Nursing Education and Work Models thru the years ...

[dnurse1234]

I've recently been reflecting on the many years I've been a nurse and the nursing education I received many ( many many) years ago -1986 grad.

At that time nurses were , as now, performing many "medical" treatments i.e ng tubes duo tubes cath's iv's, etc etc . , and there was the possibility of billing codes being implemented according to the nursing dx , If you have the book "Nursing DX and Intervention" by Claire Cambell you'd see that trending possibility that vanished .

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I also remember the instructors who emphasized the SOAPIER process as the "Nursing Process" and the skill in making a correct NRsng dx as opposed to justifying the skill level of care and medical code used for the patient in narrative charting today .

You had to know also as a requisite before graduating the legalities of nursing treatments and the difference between

1. Team nursing ( it didn't mean, the ability to have a cheerful attitude and be a tem member, but instead, work "coordinating all other members " on your team, usually 1 or 2 lpn's and 3 aides's.to achieve pt care through the shift.
   
2. Modular Nursing,- the team concept with the RN as both Charge and primary caregiver in a team , not too dissimilar from TEAM.
   
3. Primary, The RN gives total care to pt's with minimal assistance from other members . (That didn't hit off well, but sounded great as a advert for a hospital.)
   

Newer nurses, don't seem to know these work models and have questioned notes written in SOAPIE/r format, stating they have learned narrative mostly, is this true?

Also, the concepts of the type of nursing performed isn't mentioned when applying for a position in nursing; but rather a list of flourishing requisites that read unrealistically for many nursing positions, becuase they imply a grad degree who likely wouldn't apply, or a new nurse who likely wouldn't have the experience anyway.

Do other nurses see problems in this "management style" of nursing education and work models "on the fly"?

Is it, more or less, becoming a "technical" nurse education, to the economics of medical care?

I am curious if other nurses, new or "veterans" have concerns in the differences seen in the education and work models, pt care etc.

Employment References werel limited to skill ability only, if at all , in the 80's; which now have become "staple" on applications. I wonder if that's a desirable part of employment, I have read that upon folowing nurses with excellent references that there was no statistics that were evident in staying at a place of employment . IE- refernces are bull.

Any opinions ?

Are there other reasons for the changes that nurses as a group shopuld be defining and acting for or against?