top-rated free essay

Assignment 2 example introduction to nursing

By Kansakar1234 May 31, 2015 1121 Words
Factors influencing recruitment and retention of
registered nurses across rural Australia

Rural Australia is characterised by having a largely industry driven economy, being geographically diverse, climatically extreme and having a low population density (Rural Health Review 2001; Kidd et al. 2012). Rural Australians are an ageing population, with a higher incidence of chronic disease, drug and alcohol dependency and a greater proportion of Aboriginal Australians than metropolitan Australia (Blue 2001; Francis et al. 2001; Lenthall et al. 2009; Hegney 2010; Kidd et al. 2012). These factors combine to create a unique setting for health care, one where nurses must adapt and act in ways that is often confronting, challenging, stimulating and rewarding. This essay aims to identify what the negative aspects of nursing work within the rural setting are and how they can be remedied through better preparation for the role. Furthermore, this essay will endeavour to shed light on the redeeming aspects of rural nursing practice and how the workforce can be sustained into the future. Rural nursing is recognised as being different to metropolitan nursing practice due to factors such as the broader scope of practice, the professional isolation often experienced by nurses and the heightened autonomy of practice (Hegney et al. 2002a; Lenthall et al. 2009; Opie et al. 2010). To cope with such a challenging working environment, nurses who work rurally have adapted into the role of the specialist generalist, a term coined by Hegney in as early as 1997 ( Hegney 2002a; Hegney 2002b). The term arose as it recognises that nurses, who make up the largest proportion of health professionals in the rural setting (Lea et al. 2008; Hegney 2010), must adapt to fill the role of numerous health professionals who are often absent. These roles can include oral services, community nursing outreach, mental health services and occupational therapy as examples (Francis et al. 2001). Cant et al. (2011) and Kidd et al. (2012) agree that nurses in rural areas, particularly those working in an emergency context, are frequently required to perform tasks and make decisions beyond the scope of their formal training due to the lack of availability of nurse practitioners or medical officers.

Blue (2000) argues that rural nursing as a practice is not given the specialist status it deserves. Without formal recognition as a distinct type of practice, in the same way that community or mental health nursing is recognised independently to acute care, challenges in ensuring that those who enter the rural workforce are appropriately prepared arise. Ensuring that nurses in the rural workforce are prepared to tackle the generalist nature of their practice with the required skill as well as cope with the added stress that this can case while often work in isolation from both practical and administration support is key to improving the retention of

rural nurses (Lenthall et al. 2009).
Issues surrounding recognition of the specialised nature of rural practice and training appropriately for this have been outlined in the literature for over ten years (Blue 2000; Francis et al. 2001). Francis et al. (2001) found in a National Review of Nursing Education (Department of Education Science and Training 2001) that there is a lack of continuing education opportunities for nurses in the rural workforce. Nurses may be compelled to undertake post graduate study to up skill or to become formally recognised as a rural specialist (an remote area nurse or RAN) but are often limited by lack of education providers within their area, cost and inflexibility with their current employment position (Blue 2000; Kidd et al. 2012). Not only do these issues create problems for nurses who are already embedded in rural nursing practice who are wishing to up skill but also acts as a deterrent for nursing graduates who may be concerned about the lack of scope for ongoing training, recognition of their skills or promotions (Hegney 2002b; Kidd et al. 2012). Cant et al. (2011) highlights that the need for rural nurses to have access to formal training programs that allow for the recognition of their speciality skills is fundamental to maintaining a functioning and thriving nursing workforce in rural Australia.

The varied skill set discussed above, the physically demanding nature of rural nursing work and expectations to work outside of practice hours are all factors identified that reduce the appeal of rural nursing (Blue 2000; Hegney 2002a; Lea et al. 2008; Ostini & Bonner 2012). Graduates who are considering work in the rural setting post university are often deterred by the lack of support that many of their peers have experienced. Due to the busy nature of rural practice and the professional isolation, many nurses who enter the rural workforce as a graduate or otherwise struggle to settle into the new practice due to the lack of preceptor availability (Lea & Cruickshank 2005; Lea et al. 2008; Hegney 2010; Ostini & Bonner 2012; Dowdle-Simmons 2013). Furthermore, another issue limiting recruitment of rural nurses is that rural nursing practice is not seen as a career pathway in itself (Blue 2000, Lea et al. 2008) despite growing recognition of its specialised status (Blue 2000; Francis et al. 2001; Hegney 2002a; Hegney 2002b).

