Mitchell Duncan
School of Nursing, University of Salford, Peel House, Eccles M30 0NN, UK.
Nurse Educ Today. 2003 Jul;23(5):350-6; discussion 357-61. doi: 10.1016/s0260-6917(03)00025-x.
This paper is a discussion of the Jay Report into mental handicap nursing and care that was published in 1979. Following a brief discussion of the report itself, the paper considers material from the period that was published in the nursing press. This material gives an insight into the way in which nurses reacted to Jay's recommendation that mental handicap nursing be replaced with a professional grouping based on the Certificate in Social Services. Whilst this was not the first time that the continuation of mental handicap nursing had been questioned, it was the first occasion in which there was a public debate about the issue. Although the Jay Report was concerned with a minority of nurses it is argued that lessons can be drawn about nurse education generally. Conclusions are drawn about the way in which changes to nurse education and service need to be linked in order to be effective. Furthermore the discussion places the Jay Report within the broad political concerns of the day. It is argued that the report is a further example of the way in which change within nursing takes place when it corresponds with central government policy concerns.
本文是对1979年发表的关于智力障碍护理与照料的《杰伊报告》的讨论。在对报告本身进行简要讨论之后，本文考量了护理刊物同期发表的资料。这些资料使我们得以洞察护士对杰伊提出的以社会服务证书为基础的专业分组取代智力障碍护理这一建议的反应方式。虽然这并非首次有人质疑智力障碍护理是否应继续存在，但却是首次就该问题展开公开辩论。尽管《杰伊报告》关注的是少数护士，但有人认为，从中可以汲取有关一般护士教育的经验教训。文章得出结论，护士教育和服务的变革要想有效，就需要相互关联。此外，该讨论将《杰伊报告》置于当时广泛的政治关切背景之中。有人认为，该报告是护理领域的变革与中央政府政策关切相一致时发生方式的又一实例。
