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Patients and nurses: a powerful force.

Roswyn Hakesley-Brown1, Beverly Malone

  • 1Royal College of Nursing, UK. ros@hector.demon.co.uk

Online Journal of Issues in Nursing
|March 3, 2007
PubMed
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The patient/nurse partnership, shaped by historical power shifts, is crucial for quality care. This analysis compares UK and US systems, advocating for a transatlantic approach to enhance competent, compassionate healthcare.

Area of Science:

  • Healthcare Quality
  • Nursing Studies
  • Health Policy

Background:

  • The patient-nurse partnership is a dynamic construct influenced by evolving clinical, political, and organizational power dynamics.
  • Understanding the historical shifts in power paradigms is essential for analyzing the current state of patient-nurse relationships.

Observation:

  • The significance of the patient-nurse partnership on healthcare quality is examined, with a focus on the requisite power base.
  • A comparative analysis of education, healthcare systems, and diversity issues in the United Kingdom (UK) and the United States (US) is presented.

Findings:

  • The study identifies key differences and similarities in healthcare systems and educational approaches between the UK and US.
  • The power base within the patient-nurse relationship is a critical determinant of care quality.

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Implications:

  • A transatlantic vision for consolidating the patient-nurse transaction is proposed to achieve negotiated, competent, and compassionate care.
  • The findings have implications for policy, strategic planning, and operational levels to foster continuous quality improvement in healthcare.