Cited by 8Nursing Roles and PracticesNursing education and managementHealth Sciences Research and Education

Specialist Nurse an Investigation of Common and Distinct Aspects of Practice

Fairweather, Carrie, Gardner, Glenn·2000·Collegian

Abstract

Over the past decade the discipline of nursing has been reviewing its practice, especially in relation to specialty areas. There has been an appreciation by nursing leaders that specialisation brings with it concerns related to a disuniting effect on the discipline and a fragmentation of nursing's traditional generalist practice. Accompanying these concerns is a debate over what is a specialty and how to define a specialist. This qualitative study drew upon a constructivist methodology, to explore how nurses, working in specialty areas, define and give meaning to their practice. Three groups of nurses (n=20) from the specialty of critical care were interviewed using a focus group technique. The data were analysed to build constructions of specialty practice. A distinct and qualitative difference was recognised in the practice behaviours of nurses working in the specialty area. The qualitatively different practice behaviours have been identified as 'nursing-in-a-specialty' and 'specialist nurse'. Two constructions emerged to differentiate the skill behaviours, these were 'practice' and 'knowledge'. The specialist nurse practices were based on two distinct types of practice, that of 'discretion' and 'incorporation'. 'Knowledge' was constructed as a synthesis of propositional and practice knowledge. By Carrie Fairweather and Glenn Gardner.

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Crossref · 10.1016/s1322-7696(08)60362-5

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  • Experience provides opportunities for feedback-governed practice, that is, the application of previously acquired feedback into subsequent clinical procedures.

    “Experience provides opportunities for feedback-governed practice, that is, the application of previously acquired feedback into subsequent clinical procedures (Ericsson et al 1993, Radwin 1995, 1998, Fairweather & Gardner 2000).”

    From The acquisition and exercise of nephrology nursing expertise: a grounded theory study (2006) · cites this paper as Fairweather & Gardner 2000

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Authors
Fairweather, C., & Gardner, G.
Affiliations
University of Canberra (AU)
Venue
Collegian
Publisher
Elsevier BV
Published
2000-01
Volume
7
Issue
2
Pages
26-33
ISSN
1322-7696 (ISSN-L)
OpenAlex
W70258884
Cited by
8
References
17
Citations by year
2024: 1 · 2015: 1 · 2014: 1
FWCI
0.83
Type
journal article
Language
en
Open access
closed
Locations
  • Collegian Journal of the Royal College of Nursing Australia (publishedVersion)
  • PubMed (publishedVersion)
  • QUT ePrints (Queensland University of Technology) (submittedVersion)
  • Faculty of Health; Institute of Health and Biomedical Innovation; School of Nursing
Topics
  • Health Sciences › Health Professions › General Health Professions › Nursing Roles and Practices
  • Health Sciences › Nursing › Research and Theory › Nursing education and management
  • Health Sciences › Health Professions › General Health Professions › Health Sciences Research and Education
Keywords
nursing specialties, critical care nursing, nursing specialization, nursing knowledge, practice knowledge, propositional knowledge, discretion, incorporation
MeSH terms
Attitude of Health Personnel, Clinical Competence, Critical Care, Humans, Job Description, Health Knowledge, Attitudes, Practice, Nurse Clinicians, Nursing Staff, Hospital, Philosophy, Nursing, Queensland, Surveys and Questionnaires, Specialties, Nursing, Nursing Methodology Research, Focus Groups, Knowledge, Nurse's Role

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