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Named nursing: In whose best interest?

Lookup NU author(s): Dr Alison Steven


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This paper explores certain influences and issues surrounding the implementation and application of the named nurse concept. The author critically examines the proposals that primary nursing increases job satisfaction, cost effectiveness and quality of care, and suggests that as primary nursing appears to be the template for named nursing, these are factors which may have influenced the former British government's decision to implement the concept of named nursing. Owing to problems regarding the reliability and validity of much of the research, the author draws the conclusion that the direct extrapolation from one concept (such as primary nursing) to another (such as named nursing) is perhaps open to question. The author also analyses other issues related to the implementation and use of the named nurse concept including advocacy and accountability, and proposes that the introduction of individualized care, and in particular named nursing, perhaps serves the drive towards the professionalization of nursing first, and the patient second, and if so questions whether there is a need to reconsider the aim of nursing.

Publication metadata

Author(s): Steven A

Publication type: Article

Publication status: Published

Journal: Journal of Advanced Nursing

Year: 1999

Volume: 29

Issue: 2

Pages: 341-347

Print publication date: 01/02/1999

ISSN (print): 0309-2402

ISSN (electronic): 1365-2648

Publisher: Wiley-Blackwell Publishing Ltd.


DOI: 10.1046/j.1365-2648.1999.00894.x

PubMed id: 10197933


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