Aims and objectives. To present the Careful Nursing philosophy and professional practice model which has its source in the skilled practice of 19th century Irish nurses and to propose that its implementation could provide a relevant foundation for contemporary nursing practice. Background. Nursing models are widely considered not relevant to nursing practice. Alarming instances of incompetent a...

AIM To provide a brief historical background of spirituality in nursing and describe spiritual care from the perspective of the Careful Nursing philosophy and professional practice model. BACKGROUND The previously overshadowed role of spirituality in modern nursing has re-emerged and been widely debated. Less attention has been given to how spiritual care is implemented in practice. EVALUAT...

A great deal of work has been done during the past several years since the American Association of Colleges of Nursing voted in October 2004 to move advanced practice nursing to the doctoral level by 2015. Following the approval, task forces were formed to address curriculum issues and the strategies for transitioning advanced practice nursing education from the master's level to the doctorate ...

AIM The aim of this paper is to discuss six issues influencing the introduction of advanced practice nursing (APN) roles: confusion about APN terminology, failure to define clearly the roles and goals, role emphasis on physician replacement/support, underutilization of all APN role domains, failure to address environmental factors that undermine the roles, and limited use of evidence-based appr...

Historically, nurses have been required to be culturally safe in their practice. (1,2) But now all registered nurses (RNs) must show competency within their scope of practice, including evidence of competence in culturally safe practice. (3) At first, this requirement may appear challenging for nurses working in mental health, given that practice in this area sometimes requires nursing people a...

Studies have shown that introducing additional information without context leads to worse decision-making. Informed leadership is the purposeful integration of information into decision management. This paper reframes information literacy as decision management using elements of evidencebased management. It highlights strategies such as decision awareness, process creation, and decision practic...