Nursing their way not our way: working with vulnerable and marginalised populations.

摘要: This paper uses the findings of two studies to explore nature nurses' practice when working with vulnerable and marginalised populations, particularly regard attributes holism individualised care. A secondary analysis separate was undertaken, one on elderly delirium other indigenous Maori women. Often considered marginalised, experiences health services are often fraught their needs not always identified or addressed. Nursing claims that care pivotal underpinning nursing practice. However, research highlight how populations accessing experience neither acknowledged nor integrated into intervention treatment plans. study used a critical gerontological methodology informed by postmodernism Foucault's understanding discourse. The women utilised Glaserian grounded theory Maori-centred methodology. analysed 20 data sources, including interviews older persons who had experienced delirium, members families professionals. 38 aged between 24 65 years, inductively interview using constant comparative analysis, theoretical sampling saturation core categories generate substantive theory. each showed problem focussed approach is offered patients does incorporate individual experiences. In addition, social context integral people's lives outside environment ignored as such very foundations practice, holism, merely rhetorical construct. Vulnerable neglects perceived realities life circumstances. Individualised extends beyond presenting issue vital, but raises challenges those population groups improve outcomes experience. (author abstract)