1
|
Garcia R, Qureshi I. Nurse identity: reality and media portrayal. Evid Based Nurs 2021; 25:1-5. [PMID: 34620698 DOI: 10.1136/ebnurs-2021-103480] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/14/2021] [Indexed: 11/03/2022]
Affiliation(s)
- Rebecca Garcia
- Faculty of Wellbeing, Education and Language Studies, The Open University, Milton Keynes, Buckinghamshire, UK
| | - Irtiza Qureshi
- School of Medicine, University of Nottingham, Nottingham, Nottinghamshire, UK
| |
Collapse
|
2
|
Durkin M, Gurbutt R, Carson J. Stakeholder perspectives of compassion in nursing: The development of the compassion strengths model. J Adv Nurs 2019; 75:2910-2922. [DOI: 10.1111/jan.14134] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/16/2019] [Revised: 06/11/2019] [Accepted: 06/18/2019] [Indexed: 12/30/2022]
Affiliation(s)
- Mark Durkin
- School of Health and Human Sciences University of Bolton Bolton UK
| | - Russell Gurbutt
- School of Health and Human Sciences University of Bolton Bolton UK
| | - Jerome Carson
- School of Education and Psychology University of Bolton Bolton UK
| |
Collapse
|
3
|
Žiedelis A. Associations between Psychosocial Work Environment Factors with Work Engagement and Burnout in Nursing. PSICHOLOGIJA 2019. [DOI: 10.15388/psichol.2019.4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
The psychosocial work environment (i.e., job demands and resources) is a significant determinant of nurses’ health and motivation; yet, despite the close associations between specific work environment factors, various frameworks suggest different aspects as the most important among the rest. Having in mind the assumption that a more abstract level of analysis might be equally relevant for understanding the work environment and predicting significant outcomes, the aim of this study was to discern the latent factors of nursing work environment and to evaluate their significance in predicting nurses’ work engagement and exhaustion.
Two hundred eleven nurses participated in a two-wave time-lagged survey (ΔT = 8 months). In this survey, 1 Expanded Nursing Stress Scale and several subscales of the Work Design Questionnaire were used to measure main job demands and resources in nursing. At that time, 2 participants were asked to fill out an Utrecht Work Engagement Scale and Copenhagen Burnout Inventory. Exploratory factor analysis (EFA) and hierarchical regression analysis were used for analyzing the data.
The EFA results revealed that two factors can be discerned, each related to main job demands and resources accordingly. Based on these results, the aggregated indexes of job demands and resources were calculated. A linear regression analysis showed that these indexes predicted nurses’ work engagement and exhaustion no worse than specific factors, despite the loss of variance due to aggregation. Practical implications of such conclusions are also discussed in the article.
Collapse
|
4
|
Abstract
The following is the opening address given by Professor Alison Tierney at the Royal College of Nursing's International Nursing Research Conference held at Heriot Watt University, Edinburgh, on April 3, 1998
Collapse
|
5
|
Abstract
Purpose:This study uncovers reasons students report for wanting to become nurses, to quantify those who feel that they are called to nursing, and to learn what “being called” means to them. Method:A descriptive, cross-sectional survey was conducted with all students enrolled in nursing courses at one program in a private, faith-based university. Findings:Most students decided to go to nursing school while in high school or college and chose nursing because they had a desire to help others. The most common personal characteristics they identified that will be helpful in nursing were being caring or compassionate. Almost two thirds of the students indicated they were “called” by God to become nurses. Conclusion and Implications:Findings can help nursing educators and leaders determine howto better recruit and retain individuals into the nursing profession and howto support and encourage caring and compassionate qualities in all nurses.
