'Nurse as Engineer' by Josefson

'Engineering' and 'architecture' have both been co-opted by cross-disciplinary explorers to help traverse what are usually cravasses between disparate fields. Or, if not a serious journey - more a day-trip than an expedition, it's an effort to create the impression of progress being (rapidly) made. Fields of knowledge being pulled - fused-together. These are transdisciplinary times:

'Individualization is best achieved in the engineering model, in which cach patient is seen as a unique case. The nurse collects and analyses the patients' data to arriye at a diagnosis, which includes, but is not limited to, issues that concern medical diagnosis and treatment. "The nurse sets obiectives based on knowledge and experience of what is desirable and achievable and designs an individualized care plan by selecting from a known repertoire of nursing interventions those most likely to lead to achievement of the objectives. After implementing the interventions, the nurse evaluates their effectiveness by comparing the client's subsequent condition with previous diagnoses and objectives."

In the last model - the non-routine model, which is a research model - the patient is still seen as unique. The problem is that the search procedures cannot be analysed because more judgement and intuition is required in making decisions.' p.25.

n.b. Two other models are described: the nurse acting as a craftsman; and the routine.

Josefson asks in a section (pp.28-29):

Who draws the boundary between Man and Machine?

Who - indeed!

Ingela Josefson. The nurse as engineer—the theory of knowledge in research in the care sector. In.  Knowledge, Skill and Artificial Intelligence. Bo Göranzon & Ingela Josefson (Eds). (1988), ISBN038719519X. pp.19–30. Berlin, Heidelberg: Springer-Verlag.

In the above paper/chapter Josefson draws upon the work of Katie Eriksson and Judy Ozbolt.

Previously: 'engineer' : 'architecture'