摘要:

This paper reports on semi‐structured interviews with 114 Pakistani nurses. This sample comes from a larger long‐term study examining the impact of advanced training in Canada on the lives and careers of nurses and lady health visitors from Pakistan. The data reported here were drawn from the first interview with all nurses, and focuses on how and why they chose a career in nursing. Demographically, the respondents (Rs) were more urban and more highly educated than the average Pakistani woman. Compared to the national population, Ismailis and Christians were over‐represented and non‐Ismaili Muslims under‐represented in our sample. Although these ratios are also true of Pakistan's nursing population, the bias has been exaggerated by the convenience nature of our sample drawn primarily from the Aga Khan University Medical Centre. Most Rs found out about nursing through a relative or friend who was also a nurse. Eighty per cent of Rs (n=92) reported having made the decision to pursue nursing by themselves, illustrating the increasing ability of women to control their own lives in this traditionally patriarchal society. ‘Professionalism’ was the predominant reason why Rs (or others) decided on nursing, followed by ‘Altruism’. These findings are compared to other studies on the career choice of nurses done in non‐Islamic societies. Over 90% of Rs reported receiving support from at least one friend or relative for their decision to enter nursing. Nonetheless, over half (58%) also reported that someone, most often a male relative, had opposed their career choice. Our results are discussed in terms of the status of women and

ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1994.tb01062.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

摘要:

Workload analysts and nursing theorists alike continue their attempts to capture the hidden work of nursing, with varying degrees of success. An interpretative study of the process of discharging patients from hospital to care at home led to a new understanding of the context‐related work which nurses do. Three components of context‐related work were identified: working with the characteristics of bureaucracy; compensating for bureaucracy on behalf of the health care team; and providing leadership which ensured effective care from others. All constituted invaluable yet obscured and unrecognized components of nursing's indirect contribution to patient care. The costs to keeping this work ‘secret’ were readily apparent. The understanding derived from this research affords new insights into why nursing has kept this hidden work secret. These insights, in turn, help identify potential solutions for consideration by all concerned about nursing's professional role, status and i

ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1994.tb01063.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

摘要:

Caring has been cited by many authors as the core value of nurse educator‐student relationships. Others have discussed the need for caring to be translated and transmitted in the practices of nursing education. However, a clear conceptualization of what caring in nursing education is and how it is transmitted to students does not yet exist. The following is an exploration of the concept of caring in nursing education as it is revealed in nursing research and literature. The authors present a critical analysis of the definitions, objectives, attributes and constraints of caring in nursing education. What is currently known and perceived about caring in nursing education, as well as what is not known and what needs to be known, is highlighted. Imperatives for future research are identifie

ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1994.tb01064.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

摘要:

This paper examines the problem of developing research in nursing and the challenge of establishing its relevance and usefulness to the practising nurse. It is accepted that considerable progress has been made worldwide in recent years in the development of nursing research but nurses remain generally remote from the intellectual challenge of an evolving research‐based profession. The publication of research reports is examined in the light of the acknowledged need for dissemination of research findings and differences in their presentation are noted as evidence of an apparent discouragement of the practising nurse from sharing in the accumulated nursing knowledge through research. It is argued that learning about research should be brought into the centre of basic nursing education and the growth in clinical research should be encouraged as a means of demonstrating the usefulness of research to the practising nurs

ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1994.tb01065.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

摘要:

As in nursing, recent curriculum reform in radiographer education has resulted in the development of undergraduate programmes, and a study referred to in this paper investigated the activities of supervising radiographers in support of the undergraduate curriculum. Following on from ‘ward learning environments’ research in nursing, the most important activities which assist radiography students'clinical learning were investigated by means of the Delphi technique. At the design stage, a deficiency in previous work using the technique was identified, in that decisions relating to consensus among research respondents appeared to be based on arbitrary or post hoc rationales rather than predetermined or objective criteria. As the Delphi technique is being increasingly employed in nursing and similar research, it is important to explore issues of consensus, validity and reliability. The paper makes recommendations for improving these aspects in future stud

ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1994.tb01066.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

摘要:

Nursing scholars from around the world have written extensively in the past decade of the need to transform current health care systems and of the role of nursing education in achieving this goal. Proposals for change abound in the literature and are beginning to emerge in practice but not without difficulties. Having examined new curricular developments, this paper will discuss barriers to further progress. It is suggested that emphasis on reforming schools of nursing and teaching practices has tended to overlook broader institutional influences, in particular the clinical settings in which 50% of nurse education occurs. This paper will outline the major themes of the curriculum revolution, examine the ways in which educational institutions, health care settings and nursing organizations hinder the progress of curricular reform, and discuss possible solutions and their limitations.

ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1994.tb01067.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

摘要:

The concept of preceptorship in baccalaureate nursing education continues to be endorsed as a viable alternative clinical teaching strategy. However there remains a dearth of research to substantiate many of those benefits vis‐à‐vis preceptor, preceptee and ultimately the health care consumer. Moreover, there are minimal substantive data regarding the criteria which are required for the actual selection of the clinical preceptor. Not infrequently, preceptors are selected primarily for their availability during the clinical placement of students. As a result, baccalaureate nursing students are being preceptored by staff nurses with little or no preparation for assuming a role in which they are expected to promote the principles and ideology of baccalaureate nursing education. Is this fair to the preceptor, preceptee and the client? Can it be said that the nursing faculty, in promoting such a process, are in fact promoting the status

ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1994.tb01068.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

摘要:

Books Reviewed in this Article:Patients' Rights, Responsibilities and the Nurseby Bridgit Dimond.A History of Mental Health Nursingby Peter Nolan.Psychological Care in Physical Illness 2nd ednby Keith A. Nichols.Psychology and Mental Health Nursingby Derek Milne.Aspects of Forensic Psychiatric Nursing editedby Paul Momsson&Philip Bumard.Measuring Outcomes in the Mental Health Servicesby Susie GreenCancer in Practiceby G.J.G. Rees, S.E. Goodman&J.A. Bullimore.Nursing Care of the Immunocompromised Patientby M. Linda Workman, Jan Ellerhorst‐Ryan&Victoria Hargrave‐Koertge.Nursing Practice and Health Care 2nd edn editedby S. Hinchliffe, S. Norman&J. Schober.Falls in the Elderlyby Joanna H. Downton.Measuring the Effectiveness of Nurse Education: the Use of Performance Indicatorsby A. Narayanasamy.The Doctor, The Patient, and The Group: Balint Revisitedby Enid Baliit, Michael Courtenay, Andrew Elder, Sally Hull&Paul Jul

ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1994.tb01069.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

ISSN:0309-2402    

DOI:10.1111/j.1365-2648.1994.tb01070.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY