RESUMEN
Reports that new nurse graduates are not sufficiently prepared to enter the workforce are of concern to educators, employers, and other stakeholders. Often, this lack of 'practice readiness' is defined in relation to an inability to 'hit the ground running' and is attributed to a 'gap' between theory and practice and the nature of current work environments. To gain a deeper understanding of the process of making the transition from student to graduate nurse, discussion groups were held across Alberta with 14 new graduates and 133 staff nurses, employers, and educators. Five additional new graduates and 34 staff nurses, employers, and educators provided input by fax or e-mail. The findings of this initiative speak to the need to examine assumptions underlying 'practice readiness' and what constitutes an effective transition to the workplace. The problems to be addressed are complex and a wide range of sustainable, evidence-based approaches are required to resolve them.
Asunto(s)
Actitud del Personal de Salud , Competencia Clínica , Capacitación en Servicio , Enfermeras Administradoras/psicología , Personal de Enfermería , Adaptación Psicológica , Alberta , Educación Continua en Enfermería/organización & administración , Empleo , Femenino , Grupos Focales , Necesidades y Demandas de Servicios de Salud , Humanos , Capacitación en Servicio/organización & administración , Masculino , Investigación en Educación de Enfermería , Investigación Metodológica en Enfermería , Personal de Enfermería/educación , Personal de Enfermería/psicología , Investigación Cualitativa , Autoevaluación (Psicología) , Encuestas y Cuestionarios , Lugar de Trabajo/organización & administración , Lugar de Trabajo/psicologíaRESUMEN
Offered in this article are interpretations that emerged in a qualitative, interpretive study focused on the family intervention called a "commendation." The tradition of philosophical hermeneutics informs and shapes the analysis of the data. Research participants include a heterosexual couple and a nurse who engaged in therapeutic conversations focused on difficulties with Internet pornography. Data sources include videotapes of clinical sessions, documentation, and research interviews. Isolated segments of clinical videotape are shared with the couple to prompt their memory of commending practices that emerged in clinical sessions. Commendations are not experienced by this couple as gentle and warm but instead as extremely provocative, albeit constructive. This study illuminates the complex, contextual nature of commending practice and suggests that the noticing of strengths and resources contains much more than the spoken word.
Asunto(s)
Actitud Frente a la Salud , Enfermería de la Familia , Rol de la Enfermera , Enfermería Psiquiátrica/métodos , Apoyo Social , Esposos/psicología , Alberta , Comunicación , Terapia de Parejas/métodos , Literatura Erótica/psicología , Enfermería de la Familia/métodos , Enfermería de la Familia/psicología , Retroalimentación Psicológica , Femenino , Objetivos , Humanos , Internet , Entrevista Psicológica , Masculino , Masturbación/psicología , Recuerdo Mental , Modelos de Enfermería , Rol de la Enfermera/psicología , Investigación Metodológica en Enfermería , Filosofía en Enfermería , Investigación Cualitativa , Confianza/psicología , Grabación de Cinta de VideoRESUMEN
As the specialty of pediatric palliative care emerges and develops, finding language to describe the complexity of "living while dying" is a challenge. Terms such as "life-limiting" and "life-threatening" are commonly used, but may not be sensitive enough to capture the experience of children and their families due to the restrictions and power at play in the history of the words "limit" and "threat". The search for the right words to use when speaking of children who are living while dying takes us to the language of metaphor and poetry that speaks to us in a different way, a way that encompasses not only the suffering, but also the dreams, hopes, and joys of children and families. Our preferred use of language also provides more than factual statements ever can, by speaking to the hearts and souls of health care providers who share precious moments with these families.
Asunto(s)
Cuidados Paliativos , Enfermería Pediátrica , Pediatría , Semántica , Especialización/tendencias , Adaptación Psicológica , Actitud Frente a la Muerte , Actitud Frente a la Salud , Niño , Preescolar , Comunicación , Familia/psicología , Predicción , Pesar , Humanos , Masculino , Medicina en la Literatura , Cuidados Paliativos/organización & administración , Cuidados Paliativos/psicología , Enfermería Pediátrica/organización & administración , Pediatría/organización & administración , Filosofía Médica , Filosofía en Enfermería , Poesía como Asunto , Psicología Infantil , Calidad de Vida , SimbolismoRESUMEN
More than merely describing what constitutes a good or truthful interpretation, all judgments about the legitimacy of knowledge claims can be understood as enacting relations of power. That is, our understanding of what it means to make a reasonable claim to knowledge is already caught up in relations of power that privilege some perspectives and marginalize others. Language, understood as productive rather than reflective of meaning, both enables and constrains the kinds of statements we are entitled to make. Competing discourses do not exist equally in the world but rather differ in terms of what they are held to explain and what effect they have. The authors explore these issues and suggest that evaluating interpretive research involves not only epistemological issues but also questions of value and power.