Collapse
Affiliation(s)
- Lyn Prater
- Louise Herrington School of Nursing, Baylor University, Dallas, Texas, USA
| | | |
Collapse
|
6
|
Nursing academics’ languages of legitimation: A discourse analysis. Int J Nurs Stud 2009; 46:1566-79. [DOI: 10.1016/j.ijnurstu.2009.05.013] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/31/2008] [Revised: 04/17/2009] [Accepted: 05/25/2009] [Indexed: 11/21/2022]
|
7
|
Lindsay S. The Care–tech Link: An Examination of Gender, Care and Technical Work in Healthcare Labour. GENDER WORK AND ORGANIZATION 2008. [DOI: 10.1111/j.1468-0432.2007.00387.x] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
|
8
|
McNamara MS. Of bedpans and ivory towers? Nurse academics’ identities and the sacred and profane: A Bernsteinian analysis and discussion paper. Int J Nurs Stud 2008; 45:458-70. [PMID: 17011563 DOI: 10.1016/j.ijnurstu.2006.07.012] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/08/2006] [Revised: 06/20/2006] [Accepted: 07/13/2006] [Indexed: 11/21/2022]
Abstract
AIM In light of debates arising from recent developments in Irish nursing education, this paper analyses tensions in the positioning of nursing in academia in terms of notions of the sacred and profane, and the symbolic boundaries between them, and discusses the implications of this analysis for nurse academics' identities. BACKGROUND The entry of nursing education to the higher education sector has occurred against a discursive backcloth of opposition which constructs nursing work as either sacred, and under threat from the academy, or profane, and unworthy of a place in it. METHOD Conceptual resources derived from the work of Basil Bernstein are deployed to analyse the forces driving the loom weaving this discursive backcloth. These forces are conceptualised as deriving from deep-seated fears and anxieties sparked by changes in the strength of symbolically important boundaries between constructions of the sacred and profane in the fields of nursing and higher education. These constructions are explicated. FINDINGS Bernstein regards secure academic identities as inhering in strong boundaries between disciplines and between the fields of education and work. The transfer of nursing education from health to the higher education sector and nurse academics' attempts to articulate a nursing-discipline specific knowledge base can be understood in these terms. This analysis challenges nurse academics who promote disciplinary eclecticism and those who legitimate academic nursing principally in terms of the acquisition of generic and transferable lifelong learning skills. CONCLUSIONS To counter a discourse that constructs them as a profane presence in higher education, some nurse academics have articulated a discourse of legitimation that constructs (academic) nursing as a sacred endeavour. Whether this can provide the grounds of their legitimacy and the basis of their careers as distinctively nursing academics is unclear at this stage of nursing's development as an academic discipline.
Collapse
Affiliation(s)
- Martin S McNamara
- UCD School of Nursing, Midwifery and Health Systems, UCD Health Sciences Centre, UCD Dublin, Belfield Dublin 4, Dublin, Ireland.
| |
Collapse
|
9
|
Kirov R, Kinkelbur J, Banaschewski T, Rothenberger A. Sleep patterns in children with attention-deficit/hyperactivity disorder, tic disorder, and comorbidity. J Child Psychol Psychiatry 2007; 48:561-70. [PMID: 17537072 DOI: 10.1111/j.1469-7610.2007.01729.x] [Citation(s) in RCA: 82] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
BACKGROUND In children, attention-deficit/hyperactivity disorder (ADHD), tic disorder (TD), and their coexistence (ADHD + TD comorbidity) are very common and clinically important. Associated sleep patterns and their clinical role are still insufficiently investigated. This study aimed at characterizing these sleep patterns in children with ADHD, TD, and ADHD + TD comorbidity and determining whether, in ADHD + TD, the factors ADHD and TD may affect the sleep pattern in an independent (additive) or in a complex (interactive) manner. METHOD By means of polysomnography, sleep patterns were investigated in 4 groups of unmedicated 8.0-16.4-year-old children (healthy controls, ADHD-only, TD-only, and ADHD + TD). Each group consisted of 18 subjects matched for age, gender, and intelligence. RESULTS ADHD was primarily characterized by increase in rapid eye movement (REM) sleep, whereas TD patients displayed lower sleep efficiency and elevated arousal index in sleep. In children with ADHD + TD, both effects appeared. No interaction between the ADHD and TD factors was found for any of the sleep parameters. Significant correlations between sleep patterns and clinical symptoms were found. CONCLUSIONS ADHD and TD are characterized by specific sleep alterations. When coexisting, the two disorders alter the sleep pattern in an additive manner, suggesting a high impact on clinical and therapeutic perspectives.
