Changing Role Of Nurses Research Articles

Experiences of nurses working in novel virtual care centres in the Netherlands: a qualitative study

BackgroundVirtual care centres (VCCs) are novel wards of hospitals and facilitate the provision of remote monitoring and home-based patient care. Whereas since the COVID-19 pandemic VCCs have rapidly emerged, there is no standardised framework for the development and implementation of VCCs. To develop such a framework, insight in current experiences of employment in VCCs is needed. Therefore, the aim of this study was to explore nurses' perceptions and experiences of working in VCCs.ResultsBetween February and July 2023, semi-structured online interviews were conducted with thirteen nurses (age 45 ± 8 years) from four VCCs in the Netherlands. Interviews were thematically analysed using a six-stage approach, yielding six themes of nurses’ perceptions and experiences of working in VCCs: 1)' Changing role of nurses', especially in the patient-professional relationship, transformation of care and communication; 2)’Clinical perspective of nurses’, need for general medical knowledge and use of data in relation to nurses’ clinical perspective, 3)‘Education and training’, need to keep nurses’ knowledge up-to-date and create time for education; 4)'Organisation of care', nurses’ role in the development of protocols and need for sufficient technological preconditions; 5)‘Cooperation with other healthcare professionals’, consisted of the collaboration with and needed support by other healthcare professionals to organize and provide care to VCC patients; 6)'Experienced effects of VCCs' included advantages and disadvantages of VCCs for the nurses, patients and the hospital. Themes were mapped onto the Capability, Opportunity and Motivation of Behaviour (COM-B) model where all themes included components of capability, opportunity and motivation.ConclusionsOur findings highlight the importance of considering COM-B components of nurses' work in VCCs. Due to the changing roles of nurses in VCCs, there are evolving educational needs in to communicate with patients and colleagues, and the use of data to support their clinical view, as well as providing technological optimisations to further support nurses' work and the VCCs.

Factors Affecting Participation of Registered Nurses in Continuing Nursing Education among Selected Private Hospital in Penang, Malaysia

Introduction: The rapidly changing health care needs of clients, the changing roles of nurses, and rapid technological advancement make Continuous Nursing Education (CNE) necessary for nurses to maintain up-to-date nursing knowledge and skills to face the ever-increasing societal demands. Objective: The objective of this study is to identify factors that motivate and deter CNE participation among nurses. Methods: A cross-sectional descriptive study design was conducted in a selected private hospital, Penang, Malaysia. 100 respondents who fulfilled the inclusion criteria participated in this study. This study utilised a self-administered questionnaire related to factors that motivate and deter nurses’ participation in CNE. Results: The results of this study showed that both factors that motivate and hinder CNE participation among the registered nurses were above the mean of 3.0 out of 5 scores. above theAll factors that influence have mean of more than 3.0. There is no significant difference between various categories of the department on factors that influence CNE participation among registered nurses at the selected private hospital in Penang; F (6, 81) = 0.558, p = 0.763 > 0.05. Conclusion: This study indicated that there is a need to develop an effective strategy for nurses to participate in the future CNE.

Nurses and the Manchester: rearranging the work process and emergency care?

to understand the changing roles of nurses in labor division organization in hospitals from the Manchester Triage System implementation in an emergency hospital. this is an ethnographic study that used different production techniques and data analysis. the Manchester Triage System organized flows and places resulting in quality of care and changes in work processes. Conflict relationships related to disagreements in risk stratification were present. the traditional roles of nurses have been transformed, but it cannot be said that there was a structural change in their position in labor division organization in hospitals. The frontiers of autonomy, therefore of increasing the professionalization of nurses, are neither fixed nor stable, expanding or contracting according to the micropolitical changes in the governance of care.

Celebrating 70 years of nursing in an evolving NHS

Gerri Mortimore, Lecturer at the University of Derby, discusses the changing role of nurses in the NHS since its creation in 1948

Fire in the Belly and the Professionalization of Nurses

Today, professional nurses around the world are stepping up to meet the needs of individuals with Crohn disease, using their specialized knowledge and skills that demonstrate areas of expertise that have not always existed. The gastrointestinal-specific knowledge being used by these 21st-century nurses exists today because progressive efforts of nurses in previous decades moved the profession of nursing forward. The purpose of this article was to describe and analyze the development of the role of nurses in responding to new challenges patients with Crohn disease face since the emergence of the disease in the early 20th century. The authors used traditional historic research methods to conduct the study. Primary sources include nursing journals and textbooks published in the 20th and 21st centuries and documents archived at The Mount Sinai Hospital in New York City, where Burrill B. Crohn conducted his seminal work. The significance of the findings is that the changing role of nurses in caring for patients with Crohn disease mirrors the professionalization of nursing during the 20th and early 21st centuries.

NHS workforce issues: implications for future practice.

This analysis of the literature examines the implications of the changes in the National Health Service workforce and the ramifications for multi-professional working practices, patient care and delivery of health services. Changes in medical working practices and education, together with the increasing numbers of doctors, have resulted in proposals for nurses to extend their role and the removal of professional restrictions. Whilst the numbers of nurses in the workforce have marginally increased, the qualified nurse ratio has declined, as has the balance between medical and registered nurses. Few attempts have been made to evaluate these changes in relation to the quality of service and patient outcomes. The changing roles of nurses and their value need to be quantified. Demographic trends, together with international shortages and the lack of educational capacity have also been understated Adequate and accurate workforce information should be regularly collated and analysed.

