Understanding Emergency Nursing Practice Belief Systems
Ethnography is the oldest form qualitative research methodology applied in the exploration of cultural beliefs and anthropological surveys. The study is important in understanding the social belief of the patients and nurses and how it affect the contemporary Australian Emergency Department. The research work is based entirely on fieldwork that was conducted through observations and interviews of people sampled from the University of Sydney and human ethical research committee.
Various beliefs are used to try to give clear meaning of the topic. The belief that affect the contemporary hospitality includes; respect for space and privacy, taking control and responsibility, patients are not expected to ask for a bed while in the hospital, a level playing field or fairness, consideration of having a referral letter and not wasting time at the emergency department are also focused in the study. The study help understands the independent variables such as attitude in the higher institutions and the emergency health department. The beliefs explain the need for consideration, sensitivity and competence of nurses to meet the growing concern at the emergency health care.
- Phenomena of Interest
Knowledge of Australian Cultural diversity is essential to improving service delivery for all the nursing practices. For that reason, having a good understanding and of how cultural life’s can put up with theories within the nursing practices in the research, clinical, education and administrative systems. Study is interested in understanding how the cultural belief can affect the role of nursing and nursing practices such as behavior and decision-making in the Australian Emergency Department (Fry, 2012).
- How the Researchers Explain what is Already known about the Phenomenon
An Ethnographic study conducted in four metropolitan tertiary referral hospitals finding explains some of the cultural beliefs that affect the emergency nursing practice belief systems in Australia. The results realized are based on seven beliefs, which include; respecting place and privacy, taking control and responsibility, patients not coming with expectations, not asking for beds, expecting equal attention, no benefit from having a referral letter, and no time wastage. The seven beliefs provide meaning in the ways patients are bound by the cultural knowledge in the daily nursing activities (Ibid).
- The Research Tradition and Design
Cultural diversity is a very complex and dynamic situation that call for a qualitative research design to understand the complex human realities. The research tradition and design used in the study can be described as descriptive, correlational, exploratory and experimental. The design is descriptive in the sense that a survey had been conducted that realized culture belief is existing within the nursing practice. Correlational as a research design takes observation and interviews as some of the methodologies used in for the study (Gerrish& Lacey, 2010).
The data collection methods were conducted to the convenience of patients interacting with Triage Nurses participating in the study. The experimental and exploratory design step in when random interviews were carried out to identify the effect of beliefs that regulate and sustain the understanding of patient’s conduct. The research can be described a confirmatory since it tests the prediction already made from a previous study prior to the measurement phase (Fry, 2012).
- Effectiveness of the Research Design to Answering the Research Question
The research designs were appropriate for answering the research questions. The use of descriptive research was useful in obtaining the exact condition of the issue being addressed and the description of the phenomena of the variables existing within the situation. Experimental and exploratory helped in yielding the information that was used to analyze the problem whose real scope was still unclear.
Ethnography is a research technique that is effective in investigating complex issues such as the one existing between the cultural belief of the patients and the nurse. Emergency department can be described as the social interaction center where patients with unpredictable situations and relationships interact with the nurses. With regards to the data showing the Triage Nurse Age and years of experience, ethnography is able to identify group range that is most affected by the beliefs at the Emergency Department. The data analysis provides in-depth understanding and valid interpretation of the cultural beliefs (Gerrish& Lacey, 2010).
The research design involved the application of interviews and observations that create a voice of understanding and attitude monitoring to help understand the culture, opinion and perception of both the patient and the nurses. The research design provides an opportunity for the patients to have the knowledge that they lack on how the nurses and the emergency department operates.
The research design is effective as it pays close attention to the cultural ethics and workplace ethics that must be considered to establish an effective conclusion. The two areas of study call for quality planning in order to maintain the good relationships (Fry, 2012). The study was also conducted over a period that enable an in-depth understanding of human behavior and at the same time making further inquiry in the study.
- Congruence Between the Research Questions, Qualitative Approach, Design, and Specific Research Tradition
Ethnography as one form of qualitative research method is useful in obtaining group comparison data in a cross-sectional setting. The study looks at cultural beliefs and the emergency care in relation to the patients and nurses. The goal of the research design is specific to finding people’s behavior in a natural setting, the hospital. The research question is similar to the research tradition since it involved the dialog through interviews, cognitive through observations and behaviorist realized through the analysis of data collected in the seven beliefs (Gerrish& Lacey, 2010).
The research question involves the interpretation of human action that take the form of verbal explanation and description, with a qualitative and statistical analysis of the data collected in the first belief. In the discussions, the study reveals that belief interrelates with the emotional response, and that lack of cultural knowledge and emotions can influence the way of nurses thinking while responding to emergencies (Fry, 2012). The research questions, data collection through interviews give the whole understanding of the social setting without making predictions of people’s feelings and expectations.
Fry, M. (2012).Ethnography: Understanding emergency nursing practice belief systems.International Emergency Nursing. Rockville Pike, USA.
Gerrish, K., & Lacey, A. (2010).The research process in nursing.Chichester, West Sussex, U.K: Wiley-Blackwell.