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West Ashley Library
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Phone: (843) 766-6635
John L. Dart Library
9 a.m. – 7 p.m.
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Folly Beach Library
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Edgar Allan Poe/Sullivan's Island Library
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Wando Mount Pleasant Library
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Village Library
9 a.m. - 6 p.m.
Phone: (843) 884-9741
St. Paul's/Hollywood Library
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Otranto Road Library
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Mt. Pleasant Library
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McClellanville Library
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Keith Summey North Charleston Library
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John's Island Library
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Hurd/St. Andrews Library
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Miss Jane's Building (Edisto Library Temporary Location)
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Dorchester Road Library
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Phone: (843) 805-6930
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The patient's agenda: nurses' experience of learning and using guided self‐determination.
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- Author(s): Dehn, Pernille; Strømberg, Charlotte; Linnet Olesen, Mette
- Source:
Scandinavian Journal of Caring Sciences. Mar2022, Vol. 36 Issue 1, p120-130. 11p. 5 Charts. - Source:
- Additional Information
- Subject Terms: OCCUPATIONAL roles; NURSES' attitudes; RESEARCH evaluation; NURSING; MOTIVATION (Psychology); RESEARCH methodology; PATIENT-centered care; INTERVIEWING; LEARNING strategies; QUALITATIVE research; NURSES; PROFESSIONAL identity; CLINICAL competence; DESCRIPTIVE statistics; INTERPROFESSIONAL relations; GYNECOLOGIC care; DATA analysis software; THEMATIC analysis
- Abstract: Objectives: Health care has seen a shift towards person‐centred care to encompass the entirety of a person's needs and preferences, but research is sparse on healthcare professionals learning and using person‐centred care. Aim: To investigate nurses' experiences of learning and using the person‐centred method guided self‐determination (GSD) in three different gynaecological settings and to determine whether, and potentially, how new tasks introduced by the GSD method influence their professional identity. Design: A qualitative interview study conducted between January 2019 and January 2020. Method: We conducted 16 semi‐structured interviews with nurses educated in using GSD. Applying inductive and deductive reasoning, we analysed the interviews using thematic analysis. The study was registered with the Danish Data Protection Agency (file no.: VD‐2018‐445, I‐Suite no.: 6700). Results: The analysis generated three main themes with two subthemes each: (a) prerequisites and barriers to learning and using GSD in terms of personal factors and organisational and method‐related factors; (b) new knowledge and understanding of illness with the subthemes expanded understanding of illness and a different relationship; and (c) nursing undergoing change with the subthemes, a new role and a professional self shaped through interaction with other professions. Conclusions: Although other professionals may have either supported or challenged the use of GSD, most nurses indicated that it supplemented their professional role and identity as they gained new knowledge about person‐centred challenges and felt more confident. When introducing GSD in nursing, the organisation must not only consider individual characteristics, multidisciplinary collaboration and communication but also plan individual education and supervision. This is necessary because all these factors affect how a new professional role is constructed and adopted, not to mention how it influences the nurses' perception of their professional identity and use of GSD. Establishing a helpful person‐centred environment must also be considered. [ABSTRACT FROM AUTHOR]
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