Crucial point for the research, which is tied together by these research
questions: What is the lived experience of nurse’s role mission in nursing
care? What is the meaning for nurses of their role mission in nursing care
practice? What kind of issues the nurses refer to nurse’s role mission in
nursing care and what does it mean for them?
Aims. The overall aim: To illuminate and substantiate the nurses’ lived
experience of their role mission in nursing care practice. The specific aims:
study I - To find out and substantiate the overlaps and differences between the
nurse’s role and mission and in study II - To unfold the meaning of nurses’
lived experience of their role mission in nursing care practice
Method. Data selection / collection: in study I were formed the specific
criterions and in study II it was performed the qualitative interview. Data
analysis: in study I it was used the matrix method and in study II –
phenomenological hermeneutics. Sample: In the study have participated 10
registered nurses practitioners who work in primary, secondary and tertiary
level health care organizations.
Results. Study I results highlighted the overlaps, which connect the role and
mission are the following: ?expressional part; ?interaction between patient and
nurse; ?working in a team; ?caring and helping processes are contexts;
?orientations are to individuals, families, groups; ?main realization level is
cognitive; ?dependence on personal nurse’s qualities; ?based on integration of
theory and practice; ?dependent on organizational needs and infrastructure;
?key activity is attached to educational area. Differences between the role and
mission are those: a) Nurse’s self – expression in mission performance is
attached to spiritual and cognitive levels through commitment to mission goal
without active interventions. In role performance here are integrated two parts
– physical (doing with patients) and psychological and spiritual (being with
patients). b) In mission performance various phenomenons are related to mono –
direction (nurse – patient interaction). In nurse’s role performance the
interactions are oriented to multi – directions (e.g., nurse – nurse, nurse –
patient, nurse – student etc. interactions). c) Nurse’s mission in one
situation could be only one. The nurse could realize several subroles in one
situation. d) Only nurse’s role is related to philosophy of a concrete ward. e)
Mission is an outcome of personal calling. Even through role performance the
nurse experiences calling. f) Role enactment empowers the nurse to reflect and
have insights. Mission does not empower the nurse for reflecting. g) Nurse’s
role is associated with highest quality of specialist’s education. This aspect
is not actualized in mission performance. Study II results illuminated the
following empirical facts: a) Exceptionally nurse’s role performance allows the
nurse to ‘survive’ with concrete experiences in nursing care practice. b)
Permanent connection between the role and mission first and foremost exists in
cognitive level (nurse’s thinking, perceiving). c) Role experience and its
performance is contextual. The mission is experienced through expression of
nurse’s caring and dignity. d) In mission performance is important internal
nurse’s motives and in role performance key aspect is only formal her / his
commitment. e) In mission is urgent nurse’s being feeling one’s part deeply and
in role performance is accentuated even compulsory functions. f) In mission
performance the nurse’s calmness and caring is not accentuated as key aspects
as they are in role performance. g) Nurse’s internal self – empowerment,
ability to be in dignity in all situations and experience of professional
satisfaction allows experience the mission in nursing care context with the
orientation exceptionally to profession. h) In mission experience is urgent
nurse’s devotion and in role experience – satisfaction, limitations and
dependence. i) Nurse’s motivation to act for organization forms premises to
experience the role in organizational context. f) Nurse’s competence allows her
/ him to experience the role in full value through collaboration with other
specialists.
Conclusions:
• The nurse’s role and mission in nursing care practice are experienced in
complex with the dimensions (orientations) to patient, patient family, nurse’s
self, activity, nursing profession, colleagues nurses and other specialists,
organization, physician and society. Nurse’s role mission meaning is
experienced through the following aspects (those are illuminated by adequate
themes / overlaps between the role and mission content): being in communion,
permanent experiencing, feeling one’s part deeply, devotion, being able to
influence (the patient and his / her family, activity, and colleagues nurses),
being reflective, being in dignity, commitment, nurse’s competence, being
caring, self – empowerment and satisfaction.
? The experience of nurse’s role mission meaning in nursing care practice is:
? Limited by nurse’s being in broken dignity, having depersonalized standpoint
to patient, being negligent with the patient and not performing the
professional obligation.
? Dependent on changes, personal nurse’s perception, competence, and family
‘roots’, context, formed activity aims and pers...
