scholarly journals The Nursing Profession in Jordan: Military Nurses Leading the Way

2019 ◽  
Vol 24 (3) ◽  
Author(s):  
Rowaida Al Maaitah ◽  
Daad Shokeh ◽  
Saba Al-Ja'afreh
Keyword(s):  
Decision Making ◽  
Nursing Education ◽  
National Level ◽  
Professional Autonomy ◽  
Nurse Leaders ◽  
Nursing Profession ◽  
Nursing Workforce ◽  
Military Nurses ◽  
Military Nursing ◽  
The Way

Military nurses have a remarkable role in leadership and policy influence in health and nursing. This role is an integral part of their efforts and contribution to strengthen the nursing profession and increase professional autonomy. This article discusses contributions of military nurses to enhance and influence nursing profession in Jordan. Military nurses’ contributions are evident in the improved image and status of nursing profession in Jordan as a result of their unique efforts to invest in the nursing workforce by providing leadership to improve health outcomes. We offer an overview of the nursing profession and describe the journey of military nursing in Jordan, informed by a focus group discussion conducted with 12 retired military nurse leaders. Three themes emerged from this discussion: enhancement of strong nursing leadership, policy, and decision making; investment in nursing education; and investment in the nursing workforce and practice. Current challenges of military nursing to maintain the legacy of military nursing in Jordan were identified. Ideas for the way forward are discussed to further strengthen the nursing profession in the military sector with some reflection about the national level. In conclusion, retired nurse leaders emphasized the need for more advocacy and active engagement of nurses at the policy and decision making levels in both health and non-health sectors.

A Staged Approach to Educating Nurses in Health Policy

2017 ◽  
Vol 18 (1) ◽  
pp. 44-56 ◽  
Author(s):  
Carol Hall Ellenbecker ◽  
Jacqueline Fawcett ◽  
Emily J. Jones ◽  
Deborah Mahoney ◽  
Beth Rowlands ◽  
...  
Keyword(s):  
Health Policy ◽  
Nursing Education ◽  
Policy Development ◽  
National Level ◽  
Nurse Leaders ◽  
Health Policies ◽  
Organizational Level ◽  
Institute Of Medicine ◽  
Staged Approach ◽  
Educating Nurses

Nurse leaders and health-care experts agree that nurses have a responsibility to address the health problems facing the nation by participating in health policy development. However, nurses have not fully realized their potential when it comes to engaging in health policy advocacy and leadership. Nurse leaders, professional nursing organizations, accrediting bodies, and the Institute of Medicine have all identified the need to educate nurses in heath policy. Valuable recommendations for content and learning activities in health policy have been made. We argue that nursing education in health policy and the many recommendations offered have been broad and overly ambitious. This article presents a proposal for a staged approach to educating nurses. This approach would tailor content to the role of the nurse at each level of nursing education. The focus of health policy content would progress from the organizational level to local, state, and finally national level health policies. The goal of this approach is to better prepare all levels of nursing students to participate in shaping effective health policies.

scholarly journals Strike action by nurses in South Africa: A value clarification

Curationis ◽  
2001 ◽  
Vol 24 (4) ◽  
Author(s):  
Marie Muller
Keyword(s):  
South Africa ◽  
Nursing Education ◽  
Descriptive Analysis ◽  
National Level ◽  
Education Institution ◽  
Nursing Profession ◽  
Ethical Question ◽  
Labour Relations ◽  
A Value ◽  
Perceived Values

