Qualitative analysis of central and midline care in the medical/surgical setting.
ABSTRACT : Community hospital medical-surgical nurses have a limited understanding of the complexities of preventing central line-associated bloodstream infections (CLABSIs). The purpose of this study was to look at the phenomenon of central line care from a human perspective and to develop an understanding of the lived experience as it relates to nursing care.
: A qualitative, phenomenology framework was applied for this study.
: The study was performed at a seasonally fluctuating, 400- to 600-bed community hospital in southwest Florida.
: Fifteen full-time medical-surgical bedside registered nurses, 8 working the 12-hour day shift and 7 working the 12-hour night shift, were interviewed.
: Experiences from recorded, 45-minute, in-depth telephone interviews from nurses assigned to 4 medical-surgical units, with the greatest CLABSI frequency, were analyzed.
: Findings identified myriad challenges when it comes to administering proper technique and preventing CLABSIs. The themes, time and locus of responsibility, patient population and unit, and variations in experience with CLABSIs, are illuminated.
: Nurses have strong feelings and suggestions for organizations to consider in reducing infection rates. Line care education should focus on the relationship of the nurse to understanding CLABSIs, education on line care, supplies, and charting/documentation.
: The revealed nature and meaning of the human experience of the central line dressing change and skill actions, identified by the nurses, were brought to the CLABSI committee, and a plan was formed. Six months after implementation of the plan, based on the nurses' lived experiences, the rate of infections has dropped 64%.
AORN journal 07/2009; 89(6):1123-5. DOI:10.1016/j.aorn.2009.05.009
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ABSTRACT: The phenomenological approach has gained popularity among nurse researchers as an alternative investigative method to those used in the natural sciences. As more nurse scholars and nurse researchers utilize phenomenology as a research approach, it becomes critical to examine the implications this may have for nursing knowledge development and for the utilization of that knowledge in practice. In this paper, an examination of the results of phenomenological inquiry is presented and compared with the types of knowledge considered important for nursing by Carper and White. It is clear that phenomenology contributes to empirical, moral, aesthetic, personal, and socio-political knowledge development. Its contribution is not in developing predictive and prescriptive theory, but in revealing the nature of human experience. Although interpretive inquiry, such as hermeneutic phenomenology, does not prescribe action for use in clinical practice, it does influence a thoughtful reflective attentive practice by its revealing of the meanings of human experience.Journal of Advanced Nursing 02/2000; 31(1):211-8. DOI:10.1046/j.1365-2648.2000.01244.x · 1.69 Impact Factor
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ABSTRACT: Phenomenological research in nursing has come under sustained attack in recent years with some nurse researchers accused of betraying the fundamental tenets of phenomenology and of misconstruing its key concepts. This paper aims to show how a study informed by the critique of 'nursing phenomenology' was designed and conducted. In particular, the implications of the key phenomenological concepts of intentionality and bracketing for data collection, data analysis and the presentation of findings are explored in relation to an investigation of the concept of the Clinical Placement Coordinator (CPC), an innovative student support role in Irish nursing education. The paper shows how an understanding of the key phenomenological notions of bracketing and intentionality, and careful consideration of their implications for research design and conduct, can enrich nursing research by retaining the objectivity and critique central to the phenomenological method. The illumination and clarification of contested and complex concepts can be achieved by encouraging both researcher and co-researchers to get 'back to the things themselves' by taking a fresh unprejudiced look at the necessary and sufficient elements of phenomena of interest to nursing as they appear to those who experience them.International Journal of Nursing Studies 09/2005; 42(6):695-704. DOI:10.1016/j.ijnurstu.2005.02.002 · 2.25 Impact Factor