Interestingly, the recent trend to nurse specialisation was identified as a threat to that holistic role – a warning, perhaps, to GPwSIs who value their generalist skills in managing patients with co-morbidity.
In a health system that does not support patients choosing which nurse they would like to see, nurse specialisation does allow patients to see the same nurse over a period of time, and therefore to develop a relationship with that nurse and benefit from continuity of care.
All sessions will be led by a psychologist with specialisation in CBT and training in ACT, and a nurse specialised in diabetes.
Further educational background was recorded (yes/no): mathematics beyond the first mandatory year at upper secondary school; other education prior to nursing; postgraduate specialisation and courses in drug dose calculations during the past 3 years.
RSCNs are registered nurses with specialisation in primary health- and medical care for children, adolescents and their families, in contrast to DNs who are registered nurses with some type of specialisation in primary health- and medical care for children but with focus on adults and the elderly.
The most important and contested element of nursing identity for the wider public may be the patient-centredness of nursing, though this concept has had relatively less attention in the nursing identity literature focussing on the academicisation and specialisation of nursing, as well as identity formation in student learning.
In such a politicised debate in the media, problems with nursing recruitment, as well as nursing care, have been seen as being caused by the increasingly academic nature of nurse education and the specialisation of the nursing professions [ 25].
Increasing the emphasis on the specialisation of nursing in primary care will continue to be an important strategic initiative.
Some degree of specialisation of nurses, where they can be well trained and develop expertise may be desirable and this has been noted in a recent study of the barriers to integration of sexual and reproductive health services [ 38].
The growing focus on technical skills and specialisation in nursing generally is not only at odds with cultural change in RACFs, but is also incongruous with demographic and health sector shifts that will see manifold increases in the cohort by the middle of the century and attendant rises in prevalence of non-communicable health conditions, including dementia [ 46].
The professional background of the CHC-nurses involves RSCNs who are registered nurses with one year of specialisation in health- and medical care of children and young people, while DNs are registered nurses with 1.5 year of specialisation in primary health- and medical care of children, adults and the elderly.
