Related Experiment Video
Updated: May 12, 2026
14:32
Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
Published on: February 16, 2011
Hearing the voice of nurses in caring theory-based practice
Susan MacLeod Dyess1, Anne Boykin, Mary Jo Bulfin
1Florida Atlantic University, Boca Raton, FL, USA.
Nursing Science Quarterly
|April 12, 2013
Summary
This study highlights how participatory action research, grounded in caring theory, transformed a healthcare organization's practice environment. It underscores the necessity of intention, time, courage, and commitment for supportive nursing environments.
Area of Science:
- Nursing Practice Transformation
- Participatory Action Research
- Caring Theory in Healthcare
Background:
- Practice environments significantly impact nursing care delivery.
- Transforming healthcare settings requires collaborative and theory-driven approaches.
- Acute healthcare organizations face challenges in fostering supportive nursing environments.
Purpose of the Study:
- To describe the process and findings of a participatory action research (PAR) project.
- To explore practice environment transformation within a for-profit acute healthcare organization.
- To ground the transformation process in caring theory.
Main Methods:
- Employed participatory action research (PAR) methodology.
- Collaborated between a college of nursing and a for-profit acute healthcare organization.
- Focused on transforming the practice environment.
Main Results:
- PAR emphasized the importance of 'intention to know what matters'.
- Sustaining supportive nursing environments requires time, courage, and commitment.
- Successful transformation led to environments supporting the full expression of nursing.
Conclusions:
- Theory-based practice environments are crucial for nursing.
- Developing and sustaining these environments requires dedicated effort.
- Honoring nurse uniqueness is key to a positive way of being in practice.
Related Concept Videos
01:15Techniques of therapeutic communication I: Active Listening, Sharing Observations, Validation, and Using Touch
The history of therapeutic communication can be traced back to Florence Nightingale, who emphasized the importance of developing trusting relationships with patients. She taught that the presence of nurses with patients results in therapeutic healing.
Therapeutic communication is not the same as social interaction. Social interaction has no goal or purpose and consists of casual information sharing, whereas therapeutic communication has a plan or purpose for the conversation. Therapeutic...
Therapeutic communication is not the same as social interaction. Social interaction has no goal or purpose and consists of casual information sharing, whereas therapeutic communication has a plan or purpose for the conversation. Therapeutic...
01:30Theoretical Foundations of Nursing Practice
Theories play an essential role in organizing patient care. Theories refer to a proposed or followed belief, policy, or procedure that is the basis for action. Nursing theories are knowledge-based concepts that guide nurses' actions, influence nursing education and practice, and allow nurses to care for their patients.
Theories provide a perspective to assess patients' conditions and organize data and methods. They also assist in analyzing and interpreting information. They represent a...
Theories provide a perspective to assess patients' conditions and organize data and methods. They also assist in analyzing and interpreting information. They represent a...
01:25Role of Communication in the Nursing Process II: Planning and Implementation
Several factors are considered while creating a patient's care plan. Motivation is a factor in improving communication, and patients often require encouragement to try different approaches involving significant change. It is essential to involve the patient and family in decisions about the plan of care to determine whether the suggested methods are acceptable. Consider meeting critical comfort and safety needs before introducing new communication methods and techniques. Allow adequate time for...
01:27Nursing Ethical Principles II
Ethical principles are essential in guiding nurses to fulfill their responsibilities, focusing on the quality of nursing care and decision-making. These principles, including autonomy, beneficence, non-maleficence, justice, and fidelity, shape the ethical framework within healthcare settings.
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's cancer...
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's cancer...
01:23Nurses' Legal Responsibilities II
Establishing a secure, collaborative nurse-patient relationship is crucial for delivering high-quality care. This relationship, founded on trust, respect, and honesty, enhances the patient's comfort and willingness to share vital health information. For example, a nurse who listens actively and without judgment provides clear information about health conditions and treatment options and respects patient decisions, which builds a trusting relationship.
Communication between nurses and patients...
Communication between nurses and patients...
01:22Nursing Ethical Principles I
Ethical principles serve as the moral compass in the longstanding tradition of nursing, guiding healthcare professionals in their interactions with patients and families. These principles, namely autonomy, beneficence, non-maleficence, justice, and fidelity, provide a robust framework for navigating the ethical complexities of daily nursing practice.
Autonomy
Autonomy underscores the significance of a patient's self-determination and freedom from external control. In healthcare, respecting the...
Autonomy
Autonomy underscores the significance of a patient's self-determination and freedom from external control. In healthcare, respecting the...