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Educating the nursing profession for role transformation.

This article proposes the use of a role transformation model to facilitate the assumption of more progressive attitudes and more autonomous, responsible behavior by nurses. Five major areas of content which need to be addressed in the role transformation process are detailed: 1) Defining and Articulating the Nursing Domain, 2) Legitimizing the Nursing Profession, 3) Communicating in Professional rather than Non-professional Modes, 4) Negotiating Collaborative Roles, and 5) Cultivating the Organizational Network. Emphasis is placed on the responsibility of nursing educators to model and facilitate role transformation for students and nursing colleagues.

Communication↗

Promoting the nursing profession: the perceptions of non-English-speaking background high school students in Sydney, Australia.

By using an ethnographic approach, this paper explores the perceptions of nursing among the non-English-speaking background high school students in Sydney, and describes how the nursing profession could be promoted to them. A volunteer sample of four groups of high school students with parents from Lebanon, Vietnam, Korea and mainland China were recruited. In-depth focus group interviews were conducted. Through constant comparison of categories, 10 concepts emerged from the three major themes to describe the students' career preferences and their influencing factors; their image of nursing and their suggestions on how nursing could be promoted to them. These findings highlighted the significance of social, cultural and political factors that influenced the students' perceptions of nursing and their career choice. Implications and suggestions for marketing and recruitment strategies are discussed.

Adolescent↗

The patient care assistant program: the nursing profession's and a community college's response to educating unlicensed assistive personnel.

Preparing unlicensed assistive personnel for work in hospitals is one of the major challenges facing the nursing profession in the 1990s. Continued debate prevails over who should educate these health care workers and what content should be included in the curriculum. The 516-hour course described in this article was designed by nursing professionals to educate and train individuals to function as unlicensed assistive personnel in the acute care setting. The program takes place in a junior college and consists of learning activities in the classroom, skills laboratory, nursing home, and acute care hospital.

Curriculum↗

Children's perceptions of the nursing profession in Poland.

The drawing, as a kind of artistic language, used by the child-artist to express his or her thoughts and opinions concerning their environment is an immensely interesting form of cognition for the viewers of such artistic creations. The aim of the study was the analysis of the presentation of the image of the nursing profession created by children and the application of these experiences in vocational education of nurses. The objects of the analysis, were 182 artistic creations of children living in eastern Poland. The detailed analysis of the works was carried out by three independent competent judges who grouped the works according to the accepted indicators of evaluation. The young artists created the image of the nurse that presents a detailed range of professional duties, the quality of the child-nurse relationship and the prognostic vision of the new activities that will be put into practice in the future. The rich content of the drawings was complemented by the high artistic value of the composition. The study material collected should be used not only by nurses participating in care of children, but also in vocational education of nurses for more complete preparation of candidates to perform their future profession.

Adolescent↗

Barriers to healthy eating in the nursing profession: Part 2.

AIM: This is the second of two articles that report on work commissioned by the NHS Executive North West, to explore the perceived barriers to healthy eating within the nursing profession. METHOD: Observations were made of catering facilities within eight healthcare sites (six acute hospitals, an NHS walk-in centre and an NHS Direct site) across the North West region. Twenty four unstructured interviews were conducted with nurses and three were sampled from each healthcare site. RESULTS: Four main themes emerged as barriers to healthy eating: availability; variety; distance from catering facilities; and breaks/staffing levels/workload issues CONCLUSION: Respondents in this study do not consider their working environments to be conducive to healthy eating practices.

Attitude of Health Personnel↗

[The role of technical & financial cooperation to advance nursing profession in the area of demand reduction in Latin America: challenges and perspectives].

New framework of Technical & Financial Cooperation (TFC) has been used to develop a partnership between an international organization and universities in Latin America to advance the contribution of nursing profession in the area of demand reduction. TFC purpose is to support development on specific issues or areas that needs to produce impact within the society as a whole. The "Regional Research Capacity-Building Program" for nurses to study the drug phenomenon in Latin America represents an example of new framework of TFC to enhance nurses to use science and technology in areas of health promotion, prevention of drug use and abuse, and social integration in Latin America. TFC has becomes a powerful instrument to advance nursing professional in the area of demand reduction.

Financing, Organized↗

The national suicide prevention strategy for England: the reality of a national strategy for the nursing profession.

Suicide is recognized as a global phenomenon and many countries now have national suicide prevention strategies. International guidance on suicide prevention and accepted epidemiological and treatment-based research underpins healthcare policy relating to suicide reduction. There has been an established comprehensive strategy in England since 2002. However, the rate of suicide continues to be a concern and nurses hold a key role in the implementation of national, regional and local policy into practice. The aim of this paper is to consider the current implications of the national suicide prevention strategy in England for nursing. This discussion paper draws upon both empirical evidence-based literature, governmental guidance and policy-related documentation. The national suicide prevention strategy for England currently continues to have a multifaceted impact on the nursing profession. This ranges from clinical practice issues such as risk assessment through to broader public health responsibilities. If nurses and allied health professionals are to be effective in their role within suicide prevention, they will need to be supported in building awareness of the wider context of the national policy. In particular, this will mean working effectively and collaboratively with the voluntary sector, service users and other non-medical agencies.

Cooperative Behavior↗

[Factors linked to premature leaving of the nursing profession. Confirmation of the impact one year later. Longitudinal analyses of nurses. PRESST/NEXT study].

BACKGROUND: The organization of French medical institutions is changing, and the nursing personnel can encounter difficulties of adaption to these changes. The results of 2 questionnaires of the PRESST/NEXT study relative to working conditions (respectively, the questionnaires "Q0" and "Q12"), sent in a year interval to a sample of nurses were compared. METHODS: Three samples were made up: a sample of 5376 nurses having answered the initial questionnaire (Q0); a sample of 2627 nurses having answered the questionnaire sent one year after (Q12), and working in the same establishment; a group of 208 nurses having answered the questionnaire "Qex", specific to nurses who left their establishment. RESULTS: Among nurses who answered the "Qex", approximately 1/5 of nurses chose to leave the profession definitively or temporarily before the retirement age; of these, almost 13% began a new work not in the healthcare sector. Seven factors are significantly related to the intention of leaving the profession: Dissatisfaction regarding professional prospects (Q0: OR = 3.1 and Q12: OR = 2.82); Difficulties assuming the family responsabilities (Q0: OR = 1.36 and Q12: OR = 2.10); Mental health disorders for nurses not followed medically (Q0: OR = 1.76 and Q12: OR = 1.47), and for nurses receiving care for this (Q0 : OR = 1.90 and Q12: OR = 1.77); Dissatisfaction concerning the psychological support available at work (Q0: OR = 1.57 and Q12: OR = 1.87); Tiredness (Q0 : OR = 1.40 and Q12: OR = 1.6); Musculo-skeletal disorders diagnosed by doctor (Q0: OR = 1.32 and Q12: OR = 1.61); Dissatisfaction concerning the use of competences (Q0: OR = 1.27 and Q12: OR = 1.97). CONCLUSION: These results raise questions as to the benefits of new management which promotes flexibility in work and schedules, and which reduces the possibilities of support within the nursing teams. This type of management implies uncertainty for nurses as far as the technical aspects of their work are concerned, and a lack of time for the education and follow-up of patients.

Adaptation, Psychological↗