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J Caring Sci. 2022;11(2): 83-93.
doi: 10.34172/jcs.2021.020
PMID: 35919278
PMCID: PMC9339127
  Abstract View: 1320
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Original Article

Factors Involved in Praxis in Nursing Practice: A Qualitative Study

Forough Rafii 1 ORCID logo, Alireza Nikbakht Nasrabadi 2 ORCID logo, Fereshteh Javaheri Tehrani 3* ORCID logo

1 Department of Medical Surgical Nursing, Member of Nursing Care Research Center, Faculty of Nursing and Midwifery school, Iran University of Medical Sciences, Tehran, Iran
2 Department of Medical Surgical Nursing, School of Nursing and Midwifery, Tehran University of Medical Science, Tehran, Iran
3 Department of Community Health Nursing, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran
*Corresponding Author: *Corresponding Author: Fereshteh Javaheri Tehrani Email: fereshte.javaheri@yahoo.com, , Email: javaheri.t.f@gmail.com

Abstract

Introduction: Praxis is a process of applying knowledge in nursing practice to advance emancipatory goals in society and in the world and to eliminate any injustice and discrimination in care. Praxis requires the coherent application of patterns of knowing in nursing practice; however, understanding nursing knowledge is complex and using experiential knowledge alone cannot help us achieve it. The aim of this study was to determine the factors involved in praxis in nursing practice.

Methods: The method adopted was qualitative. The researcher interviewed 19 nurses and attended eight observation sessions in different hospital departments. The findings were analyzed using conventional content analysis.

Results: Findings from analyzing interviews and observations indicated that desirable and humanistic attributes and effective nurse-patient communication are facilitators of praxis. In contrast, prejudice, occupational barriers, negative thoughts, and discriminatory beliefs are barriers of praxis in nursing practice.

Conclusion: If we consider praxis as the simultaneous application of all patterns of knowing alongside efforts to create social justice, factors that drive nurse performance toward social justice, facilitate praxis, and factors that contribute to varied degrees of discrimination and injustice, inhibit praxis. By identifying these factors, nurses may identify and eliminate social justice barriers to care.

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Submitted: 23 Apr 2021
Revision: 10 Jun 2021
Accepted: 14 Jul 2021
ePublished: 24 Jul 2021
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