This blog is about trying to find the words to describe what nurses do more fully. It's a space to reflect and share my thoughts on nursing work, what it is and how it is described and understood.
Monday, December 5, 2011
Should Community Nursing Secede from the Other Types of Nursing?
Somedays I feel like community nursing should secede from nursing in acute settings.
I understand and value the approaches that are common across nursing contexts but I'm becoming increasingly frustrated that the dominant discourse in nursing is about secondary and tertiary care, about medical based knowledge and interactions and about hospitals.
The voice of nurses who work in the community is seldom heard within healthcare organisations.
I'm a lecturer at a University and I would love to be able to teach my students from a perspective of person-centred, primary health care influenced, nursing care. I understand that this can occur in acute settings, but too often the messages that students recieve are that the important bits are doing tasks efficiently, having medical knowledge and talking in nurse speak. Lip service is given to ideas like empowerment, but the reality is that the health care system doesn't easily support this and I suspect, that neither do many nurses as it is far quicker to just do things themselves.
I would love to teach in a program centred on nursing in the myriad of community contexts to help students understand this context without it being tainted (and undermined) by the narrow vision that nursing only occurs in hospitals.
I'm interested in the UK model of community nursing. It does seem quite distinct from acute care nursing. Maybe community nursing should secede.
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