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Understanding change in clinical nursing practice

B Copnell1

  • 1Faculty of Biomedical and Health Sciences Nursing, Royal Melbourne Institute of Technology, Bundoora, Victoria, Australia.

Nursing Inquiry
|June 5, 1998
PubMed
Summary

This study critiques how nursing literature constructs change, finding it disadvantages nurses by ignoring their context. Future research should prioritize nurses

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Area of Science:

  • Nursing Studies
  • Sociology of Health
  • Organizational Discourse Analysis

Background:

  • Nursing literature often discusses change abstractly, influenced by organizational theories.
  • Existing research inadequately addresses the realities of change within critical care nursing practice.

Purpose of the Study:

  • To critically analyze the poststructural construction of change in clinical nursing practice.
  • To examine how nursing literature portrays change, particularly in critical care settings.
  • To identify how these portrayals disadvantage practicing nurses.

Main Methods:

  • Poststructural theoretical framework.
  • Discourse analysis of nursing literature concerning change.
  • Critique of two bodies of literature: abstract change and critical care change.

Main Results:

  • The discourse surrounding change in nursing literature marginalizes clinical nurses' experiences.
  • Organizational discourses heavily influence abstract conceptions of change, neglecting practical contexts.
  • The context of clinical nursing practice is largely unacknowledged in the literature.

Conclusions:

  • The current discursive construction of change disadvantages clinical nurses.
  • Clinical nursing practice and nurses' perspectives are marginalized due to unacknowledged contexts.
  • Further research on change in clinical practice must adopt nurses' perspectives and explore the discursive context of their work.

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