Meanings of knowledge and identity in public health nursing in a time of transition:
interpretations of public health nurses’ narratives
Engelsk titel: Meanings of knowledge and identity in public health nursing in a time of transition: interpretations
of public health nurses’ narratives
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Författare:
Dahl, Berit Misund
;
Clancy, Anne
Email: bd@hials.no
Språk: Eng
Antal referenser: 45
Dokumenttyp:
Artikel
UI-nummer: 15123793
Sammanfattning
Background
A changing healthcare system affects the professional identity of nursing groups. Public health
nursing has experienced challenges in balancing the paternalistic expert ideology and the
empowerment participation ideology. A strong professional identity can legitimate nursing, and
possibly influence the quality of nursing work. Narrations from practice can illuminate the nurses’
theoretical and practical knowledge and help illustrate their collective professional identity.
Aim
To illuminate the meaning of public health nursing knowledge and professional identity in a
continuously changing public health nursing practice.
Method
A qualitative interview study with a purposeful sample of 23 Norwegian public health nurses was
carried out. Data were analysed using phenomenological hermeneutics, a descriptive method
inspired by Ricoeur's philosophy of interpretation.
Findings
Three themes emerged (i) Being a generalist: emphasising the need for generalised knowledge and
using clinical judgement, (ii) Being one who empowers: focusing on resources and coping strategies,
(iii) Being occupied with individual problem solving: focusing on individuals with special needs,
using standardised techniques and protocols, and lacking specialised knowledge.
Conclusion
Interpretation of the nurses' stories illuminated their need for generalised evidence-based
knowledge, but also the importance of using sound clinical judgement in a diverse complex practice,
where service users need encouragement, support and expert advice. Time pressures can limit the
nurses' involvement. Many had an individual problem-focus more than a primary prevention focus, in
contrast to governmental regulations stating that Norwegian public health nurses should focus on
health promotion and primary prevention. Public health nurses have a broad generalised knowledge
of their special target group giving them a ‘specialist generalist’ role. Clarification of this role, in
relation to jurisdictional borders, can create a strong identity at a time when healthcare policy
promotes economic values, professional neutrality and increased collaboration.