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PubMed1987

Occupational health nursing as a component of baccalaureate nursing education.

Much can be gained by the nursing profession and by society by having well-prepared, professional occupational health nurses. Furthermore, conceptual knowledge about occupational health will better prepare the non-specialized nurse for her or his nursing practice. Lastly, knowledge about the hazards and risks that may accompany one's occupation will increase the nurse's awareness of the hazards that she/he may face in her/his own occupational setting. For these reasons the incorporation of occupational health content in the baccalaureate nursing programs would be a singular achievement for the nursing profession. It is clear that work-related injuries and illnesses pose a major challenge to today's health care providers. Most occupational health problems are preventable. It is fitting and indeed imperative that members of the nursing profession be leaders in a concerted effort to reduce the many risks in the workplace. The U.S. Public Health Service (1983) states that it is their goal that "by 1990 at least 70% of primary health care providers should routinely elicit occupational health exposures as part of the patient (health) history and should know how to interpret the information in an understandable manner." It is only through the introduction of important occupational health concepts in baccalaureate schools of education that this goal will be accomplished. Knowledge about occupational health nursing is fragmented. Furthermore, an occupational health curriculum, when it does exist, is varied in its content and its emphasis. this stems in part from a dearth of knowledge and experience by educators in the field of occupational health.(ABSTRACT TRUNCATED AT 250 WORDS)

Curriculum↗
PubMed2000

Nursing and politics: a South African perspective.

The purpose of this paper is to provide a general introduction to politics, and to describe some political changes which have affected the rendering of multidisciplinary health care services in the Republic of South Africa since 1994. Political issues which will be addressed include: changed provincial borders; opening up of the Republic of South Africa's international borders; increased emphasis on primary health care services; enhanced international involvement of the Republic of South Africa; changes in the statutory bodies governing the nursing profession; and changed legislation affecting health care workers. Political know-how is essential for professional survival. Unless nurses in the Republic of South Africa collaborate proactively as a united group representing the largest proportion of health care professionals in the country, the nursing profession and nursing education might become irrelevant to the political realities of the country and its people. Unless nurses can succeed in engaging in successful political debates and in negotiating their rights, they might become an increasingly voiceless, faceless and powerless female profession in the Republic of South Africa. However, politically knowledgeable nurses may help to ensure that the people will get the nurses and the nursing care they deserve, whilst the nurses will enjoy the benefits to which they are entitled, including market-related salaries.

Delivery of Health Care, Integrated↗
PubMed1993

Nursing: the endangered profession?

The history of nursing illustrates patterns that continue to threaten the recruitment and retention of nurses today. Three contemporary examples illustrate key dilemmas the nursing profession is facing. They also provide us with clues to patterns and themes that have recurred throughout our history.

Career Choice↗
PubMed2004

[Public health nurses: a profession under construction].

In France, the Training Institutes for Nursing Care (IFSI) primarily prepare individuals for care providing occupations. Thus nurses practicing in the field of public health are non-practicing care providers since their recruitment is solely based upon the criteria of having a State Nursing Diploma (DE) at the end of their initial training. If one admits that public health is scattered and dispersed in France, then the situation for nurses is as much so and on many levels. Assignments only slightly formalised, and a lack of regulation and heterogeneous training compromise the legibility of this profession which nevertheless strongly exists in fact in practice. This remark is notably illustrated in the situation of DDASS and DRASS nurses. State bureaucrats, equipped with their one experience in care provision without any specific supplementary training, they work with the health administrators and the multidisciplinary teams to implement national public health policies. They are few, geographically and operationally isolated, and many of them follow training courses with are often restrictive in nature due to the fact that they take their personal time to do them. These are the main elements of the analysis of position announcements and different work being done within the professional network in the field, issued following a study conducted by the National Association of Public Health Nurses (ANIDESP) in 2002, and further enhanced by the conclusions of a seminar held in March 2003 at the Ministry of Health. The framework of a newly formed reference, missions in abeyance of formalisation and the establishment of a training programme, these are the main supporting points of the different proposals that the authors are making to the Health Directorate, and the Personnel and Budgeting Departments of the Ministry of Health and Social Affairs.

Education, Nursing↗
PubMed2005

A model for empowerment of nursing in Iran.

BACKGROUND: While the Iranian nursing profession tries to reach to its full capacity for participating in the maintenance of public health, its desire to develop is strongly influenced by cultural, economic, and religious factors. The concept of empowerment is frequently used in nursing and the health services, particularly in relation to the quality of care, since the mission of nursing is to provide safe and quality nursing care thereby enabling patients to achieve their maximum level of wellness. When considering the importance of nursing services in any health system, the 54th World Health Assembly recommended that programs be designed to strengthen and promote the nursing profession. Since empowerment is crucial to the role of nurses, a qualitative study was conducted and aimed at designing a model for empowering nurses in Iran. METHODS: A grounded theory approach was used for analyzing the participants' experiences, their perceptions and the strategies affecting empowerment. Data collection was done through Semi-structured interviews and participant observation. Forty-four participants were interviewed and 12 sessions of observation were carried out. RESULTS: Three main categories emerged from the data collected; these are "personal empowerment", "collective empowerment", and "the culture and structure of the organization." From the participants' perspective, empowerment is a dynamic process that results from mutual interaction between personal and collective traits of nurses as well as the culture and the structure of the organization. Impediments, such as power dynamics within the health care system hinder nurses from demonstrating that they possess the essential ingredients of empowerment. CONCLUSION: A model was designed for empowering the nursing profession in Iran. Implementing this model will not only define nursing roles, identify territories in the national healthcare system, but it will restructure nursing systems, sub-systems, and services. Currently no such model exists; therefore, restructuring of the nursing system, including its services, education and research subsystems is recommended.

