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An emancipatory study of contemporary nursing practice
Barbara Bennett Jacobs1, Joyce S Fontana, Maryanne Hidalgo Kehoe
1Center for Biothetics, Georgetown University, Washington, DC, USA. bj24@georgetown.edu
Nursing Outlook
|March 12, 2005
Summary
Nurses facing workplace challenges can drive change through group reflection and action. This process empowers nurses to critically analyze their practice and develop solutions, fostering emancipation and improving the nursing environment.
Area of Science:
- Nursing Studies
- Sociology of Health
- Critical Theory
Background:
- Healthcare system changes necessitate nurse adaptation, including job changes, further education, and entrepreneurship.
- Nursing shortages create significant stress due to increased patient loads and limited resources.
- Understanding nurses' work-life perceptions is crucial for addressing systemic issues.
Purpose of the Study:
- To explore nurses' perceptions of their work environment.
- To identify processes enabling nurses to enact change in their practice.
- To empower nurses to move from passive objects to active subjects in shaping their professional history.
Main Methods:
- Emancipatory research design integrating critical inquiry and feminist research principles.
- Dialectical process of reflection and action (praxis) over 6-10 weeks.
- Group process method involving weekly meetings for reflection, discussion, and analysis of current nursing practice.
Main Results:
- Group interaction enhanced awareness, critical reflection on the status quo, and motivation to find solutions.
- Six themes emerged from the data, alongside five identified processes for exploring change.
- Participants shifted perception from being manipulated objects to empowered subjects capable of transformation.
Conclusions:
- The emancipatory process, rather than specific solutions, holds power for individual and group emancipation.
- Nurses are encouraged to adopt group interaction processes to empower their role in creating positive change.
- This approach validates nurses' capacity to derive and implement solutions for an improved nursing practice environment.