Scoping the reality of nurse hysteroscopists: A case study

This study involves a unique cohort of training and qualified nurse hysteroscopists educated with the same provider. The aim of the research study was to explore the experiences of nurse hysteroscopists undertaking 'see and treat' outpatient hysteroscopy services. There is plenty of literature of advanced practice and activities of an advanced practitioner but with limited contextualisation of socio-cultural implications of taking on a specialised clinical role and what it means for the nurse. The wider sociological issues of organisations, feminisation of the health service and gendered occupational boundaries were considered.

The research takes a case study approach. In phase one, nine nurses participated in creating mind maps with storytelling narratives providing an in-depth understanding of their working lives. The maps illustrated organisational relationships with each nurse who then developed the story behind the map which was digitally recorded. The interviews lasted an average 45 minutes. Each of the nurses had their map and summaries of the analysis returned to them for comment.

The second phase of the study used an on-line survey based on issues raised in phase one. This enabled more of the study group to participate and established a degree of commonality between the two groups. Twenty-six nurses participated. A descriptive analysis of the data and qualitative comments are compared with those of the interviewees.

Key findings are set into context of the health service in the 21st century. It is proposed that there is a culture of organisational closure. Frustration due to poor organisational culture requires nurses to use significant effort in negotiation with and for services in order to achieve their full potential. Inconsistent planning, no sustained sense of purpose from senior staff and professional jealousy required nurses to use skills associated with emotional intelligence to sustain themselves and maintain the hysteroscopy service.

Recommendations include developing the nurses‟ interpersonal and social skills. A model is proposed for developing services and a recommendation made that a more strategic approach is taken by organisations.