Nursing the clinic, being there and hovering: ways of caring in a British fertility unit.
OBJECTIVE
To explore the meaning of caring in a fertility unit and to present the findings and discuss their implications for practice.


BACKGROUND
Little research has been published internationally on the nature of nursing care in the fertility field. This study was intended to stimulate debate over the nature of care in fertility work.


METHODS
An ethnographic approach, which included part-time participant observation and in-depth focused interviews with staff and patients. Data were also collected using a field and a research diary. Data were analysed using a modified thematic analysis.


RESULTS
The data suggest that caring is strongly linked with nurses and that patients' expectations of nurses may be more practically than emotionally focused. I argue that the organization of nursing work, which I call 'nursing the clinic and the doctor', facilitated this practical approach to caring. I discuss two features of nursing the clinic and the doctor: hovering and being there.


CONCLUSIONS
While there may be other factors that influence the practice of this form of non-intimate caring, nursing in this way may be what patients desire and may be congruent with managing emotions. The findings have implications for the discourse on intimacy and caring within fertility nursing as well as in different outpatient settings.
Allan
Helen T
HT
Research Fellow, European Institute of Health and Medical Sciences, University of Surrey, Guildford, Surrey, UK. fairleyallan@aol.com
D003696:Delivery Rooms / Q000458:organization & administration*; D005260:Female; D006801:Humans; D007407:Interviews as Topic; D016389:Maternal-Child Nursing / Q000458:organization & administration*; D009723:Nurse-Patient Relations; D009732:Nursing Care / Q000523:psychology* / Q000592:standards*; D011247:Pregnancy; D018456:Reproductive Medicine / Q000458:organization & administration*; D006113:United Kingdom