Role Model or Role Expansion? Popular Perceptions of the Military in Tunisia

This article introduces a theory on military role expansion in emerging democracies and poses a broad question: who wants the military to adopt which role in society and politics? Drawing on an original, nationally representative survey conducted in Tunisia, the article explores people’s preferences for the military to remain a security provider or serve in government and contribute to policing protests. Findings reveal that public support for military role expansion is substantial and varies across political cleavages. We test hypotheses to account for cleavages driven by the country’s authoritarian past versus partisan divides during Tunisia’s transition to democracy. Findings indicate that popular support for military role expansion is driven by anti-system sentiments prevalent in contemporary Tunisian politics: while voters prefer the military as a role model for security provision, non-voters support its enhanced role in politics. These observations have ample implications for the research programs on civil–military relations and the dynamics of democratic consolidation. Tunisia’s experience warrants greater attention to anti-system attitudes caused by people’s disillusionment with democratic procedures. In turn, authoritarian legacies do not appear to play a prominent role during such challenging transitions toward democratic consolidation.

Surgical role expansion among the NHS workforce

Professor Alan Glasper, from the University of Southampton, discusses the new government initiative to train nurses and other healthcare staff to become surgical care practitioners

Role expansion for nurses in the cardiac catheter laboratory: findings from a systematic scoping review

Background/aims The cardiac catheter laboratory offers services to patients with a variety of conditions. These may include coronary heart disease, structural heart disorders and cardiac electrophysiological syndromes. Owing to the complex nature of an evolving health service and the increasing demands placed on healthcare workers, it is essential that innovative paradigms of service delivery are identified. This scoping review examines the state of knowledge regarding the rationale for change, solutions and potential consequences of expanding the roles of nurses in the cardiac catheter lab. Methods An exploratory scoping study approach was employed, using an established framework. Databases searched included the Cumulative Index to Nursing and Allied Health Literature, Medline and Google Scholar. A systematic search strategy spanning a date range from 1988–2018 was formulated. Titles and abstracts of 172 papers were screened; a total of 20 papers were identified for full review, including 16 from the UK, one from the United States, two from Europe and one from Australia. Results Literature to date concentrated on seven key areas: (1) drivers for change, (2) principles underpinning change, (3) ways of developing the workforce, (4) appropriate change management, (5) recommendations for practice, (6) barriers and facilitators, and (7) outcomes. Conclusions The cardiac catheter lab is under pressure to meet the variable demands placed upon it. There is documented evidence of a shortage of cardiac physiologists, which has a direct and measurable impact on operational efficiency and patient care. The concept of expanding the nurse's role to incorporate aspects of the cardiac physiologist's role has been explored and could be a potential solution. Role expansion and advanced practice is a well-explored model in nursing. There are many themes associated with this issue, which are outlined in this paper. There needs to be more evidence surrounding the patient's perceptions in relation to professional roles in the workplace. An economic evaluation of the costs and benefits of a multiskilled workforce would be a challenging but worthwhile endeavour.

‘Both needed and threatened’: Armed mothers in militant visuals

Because women are assumed to be nonviolent, their participation in militant groups can humanize organizations and legitimize rebellion. But gender beliefs are deeply engrained, and consequently women’s involvement can also generate resistance. This article explores how militants navigate this tension through their political visuals, specifically analyzing images of ‘armed mothers’ across six diverse conflicts. Leveraging life-giving as the ‘natural’ role for women, these images signal violent disruption of everyday life and authorize political violence in response. But they also stress the temporariness of gender-role expansion, promising and preserving a ‘return to normal’. Militant groups contextualize, justify, and humanize violent struggle through these images even in cases where women rarely participate on the front lines.

The experience of the non-medical prescriber in the emergency department in Ireland

Aim: this study set out to evaluate the position of the non-medical prescriber in the emergency department in Ireland. It aims to explore how the role is developing and determine possible barriers to role expansion. Results: six main themes were identified: the process of role development, changes in professional relationships, nurses' awareness of non-medical prescribing, role progression, the future of the role of the non-medical prescriber, and nursing management's understanding of the role. Conclusion: the findings suggest that despite major leaps in the progression of the non-medical prescriber role, many barriers remain. There have been great improvements in professional support from medical and pharmacy colleagues, but nurses themselves were identified as impeding the progression of the role.