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are undergraduate degree's too focused on research??

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Author are undergraduate degree's too focused on research??

nursemorgan

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Thu Aug 25, 2005 8:08 pm Last edited Aug 25, 2005, 08:00 pm Update #1

Hi guysI am a 2nd year nursing student at a South Australian University. Throughout our studies so far myself and fellow students have come to the conclusion that rather than preparing us for a graduate nurse programme our degree is much more geared towards an honours year.

We are frequently given assignments that ask to review the literiature on a given topic; for example our current assignment ask's us to show evidence that nurse's are effective in caring for the parkinson's Pt. This is good and well however we covered the actual clinical care of the this group of patient's in about 1/2 hour and here in is where we see the flaw in our education.

What good is reviewing the literature on our pt's condition if we can't keep them alive long enough to put it to use? Do other students out there have this problem??

Also do GNP coordinator's feel new graduate lack "real world" nursing skills??

Morgan the confused student

NB: this may just be our uni. as we did rank 2nd last in a recent poll!

(Edited by Darren to put some line breaks in :)

modified: Thursday 25 August 2005 9:30:51 pm - Darren

Darren

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Your country needs you!
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Aug 25, 2005, 09:37 pm

Morgan, I also feel strongly about this topic, esp as one of the old school hospital trained nurses.

I think moving the education of nurses into university was definitely the right move, but my view is that the undergrad course should be extended by a year with a much greater component of clinical experience.

The question of research is a vexed one, as clinical practice should definitely be founded on evidence based practice. Therefore, reviewing, interpreting and applying research should be, IMHO an integral part of the degree. However, it shouldn't take over so that there remains little time for the thorough examination and understanding of various conditions and effective nursing practice.

emmy

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emmy
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Aug 27, 2005, 10:53 am

I have to agree with you Morgan, I'm also a second year nursing student at the same Uni as you. I honestly feel that too much attention is placed on research, last semester I had to complete an essay which required that we critically analysed 20 research papers. I felt that most of my time was spent researching and not enough time was spent actually focusing on the various conditions that we are required to 'nurse'.

nursemorgan

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Aug 27, 2005, 07:21 pm Last edited Aug 27, 2005, 07:21 pm update #1

It is worth noting that Adelaide university will be offerring a new undergraduate programme next year.You can take a look at

This programme according to the information on the adelaide website will have students on placement several days a week for the entire academic year rather than in blocks and as such provide a much better comtinuation of clinical learning as the course progresses.Even more interesting is our head of school has resigned to take a new position as head of school at......You guessed it!

Morgan

modified: Saturday 27 August 2005 10:18:34 pm - Darren

emmy

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emmy
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Aug 27, 2005, 07:51 pm

lol. hmm, I wonder why? I have heard about that degree, certainly sounds good. I often worry about the number of clinical hours we have, or should I say 'lack of'.

RaPhil

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Aug 28, 2005, 07:53 pm Last edited Aug 28, 2005, 07:53 pm update #1

Hi, As a recently graduated RN, I can certainly agree that the focus is more on research than practice. In fact, my University kept pushing that they are preparing us to be novice nurses, and that the hospital has to give us the experience to consolidate that knowledge. Unfortunately, I don't think that is what the hospitals expect when we get out, and I have heard a lot of complaints of the 'sink or swim' attitude that some of the wards have, rather than supporting the new grad. I was very interested to hear of the new nursing course on offer at Adelaide University - it is something my fellow students and I (as armchair experts) have suggested at our University. I hope it goes well, and other Universities follow suit.

modified: Sunday 28 August 2005 7:53:58 pm - RaPhil

priscillasmum

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priscillasmum
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Sep 10, 2005, 05:59 pm

Darren, regarding clinical experience, I think universities are having a bit of a rethink. Have a look at the revamped La Trobe degree. They have upped the clinical experience in third year. Two other undergraduate courses are also interesting, one is the fast track offered by the university of tasmania in sydney (seems crazy I know) they have fast tracked the course to two years but still over 6 semesters, they use the summer semester. St Vincents is the healthcare network where their students will be getting their clinical experience and St Vincents are offering all nursing students with the University of tasmania paid work as unqualified staff during the course. The undergraduate course offered by Avodale College and The Sydney Adventist Hospital has a similar arrangement.

