Refining nursing practice through workplace learning: A grounded theory

Journal of Clinical Nursing
Darlaine Jantzen

Abstract

To examine how experienced registered nurses in direct patient care learn within the constantly changing contemporary healthcare environment. The key objectives were to examine educational interactions amongst workplace, nurse and nursing practice, with a focus on the influence of context. Registered nurses must maintain competence throughout their careers. The related ongoing learning is triggered by external demands and nurses' internal motivation. Experienced nurses, poised to retire, have worked through the recent tumultuous changes in health care and therefore provide insight into how they sustained excellent patient care. The methodology for this study was a grounded theory informed by symbolic interactionism. EQUATOR guidelines for qualitative research (COREQ) applied. Data collection entailed semi-structured interviews with experienced nurses across diverse settings and participant observation on two acute care units. Analysis of data was conducted using three-level coding, constant comparison, theoretical sampling and extensive memoing. Refining nursing practice begins during nursing education and early employment. Getting grounded involves establishing key capabilities, specifically becoming self-aware, setting high s...Continue Reading

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Citations

Nov 27, 2020·British Journal of Nursing : BJN·Kathleen Markey, Yu Zhang
Mar 2, 2021·Journal of Psychosocial Nursing and Mental Health Services·Miki Goodwin, Edith Jenkins-Weinrub

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