Caring in a technological environment: How is this possible?
The purpose of this study was to develop a substantive theory explaining the process of nurse-patient interaction in the presence of technology. The grounded theory method was chosen to undertake this research. The study's informants consisted of nurses and patients.
The findings of the study indicated that the issue for nurses was that they were blocked in their person-centered interactions with patients in the presence of technology. This article will address one of the strategies nurses used to deal with this problem. This strategy was termed maximizing. Even after being blocked by various factors, nurses attempted to work within the constraints that caused them to be blocked, to achieve person-centered interactions. Maximizing was characterized by the nurses' added effort in trying to meet the humanistic needs of the patient in the presence of technology. The focus of the interaction was person-centred.
Coordinator, Postgraduate Studies, School of Nursing, College of Health, Notre Dame University, Fremantle WA
Vera F Irurita
Adjunct Professor, School of Nursing and Midwifery, Curtin University of Technology, Perth WA
Alliex, S. (1999). Process of nurse-patient interaction in the presence of technology. Unpublished doctoral thesis, Curtin University of Technology, Perth, Western Australia, Australia.
Barnard, A. (1997). A critical review of the belief that technology is a neutral object and nursing is its master. Journal of Advanced Nursing, 26, 126-131.
Barnard, A., & Sandelowski, M. (2001). Technology and humane nursing care: (ir)reconcilable or invented difference. Journal of Advanced Nursing, 34, 367-375.
Barnard, A. (2002). Philosophy of technology and nursing. Nursing Philosophy, 3, 15-26.
Clarke, J., & Wheeler, S. (1992). A view of the phenomenon of caring in nursing practice. Journal of Advanced Nursing, 17, 1283-1290.
Glaser, B., & Strauss, A. (1967). The discovery of grounded theory: Strategies for qualitative research. London: Weidenfeld and Nicholson.
Glaser, B. (1992). Emergence Vs Forcing: Basics of Grounded Theory Analysis. California: Sociology Press.
Irurita, Vera F. (1993). From person to patient: Nursing care from the patient's perspective. (Report of research conducted). Perth, Western Australia: Department of Nursing Research, Sir Charles Gairdner Hospital.
Irurita, V. F. (1996a). Hidden dimensions revealed: progressive grounded theory study of quality care in hospital. Qualitative Health Research special issue - advances in grounded theory, 6, 331-349.
Irurita, V. F. (1996b). Preserving integrity: A theory of nursing. In J. Greenwood (Ed.), Nursing Theory in Australia: Development and Application (pp. 263-299). Sydney: Harper Educational Publishers.
Irurita, V. (1999).The problem of patient vulnerability. Collegian 6, 10-15.
Irurita, V. (2000). Preserving integrity: A theory of nursing. In J. Greenwood (Ed) Nursing theory in Australia: Development and application (2nd ed., pp. 274-309).Australia: Pearson Education.
Irurita, V. (2002, October). Caring in Context: A Matter of Balance. Key note address presented at the Conference: Caring, Careers and Constraints: Providing quality care for all in today's environment. Notre Dame University, Fremantle, Western Australia, Australia.
Irurita, V., & Williams, A. (2001). Balancing and compromising: nurses and patients preserving integrity of self and each other. International Journal of Nursing Studies, 38, 579-589.
Robinson, K. (2003).Technology can't replace compassion in health care. Nursing Management, 34, 1.
Russell, S. (1999). An exploratory study of patients' perceptions, memories and experience of intensive care unit. Journal of Advanced Nursing, 29, 783-791.
Stern, P. N. (1994). Eroding grounded theory. Thousand Oaks: Sage.
Strauss, A., & Corbin, J. (1990). Basics of qualitative research: Grounded theory procedures and techniques. Newbury Park, CA: Sage.
Wilkin, K., & Slevin, E. (2004).The meaning of caring to nurses: an investigation into the nature of caring work in an intensive care unit. Journal of Clinical Nursing, 13, 50-59
Yam, B., & Rossiter, J. (2000). Caring in nursing: perceptions of Hong Kong nurses. Journal of Clinical Nursing, 9, 293-302.
nurse-patient interaction; presence of technology; grounded theory methodology; maximizing
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