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Managing the boundaries

Article Abstract:

Managers, teachers or colleagues should make sure that when trying to counsel a student or workmate they do not become too emotionally involved and find themselves having to pass on the responsibility to a professional. This can cause problems and result in the person being counselled feeling rejected. Courses in counselling, which have been attended by many, are aimed at the development of interpersonal skills to help them practice their profession. but there must be limits as to how these skills are used.

Practice, Counseling

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Who draws the line?

Article Abstract:

Patients and relatives are rarely consulted on cardiopulmonary resuscitation as they may be unable to make a rational decision. The Health Service Commissioner's Annual Report for 1990/91 directs hospitals to develop a system for patient participation in decision making. The named nurse could investigate a patient's attitude to to resuscitation within the context of a trusting relationship.

Beliefs, opinions and attitudes, Hospital patients, Cardiac resuscitation

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Healthy changes

Article Abstract:

Management policies will determine the effectiveness of National Health Service changes. Reorganisation may improve working practice but may also cause stress. Health care changes will be more effectively managed if the worth of care giver and care receiver are recognised.

Health care reform

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