Resigning: a classic grounded theory of working within constraints when caring for stroke patients in the acute general care setting

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dc.check.opt-outYesen
dc.check.reasonThis thesis is due for publication or the author is actively seeking to publish this materialen
dc.contributor.advisorAndrews, Tomen
dc.contributor.advisorBradley, Colin P.en
dc.contributor.authorO'Donnell, Claire M.
dc.date.accessioned2016-06-03T09:23:53Z
dc.date.issued2016
dc.date.submitted2016
dc.description.abstractThis research aims to explore the challenges nurses face, when caring for stroke patients on a general medical/surgical ward, in the acute care setting and identify how nurses resolve or process this challenge. Healthcare environments continue to face the pressures of constraints such as reduced staffing levels, budgets, resources and less time, which influence care provision. Patient safety is central in care provision where nurses face the challenge of delivering best quality care when working within constraints. The incidence of stroke is increasing worldwide and internationally stroke units are the recognised minimum standard of care. In Ireland with few designated stroke units in operation many stroke patients are cared for in the acute general care setting. A classic grounded theory methodology was utilised for this study. Data was collected and analysed simultaneously through coding, constant comparison, theoretical sampling and memoing. Individual unstructured interviews with thirty two nurses were carried out. Twenty hours of non-participant observations in the acute general care setting were undertaken. The main concern that emerged was working within constraints. This concern is processed by nurses through resigning which consists of three phases; idealistic striving, resourcing and care accommodation. Through the process of resigning nurses engage in an energy maintenance process enabling them to continue working within constraints. The generation of the theory of resigning explains how nurses’ resolve or process working within constraints. This theory adds to the body of knowledge on stroke care provision. This theory has the potential to enhance nursing care, minimise burnout and make better use of resources while advocating for best care of stroke patients.en
dc.description.statusNot peer revieweden
dc.description.versionAccepted Version
dc.format.mimetypeapplication/pdfen
dc.identifier.citationO'Donnell, C.M. 2016. Resigning: a classic grounded theory of working within constraints when caring for stroke patients in the acute general care setting. PhD Thesis, University College Cork.en
dc.identifier.urihttps://hdl.handle.net/10468/2687
dc.language.isoenen
dc.publisherUniversity College Corken
dc.rights© 2016, Claire M. O'Donnellen
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/3.0/en
dc.subjectConstraintsen
dc.subjectStroke careen
dc.subjectNursesen
dc.subjectGrounded theoryen
dc.thesis.opt-outtrue
dc.titleResigning: a classic grounded theory of working within constraints when caring for stroke patients in the acute general care settingen
dc.typeDoctoral thesisen
dc.type.qualificationlevelDoctoralen
dc.type.qualificationnamePhD (Medicine and Health)en
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