Containing anxiety, contributing to care or compromising practice? Nurses' experience of guidelines in primary care

2.50
Hdl Handle:
http://hdl.handle.net/10755/308168
Category:
Abstract
Type:
Presentation
Title:
Containing anxiety, contributing to care or compromising practice? Nurses' experience of guidelines in primary care
Author(s):
Mayers, Pat M
Lead Author STTI Affiliation:
tau Lambda
Author Details:
Pat M Mayers, PhD, M Sc Med (Psych), B Cur (Nursing education) B Nursing, pat.mayers@uct.ac.za
Abstract:

Poster presented on: Monday, November 18, 2013, Tuesday, November 19, 2013

Accessible and affordable care at primary level in South Africa is reliant primarily on nurses, who are under-resourced and often overwhelmed by the complex needs of their clients in the context of the HIV and AIDS epidemic.

Guidelines using best evidence are considered key to changing professional practice particularly at primary care level, where busy practitioners do not have time or sufficient access to the best evidence. The Practical Approach to Lung Health and HIV/AIDS study comprised multiple interventions aimed at improving the quality of care at the primary level, through the reworking of evidenced based guidelines into a user friend format, in conjunction with dedicated training and support of nurses. As a trainer and evaluator, I worked with the nurses and engaged with them over an extensive period.

How do nurses really experience the guidelines in their practice? This paper aims to explore, using a psychoanalytic lens, the experiences of nurses at primary care level in using guidelines. A secondary analysis was done of data obtained in a qualitative evaluation of primary care nurses’ responses to a new guideline.

Use of guidelines in primary care settings facilitates decision-making, may contain practitioner anxiety and improve the quality of care; yet guidelines pose challenges to creative discernment of the patient’s symptoms in relation to his/her personal circumstances and may impact on the personalised holistic care approach which characterises the essence of nursing.

Keywords:
nurse pracititioners; primary care; guidelines
Repository Posting Date:
19-Dec-2013
Date of Publication:
19-Dec-2013
Conference Date:
2013
Conference Name:
42nd Biennial Convention
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Indianapolis, Indiana, USA
Description:
42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriott
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleContaining anxiety, contributing to care or compromising practice? Nurses' experience of guidelines in primary careen_GB
dc.contributor.authorMayers, Pat Men_GB
dc.contributor.departmenttau Lambdaen_GB
dc.author.detailsPat M Mayers, PhD, M Sc Med (Psych), B Cur (Nursing education) B Nursing, pat.mayers@uct.ac.zaen_GB
dc.identifier.urihttp://hdl.handle.net/10755/308168-
dc.description.abstract<p>Poster presented on: Monday, November 18, 2013, Tuesday, November 19, 2013</p>Accessible and affordable care at primary level in South Africa is reliant primarily on nurses, who are under-resourced and often overwhelmed by the complex needs of their clients in the context of the HIV and AIDS epidemic. <p>Guidelines using best evidence are considered key to changing professional practice particularly at primary care level, where busy practitioners do not have time or sufficient access to the best evidence. The Practical Approach to Lung Health and HIV/AIDS study comprised multiple interventions aimed at improving the quality of care at the primary level, through the reworking of evidenced based guidelines into a user friend format, in conjunction with dedicated training and support of nurses. As a trainer and evaluator, I worked with the nurses and engaged with them over an extensive period. <p>How do nurses really experience the guidelines in their practice? This paper aims to explore, using a psychoanalytic lens, the experiences of nurses at primary care level in using guidelines. A secondary analysis was done of data obtained in a qualitative evaluation of primary care nurses’ responses to a new guideline. <p>Use of guidelines in primary care settings facilitates decision-making, may contain practitioner anxiety and improve the quality of care; yet guidelines pose challenges to creative discernment of the patient’s symptoms in relation to his/her personal circumstances and may impact on the personalised holistic care approach which characterises the essence of nursing.en_GB
dc.subjectnurse pracititionersen_GB
dc.subjectprimary careen_GB
dc.subjectguidelinesen_GB
dc.date.available2013-12-19T17:27:47Z-
dc.date.issued2013-12-19-
dc.date.accessioned2013-12-19T17:27:47Z-
dc.conference.date2013en_GB
dc.conference.name42nd Biennial Conventionen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationIndianapolis, Indiana, USAen_GB
dc.description42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriotten_GB
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.en_GB
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