing expertise is often tacit, challenging traditional medical and management-dominated healthcare discourses.

Area of Science:

  • Nursing
  • Healthcare Professional Development
  • Discourse Analysis

Background:

  • Modern healthcare demands accountability and evidence-based practice.
  • Articulating professional expertise is crucial for practitioners.
  • Existing understandings of nursing expertise are influenced by dominant medical and management discourses.

Purpose of the Study:

  • To explore the discourses shaping understandings of nursing practice.
  • To examine how nurses construct and articulate their expertise.
  • To identify non-conventional nursing practices.

Main Methods:

  • Discourse analysis was used to interpret extracts from four nurses.
  • Data were drawn from the Royal College of Nursing Institute's Expertise in Practice (pilot) Project (EPP).

Related Experiment Videos

  • Participant nurses' practice areas included palliative, mental health, intensive, and fertility care.

    • Main Results:

    • Nursing expertise is characterized by intense nurse-patient relationships, 'maverick' practices, and reflexivity.
    • Expertise acts as a catalyst for altering treatment pathways and improving patient-centered outcomes.
    • The tacit and situated nature of nursing expertise is difficult to articulate and explain.

    Conclusions:

    • Nursing expertise is often understood through traditional medical, management, and technological discourses.
    • Explaining expertise in practice can reveal non-conventional approaches.
    • Challenging the status quo through non-conventional practice can be isolating for nurses.