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9753 results for nursing

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  • seven - Nursing

  • Ian Greener
  • Book:
    Healthcare in the UK
    Published by:
    Bristol University Press
    Published online:
    21 January 2022
    Print publication:
    19 November 2008, pp 163-182

  • Summary

    Introduction

    The role of nurses has been largely absent from the account of health policy and organisation so far presented in this book. This is no accident. It is hard to see what role nurses, as a professional interest group, had in shaping the discussions leading up to the creation of the NHS. They were positioned into the new health service in a role providing most of the care that patients required, but having very little say in how health services should be organised. Nursing is significant in discussions in the 1950s in terms of the relationship between GP and local authority healthcare, during periods of industrial militancy in the 1970s and the 1980s, and in debates about professionalism in the 1990s and 2000s. However, nurses remain, in Alford's (1972, 1975) terms, a repressed rather than a challenging interest in the NHS, despite being overwhelmingly the largest professional grouping within it. Why is this the case? This chapter tries to explore this question by giving an account of the development of nursing since the creation of the NHS.

    The 1940s and 1950s

    The effect of the creation of the NHS on the nursing profession was to remove a considerable amount of its autonomy. The rise of hospital medicine, and the dominance of consultants within it, institutionalised the position of doctors as the most significant interest group in the NHS. Nursing, in contrast, was a subsidiary profession expected to fill the holes left by other, male-led professional groupings in healthcare (Davies, 1995). This was perhaps clearest in the midwife role, which was effectively a community-based profession in its own right before the NHS, with midwives practising largely outside of the control of doctors and delivering children for the 50% of women who chose to have their babies at home (Lewis, 1990). The creation of the NHS, however, meant that midwives were now under the control of doctors, organised around medical units of administration based on hospitals, and much of their autonomy was lost (Jones, 1994). Midwives were required to report anything out of the ‘normal’ process of childbirth to consultants, with only ‘natural’ childbirth remaining under their remit.

    At the same time, the GP was now the first port of call for women seeking midwifery services, making it clear that, in the community, midwives were subservient to GPs (Dingwall et al, 1988).

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  • 7 - Nursing

  • from Section 1 - Administration
  • Edited by Sharon E. Mace, Cleveland Clinic Lerner College of Medicine, Ohio
  • Book:
    Observation Medicine
    Published online:
    27 June 2025
    Print publication:
    26 June 2025, pp 48-55

  • Summary

    The importance of cohorting observation unit patients in one location or unit, having adequate nursing staffing with specific nurse to patient ratios, design, equipment/supplies, dealing with variations in hourly and daily census, the negatives of floating nursing/support staff to other units, and nursing/physician administration are discussed.

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  • Conclusion: Nurses and nursing in twentieth- centuryZimbabwe

  • Clement Masakure
  • Book:
    African nurses and everyday work in twentieth-century Zimbabwe
    Published by:
    Manchester University Press
    Published online:
    04 February 2026, pp 214-224

  • Summary

    This chapter draws the main Conclusion: Nurses and nursing in twentieth- centuryZimbabwes and reflects upon the significance of studying African nurses to nursing history within former settler colonies and international nursing history. The chapter also points to areas that need further research centred on the following themes: gender, race and the role of professional nursing organisations. In relation to gender, it calls for a need to explore the history of male nurses beyond mining and the war, which have traditionally been dominated by men thus can be considered as male spaces by exploring the experiences of male nurses in ordinary hospitals. An analysis of male nursing outside the ambit of mining and the military in Zimbabwe and Southern Africa will further complicate the discourse around nursing and masculinities within nursing historiography. Related to race, the chapter highlights the need for a further examination of white nurses, coloured nurses and nurses of Asian descent. An inclusion of these racial clusters in nursing history can be used as a point of entry into examining similarities and differences in experiences for nurses based on race across time and space. Lastly, nurses as other workers, organised to fight for their rights and influence policies that affected their daily work within hospitals. The chapter notes that an investigation of the areas mentioned above and other neglected themes in nursing history will add a further layer to the role of nurses in the history of Zimbabwe, the region and the world.

  • All nurses need to be research nurses

  • Patricia Eckardt, Marilyn J. Hammer, Margaret Barton-Burke, Margaret McCabe, Christine T. Kovner, Liza Behrens, Heather Reens, Barry S. Coller
  • Journal:
    Journal of Clinical and Translational Science / Volume 1 / Issue 5 / October 2017
    Published online by Cambridge University Press:
    16 November 2017, pp. 269-270
    • Article
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  • Introduction

    Nurses are critical to the research enterprise. However all nurses are not prepared to participate as members of the research team since education and training in clinical research nursing and nurse-specific Good Clinical Practice are not consistently included in nursing curricula. The lack of nurse education and training in clinical research and Good Clinical Practice leaves research participants vulnerable with a nursing workforce that is not prepared to balance fidelity to protocol and patient quality care and safety.

    Methods

    A collaborative network of nurses within Clinical and Translational Science Awards and beyond was established to address this education and training need. Over a 2-year period, using expert opinion, Delphi methods, and measures of validity and reliability the team constructed curriculum and knowledge test items.

    Results

    A pilot modular electronic curriculum, including knowledge pretest and post-tests, in clinical research nursing and nurse-specific Good Clinical Practice competencies was developed.

    Conclusions

    As the scope and setting of clinical research changes, it is likely that all practicing nurses, regardless of their practice setting or specialty, will care for patients on research protocol, making all nurses, in essence, clinical research nurses. The curriculum developed by this protocol will address that workforce education and training need.

Paediatric Nursing Skills for Australian Nurses
  • Elizabeth Forster, Jennifer Fraser
  • Published online:
    06 August 2018
    Print publication:
    18 October 2017
  • Paediatric Nursing Skills for Australian Nurses is the first Australia-focused, dedicated paediatric skills text for undergraduate students. Integrating the theoretical and clinical components of nursing knowledge, the authors outline the clinical skills needed in the care of children and young people. The journey begins with an introduction to communication - an essential skill for any paediatric nurse - before exploring crucial topics such as mental health, nutrition and medication. These discussions are presented in connection with the latest national competency standards for registered nurses to help equip readers with these necessary abilities. Pedagogical features include case studies, clinical tips and reflection questions to encourage active thinking and analysis of key concepts. Each chapter concludes with a set of review questions, a research topic and a list of recommended readings to consolidate student understanding. Paediatric Nursing Skills for Australian Nurses is an essential resource for pre-registered nurses within the Australian paediatric setting.

  • Nursing Problems - The Nurse-Patient Relationship

  • S. Raine
  • Journal:
    International Review of the Red Cross / Volume 11 / Issue 125 / August 1971
    Published online by Cambridge University Press:
    13 January 2010, pp. 419-427
    Print publication:
    August 1971

  • The word “relationship” has for some time now become, in the nursing profession at least, one of those terms which, due to its indiscriminate use, has lost any specific meaning and has come to be just another colourless expression endowed with whatever meaning the user may choose to give it. It may be bandied about as a weapon or as a form of justification, and the emotional content with which it is loaded simply helps to aggravate mutual misunderstanding and to stress ideological differences.

  • Nurses' Typifications of Nursing Home Patients

  • Nancy Gilliland, Anne Brunton
  • Journal:
    Ageing & Society / Volume 4 / Issue 1 / March 1984
    Published online by Cambridge University Press:
    14 November 2008, pp. 45-67
    Print publication:
    March 1984

  • Previous studies of the attitudes of nursing staff towards patients in hospitals have suggested that those who were mentally alert, young, acutely ill and in need of medical (not custodial) care, middle class, appreciative and co-operative were labelled ‘good’. Conversely the old, the poor, the chronically ill and the mentally disturbed were labelled ‘bad’. In the study reported here, of a single nursing home situated in the American midwest, these stereotypes are shown not to operate. A subset of these attitudes is none the less to be found which rewards cheerfulness, wittiness and appreciativeness. Favouritism amongst patients is examined as a significant influence on the care of residents who are all elderly and long-term sick.

The Road to Nursing
  • 2nd edition
  • Edited by Nick Arnott, Penny Paliadelis, Mary Cruickshank
  • Published online:
    28 February 2022
    Print publication:
    22 November 2021
  • Being an effective and well-rounded nurse in Australia is not just about technical skills - it's also about thinking like a nurse. The Road to Nursing helps students develop clinical reasoning and critical reflection skills, understand the philosophical and ethical considerations necessary to care for clients and reflect on how to provide care that meets the unique needs of clients. This edition retains three parts which guide students through their transition to university, formation of a professional identity and progression to professional practice. A revised chapter order improves the transition between topics and a new chapter explores the ever-changing Australian health landscape, including recent technological innovations. Each chapter includes definitions of key terms, reflection questions, perspectives from nurses, end-of-chapter review questions, research topics and resources that connect students with the real-world practice of nursing. Written by healthcare experts, The Road to Nursing is a fundamental resource for students beginning a nursing career.