stella

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Nov 09, 2005, 10:18 pm

Hi I am just about to finish my third year studies, and have been on a DEU placement that expects students to work 2days a week for 8 weeks then 3 days a week for 6 weeks and finally one 5 day week. I dont think it matters wether you are doing block or continuous practical 2days aweek. what matters is the support you get from the hospital and staff around you. My previous rural block placement was more educational , independant and freindlier with great support, compared to the private city hospital that I am presently in. The staff have been so horrible to each other and completely ignored the students for the first 8 weeks. It has been widely researched that students are dropping out in the first year. i believe this is because they are not exposed to the task orientated nature that nursing really is all about. As a profession nursing needs to come along way to be more attractible.

liberalogic

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Nov 14, 2005, 07:08 pm

Hi, I am just about to enter 2nd year and we will do an introduction to research. I feel that to get any experience with nursing patients, students need to get a part time job working as ains in hospital. The 3 weeks clinical experiece I did as part of year one, in the actual wards really helped me to understand real patient care.

nursemorgan

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Nov 16, 2005, 02:53 pm

Hi guys I have a follow on question from this topic. Should there be a compulsory paedeatrics component to all undergraduate nursing courses.I ask this because in two years of study I am yet to even be taught the normal heart rates for children of various ages! (I have learnt these through a helpful nurse on one of placements)There is an option to undertake your specialisation in thrid year in paedeatrics.............however there are 20 or so places for 600 odd students. This also does not take into account the vast majority of students who, whilst not wanting to work in a childrens hospital, will encounter a paedeatric patient at some point in their careers.what do you guys think?Morgan

priscillasmum

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priscillasmum
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Nov 27, 2005, 07:54 pm

While you may think that you will come accross paediatric patients in reality you will be nursing adults unless you are working in a paediatric ward, a&e or theatre. Paediatric care is generally confined to the children's hospitals or to one ward. In all my 30 years of nursing I have only nursed children when working in day surgery. Paediatrics is a speciality like theatre, icu, renal etc. The interesting thing is that most nurses who have been paediatric nurses for most of their career, stay in paediatrics, they don't like working with adults and the reverse holds true. If you are interested in paediatric nursing, try and organise a placement during your graduate year, towards the end, when you have had experience with drug calculations (as they are a lot trickier for paediatrics) and have had some experience with patient/family dynamics, because in paediatric care, it is a whole different ball game. 

nursemorgan

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Nov 28, 2005, 04:42 pm

Hi priscillasmum Thanks for your response....however I am not entirely sure I agree with what you said. Your response may be true for nurses in the major teaching hospitals but what about the sigificant number of other nurses in the following areas"* Rural/ Remote (approximatley 30% of Australia's nursing workforce!!)* Accident and emergency* Theatre/ Day theatre* General practice* ICU nurses in venues such Royal Darwin hospital* RFDS flight nurses*Too an extent Royal district nursing service (SA based service)I am aware that not all nurses are a fan of paedeatric nursing however it does form approximatley 25% of the human life span. I can't help but feel that nursing training is based around the needs of the major teaching hospitals and their specalties areas at the expense of the large numbers of more "generalist venues".My perspective may be skewed in the sense that I have a particluar interest in R/R nursing and have encountered children on all 3 placements but still......cheersMorgan

Deb

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Deb
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Nov 30, 2005, 12:53 pm

Hi nursemorgan

i have to agree with you. i have worked in the rural area of SA for 16 years and we deal with paeds quite a bit. in fact we deal with the entire lifespan and all of its facets. i agree that paediatrics need to be given more time within the training. however, it is written by metro nurses.

