Understanding the Relational Work of TB Nurses in Public Health: Intrusion, Welcome, and the Skill of Involvement

2.50
Hdl Handle:
http://hdl.handle.net/10755/153139
Type:
Presentation
Title:
Understanding the Relational Work of TB Nurses in Public Health: Intrusion, Welcome, and the Skill of Involvement
Abstract:
Understanding the Relational Work of TB Nurses in Public Health: Intrusion, Welcome, and the Skill of Involvement
Conference Sponsor:Sigma Theta Tau International
Conference Year:2010
Author:Bender, Amy C., RN, MN, PhD
P.I. Institution Name:University of Toronto
Title:Assistant Professor
21st INRC [Research Presentation] Purpose: Trusting relationships, professionals' attitudes, and support have been identified as considerations in TB control, but in-depth examination of these claims is lacking. The relationship is cited as foundational in public health nursing, yet nurses' relational skills required in TB programs of public health are so taken-for-granted that they are often rendered invisible as part of the success of these population-focused interventions. This study's purpose was therefore to understand TB nursing relationships, not according to theoretical ideal or generalization, but rather as they are immediately lived. Methods: This interpretive phenomenological study was carried out with nine nurses and 24 clients in the TB program of Toronto Public Health. Data collection involved observation of 101 usual nursing visits and 16 interviews with nurses and clients. Thematic analysis was utilized to produce interpretive outlines of thematic categories, themes, and subthemes. Results: "Welcome intrusions" represents the resulting overall theme. Nurses intruded as they enacted surveillance, yet also made efforts not to intrude. They also engaged in a "welcomed" socializing-with-purpose. In "welcoming-intruding," three themes were evident: "getting through the door," "doing TB but more than that," and "beyond a professional."ÿ Together the themes point to the skill of involvement in two domains of TB practice - providing comfort and enacting surveillance, as a frame for understanding TB nurses' relational work. Conclusion: Addressing the skill of involvement helps to answer theory-practice gaps between TB guidelines and everyday control-care nursing situations. Implications include scrutiny of such guidelines for their attention to TB nursing as relational work first, and organizations' attention to professional development initiatives addressing the skill of involvement.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleUnderstanding the Relational Work of TB Nurses in Public Health: Intrusion, Welcome, and the Skill of Involvementen_GB
dc.identifier.urihttp://hdl.handle.net/10755/153139-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Understanding the Relational Work of TB Nurses in Public Health: Intrusion, Welcome, and the Skill of Involvement</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2010</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Bender, Amy C., RN, MN, PhD</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of Toronto</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Assistant Professor</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">amy.bender@utoronto.ca</td></tr><tr><td colspan="2" class="item-abstract">21st INRC [Research Presentation] Purpose: Trusting relationships, professionals' attitudes, and support have been identified as considerations in TB control, but in-depth examination of these claims is lacking. The relationship is cited as foundational in public health nursing, yet nurses' relational skills required in TB programs of public health are so taken-for-granted that they are often rendered invisible as part of the success of these population-focused interventions. This study's purpose was therefore to understand TB nursing relationships, not according to theoretical ideal or generalization, but rather as they are immediately lived. Methods: This interpretive phenomenological study was carried out with nine nurses and 24 clients in the TB program of Toronto Public Health. Data collection involved observation of 101 usual nursing visits and 16 interviews with nurses and clients. Thematic analysis was utilized to produce interpretive outlines of thematic categories, themes, and subthemes. Results: &quot;Welcome intrusions&quot; represents the resulting overall theme. Nurses intruded as they enacted surveillance, yet also made efforts not to intrude. They also engaged in a &quot;welcomed&quot; socializing-with-purpose. In &quot;welcoming-intruding,&quot; three themes were evident: &quot;getting through the door,&quot; &quot;doing TB but more than that,&quot; and &quot;beyond a professional.&quot;&yuml; Together the themes point to the skill of involvement in two domains of TB practice - providing comfort and enacting surveillance, as a frame for understanding TB nurses' relational work. Conclusion: Addressing the skill of involvement helps to answer theory-practice gaps between TB guidelines and everyday control-care nursing situations. Implications include scrutiny of such guidelines for their attention to TB nursing as relational work first, and organizations' attention to professional development initiatives addressing the skill of involvement.</td></tr></table>en_GB
dc.date.available2011-10-26T12:04:10Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T12:04:10Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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