Closer European integration: a treat to self regulation?
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This study aimed to judge the appropriateness of a particular nurse researcher's actions in a vignette from the clinical field, and to explore frameworks used to determine the appropriateness of actions. Twelve experienced nurse researchers were interviewed by telephone. They were given four vignettes of actual research situations and asked to comment and explain their judgement on the appropriateness of the nurse researcher's actions. The findings confirmed blurring of boundaries between professional and research roles for nurses. Nurses appear to use a mixture of frameworks, including scientific/rigour method, ethics, nursing competencies and their own personal-moral values. Frameworks need to be discussed and debated so that neophyte researchers are well-prepared before they enter the field to conduct research.
This article explores the position of nursing in relation to the evidence-based medicine (EBM) and clinical effectiveness (CE) initiatives. It argues that both activities are based on at least three implicit assumptions. By exploring these assumptions nurses can become more involved in evidence-based practice and clinical effectiveness activities.
In this article, change, innovation and excellence in nursing practice are discussed. The author argues that nurses must take control of the systems they use to deliver patient care before they can successfully implement change and improve practice.
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The recent growth of the nurse practitioner (NP) movement has coincided with rising interest in the area of professional development. Nurse practitioners have been criticised for moving away from nursing and becoming 'mini-doctors', a charge which they hotly deny, pointing out that they are actually trying to become 'maxi-nurses'. How do nurses and nurse practitioners see their future professional development? If NPs really are intent on becoming 'mini-doctors', might there be evidence of this in their aspirations for professional development? In the second of two articles comparing the perspectives of nurses with those of nurse practitioners, this study investigates opinions about future professional development.
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New contracts enable pharmacists to expand the role with benefits for patients and primary care nurses. Nurses and pharmacists can cross-refer to make the best use of each other's expertise.
Preparing nurses for working across traditional healthcare boundaries and to a higher level of practice requires a radical approach to post-registration education. Here, the authors propose a curriculum for primary health care that will equip nurses to meet the challenges of future healthcare provision.
BACKGROUND: This article review 0s the available literature to find a definition of the primary function of the mental health nurse. CONCLUSION: A number of obstacles were encountered that would need to be tackled to achieve a consistency of thought across the profession.
Initiatives in intermediate care are mainly nurse-led and, as nursing practice becomes more advanced, nurses need to consider the professional, ethical and legal implications.
This article traces the history of evidence-based practice (EBP), outlines current issues and reviews the literature on the key concepts, features and outcomes. The author then establishes a set of principles to guide EBP in health care.