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Researching the informal theories of nurses working with older people using a holistic, biopsychosocial approach
Author(s)Christine Smith
Journal titleQuality in Ageing, vol 4, no 2, August 2003
Pagespp 36-43
KeywordsMedical care ; Theory ; Research.
AnnotationAn ethnographic inductive approach is taken in this research study, which demonstrates the inadequacy of the traditional biomedical approach to caring for older people, and shows the benefits of using a more holistic, biopsychosocial approach. Non-participant observation was performed on complete episodes of nursing practice, followed by semi-structured interviews to explore theories in use. Phase 1 of the data analysis used qualitative inductive analysis to generate main categories and themes. Phase 2 was a process of factor isolation, which identified factors of practice theories in use: nursing therapeutics; preventive nursing; communication; nurse-patient relationships; collaborative nursing; nursing assessment; decision making; and management of patient care. Further analysis identified that important theoretical factors included: encouraging; responding; comforting; explaining; maintaining ability; judgement in action; and collaborating. This knowledge is embedded in the practice theories of practitioners, but it is only be exploring and critiquing these that we can hope to understand the complex nature of nursing practice as it relates to the care of older people. (RH).
Accession NumberCPA-030829216 A
ClassmarkLK: 4D: 3A

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