Nurses worth listening to

Abstract

[Executive Summary]: In 2001 the University of Southern Queensland (USQ) in conjunction with the Queensland Nurses’ Union (QNU) undertook a study of enrolled and registered nurse and assistant-in-nursing members. In Queensland, registered nurses (RNs) and enrolled nurses (ENs) are qualified to practice nursing and are licensed by the Queensland Nursing Council (QNC), an independent body responsible for the setting and maintaining of nursing standards in the State. Although not licensed by the QNC Assistants in Nursing (AINs) work within a nursing model of care. These workers may also have other titles such as Personal Care Assistants or Carers. Regardless of their title, they work under the direct or indirect supervision of a RN. The study was confined to nurses employed in the public sector (acute hospitals, community health), the private sector (acute hospitals and domicillary nursing) and the aged care sector (government and non-government). In 2004 a similar study was conducted. The major findings of the 2004 study were that nurses believed: • nursing is emotionally challenging and physically demanding • their workload is heavy and that their skills and experience as a professional nurse are poorly rewarded (remunerated or recognised) • work stress is high and morale is perceived to be poor and, similar to 2001, deteriorating • there are insufficient staff in their workplace and that the skill mix is inadequate • the majority of nurses are unable to complete their work to their level of professional satisfaction in the time available. While there were some changes between 2001 and 2004 (some could be seen as improvements, others deteriorations), the overwhelming impression one has, especially from the qualitative data, is of a workforce frustrated and unable to provide safe and quality care to their patients/clients within the time allocated.