Collapse
Affiliation(s)
- Roumen Kirov
- Institute of Physiology, Bulgarian Academy of Sciences, Sofia, Bulgaria
| | | | | | | |
Collapse
|
10
|
Masuo Y, Ishido M, Morita M, Sawa H, Nagashima K, Niki E. Behavioural characteristics and gene expression in the hyperactive wiggling (Wig) rat. Eur J Neurosci 2007; 25:3659-66. [PMID: 17610585 DOI: 10.1111/j.1460-9568.2007.05613.x] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
Recently, congenic wiggling (Wig) rats were described as a good model for attention-deficit hyperactivity disorder; 12- to 14-week-old animals demonstrated hyperactivity, impulsive behaviour and an impaired working memory. Here, we show that 4- to 5-week-old Wig rats displayed significantly greater spontaneous motor activity than control rats during a period of darkness. Subcutaneous injection of 4 mg/kg methamphetamine exacerbated hyperactivity, the reverse of its effect in rats with neonatally induced 6-hydroxydopamine lesions. Immunohistochemistry showed low levels of tyrosine hydroxylase in the ventral midbrain, similar to 6-hydroxydopamine-treated rats. In cDNA macroarrays, 4-week-old Wig rats showed increased expression of the adenosine A2a receptor in the dorsal striatum, macrophage migration inhibitory factor in the frontal cortex, ventral striatum and midbrain, and calbindin 2 in the dorsal and ventral midbrain. Expression of the gamma-aminobutyric acid (GABA) transporter and sterol carrier protein 2 genes was reduced in all regions. Dopamine transporter gene expression was increased in the dorsal midbrain but decreased in the ventral midbrain, a pattern distinct from that induced by 6-hydroxydopamine. Although abnormal development of dopaminergic neurons may underlie motor hyperactivity, other mechanisms may control responsiveness to methamphetamine. Wig rats may provide a model of attention-deficit hyperactivity disorder in which treatment with psychostimulants accelerate the hyperactivity.
Collapse
Affiliation(s)
- Yoshinori Masuo
- Human Stress Signal Research Center, National Institute of Advanced Industrial Science and Technology, Tsukuba West, 16-1 Onogawa, Tsukuba 305-8569, Japan.
| | | | | | | | | | | |
Collapse
|
11
|
Abstract
OBJECTIVE There is some evidence to suggest that attention deficit hyperactivity disorder (ADHD) and juvenile bipolar disorder could be related. This is based on studies of comorbidity and some preliminary family study data. However, doubts continue to be raised about the relationship between the two disorders. This study examined the comorbidity of disruptive behavior disorders (DBD) that include ADHD, oppositional defiant disorder (ODD) and conduct disorder (CD) in juvenile bipolar disorder. METHOD Seventy-three subjects with onset of bipolar disorder at age 18 years or younger were evaluated using structured interviews (Missouri Assessment of Genetics Interview for Children, Structured Clinical Interview for DSM-IV Axis I disorders--Clinician Version, and Operational Criteria Checklist for Psychotic Disorders version 3.4). Information was collected from subjects as well as from their parents. Patients with comorbid DBD were compared with patients without DBD. RESULTS Ten subjects (14%) had one or more comorbid DBD. ADHD, CD, and ODD were present in three (4%), two (3%), and eight (11%) subjects, respectively. Those with DBD had earlier onset of bipolar disorder and spent more time ill compared to those without DBD. CONCLUSIONS The rates of comorbid DBD in juvenile bipolar disorder are low. The study does not support a definite relationship between ADHD and juvenile bipolar disorder. Higher rates reported previously may be due to differing methods of subject ascertainment. Samples recruited from community and general psychiatric settings may help to clarify the relationship between bipolar disorder and ADHD.
