The Canadian nurse
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To elicit nurses' opinions on five proposed models of maternity care in Ontario, to examine barriers to collaborative practice, and to identify factors that would encourage nurses to practise in the area of intrapartum care, a survey was mailed to a stratified random sample of nurses in Ontario (N = 750). Participants were asked whether they would consider practising in one or more of the five proposed models of maternity care. Almost half the participants endorsed the model of nurses' providing labour and delivery care to patients of family physicians and obstetricians. ⋯ Participants identified resistance to change (49.9%) and lack of communication (47.2%) as the two main barriers to collaborative practice. The majority of respondents (84.2%) ranked good medical and obstetrical backup as the key factor that would encourage them to provide intrapartum care. A respectful work environment and collaborative models of maternity care were also ranked highly.
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Biography Historical Article Classical Article
Nurses break the ice. 1974.
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A growing shortage of anesthesiologists in Canada has prompted discussion of how anesthesia provision can be expanded. Canadian anesthesiologists generally support a team approach in which physicians supervise alternative providers. In the U. ⋯ The authors conducted a qualitative study of the anesthesia team and the role of nurse anesthesia practice in the U. S., and here they present a summary of some of their preliminary findings and the implications for evolving models of care in Canada. Inefficiencies associated with the medical supervision and direction of Certified Registered Nurse Anesthetists are discussed.