Abstract

Healthcare is in a turbulent place as society expects nurses to remain clinically robust while adapting to changes. That such changes have the potential to undermine care quality or nurses’ health is too often a secondary consideration
(RCN 2013). Sound nursing practice demands adjustments to meet patient need (McKinnon 2011), but the care
system must not obstruct and undermine sound practice. My recent study shows this is what is happening (McKinnon 2016).