Conway J E
Br J Theatre Nurs. 1995 Dec;5(9):12-5, 31.
The present ethos in the health service of cost effectiveness and quality assurance requires nurses to identify the value of nursing practice in a way previously unheard of. Questions arise from this in relation to nursing and the nature of nursing. Some managers I have discussed these issues with believe that nurses are not required in theatre. It is not really surprising that such beliefs abound. Nurses have traditionally been more preoccupied with getting the work done than analysing the value of the nursing role. Much of this role is practical and there has, in the past, been little written about the nature of practical nursing let alone specifically about the practice of theatre nurses. Benner's work, with its emphasis on practice and recognition of nursing expertise, has brought about a reconceptualisation of the value of practice and of the knowledge found in that practice. In addition, the whole area of practical knowledge and expertise is now benefiting from further exploration.
当前医疗服务中注重成本效益和质量保证的风气要求护士以一种前所未有的方式确定护理实践的价值。由此引发了一些与护理及护理本质相关的问题。我与之讨论过这些问题的一些管理人员认为手术室不需要护士。这类观念大量存在并不奇怪。传统上,护士更多地专注于完成工作,而非分析护理角色的价值。护理工作很大一部分是实践性的,过去很少有关于实践护理本质的著述,更不用说专门针对手术室护士的实践了。本纳的著作强调实践并认可护理专业知识,它带来了对实践价值以及实践中所蕴含知识的重新认识。此外,实践知识和专业技能的整个领域现在正受益于进一步的探索。