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139<br />

Chapter 4 Research Method<br />

relief staff were supplied. A total <strong>of</strong> 123 daily rosters were collected. In order to<br />

obtain a full picture <strong>of</strong> the staffing levels and skill mix, the rosters were analysed for<br />

the total number <strong>of</strong> staff on duty at morning report and the total number <strong>of</strong> staff on<br />

duty at evening report. The number <strong>of</strong> staff nurses, healthcare assistants, clinical nurse<br />

mangers and relief staff on duty was analysed. The number <strong>of</strong> staff on sick leave and<br />

the relief provided was also analysed. The staff turnover during this four-month<br />

period was subsequently analysed. The results <strong>of</strong> this analysis are presented in the<br />

findings chapter.<br />

4.7.5 Philosophy <strong>of</strong> Care<br />

A philosophy <strong>of</strong> care was displayed in a picture frame on the wall just inside the front<br />

door <strong>of</strong> the unit. This philosophy <strong>of</strong> care was developed by the staff with the aim <strong>of</strong><br />

outlining the ethos <strong>of</strong> the unit (Appendix 10). This was photocopied in order to<br />

conduct a content analysis on it. The content <strong>of</strong> the philosophy <strong>of</strong> care document was<br />

analysed for the presence or absence <strong>of</strong> the attributes, antecedents and consequences<br />

<strong>of</strong> autonomy as delineated from the concept analysis <strong>of</strong> autonomy (Chapter 2).<br />

Therefore it was analysed line by line for any element <strong>of</strong> resident autonomy.<br />

Following the collection <strong>of</strong> the documents relevant to this research study,<br />

observations were recorded and the next section describes how these observations<br />

were conducted.<br />

4.8 Observation Data Collection<br />

This section describes how observational data were collected in order to observe for<br />

resident autonomy in the practice setting and thus inform the case study. This section<br />

first describes how the observation guide was developed and then explains how the<br />

observations were conducted and subsequently analysed.<br />

4.8.1 Development <strong>of</strong> the Observation Guide<br />

Non-participant structured (molecular) and mobile (positioning) observations were<br />

carried out over a two-day period. In order to develop the observation guide the<br />

researcher analysed the literature that discussed using observations as a data collection<br />

method. The observation guide was developed from the concept analysis <strong>of</strong> resident

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