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PubMed1999

[The impact of caring experiences of the patients with borderline personality disorder on psychiatric nurses].

The purpose of this qualitative study was to explore the subjective perceptions of the impact of caring with the hospitalized patients with borderline personality disorder (BPD) on psychiatric nurses. A purposive sample of psychiatric nurses with experiences of caring with at least one hospitalized BPD patient was obtained at one leading psychiatric hospital in northern Taiwan. A semi-structured interview guide and audio-taped recording skill was employed, and data were analyzed by qualitative content analysis. Thirteen female nurses participated in this project. Eighty percent of them were aged between 26-35 (mean +/- SD = 31.77 +/- 4.92). Thirty-eight percent of nurses were registered professional nurses; 54% worked as psychiatric nurses for 5-7 years; and 69% ever took care of 3-4 subjects with BPD. Several impacts of the caring experiences on nurses were identified. They are as follows: (1) becoming more knowledgeable about the BPD patients' characteristics and the related nursing care; (2) having positive or negative motivation of nursing profession; (3) changing nurses' attitudes of interpersonal relationship; (4) valuing nurses' personal belongings; and (5) enhancing nurses' understanding and facilitating their personal growth. The result of this study may empower psychiatric nurses to better understand the BPD patients, and to increase nurses' motivation of caring them. It may also enhance the quality care for these patients and the nurses' sense of satisfaction.

Adult↗
PubMedDate not supplied

Changing the image of nursing in Jordan through effective role negotiation.

As with other nurses worldwide, image, status and role definition are prominent issues in Jordan. Here nursing is considered menial work and the roles and responsibilities of the nurse have not yet been formally defined by royal decree, Jordanian courts or the nursing profession. Moreover, while nursing curricula ordinarily influence scope of practice, nurse educators have long noted an incongruity between nurses training and their roles in practice. Although Jordanian nurses are educated to be change agents, patient advocates, health educators and critical thinkers they function more like medical assistants and housekeepers.

Education, Nursing, Baccalaureate↗
PubMedDate not supplied

Community service: an avenue for nursing power.

Directing volunteer nursing expertise and services can greatly benefit the community, the nursing profession, and the nurse. This article presents concepts of power from a nursing perspective and the benefits of directing nursing expertise into a community.

Community Health Nursing↗
PubMed1977

General practitioners and the independent contractor status.

Primary medical care can be provided either by a bureaucratic hierarchical organization or alternatively by independent contractors. Most members of the caring professions in medicine, nursing, and social work are employed in bureaucracies, whereas general medical practitioners, general dental practitioners, opticians, and pharmacists are independent contractors.The independent contractor status has recently been heavily attacked from within the medical and nursing professions, and also from outside. It has been suggested that contracting for services is an inappropriate and anomalous way of arranging medical care, which should now be stopped. However, this process of contracting for services can be analysed, using perspectives from some of the behavioural sciences, to reveal hidden depths in the independent contractor status which suggest that the provision of primary medical care is best carried out by independent contractors.

Contract Services↗
PubMed1995

The nurse in clinical practice--a qualitative analysis of nursing competence.

Swedish colleges and universities are now adapting their syllabuses to the new open European labour market. In this respect the syllabus for training of nurses is to be reorganized. Thinking in terms of health will be very important in the training program and will require practical experience of nursing. The aim of this study was to examine the demands made on competent nurses working in clinical practice. An open question was asked and the results were analysed by the constant comparative method. The 23 nurses interviewed had to answer the question: "What do you require of a competent nurse?" From the empirical data, characteristics of six different ideal types were described. A competent nurse has the ability--to create a good atmosphere; concentrate on the patient and always to have an ethical and humanitarian approach; to teach and instruct; to organize, make priorities, cooperate and make documentations; to use her theoretical knowledge and be able to put it to use; to be keen on development and change. The study showed that a competent nurse has a wide field of knowledge, but also highlighted the complex of the nursing profession. If the nursing student can acquire these skills she will be well prepared for her central role in clinical practice.

Adult↗
PubMed1998

Health care, ethics and nursing in Bangladesh: a personal perspective.

Health care in Bangladesh is in a sad condition, with not enough doctors and nurses available to serve its people, but, even with this limited number of health care professionals, better care would be possible if greed for money and unaccountability to the people were controlled by the Government. Conditions for members of the nursing profession are not acceptable for those who are dedicated to serving the sick. Acknowledgement of nursing's professional dignity is almost completely absent. In addition, the salary earned is not enough to make a living. There are in existence professional associations who are struggling for the rights of the nursing community, although few concrete results have yet been seen. This article is written from the perspective of the author's position as a member of the Board and Treasurer of the International Association of Bioethics, and her interest in feminism and bioethics, which justifies her link with oppressed nurses (because most are women) and unethical practices in the nursing profession in Bangladesh.

Bangladesh↗
PubMed2001

[Visions for the future--nursing as a profession in German-speaking Swiss health care].

