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The transition process of perceptions of hygiene care practices among nurses in acute-care wards: A grounded theory study.

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Title: The transition process of perceptions of hygiene care practices among nurses in acute-care wards: A grounded theory study.
Authors: Nishiya K; Graduate School of Health Sciences, Hokkaido University, Hokkaido, Japan., Takashima R; Faculty of Health Sciences, Hokkaido University, Hokkaido, Japan., Yano R; Faculty of Health Sciences, Hokkaido University, Hokkaido, Japan.
Source: Japan journal of nursing science : JJNS [Jpn J Nurs Sci] 2025 Jan; Vol. 22 (1), pp. e12645.
Publication Type: Journal Article
Language: English
Journal Info: Publisher: Wiley on behalf of the Japan Academy of Nursing Science Country of Publication: Japan NLM ID: 101227890 Publication Model: Print Cited Medium: Internet ISSN: 1742-7924 (Electronic) Linking ISSN: 17427924 NLM ISO Abbreviation: Jpn J Nurs Sci Subsets: MEDLINE
Imprint Name(s): Original Publication: Tōkyō : Wiley on behalf of the Japan Academy of Nursing Science, c2004-
MeSH Terms: Grounded Theory* , Hygiene*, Humans ; Female ; Adult ; Nursing Staff, Hospital/psychology ; Male ; Attitude of Health Personnel ; Perception ; Middle Aged ; Qualitative Research
Abstract: Aim: To explore how perceptions of hygiene care practices among nurses in acute-care wards change over their clinical experience.
Methods: Based on symbolic interactionism, we employed a grounded theory methodology to explore interrelationships of meaning arising from actors' perceptions and interactions. Thirty-three nurses working in acute-care wards for >3 years were selected by purposive snowball and theoretical sampling; semi-structured individual interviews were conducted from October 2023 to February 2024. Data were analyzed for 32 participants who provided consent.
Results: The core category was "adjusting care channels"; seven other categories also emerged. Care channels refer to options for hygiene care practices. When nurses are first assigned to a ward, they regard hygiene care as the "bare task under organization rules." However, through repeated processes of "emerging caring with patient resonance" and "internalizing the meaning of care," they can "form care channels." Subsequently, nurses become practitioners who can transform practices of hygiene care into "care to be restricted" or "wealth of 'life behind the curtain'" by "adjusting care channels" according to the patient and ward organization situation. In contrast, if nurses fail to internalize the meaning of care, they end up performing "pro forma activities."
Conclusions: Our findings highlight the importance of nurses to improve their ability to "adjust care channels," which would allow them to provide hygiene care in a manner appropriate to the patient and organizational context. These results contribute to the development of educational strategies that foster nurses' values of hygiene care and support strategies by nursing managers.
(© 2025 Japan Academy of Nursing Science.)
References: Avallin, T., Muntlin Athlin, Å., Björck, M., & Jangland, E. (2020). Using communication to manage missed care: A case study applying the fundamentals of care framework. Journal of Nursing Management, 28(8), 2091–2102. https://doi.org/10.1111/jonm.12963.
Benner, P. (1984). From novice to expert: Excellence and power in clinical nursing practice. American Journal of Nursing, 84(12), 1480. https://doi.org/10.1097/00000446-198412000-00025.
Benner, P., Sutphen, M., Leonard‐Kahn, V., & Day, L. (2010). Educating nurses: A call for radical transformation. Jossey‐bass and Carnegie Foundation for the Advancement of Teaching and Learning.
Benner, P., & Wrubel, J. (1989). The primacy of caring: Stress and coping in health and illness. Addison‐Wesley.
Blumer, H. (1969). Symbolic interactionism: Perspective and method. Prentice Hall.
Carnevale, F. A. (2002). Authentic qualitative research and the quest for methodological rigour. The Canadian Journal of Nursing Research = Revue Canadienne de Recherche en Sciences Infirmieres, 34(2), 121–128.
Chaboyer, W., Harbeck, E., Lee, B.‐O., & Grealish, L. (2021). Missed nursing care: An overview of reviews. The Kaohsiung Journal of Medical Sciences, 37(2), 82–91. https://doi.org/10.1002/kjm2.12308.
Corbin, J., & Strauss, A. (2014). Basics of qualitative research: Techniques and procedures for developing grounded theory (4th ed.). SAGE.
Cornett, M., Palermo, C., & Ash, S. (2023). Professional identity research in the health professions‐a scoping review. Advances in Health Sciences Education: Theory and Practice, 28(2), 589–642. https://doi.org/10.1007/s10459-022-10171-1.
