The use of metaphor in district nursing: maintaining a balance

Aim of the study. To explore with practitioners and others, their prioritie s for and definitions of district nursing. Background/Rationale. This paper discusses whether the use of metaphor in n ursing literature and research can offer particular insights about the situ ation and experiences of nurses. Design/Methods. A case study approach was used to examine district nursing during a time of policy change. The study was undertaken in two stages usin g a range of qualitative methods of enquiry. Participants of the study were district nurses, General Practitioners (GP) and Community Nursing managers . Results/Findings. Qualitative data from interviews and periods of observati on revealed that district nurses, and to a lesser extent General Practition ers and nurse managers used a shared group of metaphors to try and capture district nursing work. The paper suggest that this recurring group of metap hors demonstrated coherence between the language used, observed practice an d accounts of how district nurses worked which provided useful insights for district nursing. The metaphoric language revealed both negative and posit ive dimensions of district nursing work. It illuminated the context depende nt nature of district nursing work and the conflicting interests they had t o accommodate. It also revealed the emotional work, skills and strategies d istrict nurses employed in order to achieve their work. Conclusions. The paper concludes that an examination of metaphoric language offers an opportunity to examine what otherwise would be tacit or even mis understood in nursing work.