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Nurses, the Oppressed Oppressors: A Qualitative Study.

Zahra Rooddehghan1, Zohreh ParsaYekta, Alireza Nikbakht Nasrabadi

  • 1. zarooddehghan@gmail.com.

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Summary

Nurses

Area of Science:

  • Nursing
  • Healthcare Equity
  • Qualitative Research

Background:

  • Healthcare equity is a core objective in health systems.
  • Nurses frequently encounter equity and inequity in patient care.
  • This study uniquely explores nurses' lived experiences of equal care provision.

Purpose of the Study:

  • To describe clinical nurses' and nurse managers' experiences with equal care provision.
  • To identify factors influencing nurses' perceptions of equity in healthcare settings.
  • To understand the relationship between nurses' working conditions and equitable patient care.

Main Methods:

  • Qualitative study employing purposive sampling of 18 nurses and nurse managers.
  • Data collection through in-depth, unstructured, face-to-face interviews until data saturation.

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  • Thematic analysis of transcribed interviews to identify major themes and subthemes.
  • Main Results:

    • The primary theme identified was the link between submissiveness and oppression among nurses.
    • Subthemes included the 'oppressed nurse' (occupational dissatisfaction, discrimination, physician favoritism) and the 'oppressive nurse' (habit-based care, poor delegation, rationing).
    • Nurses experienced fluctuating states of oppression and submissiveness concerning equal care provision.

    Conclusions:

    • Equal conditions and fair treatment for nurses are essential for achieving equitable patient care.
    • Improving nurses' working environments and reducing oppression can enhance healthcare equity.
    • Fairness towards nurses is directly linked to increased satisfaction with the healthcare system.