MSc Dissertation Interview 2, May 22nd 2021
Channel: semw52
Date: 11/03/2022

The Interviews were an essential and important part of the research process.All participants provided informed consent and pseudonyms were used for reasons of confidentiality---permissions were given to share the interviews for educational reasons.Lots of background reading and interpretation was also an important part to look at the wider picture and the expertise of other professionals.The ethnographic process allowed for subjectivity and expression--allowed the voices of the nurses to be heard and their thoughts, feelings and experiences shared...The actual recordings were deciphered for themes and concepts in the interpretation of the problems the nurses experienced while working in a busy acute setting with staff shortages and often complex nursing care procedures following  surgery e.g. the Obs...Observations and recordings, blood transfusions, wound care,  IV therapies, drug rounds...Lots of skills  needed to monitor patients after surgery---their medical and physical observations essential to  keep them safe.....The lack of Time and the business of the environment often seen as barriers to effective holistic care and especially when caring for the elderly confused patient who were  in need of Time, in need of  individual care.Patients who are often traumatized by injury and then surgery, dependent as a result and placed on very busy wards--hustle and bustle, bells ringing, phones ringing--lots of activity but no time to STOP.....Wards geared up for  many tasks ,under pressure...Staff stretched...All these things influence care--cultures evolve to cope  ....etc...Problems  only become problems when any chaos  enters the work place--so called disruptive episodes---The Confused wandering patient seen as such an event-----some  can become aggressive  following anesthetics and become distressed, immobile---the use of  the 'chemical Cosh' used at times to 'settle' people ---so many experiences  of having to cope with a very busy work load with little support--individual care --holistic care very difficult to implement ---the culture  seen as not conducive to holism---task orientation used for efficiency but with side effects---attitudes and behaviors can develop with nurses run ragged by trying to get the work done--the 'turns', the washes, the doctors rounds, the meals and the paperwork---car plans---But little time to use diversional therapies, orientation and reality therapies and other methods to help the confused patient...The environment not designed to cater, the  culture not set up to employ alternative  caring plans--no Time, No staff, no philosophical changes or approaches...Under Pressure the norm it seems...