Show simple item record

dc.contributor.authorManeewat, Khomapaken
dc.date.accessioned2012-09-12T09:18:46Z
dc.date.available2012-09-12T09:18:46Z
dc.date.createdMonday, July 30, 2012en
dc.date.issued2012-9-12
dc.identifier.urihttp://hdl.handle.net/10755/243190
dc.description.abstract<p><strong>Purpose:</strong> This study offers a study of how a local ward culture underpins nursing actions of Thai surgical nurses in order to account for issues such as lack of sustainability, and failure to use research, including evidence-based nursing practice. The study was conducted at a Thai surgical ward to illuminate and describe the culture of the Thai surgical nurse, including the ways in which the organizational culture influences or guides their thinking, decision-making, and actions in a patterned way.</p> <p><strong>Methods:</strong> The knowledge about how the Thai surgical nurses allocate care, and make clinical decisions in the surgical ward in the context of social relations and staff culture is constructed through an ethnographic approach based on fieldwork. A better understanding of the diversity of Thai surgical nursing practice is then enacted from a typical day in the life of the Thai surgical nurses, which consists of the realities, ritualised practices, relations, and integration both with within their group and with others.</p> <p><strong>Results:</strong> The study results represent the way that nursing organizational culture informs the practices, decision-making, and the predictions of the nurses' possible response to change. The pre- and post-operative cares allocated by the nurses of the TSW are routinised, almost ritualised, and reflect fixed assumptions about the way cares ought to be delivered, including those reflecting the lack of commitment to implementing new multimodal models of care as well as research utilization and evidence-based practice.</p> <p><strong>Conclusion:</strong> The study raises significant concerns about the status of professional nursing in Thailand in terms of professional autonomy and the status of the nurses within the Thai hospital context. The ritualised practices, task-oriented working system, and the dominance of the medical model in the Thai nursing culture further reflect the need to establish an evidence-based nursing culture to create professional identity and improve the quality of care.</p>en
dc.formatText-based Documenten
dc.language.isoenen
dc.subjectClinical Decision-Makingen
dc.subjectThai Nursing Cultureen
dc.subjectWorkplace Relationsen
dc.titleNursing care practices and workplace relations in a Thai surgical ward: An exploration of clinical decision-makingen
dc.typePresentationen
dc.rights.holder<p> All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record. </p><p> All permission requests should be directed accordingly and not to the Sigma Repository. </p><p> All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary. </p>en
dc.description.note<p>Items submitted to a conference/event were evaluated/peer-reviewed at the time of abstract submission to the event. No other peer-review was provided prior to submission to the Henderson Repository.</p>
dc.type.categoryFull-texten
dc.evidence.levelN/Aen
dc.research.approachN/Aen
dc.contributor.departmentNon-memberen
dc.author.detailsManeewat, Khomapak, PhD, MNs, BNS, (first, honor)en
dc.conference.name23rd International Nursing Research Congressen
dc.conference.hostSigma Theta Tau Internationalen
dc.conference.locationBrisbane, Australiaen
dc.date.conferenceyear2012
dc.description.reviewtypeAbstract Review Only: Reviewed by Event Hosten
dc.description.acquisitionProxy-submissionen


Files in this item

Thumbnail

This item appears in the following Collection(s)

Show simple item record


Powered by KnowledgeArc