Dewar, J., Cook, C., Smythe, E., & Spence, D. (2023). A Heideggerian analysis of good care in an acute hospital setting: Insights from healthcare workers, patients and families. Nursing Inquiry, 30(4), e12561. https://doi.org/10.1111/nin.12561.
Dreyfus, S. E., & Dreyfus, H. (1980). A five‐stage model of the mental activities involved in directed skill acquisition. University of California.
Feo, R., Frensham, L. J., Conroy, T., & Kitson, A. (2019). “It's just common sense”: Preconceptions and myths regarding fundamental care. Nurse Education in Practice, 36, 82–84. https://doi.org/10.1016/j.nepr.2019.03.006.
Gormley, E., Connolly, M., & Ryder, M. (2024). The development of nursing‐sensitive indicators: A critical discussion. International journal of nursing studies. Advances, 7, 100227. https://doi.org/10.1016/j.ijnsa.2024.100227.
Hampton, K. B., Smeltzer, S. C., & Ross, J. G. (2021). The transition from nursing student to practicing nurse: An integrative review of transition to practice programs. Nurse Education in Practice, 52, 103031. https://doi.org/10.1016/j.nepr.2021.103031.
Healy, C. (2024). Self‐appropriation in nurse engagement: Facilitating the development of expert nurses using Benner and Lonergan. Nursing Philosophy, 25(3), e12480. https://doi.org/10.1111/nup.12480.
Kalánková, D., Kirwan, M., Bartoníčková, D., Cubelo, F., Žiaková, K., & Kurucová, R. (2020). Missed, rationed or unfinished nursing care: A scoping review of patient outcomes. Journal of Nursing Management, 28(8), 1783–1797. https://doi.org/10.1111/jonm.12978.
Kitson, A., Carr, D., Conroy, T., Feo, R., Grønkjær, M., Huisman‐de Waal, G., Jackson, D., Jeffs, L., Merkley, J., Muntlin Athlin, Å., Parr, J., Richards, D. A., Sørensen, E. E., & Wengström, Y. (2019). Speaking up for fundamental care: The ILC Aalborg statement. BMJ Open, 9, e033077. https://doi.org/10.1136/bmjopen-2019-033077.
Kitson, A., Carr, D., Feo, R., Conroy, T., & Jeffs, L. (2024). The ILC Maine statement: Time for the fundamental care [r]evolution. Journal of Advanced Nursing, 81, 523–536. https://doi.org/10.1111/jan.16108.
Lonergan, B. J. (1992). In F. Crowe & R. Doran (Eds.), Collected works of Bernard Lonergan: Insight (Vol. 3, 5th ed.). University of Toronto Press for Lonergan Research Institute of Regis College.
Mandal, L., Seethalakshmi, A., & Rajendrababu, A. (2020). Rationing of nursing care, a deviation from holistic nursing: A systematic review. Nursing Philosophy, 21(1), e12257. https://doi.org/10.1111/nup.12257.
Mayeroff, M. (1990). On caring. HarperCollins.
Morse, J. M. (1995). The significance of saturation. Qualitative Health Research, 5(2), 147–149. https://doi.org/10.1177/104973239500500201.
Morse, J. M. (2015). Critical analysis of strategies for determining rigor in qualitative inquiry. Qualitative Health Research, 25(9), 1212–1222. https://doi.org/10.1177/1049732315588501.
Mudd, A., Feo, R., Voldbjerg, S. L., Laugesen, B., Kitson, A., & Conroy, T. (2023). Nurse managers' support of fundamental care in the hospital setting. An interpretive description of nurse managers' experiences across Australia, Denmark, and New Zealand. Journal of Advanced Nursing, 79(3), 1056–1068. https://doi.org/10.1111/jan.15139.
Nishiya, K., Takashima, R., Shishido, I., & Yano, R. (2023). Meaning of hygiene care for patients as perceived by clinical nurses through an interactive care process: A grounded theory approach. Japan Journal of Nursing Science, 20(4), e12538. https://doi.org/10.1111/jjns.12538.
Nowell, L., Davidson, S., Gospodinov, J., Laing, C., Shajani, Z., Dewell, S., Conroy, T., & Button, D. (2023). Evaluating fundamental care knowledge to inform educational leadership. Journal of Advanced Nursing, 79(3), 1174–1188. https://doi.org/10.1111/jan.15279.
Ottonello, G., Napolitano, F., MusioMaria, E., Catania, G., Zanini, M., Aleo, G., Timmins, F., Sasso, L., & Bagnasco, A. (2023). Fundamental care: An evolutionaryconcept analysis. Journal of Advanced Nursing, 79, 2070–2080. https://doi.org/10.1111/jan.15451.
