en عمومى General مقاله مروری Review Article <div style="text-align: justify;"><strong>Background</strong>: The nursing workforce has been under prolonged strain, beginning with the pandemic and continuing into a post-pandemic inflationary economic crisis. Research published in 2017 in Australia identified registered nurse practice to be person-centred. This practice is embedded as a foundational concept in the Australian Registered Nurse standards for practice, and it was determined to represent actual, rather than aspirational practice at the time of the underpinning research.&nbsp;<br> <strong>Critique</strong>: 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. &nbsp;<br> <strong>Conclusion</strong>: 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. &nbsp;</div> Ambivalence, Role autonomy, Person-centred care, Registered nurse, Practice standards 199 208 http://jccnc.iums.ac.ir/browse.php?a_code=A-10-864-1&slc_lang=en&sid=1 Andrew Cashin andrew.cashin@scu.edu.au 100319475328460013530 100319475328460013530 Yes Department of Discipline Psychological and Social Science, Faculty of Health and Human Sciences, Southern Cross University, Lismore, Australia. Amy Pracilio amy.pracilio@scu.edu.au 100319475328460013531 100319475328460013531 No Department of Nursing, Faculty of Health and Human Sciences, Southern Cross University, Lismore, Australia. Nathan Wilson N.Wilson@westernsydney.edu.au 100319475328460013532 100319475328460013532 No Department of Nursing, School of Nursing and Midwifery, Hawkesbury Campus, Western Sydney University, Richmond, Australia.