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Professional issues facing nurse practitioners and nursing.

Legislative changes relating to professional nursing practice and a reduction in junior doctors' working hours have led to an increase in the number of nurse practitioners in the UK. While the educational preparation for these new roles is varied, the challenges faced by nurse practitioners are similar in nature and have implications for the nursing profession as a whole. The measures that can facilitate the development of individual nurse practitioners include: effective communication and negotiation regarding the introduction of their role; clearly defined and documented role descriptions; clarification regarding areas of risk and liability; and organizational and professional support. The stance of the nursing profession in relation to the development of the nurse practitioner role is also explored and questions are raised about cross-boundary working, future role development, and the impact of nurse practitioners on the delivery of patient care.

Communication↗

Angels and swingers, matrons and sinners: nursing stereotypes.

Media sexual stereotyping of the nursing profession is a well-recognized phenomenon; however the sexual stereotyping of the image of the nurse by the sex/pornography industry is a much less publicized or discussed phenomenon within the nursing profession. This paper aims to examine the presentation of the sexual stereotyping of nurses by newspapers and the sex/pornography industry. Both national and local newspapers in the UK frequently use derogatory terminology to depict the sexual stereotyping of nurses. Images and sexual stereotyping of nursing by the sex industry is also noted. The media was found to emphasize both positive and negative nursing stereotypes and in comparison with other occupations and professions sexual stereotyping was prevalent. The utilization of nursing imagery is also significantly visible across a wide range of pornographic and sex industry material.

Erotica↗

Religion's support for the domination of women--breaking the cycle.

Throughout history, certain religious images and symbols often have been uncritically used to legitimate the dominance of men over women. This uncritical use has had lasting effects upon our culture, and these images and symbols often continue to be used as rationale for subordinating women today. Since the nursing profession has been, and continues to be, a predominantly female occupation, nurses are especially impacted by this inherited imagery. In their role as primary health care givers, nurse practitioners often care for women who have been victimized by a pattern of male domination that culturally is bound up in and perpetuated by certain religious imagery. This article describes and analyzes the power of religious sex-role imagery to maintain the public and professional order of female subordination to the male. Practical ideas are suggested for the nursing profession that will help to reconstruct this imagery along more equitable and humane lines. Through such efforts, nurses can justly achieve more reciprocity and equality for themselves, and can take active steps to prevent the victimization of many of the women they care for.

Bible↗

[From illness focus to health focus in nursing?].

In nursing profession the main concepts for the last twenty years have been: health-nursing--environment--person. I ask the question why has not illness been one of the main concepts. This leads to the following approach: Has there been a displacement of focus from illness to health in nursing education in Norway? I have analysed five main text-books used in nursing education from 1920 to 1990. The analysis is focused on the development of the concepts illness and health, and if the contents and the use of the concepts have changed through the time period. The findings shows that the concept illness has been reduced both qualitatively and quantitatively from 1920 to 1990, while the health concept has become more and more dominating. In the discussion I show some of the causes why. The health concept was all the time understood as both a subjective experience and objective signs, while illness was reduced to diagnosis and objective signs of illness from 1920 to 1990. I claim that illness, seen as both a subjective and an objective concept is important in the nursing profession, and that use of concepts is important for nursing identity.

Attitude to Health↗

The effects of nurses' job satisfaction on retention: an Australian perspective.

OBJECTIVE: The effectiveness of any strategy that aims to improve recruitment and retention in the nursing profession will depend in part upon understanding the factors and influences on nurses' job satisfaction. BACKGROUND: The nursing work force is aging. The question now commonly asked by the nursing profession worldwide is: Who will replace this work force? Although the number of employed nurses continues to decline, patient acuity and turnover in our healthcare system continues to increase. This increasing dilemma is further deepened by progressively falling annual recruitment of new nurses and has resulted in an alarming shortfall of nurses. METHODS: This study used a multigroup longitudinal design to elicit nurses' attitudes toward their job satisfaction and retention plans. RESULTS: The results revealed that professional status was found to be significant of retention. The results indicated that job satisfaction remained relatively stable with time for experienced nurses (N = 528/332). For new graduates (N = 506/110) the issue of pay became a significant area of dissatisfaction in the transition from student to registered nurse. CONCLUSION: The results from this study contribute to the expanding body of knowledge that indicates professional status, autonomy, and remuneration are career issues of great concern for nurses and is particularly relevant for the retention of the newly registered nurse.

