A community of practice: the nurses' role on a medical assessment unit

Journal of Clinical Nursing
Pauline Griffiths

Abstract

To explore the nurses' role on a medical assessment unit. Medical assessment units facilitate the acceptance of medical emergencies to one dedicated clinical space and are a response to politically driven strategies to enhance the provision of acute medical care in the UK. Despite the essential contribution that nurses make, there is a paucity of research-based literature that has investigated the nurses' role in these units. An ethnographic study of a medical assessment unit in Wales, UK. Data were collected over a three-year period from 2003-2006 by participant observation (200 hours) with the researcher, a registered nurse and university lecturer, working alongside the nurses as a contributor to care delivery, semi-structured interviews with nurses, doctors, paramedics and patients (n = 19) and the collection of documentary and artefact evidence. Three main themes were identified: 'making beds': organising the clinical space; 'knowing your stuff': having professional knowledge; and 'loving the buzz': having the ability to work under pressure. A distinctive community of practice had developed to satisfy the workplace demands that the nurses faced in a culture that valued autonomous practice and provided a positive working env...Continue Reading

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Citations

Apr 7, 2017·Journal of Clinical Nursing·Nicole BlayRobyn Gallagher
Aug 24, 2013·International Journal of Nursing Education Scholarship·Tracie Risling, Linda Ferguson

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