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'Nurse innovation cannot flourish without support from the top'
Gemma Mitchell, senior reporter
24 July, 2019 7:08 am
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A literature review evaluated the role of advanced clinical practitioners in supporting overstretched teams in primary care and found that they made a positive contribution
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Nurses must ‘reflect’ new end of life care standards
By the way:
ANONYMOUS8 JULY, 2016 10:52 AM
8 JULY, 2016 10:12 AM
It is doubtful you have in depth knowledge of CPR and its consequences which can be highly traumatic for a patient and their loved ones. It is not always successful, appropriate or in a patient's best interests and especially if there are clear informed instructions from the patient that this is not what they want.
No - wrong ! In England, and it seems post-Montgomery, our law is unequivocally Informed Consent. If there is a clearly-expressed DECISION from the patient that CPR has been refused, then attempting CPR is unequivocally an assault on the patient.
And I wish that people would stop 'muddling' 'best interests' and Informed Consent - mentally-capable patients 'just make their decision and express it' (they are NOT required to 'act in their own best-interests') and during mental incapacity, if best-interests decision-making becomes necessary (it isn't invariably necessary) then there is no legal concept of 'consent' because it has been replaced by a legal duty to satisfy section 4(9) of the MCA.
I've explained this to BMJ readers at:
It is staggering, as a 'lay outsider', to have discovered how many clinicians seem to struggle to understand sections 1-6 of the MCA! Even setting aside the ones who understand the MCA, but are resistant to applying the Act - see also:
I'm very happy to argue the toss, about whether I've made any legal errors in either of those 2 pieces, with whomever it is who keeps telling me on this website 'that you've no idea what you are writing about'. Provided the person can provide a half-way competent rationale for his/her position.
8 July, 2016
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