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Aim: The aim of this study was to gain insight into the perception of nurses about their roles in medical‐surgical units. Background: As a result of ever‐changing work environments, medical‐surgical nurses find it difficult to know and practice according to the full scope of their roles. Design: A qualitative descriptive study. Methods: Semi‐structured individual interviews were conducted with 21 nurses on three campuses of a large tertiary care hospital located in Quebec, Canada. Thematic analysis was used to construe meaning from the interviews. This research adheres to the Standards for Reporting Qualitative Research guidelines and checklist. Results: The data analysis resulted in three main themes: (i) confusion in nurses' roles and scope of practice; (ii) challenges in the continuity of care and (iii) factors affecting the roles of nurses in medical‐surgical units. Conclusion: Attention must be paid to the care continuum as it represents a critical element for surgical patients' quality and safety of care. Relevance to clinical practice: Medical‐surgical nurses should understand their roles and the factors that limit their full scope of practice in order to provide and manage complex care situations. Additionally, an interdisciplinary approach is a strategy that may better respond to patients' clinical needs across the surgical journey. [ABSTRACT FROM AUTHOR]

This paper presents findings from a qualitative case study that explored long term integration of internationally educated nurses in an Ontario healthcare facility. Using critical social theory as the philosophical underpinnings for this research, we selected the case based on the hospital's history of employing and supporting internationally educated professionals. Data sources included: documents review, twenty-eight interviews, socio-demographic survey and five focus groups involving IENs and other stakeholders. An overarching theme points to a 'two-way' notion of workplace integration whereby efforts are required on the part of the employer as well as the IENs. An in-depth analysis of the data reveals sub-processes of two-way integration: respecting diversity and difference, adopting inclusive practices and striving to achieve equity. Challenges in achieving two-way integration are discussed. Implications for nursing leaders to tap into IENs' diverse talents for the benefit of their local healthcare systems are highlighted. [ABSTRACT FROM AUTHOR]

The author reflects on her career as a university professor as she tackles issues on aggression and workplace violence. She mentions that health care professionals experience workplace violence 16 times and the nurses are second among those at risk of aggression and violence. She states that aggressions are not reported by victims for they are afraid of ethical dilemma or retaliation. Moreover, the author says that the people in the society have become civil and less tolerant to one another.

The purpose of this article is to present a renewed way to theorize intra/inter-professional aggression in nursing. To this end, René Girard's mimetic mechanism and Max Weber's conception of professional closure will be explored. More specifically mimetic mechanism, summarized as a sequence of four distinct but interdependent phases including mimetic desire, mimetic rivalry, mimetic (sacrificial) crisis, and scapegoat, will serve to broaden the understanding ofintra-professional aggression. For its part, professional closure, a strategy designed to limit and control the number of individuals admitted to a specific profession, will provide a fresh perspective to critically examine the issue of inter-professional aggression by drawing attention to hidden practices of dominance and control.