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The dialectic tension between 'being' and 'not being' a good nurse
1Swedish Polytechnic, Seriegatan 2, 65 320 Vasa, Finland. lisbeth.fagerstrom@syh.fi
Nursing Ethics
|December 30, 2006
Summary
Nurses experience workload as a dialectic struggle to balance patient care needs with situational factors. Optimal nursing care involves balancing intensity of care with available resources and demands.
Area of Science:
- Nursing
- Healthcare Management
- Sociology of Health
Background:
- Understanding nurses' workload is crucial for healthcare quality.
- The intensity of nursing care significantly impacts nurse experience.
- Existing research often overlooks the subjective experience of workload.
Purpose of the Study:
- To explore nurses' perceptions of workload.
- To characterize the nurse's experience across different nursing care intensities.
- To understand the factors influencing nurses' subjective experience of care intensity.
Main Methods:
- Hermeneutic study design.
- Utilized seven focus groups with 29 nurses.
- Employed a six-phase interpretation process guided by dialectic laws.
Main Results:
- Optimal nursing care intensity is defined by a balance between patient needs and situational factors.
- Nurses' work is characterized by a dialectic struggle between 'being' and 'not being' a good nurse.
- Nursing care is perceived as 'complex and meaningful caring situations'.
Conclusions:
- Dialectics offers a valuable framework for understanding the complexity of clinical nursing reality.
- The findings highlight the subjective and often paradoxical nature of nursing workload.
- Recognizing the dialectic struggle can inform strategies to support nurses and improve care quality.
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