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Practice nursing in Australia: A review of education and career pathways

Parker, Rhian M; Keleher, Helen M; Francis, Karen; Abdulwadud, Omar

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BACKGROUND Nurses in Australia are often not educated in their pre registration years to meet the needs of primary care. Careers in primary care may not be as attractive to nursing graduates as high-tech settings such as intensive or acute care. Yet, it is in primary care that increasingly complex health problems are managed. The Australian government has invested in incentives for general practices to employ practice nurses. However, no policy framework has been developed for practice nursing...[Show more]

dc.contributor.authorParker, Rhian M
dc.contributor.authorKeleher, Helen M
dc.contributor.authorFrancis, Karen
dc.contributor.authorAbdulwadud, Omar
dc.date.accessioned2015-12-16T00:50:04Z
dc.date.available2015-12-16T00:50:04Z
dc.identifier.issn1472-6955
dc.identifier.urihttp://hdl.handle.net/1885/95045
dc.description.abstractBACKGROUND Nurses in Australia are often not educated in their pre registration years to meet the needs of primary care. Careers in primary care may not be as attractive to nursing graduates as high-tech settings such as intensive or acute care. Yet, it is in primary care that increasingly complex health problems are managed. The Australian government has invested in incentives for general practices to employ practice nurses. However, no policy framework has been developed for practice nursing to support career development and post-registration education and training programs are developed in an ad hoc manner and are not underpinned by core professional competencies. This paper reports on a systematic review undertaken to establish the available evidence on education models and career pathways with a view to enhancing recruitment and retention of practice nurses in primary care in Australia. METHODS Search terms describing education models, career pathways and policy associated with primary care (practice) nursing were established. These search terms were used to search electronic databases. The search strategy identified 1394 citations of which 408 addressed one or more of the key search terms on policy, education and career pathways. Grey literature from the UK and New Zealand internet sites were sourced and examined. The UK and New Zealand Internet sites were selected because they have well established and advanced developments in education and career pathways for practice nurses.Two reviewers examined titles, abstracts and studies, based on inclusion and exclusion criteria. Disagreement between the reviewers was resolved by consensus or by a third reviewer. RESULTS Significant advances have been made in New Zealand and the UK towards strengthening frameworks for primary care nursing education and career pathways. However, in Australia there is no policy at national level prepare nurses to work in primary care sector and no framework for education or career pathways for nurses working in that sector. CONCLUSION There is a need for national training standards and a process of accreditation for practice nursing in Australia to support the development of a responsive and sustainable nursing workforce in primary care and to provide quality education and career pathways.
dc.description.sponsorshipThe research reported in this paper is a project of the Australian Primary Health Care Research Institute, which is supported by a grant from the Australian Government Department of Health and Ageing under the Primary Health Care Research, Evaluation and Development Strategy.
dc.format6 pages
dc.publisherBioMed Central
dc.rights© 2009 Parker et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by2.0), which permits unrestricted use and distribution, and reproduction in any medium, provided the original work is properly cited.
dc.sourceBMC Nursing
dc.subjectAustralia
dc.subjectnurses
dc.subjectprimary
dc.subjectcare
dc.subjectcareer
dc.subjectintensive
dc.subjectacute
dc.subjecthealth
dc.subjectdevelopment
dc.subjectpost-registration
dc.subjecteducation
dc.subjecttraining
dc.subjectreview
dc.subjectrecruitment
dc.subjectretention
dc.subjectpolicy
dc.titlePractice nursing in Australia: A review of education and career pathways
dc.typeJournal article
local.description.notesImported from ARIES.
local.identifier.citationvolume8
dcterms.dateAccepted2009-05-27
dc.date.issued2009-05-27
local.identifier.absfor111099
local.identifier.ariespublicationu3961986xPUB16
local.publisher.urlhttp://www.biomedcentral.com/
local.type.statusPublished Version
local.contributor.affiliationParker, Rhian, College of Medicine, Biology and Environment, CMBE Research School of Population Health, Australian Primary Health Care Research Institute, The Australian National University
local.contributor.affiliationKeleher, Helen, Monash University, Australia
local.contributor.affiliationFrancis, Karen, Monash University, Australia
local.contributor.affiliationAbdulwadud, Omar, Monash University, Australia
local.identifier.essn1472-6955
local.bibliographicCitation.issue5
local.bibliographicCitation.startpage5
local.identifier.doi10.1186/1472-6955-8-5
dc.date.updated2016-02-24T10:20:56Z
local.identifier.scopusID2-s2.0-67651218846
CollectionsANU Research Publications

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