Adult↗

Diagnosis and management of very rare primary arrhythmia syndromes in children and adults: a Clinical Consensus Statement of the European Heart Rhythm Association of the ESC and the Association of Cardiovascular Nursing & Allied Professions of the ESC, endorsed by the Association for European Paediatric and Congenital Cardiology.

Very rare and ultra-rare primary inherited arrhythmia syndromes (IAS) represent a heterogeneous group of disorders associated with a significant risk of sudden cardiac death, often manifesting from foetal life to early adulthood. Current guidelines primarily address more common IAS and provide limited, non-specific recommendations for these rare entities, particularly in paediatric populations. This European Heart Rhythm Association Clinical Consensus Statement, developed in collaboration with the Association of Cardiovascular Nursing and Allied Professions and endorsed by the Association for European Paediatric and Congenital Cardiology, integrates available evidence with expert opinion. Recommendations were formulated through structured discussion and voting, following ESC consensus methodology, with a focus on clinically actionable gene-disease associations. The document provides a comprehensive framework for the diagnosis and management of very rare IAS, including calmodulinopathies, Andersen-Tawil syndrome, Timothy syndrome, TRDN-related disease, calcium release deficiency syndrome, and other atypical channelopathies. It highlights age-specific clinical presentations, the importance of genetic testing, and tailored therapeutic strategies, including pharmacological treatments, left cardiac sympathetic denervation, and selective use of implantable cardioverter-defibrillators. Special attention is given to paediatric considerations, foetal diagnosis, and the role of multidisciplinary care. The document also addresses arrhythmic risk in metabolic and cardiomyopathic conditions, as well as the importance of molecular autopsy and family screening in sudden unexplained death. This consensus document fills a critical gap by providing expert-driven, pragmatic guidance for the management of very rare IAS across the lifespan. It underscores the need for specialized care, international collaboration, and prospective registries to improve evidence generation, risk stratification, and patient outcomes in this vulnerable population.

Humans↗

Orchestrating social change: an imperative in care of the chronically ill.

The ethical challenges of caring for the chronically ill are of increasing concern to nurses as they attempt to create humanitarian environments for long-term care. This article suggests two ethical perspectives to guide the agenda of the nursing profession to achieve social change in the care of the chronically ill and aging. First, a reemphasis on the public duties of the professions is recommended which extends beyond serving the interests of the nursing profession to recognizing the need to serve the common good. Second, the limitations of the autonomy paradigm are explored and the foundation for the development of a new moral paradigm is analyzed in terms of its' potential usefulness in addressing ethical problems of chronic illness. Several initiatives that nursing must undertake to facilitate the emergence of this paradigm are proposed.

Chronic Disease↗

Is there a place for epidemiology in nursing?

BACKGROUND: Epidemiological research is seen by many to have immense value in helping to determine the health of populations and in helping to plan and determine health service policy. Despite this it seems to be poorly understood and greatly underused by the nursing profession. CONCLUSION: Epidemiological studies can potentially offer considerable benefits to the way nurses incorporate health-related practices into their professional role. Research also offers a valuable opportunity for the nursing profession to become more active in helping to determine health policy issues. This article explores the nature of the dilemmas surrounding nursing and epidemiology and argues that nursing might be better served by a more proactive role in this valuable research discipline.

Epidemiologic Studies↗

Re-thinking the law, and challenging its traditional role in nursing's affairs: a strategy for professional reform.

Nurses world wide have regarded the law as a powerful tool of professional reform, and have historically looked to the law (its system and processes) to enhance and advance their professional goals. Nevertheless, the nursing profession still has not achieved its ultimate goals. To this day, nurses lack legitimated status as autonomous professionals, and are still burdened with enormous responsibility without the authority to match it. Given that the law is such a powerful tool of professional reform, the question must be asked at this point of nursing history: Why has the nursing profession not received the legal remedies it has sought in its quest to gain legitimated freedom from the subordinate and oppressed position it has historically occupied? In this paper, an attempt will be made to answer this question.

Australia↗