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Values influencing nursing practice: responses from neonatal nurses

D A Raines1

  • 1School of Nursing, Virginia Commonwealth University, Richmond 23298-0567, USA. draines@gems.vcu.edu

Journal of the Society of Pediatric Nurses : JSPN
|April 1, 1997
PubMed
Summary

Neonatal nurses

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Area of Science:

  • Nursing
  • Neonatal Care
  • Professional Ethics

Background:

  • Understanding the values that drive neonatal nurses' behavior is crucial for enhancing patient care.
  • Previous research has not fully explored the congruence between nurses' espoused values and their practice.

Purpose of the Study:

  • To analyze narrative comments from neonatal nurses to identify the values motivating their behavior in clinical settings.
  • To explore the alignment between nurses' professional ideals and their actual practice.

Main Methods:

  • A descriptive study utilizing content analysis of written narrative data.
  • Analysis of comments from a subsample (N=97) of National Association of Neonatal Nurses (NANN) members.
  • Application of philosophical concepts (human relationships, patient need, dignity, etc.) to neonatal care.

Main Results:

  • Neonatal nurses make conscious decisions to apply professional ideals in practice.
  • A significant gap exists between nurses' perceived values and their enacted behaviors.
  • Discrepancies were observed in the application of philosophical concepts like human dignity and patient need.

Conclusions:

  • Nursing as a discipline must develop strategies to foster accountable practice.
  • There is a need to bridge the gap between professional values and clinical actions in neonatal nursing.
  • Implementing support systems for proactive, value-driven nursing is essential for the profession's philosophical foundation.
Keywords:
Bioethics and Professional EthicsEmpirical ApproachProfessional Patient Relationship

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