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The question of knowledge in district nursing
1WHO Collaborating Centre, Glasgow Caledonian University, U.K.
International Journal of Nursing Studies
|June 1, 1996
Summary
District nursing knowledge, particularly professional artistry, is vital but often overlooked. Understanding this hidden expertise is crucial for advancing community nursing practice and education.
Area of Science:
- Nursing
- Professional Development
- Health Services Research
Background:
- The development of experiential knowledge in district nursing is examined.
- Changes in professional preparation for district nurses are considered.
- A 1970s research study by the author informs the analysis.
Purpose of the Study:
- To explore the experiential knowledge base of district nurses.
- To apply Schön's concept of professional artistry as a framework.
- To address challenges in articulating and recognizing skilled nursing knowledge.
Main Methods:
- Qualitative analysis of a 1970s district nursing research study.
- Application of Donald Schön's theory of reflective practice and professional artistry.
- Review of recent research and current National Health Service (NHS) changes.
Main Results:
- An exclusive focus on nursing activities is insufficient to capture the full scope of home-based care.
- Professional artistry, though central to skilled nursing, has been largely unrecognized or 'hidden'.
- Difficulties exist for academics and practitioners in articulating this tacit knowledge.
Conclusions:
- A deeper understanding of the district nurse's knowledge base is essential.
- Failure to articulate professional artistry has significant consequences for the profession.
- Current NHS changes, like grade mix in community nursing, necessitate a better grasp of this expertise.