Abstract:
AIMS AND OBJECTIVES:I will argue that overseas nurse recruitment is the consequence of a care gap, which arose from several policy shifts in the 1990s and in part from the rhetoric of a normative moral discourse in the UK which claims that caring is the moral essence of nursing. I will suggest that this discourse has masked the uncoupling of caring from nursing practice and that this uncoupling places the overseas nurses in a contradictory position. BACKGROUND:In an increasingly competitive global labour market, the UK is faced with a nursing shortage and has been recruiting trained nurses from abroad (NMC 1993-2002). DESIGN AND METHODS:This paper is based on two related, qualitative studies using semi-structured focus groups and individual interviews. The first explored the experiences of overseas nurses in the UK and the second investigated the equal opportunities and career progression of overseas nurses in the UK. RESULTS:The data from these studies challenge the normative UK value that caring is at the heart of nursing. These data are the lens through which we see this contradiction explicitly played out. Overseas nurses observe that caring (as undertaken by health care assistants in care homes) is not nursing yet caring is being passed down the line as a process that marginalizes the overseas nurses and at the same time devalues their skills. I do not argue that overseas nurses care at a higher standard (although this may be the case) just that they care differently, that they expected UK nurses to deliver basic care and, instead, experience UK nursing practice as less autonomous and of a lower standard than they expected. CONCLUSIONS:I argue that the overseas nurses' views help us understand the processes by which the uncoupling of caring from nursing has come about. RELEVANCE TO CLINICAL PRACTICE:This paper discusses a workforce issue which is directly relevant to clinical practice because it focuses on the meaning of care; what is caring, what are caring activities and how are these represented in the discourse on caring in the literature? This paper also reveals significant worries among nursing managers about how to staff the nursing workforce and what nurses should be doing in the clinical areas.
journal_name
J Clin Nursjournal_title
Journal of clinical nursingauthors
Allan Hdoi
10.1111/j.1365-2702.2007.02095.xsubject
Has Abstractpub_date
2007-12-01 00:00:00pages
2204-12issue
12eissn
0962-1067issn
1365-2702pii
JCN2095journal_volume
16pub_type
杂志文章abstract:AIMS AND OBJECTIVES:To understand the challenges faced by patients with heart failure. BACKGROUND:Heart failure is a clinical syndrome that is increasing across the globe. People affected with it encounter various problems that reduce their quality of life and well-being. Therefore, identifying the challenges faced by...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.13729
更新日期:2017-11-01 00:00:00
abstract:AIMS AND OBJECTIVES:To explore the resources that patients diagnosed with type 2 diabetes drew upon to manage the disease in their daily lives. BACKGROUND:Type 2 diabetes is a disease affecting Australian adults at a rate described as an 'epidemic'. Treatment usually focuses on patient self-management, which may requi...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.13383
更新日期:2017-01-01 00:00:00
abstract:AIMS AND OBJECTIVES:This study aimed to develop knowledge on the experiences of male partners of women with cervical cancer during and after the illness. We explore men's experiences of becoming caregivers as well as how the illness trajectory affects or has affected the relationship. BACKGROUND:Receiving a cancer dia...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.14688
更新日期:2019-03-01 00:00:00
abstract:AIMS AND OBJECTIVES:To determine the association between hypoglycaemia among neonates born to mothers with gestational diabetes mellitus and their postpartum prediabetes. BACKGROUND:Infants born to mothers with diabetes who experienced hyperglycaemia are more likely to develop hypoglycaemia. DESIGN:A prospective-desc...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.12488
更新日期:2014-08-01 00:00:00
abstract:AIMS AND OBJECTIVES:To report a study investigating how nurse prescribers integrate prescribing in clinical practice. Factors that influence integration are explored and how nurses approach integration is defined. BACKGROUND:There are expectations that nurse prescribers will prescribe for patients. Nurse prescribers s...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2012.04338.x
更新日期:2013-07-01 00:00:00
abstract:AIM AND OBJECTIVES:To analyse and synthesise the structure, content, types of outcome variables and advantages of nurse-led follow-up of adult patients after discharge from intensive care units. BACKGROUND:Follow-up service after discharge from the intensive care unit has been suggested as a way of supporting recovery...
