Themes and Perspectives in Nursing

348 Pages·1992·6.988 MB·English

by  Lesley Mackay (auth.), Professor Keith Soothill, Professor Christine Henry, Mr Kevin Kendrick (eds.)

THEMES AND
PERSPECTIVES
IN NURSING
THEMES AND
PERSPECTIVES
IN
NURSING
Edited by
Keith Sooth ill, Christine Henry
and Kevin Kendrick
Centre for Health Research, Lancaster University
SPRINGER-SCIENCE+BUSINESS MEDIA, B.V.
First edition 1992
© 1992 Keith Soothill, Christine Henry and Kevin Kendrick
Originally published by Chapman & Hall in 1992
Typeset in 10 on 12 point Sabon by Columns Design and Production
Services Ltd, Reading
ISBN 978-0-412-43990-2 ISBN 978-1-4899-4435-1 (eBook)
DOI 10.1007/978-1-4899-4435-1
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Contents
Contributors VB
Acknowledgements IX
Preface
X
PART I PERCEPTIONS OF NURSING 1
1 Nursing and doctoring: where's the difference? 4
Lesley Mackay
2 The media representation of the nurse: 16
the implications for nursing Joanne Holloway
3 Nursing, advertising and sponsorship: some ethical 41
issues Ruth Chadwick
4 NHS nursing: vocation, career or just a job? 56
Brian Francis, Moira Peelo and Keith Soothill
5 Conceptions of the nature of persons by doctors, 75
nurses and teachers Christine Henry
PART II EDUCATION 89
6 The nurses' reformation: philosophy and pragmatics 91
of Project 2000 Kevin Kendrick and Anne Simpson
7 Interpersonal and therapeutic skills in the 'New 101
Curriculum' for nurse education Tom Chapman and
Helen Fields
8 Performance indicators and changing patterns of 114
accountability in nurse education Ruth Balogh
9 Professional conceptions of mental illness and 138
related issues Glen Pashley
PART III CLINICAL 155
10 Patient advocacy in nursing Paul Witts 158
11 Assessing the stress in persons with cancer: 181
an exploration of the main perspectives of stress in
relation to their psychological care Liz Hanson
CONTENTS
12 Conceptions of care Helen Ellis 196
13 Nursing wastage from the nurses' perspective 214
Catherine Williams, Jon Barry and Keith Soothill
14 Difficulties in provision of care for the elderly by 231
auxiliaries - implications for the new support worker
Emily Griffiths
15 Considerations of personhood in nursing research: 245
an ethical perspective Kevin Kendrick
PART IV MANAGEMENT 259
16 Managing nurse wastage Jon Barry, Keith Soothill 261
and Catherine Williams
17 Nurse supply modelling David Worthington 276
18 Angels in red? patterns of union membership 293
amongst UK professional nurses Paul Bagguley
19 Nurses and the prospects of participative 310
management in the NHS Stephen Ackroyd
Index 331
Contributors
Mr Stephen Ackroyd is an organizational consultant and Lecturer
in the Management School, Lancaster University.
Dr Paul Bagguley is Lecturer in the Department of Social Policy
and Sociology, University of Leeds.
Ms Ruth Balogh was Research Officer on the project to develop
performance indicators for the English National Board for
Nursing, Midwifery and Health Visiting and is currently a
freelance research and evalaution consultant.
Mr Jon Barry is Research Officer, Centre for Applied Statistics,
Lancaster University.
Dr Ruth Chadwick is Director of the Centre for Applied Ethics,
University of Wales College of Cardiff.
Dr Tom Chapman is Principal Lecturer in the Department of
Applied Social Sciences, Edge Hill College of Higher Education.
Ms Helen Ellis is a course teacher in the Department of Post Basic
and Continuing Education, Preston and Chorley School of
Nursing.
Ms Helen Fields is Assistant Director of Nurse Education, Sefton
School of Health Studies.
Mr Brian Francis is Assistant Director, Centre for Applied
Statistics, Lancaster University.
Ms Emily Griffiths is staff nurse on a continuing care ward,
Ulverston Hospital, Cumbria, and postgraduate in the Department
of Applied Social Science, Lancaster University.
Ms Liz Hanson is a former staff nurse at Weston Park Hospital,
Sheffield, and is currently Visiting Lecturer, School of Health and
Community Studies, Sheffield City Polytechnic.
Professor Christine Henry is Dean of the Faculty of Health,
Lancashire Polytechnic.
Ms Joanne Holloway is a former staff nurse and former student at
Lancaster University studying psychology and sociology.
Mr Kevin Kendrick is Senior Lecturer in Health Care Ethics,
Lancashire Polytechnic.
CONTRIBUTORS
Dr Lesley Mackay is Senior Research Fellow in the Department of
Applied Social Science. Lancaster University.
Ms Glen Pashley is Senior Lecturer in Curriculum Development in
the Faculty of Health, Lancashire Polytechnic.
Dr Moira Peelo is Research Associate, Department of Applied
Social Science, Lancaster University.
Ms Anne Simpson is Principal of the Lakeland College of Nursing
and Midwifery.
Professor Keith Soothill is Professor of Social Research in the
Department of Applied Social Science, Lancaster University.
Ms Catherine Williams is Lecturer in the Department of Nursing
and Health Studies, St Martin's College, Lancaster.
Mr Paul Witts is Senior Lecturer in the Department of Nursing in
the Faculty of Health, Lancashire Polytechnic.
Dr David Worthington is Lecturer in Operational Research and
Operations Management, the Management School, Lancaster
University.
Acknowledgements
Many people have assisted, both directly and indirectly, in
bringing this collaborative project to fruition. To everyone we
extend our thanks. In particular, we much appreciate the
willingness of our contributors to act on the suggestion of Moira
Peelo that any royalties accruing from the book should go to a
fund administered by the Centre for Health Research at Lancaster
University. The object of the fund is to assist nurses to carry out
r~search. Hence, any success that this book achieves will help -
albeit in a small way - some nurses to develop their research
ideas. We hope that everyone who has supported us in various
ways feels that the venture has been worthwhile.
Keith Sooth ill
Christine Henry
Kevin Kendrick
Preface
The delivery of effective health care IS a major priority for the
nursing profession and nurses must therefore confront issues
related to all aspects of health and health care reform. A priority is
to develop appropriate texts which will not only complement the
rapid changes in nursing education, but also encourage confidence
in appraisal and allow students of nursing and the qualified
practitioner to sensitively utilize their critical skills.
The transfer of nursing education to the higher education sector
is occurring in different ways on a national and international level.
This emphasizes a variety of changes, such as new opportunities in
nursing and midwifery career structures, the advancement of
nursing research, professional practice and accountability. The
positive aspect lies with providing a confident nurse practitioner
for the 1990s and beyond. This text therefore presents significant
issues and themes which directly relate to the 1990s, and the
significant changes, such as perceptions of nursing, education,
clinical professionalism and management.
Keith Soothill
Christine Henry
Kevin Kendrick