Role Confusion and Conflict in Nursing: The Role of the Professional Nurse

1959 ◽  
Vol 59 (2) ◽  
pp. 196 ◽  
Author(s):  
Kenneth D. Benne ◽  
Warren Bennis
Keyword(s):  
Professional Nurse ◽  
Role Confusion

Senior nurse role expectations of graduate registered and enrolled nurses on commencement to practice

2014 ◽  
Vol 38 (4) ◽  
pp. 432 ◽  
Author(s):  
Elisabeth R. Jacob ◽  
Lisa McKenna ◽  
Angelo D'Amore
Keyword(s):  
Registered Nurses ◽  
Nursing Care ◽  
Online Survey ◽  
Full Range ◽  
Role Expectations ◽  
Graduate Nurse ◽  
Senior Nurse ◽  
Nurse Role ◽  
Role Confusion

Objective This paper reports on a project to examine the expectations of senior nurses regarding graduate roles of registered and enrolled nurses educated in Victoria, Australia. Methods Participants completed an online survey to indicate whether predetermined competencies were in the roles of graduate enrolled or registered nurses or not in the role of either nurse. Chi-squared analysis was used to identify differences between participant groups. Results Participants expressed variations in role expectations for the different level of graduate nurse. Although basic nursing care was undertaken by both graduate enrolled and registered nurses, no specific role was identified for enrolled nurses. Differences were found in the opinions of senior nurses over the roles of graduate nurses, demonstrating considerable variation in expectations. Management, education and research roles were not identified as the role of either nurse on graduation. Differences were found in the expectations of the different senior nurse groups regarding the roles of the enrolled nurse, particularly in the new skills taught in the enrolled nurse diploma program. Conclusions Confusion exists regarding the roles of both types of nurse on graduation. Further research across Australia is required to clarify the roles of the different level of nurse in different practice contexts. What is known about the topic? Australia, like many other countries, prepares two levels of nurse for entry to practice: the degree-prepared registered nurse and the diploma-prepared enrolled nurse. Role confusion and ambiguity have been reported in the literature by many countries, including Australia, that employ two levels of nurse. What does this paper add? Great variation exists between expectations of senior nursing staff as to the role of both levels of graduate nurse. Role confusion and ambiguity exists for nurses in Australia. Role confusion and ambiguity around the scope of practice for enrolled nurses is seen as both limiting their practice and encouraging them to work at levels for which they have not been prepared. Graduate registered nurses were seen as more prepared for required graduate attributes than enrolled nurses. Care of acute, complex or deteriorating patients remains the role of registered nurses. What are the implications for practitioners? Practising nurses need to be educated as to the skills and knowledge that diploma enrolled nurses are graduating with in order to enable them to use their full range of abilities. To provide safe, quality care, registered nurses must fully understand the roles and abilities of the enrolled nurses to whom they delegate care. Organisational health policies and procedures need to be reviewed to accommodate the increased skills and knowledge of diploma-prepared enrolled nurses and enable best utilisation of their skills. Practising nurses need to be aware that enrolled nurses are not educationally prepared to care for complex or deteriorating patients. Although they are able to undertake basic nursing care, the role of caring for complex, highly acute and deteriorating patients remains in the domain of registered nurses. The increasing acuity of patients admitted to health services requires a higher skill mix of registered nurses to safely care for them.

Negotiating the Role of the Professional Nurse

2011 ◽  
Vol 27 (5) ◽  
pp. 299-310 ◽  
Author(s):  
Joni Walton ◽  
Elizabeth Chute ◽  
Lynda Ball
Keyword(s):  
Professional Nurse

scholarly journals Experiences of final year nursing students in their preparedness to become registered nurses

Curationis ◽  
2005 ◽  
Vol 28 (4) ◽  
Author(s):  
S Carlson ◽  
W J Kotzé ◽  
D Van Rooyen
Keyword(s):  
Nursing Students ◽  
Registered Nurses ◽  
Research Design ◽  
Nursing Student ◽  
Professional Nurse ◽  
Professional Nursing ◽  
Study Results ◽  
Professional Nurses

The objectives of this study were: firstly, to explore and describe the experiences of final year nursing students relating to how they experience their preparedness to fulfil the role of professional nurse; secondly, to explore and describe the experiences of novice professional nurses in the role of professional nurse; finally, to generate a model which will assist the final year nursing student to become a professional nurse. A theory-generative, qualitative, explorative, descriptive and contextual research design was utilized to reach the objectives of the study. Results indicated that final year nursing students experience a lack of confidence to take on the responsibilities of professional nursing. The results are displayed in table form and discussed in the article. This abstract forms part of a bigger study that addresses the professional maturity of the novice professional nurse for the practice of nursing.

scholarly journals Research and development in haematology. A report on international congresses and visit to academic centres in Europe

Curationis ◽  
1990 ◽  
Vol 13 (1/2) ◽  
Author(s):  
Lucille Wood
Keyword(s):  
Bone Marrow ◽  
Bone Marrow Transplantation ◽  
Research And Development ◽  
Marrow Transplantation ◽  
Professional Nurse

I have recently had the opportunity to present departmental research at the International Bone Marrow Transplantation Meetings and to visit a number of academic centres overseas. This report summarises those experiences, with particular emphasis on the role of the professional nurse in research and development as it applies to contemporary haematology.

