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The Nurse Project: an analysis for nurses to take back our work
1University of Calgary, Calgary, AB, Canada TRN IN4. mrankin@ucalgary.ca
Nursing Inquiry
|November 13, 2009
Summary
Nurses should unite collectively to analyze challenges arising from healthcare efficiencies. This collective action and analysis, informed by institutional ethnography (IE), empowers nurses to critically evaluate and reshape their practice.
Area of Science:
- Nursing
- Sociology of Health
- Healthcare Management
Background:
- Healthcare systems increasingly prioritize efficiency, impacting nursing practice and patient care.
- Dominant analytical frameworks may obscure how nursing reforms reorganize care delivery.
- There is a need for nurses to develop critical perspectives on their work.
Purpose of the Study:
- To advocate for collective nursing action and analysis regarding efficiency-driven healthcare changes.
- To demonstrate how institutional ethnography (IE) can reveal overlooked aspects of nursing practice reforms.
- To present pedagogical strategies for fostering critical analysis among nursing students.
Main Methods:
- Utilizing examples from an institutional ethnographic (IE) research project.
- Describing two classroom-based teaching strategies informed by IE.
- Applying theoretical frameworks of IE to analyze nursing work and reforms.
Main Results:
- Dominant approaches can lead nurses to overlook how reforms reshape their practice.
- Institutional ethnography provides tools to uncover these reorganizations.
- Classroom strategies effectively equip students with analytical skills for nursing activism.
Conclusions:
- Collective nursing analysis is crucial for addressing challenges in efficiency-focused healthcare.
- Institutional ethnography offers a valuable framework for understanding and critiquing nursing practice.
- Educational strategies can empower nurses to develop alternative analyses and engage in activism.
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