Conference Proceedings - School of Nursing & Midwifery - Trinity ...

School of Nursing & Midwifery, Trinity College Dublin: 8 th Annual Interdisciplinary Research Conference
Transforming Healthcare Through Research, Education & Technology: 7 th – 9 th November 2007
Conference Proceedings
The “practical force is the
sense of obligation that
derives from things that
occur after one acts”
(Pearce, 1989).
The contextual force is the
blending of our obligations
within the context of self,
other and the relationship.
The implicative force
stems from the obligation
of anticipated effects or
what one may gain as an
outcome as the
conversation unfolds.
Research Analysis and Themes
what could be thought of as a type of
conversation game
From the nursing perspective, the
practical way to interact with a
physician is to be submissive to some
extent as to not agitate and or
blatantly challenge the physician. Here
the physician may use intimidation to
create a dominant authoritative
presence within this aspect of this
interaction so that they are not
questioned and or challenged.
Nurses try to find a balance that gives
them some presence and sense of a
nursing self that can compliment the
physician without challenging the
hierarchy. And, that the building of
relationship appears to be essential in
developing an effective conversational
space between these two parties.
Nurses know that by agreeing with the
physician to some extent that the
nurse may be looked upon in a more
favorable light from the physicians and
this is problematic when one needs to
be heard from their own perspective
and with their own individual sense of
a story and with a unique voice
(Pearce, 1989, p. 40). And, to create a
culture of safety nurses need to
develop a relationship with physicians
that perpetuates respect, which then
allows for and or creates a space of
trust between the nurses and
physicians.
After developing the typology and to continue with the
research analysis I searched for prevalent themes in the data
stemming from the perspectives of the nurses, physicians,
technologists and non-clinical personnel. The emerging themes were
developed by searching for like statements and words in the
participants’ narrative responses.
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