What am I meant to be doing? Putting practice into theory and back again in new nursing roles


Angie Titchen Research Associate, Institute of Nursing, Raadchiffe Infirmary, Woodstock Road, Oxford OX2 6HE, England


This two-part paper is based on some of the findings from an action research study of the development of patient-centred nursing in an acute medical unit In the first part, Angie Titchen presents findings from a case study of a ward undergoing the initial changes from traditional nursing to primary nursing She documents and reflects upon the complexity of establishing new nursing roles, the devolution of authority and the shift in power relationships within the ward team, and the confusion and pain caused by role ambiguity In the second part, we show how we addressed these problems through the action research