title: Nurses' altered conceptions of work in a ward with all-RN staffing.
abstract: 1. The aim of this study was to investigate how nurses' conceptions of their patients and work changed after reorganization to all RN-staffing and the adoption of a patient-in-focus philosophy on the ward. 2. The study builds on the perspective that the individual's conception of work precedes and forms the basis for the development of knowledge, skills and attributes used in accomplishing work. 3. The findings are based on a secondary analysis of two open interviews with 22 nurses on the ward. These interviews were conducted on two occasions with an interval of 2 years. The third interview was carried out 6 months later, when 10 nurses were asked to talk about a patient's care episode in a narrative form. 4. The nurses' conceptions changed towards a holistic view of the patient, they developed a new approach to work and they used the altered circumstances in their work.
authors.affiliation: Göteborg University, Institute of Nursing, Göteborg, Sweden. solveig.lundgren@fhs.gu.se
authors.forename: Solveig M
authors.initials: SM
authors.lastname: Lundgren
authors.forename: Kerstin
authors.initials: K
authors.lastname: Segesten
mesh_terms: D001291:Attitude of Health Personnel; D005260:Female; D019538:Health Care Surveys; D006754:Hospital Restructuring; D006757:Hospital Units; D006785:Hospitals, University; D006801:Humans; D007588:Job Satisfaction; D008297:Male; D009720:Nurse Clinicians / Q000523:psychology / Q000600:supply & distribution*; D009741:Nursing Staff, Hospital / Q000523:psychology / Q000600:supply & distribution*; D010561:Personnel Staffing and Scheduling; D011787:Quality of Health Care; D013503:Surgery Department, Hospital; D011795:Surveys and Questionnaires; D013548:Sweden; D000078329:Workforce; D016526:Workload