Customizing practice : constructing a practice milieu

Update Item Information
Title Customizing practice : constructing a practice milieu
Publication Type dissertation
School or College College of Nursing
Department Nursing
Author Stapleton, Patsy Lea
Date 1995-12
Description Understanding how nurses remain in hospital staff nurse positions to practice nursing provides information that can be used in developing programs and practices to increase the stability of the inpatient registered nurse (RN) work force. The purpose of this study was to analyze RN experiences of inpatient nursing and to propose a theory that explained the process of remaining on inpatient medical/surgical units to practice. The major research question was: 'How do RNs manage staying in staff nurse practice positions on inpatient medical/surgical units to practice nursing for periods of 2 years or longer?' This exploratory, descriptive study used grounded theory to guide the research process. Purposive and theoretical sampling, semistructured interviews, and constant comparative analysis provided the mechanisms for participant selection, data generation, and analysis. Participants included 21 RNs from four inpatient medical/surgical units. 'Customizing Practice: Constructing a Practice Milieu' is the substantive theory that emerged as the relationships and dimensions of the core variable (customizing practice), and two major theoretical concepts (negotiating boundaries and positioning) were delimited. This theory is conceptualized as an active, dynamic process in which the nurse designs and constructs a practice based on her personal life needs, professional goals, and perceived professional strengths and limitations. The theory suggests that nurses are concerned with providing care to others and with providing care for themselves as they engage in their nursing work. The theory provides additional insight for increasing staff nurse stability and decreasing staff nurse turnover on inpatient medical/surgical units.
Type Text
Publisher University of Utah
Subject Manpower
Subject MESH Nursing; Job Satisfaction
Dissertation Institution University of Utah
Dissertation Name PhD
Language eng
Relation is Version of Digital reproduction Customizing practice : constructing a practice milieu." Spencer S. Eccles Health Sciences Library.
Rights Management © Patsy Lea Stapleton.
Format application/pdf
Format Medium application/pdf
Format Extent 1,452,157 bytes
Identifier undthes,3857
Source Original University of Utah Spencer S. Eccles Health Sciences Library (no longer available)
Master File Extent 1,452,183 bytes
ARK ark:/87278/s6j67jrp
Setname ir_etd
ID 191578
Reference URL https://collections.lib.utah.edu/ark:/87278/s6j67jrp
Back to Search Results