The importance of research for the continuation of the OR nursing profession.
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During the last 2 decades, interest in and use of alternative modalities of health care has proliferated. As the public demand for such therapies increased, nursing has been among a few of the health professions to fill this need. Some of these therapies may prove to be valuable, others may be shown to be ineffective, and others may be harmful. Presently, many alternative methods have not been tested by using rigorous scientific methods. In addition, standardization in education and credentialing of practitioners of these modalities is lacking. As health care professionals, nurses have a responsibility to their patients and to their profession to validate the safety and efficacy of their practice. It is incumbent on the recognized bodies of the nursing profession to address these serious issues. The safety of patients and the reputation of the profession of nursing may depend on it.
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The authors present a personal process to search for new meanings and ways to approach the reality how nurses exercise their profession by means of exploring, reviewing and analyzing active nursing practice, care and teaching. All this investigation permitted the authors to construct a reflexive, inquisitive and critical view, leading to a position change regarding education and the concept we hold about people and about ourselves. This method deals with listening to theory by telling one's experiences.
As part of a wider study concerned with the changing nurse employment patterns a detailed questionnaire was completed by a total of 2325 qualified female nurses, 841 of whom were working fulltime in nursing, 634 were inactive, 678 were offering their services on a part-time basis and 172 were working in some other occupation. In a previous article the results of the analysis conducted on the responses to the attitude questions were presented. In this paper the replies to those questions aimed at soliciting the reasons felt to have impacted on the respondent's decision to take up nursing, to stay or to leave the profession and to re-enter the profession are analysed. As the questionnaires were distributed in the course of two projects separated by 4 years, what is of particular interest is the similarity of the two sets of results. These indicate that there is still a very high level of job satisfaction as evidenced by the extent to which nursing would be recommended to a friend or relative. The primary obvious reason for inactivity is the existence of a young child but when further intentions are explored it is clear that there is a large pool of qualified nurses keen to resume a career the main obstacle being the lack of sufficient flexibility of hours of working.
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