1a Explain the differences between modern day nursing education and the old hospital based training model Modern day nursing is quite a different experience and process when compared to the old hospital based training system. Today’s nursing is theory based. Nurses learn the theory behind actions, procedures and decisions, before gaining the experience of performing the action or duty within the profession. In stark contrast the hospital based system is on the job, training where the nurses learn various processes as they present themselves and the theory is explained after the process has been demonstrated or when the applicable lesson comes to pass. The training was often governed by the skills required on the ward on that particular day, rather than the broad range of skills and knowledge that is achieved with the modern evidence based training model (Koutoukidis, Stainton & Hughson 2013 pp. 4 – 19).
1b When did the Diploma of Nursing become the nationally recognised entry level qualification for Enrolled Nurses in Australia? Why did this occur? The diploma of nursing was nationally recognised in 2010, it coincided with the establishment of the Australian Health Practitioners Regulation Authority (AHPRA). This was essential as previously each state had a different system and standards and this was not practical for national management .This was evident when nurses would transfer jobs between states and find that the skill sets were not equal (Koutoukidis, Stainton & Hughson 2013, pp 10)(Australian Health Practitioners Regulatory Agency 2012).
2a Discuss two primary health care strategies which aim to combat health issues such as poor nutrition, diabetes, obesity or tobacco smoking in aboriginal or Torres Strait Islander communities Smoking is responsible for one in five of all aboriginal deaths (Dept of health and ageing-1 2011), and as such is an excellent candidate for a primary health care strategy. The Australian Government is funding a national network of tobacco action coordinators; this will implement community based smoking prevention programs and activities tailored to Aboriginal and Torres Strait Islander communities. A tobacco action workforce will deliver smoking cessation programs and existing workforce will be retrained in a team based approach. Nationally quit smoking role models, peers and ambassadors- people who have kicked the habit- will travel and be avail to talk and help smokers give up. Quit line services will provide new content designed to serve the communities. Even social media will contain campaigns to reinforce the life change messages (Dept of health and ageing-1 2011). The Indigenous chronic health care package aims to reduce the incidence of diseases such as diabetes, cancer, chronic respiratory disease, diabetes, cancer, cardiovascular disease and kidney disease (Dept of health and ageing-2 2011). The Australian Government is funding coordinated and primary health care in both community controlled health care and mainstream general practice. Programs are designed to involve local communities in healthy lifestyle programs and financial incentive for services providing better health care to indigenous people with chronic diseases (Dept of health and ageing-2 2011). Also removal of barriers such distance and finance so that patients can receive allied health services, pharmaceutical benefits scheme and specialist care, increasing the capacity of the indigenous primary health care workforce (Dept of health and ageing-2 2011). 2b What are some of the challenges that may need to be overcome in order for these strategies to work effectively? The key challenges with these strategies are community tradition and opinion; it is very difficult to change the habits and lifestyle choices of an individual and their community (Health promotion journal of Australia 2010). Another issue is the proximity and availability of health care services, as some of the clientele come from low socio...
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