The Labour Relations Act (South Africa, 1991) made provision for protected strike action by employees, subject to certain conditions, procedures and negotiated agreements. This led to the removal of the strike clause in the Nursing Act (South Africa, 1992). The labour rights of all citizens are entrenched in the Constitution of the country (South Africa, 1996). Participation in strike action by the nurse/ midwife, regardless of the legal requirements and specifications, does, however, pose an ethical question. It is therefore necessary to conduct a value clarification on strike action by nurses in South Africa. The purpose of this research is to explore and describe the perceived values of participants from an accessible population on this phenomenon. A qualitative, exploratory and descriptive research design was deployed. The perceived values of nurses on strike action were collected by means of an openended questionnaire/sketch. Over a period of three years a purposive and convenient sampling method was used, involving all the enrolled post basic nursing/midwifery students/ learners at a particular Nursing Education Institution. The justification of the sample was further enhanced by also collecting data on the participants’ age and provincial distribution location. Although a 63% sample realisation (of the accessible population) was achieved, this represents only 1,5% of the registered nursing/midwifery population in the country. A descriptive analysis of the participants’ age and provincial distribution was undertaken, as well as a content analysis of their perceived values on strike action. The mean age of the participants was 48 years, which could be attributed to the fact that most of them were enrolled for a post-basic Diploma in Community Nursing Science. Most of the responses (52,7%) were against strike action and 32,5% supported strike action by nurses as a constitutional and legal right. A fairly substantial number of participants (14,8%) expressed mixed views as to whether strike action by nurses is right or wrong. Some respondents (15,7%) also reflected confusion regarding the enactment of strike action and the removal of the strike clause from the nursing legislation. Although this study does not claim external validity due to inappropriate representation of the nursing profession, the nurse of today opposes strike action. It is recommended that the study be replicated at national level and that the values be entrenched and published in position papers of and by the regulatory and organised nursing profession.

scholarly journals Factors associated with job satisfaction among graduate nursing faculties in Nepal

2019 ◽  
Author(s):  
Abja Sapkota ◽  
Usha Kiran Paudel ◽  
Jyotsana Pokhrel ◽  
Pratima Ghimire ◽  
Arun Sedhain ◽  
...  
Keyword(s):  
Job Satisfaction ◽  
Decision Making ◽  
Nursing Education ◽  
Response Rate ◽  
National Level ◽  
Operating Condition ◽  
Factors Associated ◽  
Graduate Nursing ◽  
Quality Of Nursing

Abstract Background: Job satisfaction among nursing faculties is critical to improve quality of nursing education for producing future nurses whose action will be directly related to the health condition of the patients at local and national level. This study explores the factors associated with job satisfaction among graduate nursing faculties in different Universities of Nepal. Methods: A cross-sectional study was conducted among the nursing faculties with Masters’ level and higher qualification and completed at least one year of teaching in their respective institutions. A 36-question job satisfaction questionnaire with 6-point Likert type responses was administered online. The survey instrument was pre-tested with 30 faculties pooled from multiple institutions. Link to final survey was sent via e-mail to 327 nursing faculties working in 39 nursing colleges. Respondents were followed through email or phone, once a week for one month after survey was opened. Data analysis was carried out with SAS University Edition software. Chi-Square test and t-test were used for simple descriptive analysis. Results: The response rate was 54.4%. After retrospective cleaning of data, usable response rate was 52.3% (n=171). The average age of the nursing faculties was 36.8±7.0 years. Based on the overall job satisfaction score, 36.8% nursing faculties were satisfied with their current job. The coefficient for Cronbach’s alpha was 0.895 suggesting very good reliability of the overall measure. The significant factors associated with job satisfaction were the involvement of the faculties in decision making process related to the department (OR=4.83) and adequate access to reference materials (OR=2.90). Top three domain specific job satisfaction scores were coworkers (µ=18.3), communication (µ=17.3) and nature of work (µ=17.1). Lowest satisfaction scores were for promotion (µ=12.0), operating condition (µ=12.9) and contingency rewards (µ=13.1) and pay (µ=13.8) Conclusions: This study suggests that nursing faculties have positive attitude towards their job but are dissatisfied with the benefits offered to them as well as the operating condition of the institution they work for. A participatory approach in management and decision making within different level of the organization would boost their morale. Expanding teaching learning resources would be helpful in improving the quality of nursing education in Nepal.

scholarly journals Air Force Executive Nurse Leaders: Expanding Nursing Leadership During 1995-1999

2019 ◽  
Vol 24 (3) ◽  
Author(s):  
Lauren Brackett ◽  
Robie Hughes
Keyword(s):  
Air Force ◽  
Opportunity To Learn ◽  
The United States ◽  
Interdisciplinary Teams ◽  
Nurse Leaders ◽  
Nursing Profession ◽  
Military Nurses ◽  
Nurse Leadership ◽  
Treatment Facilities ◽  
The Impact

