Originally posted by Susy K
Some major assumptions of her theory are:
1. Professional nursing has a distinct function and product (outcome). She believes it is this element that will make nursing a profession, that will enable nursing to have a unique knowledgebase that is measurable and justifyable. This function must remain constant despite pt age, gender, dx, etc.
I think this is still the ideal we are all striving for, but not necessarily certain we've acheived it, esp in the eyes of John q public. I do agree with this idea.
2. Nursing is a distinct entity separate from other professions.
I think so, but not sure again the public thinks so. As far as different from teachers? Plumbers? yes. But about other medical professions, that is a gray area. ie is a CRNA a distinct and diff profession from a med/surg RN, or a NP? I think with all the unlicensed assitive personell, it is becoming harder and harder for the public to distinguish that we are a seperate medical profession.
3. There is a difference b/t lay and professional nursing.
Yes, legally this is true. But I am not sure I understand what a lay nurse would be?? My M-I-L was a "baby nurse" in the late 40's, basicall she did OTJ training to learn how to feed, bathe, give inj, sterilize bottles, etc and worked in NY foundling hosp for orphans. No real scientific theory was stressed. Not sure there is anything like this now. ??
4. Nursing is aligned and in concert with medicine.
I think this is true, no questions.
Orlando believed that inadequate patient care was caused by the profession's lack of a clearly articulated nursing function.
Not sure I agree with this, seems more like inadequate care is due to poor staffing, or lack of knowledge by coporate entities as to the clearly articulated function of nursing.
According to Orlando, professional authority is derived from the profession's distinct function; therefore, without this distinctiveness nursing practice cannot be autonomous because it lacks authority.
Absolutely. But the means for establishing this via nursing diagnosis is an ideal that can't be acheived when not given the appropriate staffing ratios, and the time req'd to fully develop how to put this into practice. Instead care plans
and nsg dx are seen as a waste of time, and not taken seriously. Check off careplans, while convenient and necessary in the real world, have replaced the individuality needed to really demonstrate our science in action.