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Biomedical subjects

M Lima-Basto

Publications and source records attributed to M Lima-Basto.

3 recordsLinked to original sources
PubMed1995

Implementing change in nurses' professional behaviours: limitations of the cognitive approach.

This paper reports on a study of the effects of an intervention on a group of nurses' professional behaviours and on the process of behaviour change, according to the cognitive approach. The quasi-experimental design followed in the study resembles the time-series design. The study took place in a general state hospital in Lisboa and centred on the cardiology unit. Subjects were all nurses giving direct patient care (n = 17). The study extended over a period of 13 months. Results showed that the effects of the intervention were the adoption of some of the expected behaviours. Several questions were raised by the study, and the discussion points out some of the limitations of a cognitive approach to the understanding of the process of change of nurses' professional behaviours.

Adult↗
PubMed1995

Challenges of nurses' professional behaviour change process.

The aim of the study was to complement a project consisting of a planned modification of nurses' professional activities, which showed that nurses did not adopt a problem-solving approach to care after a specific in-service training. The aim of the study was to gain a better understanding of the 'meanings' that a group of nurses assigned to daily work, and how they perceived the changed situation. The main findings were that the nurses felt they had a limited degree of control over nursing care, a dependence on physicians, and consequently, used defensive strategies. The meaning assigned to nursing care was thus a series of pre-determined routines, though the nurses wished to increase the extent of interaction with patients. The study highlights the conflict between professional values and work values, as well as the gap between 'espoused theories' and 'theories in use'. It is suggested that the process of change with regard to the nurses' professional behaviour, at unit level, is mediated by intrapersonal as well as by interpersonal factors such as the nurse's role and the nurse-physician relationship.

Attitude of Health Personnel↗