Kate B and Francine M C (2008) stated that advanced practise roles in nursing originated from US in late 1960s as a response to the doctors shortage. Subsequently to that, more recent roles have stretched rapidly in the UK and other Western countries, either in the form of substitution (nurses replace some areas of practice) or complementing activity to enhance the work in others. According to Wright S.G (1995) the subject of expanded and extended has been much debated as a result of changing healthcare policies, growing demands by nurses and the public, and arguments about the very nature of nursing itself. Such debating occurred due to the different perceptions on how the nursing roles are being implemented.
In Malaysia, traditionally, the doctor-nurse relationship is akin to that of a master and servant. It is because the nurses have been characterizes as being incapable of independent or cooperative decision making in medical treatment (Rekaya Vincent, 1992). However, the current changes in the health care in Malaysia have united doctors and nurses as partners which nurses are now expected to be involved in planning, implementing and evaluating the patient’s health care.
Beverly M and Chris B (2005) stated on Maxi Nurses: Nurses working in advanced and extended roles promoting and developing patient-centred health care that ‘They provide expert knowledge and advice, however, it is contact and the ability to travel with the patient from, the beginning to end of their health care journey that contributes to both high levels of job satisfaction and a positive impact on patient care’
Expert knowledge, advice and even skill will be produces by the nurse once the expanded and extended role has been implemented. This is not merely a task but now, it has become an obligation that every nurse including Otorhinolaryngology to participate and join the marching of the new... [continues]
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