Does teaching an entire nursing degree rurally have more workforce impact than rural placements?

Denese Playford
The Rural Clinical School of Western Australia, University of Western Australia

Belynda Wheatland
King Edward Memorial Hospital, Subiaco WA

Ann Larson
Combined University Centre for Rural Health, The University of Western Australia, WA

PP: 068 - 076

Abstract

Education plays a key role in recruitment of health workforce to rural and remote locations. In Australia, Schools of Nursing have set up a variety of educational programmes to encourage rural workforce choices. These programmes include rural campuses and short-term rural placement programmes out of urban campuses.

This study compares the relative workforce impacts of rural campus versus short-term rural placements out of urban campus. The single outcome measure - rural or urban location after graduation - showed that the rural school graduated a significantly higher proportion of rural-working graduates (χ2 4.46, p = 0.04). However there was no difference in the rural workforce choices of students from rural backgrounds, irrespective of their university location (χ2 = 1.45, p = 0.23).

We conclude that both rural universities and affirmative action for selecting rural students into nursing programmes are effective workforce strategies, but that rural campuses have the added benefit of encouraging under-represented rural students to access university education.

| More

Keywords

nursing; rural; education; workforce; undergraduate


View references

References

Bagg J (2004) Rural nurse practitioners in South Australia: Recognition for registered nurses already fulfilling the role. Australian Journal of Rural Health 12(1), 3-5.

Courtney M, Edwards H, Smith S and Finlayson K (2002) The impact of rural clinical placement on student nurses' employment intentions. Collegian 9(1), 8-12.

Cowin L and Jacobsson D (2003) Addressing Australia's nursing shortage: Is the gap widening between workforce recommendations and the workplace? Collegian: Journal of the Royal College of Nursing Australia 10(4), 20-24.

Creegan R, Duffield C and Forrester K (2003) Casualisation of the nursing workforce in Australia: Driving forces and implications. Australian Health Review 26(1), 201-208.

Duffield C and O'Brian P (2003) The causes and consequences of nursing shortages: A helicopter view. Australian Health Review 26(1), 186-193.

Durey A, McNamara B and Larson A (2003) Towards a health career for rural students: Cultural and structural barriers influencing choices. Australian Journal of Rural Health 11(3), 145-150.

Edwards H, Smith S, Courtney M, Finlayson K and Chapman H (2004) The impact of clinical placement location on nursing students' competence and preparedness for practice. Nurse Education Today 24(4), 248-255.

Eley D and Baker P (2007) Will Australian rural clinical schools be an effective workforce strategy? Early indications of their positive effect on intern choice and rural career interest. Medical Journal of Australia 187(3), 166-167.

Gum LF (2007) Studying nursing in a rural setting: Are students adequately supported and prepared for rural practice? A pilot study. Rural & Remote Health 7(1), 628.

Hegney D and McCarthy A (2000) Job satisfaction and nurses in rural Australia. Journal of Nursing Administration 30, 347-350.

Hegney D, McCarthy A, Rogers-Clark C and Gorman D (2002) Why nurses are resigning from rural and remote Queensland health facilities? Collegian 9(2), 33-39.

Hickner JM (1991) Training for rural practice in Australia. Medical Journal of Australia 154, 111-118.

Jackson D and Daly J (2004) Current challenges and issues facing nurses in Australia. Nursing Science Quarterly 17(4), 352-355.

James R, Wyn J, Baldwin G, Hepworth G, Mcinnis C and Stephanou A (1999) Rural and isolated school students and their higher education choices: A re-examination of student location, socioeconomic background, and educational advantage and disadvantage. Commissioned Report No. 62: National Board of Employment, Education and Training, Higher Education Council.

Johnstone M and Stewart M (2003) Ethical issues in the recruitment and retention of graduate nurses: A national concern. Contemporary Nurse 14(3), 40-47. http://www.contemporarynurse.com/archives/vol/14/issue/3/article/1893/ethical-issues-in-the-recruitment-and-retention

Joyce C and Wolfe R (2005) Geographic distribution of the Australian primary health workforce in 1996 and 2001. Australian and New Zealand Journal of Public Health 29(2), 129-135.

Kenny A and Duckett S (2002) Issues and innovations in nursing education: Educating for rural nursing practice. Journal of Advanced Nursing 44(6), 613-622.

