Surgical implantation for bone anchored hearing aid.
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Biomedical subjects
Publications and source records attributed to A Mardell.
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The concept of the nurse as the patient's advocate is one that has become popular in the last fifteen years or so in both North America and the United Kingdom, having its basis in nursing theory. The UKCC first embraced the concept, stating in the Code of Professional Conduct that nurses must; 'act always in such a manner so as to promote and safeguard the interests and well being of patients and clients'. This is a laudable principle and one that nurses cannot dispute as there are many members of our society who are weak and vulnerable and may be unable to speak up for themselves. But are nurses always in a position to be an advocate for their patients? As the nature of nursing is so diverse then the nature of advocacy will be different in the multifarious settings in which nurses practise. Can theatre nurses ever be in a position to act as an advocate for a patient who is often anaesthetised? What precisely is advocacy and is the Concise Oxford Dictionary definition of 'one who pleads for another' appropriate in the nursing context? Then there is the position of nurses in the healthcare organisation in which they practise. In advocating for their patients, nurses may find they are pleading a case for a patient, or a group of patients, that could bring the nurse into conflict with their medical colleagues or with the management of the organisation by whom they are employed. Additionally, they may not posses the skills and knowledge to advocate effectively under such circumstances. Nursing is littered with the casualties of such conflicts over the years, the most publicised of whom, in the UK, was probably Graham Pink who lost his job as a charge nurse after drawing public attention to what he considered to be an unacceptable standard of care in the hospital in which he worked.
It was a wet and grey day in downtown Boston. It was reported on the six o'clock news that a record 2.7 inches of rain fell on the city that day. Much of it seemed to have fallen on me as I drove in from the suburbs. I had come all this way on a long anticipated holiday to see 'The Fall' in New England but there was something about the rain that was strangely reminiscent of our home grown variety in Wales. Should I perhaps have stayed at home with some videos and books? It would certainly have been cheaper. I had arranged to visit the 'Eye and Ear' some weeks before. The link being one of my consultant colleagues who had undergone some of his training as a resident there many years before, under the guidance of the famous Dr. Harold Schucneckt. I wanted to see what things were like in hospitals and operating theatres and get a taste of the American nursing and healthcare system.
In this article, the authors provide an overview of the perceptions of theatre nursing, the current role and ways in which this may develop in the future.
The current economic climate makes it increasingly likely that the role of nurses in the operating theatre will be scrutinised once again. This article reports on how theatre nurses view their work, making some recommendations to try to improve the perception of theatre nursing outside operating departments.