Files and links (2)
Published (Version of record)CC BY-NC V4.0, Open Access
Published (Version of record)CC BY-NC V4.0, Open
Journal article
Review Paper Diminished Role Autonomy and Ambivalence, Key Factors in the Demise of Person-centred Care
Journal of Client-Centered Nursing Care, Vol.11(3), pp.199-208
01/08/2025
Appears in Recent Faculty of Health Publications
Metrics
7 Record Views
Abstract
Background: The nursing workforce has been under prolonged strain, beginning with the pandemic and continuing into a post-pandemic inflationary economic crisis. Research published in 2017 in Australia identified registered nurse practice to be person-centred. This practice is embedded as a foundational concept in the Australian Registered Nurse standards for practice, and it was determined to represent actual, rather than aspirational practice at the time of the underpinning research.
Results: This critical paper examines whether the practice has shifted to a biomedical or system-centred model of nursing care in response to sustained stress.
Conclusion: The practice appears to have shifted to a biomedical or system-centered model of nursing care. This shift has not been a consciously decided upon course of action, but rather a regression to an older vision of nursing. The reinvigoration of bureaucratic hierarchical models of care, which impinge on role autonomy, is conceived as a mechanism of the shift, arising through ambivalence.
Details
- Title
- Review Paper Diminished Role Autonomy and Ambivalence, Key Factors in the Demise of Person-centred Care
- Creators
- Andrew Cashin - Southern Cross UniversityAmy Pracilio - Southern Cross UniversityNathan J. Wilson - Western Sydney University
- Publication Details
- Journal of Client-Centered Nursing Care, Vol.11(3), pp.199-208
- Publisher
- Negah Institute for Scientific Communication
- Identifiers
- 991013301028702368
- Copyright
- © 2025 The Author(s)
- Academic Unit
- Nursing; Faculty of Health
- Language
- English
- Resource Type
- Journal article