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At least 487 records · Page 27Linked to original sources
PubMed1999

Negotiating the relationship: mental health nurses' perceptions of their practice.

This exploratory descriptive study used focus groups to investigate experienced mental health nurses' perceptions of expertise in relation to their practice. Two focus group discussions were conducted, one comprising four nurses working in inpatient care and the other with five nurses working in community care. The nurse-patient relationship was the central theme for both groups. Three sub-themes were identified and are discussed. They are involvement, individualizing care, and minimising visibility. The significance of these themes for the articulation of mental health nursing practice is discussed.

Attitude of Health Personnel↗
PubMedDate not supplied

Cultural negotiation: a constructivist-based model for nursing practice.

Combining abstract concepts from grand theories with the pragmatics of nursing practice presents a dilemma for nursing that is being addressed with the emphasis on middle-range theory. The philosophical perspective of constructivism is the foundation for a middle-range theory that links the nursing process to holism through the respective worlds and knowledge of the nurse and client. The nursing process is situated in the context of the cultural worlds of the nurse, client, and health care system and in the greater social context. This model allows the nursing process to be recast in new language that captures the interdependence of the client-nurse interaction. This model accommodates the social values and beliefs of both the health care system and the social context.

Culture↗
PubMedDate not supplied

Intelligibility and negotiated meaning in interaction.

Intelligibility is discussed in terms of the process of realizing a potential for mutual understanding, or intersubjectivity. The local management of mutual understanding, and its emergent properties within the context of an interaction are emphasized. Clinical applications of conceptualizing intelligibility as a potential rather than a property of speaker or interaction are discussed.

Acoustics↗
PubMed2003

Waiting for the platelet count to rise: negotiating care at the end of life.

Oncologists play a crucial role in enabling patients at the end of life and their families to decide whether the burden of chemotherapy is worth the benefit. Using language that displays their concern for providing ongoing care and that does not mistakenly imply withholding of effective therapies can ease the transition off chemotherapy. Providing accurate, timely prognostic information; exploring patients' hopes, goals, and values; helping them resume meaningful activities; meeting their health care proxies and discussing the advance care plan with them can all enhance the relationship with patients at the end of life and ease fears of abandonment.

Advance Directives↗