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Nom et lumière: enlightenment through nomenclature (the 1996 Kenneth F. Russell Memorial Lecture).

The classification of living things is both an acknowledgement of biological relationships and an identification of their differences. When Linnaeus, in 1735, published Systema Naturae, he set in place a system of biological classification that saw its apogee in the invention of binomial nomenclature: the description of every living thing being embodied simply in two names, (i.e. a genus and the species within it). Linnaeus built on the work of scientific forebears, of whom Nehemiah Grew (1641-1712) was one of the most influential. Grew was a surgeon-physician whose passionate interest was plant anatomy; his work led to the discovery and documentation of sexual dimorphism in plants. Grew's life and works are a witness to that philosophy which views nature as a continuum, a broad holistic entity in which discoveries in one biological field have ramifications in other areas. Grew allowed his scientific curiosity full rein, manifested the courage to publish his work and possessed the self-discipline to stand by the audit of his peers. Modern biological research and contemporary clinical practice owes much to the enlightenment engendered by the classification and nomenclature that developed from his work.

Anatomy↗

Gortner's contribution to nursing knowledge development.

The building of nursing science is the core of knowledge development in nursing. Throughout the years, Gortner has shared her thoughts about science, nursing science, and ways to develop the scientific base of nursing. This paper is a synthesis of Gortner's views on science, nursing science, and nursing science building. It is based on her publications and emphasizes her contributions.

History, 20th Century↗

1965-1990: 25th anniversary of nurse practitioners. A classic manuscript reprinted in celebration of 25 years of progress. The Burlington randomized trial of the nurse practitioner. 1971-2.

From July 1971, to July 1972, in a large suburban Ontario practice of two family physicians, a randomized controlled trial was conducted to assess the effects of substituting nurse practitioners for physicians in primary-care practice. Before and after the trial, the health status of patients who received conventional care from family physicians was compared with the status of those who received care mainly from nurse practitioners. Both groups of patients had a similar mortality experience, and no differences were found in in physical functional capacity, social function or emotional function. The quality of care rendered to the two groups seemed similar, as assessed by a quantitative "indicator-condition" approach. Satisfaction was high among both patients and professional personnel. Although cost effective from society's point of view, the new method of primary care was not financially profitable to doctors because of current restrictions on reimbursement for the nurse-practitioner services.

Consumer Behavior↗