The Expanding Role of the Professional Nurse in a Hospital

Nursing Forum ◽  
1964 ◽  
Vol 3 (4) ◽  
pp. 8-20
Author(s):  
Gertrude Cherescavich
Keyword(s):  
Professional Nurse

scholarly journals O papel do enfermeiro no atendimento humanizado de urgência e emergência

2014 ◽  
Vol 4 (11) ◽  
pp. 10
Author(s):  
Maria Do Amparo Alves de Moura ◽  
Elenice Mitsuko Miyazato Watanabe ◽  
Alessandra Teresa Ramos dos Santos ◽  
Sandra Regina Cypriano ◽  
Luiz Faustino dos Santos Maia
Keyword(s):  
Emergency Room ◽  
Nursing Care ◽  
Literature Search ◽  
Care Delivery ◽  
Risk Classification ◽  
Main Role ◽  
Professional Nurse ◽  
The Subject

A atuação do enfermeiro na assistência humanizada na área de urgência e emergência pressupõe-se que o principal papel do enfermeiro na sala de emergência é o de uma assistência segura e livre de risco. Este estudo teve como objetivo interpretar a atuação do profissional enfermeiro no atendimento humanizado, classificação de risco e sistematização da assistência de enfermagem em urgência e emergência. A metodologia utilizada foi pesquisa bibliográfica nas bases de dados LILACS, SciELO. Para tanto foram utilizados artigos publicados nos últimos cinco anos sobre a temática do estudo para obtenção dos resultados contemplando os objetivos, visando a importância do atendimento de enfermagem nas unidades de urgência e emergência.Descritores: Enfermeiro, Humanização, Urgência e Emergência. The role of nurses in humane care and emergencyAbstract: Nursing actions in the humanized care delivery in the area of urgency and emergency is assumed that the main role of nurses in the emergency room is in a safe and risk-free assistance. This study aimed to interpret the actions of the professional nurse in the humanized service, risk classification and systematization of nursing care in emergency and urgent. The methodology used was literature search in LILACS, SciELO databases. For both articles last published five years on the subject of study to obtaining the results contemplating objectives were utilized, targeting the importance of the nursing care in the unit urgency and emergency.Descriptors: Nurse, Humanization, Urgent and Emergency. El papel do enfermero en la atención humanitaria y de emergenciaResumen: Acciones de enfermería en la asistencia humana en el área de atención de emergencia se supone que la principal función de la enfermera en la sala de emergencias es una asistencia segura y sin riesgos. Este estudio tuvo como objetivo interpretar el papel del profesional de enfermería en el cuidado humano, la clasificación de riesgo y la sistematización de la atención de enfermería en las salas de emergencia. La metodología utilizada fue la literatura en las bases de datos LILACS, SciELO. Tanto para los artículos publicados en los últimos cinco años sobre el tema de estudio para obtener los resultados teniendo en cuenta los objetivos se utilizaron, apuntando a la importancia de las unidades de cuidados de enfermería y de emergencia.Descriptores: Enfermería, Humanización, Urgencias y Emergencias.

Psychiatric evidence in Diminished Responsibility

2018 ◽  
Vol 82 (6) ◽  
pp. 442-456 ◽  
Author(s):  
Nicholas Hallett
Keyword(s):  
Moral Dimensions ◽  
Role Confusion ◽  
Court Of Appeal ◽  
New Criteria ◽  
Diminished Responsibility

Diminished Responsibility is a statutory partial defence to the charge of murder in the Homicide Act 1957 which has been amended by the Coroners and Justice Act 2009. In R v Brennan, the Court of Appeal described the new criteria as relating ‘entirely to psychiatric matters’. This article will explore to what extent such a conclusion is warranted. The statutory wording of the 2009 Act will be analysed and the role of expert psychiatric evidence will be considered. It will conclude that the new Diminished Responsibility is not a purely psychiatric matter. This is because of the moral dimensions inherent in the defence, the ambiguity in the statutory wording and the fundamental problems of psychiatry usurping the function of the jury in relation to the ultimate issue. This results in inconsistent application and role confusion in relation to the defence and asks psychiatric evidence questions it cannot answer.

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