Vis enkel innførsel

dc.contributor.authorDahl, Berit Misund
dc.date.accessioned2016-05-09T12:15:52Z
dc.date.available2016-05-09T12:15:52Z
dc.date.issued2015-12
dc.identifier.issn1471-6712
dc.identifier.issn0283-9318
dc.identifier.urihttps://hdl.handle.net/1956/11980
dc.description.abstractBackground: A changing healthcare system affects the professional identity of nursing groups. Public health nursing has experienced challenges in balancing the paternalistic expert ideology and the empowerment participation ideology. A strong professional identity can legitimate nursing, and possibly influence the quality of nursing work. Narrations from practice can illuminate the nurses’ theoretical and practical knowledge and help illustrate their collective professional identity. Aim: To illuminate the meaning of public health nursing knowledge and professional identity in a continuously changing public health nursing practice. Method: A qualitative interview study with a purposeful sample of 23 Norwegian public health nurses was carried out. Data were analysed using phenomenological hermeneutics, a descriptive method inspired by Ricoeur's philosophy of interpretation. Findings: Three themes emerged (i) Being a generalist: emphasising the need for generalised knowledge and using clinical judgement, (ii) Being one who empowers: focusing on resources and coping strategies, (iii) Being occupied with individual problem solving: focusing on individuals with special needs, using standardised techniques and protocols, and lacking specialised knowledge. Conclusion: Interpretation of the nurses' stories illuminated their need for generalised evidence-based knowledge, but also the importance of using sound clinical judgement in a diverse complex practice, where service users need encouragement, support and expert advice. Time pressures can limit the nurses' involvement. Many had an individual problem-focus more than a primary prevention focus, in contrast to governmental regulations stating that Norwegian public health nurses should focus on health promotion and primary prevention. Public health nurses have a broad generalised knowledge of their special target group giving them a ‘specialist generalist’ role. Clarification of this role, in relation to jurisdictional borders, can create a strong identity at a time when healthcare policy promotes economic values, professional neutrality and increased collaboration.en_US
dc.language.isoengeng
dc.publisherWileyeng
dc.relation.ispartof<a href="http://hdl.handle.net/1956/10605" target="blank">The meaning of professional identity in public health nursing</a>
dc.rightsThis is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.eng
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/eng
dc.subjectknowledgeeng
dc.subjectNorwayeng
dc.subjectphenomenological hermeneuticseng
dc.subjectprofessional identityeng
dc.subjectpublic health nursingeng
dc.titleMeanings of knowledge and identity in public health nursing in a time of transition: interpretations of public health nurses’ narrativeseng
dc.typePeer reviewed
dc.typeJournal article
dc.description.versionpublishedVersion
dc.rights.holderCopyright 2015 The Authors.eng
dc.identifier.doihttps://doi.org/10.1111/scs.12196
dc.source.journalScandinavian Journal of Caring Sciences
dc.source.4029
dc.source.144
dc.source.pagenumber679-687
dc.subject.nsiVDP::Medisinske Fag: 700::Helsefag: 800


Tilhørende fil(er)

Thumbnail

Denne innførselen finnes i følgende samling(er)

Vis enkel innførsel

This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.
Med mindre annet er angitt, så er denne innførselen lisensiert som This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.