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Perpetuating ‘New P...
Perpetuating ‘New Public Management’ at the expense of nurses’ patient education : a discourse analysis
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- Bergh, Anne-Louise (author)
- Högskolan i Borås,Akademin för vård, arbetsliv och välfärd
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- Friberg, Febe (author)
- University of Stavanger
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- Persson, Eva I (author)
- Lund University,Lunds universitet,Hälsofrämjande komplexa interventioner,Forskargrupper vid Lunds universitet,Health promotion in nursing care,Lund University Research Groups
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- Dahlborg Lyckhage, Elisabeth, 1956- (author)
- Högskolan Väst,Avd för vårdvetenskap på avancerad nivå
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(creator_code:org_t)
- 2014-10-18
- 2015
- English.
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In: Nursing Inquiry. - : Wiley. - 1320-7881 .- 1440-1800. ; 22:3, s. 190-201
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Abstract
Subject headings
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- This study aimed to explore the conditions for nurses’ daily patient education work by focusing on managers’ way of speaking about the patient education provided by nurses in hospital care. An explorative, qualitative design with a social constructionist perspective was used. Data were collected from three focus group interviews and analysed by means of critical discourse analysis. Discursive practice can be explained by the ideology of hegemony. Due to a heavy workload and lack of time, managers could ‘see’ neither their role as a supporter of the patient education provided by nurses, nor their role in the development of nurses’ pedagogical competence. They used organisational, financial, medical and legal reasons for explaining their failure to support nurses’ provision of patient education. The organisational discourse was an umbrella term for ‘things’ such as cost-effectiveness, which were prioritised over patient education. There is a need to remove managerial barriers to the professional development of nurses’ patient education. Managers should be responsible for ensuring and overseeing that nurses have the prerequisites necessary for providing patient education as well as for enabling continuous reflective dialogue and opportunities for learning in practice.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Omvårdnad (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Nursing (hsv//eng)
Keyword
- critical discourse analysis
- leadership
- manager
- nurse
- patient education
- patient information
- patient teaching
- Vårdvetenskap
- Nursing science
- Integrated Caring Science
- patient teaching
- patient information
- education
- patient
- nurse
- critical discourse analysis
- leadership
- manager
Publication and Content Type
- ref (subject category)
- art (subject category)
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