The meaning of nurse's role mission in nursing care

by Vilma Žydžiūnaitė

Institution: Blekinge Institute of Technology
Year: 2006
Keywords: hälsa och vårdvetenskap; health and health science; nursing care; role; mission; phenomenological hermeneutics; qualitative interview; matrix method
Record ID: 1346616
Full text PDF: http://www.bth.se/fou/cuppsats.nsf/6753b78eb2944e0ac1256608004f0535/8caf7e7846136dc4c125727c00590b46?OpenDocument


Crucial point for the research, which is tied together by these research questions: What is the lived experience of nurse’s role mission in nursing care? What is the meaning for nurses of their role mission in nursing care practice? What kind of issues the nurses refer to nurse’s role mission in nursing care and what does it mean for them? Aims. The overall aim: To illuminate and substantiate the nurses’ lived experience of their role mission in nursing care practice. The specific aims: study I - To find out and substantiate the overlaps and differences between the nurse’s role and mission and in study II - To unfold the meaning of nurses’ lived experience of their role mission in nursing care practice Method. Data selection / collection: in study I were formed the specific criterions and in study II it was performed the qualitative interview. Data analysis: in study I it was used the matrix method and in study II – phenomenological hermeneutics. Sample: In the study have participated 10 registered nurses practitioners who work in primary, secondary and tertiary level health care organizations. Results. Study I results highlighted the overlaps, which connect the role and mission are the following: >expressional part; >interaction between patient and nurse; >working in a team; >caring and helping processes are contexts; >orientations are to individuals, families, groups; >main realization level is cognitive; >dependence on personal nurse’s qualities; >based on integration of theory and practice; >dependent on organizational needs and infrastructure; >key activity is attached to educational area. Differences between the role and mission are those: a) Nurse’s self – expression in mission performance is attached to spiritual and cognitive levels through commitment to mission goal without active interventions. In role performance here are integrated two parts – physical (doing with patients) and psychological and spiritual (being with patients). b) In mission performance various phenomenons are related to mono – direction (nurse – patient interaction). In nurse’s role performance the interactions are oriented to multi – directions (e.g., nurse – nurse, nurse – patient, nurse – student etc. interactions). c) Nurse’s mission in one situation could be only one. The nurse could realize several subroles in one situation. d) Only nurse’s role is related to philosophy of a concrete ward. e) Mission is an outcome of personal calling. Even through role performance the nurse experiences calling. f) Role enactment empowers the nurse to reflect and have insights. Mission does not empower the nurse for reflecting. g) Nurse’s role is associated with highest quality of specialist’s education. This aspect is not actualized in mission performance. Study II results illuminated the following empirical facts: a) Exceptionally nurse’s role performance allows the nurse to ‘survive’ with concrete experiences in nursing care practice. b) Permanent connection between…