30,202 research outputs found

    Griffiths House site, Hartley Street Alice Springs

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    Griffiths House site, Hartley Street Alice Springs. Former site of Methodist church centre which was demolished in 1984. This picture shows demountable used on site pending redevelopment.Forrest, Peter

    Inaugural lecture: doing away with doctors? Workforce research and the future of nursing

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    This paper based on Professor Griffiths inaugural lecture discusses nursing workforce research, focussing on skill mix and substitution, and considers how optimistic readings of research may ultimately be self-defeating for the professions, as well as dangerous for patients. Two core examples are used to illustrate these ‘optimistic’ readings. Research on nursing-led inpatient units – initially heralded as ‘proof’ of the independent therapeutic contribution of nursing – ultimately led to a less optimistic conclusion for the profession when early results were not confirmed. Research exploring associations of the link between nurse staffing and patient outcomes has been used to advance policies such as mandatory nurse to patient ratios even though stronger associations are shown between patient outcomes and the working environment. The implications of research showing associations between number of medical staff and patient outcomes have not been considered. Future developments in the nursing workforce are underpinned by assumptions about the potential cost effectiveness of substituting assistant practitioners with lower qualifications for registered nurses. Little evidence supports this and it is important that changes are regarded as experiments in need of careful evaluation. The evidence on the impact of workforce characteristics on outcomes presents a complex picture. The ‘easy’ answer is usually not the ‘right’ answer. While it may be that nurses are more threatened as a professional group than doctors, both professions need to adapt to future demands. It is clear that we simply don’t yet know what the best or right skill mix is. Nurses (and midwives) can substitute for doctors under some circumstances but “cheaper” staff does not necessarily equal cheaper care. We don’t know if assistant practitioners can safely substitute for nurses or whether such substitution is cost effective. The answer is likely to depend on exactly what substitution occurs and where

    Entry points and specialist qualifications in nursing

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    Sarah Robinson and Peter Griffiths explore other countries’ approaches to pre-registration nurse education. The publication of Modernising Nursing Careers in 2006 by the Department of Health recommended a review of pre-registration nurse education in the UK. The purpose of the review is to ensure that pre-registration education provides the appropriate basis for reforming the nursing careers framework, developing a competent and flexible workforce and achieving an optimum balance between specialist and generalist roles (1)....<br/

    Author Peter FitzSimons speaking at the National Library of Australia, Canberra, 13 November 2012 /

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    Title from acquisitions documentation.; Part of the collection: Portraits of author Peter FitzSimons speaking at the National Library of Australia, Canberra, 13 November 2012.; Acquired in digital format; access copy available online.; Mode of access: Online.; Photographed by a staff member of the National Library of Australia

    RN+RN = better care? What do we know about the association between the number of nurses and patient outcomes?

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    There is considerable evidence of an association between nurse staffing levels and patient outcomes. The evidence has been used to support calls for mandatory nurse patient ratios but the precise significance of the relationship remains unclear. This Policy+ examines the evidence in order to establish what is known, and crucially, what is not known

    Nursing education and regulation: international profiles and perspectives

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    This review of nurse education and regulation in selected OECD countries forms part of ongoing work on contemporary nursing careers and working lives, based at the National Nursing Research Unit, King’s College London. The review was commissioned by the Department of Health to inform their work in considering the UK’s position in relation to the Bologna declaration and changes that may emanate from the implementation of Modernising Nursing Careers (DH 2006). While much of the information in the review was obtained from publications and websites, we also contacted key personnel in most of the countries included for an up-to-date review of developments in their country and would like to thank them all for providing this information

    Moral Good, the Beatific Vision, and God’s Kingdom Writings by Germain Grisez and Peter Ryan, S.J.. Edited by Peter J. Weigel

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    For close to half a century, the work of Germain Grisez has been highly influential, and his writings continue to receive considerable attention from philosophers and theologians of diverse viewpoints. His co-author for this work is the professor and noted moral theologian Fr. Peter Ryan, S.J., currently the executive director of the Secretariat of Doctrine and Canonical Affairs of the United States Conference of Catholic Bishops (USCCB). These two eminent scholars explore fundamental questions about Christian eschatology, moral theory, the purpose of human life, and the promise of human fulfilment. The authors examine Christian teaching on the final destiny of persons, investigating the meaning of God's kingdom, the hope of the beatific vision, and the centrality of moral goodness and divine grace in one's final end. This work is an ideal source for students, scholars, ministers and lay persons interested in basic questions of Christian theology, the philosophy of religion, ethical theory, and Catholic doctrin
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