Nebulous intentioning – Acute hospital nurses’ struggle to deliver core nursing care

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dc.contributor.author Lane, Aoife
dc.contributor.author Landers, Margaret
dc.contributor.author Andrews, Tom
dc.date.accessioned 2020-11-04T10:04:05Z
dc.date.available 2020-11-04T10:04:05Z
dc.date.issued 2020-09-29
dc.identifier.citation Lane, A., Landers, M. and Andrews, T. (2020) 'Nebulous intentioning – Acute hospital nurses’ struggle to deliver core nursing care', Journal of Advanced Nursing. doi: 10.1111/jan.14546 en
dc.identifier.issn 0309-2402
dc.identifier.uri http://hdl.handle.net/10468/10694
dc.identifier.doi 10.1111/jan.14546 en
dc.description.abstract Aim: To explore the influences on nursing practice in acute hospital care. Design: A Classic Grounded Theory study. Methods: Data collection (2013–2015) was through interviews and non‐participant observations. Analysis was undertaken using constant comparative data analysis and theoretical sampling. Memo writing was used as an aid to understanding and conceptualizing data during analysis. Theoretical coding served to integrate emerging concepts. Results: This theory explains core nursing as a nebulous intention, an idea which acute care nurses retain throughout each shift, that they will nurse their patients fully when they have the opportunity. It reveals this as the resolution of their main problem which is the constant deferral of core nursing care. This study explains its two sub‐core categories, accommodating and integrity eroding. Conclusion: The theory highlights nurses’ attitudes towards their role, demonstrated by deferring it to accommodate the work of others, but offers a new perspective on the significant contribution nurses make to the safe and cohesive transition of patients through the acute healthcare system. Impact: The theory adds a new understanding of the unique contribution nurses make to patient health and safety in acute care environments. It also provides insight into nurses’ attitudes towards their own professional work. It explains the consequences of attitudes which undermine core nursing when it competes for priority with accommodating. Accommodating indicates a greater workload for nurses than has been previously understood in explaining the activities, additional to core nursing care, which nurses undertake to contribute safety and cohesion to the patient's acute care journey. These new insights suggest a role for managers in recognizing accommodating in decisions about staffing and resources and for educators in improving the profession's regard for its theoretical underpinnings and for its self‐image. en
dc.format.mimetype application/pdf en
dc.language.iso en en
dc.publisher John Wiley & Sons Ltd. en
dc.rights © 2020, John Wiley & Sons, Ltd. This is the peer reviewed version of the following article: Lane, A., Landers, M. and Andrews, T. (2020) 'Nebulous intentioning – Acute hospital nurses’ struggle to deliver core nursing care', Journal of Advanced Nursing. doi: 10.1111/jan.14546, which has been published in final form at https://doi.org/10.1111/jan.14546. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions. en
dc.subject Accommodating en
dc.subject Conforming en
dc.subject Connecting en
dc.subject Coordinating en
dc.subject Intuiting en
dc.subject Nursing en
dc.subject Prioritizing en
dc.subject Vigilance en
dc.title Nebulous intentioning – Acute hospital nurses’ struggle to deliver core nursing care en
dc.type Article (peer-reviewed) en
dc.internal.authorcontactother Aoife Lane, Nursing and Midwifery, University College Cork, Cork, Ireland. T: +353-21-490-3000 E: aoife.lane@ucc.ie en
dc.internal.availability Full text available en
dc.check.info Access to this article is restricted until 12 months after publication by request of the publisher. en
dc.check.date 2021-09-29
dc.description.version Accepted Version en
dc.description.status Peer reviewed en
dc.identifier.journaltitle Journal of Advanced Nursing en
dc.internal.IRISemailaddress aoife.lane@ucc.ie en
dc.internal.bibliocheck In press. Check vol / issue / page range. Amend citation and copyright statement as necessary. en
dc.identifier.eissn 1365-2648


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