Conway R
Christchurch Hospital.
Nurs Prax N Z. 1996 Nov;11(3):27-31.
In today's health care environment, one is often confronted with arguments for and against the casualisation of nursing staff in our hospitals. The question is, can one nurse really so easily replace another? What do we really know about the experienced nurse changing jobs? The author uses her personal experience-her transition from adult to paediatric nursing-to describe the difficulties associated with nursing in vastly different areas. Supported by nurse theorist Patricia Benner's ideas on skill and competence levels (1984), the author recounts the crisis in confidence she experienced when confronted with the paediatric "culture". Also discussed are the ways in which paediatric nursing knowledge develops (in this country it develops very much on the job) and the implications this has for staffing.
在当今的医疗环境中，人们常常会面临支持和反对医院护理人员临时工化的争论。问题是，一名护士真的能如此轻易地替代另一名护士吗？我们对经验丰富的护士换工作究竟了解多少？作者运用她的个人经历——从成人护理转向儿科护理——来描述在截然不同的领域从事护理工作所面临的困难。在护理理论家帕特里夏·本纳关于技能和能力水平的观点（1984年）的支持下，作者讲述了她面对儿科“文化”时所经历的信心危机。文中还讨论了儿科护理知识的发展方式（在这个国家，它很大程度上是在工作中发展起来的）以及这对人员配备的影响。
