McKenna B, Roberts R
Nurs N Z. 1999 Mar;5(2):14-6.
In New Zealand, there is a festering debate over a "theory-practice gap" in nursing. Joint appointments may be a potential solution to this issue. Joint appointments refer to a variety of arrangements whereby concurrent employment occurs within an educational institution and a clinical setting. Advantages for the appointees include job satisfaction and professional growth. Clinical credibility for nurse educators enables improved facilitation of student learning. In clinical areas, benefits in patient care are associated with the marrying of academic rigour with clinical practice. Some appointees assist with staff development, act as consultants on nursing issues and undertake research. Disadvantages in the concept focus on role conflict, i.e. incongruity between the roles and role ambiguity, i.e. lack of clarity concerning expectations. Success depends upon the personal attributes of appointees; realistic expectations; flexibility to allow the concept to evolve; and support from colleagues and management. This research describes a case study of a joint appointment between a nurse lecturer and a staff nurse in an acute forensic psychiatry unit. Advantages, disadvantages and reasons for success are discussed in relation to the literature findings. (See p15-15) The discussion focuses on the need to develop research methodology to further clarify potential benefits and advantages.
在新西兰，围绕护理领域的“理论与实践差距”展开了一场激烈的辩论。联合任命可能是解决这一问题的一个潜在办法。联合任命指的是在教育机构和临床环境中同时任职的各种安排。对被任命者来说，好处包括工作满意度和职业发展。护士教育工作者的临床可信度有助于更好地促进学生学习。在临床领域，将学术严谨性与临床实践相结合能给患者护理带来益处。一些被任命者协助员工发展，担任护理问题顾问并开展研究。这一概念的缺点集中在角色冲突上，即角色之间的不协调，以及角色模糊，即对期望缺乏明确性。成功取决于被任命者的个人特质、现实的期望、允许这一概念不断发展的灵活性，以及同事和管理层的支持。本研究描述了一名护士讲师与一家急性法医精神病科病房的护士进行联合任命的案例研究。结合文献研究结果讨论了其优点、缺点及成功的原因。（见第15 - 15页）讨论重点在于开发研究方法以进一步明确潜在的益处和优势的必要性。
