Nursing at the Strong Memorial Hospital

Paper Summary:

This paper looks at the nursing philosophy of the Strong Memorial Hospital and sets forth the context in which the nursing organization's fundamental principles become relevant. It critiques a core aspect of the principles articulated in publicly available organization documents and discusses the extent to which those principles incorporate a specific theory of nursing. It evaluates the evidence of nursing-staff inputs into such principles and the evidence of how the articulation may reflect the reality of nursing practice, with a view toward evaluating the document's influence on nursing practice.

From the Paper:

"This does not appear to mean that nursing is less important as a discipline than other health-care inputs at Rochester/Strong. It does, however, go to evidence that medical research is in both the foreground and the background of nursing praxis and nursing education there. Commitment to research is embedded as a first principle and a factor of uniqueness at Rochester/Strong, a point driven home again and again in its documentation. Further, where nursing practice per se is a feature of hands-on treatment and patient care, the evidence of the Rochester/Strong policy statements is very much that nursing practice is presumptively a part of--or perhaps more exactly collapsed into--the notion that patient care is a physician's responsibility (Healing Power, 1999). Where nursing is mentioned as a feature of health-care teams, other caregiving disciplines are also mentioned; social work is given particular prominence (Burn/Trauma Health Care Team, 1999)."

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