Collapse
Affiliation(s)
- T Jaideep
- Department of Psychiatry, National Institute of Mental Health and Neurosciences (NIMHANS), Bangalore, India
| | | | | |
Collapse
|
12
|
Sonuga-Barke EJS, Auerbach J, Campbell SB, Daley D, Thompson M. Varieties of preschool hyperactivity: multiple pathways from risk to disorder. Dev Sci 2005; 8:141-50. [PMID: 15720372 DOI: 10.1111/j.1467-7687.2005.00401.x] [Citation(s) in RCA: 90] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
In this paper we examine the characteristics of preschool attention deficit hyperactivity disorder (ADHD) from both mental disorder and developmental psychopathology points of view. The equivalence of preschool and school-aged hyperactivity as a behavioral dimension is highlighted together with the potential value of extending the use of the ADHD diagnostic category to the preschool period where these behaviours take an extreme and impairing form (assuming age appropriate diagnostic items and thresholds can be developed). At the same time, the importance of identifying pathways between risk and later ADHD is emphasized. Developmental discontinuity and heterogeneity are identified as major characteristics of these pathways. We argue that models that distinguish among different developmental types of early-emerging problems are needed. An illustrative taxonomy of four developmental pathways implicating preschool hyperactivity is presented to provide a framework for future research.
Collapse
|
13
|
Masuo Y, Ishido M, Morita M, Oka S, Niki E. Motor activity and gene expression in rats with neonatal 6-hydroxydopamine lesions. J Neurochem 2004; 91:9-19. [PMID: 15379882 DOI: 10.1111/j.1471-4159.2004.02615.x] [Citation(s) in RCA: 16] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
A rat model of a hyperkinetic disorder was used to investigate the mechanisms underlying motor hyperactivity. Rats received an intracisternal injection of 6-hydroxydopamine on post-natal day 5. At 4 weeks of age, the animals showed significant motor hyperactivity during the dark phase, which was attenuated by methamphetamine injection. Gene expression profiling was carried out in the striatum and midbrain using a DNA macroarray. In the striatum at 4 weeks, there was increased gene expression of the NMDA receptor 1 and tachykinins, and decreased expression of a GABA transporter. At 8 weeks, expression of the NMDA receptor 1 in the striatum was attenuated, with enhanced expression of the glial glutamate/aspartate transporter. In the midbrain, a number of genes, including the GABA transporter gene, showed decreased expression at 4 weeks. At 8 weeks, gene expression was augmented for the dopamine transporter, D4 receptor, and several genes encoding peptides, such as tachykinins and their receptors. These results suggest that in the striatum the neurotransmitters glutamate, GABA and tachykinin may play crucial roles in motor hyperactivity during the juvenile period. Several classes of neurotransmitters, including dopamine and peptides, may be involved in compensatory mechanisms during early adulthood. These data may prompt further neurochemical investigations in hyperkinetic disorders.
Collapse
Affiliation(s)
- Yoshinori Masuo
- Human Stress Signal Research Center, National Institute of Advanced Industrial Science and Technology (AIST), Tsukuba, Japan.
| | | | | | | | | |
Collapse
|
14
|
Sonuga-Barke EJS, De Houwer J, De Ruiter K, Ajzenstzen M, Holland S. AD/HD and the capture of attention by briefly exposed delay-related cues: evidence from a conditioning paradigm. J Child Psychol Psychiatry 2004; 45:274-83. [PMID: 14982241 DOI: 10.1111/j.1469-7610.2004.00219.x] [Citation(s) in RCA: 27] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
BACKGROUND The selective attention of children with attention deficit/hyperactivity disorder (AD/HD) to briefly exposed delay-related cues was examined in two experiments using a dot-probe conditioning paradigm. METHOD Colour cues were paired with negatively (i.e., imposition of delay) and positively valenced cues (i.e., escape from or avoidance of delay) during a conditioning phase. These cues were presented alongside neutral cues in a subsequent dot-probe detection phase. RESULTS In experiment 1 teacher-identified children with AD/HD (N = 12), but not controls (N = 12), displayed an attentional bias towards both positively and negatively valenced cues. In experiment 2 children with a diagnosis of hyperkinetic disorder (N = 15), but not controls (N = 15), displayed a bias towards delay-related cues. However, this effect was largely carried by the response to positively valenced cues. CONCLUSIONS These results confirm the dot-probe conditioning paradigm as a useful test of motivational influence on attention. They provide the first evidence of qualitative differences in the attentional style of children with AD/HD and give further support to those theories that highlight the motivational significance of delay in AD/HD.
