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Volume 11, Issue 3 (Summer- In Press 2025)
JCCNC 2025, 11(3): 0-0 |
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Cashin A, Pracilio A, Wilson N. Diminished Role Autonomy and Ambivalence, Key Factors in the Demise of Person -Centred Registered Nurse Care: A Critical Assessment. JCCNC 2025; 11 (3)
URL: http://jccnc.iums.ac.ir/article-1-750-en.html
URL: http://jccnc.iums.ac.ir/article-1-750-en.html
1- Professor of Autism and Intellectual Disability, Faculty of Health and Human Sciences Southern Cross University. Po Box 157 Lismor e, NSW, Australia , andrew.cashin@scu.edu.au
2- Senior Project Officer. Faculty of Health and Human Sciences, Southern Cross University. Po Box 157 Lismore, NSW, Australia
3- School of Nursing and Midwifery, Western Sydney University, Hawkesbury Campus, Locked Bag 3, Richmond, NSW 2753, Australia.
2- Senior Project Officer. Faculty of Health and Human Sciences, Southern Cross University. Po Box 157 Lismore, NSW, Australia
3- School of Nursing and Midwifery, Western Sydney University, Hawkesbury Campus, Locked Bag 3, Richmond, NSW 2753, Australia.
Abstract: (59 Views)
Background: The nursing workforce has been under a sustained period of strain beginning with a global pandemic and continuing into a post pandemic inflationary economic crisis. Research published in 2017 in Australia identified registered nurse practice to be person- centred. Person -centred care is embedded as a foundational concept in the Australian registered nurse standards for practice as it was identified to represent actual as opposed to aspirational practice at the time of the underpinning research.
Critique: This critical assessment paper considers the question as to whether the axis has shifted to a bio-medical, or system centred, model of nursing care in response to the sustained stress.
Conclusion: It is concluded that axis appears to have shifted to a bio-medical or system centred model of nursing care. This shift has not been a consciously decided upon course of action, but rather a regression to an older vision of nursing. The re invigoration of bureaucratic hierarchical models of care impinging role autonomy, are conceived as the mechanism of the shift, arising through ambivalence.
Critique: This critical assessment paper considers the question as to whether the axis has shifted to a bio-medical, or system centred, model of nursing care in response to the sustained stress.
Conclusion: It is concluded that axis appears to have shifted to a bio-medical or system centred model of nursing care. This shift has not been a consciously decided upon course of action, but rather a regression to an older vision of nursing. The re invigoration of bureaucratic hierarchical models of care impinging role autonomy, are conceived as the mechanism of the shift, arising through ambivalence.
Type of Study: Review Article |
Subject:
General
Received: 2024/12/17 | Accepted: 2025/04/5 | Published: 2025/08/18
Received: 2024/12/17 | Accepted: 2025/04/5 | Published: 2025/08/18
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