General practice nursing

BY LAURIE GREALISH ON BEHALF OF THE SNLW

ADVISORY GROUP, UNIVERSITY OF CANBERRA
The University of Canberra has embarked on a
new clinical education model for residential
aged care known as the Student Nurse-Led
Wards (SNLW).
Aged care is the ninth largest employer in
Australia (DoHA 2010). However, there are indi-
cations that nursing graduates rank a career in
aged care lower than any other field (Moyle
2003). Paradoxically, there is evidence that
nursing students undertaking paid part time
work in the aged care sector have less interest
in a career in aged care (Happell 2002). These
findings illustrate the challenge of integrating
residential aged care practical experience into
undergraduate nursing curricula.
In partnership with four local aged care
facilities, the SNLW at the University of
Canberra extends the dedicated education
unit principles (Edgecombe et al 1999) to
include a fulltime, onsite educator.
While student supervision is the
responsibility of the whole team, the onsite
educator role:
facilitates staff capacity to support student
learning;
formally assesses student progress and
develops individual learning contracts as
required;
liaises with university unit conveners
regarding student progress and any issues
related to learning or practice; and
collaboratively develops policy and
procedures within the organisation to
support a learning culture.
Implementation of the SNLW will increase
the annual student intake by 24 per year by
2012, an increase of 13% on 2009 admissions.
The cost of setup and delivery has been met
by a DoHA increased clinical training capacity
grant for 2010 to 2011 and part subsidisation
from Health Workforce Australian from 2012.
Feedback collected through group meetings
with staff, residents, students, educators and
managers at the end of 2010 indicated that:
student attitudes changed during the
placement once they performed clinical
practices not previously experienced;
staff perceived the students positively
but expressed the challenge around deter-
mining what students can or cannot do;
residents enjoyed interacting with the stu-
dents and looked forward to the next group;
54 AUSTRALIAN NURSING JOURNAL JUNE 11 VOLUME 18 NUMBER 11
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(Health Informatics)
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These e-health courses are appropriate for both health
professionals involved in adopting information management
tools into their daily work flow and for those interested in
moving into the emerging field of health informatics.
H5E Graduate Certificate in E-Health
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This is a part-time course comprising four compulsory units.
All units are one semester in length.
H6E Graduate Diploma of E-Health
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electives. All units are one semester in length.
Courses are external, self-paced learning packages using
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completed with a minimum of disruption to home and work
life as there is no compulsory residential component.
Fees: Commonwealth Supported
Applications for 2011 are open.
For more information, contact:
University of Tasmania
Department of Rural Health
Phone: (03) 6324 4000
E-mail: Sue.Whetton@utas.edu.au
www.ruralhealth.utas.edu.au/informatics
7
4
8
9
Student nurse-led
ward in residential
aged care
General practice nursing
educators learned about the organisational
values and identified areas for review in
consultation with facility managers; and
managers noted increased numbers of
students coming to work in the facility as
part time care workers.
A summative evaluation will be under-
taken during 2011 to determine effects of the
model on student learning, staff learning,
organisational culture and workforce training
indicators. This model recognises the leader-
ship role of nurses in the aged care sector
and provides an opportunity for students to
explore this role.
REFERENCES
Australian Department of Health and Ageing (DoHA)
2010. National aged care nursing roundtable final
report. Canberra: Commonwealth of Australia.
Edgecombe, K., Wotton, K., Gonda, J. and Mason, P.
1999. Dedicated education units 1: a new concept for
clinical teaching and learning. Contemporary Nurse,
8(4):166-171.
Happell, B. 2002. Nursing home employment for
students: valuable experience or a harsh deterrent:
Journal of Advanced Nursing 39(6):529-536.
Moyle, W. 2003. Nursing students perceptions of
older people: continuing societys myths. Australian
Journal of Advanced Nursing 20(4):15-21.
LAURIE GREALISH IS ASSOCIATE PROFESSOR
IN NURSING, FACULTY OF HEALTH, UNIVERSITY
OF CANBERRA.
Children under the age of 16 years will be
able to access magnetic resonance imaging
(MRI) scans in primary health care faster and
cheaper as a result of changes announced in
last months federal budget.
Minister for Health and Ageing Nicola Roxon
said that from November 2012 the federal
government will allow GPs to refer patients
under the age of 16 to Medicare-eligible MRIs
for specific conditions such as chronic
headache and acute knee injury, without the
need to see a specialist first. Ms Roxon said
the initiative would reduce costs and speed
up time taken to get a diagnosis. Importantly,
it avoids exposing children unnecessarily to
radiation associated with other types of diag-
nostic imaging like computerised tomography
(CT) machines.
From November 2013 adults will be able to
access Medicare benefits on a licensed MRI
machine with a GP referral for certain medical
conditions such as lower back pain.
The federal budget granted new Medicare
licenses for more than 60 existing MRI
machines across Australia. From November
2012 the newly-licensed MRIs will have
greater access to Medicare rebates. The
federal budget increased the bulkbilling
incentive for MRI scans to 100% of the
scheduled fee with effect from May 2012.
JUNE 11 VOLUME 18 NUMBER 11 AUSTRALIAN NURSING JOURNAL 55
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scholarships@rcna.org.au
www.rcna.org.au RCNA
For the details, eligibility and applications please go to our website:
ARE YOU INTERESTED IN EMERGENCY NURSING, OR WORKING IN AN
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