Mediating conflict and control : practice challenges for nurses working in palliative care

Hart, Gail, Yates, Patsy, Clinton, Michael, & Windsor, Carol A. (1998) Mediating conflict and control : practice challenges for nurses working in palliative care. International Journal of Nursing Studies, 35(5), pp. 252-258.

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A work-based professional development program was offered to a group of registered nurses working in palliative care. The goal of the program was to improve skills in psychosocial care (Yates et al., 1996). Participants were encouraged to reflect critically on their practice experience within a group setting. The focus of the group discussion and reflection were shared practice incidents. Each participant was given the opportunity to identify and describe an incident from their professional practice that presented a challenging issue within palliative nursing. This paper explores the themes of conflict and control, evident within the collection of fifteen practice incidents and discusses the nurses role as mediator. The concepts of patient advocacy and professional autonomy are challenged through the nurses experience of providing care within a hierarchical and bureaucratic health service. The outcome of reflection for the organization is most effective when shared experience and collective action (rather than individual practice) are the focus.

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9 citations in Scopus
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7 citations in Web of Science®

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ID Code: 61870
Item Type: Journal Article
Refereed: Yes
Keywords: Palliative care, Professional development, Reflection, Peer consultation, Mediation
ISSN: 0020-7489
Subjects: Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000)
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Current > Institutes > Institute of Health and Biomedical Innovation
Current > Schools > School of Nursing
Deposited On: 18 Aug 2013 22:13
Last Modified: 20 Aug 2013 21:01

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