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A nurse practitioner's tale: An autoethnographic interpretive study of the values of nurse practitioners, general practitioners and district nurses. / Alison Crumbie

Swansea University Author: Alison Crumbie

Abstract

"Nurse practitioners began practising in the UK in the 1980s. Since then the numbers have grown and a body of research has developed relating to the role. The criticism of nurse practitioners has been that they work as "mini doctors" and that they no longer belong to the family of nur...

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Published: 2005
Institution: Swansea University
Degree level: Doctoral
Degree name: Ph.D
URI: https://cronfa.swan.ac.uk/Record/cronfa42455
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first_indexed 2018-08-02T18:54:45Z
last_indexed 2019-10-21T16:47:51Z
id cronfa42455
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spelling 2018-08-20T16:54:14.2043320 v2 42455 2018-08-02 A nurse practitioner's tale: An autoethnographic interpretive study of the values of nurse practitioners, general practitioners and district nurses. c6e43300613cb32e446772c02f58b607 NULL Alison Crumbie Alison Crumbie true true 2018-08-02 "Nurse practitioners began practising in the UK in the 1980s. Since then the numbers have grown and a body of research has developed relating to the role. The criticism of nurse practitioners has been that they work as "mini doctors" and that they no longer belong to the family of nursing. If nurse practitioners have more in common with medicine than they do with nursing one might expect to find that nurse practitioners have moved away from the values of nursing and have instead moved toward the values of medicine. To date we know relatively little about the role of the nurse practitioner. The aim of this study was to determine to what extent nurse practitioners share the values of nursing or medicine. In recognition of the author's own role as a nurse practitioner an autoethnographic approach was used. Unstructured interviews were carried out with general practitioners (GPs), nurse practitioners and district nurses and their values were revealed through descriptions of meaningful practice. Significant and important differences were found between the three groups of practitioners both in the form and the content of the narratives. The form of the narratives revealed the cultural connection of the nurse practitioners to nursing. The content of the narratives revealed the pioneering nature of the role and the nurse practitioners' concern with acceptance, recognition and respect. When analysed from a Maclntyrean perspective, the nurse practitioners lacked the purpose and goals that were evident in the descriptions of meaningful practice from the GPs and district nurses. Such a finding seems to be congruent with an emerging practice and challenges the nurse practitioner community to determine for itself the nature of its contribution to patient care." E-Thesis Nursing.;Medical personnel. 31 12 2005 2005-12-31 COLLEGE NANME Nursing COLLEGE CODE Swansea University Doctoral Ph.D 2018-08-20T16:54:14.2043320 2018-08-02T16:24:29.3065948 Faculty of Medicine, Health and Life Sciences School of Health and Social Care - Nursing Alison Crumbie NULL 1 0042455-02082018162455.pdf 10798163.pdf 2018-08-02T16:24:55.7800000 Output 14491826 application/pdf E-Thesis true 2018-08-02T16:24:55.7800000 false
title A nurse practitioner's tale: An autoethnographic interpretive study of the values of nurse practitioners, general practitioners and district nurses.
spellingShingle A nurse practitioner's tale: An autoethnographic interpretive study of the values of nurse practitioners, general practitioners and district nurses.
Alison Crumbie
title_short A nurse practitioner's tale: An autoethnographic interpretive study of the values of nurse practitioners, general practitioners and district nurses.
title_full A nurse practitioner's tale: An autoethnographic interpretive study of the values of nurse practitioners, general practitioners and district nurses.
title_fullStr A nurse practitioner's tale: An autoethnographic interpretive study of the values of nurse practitioners, general practitioners and district nurses.
title_full_unstemmed A nurse practitioner's tale: An autoethnographic interpretive study of the values of nurse practitioners, general practitioners and district nurses.
title_sort A nurse practitioner's tale: An autoethnographic interpretive study of the values of nurse practitioners, general practitioners and district nurses.
author_id_str_mv c6e43300613cb32e446772c02f58b607
author_id_fullname_str_mv c6e43300613cb32e446772c02f58b607_***_Alison Crumbie
author Alison Crumbie
author2 Alison Crumbie
format E-Thesis
publishDate 2005
institution Swansea University
college_str Faculty of Medicine, Health and Life Sciences
hierarchytype
hierarchy_top_id facultyofmedicinehealthandlifesciences
hierarchy_top_title Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id facultyofmedicinehealthandlifesciences
hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
department_str School of Health and Social Care - Nursing{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}School of Health and Social Care - Nursing
document_store_str 1
active_str 0
description "Nurse practitioners began practising in the UK in the 1980s. Since then the numbers have grown and a body of research has developed relating to the role. The criticism of nurse practitioners has been that they work as "mini doctors" and that they no longer belong to the family of nursing. If nurse practitioners have more in common with medicine than they do with nursing one might expect to find that nurse practitioners have moved away from the values of nursing and have instead moved toward the values of medicine. To date we know relatively little about the role of the nurse practitioner. The aim of this study was to determine to what extent nurse practitioners share the values of nursing or medicine. In recognition of the author's own role as a nurse practitioner an autoethnographic approach was used. Unstructured interviews were carried out with general practitioners (GPs), nurse practitioners and district nurses and their values were revealed through descriptions of meaningful practice. Significant and important differences were found between the three groups of practitioners both in the form and the content of the narratives. The form of the narratives revealed the cultural connection of the nurse practitioners to nursing. The content of the narratives revealed the pioneering nature of the role and the nurse practitioners' concern with acceptance, recognition and respect. When analysed from a Maclntyrean perspective, the nurse practitioners lacked the purpose and goals that were evident in the descriptions of meaningful practice from the GPs and district nurses. Such a finding seems to be congruent with an emerging practice and challenges the nurse practitioner community to determine for itself the nature of its contribution to patient care."
published_date 2005-12-31T03:53:00Z
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score 11.037144

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