The knowledgeable practice of critical care nurses: a poststructural inquiry.

摘要: Abstract Background Contemporary nursing literature emphasises the desirability of clinical nurses being “knowledgeable”. However, need for constantly to acquire more knowledge is reiterated. Lack seen underlie an array professional problems. Little known how themselves understand what it means practise knowledgeably. Objective To explore critical care nurses’ understandings knowledgeable practice and its relationship a “good nurse”. Methodology A poststructuralist framework informed study. The study participants were 12 nurses. Data generated through three individual focused interviews with each participant. analysis involved deconstruction interview texts reveal participants’ discourses implications these their subjectivity work. Findings discourse was revealed as central sense identity nurses”. Participants believed resided in heads (“knowing why”) hands how”). Fluency action, which achieved maintained by frequent repetition activities, contributed knowledgeable. described excluded from some instances. In general, however, “actual” less importance than positioned, others, This positioning frequently undermined other staff, both medical nursing. Analysis that underpinned dichotomy ignorant/knowledgeable, “ignorant” dominant category; hence, assumed be ignorant until they could “prove” otherwise. Conclusions findings contest notion, espoused literature, acquisition can “empower” nurses, thus providing solution problems may experience. Rather, strategies are required challenge disrupt relations power construct “ignorant”.