Toward Nurses’ Transformative Agency in Transitional Care for Older Adults: A Change-Laboratory Intervention

IF 2.2 Q1 NURSING

Global Qualitative Nursing Research Pub Date : 2022-01-01 DOI:10.1177/23333936221087622

Rikke B Bøje, P. Musaeus, Dorthe Sørensen, M. Ludvigsen

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引用次数: 1

Abstract

Mobilization of nurses’ agency across healthcare sectors is needed to counter challenges associated with older adults’ transitions between hospital and primary care. Based on Cultural Historical Activity theory and the Change Laboratory method, we developed a learning intervention with 16 nurses. The aim was to foster the nurses’ transformative agency to improve care. Video-recording of nine learning sessions were transcribed and analyzed. Results demonstrated that shared transformative agency exhibited as an emergent phenomenon crossing sectoral boundaries as a prerequisite for change in transitional care. The nurses progressed from acting as individuals criticizing the current conditions to collectively forming a vision around a transitional care model. This was nurtured through the nurses’ negotiations which included a recognition of sharing similar challenges deriving from the healthcare organization and related financial restrictions, and conflicting healthcare and nursing ideals across healthcare sectors. The evolution of transformative agency was grounded in a professional nursing identity.

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护士在老年人过渡期护理中的转变作用：实验室干预的改变

需要动员整个医疗保健部门的护士机构，以应对与老年人在医院和初级保健之间过渡相关的挑战。基于文化历史活动理论和变革实验室方法，我们对16名护士进行了学习干预。其目的是培养护士的变革性机构，以改善护理。对九次学习的录像进行了转录和分析。结果表明，共享变革机构是一种跨越部门界限的新兴现象，是过渡护理变革的先决条件。护士们从批评当前状况的个人行为发展到围绕过渡护理模式共同形成愿景。这是通过护士们的谈判培育出来的，其中包括承认医疗保健组织和相关财务限制带来的类似挑战，以及医疗保健部门之间相互冲突的医疗保健和护理理想。变革机构的演变是建立在专业护理身份的基础上的。

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来源期刊

Global Qualitative Nursing Research NURSING-

CiteScore

2.90

自引率

5.90%

发文量

审稿时长

12 weeks

期刊介绍： Global Qualitative Nursing Research (GQNR) is a ground breaking, international, peer-reviewed, open-access journal focusing on qualitative research in fields relevant to nursing and other health professionals world-wide. The journal specializes in topics related to nursing practice, responses to health and illness, health promotion, and health care delivery. GQNR will publish research articles using qualitative methods and qualitatively-driven mixed-method designs as well as meta-syntheses and articles focused on methodological development. Special sections include Ethics, Methodological Development, Advancing Theory/Metasynthesis, Establishing Evidence, and Application to Practice.