Adult↗
PubMed1987

The visible problems of an "invisible" profession: the crisis and challenge for nursing.

Although I found the special fall 1986 issue of Inquiry, on social responsibility in health care, thought provoking, the nursing profession was conspicuous by its absence. This evoked a letter to the editor, which resulted in an invitation to write this paper, dealing with the challenges and issues facing nursing in the years to come. Among the matters I discuss are the looming shortage of skilled registered nurses, the expanding roles of and opportunities for nurses, the alarming drop in the numbers of highly qualified young people interested in nursing careers, and the necessity of educating nurses in mainstream university baccalaureate programs.

Career Choice↗
PubMed1986

Employee motivation: quality versus business concerns.

The traditional factors that influence employee motivation and morale remain important in healthcare organizations. However, the nursing staff tends to be more self-motivated than many employees in other occupations because of values that are intrinsic to the nursing profession. When the humanist values of the nursing profession conflict or compete with business values, erosion of nursing morale and motivation may result with attendant employee "burnout" that undermines the organization's business objectives. There are several steps that both management and nursing educators can take to lessen the cultural conflict and avert motivational breakdowns. The future may teach us that an ideal blend of business and humanist values may result in a situation where good business decisions are good humanist decisions, and vice versa.

Conflict, Psychological↗
PubMed1999

[Unprotected helping behavior--social representations in nursing].

Considering current changes in health and nursing professions the emotional concepts ("social representations") of nurses regarding their working conditions are a very interesting question. This study investigates the imaginations of nurses about "unprotected help behaviour" ("ungeschutztes Hilfehandeln") as far as the attitude toward and the character of their work is concerned. Summing up the results one can see that these imaginations are connected with images of readiness for action, communication, performance and conscientiousness. However, to some extent these images are associated with feelings of unprotectedness and neurotic tendencies. It is possible that--in the past--these social representations have hindered the development of adequate self-confidence of the nursing profession.

Adult↗
PubMed2002

The relevance of associate degree nursing education: past, present, future.

Associate degree nursing education remains a relevant choice for students entering the nursing profession. Since its introduction fifty years ago, associate degree nursing education has had a significant impact on the registered nursing population in the United States. The climate for a new type of nurse was created by a nursing shortage, the growth of community and junior colleges, and government and consumer interest. Evaluation of initial programs revealed that desired outcomes were met. A proliferation of associate degree nursing programs followed with there currently being more than 800 associate degree nursing programs in the nation. Controversy regarding associate degree nursing as an entry level for registered nurses has been evolving since its inception. Issues related to technical nursing versus professional nursing titles and roles, and differentiated roles have been divisive for the nursing profession. Current demographics reveal that associate degree nursing continues to make a positive impact on the registered nurse population, providing almost 60% of entry level graduates each year, and attracting a greater percentage of minority groups and males. Associate degree nursing representatives should be involved in defining the future of nursing. Societal needs for health care and individual rights for access to education should be considered. Collaborative efforts among the nursing organizations are essential to promoting recruitment and retention efforts.

Adult↗
PubMed2001

Questionnaire relating to sleep paralysis.

A sleep survey was conducted on 8162 citizens. The cumulative experience rate of sleep paralysis was 39.6%. The initial occurrence of sleep paralysis peaked at age 16 years. In addition to being higher in young people than in older subjects, the incidence of sleep paralysis was also higher among women than among men, and was significantly higher among shift worker than non-shift worker, and among persons engaged in the nursing profession than those not engaged in the nursing profession. The experience rate of sleep paralysis demonstrated a strong correlation with the frequency of dreaming, the experience rate of nightmares, times and regularity of going to bed and waking up, and particularly with the degree of insomnia.

Adolescent↗
PubMed2004

Religion, modernity and foreign nurses in Iceland 1896-1930.

This paper describes the influence of foreign nurses upon the development of modern healthcare services and the nursing profession in Iceland in the first three decades of the twentieth century. It represents a case study of how new ideas, traditions and practices migrated between countries and cultures in the twentieth century. Icelandic society was, at that time, still premodern in many ways. Healthcare institutions were almost nonexistent and the means of production were undeveloped. It was into this context that the idea of nursing as a professional activity was introduced. Groups of nurses, the Catholic Sisters of St Joseph of Chambéry and secular nurses, mainly from Denmark, came to the country to organize and provide healthcare services, of which nursing was of central importance. These groups were diasporas, in that they brought traditions and practices from other cultures. The Sisters of St Joseph built, owned and ran the first modern hospital in the country. The Danish nurses introduced nursing as a specialized field of work, in leprosy and tuberculosis nursing and by initiating public health nursing services. They were instrumental in promoting education as an important condition to becoming a nurse, and the development of an Icelandic nursing profession. These nurses were generally respected by the Icelandic people for their contributions and were received with interest and appreciation. The healthcare services introduced by these different groups of nurses reflected modern ways of living and a commitment to professionalism, which involved providing assistance to patients based on the best knowledge available and a philosophy of respect and care.

Catholicism↗
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Career Mobility↗