The development of the extended role in nursing has been seen by some as primarily a means for nurses taking on tasks that have traditionally been the work of junior doctors. Others object to this view and ascribe to the 'new nursing' perspective of Salvage. She sees the extended role as moving towards increasing autonomy and operating in a professional rather than a bureaucratic occupational model. This view militates against the development of nurses as mini-doctors. This paper discusses the controversy surrounding the development of the extended role, focusing particularly on the use of complementary therapies as a legitimate component of the 'new nurses' role.
Knowing how others perceive us is an important aspect of social life. "Impression meta-accuracy" is the extent to which we are correct in our assumptions about the impressions others have formed of us. The goal of this study was to compare meta-accuracy of WWW homepage creators to meta-accuracy of people in face-to-face interactions. Because creators of WWW pages have a high degree of control over the information they make available online, they may believe that they accurately know the nature of the impressions they give to other people. However, perceivers of homepages must form impressions without many of the social and context cues that influence judgments in a face-to-face setting, including body language and speaking qualities, and thus their impressions may not match those assumed by the creators of the pages. Our results showed a general tendency for homepage creators to believe the impression they gave to those who viewed their pages was more positive than was actually the case, and this discrepancy was greater than in face-to-face interactions. The source of online inaccuracy seems to lie in people's belief that others develop the same impression of them in both online and offline contexts. In fact, perceivers are significantly influenced by whether the information they are receiving is based on face-to-face interaction or on cues obtained from a WWW homepage. Our data demonstrate that one of the challenges of social life in cyberspace is managing one's online persona to take into account the limitations of metaperception.
The paper describes a telephone survey of the views of representatives of users, purchasers and providers of community psychiatric nursing services on services in Scotland. The telephone interview protocol was based on seven themes derived from interviewing 63 users, purchasers and providers throughout the UK. Descriptive statistics were used to present the responses in the survey to the forced choice questions. Responses to the open ended questions were coded, categorized and computed. The paper describes the responses by the major stakeholders to each of the themes. Overall, the quality of the existing services was placed in the 'good' category. However, criticism was directed at the insufficient numbers of Community Psychiatric Nurses in the service, the inadequate amount of time spent with clients and their poorly organized method of working. Other findings and stakeholders' recommendations are discussed.
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