Perceptions of reporting practices and barriers to reporting incidents among registered nurses and physicians in accredited and nonaccredited Jordanian hospitals

2015 ◽  
Vol 24 (19-20) ◽  
pp. 2973-2982 ◽  
Author(s):  
Raeda F AbuAlRub ◽  
Nemeh A Al-Akour ◽  
Nour H Alatari
Keyword(s):  
Registered Nurses ◽  
Reporting Practices ◽  
Nurses And Physicians

New Boundaries, New Relationships

2020 ◽  
pp. 79-97
Author(s):  
LaTonya J. Trotter
Keyword(s):  
Registered Nurses ◽  
Nurse Practitioner ◽  
Power Relations ◽  
Medical Work ◽  
Nurses And Physicians ◽  
Signal Changes ◽  
The Difference ◽  
The Stability ◽  
The One ◽  
The Relationship

This chapter evaluates how the presence of the nurse practitioner (NP) does not just signal changes in nursing work; it portends changes in medical work. Although real tensions exist between nurses and physicians, broadly speaking, they have worked collegially alongside one another for well over a century. This collegiality has endured despite significant changes in what both physicians and nurses do for patients. Its endurance, however, has been predicated on the one thing that has not changed: the power relations between the two. It is the difference in authority, and not just the difference in work, that undergirds the stability of the relationship between the two professions. The NP threatens to disrupt that stability. When registered nurses (RNs) become NPs, they are not just learning new skills; they are crossing lines of authority that they had previously learned to treat as constitutive of their profession. The chapter then looks at the voices and experiences of the NPs of Forest Grove Elder Services. Their narrated and actual practices negotiated physician authority in very different ways.

Registered nurses' and physicians' reflections on their narratives about ethically difficult care episodes

1994 ◽  
Vol 20 (2) ◽  
pp. 245-250 ◽  
Author(s):  
Anders Lindseth ◽  
Venke Marhaug ◽  
Astrid Norberg ◽  
Giggi Uden
Keyword(s):  
Registered Nurses ◽  
Nurses And Physicians

Dual loyalties: Everyday ethical problems of registered nurses and physicians in combat zones

2017 ◽  
Vol 26 (2) ◽  
pp. 480-495 ◽  
Author(s):  
Kristina Lundberg ◽  
Sofia Kjellström ◽  
Lars Sandman
Keyword(s):  
Registered Nurses ◽  
Healthcare Personnel ◽  
Humanitarian Law ◽  
Military Operations ◽  
Ethical Considerations ◽  
Common View ◽  
Ethical Problems ◽  
Ethical Codes ◽  
Individual Interviews ◽  
Nurses And Physicians

Background: When healthcare personnel take part in military operations in combat zones, they experience ethical problems related to dual loyalties, that is, when they find themselves torn between expectations of doing caring and military tasks, respectively. Aim: This article aims to describe how Swedish healthcare personnel reason concerning everyday ethical problems related to dual loyalties between care and military tasks when undertaking healthcare in combat zones. Design: Abductive qualitative design. Participants and research context: Individual interviews with 15 registered nurses and physicians assigned for a military operation in Mali. Ethical considerations: The participants signed up voluntarily, and requirements for informed consent and confidentiality were met. The research was approved by the Regional Ethics Review Board in Gothenburg (D no. 816-14; 24 November 2014). Findings: Three main categories emerged: reasons for not undertaking combat duties, reasons for undertaking combat duties and restricted loyalty to military duties, and 14 subcategories. Reasons for not undertaking combat duties were that it was not in their role, not according to ethical codes or humanitarian law or a breach towards patients. Reasons for undertaking combat duties were that humanitarian law does not apply or has to be treated pragmatically or that it is a case of force protection. Shortage of resources and competence were reasons for both doing and not doing military tasks. Under some circumstances, they could imagine undertaking military tasks: when under threat, if unseen or if not needed for healthcare duties. Discussion/conclusion: These discrepant views suggest a lack of a common view on what is ethically acceptable or not, and therefore we suggest further normative discussion on how these everyday ethical problems should be interpreted in the light of humanitarian law and ethical codes of healthcare personnel and following this, further training in ethical reflection before going on military operations.

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