  • Chapter 3 - The nurse–patient relationship and the regulation of nursing practice

  • Kim Atkins, University of Tasmania, Sheryl de Lacey, Flinders University of South Australia, Bernhard Ripperger, NSW Department of Communities and Justice, Rebecca Ripperger, NSW Department of Communities and Justice
  • Book:
    Ethics and Law for Australian Nurses
    Published online:
    11 February 2020
    Print publication:
    02 January 2020, pp 62-88

  • Summary

    The focus of this chapter is the moral aspects of the nurse–patient relationship. Rights and obligations are like two sides of the same coin. A legal right comes with a corresponding obligation, or duty. A right is a legal entitlement to do something, and an obligation is the constraint upon individuals’ behaviour that comes with that entitlement. However, the nurse–patient relationship involves more than legalities. As discussed in Chapter 1, interpersonal relationships involve moral values, such as respect, beneficence and compassion.

  • 4 - The nurse–patient relationship and the regulation of nursing practice

  • Kim Atkins, University of Tasmania, Sheryl de Lacey, Flinders University of South Australia, Rebecca Ripperger, Bonnie Britton, University of Tasmania
  • Book:
    Ethics and Law for Australian Nurses
    Published online:
    21 June 2018
    Print publication:
    01 September 2017, pp 77-103

  • Summary

    LEARNING OBJECTIVES

    In this chapter, you will:

  • ➔ Gain an understanding of the nurse's power in the nurse–patient relationship

  • ➔ Learn about the fiduciary nature of the nurse–patient relationship

  • ➔ Gain an understanding of the legal and moral responsibilities of the nurse–patient relationship

  • ➔ Develop your understanding of how to foster a therapeutic relationship with your patients

  • ➔ Develop your ability to identify risks in the nurse–patient relationship

    • Christine is a patient in the medical ward where you are working. She is anxiously awaiting some test results. You notice that she asks your fellow nurse, Carole, to call the resident doctor for her because she wants to ask the doctor some questions about things that are bothering her. Carole agrees, but then goes to morning tea.

    When you ask Carole why she hasn't called the doctor, Carole replies, ‘I could call the doctor but I know that she won't come until her regular round at 11.30 a.m. Christine will just have to wait. If she asks me again, I'll just say that the doctor is busy but will be here at 11.30. She isn't going to complain. She knows how busy these doctors are.’

    The focus of this chapter is the moral aspects of the nurse–patient relationship. Some people might think Carole is treating Christine with disrespect by misleading and then avoiding her. Others might think Carole is just being realistic. After all, the doctor really is busy and will not be free until 11.30 a.m. In order to work out whether or not this is an appropriate way to treat a patient, the nurse will need to have a good understanding of their responsibilities to their patients and the moral basis of those responsibilities.

    In Chapter 2, we noted that rights and obligations are like two sides of the same coin. A legal right comes with a corresponding obligation, or duty. A right is a legal entitlement to do something, and an obligation is the constraint upon individuals’ behaviour that comes with that entitlement. However, the nurse– patient relationship involves more than legalities. As discussed in Chapter 1, interpersonal relationships involve moral values, such as respect, beneficence and compassion.

  • 27 - Correctional nursing

  • from Part III - Community and primary health care roles
  • Edited by Diana Guzys, University of Tasmania, Rhonda Brown, Deakin University, Victoria, Elizabeth Halcomb, University of Wollongong, New South Wales, Dean Whitehead, University of Tasmania
  • Book:
    An Introduction to Community and Primary Health Care
    Published online:
    15 December 2020
    Print publication:
    30 November 2020, pp 410-420

  • Summary

    The provision of health care to people within correctional environments provides an essential service for a vulnerable and at-risk group in the community (Trimmer et al., 2019). Often, these people’s lives have been impaired by chronic health problems, illiteracy, poverty, unemployment, homelessness, poor relationships and high-risk behaviours such as unsafe sex, drug use and alcoholism (Australian Institute of Health and Welfare, 2014; 2015; Davidson, 2015; Gooding et al., 2015; Hickey et al., 2014; Lafferty et al., 2018). The correctional population is extremely varied and complex and is composed of male and female adults and adolescents who are both the victims and perpetrators of crime (Herber, 2014). For many, incarceration provides an opportunity for mental and physical health issues to be assessed and appropriate health care initiated (Besney et al., 2018; Bouchaud, Brooks & Swan, 2018; Bouchaud & Swan, 2017; Lafferty et al., 2018). This chapter provides an overview of the correctional health system, highlighting the complex needs of this population and the important role of nurses within correctional environments. It also identifies some of the challenges of nursing in a correctional setting and the skills needed by nurses to work effectively in this environment.

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