journal_title:Journal of clinical nursing
pub_type: 杂志文章,评审
doi:10.1111/jocn.12939
更新日期:2016-01-01 00:00:00
abstract:AIM:To measure levels of anxiety among people accompanying consumers to the emergency department and to explore how anxiety influences satisfaction with care. BACKGROUND:When people seek treatment in an emergency department they are often accompanied by a next-of-kin, family member or friend. While the accompanying pe...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2009.02873.x
更新日期:2009-12-01 00:00:00
abstract:AIMS AND OBJECTIVES:To explore varied forms of psychological distress and to determine the mediating influence of psychological distress on functional outcomes in stroke patients. BACKGROUND:Previous studies attest to the influence of depression on poststroke functional recovery. While there is evidence for neuropatho...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.12606
更新日期:2014-12-01 00:00:00
abstract:AIMS AND OBJECTIVES:To evaluate the degree of improvement in the dysphagia and nutritional status of patients with brain injuries after removal of the nasogastric tube. BACKGROUND:The nurse should assess patients' dysphagia, after removal of the nasogastric tube, and immediately reflect the changes in patient care. Ac...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.14226
更新日期:2018-04-01 00:00:00
abstract::This article describes how the results of an audit of district nursing care plan documentation have been used to inform practice development in a community trust. The principle aim of the audit was to discover whether the evaluation of patient care was being adequately recorded in nursing care plans. To establish this...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2702.1999.00217.x
更新日期:1999-01-01 00:00:00
abstract:AIMS AND OBJECTIVES:To examine missed care within two patient safety public inquiries using a socio-ecological model. BACKGROUND:Missed care is a care which has been omitted or rendered incomplete. Possible outcomes of missed care have been identified including poor patient outcomes such as higher mortality rates, red...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.15391
更新日期:2020-09-01 00:00:00
abstract:AIMS:The aim of this survey was to gain an overview of enteral nutrition practices and procedures of European adult intensive care units and to describe current trends. BACKGROUND:Currently, little is known about nutritional practices in European intensive care units and whether they match existing guidelines. DESIGN...
journal_title:Journal of clinical nursing
pub_type: 杂志文章,评审
doi:10.1111/j.1365-2702.2006.01841.x
更新日期:2007-11-01 00:00:00
abstract:AIM:To investigate perceptions of graft rejection and different methods to obtain knowledge about graft rejection among adult organ transplant recipients. BACKGROUND:Rejection is the most common cause of graft loss and graft dysfunction in clinical transplantation. Little is known about the recipients' own explanation...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2008.02364.x
更新日期:2008-09-01 00:00:00
abstract:AIMS AND OBJECTIVES:To confirm the accuracy of the EASI system compared to the standard 12-lead electrocardiogram, which is the gold standard, in monitoring the two major parameters used in the Coronary Care Units to detect myocardial ischaemia: ST-segment and J-point. BACKGROUND:Continuous electrocardiograph monitori...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.13168
更新日期:2016-05-01 00:00:00
abstract:AIMS AND OBJECTIVES:The purpose of this study was to explore the prevalence of sexual dysfunction in males one year after undergoing low anterior resection and to determine whether health care professionals discuss sexual issues with patients after surgery. BACKGROUND:Sexual dysfunction in males may be a complication ...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.13172
更新日期:2016-08-01 00:00:00
abstract::The aim of this study was to compare the attitudes of nurses who had little or no experience of computerized care planning (non-users) with those who had at least two years' experience (users). The study also assessed levels of computer literacy among both cohorts and the training methods that were considered most app...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2702.1999.00273.x
更新日期:1999-07-01 00:00:00
abstract:AIMS AND OBJECTIVES:This paper aims to explore the concept of risk in pregnancy. BACKGROUND:Notions of risk and 'not knowing' have always surrounded pregnant women, although in the last two decades trends of increased consumer confidence and midwifery activism have together promoted a greater appreciation of pregnancy...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2008.02480.x
更新日期:2009-03-01 00:00:00
abstract:AIMS AND OBJECTIVES:This is a follow-up study to investigate the long-term effects of a holistic care programme for the rehabilitation of persons with serious mental illness. Perception of help from the programme and factors relating to the outcomes of the programme will also be studied. BACKGROUND:This psychiatric re...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2010.03622.x
更新日期:2011-10-01 00:00:00
abstract:AIMS AND OBJECTIVES:To provide a critical review of nursing literature about compassion, identifying major themes, questions arising and directions for future investigation of the topic. BACKGROUND:Compassion has emerged as a topic of broad social concern in recent years and is particularly pertinent to nurses. DESIG...