Traditional Chinese Medicine and Women's Health: A Perspective on the Changing Role of Nurses

Traditional Chinese Medicine and Women's Health: A Perspective on the Changing Role of Nurses

Classifying clinical decision making: a unifying approach

This is the first of two linked papers exploring decision making in nursing which integrate research evidence from different clinical and academic disciplines. Currently there are many decision-making theories, each with their own distinctive concepts and terminology, and there is a tendency for separate disciplines to view their own decision-making processes as unique. Identifying good nursing decisions and where improvements can be made is therefore problematic, and this can undermine clinical and organizational effectiveness, as well as nurses' professional status. Within the unifying framework of psychological classification, the overall aim of the two papers is to clarify and compare terms, concepts and processes identified in a diversity of decision-making theories, and to demonstrate their underlying similarities. It is argued that the range of explanations used across disciplines can usefully be re-conceptualized as classification behaviour. This paper explores problems arising from multiple theories of decision making being applied to separate clinical disciplines. Attention is given to detrimental effects on nursing practice within the context of multidisciplinary health-care organizations and the changing role of nurses. The different theories are outlined and difficulties in applying them to nursing decisions highlighted. An alternative approach based on a general model of classification is then presented in detail to introduce its terminology and the unifying framework for interpreting all types of decisions. The classification model is used to provide the context for relating alternative philosophical approaches and to define decision-making activities common to all clinical domains. This may benefit nurses by improving multidisciplinary collaboration and weakening clinical elitism.

Nursing, knowledge and practice.

Recent commentators have suggested that academic knowledge is irrelevant to nursing practice and may actually undermine nursing's traditional caring ethos. Furthermore, by making nursing more academic, it is claimed that 'natural' but non-academic carers are prevented from pursuing a career in nursing. Debates about the relationship between nursing, knowledge and practice have a long history and have to be understood in terms of wider political and economic issues relating to nursing, its status within society and the changing role of nurses within the health services division of labour. One crucial issue is nursing's status as women's work. Critics of developments in nurse education draw an ideological equation between nursing work and the traditional female role. From this perspective the qualities that make a good nurse cannot be taught, rather they are founded on 'natural' feminine skills. Irrespective of whether caring is 'natural' or not, it is questionable as to whether, for today's nurses, being caring is sufficient. The shape of nursing jurisdiction is a long way removed from its origins in the Victorian middle-class household. In addition to their traditional caring role, contemporary nurses may also have complex clinical, management and research responsibilities, as well as being crucial coordinators of service provision. It is suggested that these and future developments in health services make the need for an educated nursing workforce even more pressing. In order to adequately prepare nurses for practice, however, it is vital that nurse education reflects the reality of service provision.

The changing role of nurses in making ethical decisions.

In past decades, biomedical technology has created such advances that many health care professionals and consumers are overwhelmed by the apparently unlimited choices in treatment decisions. Problems in human reproduction, preservation of life, research on human subjects, and allocation of scarce resources are just a few of the categories of concerns that we now face. These dilemmas are complex both from conceptual and ethical perspectives. Thus, it becomes more and more difficult to define such important concepts as “human life” or ‘extraordinary treatment,” and to apply these concepts to clinical situations. It has become almost impossible to objectively interpret and apply ethical principles which should guide actions of health care providers.

Clothing Symbolism and the Changing Role of Nurses

Nurses' use of and attitudes toward traditional role symbols and their attitudes toward nurse autonomy and rejection of traditional role limitations were investigated. The sample consisted of 275 staff‐level registered nurses randomly selected from five Ohio and five Massachusetts general hospitals. The hypothesis that there would be an association between frequency of cap‐wearing and attitudes toward role symbols was accepted (p < .001). The hypothesis that nurses who expressed favorable attitudes toward role symbols would express unfavorable attitudes toward nurse autonomy and rejection of traditional role limitations, and that nurses who expressed unfavorable attitudes toward role symbols would express favorable attitudes toward nurse autonomy and rejection of traditional role limitations was accepted (p < .001). The type of professional socialization and variables related to setting in which the nurse role is enacted are factors related to nurses' attitudes toward traditional role symbols.

PERMANENCE and CHANGE

Dr. Sounders, a sociologist el the University of Colorado's. School of McCain, h well acquainted with nurses and their problems. Our readers will remember his article, “The Changing Role of Nurses,” In the September 1954 Journal.

The Changing Role of Nurses

ROFESSIONAL training in a field such as nursing, to a considerable extent, consists in learning the behaviors that are appropriate to one or more fairly well defined roles, the ways in which those roles interlock with others in complex systems, and the skills that are necessary for at least minimum effectiveness in performance. A role, as defined by social psychologists, is not necessarily what anybody does. It is rather that complex of behavior that is expected of one who occupies a given position or office. Since roles are' defined in terms of collective expectations, any considerable difference in the set of expectations one group or another has with respect to a given role may make difficult the performance of the role. If, as sometimes happens, doctors have one set of notions about what nurses should do and nurses have different ideas of what their role is, any performance is likely to produce strain, to the extent that it is not consistent with the nurses' own conception of their role or with their idea of what the physicians' expectations are.

The Changing Role of Nurses

ROFESSIONAL training in a field such as nursing, to a considerable extent, consists in learning the behaviors that are appropriate to one or more fairly well defined roles, the ways in which those roles interlock with others in complex systems, and the skills that are necessary for at least minimum effectiveness in performance. A role, as defined by social psychologists, is not necessarily what anybody does. It is rather that complex of behavior that is expected of one who occupies a given position or office. Since roles are' defined in terms of collective expectations, any considerable difference in the set of expectations one group or another has with respect to a given role may make difficult the performance of the role. If, as sometimes happens, doctors have one set of notions about what nurses should do and nurses have different ideas of what their role is, any performance is likely to produce strain, to the extent that it is not consistent with the nurses' own conception of their role or with their idea of what the physicians' expectations are.