Abstract
Background: Providing nursing care for patients and relatives requires a great effort from a nurse. It is therefore important for the nurse to have the opportunity to reflect on the caring acts included in process-oriented nursing supervision (PRONS). The overall objective of the nursing supervision is to support the professional development identity, competences, skills and ethics in different situations in nursing care. Aim: To investigate nurses’ experiences of the model of purging, playing and learning (PPL) according to Eriksson theory in a (PRONS) related to strengthen safe care, quality and professional development. Method: A qualitative study with individual interviews and the data was analyzed using qualitative interpretive content analysis. Participants: All eleven registered participated nurses were from southwestern Sweden and worked in different hospital units. Ethical Considerations: The study carried out in accordance with the ethical guidelines laid down in the Helsinki Declaration and according to the recommendations of the regional ethics committee. Findings: Three categories were identified, valuable purging in the process, responsive playing and awareness of learning. The study found that by participating in PRONS the nurses had developed new approaches with different “tools” when difficult situations occurred in daily nursing practice. Conclusion: PRONS with the model PPL has an important role to support nurses in daily nursing practice. The study highlights that there are residual successful effects after PRONS for the nurses in managing care situations that experienced strengthen quality in care and professional development.
Highlights
Nurse’s relationships are unique with patients, and the relations are close
It is important for the nurse to have the opportunity to reflect on the caring acts included in process-oriented nursing supervision (PRONS)
The study found that by participating in PRONS the nurses had developed new approaches with different “tools” when difficult situations occurred in daily nursing practice
Summary
Nurse’s relationships are unique with patients, and the relations are close. The nurses provide care of both body and soul; this requires understanding of the uniqueness of others as well as the nurses themselves [1]. Providing nursing care for patients and relatives requires a great effort from a nurse It is important for the nurse to have the opportunity to reflect on the caring acts included in process-oriented nursing supervision (PRONS). The overall objective of the nursing supervision is to support the professional development identity, competences, skills and ethics in different situations in nursing care. Result from studies shows that nurses who have taken time to reflect on daily experiences provide enhanced nursing care, have a better understanding of their actions and develop their professional skills [3]. Systematic and vocational guidance was used as an educational model in nursing In this model personal, occupational and patient-related situations identified, processed and linked through self-reflection, peer review, and support, as well as deepening and widening perspectives [7]. Attending PRONS can provide increased patient safety and increased health care [10]
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