It appears that nursing has devoted an extravagant amount of concentration to the subject of professionalism and professionalization. Consequently, it has created and persists to create some proportion of controversy amid nursing authors, particularly in the Western World at the present time. According to Silva, philosophy, knowledge and theory are intrinsically linked. These notions are important to consider independently and to clarify their relationships, if nursing's knowledge base is to be built on a strong foundation. Perhaps then, if nursing wishes to continue on the trail of professionalization, nurses need to return to and reconsider its foundations and accomplishments. The aim of this discussion paper is to explore the nature of the philosophy of science, knowledge and theory and their interrelationships, with particular reference to professionalization by considering where nursing has come from and consequently the way forward to ascertaining professional status.

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There are a number of reasons why facilitating and participating in a mass fatality exercise may be viewed as continuous professional development for those ultimately engaged in the response to a mass fatality incident. These include, amongst other objectives; team integration, organization and preparedness, psychological and emotional effects, developing attitudes and behavioral responses as well as testing infrastructure, equipment, command and control. The objectives of attending an exercise from a player or observers point of view however may be completely different to those planning and running an exercise. This was identified at the exercise Operation Torch. The paper illustrates this and questions whether these two separate purposes can be fully achieved in one exercise. It puts forward proposals to assist exercise planners identify, plan, exercise, evaluate and implement both capability gap or educational exercises by assisting planners to deliver the purpose of the exercise which needs to be decided at the early stage of planning. It makes recommendations for the need for a national mass fatality exercise database to ensure that the correct exercise is delivered and a wider audience can be informed of the exercise outcome.

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