Barriers to Nursing and Patient Care

The foregoing is then followed by a review of the literature as it relates to the concept's critical attributes, empiric referents, antecedents and consequences, and related and/or contrary concepts. The final section of the paper consists of a series of conclusions about the concept and its role in nursing; all conclusions are formulated based on the reviewed material.

The aim of this concept analysis is to distinguish between the normative or ordinary use of the term barrier and its specific use in nursing practice. The intent here is to clarify the nurse-related meanings of the concept, the purpose of which is to assist in sharpening our scientific understanding of the term as it is used in nursing theory and research.

The American Heritage Dictionary of the English Language (1992) defines a barrier using several general referents. First, a barrier is said to be a structure built to bar passage such as a fence or a wall. Second, a barrier is said to refer to something immaterial that can obstruct or impede; for example, intolerance can be said to be a barrier or obstacle to understanding. Third, the term barrier is used to refer to

. . .
of patient care in a hospital setting. Methods included the collection of quantitative data from nursing staff members (job satisfaction, collaboration with physicians, autonomy), physicians (quality of nursing care, collaboration with nurses), and patients (satisfaction with nursing care). Also, focus groups were held with nursing personnel to discuss factors that affected the provision of services. Unit-based action plans were developed to manage any perceived obstructions, interferences, or disruptions to the delivery of services. Findings of the study showed that implementation of the project resulted in both patients and physicians reporting a high degree of satisfaction with patient care. Also, physicians reported a higher level of collaboration with nurses than that reported by nurses; and nurses reported a high degree of autonomy in practice. However, in other areas of job satisfaction (development and recognition), nurses suggested areas for improvement. It was concluded that the project created a mechanism to evaluate the current state-of-the-practice environment by identifying core elements for evaluation of work redesign. In addition, the project was said to provide a framework for managing barriers that dis
. . .

Some common words found in the essay are:
Medical Center, Goldberg Fuhrer, Kinneman Turner, III Conclusions, Sauter Nodine's, Attributes Examination, Restuccia Holloway, Sauter Nodine, English Language, Phillips Frost, health care, nurse practice, patient care, concept barrier, service delivery, nursing process, term barrier, homeless persons, nursing nurse practice, nursing diagnosis, nursing nurse, sauter nodine 1989, quality patient care, ferrell dean grant, dugan freudl miller,
Approximate Word count = 4048
Approximate Pages = 16 (250 words per page)

More Essays on Barriers to Nursing and Patient Care