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Biomedical subjects

R Tiffany

Publications and source records attributed to R Tiffany.

At least 19 recordsLinked to original sources

Commitment by the nurse as the foundation of cancer nursing.

To consider commitment by the nurse requires reflection upon what is the unique and particular role and function of nursing in achieving optimum support for patients requiring the help of health care agencies. Excellence in this role and function can only be judged by the quality of care actually delivered to patients. It is useless to boast of excellent teaching programmes, a first class nursing management structure or a flourishing nursing research unit if the standards of nursing practice do not directly reflect the contribution of such agencies. In this paper the author considers the present, apparently subordinate role, of the clinical nurse and suggests that if nurses have a commiotrment to nursing then they must begin to re-establish the position of the clinical nurse as equal to that of her colleagues in other spheres of nursing. Possible ways in which this can be achieved are outlined together with the support that will be required from colleagues in nursing education, management and research.

Humans

Mobilizing nursing skills.

The author argues that the practice of nursing should be based on the "nursing model" related to care not the "medical model" related to cure. Using the nursing model entails making an assessment of the patient's needs and an individualized nursing care plan to meet them. It is conceded that the historical development of nursing practice as a series of stereotyped, ritualized activities within a hierarchical profession militates against implementing the nursing model; but the author illustrates how to Royal Marsden Hospital, a specialist hospital for the treatment of cancer patients, has innovated and developed the concept, as well as creating specialist roles for nurses who maintain continuity of patient care from the first appointment in the hospital's outpatients' clinic through to this after-care following his discharge home.

Aftercare