journal_title:Journal of clinical nursing
pub_type: 杂志文章,评审
doi:10.1111/jocn.12924
更新日期:2015-10-01 00:00:00
abstract::Admission to care after a period of family care-giving has been the focus of much recent research. Rather than being seen as an end in itself, admission is part of a process. This article concentrates on 'reaching the end' of family care-giving and the 'new beginning' of entering residential care. A cross-national stu...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:
更新日期:1997-11-01 00:00:00
abstract:AIMS AND OBJECTIVES:The objective of this study was to explore the extent to which several antecedents explained the uncertainty of men who were undergoing the watchful waiting management option for prostate cancer. BACKGROUND:Uncertainty plays a significant role in explaining various outcomes in the chronically ill. ...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2005.01138.x
更新日期:2005-08-01 00:00:00
abstract:AIMS AND OBJECTIVES:To generate a descriptive theoretical framework for experiences among obstructive sleep apnoea (OSA) patients undergoing continuous positive airway pressure (CPAP) therapy. BACKGROUND:Insufficient information is available about subjective experiences among OSA patients undergoing CPAP therapy. This...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.12414
更新日期:2014-01-01 00:00:00
abstract:AIMS AND OBJECTIVES:To investigate the didactic and social leadership in parent education groups based on a parent perspective, and to conceptualise parent experiences of the leader roles in these groups. BACKGROUND:Leadership in parent education groups has been associated with a lack of confidence in one's ability to...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.12856
更新日期:2015-07-01 00:00:00
abstract:AIMS AND OBJECTIVES:This study investigated experiences of women with a primary diagnosis of ACS (NSTEMI and Unstable Angina) in the 6-8 week period following discharge from hospital. The aim was to report the experience of the mediating impact of a newly-diagnosed disease. BACKGROUND:Cardiovascular disease is the mai...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.13711
更新日期:2017-11-01 00:00:00
abstract:AIMS AND OBJECTIVES:To consider to what extent intramuscular injection technique can be described to remain entrenched in ritualistic practice and how evidence-based practice should be considered and applied to the nursing practice of this essential skill. BACKGROUND:The notion of rituals within nursing and the value ...
journal_title:Journal of clinical nursing
pub_type: 杂志文章,评审
doi:10.1111/jocn.12627
更新日期:2014-12-01 00:00:00
abstract:AIMS AND OBJECTIVES:This article, based on the available literature, attempts to discuss the importance of recruitment and retention of research participants, the associated barriers and challenges, and various strategies to overcome these barriers. BACKGROUND:The inability to recruit and retain the required participa...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2009.03041.x
更新日期:2010-01-01 00:00:00
abstract:AIMS AND OBJECTIVES:To systematically review the common composition and the analytical methods performed to derive symptom clusters in patients receiving haemodialysis, and to examine their common predictive and outcome variables. BACKGROUND:Patients receiving haemodialysis may suffer from multiple and interactive sym...
journal_title:Journal of clinical nursing
pub_type: 杂志文章,评审
doi:10.1111/jocn.13644
更新日期:2017-09-01 00:00:00
abstract:AIMS AND OBJECTIVES:To investigate changes over time in an interdisciplinary group that was engaged in development work regarding pain and pain assessment. BACKGROUND:The outcomes of nursing research do not always find their way to the daily care of patients. This is evident within, for instance, physical rehabilitati...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.12628
更新日期:2015-02-01 00:00:00
abstract:AIM AND OBJECTIVES:This study investigated the efficacy of a self study programme designed to teach nurses about how to talk with patients about spirituality, and to identify factors predicting this learning. Furthermore, the study investigated whether there were differences in learning between students and practicing ...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2008.02526.x
更新日期:2009-04-01 00:00:00
abstract:AIMS AND OBJECTIVES:To examine the depressive symptoms of older residents at nursing homes and the relationship between their depressive symptoms and certain selected variables. BACKGROUND:Depression has become a major healthcare concern among the older people, but nursing home-based studies on risk factors of depress...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2007.01743.x
更新日期:2007-09-01 00:00:00