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Ethical orientation, functional linguistics, and the codes of ethics of the Canadian Nurses Association and the Canadian Medical Association.

The literature on codes of ethics suggests that grammatical and linguistic structures as well as the theoretical ethical orientation conveyed in codes of ethics have implications for the manner in which such codes are received by those bound by them. Certain grammatical and linguistic structures, for example, tend to have an authoritarian and disempowering impact while others can be empowering. The authors analyze and compare the codes of ethics of the Canadian Nurses Association (CNA) and the Canadian Medical Association (CMA) in terms of their ethical orientation and grammatical/linguistic structures. The results suggest that the two codes differ substantially along these two dimensions. The CNA code contains proportionally more statements that provide a rationale for ethical behaviour; the statements of the CMA code tend to be more dogmatic. Functional grammar analysis suggests that both codes convey a strong deontological tone that does not enhance the addressee's ability to engage in discretionary decision-making. The nurses' code nonetheless implies a collaborative relationship with the client, whereas the medical code implies that the patient is the recipient of medical wisdom. The implications of these findings are discussed.

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Development of a social justice gauge and its use to review the Canadian Nurses Association's Code of Ethics for Registered Nurses.

Betty Bekemeier and Patricia Butterfield undertook a critical review of 3 American nursing documents in relation to the concept of social justice. Their article inspired a review of the Canadian Code of Ethics for Registered Nurses, using a Social Justice Gauge developed by the Canadian Nurses Association. The article outlines the development of the gauge and its use in this review. Although some evidence of generic and outdated language is evident in the Canadian code, the text appears well aligned with social justice ideals overall. That being said however, there still remains significant possibility for enlarging the application of social justice, especially in relation to the place of nurses in healthcare institutions and in nontraditional nursing settings, in future revisions of the code. Work to further examine, adapt, and test the Canadian Nurses Association's Social Justice Gauge is encouraged.

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Predictors of success on the Canadian Nurses Association testing service (CNATS) examination.

This retrospective study examined the relationship of selected admissions variables and in-course performance to success in the Canadian Nurses Association Testing Service (CNATS) examinations of 114 students admitted directly from secondary school to a four-year integrated, problem-based learning (PBL) baccalaureate nursing program in Canada. Data were analyzed using two separate hierarchical stepwise regression equations. The first equation examined a set of secondary school grades (Ontario Academic Credits, or OACs) used to calculate university admission averages and their ability to predict CNATS performance. OAC English was found to be the best predictor, followed by OAC chemistry and the admission average obtained on other OAC subjects. The second regression equation looked at in-course grades as potential predictors of CNATS scores. The basic sciences variable proved to be the best predictor, followed by research methodology, first-year Nursing Concepts I, a problem-based nursing average, and a clinical practice average. Findings support the continued use of English and chemistry as admission criteria. The basic sciences courses and first-year nursing courses also emerged as statistically significant predictors of licensure examination success.

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"Lively combat": Kathleen Ellis and the Canadian Nurses Association's lobby during the Second World War.

Although it has become unfashionable in recent years to extol the achievements of those who have become known as the "elite" in Canadian nursing, it is nonetheless true that a number of early Canadian nurse leaders contributed significantly to the advancement of their profession. One such individual was Kathleen Wilhelmina Ellis. This article analyzes her impact as Emergency Nursing Advisor for the Canadian Courses Association (CNA) during World War II. The previously unreported success of the CNA in capitalizing on the "crisis" of world War II to counter plans of the Canadian Hospital Council to increase pupil nurse enrollments beyond hospitals' clinical teaching and supervision capabilities provides the context for analysis. From 1942 to 1946, the CNA administered a $774,000 grant from the Federal Government to improve teaching in hospital and university schools of nursing, provide bursaries for graduate nurses, and recruit increased numbers of qualified applicants to hospital nurse training programs. The success of the CNA in securing and administering these funds signalled its political acumen as national representative of Canadian nurses and nursing. Kathleen Ellis' contribution as Emergency Nursing Advisor for the CNA was important to the success of the CNA's lobby during World War II.

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