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Abstract

BACKGROUND: Psychiatric nursing has been referred to as a specialty area of nursing that is fading away because of the failure of its members to develop a theoretical base for practice. Benner (1984) maintained there is knowledge embedded in expert practice that can be usedfor theory development.

OBJECTIVES: The purpose of this interpretive study was to uncover clinical knowledge embedded in the paradigm cases of expert psychiatric nurses.

STUDY DESIGN: Heideggerian bermeneutics was the method that guided the study. Analysis of data was based on the seven-stage process described in Diekelmann, Allen, and Tanner (1989).

RESULTS: Three relational themes, Uncovering Dangerousness in Psychiatric Nursing Practice, Acknowledging and Marking the Boundaries, and Reflection on Practice, emergedfrom the data. The major finding of the study was the constitutive pattern, the Primacy of the Nurse-Patient Relationship in Psychiatric Nursing Practice.

CONCLUSIONS: Embedded in the paradigm cases in this study were descriptions of theoretical knowledge being refined and extended through reflection on practice experience. Clinical knowledge consistent with competencies in all seven of Benner's nursing domains also was present in the paradigm cases.

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References

Arnswald, L. J. (1987). Not fade away. Journal of Psychosocial Nursing, 25(5),31-33.

Benner, P. (1984). From novice to expert. Menlo Park, CA: Addison Wesley.

Benner, P. (1985). Quality of life: A phenomenological perspective on explanation, prediction, and understanding in nursing science. Advances in Nursing Science, 8(1),1-14.

Benner, P. , & Wrubel, J. (1989). The primacy of caring. Reading, MA: Addison-Wesley.

Boss, M. (1979). Existentialfoundations of medicine and psychology. New York: Jason Aronson.

Diekelmann, N. , Allen, D. , & Tanner, C. (1989). The NLN criteria for appraisal of baccalaureate programs: A critical hermeneutic analysis (Publication No. 15-2253). New York: National League for Nursing.

Fagin, C. M. (1981). Psychiatric nursing at the crossroads: Quo vadis. Perspectives in Psychiatric Care, 19(3,4),99-106.

Heidegger, M. (1962). Being and time. New York: Harper and Row.

Hoeffer, B. , & Murphy, S. (1982). The unfinished task: Development of nursing theory for psychiatric and mental health nursing practice. Journal of Psychosocial Nursing, 20(12),8-14.

10.

Packer, M. J. (1985). Hermeneutic inquiry in the study of human conduct. American Psychologist, 40,1081-1093.

11.

Watson, J. (1987). Nursing on the caring edge: Metaphorical vignettes. Advances in Nursing Science, 10(1),10-18.

Uncovering Clinical Knowledge in Expert Psychiatric Nursing Practice

Abstract

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