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Challenges of nurses' professional behaviour change process

M Lima-Basto

    Scandinavian Journal of Caring Sciences
    |January 1, 1995
    PubMed
    Summary
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    Nurses in a study felt limited control and physician dependence, leading to defensive routines rather than problem-solving care. Interpersonal and intrapersonal factors influence professional behavior change.

    Area of Science:

    • Nursing
    • Healthcare Management
    • Organizational Psychology

    Background:

    • Nurses did not adopt a problem-solving approach post-training.
    • A need existed to understand nurses' perceptions of their work and changes.

    Purpose of the Study:

    • To explore the meanings nurses assigned to daily work.
    • To understand nurses' perceptions of a changed work situation.
    • To investigate factors influencing professional behavior change.

    Main Methods:

    • Qualitative study exploring nurses' experiences and perceptions.
    • Analysis of the 'meanings' assigned to nursing care and work situations.

    Main Results:

    • Nurses reported limited control and dependence on physicians, employing defensive strategies.

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  • Nursing care was perceived as routine, despite a desire for increased patient interaction.
  • A conflict between professional and work values was identified, alongside a gap between espoused and in-use theories.

    • Conclusions:

    • Intrapersonal and interpersonal factors, including nurse role and nurse-physician relationships, mediate professional behavior change.
    • Addressing the conflict between professional values and work realities is crucial for successful change.
    • Bridging the gap between 'espoused theories' and 'theories in use' is essential for improving nursing practice.