Kenny A and Duckett S (2003) Educating for rural nursing practice. Journal of Advanced Nursing 44(6), 613-622.

Kline DS (2003) Push and pull factors in international nurse migration. Journal of Nursing Scholarship 35(2), 107-111.

Lauder W (2003) A case study of transfer of learning in a family health nursing course for students in remote and rural areas. Nurse Education in Practice 4(1), 39-44.

Laven G and Wilkinson D (2003) Rural doctors and rural backgrounds: How strong is the evidence? A systematic review. Australian Journal of Rural Health 11(6), 277-284.

Lyle D, Klineberg I, Taylor S, Jolly N, Fuller J and Canalese J (2007) Harnessing a University to address rural health workforce shortages in Australia. Australian Journal of Rural Health 15, 227-233.

Macrae M, Van Diepen K and Paterson M (2007) Use of clinical placements as a means of recruiting health care students to underserviced areas in Southeastern Ontario: Part 1 - Student perspectives. Australian Journal of Rural Health 15(1), 21-28.

Mills J, Francis K and Bonner A (2007) The problem of workforce for the social world of Australian rural nurses: A collective action frame analysis. Journal of Nursing Management 15(7), 721-730.

Neill J and Taylor K (2002) Undergraduate nursing students' clinical experiences in rural and remote areas: Recruitment implications. Australian Journal of Rural Health 10(5), 239-243.

Nugent P, Ogle K, Bethune E, Walker A and Wellman D (2004) Undergraduate preregistration nursing education in Australia: A longitudinal examination of enrolment and completion numbers with a focus on students from rural and remote campus locations. Rural and Remote Health 4, 313 (Online).

Parliament (2008) Briefing for 42nd Health Workforce. Parliament of Australia: Parliamentary Library.

Playford D, Denz-Penhey H, Skinner L and Murdoch J (2008) Will Australian rural clinical schools be an effective workforce strategy? Early indications of their positive effect on intern choice and rural career interest Medical Journal of Australia 188(3), 180.

Playford D, Wheatland B and Larson A (2006) Going country: Rural student placement factors associated with future rural employment in nursing and allied health. Australian Journal of Rural Health 14(1), 14-19.

Schofield DJ and Beard JR (2005) Baby boomer doctors and nurses: Demographic change and transitions to retirement. Medical Journal of Australia 183(2), 80-83.

Wood D (1998) Effects of educational focus on a graduate nurse's initial choice of practice area. Journal of Professional Nursing 14(4), 214-219.

Worley P, Martin A, Prideaux D, Woodman R, Worley E and Lowe M (2008) Vocational career paths of graduate entry medical students at Flinders University: A comparison of rural, remote and tertiary tracks. Medical Journal of Australia 188(3), 177.



RSS Facebook Twitter

Sign Me Up

*Email Address
First Name
Surname

Web Feed

Latest Articles

Special Issues

Advances in Contemporary Health Care for Vulnerable Populations
Volume 42/1
Summary


Advances in Contemporary Community & Family Health Care (3rd edn)
Volume 41/1
Summary | Contents


Advances in Contemporary Complex Health Care: Nursing Interventions
Volume 40/2
Summary | Contents


Advances in Contemporary Community and Family Health Care (2nd edn)
Volume 40/1
Summary | Contents


Advances in Contemporary Nurse Education (2nd edn)
Volume 38/1-2
Summary | Contents


Advances in Contemporary Indigenous Health Care (2nd edn)
Volume 37/1
Summary | Contents


Advances in Contemporary Nursing: Workforce and Workplaces
Volume 36/1-2
Summary | Contents


Advances in Contemporary Modeling of Clinical Nursing Care
Volume 35/2
Summary | Contents


Advances in Contemporary Mental Health Nursing (2nd edn)
Volume 34/2
Summary | Contents


Advances in Contemporary Nursing and Gender
Volume 33/2
Summary | Contents


Advances in Contemporary Nurse Education
Volume 32/1-2
Summary | Contents


Advances in Contemporary Nursing: History of Nursing and Midwifery in Australasia
Volume 30/2
Summary | Contents


crossref.org - The citation linking backbone



Website by Arrowsmith Websites. Website Design Sunshine Coast, Australia.