Collapse
Affiliation(s)
- Edmund J S Sonuga-Barke
- Centre for Research into Psychological Development, Department of Psychology, University of Southampton, Highfield, UK.
| | | | | | | | | |
Collapse
|
15
|
Brandon CL, Steiner H. Repeated methylphenidate treatment in adolescent rats alters gene regulation in the striatum. Eur J Neurosci 2003; 18:1584-92. [PMID: 14511337 DOI: 10.1046/j.1460-9568.2003.02892.x] [Citation(s) in RCA: 84] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
Methylphenidate is a psychostimulant which inhibits the dopamine transporter and produces dopamine overflow in the striatum, similar to the effects of cocaine. Excessive dopamine action is often associated with changes in gene expression in dopamine-receptive neurons. Little is known about methylphenidate's effects on gene regulation. We investigated whether a methylphenidate treatment regimen known to produce behavioural changes would alter gene expression in the striatum. Using in situ hybridization histochemistry, we assessed the effects of acute and repeated methylphenidate treatment on the expression of immediate-early genes (c-fos, zif 268) and neuropeptides (dynorphin, substance P, enkephalin) in adolescent rats. Acute methylphenidate treatment (0-10 mg/kg, i.p.) produced a dose-dependent increase in the expression of c-fos and zif 268. These effects were most pronounced in the dorsal striatum at middle to caudal striatal levels, and were found for doses as low as 2 mg/kg. Repeated treatment with methylphenidate (10 mg/kg/day, 7 days) increased the expression of dynorphin, which was highly correlated with the acute immediate-early gene response across different striatal regions. Moreover, after repeated methylphenidate treatment, cocaine-induced expression of c-fos and zif 268, as well as of substance P, was significantly attenuated throughout the striatum. These effects of repeated methylphenidate treatment mirror those produced by repeated treatment with cocaine or other psychostimulants and are considered to reflect drug-induced neuroadaptations. Thus, our findings demonstrate that acute and repeated methylphenidate treatment can produce molecular alterations similar to other psychostimulants.
Collapse
Affiliation(s)
- Cindy L Brandon
- Department of Cellular and Molecular Pharmacology, Finch University of Health Sciences/The Chicago Medical School, 3333 Green Bay Road, North Chicago, IL 60064, USA
| | | |
Collapse
|
16
|
Muris P, Meesters C. The validity of attention deficit hyperactivity and hyperkinetic disorder symptom domains in nonclinical Dutch children. JOURNAL OF CLINICAL CHILD AND ADOLESCENT PSYCHOLOGY : THE OFFICIAL JOURNAL FOR THE SOCIETY OF CLINICAL CHILD AND ADOLESCENT PSYCHOLOGY, AMERICAN PSYCHOLOGICAL ASSOCIATION, DIVISION 53 2003; 32:460-6. [PMID: 12881034 DOI: 10.1207/s15374424jccp3203_14] [Citation(s) in RCA: 17] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/31/2022]
Abstract
Examined the validity of attention deficit hyperactivity disorder (ADHD) and hyperkinetic disorder (HKD) symptom domains in a sample of Dutch school children aged 10 to 14 years (N = 558). Confirmatory factor analysis indicated that symptoms of inattention, hyperactivity, and impulsivity were satisfactorily represented in various models. Psychopathological correlates of ADHD/HKD symptom domains were examined through their associations with the Child Behavior Checklist (CBCL) and the Youth Self-Report (YSR). As expected, all three symptom domains were strongly associated with externalizing problems. Furthermore, inattention and hyperactivity were more strongly related to CBCL/YSR attention problems, whereas impulsivity was more strongly associated with symptoms of aggression and delinquency.
