Reframing Nurse Education in Rural Australia: Implications for Advancing Longitudinal Integrated Placements

IF 1.9 4区医学 Q2 NURSING

Australian Journal of Rural Health Pub Date : 2025-04-08 DOI:10.1111/ajr.70041

Debra Jones, Giti Haddadan, Moira Dunsmore, Anna Williams, Danielle White, Jackie Hanniver, Corey Sclater, Tracy Robinson, Sue Randall

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引用次数: 0

Abstract

Objective

To explore the experiences of final-year pre-registration nursing students undertaking a longitudinal integrated placement in rural Australia.

Setting

Rural primary health care settings in far west NSW and northwest Victoria, Australia.

Participants

Thirteen final year pre-registration nursing students comprised two pilot cohorts undertaking the placement in semester one (n = 7) and two (n = 6) of 2022.

Design

A descriptive qualitative study design using semi-structured individual interviews with transcripts analysed using reflexive thematic analysis.

Results

Three themes were generated from the data: Experiencing comprehensive care, Making connections and Engaging with complexity. The subtheme of rural curriculum is described for each theme.

Conclusion

Findings highlight the importance of longitudinal integrated placements for student nurse exposure to comprehensive care, mitigating previous experiences of episodic and fragmented care associated with short duration placements across multiple settings. Placement duration enabled students to establish connections with their peers, health care teams, and the communities in which placements were undertaken. Student exposure to complexity-informed practice extended their capacity to interpret and respond to the broader inequities experienced and complexity as it relates to nursing practice in rural contexts. There is an imperative to reframe Australia's commitments to national nursing workforce policy, curriculum and clinical education to transform nursing education and maximise the full potential of our nursing workforce. These reforms must include consideration for the design, implementation, and scalability of rurally embedded longitudinal integrated placements, informed by rural curriculum, to enable the development of a competent future rural nursing workforce to address critical workforce shortages.

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重构澳大利亚农村护士教育：促进纵向整合安置的意义

目的探讨在澳大利亚农村进行纵向综合实习的最后一年预注册护理学生的经验。在新南威尔士州西部和澳大利亚维多利亚州西北部设置农村初级卫生保健设施。13名最后一年的预注册护理学生组成了两个试点队列，在2022年的第一学期（n = 7）和第二学期（n = 6）进行安置。设计一种描述性质的研究设计，采用半结构化的个人访谈，并使用反身性主题分析分析文本。结果从数据中产生了三个主题：体验全面护理、建立联系和参与复杂性。每个主题都描述了农村课程的副主题。研究结果强调了纵向综合实习对学生护士接受全面护理的重要性，减轻了以前在多个环境中进行短期实习时出现的断断续续和碎片化护理的经历。实习时间使学生能够与他们的同龄人、保健团队和实习所在的社区建立联系。学生接触到复杂知情的实践扩展了他们解释和应对更广泛的不平等经验和复杂性的能力，因为它涉及到农村环境中的护理实践。有必要重新制定澳大利亚对国家护理劳动力政策、课程和临床教育的承诺，以改变护理教育，最大限度地发挥我们护理劳动力的全部潜力。这些改革必须考虑农村嵌入式纵向综合安置的设计、实施和可扩展性，并结合农村课程，以培养合格的未来农村护理队伍，解决严重的劳动力短缺问题。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Australian Journal of Rural Health 医学-公共卫生、环境卫生与职业卫生

CiteScore

2.30

自引率

16.70%

发文量

122

审稿时长

12 months

期刊介绍： The Australian Journal of Rural Health publishes articles in the field of rural health. It facilitates the formation of interdisciplinary networks, so that rural health professionals can form a cohesive group and work together for the advancement of rural practice, in all health disciplines. The Journal aims to establish a national and international reputation for the quality of its scholarly discourse and its value to rural health professionals. All articles, unless otherwise identified, are peer reviewed by at least two researchers expert in the field of the submitted paper.