Curriculum: directions, decisions and debate.

The purpose of this paper is to provide an overview of the factors which may effect, stimulate or be the cause of curriculum changes in higher education (HE) in Scotland. This overview leads to a series of questions which could be used to encourage debate within and across institutions on strategic developments, which may enhance and inform the development of and support for the curriculum. The paper will begin by offering a definition of the term 'curriculum' before identifying the current areas of influence on how the curriculum, in its broadest sense, is shaped and delivered. This paper will provide an outline of some of the different approaches to the design and delivery of the curriculum which enhance the student experience in Scottish higher education, but which will of course have a wider relevance to HE in the UK and perhaps beyond.

Exploring the compassion deficit debate.

Several recent high profile failures in the UK health care system have promoted strong debate on compassion and care in nursing. A number of papers articulating a range of positions within this debate have been published in this journal over the past two and a half years. These articulate a diverse range of theoretical perspectives and have been drawn together here in an attempt to bring some coherence to the debate and provide an overview of the key arguments and positions taken by those involved. In doing this we invite the reader to consider their own position in relation to the issues raised and to consider the impact of this for their own practice. Finally the paper offers some sense of how individual practitioners might use their understanding of the debates to ensure delivery of good nursing care.