Collapse
Affiliation(s)
- Peter Muris
- Department of Medical, Clinical and Experimental Psychology, Maastricht University, The Netherlands.
| | | |
Collapse
|
17
|
Shallice T, Marzocchi GM, Coser S, Del Savio M, Meuter RF, Rumiati RI. Executive function profile of children with attention deficit hyperactivity disorder. Dev Neuropsychol 2002; 21:43-71. [PMID: 12058835 DOI: 10.1207/s15326942dn2101_3] [Citation(s) in RCA: 207] [Impact Index Per Article: 9.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/31/2022]
Abstract
We explored the neuropsychological profile for executive functions of children with attention deficit hyperactivity disorder (ADHD) to assess whether problems associated with the two most cited relevant processes--inhibition and attentional problems--were the core of any executive function difficulty. A battery of executive function tests was administered to 31 children with a clinical diagnosis of ADHD and to 33 normal control participants, all aged between 7 and 12. The executive function battery encompassed a number of tasks, selected because each had multiple measures: a sustained attention reaction time task, a related vigilance task, an adaptation of the Hayling Sentence Completion Test, an adaptation of the Brixton Spatial Rule Attainment Test, a Letter Fluency task, a number Stroop task, and an "n-back" working memory task. The overall pattern of the results fit well with those obtained in previous studies as far as abnormalities of the ADHD group in the domain of inhibitory processes, attentional functions, and executive functions. The children with ADHD, although performing well on baseline tasks, performed more poorly than the controls on all the experimental tasks with one borderline exception: Letter Fluency, where the children with ADHD showed a very different pattern than most adult frontal lobe subgroups. However, there was no specific impairment on measures of inhibitory processes. In addition, strategy generation and use were severely affected in the ADHD group. Particular findings fitted well with disorders of a high-level effort system and of a monitoring system.
Collapse
Affiliation(s)
- Tim Shallice
- Institute of Cognitive Neuroscience, University College London, England.
| | | | | | | | | | | |
Collapse
|
18
|
Abstract
This paper analyses the relationship between government and nurse education policy using the current changes in England as a case study. It argues that there are times when ideologies of governments and professions coalesce, signifying the most opportune times for advancement. It also illustrates times when policy shifts are made because nursing is perceived as relatively insignificant in the order of health policies and politics. It goes on to argue that nursing leaders need to be aware of the political and policy context in order to select the most effective methods of moving the agenda forward. Using UK reforms, particularly the English strategy document Making a Difference (Department of Health 1999d) as a case study, the paper analyses recent events in nurse education to illustrate the key points. The paper concludes by suggesting that the nursing profession must recognize promoters and barriers for change and commit itself to the transformation of nursing practice through the realization of a new educational agenda that embraces the principles of new democracy. Namely, these are equality, mutual responsibility, autonomy, negotiated decision-making, inclusivity, collaboration and celebrating diversity.
Collapse
Affiliation(s)
- A L Kitson
- RCN Institute, Royal College of Nursing, 20 Cavendish Square, London, W1M 0AB, UK
| |
Collapse
|
19
|
Abstract
It is argued that the current confusion about the role and purpose of the British nurse is a consequence of the modern rejection and consequent fragmentation of the inherited nursing tradition. The nature of this tradition, in which nurses were inducted into the moral virtues of care, is examined and its relevance to patient welfare is demonstrated. Practical suggestions are made as to how this moral tradition might be reappropriated and reinvigorated for modern nursing.
Collapse
Affiliation(s)
- A Bradshaw
- RCN Institute, Radcliffe Infirmary, Oxford
| |
Collapse
|
20
|
Ormerod JA. The art and science of nursing. Lancet 1998; 351:1138. [PMID: 9660621 DOI: 10.1016/s0140-6736(05)79429-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
|
21
|
Wilson-Barnett J. The art and science of nursing. Lancet 1998; 351:1138. [PMID: 9660620 DOI: 10.1016/s0140-6736(05)79428-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
|