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Article #34: Changing role of nurse

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The issues related to nursing involve a leadership skills to effectively perform
thorough examination of nursing as theory clinical duties (Booth and Davies, 1991).
and practice. The role of the nurse The differences between the role of the
practitioner especially in areas of health visitor, nurse and midwife in
clinical decision making and management general practice have been studied.
could be studied in the contexts of Social and healthcare policy and
obstetrics and gynaecological department guidelines on clinical governance suggest
or even emergency wards. The emphasis of a multidisciplinary collaborative working
most studies is on reflective practice approach for effective clinical
using Gibbs (1988) model of treatment and management (Papers4you.com, 2006).
reflection. The need to follow clinical Collaborative teamwork, holistic
guidelines as given by NICE or NHS have psychosocial treatment and proper
been emphasised in several studies allocation of clinical resources are some
especially highlighting the importance of of the issues that are very important
personal cleanliness and hygiene in within intensive care units and for care
infection control. The role of informed of emergency patients. The ethical and
consent and clinical decision making in legal responsibilities of a nurse
case of pregnancy with family history of practitioner and the medical team in
mental health problems suggest the general are largely guided by not just
central role of the challenges in the clinical guidelines set by the Department
decision making process (Papers4you.com, of Health but also by a team of dedicated
2006). The need for counselling and health professionals within the clinical
holistic care of patients have been setting.
emphasised in clinical practice. The role The issues discussed in the field of
of the nurse and the importance of proper nursing include clinical governance,
knowledge of clinical guidelines, NHS collaborative teamwork, the role of the
directives and adequate medical training clinical nurse practitioner, the
suggest the crucial responsibility of the importance of reflective practice, Gibbs
nurse who plays varied roles from that of (1988) Model, clinical management and
physician to hospital manager. The decision making, ethical and legal issues
studies show the varied approaches to in clinical care and holistic approach to
nursing as in case of a depressed treatment.
patient, the emphasis is on counseling Bibliography
and psychological support whereas in case Booth J, Davies C. (1991) The management
of treating a patient with high blood of change on a nursing development unit.
pressure or multiple injuries after Nurs Pract.;4(2):12-5.
accident, reflective practice on Bowcutt M, Wall J, Goolsby MJ. (2006) The
immediate measures followed would be more clinical nurse leader: promoting
important, suggesting a focus on patient patient-centered outcomes. Nurs Adm Q.
centered outcomes (Bowcutt, et al 2006). Apr-Jun;30(2):156-61.
Clinical management is closely related to Gibbs, G. 1988. Learning by doing: a
leadership theories and it is important guide to teaching and learning methods.
for the nurse to develop adequate London: Further Education Unit.






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