Many great nurse leaders were pivotal in moving the nursing profession forward, but their efforts have not been recorded in history. Examining recorded history provides an opportunity to learn from our past, understand the impact of the past on current practice, and better plan to advance quality practice in the future. This article describes a study that explored the contributions to the nursing profession by the United States Air Force Executive Nurse Leadership initiative on the nursing profession between 1995 and 1999 in the context of the career of Brigadier General Linda J. Stierle. The article describes the research methods, including the oral history process. Discussion of the findings describe both her impact as an Air Force Executive Nurse Leader who significantly contributed to expanding opportunities for military nurses to lead interdisciplinary teams, command medical treatment facilities, advance medical readiness and nursing practice, and grow nursing as a science. Her influence continues today and the conclusion discusses implications for current nurses.

scholarly journals Reasons and decision-making processes for applying to nursing school among nurses showing delayed professional development

2018 ◽  
Vol 9 (1) ◽  
pp. 21
Author(s):  
Chihiro Kawakami ◽  
Rintaro Imafuku ◽  
Koji Tsunekawa ◽  
Takuya Saiki
Keyword(s):  
Professional Development ◽  
Decision Making ◽  
Nursing Education ◽  
Role Model ◽  
Nursing School ◽  
Nursing Profession ◽  
Teaching Hospitals ◽  
Structured Interviews ◽  
School Entrance ◽  
Decision Making Processes

Objectives: The characteristics of nurses who leave the profession after completing nursing school have not been examined sufficiently. Therefore, we examined the reasons for applying to nursing school and the process of arriving at the decision to apply among nurses showing delayed professional development.Methods: Participants were eight junior nurses showing a delay in their growth as nurses, who were working at two teaching hospitals. We utilized semi-structured interviews, and the transcripts were quantitatively and qualitatively analyzed.Results: A frequency analysis of the reasons identified in the transcripts revealed twelve primary reasons for applying to nursing school, such as attraction to the nursing profession, selection from among the different options in the medical field, scholastic aptitude for post-high-school entrance examinations, and academic interest. A qualitative analysis of the process by which participants decided to apply to nursing school yielded three themes: tendency to depend on others, superficial consideration of their own aptitude for the nursing profession, and obtaining a nursing license as a means of accomplishing another purpose.Conclusions: We revealed a number of reasons why newly qualified nurse exhibit delayed professional development as well as three characteristics of their decision-making to apply to a nursing school. The practical implications for the interview process in selection of applicants, effective usage of role model, and coaching are indicated for future nursing education.

Awareness and Decision Making in Professional Ethics

2000 ◽  
Vol 5 (1) ◽  
pp. 19-27 ◽  
Author(s):  
Ronny Swain
Keyword(s):  
Decision Making ◽  
Professional Ethics ◽  
Ethical Decision Making ◽  
Code Of Ethics ◽  
Professional Autonomy ◽  
Ethical Awareness ◽  
Ethical Decisions ◽  
The Right ◽  
Aid Decision

The paper describes the development of the 1998 revision of the Psychological Society of Ireland's Code of Professional Ethics. The Code incorporates the European Meta-Code of Ethics and an ethical decision-making procedure borrowed from the Canadian Psychological Association. An example using the procedure is presented. To aid decision making, a classification of different kinds of stakeholder (i.e., interested party) affected by ethical decisions is offered. The author contends (1) that psychologists should assert the right, which is an important aspect of professional autonomy, to make discretionary judgments, (2) that to be justified in doing so they need to educate themselves in sound and deliberative judgment, and (3) that the process is facilitated by a code such as the Irish one, which emphasizes ethical awareness and decision making. The need for awareness and judgment is underlined by the variability in the ethical codes of different organizations and different European states: in such a context, codes should be used as broad yardsticks, rather than precise templates.

Clinical Judgment Revisited

1999 ◽  
Vol 38 (04/05) ◽  
pp. 279-286 ◽  
Author(s):  
L. L. Weed
Keyword(s):  
Decision Making ◽  
Medical Practice ◽  
Clinical Judgment ◽  
Medical Information ◽  
Patient Records ◽  
Practice Of Medicine ◽  
The Way

AbstractIt is widely recognised that accessing and processing medical information in libraries and patient records is a burden beyond the capacities of the physician’s unaided mind in the conditions of medical practice. Physicians are quite capable of tremendous intellectual feats but cannot possibly do it all. The way ahead requires the development of a framework in which the brilliant pieces of understanding are routinely assembled into a working unit of social machinery that is coherent and as error free as possible – a challenge in which we ourselves are among the working parts to be organized and brought under control.Such a framework of intellectual rigor and discipline in the practice of medicine can only be achieved if knowledge is embedded in tools; the system requiring the routine use of those tools in all decision making by both providers and patients.