Social, scholarly, and technical changes and changes in health politics have a lasting influence on the nursing profession. The development of nursing science programs can be seen in this context and institutions, which offer educational programs for nurses, have to orient them toward the new demands of the profession. Up to now in the German-speaking realm, published data, which describe the changes the nursing profession can expect, have not been available, nor have possible future fields of activity of nursing been examined. In order to close this gap, a group of opinion leaders and experts in nursing in German-speaking Switzerland were studied. Eighty-one people were surveyed by means of a questionnaire, and ten people were interviewed in-depth. The results reflect the visions and perspectives of the nursing profession of the future in German-speaking Switzerland. The expectation is that nursing should deal increasingly with sociopolitical changes and that the main issues of nursing with regard to type of client and locations where care is given will change. A re-orientation toward strengthening professional identity is called for in the following areas: involvement in determining and shaping decisions in politics and health politics; taking entrepreneurial initiatives; building clinical practice on caring, patient preferences, and evidence; making professional training and continuing education clinically-oriented as well as the development and the establishment of nursing science. Through a re-orientation, nursing should be better able to meet the challenges, which it faces because of health and social problems in the population. A great discrepancy exists between the expectations for nursing in the future and present reality. The challenge will be to see whether it will be possible to close the gap between visions and reality by means of training, continuing education, and changes in clinical practice.

Career Choice↗
PubMed2006

Ethical codes in nursing practice: the viewpoint of Finnish, Greek and Italian nurses.

AIM: This paper is a report of a study exploring the use of ethical codes and obstacles to their use in nursing practice as perceived by Finnish, Greek and Italian nurses. BACKGROUND: In all European countries nurses are responsible for the well-being of patients, for their own technical and ethical competence and, for their own part, for the high standard of health care in society. These points illustrate the central content areas of nursing codes of ethics. Recent advances in medical technology have added to the complexity of nursing. Nurses today are increasingly confronted with ethical dilemmas, underlining the role and meaning of ethical codes in their decision-making. However, there is only very limited research literature on codes of ethics, their use in nursing practice and obstacles to their use. METHODS: Twenty-three focus group interviews were conducted in 2003 with a total of 138 Registered Nurses: 35 in Finland, 54 in Greece and 49 in Italy. The data were content analysed. FINDINGS: Two main categories emerged from our analysis of the use of ethical codes: (1) conscious and (2) unconscious use. Seven main categories described the obstacles to the use of ethical codes: (1) the codes themselves, (2) nurses themselves, (3) multiprofessional teamwork, (4) patients' family members, (5) the organization, (6) the nursing profession and (7) society/healthcare policy. Participants in all three countries were firmly committed to the values expressed in ethical nursing codes. Nonetheless, continued efforts are needed in all these countries to remove the remaining obstacles so that nursing care can be provided in keeping with the requirements of ethical codes. CONCLUSION: The use of codes is connected with the changes in nursing profession and in society at large. The core of nursing, however, has remained stable. Future studies should be conducted in order to generalize the findings to a broader population.

Adult↗
PubMed1996

Ethics education and nursing practice.

This paper suggests that a consideration of health care practice is a necessary step in gaining insight into the appropriate composition of an ethics course for students in the health care professional. Health care practice, if it responds to the needs of society, is dynamic in nature. In the current climate of change in the health service, the author suggests that the nursing profession needs to become more proactive in analysing and attempting to determine the future shape of nursing. To protect patient care the nursing profession needs to have its eyes open to the ethical dimensions of changes in role and practice. The author argues that, in attempting to ensure that the education to which nursing students are exposed is of relevance, it is necessary to introduce an element of the ideal into the ethics component of their professional education. From early on in their professional development students should be aware of the scope and standards of practice, and the type of role enactment to which the profession requires them to aspire.

Clinical Competence↗
PubMed1985

Recovery of funds in transaction affecting ownership of federally assisted health professions and nurse teaching facilities--HRSA. Statement of general policy.

HRSA announces its recovery policy regarding purported leases and sales of (1) health professions teaching facilities or affiliated hospitals constructed with grant funds under Part B of Title VII of the Public Health Service Act, and (2) nurse teaching facilities constructed with grant funds under Title VIII of the Act.

Hospitals, Teaching↗
PubMedDate not supplied

The chemically dependent nurse. A management issue.

Chemical dependency among nurses is a problem that the nursing profession has only recently begun to examine. This article discusses the origins of chemical dependency among nurses, outlines strategies for confronting the chemically dependent nurse, and suggests how the nursing profession can deal more effectively with this problem.

Humans↗
PubMedDate not supplied

[Strategies of power and leadership for the development of nurses' social compromise].

This article presents an analysis about power and leadership regarding the nursing profession in Spain and poses some strategies which, from the aforementioned perspective, allow the compromise nurses have with society to develop. This article has three sections: one which defines terms such as power, leadership, representative, corporation, ...; a second section which analyzes and makes proposals, wherein the current situation of the nursing profession is described in relation with the elements defined as the shapers of professional power, and proposals are posed along the lines of one to demand clear guidelines for nurses' professional role, to act in a "corporational" way, in positive terms, or to recognize the importance "informal" power networks hold; and finally, a section of conclusions.

Humans↗
PubMed1996

The nurse anesthesia profession. A past, present, and future perspective.

The author presents a very detailed description of the history of the nurse anesthetist, including a time line of important dates in history. Discussion of the present state of affairs in nurse anesthesia centers around the practice setting, requirements for attaining Certified Registered Nurse Anesthetist (CRNA) status, and educational qualifications and capabilities. The article ends with a brief history and current status of the American Association of Nurse Anesthetists as well as a discussion about the future of the CRNA.

Forecasting↗