Careers in nursing: office nurse, the good right arm.
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Office nurses are paid only about three-fourths the hourly rate hospital nurses receive. A survey of the physicians who employ them provides details on what these RNs are earning.
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A major objective of the Report of the committee on senior nursing staff structure (Salmon Report) was to clarify the role of middle-management nurses. This paper analyses the views of 170 nurses in two general, one psychiatric, and one mental subnormality hospital, about nursing officers. A nursing officer was mentioned as the person with most say or influence over them by more nurses of all grades in the two non-general than in the two general hospitals, a difference explained in terms of the greater role of the medical model, and hence the sister consultant relationship in the latter. There were, however, also marked differences between the responses received from staff in the two general and between the two non-general hospitals in the perceived influence of the nursing officer which could not be explained in this way. Analysis of repertory grids suggested more problems in relations with senior nurses overall in the general hospitals. Nurses' descriptions of relationships with superiors suggested that nursing officer superiors were seen more as 'socio-emotional' whilst sisters and charge nurses were seen as 'instrumental' leaders. Asked to choose a person who had annoyed them at work, nurses chose a nursing officer more frequently than other grades of nurse, particularly in the non-general hospitals. Reasons for annoyance with a nursing officer included unwarranted interference, destructive criticism, and lack of specialized knowledge.
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The key group involved in delivering health care to drug misusers in prison is the prison nurse officers. The literature suggests that the skills and knowledge base of this professional group has received very little attention. This study looked at the attitudes of prison nurse officers in Scotland towards intravenous drug misusers. Age, sex and grade appeared to affect attitudes, but the results were not clear cut. Some stereotyping of drug misusers was evident among respondents. Drug misusers are a marginalised group in terms of health care and it is important that their needs are addressed in prison. Prison nurse officers should be proactive in meeting such needs, and should be given adequate support to do so. This paper suggests that the skills of such staff are often not being used appropriately.
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When attempting to locate guidelines for designing school nurses' offices, one finds there are minimal resources that address this need. In an effort to solve this concern, the authors were instrumental in writing an article for The Journal of School Nursing published in April 1997. The current article is an updated perspective that defines recommendations to be utilized in new construction or renovation of school nurses' offices. It encompasses information on square footage, design, utilization of space, location, and necessary equipment. Prototypes are provided that apply to elementary, middle school, and high school settings. The article outlines the importance of continued collaboration between the school nurse and key people involved in the planning and construction process, such as the school principal, administrators, and the district engineer.