The following two letters were received in response to David Skidmore's article, 'Can nursing survive? A view through the keyhole', which was published in the December 1994 issue of Nursing Ethics.David Skidmore has been asked to reply; his comments follow. Both his and Janet Duberley's letters have been shortened with their consent.

This paper surveys a sample of current research into the education of pupils with learning difficulties. Examples of the three major established research traditions are discussed, namely the psychomedical, organisational and sociological traditions. It is argued that much of this work seeks to extend the theoretical framework associated with one or another of these traditions, but fails to overcome the common limitation of reductionism. An emerging current of work is identified which adopts an anti-reductionist perspective. The characteristics of the new (...) approach are illustrated, and a specific need for further search within this framework, focusing on the dynamics of the school development process, is identified. (shrink)

Nursing in the United Kingdom is undergoing massive retrenchment. An increasing number of nurses are unable to obtain employment following qualification and agency nursing and short-term contracts are becoming the norm. Amalgamations of colleges of nursing have resulted in redundancies of nurse teachers and a significant reduction in student nursing places. The profession of nursing in the UK is in a state of crisis from which it may never recover. Nurses have generated and facilitated this situation in their self-interested quest (...) for professional status. Essentially, nurses have turned their backs on many nursing skills and allowed others to take on the role. British nursing may find its survival through its health care assistants. Nurses in other countries should take note and take steps to safeguard the profession on an international level. (shrink)