Pregnant women should be challenged on their smoking and any other unhealthy behaviours and offered support to stop; but trying to force them is counterproductive. As for breathylisers; well, most midwives have functioning noses and it is pretty easy to spot a regular smoker without any sophisticated technology!
Comment on: Staff interruptions hamper doctors' work
Agree, agree, agree. I'm sure they do get interupted an inordinate amount of times and this does impact on patient care. However, no way do the doctors in my department get interupted anywhere near as often as I do (mostly by doctors). This includes being called away whilst I'm right in the middle of seeing a patient (or already doing 2 or 3 things at once) on a minor matter - which I would never do to a doctor! I hope this research isn't leading up to finding more roles that nurses and midwives can take over from doctors....
I think that the nursing role is complementary to the medical role. This may sometimes require supporting the doctors, acquiescing to their clinical judgement or carrying out the doctor's instructions as well as making our own clinical decsions and providing 'basic' nursing care. However, regarding ourselves as subservient is not healthy and not synomyomous with professionalism and yes, we are professionals, with all that this entails.
I absolutely agree. Nurses should be trained to be critical thinkers and problem solvers not number crunching computers. They should not need a MEWS chart to tell them that a patient is deteriorating. Anyone who is allowed to take observations should know the difference between normal and abnormal and the appropriate action to take.