Patients’ practices for taking the initiative in decision-making in outpatient psychiatric consultations

2017 ◽  
Vol 13 (2) ◽  
pp. 169-184 ◽  
Author(s):  
Shuya Kushida ◽  
Takeshi Hiramoto ◽  
Yuriko Yamakawa
Keyword(s):  
Decision Making ◽  
Conversation Analysis ◽  
Treatment Decision ◽  
Close Inspection ◽  
Important Resource ◽  
Treatment Decision Making ◽  
The Way

In spite of increasing advocacy for patients’ participation in psychiatric decision-making, there has been little research on how patients actually participate in decision-making in psychiatric consultations. This study explores how patients take the initiative in decision-making over treatment in outpatient psychiatric consultations in Japan. Using the methodology of conversation analysis, we analyze 85 video-recorded ongoing consultations and find that patients select between two practices for taking the initiative in decision-making: making explicit requests for a treatment and displaying interest in a treatment without explicitly requesting it. A close inspection of transcribed interaction reveals that patients make explicit requests under the circumstances where they believe the candidate treatment is appropriate for their condition, whereas they merely display interest in a treatment when they are not certain about its appropriateness. By fitting practices to take the initiative in decision-making with the way they describe their current condition, patients are optimally managing their desire for particular treatments and the validity of their initiative actions. In conclusion, we argue that the orderly use of the two practices is one important resource for patients’ participation in treatment decision-making.

Rangda and the Goddess Durga in Bali

2017 ◽  
Vol 12 (1) ◽  
pp. 50-77
Author(s):  
Sarah Weiss
Keyword(s):  
Decision Making ◽  
Binary Opposition ◽  
Dynamic Relationship ◽  
The Witch ◽  
Purity And Impurity ◽  
Good And Evil ◽  
Negative Attributes ◽  
The Way

This article examines Rangda and her role as a chthonic and mythological figure in Bali, particularly the way in which Rangda’s identity has intertwined with that of the Hindu goddess Durga— slayer of buffalo demons and other creatures that cannot be bested by Shiva or other male Hindu gods. Images and stories about Durga in Bali are significantly different from those found in Hindu contexts in India. Although she retains the strong-willed independence and decision-making capabilities prominently associated with Durga in India, in Bali the goddess Durga is primarily associated with violent and negative attributes as well as looks and behaviours that are more usually associated with Kali in India. The reconstruction of Durga in Bali, in particular the integration of Durga with the figure of the witch Rangda, reflects the local importance of the dynamic relationship between good and bad, positive and negative forces in Bali. I suggest that Balinese representations of Rangda and Durga reveal a flux and transformation between good and evil, not simply one side of a balanced binary opposition. Transformation—here defined as the persistent movement between ritual purity and impurity—is a key element in the localization of the goddess Durga in Bali.

The importance and promise of integrating Indigenous knowledges in nursing education

2020 ◽  
Vol 2 (1) ◽  
pp. 11-24
Author(s):  
Vanessa Van Bewer ◽  
Roberta L. Woodgate ◽  
Donna Martin ◽  
Frank Deer
Keyword(s):  
Nursing Education ◽  
Nursing Profession ◽  
Ethical Values ◽  
Education Programs ◽  
Indigenous Knowledges ◽  
Indigenous Learning ◽  
Schools Of Nursing ◽  
Indigenous Perspectives

This paper explores the relevance of Indigenous perspectives within the nursing profession, and the importance of weaving these perspectives into nursing education. We suggest that Indigenous perspectives can support nursing’s core ethical values of relationality and holism and may hold representational and transformational possibilities for students and educators alike. Guided by principles of Indigenous learning, we provide several exemplars from Canadian schools of nursing that have already begun the process of decolonizing their programs. We conclude by describing some of the challenges and considerations that may arise when Indigenous perspectives and approaches are considered for inclusion into nursing education programs.

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