Castledine G
University of Central England, Birmingham.
Br J Nurs. 1998;7(22):1378-80. doi: 10.12968/bjon.1998.7.22.5536.
In the last specialist nursing supplement Sarah Waller described the background to the consultation process for recognizing and regulating a higher level of practice (Vol 7(16): 960-4). This article gives an overview of the responses to the consultation exercise and outlines what a higher level of practice will mean for the nursing profession. It was generally agreed that the present system of specialist practice is too complex and therefore confusing. In addition, the UKCC has recognized that professional practice has moved on since PREP and that there is a need to move away from a task-oriented and functionalist paradigm. It was also felt that the specialist framework is too narrow and does not cater for expert nurses who wish to stay in general, as opposed to specialist, clinical areas.
在上一期专业护理增刊中，莎拉·沃勒描述了认可和规范更高水平实践的咨询过程的背景（第7卷第16期：960 - 964页）。本文概述了对咨询活动的回应，并概述了更高水平的实践对护理专业意味着什么。人们普遍认为，目前的专科实践体系过于复杂，因此令人困惑。此外，英国护士及助产士理事会已经认识到，自继续职业发展计划（PREP）实施以来，专业实践已经有所发展，有必要摆脱以任务为导向的功能主义范式。人们还认为，专科框架过于狭窄，无法满足那些希望留在普通临床领域而非专科临床领域的专家护士的需求。
