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dc.contributor.authorIrurita, Vera
dc.contributor.authorWilliams, Anne
dc.identifier.citationIrurita, Vera and Williams, Anne. 2001. Balancing and compromising: nurses and patients preserving integrity of self and each other. International Journal of Nursing Studies. 38 (5): pp. 579-589.

This paper brings together the perspective of both nurses and patients of the experience of nursing care delivery in acute care hospital settings. Initially, two grounded theory studies of the phenomenon of high-quality nursing care were conducted concurrently and in the same settings; one focussed on patients’ experiences (Irurita, 1993. From person to patient: nursing care from the patient's perspective. Department of Nursing Research, Sir Charles Gairdner Hospital), the other on those of nurses (Williams, 1994. Unpublished report, Department of Nursing Research Sir Charles Gairdner Hospital, Perth, Western Australia). Similarities between the findings of both studies led the authors, using grounded theory methods, to re-examine and compare the findings and raw data, with additional data collected by theoretical sampling. The previous findings were integrated and extended, resulting in the development of a theory of Balancing and Compromising in response to the shared problem of threats to integrity, especially encountered when broader environmental and contextual conditions were unfavourable. This reciprocal process used by nurses and patients to preserve their own and each other's integrity involved: contributing to care — cooperating; prioritising and rational sacrificing; justifying compromised care and lowering expectations; and protecting self by attracting or repelling. Both positive and negative outcomes resulted.

dc.publisherElsevier Science
dc.titleBalancing and compromising: nurses and patients preserving integrity of self and each other
dc.typeJournal Article
dcterms.source.titleInternational Journal of Nursing Studies

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Copyright © 2001 Elsevier Ltd. All rights reserved

curtin.accessStatusFulltext not available
curtin.facultySchool of Nursing and Midwifery
curtin.facultyFaculty of Health Sciences

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