Pentecost, C., Frost, J., Sugg, H. V. R., Hilli, A., Goodwin, V. A., & Richards, D. A. (2020). Patients' and nurses' experiences of fundamental nursing care: A systematic review and qualitative synthesis. Journal of Clinical Nursing, 29(11–12), 1858–1882. https://doi.org/10.1111/jocn.15082.
Polit, D., & Beck, C. (2021). Nursing research: Generating and assessing evidence for nursing practice (11th ed.). Wolters Kluwer Health/Lippincott Williams & Wilkins.
Potter, P. A., Perry, A. G., Stockert, P. A., & Hall, A. M. (2020). Fundamentals of nursing (10th ed.). Elsevier.
Richards, L., & Morse, J. M. (2013). Qualitative research design. In Readme first for a user's guide to qualitative methods (3rd ed.). SAGE.
Savoie, C., Rey, S., Yokota, S., Dallaire, C., Kimura, S., Takatani, S., & Yano, Y. (2023). Fundamental care's state of knowledge around the world: Where are we now? A scoping review. Journal of Advanced Nursing, 79(3), 865–884. https://doi.org/10.1111/jan.15278.
Stănesu‐Yadav, D.‐N., & Lillekroken, D. (2023). Nurse preceptors' experiences of promoting and teaching fundamental care to undergraduate nursing students: A qualitative study. Journal of Advanced Nursing, 79(3), 1094–1106. https://doi.org/10.1111/jan.15372.
Stemmer, R., Bassi, E., Ezra, S., Harvey, C., Jojo, N., Meyer, G., Özsaban, A., Paterson, C., Shifaza, F., Turner, M. B., & Bail, K. (2022). A systematic review: Unfinished nursing care and the impact on the nurse outcomes of job satisfaction, burnout, intention‐to‐leave and turnover. Journal of Advanced Nursing, 78(8), 2290–2303. https://doi.org/10.1111/jan.15286.
Tims, M., Twemlow, M., & Fong, C. Y. M. (2022). A state‐of‐the‐art overview of job‐crafting research: Current trends and future research directions. Career Development International, 27(1), 54–78. https://doi.org/10.1108/CDI-08-2021-0216.
Tong, A., Sainsbury, P., & Craig, J. (2007). Consolidated criteria for reporting qualitative research (COREQ): A 32‐item checklist for interviews and focus groups. International Journal for Quality in Health Care, 19(6), 349–357. https://doi.org/10.1093/intqhc/mzm042.
White, E. M., Aiken, L. H., & McHugh, M. D. (2019). Registered nurse burnout, job dissatisfaction, and missed care in nursing homes. Journal of the American Geriatrics Society, 67(10), 2065–2071. https://doi.org/10.1111/jgs.16051.
Grant Information: JPMJSP2119 JST SPRING (Japan Science and Technology Agency Support for Pioneering Research Initiated by the Next Generation)
Contributed Indexing: Keywords: grounded theory; hygiene; nursing care
Entry Date(s): Date Created: 20250109 Date Completed: 20250109 Latest Revision: 20250109
Update Code: 20250110
DOI: 10.1111/jjns.12645
PMID: 39780641
Database: MEDLINE
Description
Abstract:Aim: To explore how perceptions of hygiene care practices among nurses in acute-care wards change over their clinical experience.<br />Methods: Based on symbolic interactionism, we employed a grounded theory methodology to explore interrelationships of meaning arising from actors' perceptions and interactions. Thirty-three nurses working in acute-care wards for &gt;3 years were selected by purposive snowball and theoretical sampling; semi-structured individual interviews were conducted from October 2023 to February 2024. Data were analyzed for 32 participants who provided consent.<br />Results: The core category was "adjusting care channels"; seven other categories also emerged. Care channels refer to options for hygiene care practices. When nurses are first assigned to a ward, they regard hygiene care as the "bare task under organization rules." However, through repeated processes of "emerging caring with patient resonance" and "internalizing the meaning of care," they can "form care channels." Subsequently, nurses become practitioners who can transform practices of hygiene care into "care to be restricted" or "wealth of 'life behind the curtain'" by "adjusting care channels" according to the patient and ward organization situation. In contrast, if nurses fail to internalize the meaning of care, they end up performing "pro forma activities."<br />Conclusions: Our findings highlight the importance of nurses to improve their ability to "adjust care channels," which would allow them to provide hygiene care in a manner appropriate to the patient and organizational context. These results contribute to the development of educational strategies that foster nurses' values of hygiene care and support strategies by nursing managers.<br /> (© 2025 Japan Academy of Nursing Science.)
ISSN:1742-7924
DOI:10.1111/jjns.12645