NUR1 220 Lecture Notes - Grounded Theory, Data Analysis, Participant Observation

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Nurses Power in Interactions
of Patients
- Superficial
- Routine
- Related to tasks
Prospective:
- Macro-level factors eg. Institution
- Micro-level of nurse-patient encounters
- Language = power
o Can create hierarchy
Power:
- Different meanings from ppl
o There is no concrete definition
1. As a characteristic of the individual
2. As an interpersonal construct
3. As a commodity
4. As a causal construct
5. As a philosophical construct
6. Power as an interpersonal construct
a. “give and take”
i. Based on info, reward and coercion
Nurse’s Power:
- Recognized to have little or no power
o Get more involved with policy formation
- Assumptions:
o Politics: policy formation
o Nurses: powerless and don’t act in a political way
o These are debatable
Macro influences:
- Individual power: within wider social structures and
relationships and attention to this aspect of experience = vital
Conceptual Framework:
- Languageinteraction and power
- Power is observable and manifested in interpersonal
encounters
- Symbolic interactions:
o Life is a process of ongoing activity of varied
interactions
Method:
Grounded theory:
- Doesn’t explain grounded theory
Research:
- Con: all female
Reactive effect:
- Rapport = important
- Con: his presence may affect actual interactions between nurses
and patients
Limitations:
- Time
- Selective inattention
o Selection of interactions only pertinent to research
problems
- Participant observation and data analysis
o Judgement of observer
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Document Summary

Individual power: within wider social structures and relationships and attention to this aspect of experience = vital. Language = power: can create hierarchy. Recognized to have little or no power: get more involved with policy formation. Assumptions: politics: policy formation, nurses: powerless and don"t act in a political way, these are debatable. Power is observable and manifested in interpersonal encounters. Symbolic interactions: life is a process of ongoing activity of varied interactions. Con: his presence may affect actual interactions between nurses and patients. Selective inattention: selection of interactions only pertinent to research problems. Mostly staff staff interactions: greeting and conclusion, thank you. Problem with observing ordinary conversations = should be noticed too. The power of language: overt power. Telling them what they can"t and cannot do. Medication rounds: language for nurses to seek /gain control. Controlling the agenda: characterized by routine , opening of the interactions = limited range of responses to ensure the outcome was the one desired.

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