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'I await your apology': a polyphonic narrative interpretation
1School of Nursing, Faculty of Health and Social Development, University of British Columbia Okanagan, BC, Canada. penny.cash@ubc.ca
Nursing Philosophy : an International Journal for Healthcare Professionals
|September 28, 2007
Summary
This study explores nurses' internal struggles with best practice, ethics, and institutional culture. It reveals how these conflicts impact patient care and nurses' sense of self.
Area of Science:
- Nursing
- Healthcare Ethics
- Sociology of Health
Background:
- Nurses navigate complex internal dialogues influencing patient care.
- Personal, ethical, and professional conflicts arise within institutional settings.
- Understanding these struggles is crucial for improving healthcare practices.
Purpose of the Study:
- To analyze the multifaceted internal struggles of nurses.
- To examine how these struggles affect nursing practice and patient perspectives.
- To explore the impact of institutional culture on nurses' moral agency.
Main Methods:
- Qualitative analysis of a nurse's internal monologue.
- Exploration of performative language and understanding in practice.
- Co-construction of a narrative journey with the reader.
Main Results:
- Identified internal conflicts related to conscience, personal values, ethics, and professional demands.
- Highlighted the performative nature of language and understanding in nursing.
- Revealed nurses' marginalization and feelings of betrayal within organizational structures.
- Demonstrated how organizational surveillance and trust impact moral agency.
Conclusions:
- Rethinking oppressive practices in care provision is essential.
- Alternative appreciation of everyday nursing dilemmas can emerge.
- New meaning can be found in nursing practice through self-reflection and ethical consideration.
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