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Lucille A Joel

Publications and source records attributed to Lucille A Joel.

4 recordsLinked to original sources

Reflections and projections on nursing.

The author looks at the environment within which nurses work and the services that are being delivered in the health care delivery system. These observations serve as the background for predictions about what nursing must do and become to honor its stewardship to the public. Today's environment is consumer driven, multicultural, and multigenerational. The consumer expects information and reserves the right to make decisions on his or her own behalf. It remains up to nursing to read the cues correctly and use the resources that the consumer brings to the nurse-patient relationship. Nurses have the innate skills to fill this role, turning dependency to self-care. Care in the new millennium is characterized by integrated systems, electronic and computer technology, specialization, and inter/transdisciplinary practice. The transition to more community-based services makes independent decision making essential.

Consumer Advocacy↗

Education for entry into nursing practice: revisited for the 21st century.

Professions progress through an expected evolutionary process. This consists of expanding the scientific base, creating technical workers to share in the essential mission of the field, standardizing and up-grading education for entry into practice, and moving forward with specialization. Nursing s progression has been spotty and incomplete, largely because of the influence of external communities of interest, and the fact that nurses have resisted and personalized decisions that are necessary for future generations. For nursing, education for entry into practice has been the most contentious issue in this scheme of professional evolution. For almost 100 years, nurses have debated "entry", but moved to little planned change. Rather, nursing has been swept along by a host of social and educational circumstances that had little to do with nursing. The result has been a myriad of programs with graduates used interchangeably in the real world. This absence of consensus within the discipline of nursing causes consumer confusion, seriously compromises our ability to serve the public, and is intimately associated with the nursing shortage of 2002. What is adequate educational preparation for entry into professional practice for the 21st Century? Agreement on this issue is an essential step towards a preferred future. This paper is intended to raise issues, and to stimulate discussion around these issues, rather than to provide answers.

Education, Nursing↗