Queensland nursing staffs' perceptions of the preparation for practice of registered and enrolled nurses

Hegney, Desley and Eley, Robert and Francis, Karen (2013) Queensland nursing staffs' perceptions of the preparation for practice of registered and enrolled nurses. Nurse Education Today, 33 (10). pp. 1148-1152. ISSN 0260-6917


In Australia, unlike other countries, programmes which lead to registration as a registered or enrolled nurse (called 'entry to practice' programmes) are carried out solely in the tertiary sector. In Australian nursing and the wider community, there continues to be a debate over the place of preparation and the 'work readiness' of graduates.
Background: Despite several opinion papers on the preparation of registered nurses, there is a dearth of published research on the perceptions of the clinical nursing workforce on the suitability of the current preparation for practice models.
Methods: Data were collected from approximately 3000 nurses in Queensland, Australia in 2007 and 2010. The aim of these studies was to ascertain issues around nursing work. This paper reports on qualitative data that were collected as part of that larger survey. Specifically this paper provides the thematic analysis of one open-ended question: 'what are the five key issues and strategies that you see could improve nursing and nursing work?' as it was apparent when we undertook thematic analysis of this question that there was a major theme around the preparation of nurses for the nursing workforce. We therefore carried out a more detailed thematic analysis around this major theme.
Results: The major sub-themes that we identified from comments on the preparation of the nursing workforce were: perceptions of lack of clinical exposure and the need to increase the amount of clinical hours; the design of the curriculum, the place of preparation (soley within industry or a great focus on industry), financial consideration (students to be paid for their work; and in 2007 only, the need for students to have better time management.
Discussion: The findings suggest that a majority of respondents believed there should be changes to the entry to practice preparation for nurses. The major focus of these comments was the perception of insufficient clinical experience and inappropriate curriculum comment. Thus, graduates are not 'work ready'.
Conclusion: The attitude of clinical nurses, who work closely with student nurses, influences the workplace experience of student nurses. It is apparent from the statements of respondents in this study, that there is a need for stronger industry/academic partnerships, particularly around the design and implementation of the entry-to-practice curriculum.

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Item Type: Article (Commonwealth Reporting Category C)
Refereed: Yes
Item Status: Live Archive
Additional Information: © 2012 Elsevier Ltd. Available online 27 Dec 2012. Permanent restricted access to published version due to publisher copyright policy.
Faculty/School / Institute/Centre: Historic - Faculty of Health, Engineering and Sciences - School of Health, Nursing and Midwifery
Date Deposited: 06 Jun 2013 22:55
Last Modified: 09 Dec 2014 05:42
Uncontrolled Keywords: curriculum; students; nurses; education; nurse clinicians
Fields of Research : 13 Education > 1302 Curriculum and Pedagogy > 130209 Medicine, Nursing and Health Curriculum and Pedagogy
11 Medical and Health Sciences > 1110 Nursing > 111099 Nursing not elsewhere classified
15 Commerce, Management, Tourism and Services > 1503 Business and Management > 150305 Human Resources Management
Socio-Economic Objective: C Society > 92 Health > 9204 Public Health (excl. Specific Population Health) > 920499 Public Health (excl. Specific Population Health) not elsewhere classified
C Society > 93 Education and Training > 9305 Education and Training Systems > 930501 Education and Training Systems Policies and Development
Identification Number or DOI: 10.1016/j.nedt.2012.11.023
URI: http://eprints.usq.edu.au/id/eprint/22603

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