 cheers

nursemorgan

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Nov 30, 2005, 02:25 pm

Hi Debthanks for the support:) I should emphasie though that this is not an across the board problem, but rather an issue with some universities only. For example the new Adelaide university course appears to have a compulsory compenet based soley around kids. (ps: I won't even start on my uni. dropping rural/ remote as one choices for specalisation next year leaving only aboriginal health which is apparently the same thing?!.... I am aware a lot of aboriginals do reside in country areas but last time I ckecked so did "other races"!!!!!!. Now I have had my whinge I will be off ;))cheersMorgan

priscillasmum

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priscillasmum
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Dec 02, 2005, 09:10 pm

I totally admit I have lived my entire working life in tertiary referal hospitals, and for the most part in the OR at The Alfred in Melbourne, so yes, my working life has been very focused on acute adult care. If you want paediatric experience, make a lot of noise about it, because that may be the only way you'll be heard. I agree that the clinical component of courses are limited and it is only by being vocal that you may be able to instigate change. (This is coming from one of the many nurses that went on strike in melbourne in 1986 for 40+ days, a short history lesson. I believe that you can influence policy)

mattycat

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mattycat
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Dec 31, 2005, 12:36 am

It feels like too much research, needs some balance. But if more clinical or longer courses then they should look at paying final year students as ENs or similar - because the old hospital way paid them and it's a long slog as it is...

Re paeds, 3 of my four last placements had mixed ages including paeds. One a country hosp, the others outer metro where separate wards not practical. There should be more taught at least. Or maybe more elective choices. This is where I found our rural health club handy - they offered courses the Uni itself didn't - which all looks good in the resume!

asaph

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Jan 15, 2006, 05:20 pm

Hi I have just completed my first year of a nursing degree. I had to do a similar assignment as mentioned by morgan. We had to do a review of nursing journal articles. I got the idea that the reasoning behind the assignments was to gain research and essay/report writing skills. These are skill which are expected by most uni degrees. Though not in any way helping to prepare you for your skills needed on the ward.

By the way heart rates for Children are Infant newborn : Average 125 / min range 70-190/min

1-11month : Average 120/min range 80- 160/min

4yr old : Average 100/min range 80-120/min

8yr old : Average 90/min range 70-110/min

10 yr old Average 90/min range 70-110/min

Hope this helps.

CrazyCat

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CrazyCat
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Feb 19, 2006, 10:03 pm

Hi, I am new to the forum and came across this thread. I feel and most of us students feel that at my University in Brisbane there is not much clinical placements given to us. We get less practicals within the 3 year period and particularly myself where I have finished a two week placement, gotta go back to uni and I feel so depressed. I feel hospital training is the way to go and the majority of people ie patients and other nurses that i have come across feel that hospital training should come back in focus. I agree, for a practical profession I feel that University holds too much emphasis on research and theory. Its great to have theory but too much of it can drown a person. There are many careers in nursing and for those that want to stick and help the profession out with doing research material, then they should go for it and wish them well on that.

Anyways that is my opinion :)

Michelle123

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Feb 19, 2006, 11:11 pm

I think (and this is just my opinion, and I start 1st year next week) that moving the RN to the universities was a good idea. Although I think there does need to be a bit more of a balance. In NSW they do employ undergraduate AINs specifically with restrictions on what they can and can't do based on their level (ie 2nd year or 3rd year) but generally you have to complete at least one clinical prac first. Our last semester is made up of 3 dpw at a hospital and the rest online/multimedia learning. I am looking for an AIN/PCA position now, I'm trying to convince someone to give me a go as I don't have experience in this field. I'm coming from a completely difference field. I do think it is important that we do focus some of our attention on research/acedemia if we are going to continue to forge ahead with a professional basis for nursing. I think it is important to know the why's behind what you are doing.

But that is just my two cents, which may change as I complete my degree, Considering the amount of reading I have to do for my first tutorial!

priscillasmum

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priscillasmum
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Feb 26, 2006, 09:47 am

Hi, I noticed you all feel you lack clinical exposure during your course, may I make a suggestion. Send out your resume, as it stands, state clearly you are nursing student, and send it to every nursing home in your area. If you get no offers, send it out again. Be persistant and someone will employ you.

My daughter felt the same way and sent out her resume, cold, to 4 different nursing home in the area, and got a phone call and a job. She is very happy and feels the extra experience is very valuable.

Joanne

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