Going beyond-the-routines view in nursing: a qualitative study

Area of Science:

• Nursing
• Healthcare Quality
• Patient Care

Background:

• Beyond-the-routine care improves patient treatment and elevates the nursing profession.
• This type of advanced nursing care is often overlooked in practice.
• Understanding nurses' experiences is crucial to promoting its adoption.

Purpose of the Study:

• To analyze nurses' experiences with beyond-the-routine care.
• To gain insights into the nature of this advanced nursing practice.
• To encourage wider implementation of beyond-the-routine care by nurses.

Main Methods:

• Qualitative conventional content analysis approach.
• Eighteen nurses were interviewed using purposive, snowball, and theoretical sampling.
• Data collected from university hospitals in Iran and analyzed using MAXQDA software.

Main Results:

• Identifying patient problems and nurses' intuition are key factors in providing beyond-the-routine care.
• This approach contributes to more satisfactory patient care plans.
• Nurses' inner voice plays a significant role in advanced care delivery.

Conclusions:

• Effective communication, robust nursing knowledge, and strong ethical principles motivate nurses to provide beyond-the-routine care.
• Educational programs should emphasize these factors to promote advanced nursing practice.
• Fostering these elements is essential for nurses to consistently deliver superior patient care.