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Nursing on the medical ward.

Judith M Parker1

  • 1School of Nursing, University of Melbourne, Level 1, 723 Swanston Street, Carlton, Victoria 3053, Australia. judithp@unimelb.edu

Nursing Inquiry
|December 17, 2004
PubMed
Summary

This study explores how taken-for-granted nursing practices, like managing patient emotions and limiting communication, negatively impact nurses. Clinical supervision is suggested to improve understanding and the nurse-patient relationship.

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Area of Science:

  • Nursing
  • Psychoanalytic Theory
  • Healthcare Management

Background:

  • Contemporary medical nursing faces challenges in managing patient care.
  • Psychoanalytic theories offer insights into taken-for-granted nursing practices.
  • Nurses' everyday work involves imposing order on destabilized patient circumstances.

Purpose of the Study:

  • To investigate the impact of three specific nursing practices on nurses.
  • To examine how traditional, unquestioned practices affect nurses' well-being and professional identity.
  • To propose clinical supervision as a solution for enhancing nurses' understanding and role.

Main Methods:

  • Qualitative analysis of nursing practices through a psychoanalytic lens.
  • Examination of three specific taken-for-granted nursing behaviors.
  • Exploration of the consequences of these practices on nurses.

Main Results:

  • Nurses' tendency to 'present a caring self' can lead to stress.
  • Minimizing patient meaning in communication can undervalue nursing skills.
  • The 'policing' role in patient confinement creates ambiguity and impacts the nurse-patient relationship.

Conclusions:

  • Taken-for-granted nursing practices can have detrimental effects on nurses, including stress and confusion.
  • These practices can negatively impact the nurse-patient relationship and devalue nursing expertise.
  • Clinical supervision is recommended to help nurses understand their roles and relationships more effectively.

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