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Preparing the nursing profession for participation in a genetic paradigm in health care.

It is critical that nurses be recognized for their ability to deliver genetic services in collaboration with medical geneticists, genetic counselors, physicians, and providers from other disciplines. The purpose of this special communication is to describe progress made by the International Society of Nurses in Genetics toward incorporating genetics into nursing education and practice.

Certification↗

See one, do one, teach one--is this still how it works? A comparison of the medical and nursing professions in the teaching of practical procedures.

A survey of 80 junior doctors and nurses was performed to compare the methods of teaching medical and nursing students in eight common practical procedures. Nurses were more likely to have received formal teaching and to be supervised when first performing a procedure. Some 42% percent of doctors felt inadequately trained to carry out a practical procedure safely when performing it alone for the first time compared with 7% of nurses. This study confirms that much of the training of doctors in practical procedures is still received on an informal basis, compared with that of nurses. It also reveals that many doctors view this training as insufficient.

Attitude of Health Personnel↗

Attitudes and interests of students and applicants from two branches of the British nursing profession.

The attitudes and interests of psychiatric students and applicants are compared with general nursing students and applicants using the Attitudes to Treatment Questionnaire (ATQ), the Wilson-Patterson Attitude Inventory (WPAI) and the Direction of Interest Questionnaire (DIQ). The student groups are also examined in respect of changes in attitude (ATQ) and interests (DIQ) during their training. Results indicate significant differences between nurse applicants for attitudes to treatment and direction of interest, the psychiatric applicants being more liberal in their attitudes to treatment and less practical in their interests. Similarly, psychiatric students demonstrated more liberalism in their attitudes to treatment as well as less conservatism than general students. No differences emerged for students in terms of direction of interest. Differences within groups occurring during training were complex. The implications of these findings are discussed and some suggestions made for further research.

Adolescent↗

Genetics education in the nursing profession: literature review.

AIM: This paper reports a literature review exploring genetics education for nursing professionals. The aim was to contribute to the debate about the future direction of such education. BACKGROUND: Advances in genetics science and technology have profound implications for health care and the growing importance and relevance of genetics for everyday nursing practice is increasingly recognized. METHOD: A search was conducted in February 2005 using the CINAHL and Google Scholar databases and the keywords nurse, midwife, health visitor, education and genetics. Papers were included if they were published in English between 1994 and 2005 and included empirical data about genetics education in nursing. In addition, attempts were made to access the grey literature, with requests for information on research, for example, to members of the Association of Genetic Nurses and Counsellors and searches of relevant websites. FINDINGS: Agreement on the relevance of genetics for nursing practice is extensive. Empirical evidence of the learning needs of practitioners highlights widespread deficits in knowledge and skills, and low confidence levels. Provision of nursing education in genetics is patchy and insubstantial across a number of countries, further hampered by lack of strategic development. Significant progress has been made in the identification of learning outcomes for nurses. Research on the delivery of genetics education is limited, but the role of skills-based training, use of clinical scenarios, and importance of assessment have all been identified as factors that can promote learning. CONCLUSION: Whilst areas of good performance were revealed, many studies identified gaps in professional competence and/or education. New initiatives are underway to support genetics education and its integration into professional practice, but further research is needed on the most effective forms of educational delivery, and an international collaborative approach to this should be considered.

Clinical Competence↗

Expanding the nursing profession.

this paper explores the political, economic and demographic developments which are shaping new nursing practices throughout the world. The authors observe that these developments are generally seen to challenge traditional models of nursing and encourage the role of sub-professional support workers.

Humans↗

[Autonomy of the nursing profession: state of the art].

This article points out the foundation elements of the nursing education, the way covered till now, the status of the art and what has to be achieved in order to attain Nursing Degree objectives. The different aspects concerning the curricula organization and the model of care are examined. The request of getting nursing teaching and nursing chairs for nurses are an aim not yet met, but they are the basis objectives of the professional engagement. Another important subject concerns the leadership that will allow nurses to be administrators and managers in every respect, also from a juridical point of view, and to express their professionality in a really autonomous way.

Curriculum↗

[Social change and the nursing profession].

We reproduce an extract adapted from the conference titled "The Social Role of Nurses", presented by Mariona Creus i Virgili at the Nursing Conference organized by the Catalonian Nurses Association of the Medical Forum Expo.

Nursing↗

[La Source nursing school: revolution in the nursing profession?].

La Source, founded in 1859 at Lausanne, was the first laic school for nurses in the world. Its spirit of education, however, was most conservative. This is borne out by two lecture note-books (1871, 1883) which the authoress compares with printed manuals. In a tradition, which may be traced back to the Enlightenment (Tissot), education at La Source aimed at the formation of efficient but docile nurses embellished by feminine virtues such as gentleness and compassion.

Education, Nursing↗

Magnetic resonance imaging of the lumbar spine: findings in female subjects from administrative and nursing professions.

STUDY DESIGN: Cross-sectional magnetic resonance imaging (MRI) study. OBJECTIVE: To find out whether different patterns of lumbar disc degeneration related to different physical work types (static vs. dynamic) can be found. SUMMARY OF BACKGROUND DATA: The association of lumbar disc degeneration with physical workload as well as the association of disc degeneration with low back pain (LBP) has been debated controversially. Nevertheless, many of the mainly invasive treatment concepts are based on disc degeneration models. METHODS: An MRI study was performed in female subjects aged 45 to 62 years with persistent LBP and in age-matched controls. Subjects (n = 109) were selected from nursing and administrative professions. A questionnaire was used to assess the subjects' exposure to physical workplace factors. Disc degeneration, disc herniation, nerve root compromise, high intensity zones, endplate changes, and facet joint osteoarthritis were evaluated based on sagittal T1- and T2-weighted as well as axial T2-weighted images. RESULTS: The two occupational groups could clearly be distinguished by the physical workplace factors: administrative work was associated with predominantly sitting postures whereas nursing work was associated with frequent walking, pushing, pulling, and lifting. Except for endplate (Modic) changes at L5-S1, MRI findings did not differ between the four groups, namely, nurses and secretaries with and without LBP. When analyzing the MRI findings within the two vocational groups, nerve root compromise and endplate changes in the lower lumbar spine were found to be significant (P < 0.05) risk factors for LBP. Disc degeneration, disc herniation, nerve root compromise, and facet joint osteoarthritis were present in more than 50% of the intervertebral spaces studied. CONCLUSIONS: These findings give evidence that in subjects performing nonheavy work, patterns of lumbar disc degeneration are not associated with the job type and characteristic physical loadings.

Cross-Sectional Studies↗

[Gender representations and morality in the nursing profession].

This text is part of a dialogue between the authorserlating to two research projects: one on "The professional ambiguities, work conditions and the citizenship of nurses--a comparative study in the Federal District and São Paulo" and the other on "The impact of work conditions on the nurses in the Hospital São Paulo as to sexual and reproductive life". Nursing occupies a singular place in the health professions. Is is differentiated by numeric importance as well as by a professional practice which is almost exclusively feminine. Culturally, to care is attributed as a woman's task (nurse, mother teacher, social worker, etc.); to treat is a man's task (doctor, father, provider, etc.) The dichotomy between caring and treating denies other conflicts, relations of power, and of hierarchies established in the professional practice of nursing. These conflicts may be associated with: a) the founding myth of the origin of nursing, generator of a morality and a competence which condition htis professional practice; b) feminity, mothering, the administration of intimacy and body care, that is, the social representations of nursing with respect to gender; c) the androcentric character of power relations and those of sexuality which subsume the professional space of nursing.

Ethics, Nursing↗