IDEAS home Printed from https://ideas.repec.org/a/sae/clnure/v28y2019i3p321-339.html
   My bibliography  Save this article

Professional Socialization: A Grounded Theory of the Clinical Reasoning Processes That RNs and LPNs Use to Recognize Delirium

Author

Listed:
  • Mohamed El Hussein
  • Sandra Hirst
  • Joseph Osuji

Abstract

Delirium is an acute disorder of attention and cognition. It affects half of older adults in acute care settings and is a cause of increasing mortality and costs. Registered nurses (RNs) and licensed practical nurses (LPNs) frequently fail to recognize delirium. The goals of this research were to identify the reasoning processes that RNs and LPNs use to recognize delirium, to compare their reasoning processes, and to generate a theory that explains their clinical reasoning processes. Theoretical sampling was employed to elicit data from 28 participants using grounded theory methodology. Theoretical coding culminated in the emergence of Professional Socialization as the substantive theory. Professional Socialization emerged from participants’ responses and was based on two social processes, specifically reasoning to uncover and reasoning to report. Professional Socialization makes explicit the similarities and variations in the clinical reasoning processes between RNs and LPNs and highlights their main concerns when interacting with delirious patients.

Suggested Citation

  • Mohamed El Hussein & Sandra Hirst & Joseph Osuji, 2019. "Professional Socialization: A Grounded Theory of the Clinical Reasoning Processes That RNs and LPNs Use to Recognize Delirium," Clinical Nursing Research, , vol. 28(3), pages 321-339, March.
    • Handle: RePEc:sae:clnure:v:28:y:2019:i:3:p:321-339
    DOI: 10.1177/1054773817724961
    as

    Download full text from publisher

    File URL: https://journals.sagepub.com/doi/10.1177/1054773817724961
    Download Restriction: no
    File URL: https://libkey.io/10.1177/1054773817724961?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Joaquim Cerejeira & Elizabeta B. Mukaetova-Ladinska, 2011. "A Clinical Update on Delirium: From Early Recognition to Effective Management," Nursing Research and Practice, Hindawi, vol. 2011, pages 1-12, June.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Mohamed El Hussein & Sandra Hirst, 2016. "Tracking the footsteps: a constructivist grounded theory of the clinical reasoning processes that registered nurses use to recognise delirium," Journal of Clinical Nursing, John Wiley & Sons, vol. 25(3-4), pages 381-391, February.
    2. Abeer A Selim & E. Wesley Ely, 2017. "Delirium the under‐recognised syndrome: survey of healthcare professionals’ awareness and practice in the intensive care units," Journal of Clinical Nursing, John Wiley & Sons, vol. 26(5-6), pages 813-824, March.
    3. Rhonda L Babine & Kristiina E Hyrkäs & Sarah Hallen & Heidi R Wierman & Deborah A Bachand & Joanne L Chapman & Valerie J Fuller, 2018. "Falls and delirium in an acute care setting: A retrospective chart review before and after an organisation‐wide interprofessional education," Journal of Clinical Nursing, John Wiley & Sons, vol. 27(7-8), pages 1429-1441, April.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:sae:clnure:v:28:y:2019:i:3:p:321-339. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: SAGE Publications (email available below). General contact details of provider: .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.