By Ann B. Hamric
Complex perform Nursing : Integrative method 4TH variation via Ann B. Hamric, Judith A. Spross and Charlene M. Hanson. W.B. Saunders Co.,2008
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Extra info for Advanced Practice Nursing: An Integrative Approach, 4th Edition
May I call the attention of your group to the fact that in administering the work in that office, Miss Neary does so as a representative of the HSS Visiting Nurse Service and in accord with definite policies in effect throughout the entire city-wide service. It has been the unvarying policy of the organization over the 35 years of its service to work in close cooperation with the medical profession doing nursing and preventive health work entirely and avoiding any semblance of the “practice of medicine” in competition with the doctors….
In contrast, if a physician was readily available, the nurse was expected to practice within the traditional “caring” boundaries of the profession (Lynaugh & Fairman, 1992; Reverby, 1987). Scientific discoveries also provided opportunities for the expansion of nursing practice, particularly for what would later become the specialty of oncology nursing.
Working out of eight centers that covered about 78 square miles in remote mountainous regions, the FNS nurses had considerable autonomy. They made diagnoses and treated patients, dispensing both herbs and medicines (including morphine). Working from standing orders written by the FNS medical advisory committee, the nurses also dispensed such medicines as aspirin, ipecac, cascara, and castor oil with a wide degree of latitude (Keeling, 2007). That unprecedented autonomy in practice was not always recognized however—even by the FNS nurses themselves.
Advanced Practice Nursing: An Integrative Approach, 4th Edition by Ann B. Hamric