Despite the hardships of rural nursing such as workplace stress, feeling alone and a lack of anonymity in the community many nurses find practicing in a close knit community that is isolated from metropolitan health care services to be particularly rewarding (Lea et al. 2008). Hegney (2002b pp. 181) offers that many nurses are attracted to rural work because of the lifestyle it offers, the stability of employment and the ability to work with a heightened sense of autonomy. This view is supported by Ostini and Bonner (2012) who found that it is the challenge of rural practice that is both appealing and off putting to new graduates

who are considering entering the rural workforce. Furthermore, they also found that nurses working in rural communities often feel valued and appreciated by the community in which they work which may not be as apparent to those working in metropolitan clinical settings (Ostini & Bonner 2012).

The most consistent theme throughout this examination of issues resulting in low recruitment and retention of registered nurses in the rural setting is that nurses are not well prepared for the unique components of rural practice. Education remains as the most promising course of action. By ensuring that student nurses are aware of the issues that typically confront rural nurses throughout their training and by allowing for more rural clinical placements and allocating funding resources to installing more mentors it is likely that the sustainability of the workforce will improve. In doing so, it is thought that future nurses will find that the enjoyable and rewarding aspects of rural work outweigh the negatives.


Cite This Document

Related Documents

  • introduction to nursing

    ...Module Title Introduction to Nursing Module Code NURS07022 Cohort September 2013 Assignment Title Introduction to nursing workbook Assignment Date 03/12/13 Word Count Words 1587 ...

    Read More
  • introduction to conceptual bases nursing\

    ...Introduction 1. Definition of nursing science 2. Four basic concepts that affect and determine the nursing practice (1) Human being (2) Environment (3) Health (4) Nursing Human being 1. The human being is a uniform whole (entirety) (1) Concept of a whole (2) The uniform whole of human being 1) Physiological 2) Psychological 3) ...

    Read More
  • Introduction to Professional nursing

    ...The national competency standards for registered nurses plays a critical role in the health care sector. First adopted in 1992 by the Australian Nursing and Midwifery Council, nurses abide by the National Competency Standards as framework to assess their personal performance and to review areas that need work. Within the national competency s...

    Read More
  • Philosophy Of Nursing Assignment 2

    ... My Philosophy of Nursing Elaine Boisvert 3054401 Athabasca University Lyndie Shih NURS 324 July 4th 2012 My Philosophy of Nursing Philosophy is defined as the study of the basic principles and concepts of a particular branch of knowledge; embracing and seeking wisdom through reason and the logical presentation of ideas. T...

    Read More
  • Assignment 2 Annotated Bibliography 2015

    ...SOUTHERN CROSS UNIVERSITY Health and Human Sciences ASSIGNMENT COVER SHEET For use with online submission of assignments via Turnitin Please complete all of the following details and then make this sheet the first page of your assignment – do not send it as a separate document. Your assignments must be submitted as either Word documents (...

    Read More
  • Introduction to F. — Assignment 2

    ...Feedback — Assignment 2 You have submitted this Assignment on Sun 5 Aug 2012 2:32:29 AM PDT. You achieved a score of 90.00 out of 100.00. Please read all questions and instructions carefully. Note that you only need to enter answers in terms of numbers and without any symbols (including $, %, commas, etc.). Enter all dollars without decima...

    Read More
  • Leadership in Nursing

    ...THE IMPACT THAT NURSING LEADERSHIP AND MANAGEMENT HAVE ON QUALITY PATIENT CARE The field of Health Care is a very broad field with different areas of specialization. Quality leadership and management are vital in health care. In modern medicine, the majority of nursing tasks are performed by a team rather than individuals. The way a nurse m...

    Read More

    ...Arizona: NRS-430V-0500 March 22, 2015 Introduction: Recent studies has shown that Nursing Education, and quality care is structured on securing a well-educated workforce based on the challenges and dynamics of today’s healthcare system. According the (AACN) Facts sheets: It approaches today’s Nursing ...

    Read More

Discover the Best Free Essays on StudyMode

Conquer writer's block once and for all.

High Quality Essays

Our library contains thousands of carefully selected free research papers and essays.

Popular Topics

No matter the topic you're researching, chances are we have it covered.