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This article aims to continue the debate that surrounds nurse education and possible career structures. By reviewing two documents produced by the Department of Health and the Nursing and Midwifery Council, this article is concerned with one question: should nurses be free to decide their own career progression, or should they be compelled into the areas… (More)
The current Government came to power in 1997. In their manifesto, changes in ideology towards the provision of health and the place of those who provided health care were evident. As well as the issue of acceptable standards of healthcare provision, the issue of the regulation of nurses and other health workers was perused. This article reviews the… (More)
This article is the concluding part of the discussion of ethical issues around xenotransplantation which was commenced in the May issue of the journal. Very little discussion has been published in the professional press on this topic. The message of the articles is that it behoves us to think about these issues before commencing such a new course.
In this series we have seen that competent adult patients have the legal right to withhold their consent to treatment offered to them. This rule applies to all areas of treatment and care, even where treatment offered is for a serious or severe condition. It applies equally where in the extreme situation, a refusal is likely to result in the person's death… (More)
The preceding articles in this series have addressed the issues that surround the legal principle of owing a duty of care to people. The articles discussed the underlying concept of the application of 'standards' to a nurse's duty to people. Nurses owe to their patients and clients a duty that is underpinned not only by law (or legal principles) but also by… (More)
The principles of confidentiality are of paramount importance to nurses and all health professionals. This is explicitly so as the Common Law recognizes confidentiality and supports its importance. However, current practice must take cognizance of the realities of 21st century healthcare delivery - we live in an age of electronic data that is potentially… (More)
The ways in which people are allowed to act on another person's behalf have been the subject of discussion for a while. In 1993, the case of Tony Bland (1993) focused the minds of the judiciary on the idea of withholding or withdrawing the treatment offered to people who were judged to be in a permanent vegetative state. This topic is vast and for some,… (More)
In the case of The Queen v. East Sussex County Council and The Disability Rights Commission  the position in English and European Law with regard to the rights of disabled people to be lifted manually in their homes was reviewed. The judgement also reviewed the position with regard to the risks posed to carers when they manually lift. The judgement… (More)
In this second article in the series, the issue of risk assessment and management, in the context of a recent case, is revisited. The case in question is outlined in the previous article 'Compliance with directives and protocols'.
The last article ended with mention of two distinct issues: the connections between the past (in terms of professional regulation in nursing) and the futuristic concept of regulation by external control (the Council for Healthcare Regulatory Excellence [CHRE])--in the context of the Bristol Inquiry's findings and recommendations that nurses should not be… (More)