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The expanded role nurse. A dissenting viewpoint.

G Mitchell, M Santopinto

    Canadian Journal of Nursing Administration
    |December 1, 1988
    PubMed
    Summary
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    The expanded role nurse, often seen as advancing practice, actually reverts to a physician-dominated medical model. True nursing advancement requires theory-based practice and research for professional autonomy.

    Area of Science:

    • Nursing Theory
    • Professional Practice

    Background:

    • Contemporary nursing theory has evolved beyond early visions of expanded practice.
    • A distinct body of scientific knowledge now defines nursing practice, moving away from the medical model.

    Purpose of the Study:

    • To present a dissenting view on the expanded role nurse concept.
    • To argue that the expanded role nurse is incompatible with theory-based nursing practice and professional autonomy.

    Main Methods:

    • Critical analysis of contemporary nursing theory.
    • Literature review on the evolution of nursing practice and expanded roles.

    Main Results:

    • The expanded role nurse represents a regression to physician-dominated, medical model practice.

    Related Experiment Videos

  • This role contradicts the development of theory-based nursing practice.
  • Physician assistants are suggested as a more appropriate response to medical resident shortages.

    • Conclusions:

    • The expanded nursing role, as commonly presented, is incompatible with theory-based practice.
    • Establishing and expanding theory-based practice through research is crucial for nursing's survival and autonomy.
    • The expanded role diminishes the profession's hope for autonomous professionhood.