Journal of nursing management
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The aim of the study was to explore registered nurses' experiences in long-term aged care in light of the political reform of aged care services in Australia. ⋯ This research highlights both the tensions experienced by nurses in long-term aged care in Australia and the need to re-negotiate nursing roles, responsibilities and values within an evolving care system. This research supports a role for sensitive and proactive nursing management during periods of industry reform as a retention strategy for qualified nursing personnel.
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Comparative Study
Quality improvement: the divergent views of managers and clinicians.
The aim of this study was to identify and explore nurse managers' and clinical nurses' perceptions of quality improvement as related to their practice. ⋯ The quality improvement process requires review. Nurse managers and clinical nurses offered divergent views of the identified deficiencies in the way quality improvement is implemented that reduce its clinical impact. Integral to the success of any quality improvement process is the inclusion of views of both nurse managers and clinical nurses.
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This paper reports phase one of a two-part study in a New South Wales area health service, which aimed to evaluate the grading system for clinical nurse consultants. ⋯ Clinical nurse consultants need leadership training and support from their managers to fulfil their role. More work is required to clarify the role of clinical nurse consultants.
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The aim of this study was to explore and describe nurse supervisors' views of the value of caring in nursing supervision and how they strive to make this value visible. ⋯ The value of caring in nursing supervision was described as a genuine encounter, consciousness of one's own value base, confirmation and a relationship characterized by learning in addition to providing consolation. The role of the supervisor is characterized by three dimensions: willingness, knowledge and courage.
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To describe the development and implementation of an Integrated Care Pathway for all patients with advanced life-limiting illness who have been admitted to hospital. ⋯ Unacceptable variations in care for those nearing the end of life is recognized. It is believed that the use of the Supportive Care Pathway may help to reduce that variation by identifying and supporting patients thought to be in the last year of their life.