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The culture of community nursing: An ethnographic study of handover reports. / Denise Drew

Swansea University Author: Denise Drew

Abstract

This study explores the culture of community nurses exhibited during the time spent together in handover reports. As community nurses spend much of their shifts working alone in patients' houses, this is the time to meet up in clinics and health centres to share information about patient care....

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Published: 2008
Institution: Swansea University
Degree level: Doctoral
Degree name: Ph.D
URI: https://cronfa.swan.ac.uk/Record/cronfa42783
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first_indexed 2018-08-02T18:55:32Z
last_indexed 2019-10-21T16:48:27Z
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spelling 2018-08-17T10:54:45.5072644 v2 42783 2018-08-02 The culture of community nursing: An ethnographic study of handover reports. a72a335012ded1c3feafbb07afa62b27 NULL Denise Drew Denise Drew true true 2018-08-02 This study explores the culture of community nurses exhibited during the time spent together in handover reports. As community nurses spend much of their shifts working alone in patients' houses, this is the time to meet up in clinics and health centres to share information about patient care. Culture is observed through group interactions, behaviour, language, ritual and the use of artefacts and so this handover time provides the opportunity to explore these matters. The research question is: what cultural behaviour, cultural knowledge and cultural artefacts are exemplified during community nurses' handover reports? Using an ethnographic approach, data collection was carried out using participant observation and semi-structured interviews. Two teams of nurses from one Primary Care Trust in the West Midlands participated in this study. The resulting data was analysed using James Spradley's (1979) thematic cultural analysis and the findings are presented in four sections. Findings include: sharing information and planning ahead, helping across teams and busyness, being in the team and how others see us. Issues of community nurses invisibility and the articulation of expertise are presented. Some of the findings were congruent with earlier studies (largely set in hospital or nursing homes) including teaching and learning and support for staff. In addition, this study adds the following considerations to the body of knowledge relating to handover reports. Firstly, the importance of protecting reporting time for community nurses is suggested. In the current social and financial climate it is essential to make the case for continuity of care to be safeguarded. Secondly, the importance of professional identity for community nurses is stressed. The reporting time serves to enhance group identity, reduce anxieties and relieve isolation. Finally, report time crucially encourages the articulation of expertise between community nurses at a time when they are feeling professionally devalued. E-Thesis Nursing.;Medical personnel.;Health care management. 31 12 2008 2008-12-31 COLLEGE NANME Nursing COLLEGE CODE Swansea University Doctoral Ph.D 2018-08-17T10:54:45.5072644 2018-08-02T16:24:30.4765951 Faculty of Medicine, Health and Life Sciences School of Health and Social Care - Nursing Denise Drew NULL 1 0042783-02082018162521.pdf 10807552.pdf 2018-08-02T16:25:21.5830000 Output 8065293 application/pdf E-Thesis true 2018-08-02T16:25:21.5830000 false
title The culture of community nursing: An ethnographic study of handover reports.
spellingShingle The culture of community nursing: An ethnographic study of handover reports.
Denise Drew
title_short The culture of community nursing: An ethnographic study of handover reports.
title_full The culture of community nursing: An ethnographic study of handover reports.
title_fullStr The culture of community nursing: An ethnographic study of handover reports.
title_full_unstemmed The culture of community nursing: An ethnographic study of handover reports.
title_sort The culture of community nursing: An ethnographic study of handover reports.
author_id_str_mv a72a335012ded1c3feafbb07afa62b27
author_id_fullname_str_mv a72a335012ded1c3feafbb07afa62b27_***_Denise Drew
author Denise Drew
author2 Denise Drew
format E-Thesis
publishDate 2008
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 This study explores the culture of community nurses exhibited during the time spent together in handover reports. As community nurses spend much of their shifts working alone in patients' houses, this is the time to meet up in clinics and health centres to share information about patient care. Culture is observed through group interactions, behaviour, language, ritual and the use of artefacts and so this handover time provides the opportunity to explore these matters. The research question is: what cultural behaviour, cultural knowledge and cultural artefacts are exemplified during community nurses' handover reports? Using an ethnographic approach, data collection was carried out using participant observation and semi-structured interviews. Two teams of nurses from one Primary Care Trust in the West Midlands participated in this study. The resulting data was analysed using James Spradley's (1979) thematic cultural analysis and the findings are presented in four sections. Findings include: sharing information and planning ahead, helping across teams and busyness, being in the team and how others see us. Issues of community nurses invisibility and the articulation of expertise are presented. Some of the findings were congruent with earlier studies (largely set in hospital or nursing homes) including teaching and learning and support for staff. In addition, this study adds the following considerations to the body of knowledge relating to handover reports. Firstly, the importance of protecting reporting time for community nurses is suggested. In the current social and financial climate it is essential to make the case for continuity of care to be safeguarded. Secondly, the importance of professional identity for community nurses is stressed. The reporting time serves to enhance group identity, reduce anxieties and relieve isolation. Finally, report time crucially encourages the articulation of expertise between community nurses at a time when they are feeling professionally devalued.
published_date 2008-12-31T03:53:38Z
_version_ 1763752666744225792
score 11.014067

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