Primary nursing--your questions answered.
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Biomedical subjects
Publications and source records attributed to S Wright.
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The issue of whether patients should be allowed access to professional notes has long been a continuous one in nursing and medical circles. Stephen Wright and Naz Khadim discuss how their nursing development unit approached the issue in a positive, innovative and organised fashion. Results suggest that while few patients take up the opportunity of reading their notes, having the power of access to them encourages a sense of satisfaction.
The use of the term 'consultant' by a nurse may be seen by some as an attempt to encroach into territory which is the rightful preserve of the medical profession but, claim the authors of this article, such thinking is unjustified and reactionary. The various roles of the nurse consultant, and the benefits which can accrue from them, are outlined. Paramount in any consideration of the appropriate status of the consultant role is the need to keep it clinically based.
It is conceivable that an oral medicine capable of terminating pregnancy will become available for use in this country. Such a drug will pose significant moral and legal dilemmas for nurses who may find themselves embroiled in situations where they are uncertain of how to reconcile their consciences with statutory law and the requirements of their employers. The RCN Ethics and Nursing Committee offer some guidance on how nurses should act under such difficult circumstances.
One of the most influential pieces of nursing research in recent years has been the work of Benner (1). She uses a variety of techniques to illuminate and illustrate nursing's complexity. In so doing, she has contributed to that growing body of evidence which helps to show why and how nursing is valuable. Benner often cites vignettes of nursing actions to demonstrate particular nursing interventions, and to analyse skills and knowledge the nurse is using. Vignettes are not designed to be comprehensive case studies or to be well-referenced research projects. Nursing Standard is looking to publish a series of these as part of our contribution to help nurses and others consider the value of nursing; the first, which deals with an example from Steve Wright's experience, follows his introduction to the series, which sets out his view of why nursing matters.
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