Working on differentiated nursing practices in hospitals: A learning history on enacting new nursing roles

• DOI: 10.1111/jan.16240
• Publication Date: 2024-05-29T08:49:34Z
• Authors: Dieke Martini; Hugo Schalkwijk; Lisette Schoonhoven; Mirko Noordegraaf; Pieterbas Lalleman
• Keywords: skill mixes; participatory action research; nurse staffing; nursing roles; nursing work; differentiated nursing practices; learning history; context; Research Article

Abstract Objective This study aims to better understand how new future‐oriented nursing roles are enacted in a general hospital. Design A learning history, that is, participatory action‐oriented research design explore and foster organizational learning. Methods Data collection consisted of (historical) document analysis, the shadowing differentiated practices (36 h), 22 open interviews, 4 oral history 2 focus groups podcast series (7 h) created with participants. Results The data gathered revealed three important themes regarding enacting roles: (1) stretching nature work, (2) using earlier experiences (3) collectively tackling taboos. Conclusions Differentiated have long complex histories. Attempts differentiate often met resistance from within profession. shows role nurse coordinator was negotiated teams. With bottom‐up approach focused on collective responsibilities. By acknowledging reflecting past, spaces were which became one role, among others, delivery patient care. Impact provides an innovative perspective by focusing present future. We found local, situated conditions can be taken as starting points when enacted. In addition, shifting individual team development, emphasizing responsibilities, softens strong (historically) grown emotions creates become negotiable. Patient or Public Contribution No public contribution.