Balancing contradictory requirements in homecare nursing—A discourse analysis
Abstract Aim To explore prevailing discourses on nursing competence in homecare nursing to boost understanding of practice within this field. Design A qualitative study with a social constructivist perspective. Methods Six focus‐group interviews with homecare nurses in six different municipalities i...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2020-07-01
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| Series: | Nursing Open |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/nop2.473 |
| _version_ | 1819095797554216960 |
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| author | Ann‐Kristin Fjørtoft Trine Oksholm Oddvar Førland Charlotte Delmar Herdis Alvsvåg |
| author_facet | Ann‐Kristin Fjørtoft Trine Oksholm Oddvar Førland Charlotte Delmar Herdis Alvsvåg |
| author_sort | Ann‐Kristin Fjørtoft |
| collection | DOAJ |
| description | Abstract Aim To explore prevailing discourses on nursing competence in homecare nursing to boost understanding of practice within this field. Design A qualitative study with a social constructivist perspective. Methods Six focus‐group interviews with homecare nurses in six different municipalities in Norway. Adapting a critical discourse analysis, data were linguistically, thematically and contextually analysed in the light of theories on competence, institutional logic and discourses. Results The analysis found homecare nursing to be a diverse and contradictory practice with ever‐increasing work tasks. Presented as binary oppositions, we identified the following prevailing discourses: individualized care versus organizing work; everyday‐life care versus medical follow‐up; and following rules versus using professional discretion. The binary oppositions represent contradictory requirements that homecare nurses strive to balance. The findings indicate that medical follow‐up and organizational work have become more dominant in homecare nursing, leaving less time and attention paid to relational and everyday‐life care. |
| first_indexed | 2024-12-21T23:49:01Z |
| format | Article |
| id | doaj.art-9252387638bb4db9954882ee12b8f6ca |
| institution | Directory Open Access Journal |
| issn | 2054-1058 |
| language | English |
| last_indexed | 2024-12-21T23:49:01Z |
| publishDate | 2020-07-01 |
| publisher | Wiley |
| record_format | Article |
| series | Nursing Open |
| spelling | doaj.art-9252387638bb4db9954882ee12b8f6ca2022-12-21T18:45:59ZengWileyNursing Open2054-10582020-07-01741011101910.1002/nop2.473Balancing contradictory requirements in homecare nursing—A discourse analysisAnn‐Kristin Fjørtoft0Trine Oksholm1Oddvar Førland2Charlotte Delmar3Herdis Alvsvåg4Center of Diaconia and Professional Practice VID Specialized University Oslo NorwayFaculty of Health Sciences VID Specialized University Bergen NorwayFaculty of Health Sciences VID Specialized University Bergen NorwayFaculty of Health Sciences VID Specialized University Bergen NorwayFaculty of Health Sciences VID Specialized University Bergen NorwayAbstract Aim To explore prevailing discourses on nursing competence in homecare nursing to boost understanding of practice within this field. Design A qualitative study with a social constructivist perspective. Methods Six focus‐group interviews with homecare nurses in six different municipalities in Norway. Adapting a critical discourse analysis, data were linguistically, thematically and contextually analysed in the light of theories on competence, institutional logic and discourses. Results The analysis found homecare nursing to be a diverse and contradictory practice with ever‐increasing work tasks. Presented as binary oppositions, we identified the following prevailing discourses: individualized care versus organizing work; everyday‐life care versus medical follow‐up; and following rules versus using professional discretion. The binary oppositions represent contradictory requirements that homecare nurses strive to balance. The findings indicate that medical follow‐up and organizational work have become more dominant in homecare nursing, leaving less time and attention paid to relational and everyday‐life care.https://doi.org/10.1002/nop2.473competencecontradictionscritical discourse analysisfocus groupshome health carenursing |
| spellingShingle | Ann‐Kristin Fjørtoft Trine Oksholm Oddvar Førland Charlotte Delmar Herdis Alvsvåg Balancing contradictory requirements in homecare nursing—A discourse analysis Nursing Open competence contradictions critical discourse analysis focus groups home health care nursing |
| title | Balancing contradictory requirements in homecare nursing—A discourse analysis |
| title_full | Balancing contradictory requirements in homecare nursing—A discourse analysis |
| title_fullStr | Balancing contradictory requirements in homecare nursing—A discourse analysis |
| title_full_unstemmed | Balancing contradictory requirements in homecare nursing—A discourse analysis |
| title_short | Balancing contradictory requirements in homecare nursing—A discourse analysis |
| title_sort | balancing contradictory requirements in homecare nursing a discourse analysis |
| topic | competence contradictions critical discourse analysis focus groups home health care nursing |
| url | https://doi.org/10.1002/nop2.473 |
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