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Intraprofessional teamwork in district nursing: in whose interest?

J M Griffiths1, K A Luker

  • 1University of Liverpool, England.

Journal of Advanced Nursing
|December 1, 1994
PubMed
Summary

District nurses

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Area of Science:

  • Community nursing
  • Healthcare teamwork
  • Professional culture

Background:

  • Intraprofessional teamworking is crucial in community nursing.
  • Understanding relationships within district nursing teams is essential for effective patient care.
  • The professional culture of community nursing influences team dynamics.

Purpose of the Study:

  • To examine intraprofessional teamworking among district nurses in the United Kingdom.
  • To describe the intraprofessional relationships within community nursing teams.
  • To explore how organizational rules impact patient choice.

Main Methods:

  • Exploratory study design.
  • Data collected from 130 home visits involving 16 district nurses.
  • Methods included participant observation and in-depth interviews.

Main Results:

  • Professional culture shapes organizational rules in community nursing.
  • Rules designed to avoid conflict may limit patient choice.
  • Exploration of nurses' practices in committing services, changing care, and working unsocial hours.

Conclusions:

  • The professional culture of district nursing may inadvertently restrict patient autonomy.
  • Further research is needed to balance team cohesion with patient-centered care.
  • Understanding these dynamics is key to improving community nursing services.

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