Maximising the use of the nursing workforce.
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Biomedical subjects
Publications and source records attributed to M Chiarella.
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This article will explore the development of terms such as autonomous and independent in the national and international nursing literature, with particular reference to the development of the nurse practitioner (NP)/advanced nursing role. It will examine the complexity of power relationships in health care and explore the apparent dissatisfaction of nurses with their status, as demonstrated by such issues as the proliferation of nursing ethics and the problems surrounding recruitment and retention. It will discuss why the development of advanced practice roles has been greeted with such suspicion by some medical organizations, and what barriers and benefits there are to collaborative practice. It will explore the relationship between the bodies of knowledge of medicine and nursing, and the perceived blurring of roles that advanced practice can potentiate. Finally, it will make some suggestions for intelligent and harmonious coexistence, which would refocus medical and nursing practice on patient care, rather than on "bunker dwelling."
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Following a research project commissioned by the NSW Health Department Chief Nursing Officer, to identify specific areas of concern regarding nursing vacancies, particularly in specialty areas, a Nursing Retention and Recruitment Taskforce was established by the Minister for Health. One of the issues identified by the Taskforce was that of professional isolation and access to education for nurses working in rural and remote areas. This issue of The Lamp looks at the support and education opportunities currently provided to rural and remote nurses.
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The paper begins by acknowledging both the need for nursing to be a research based profession, and the reasons for the well-documented theory-practice gap. It goes on to suggest that what is not so well-documented is an examination of the reasons for the commitment gap between basic and continuing education. The relevance of continuing education to clinical staff will be discussed in relation to the change in the content of nursing theory--from the unwieldy 'certainty-based' medical model, to a more flexible, thus perhaps 'uncertainty-based' medical model. The paper will explore the author's belief that clinical staff need to feel a sense of security in their knowledge base, which therefore leads them at times to reject nursing theory. The paper proposes that a legal framework for nurses practice gives the clinical staff the security in their practice to view the relevance of new nursing theory.
This paper sets out to consider reflected and projected images of nurses. When looking at the reflected images, those images that we see of ourselves, it attempts to consider the image of the role of the nurse, the image of the nursing workforce, and the image of nursing education. In projected images, it looks at nursing projected as a career, and the image of the nurse in law. The key theme running through the article is the privilege of intimacy which nursing provides.
We investigated the factors able to stimulate (hormones, drugs, fluid volume changes and prostaglandin precursors) or inhibit (NSAIDs) renal prostaglandin synthesis. We then assessed the effects of NSAIDs on: A) the efficacy of certain drugs (furosemide, ACE-inhibitors), whose action is mediated by a stimulation of prostaglandin synthesis; B) the physiopathology of cardiovascular diseases such as myocardial infarction and heart failure, in which renal and circulatory output is reduced; C) arterial hypertension.
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