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Avdylaj L, Ličen S. Identifikacija merskih instrumentov za merjenje kulturnih kompetenc pri medicinskih sestrah in študentih zdravstvene nege. OBZORNIK ZDRAVSTVENE NEGE 2022. [DOI: 10.14528/snr.2022.56.1.3085] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
Abstract
Uvod: Merjenje kulturnih kompetenc je temeljni korak pri oceni strategij učenja kulturnih kompetenc ter doseganju kulturne kompetentnosti med medicinskimi sestrami in študenti zdravstvene nege. Namen sistematičnega regleda literature je bil proučiti vsebino in lastnosti vprašalnikov ter izbrati najprimernejše vprašalnike za ocenjevanje kulturnih kompetenc pri medicinskih sestrah in študentih zdravstvene nege. Metode: Izveden je bil sistematični pregled literature v podatkovnih bazah CINAHL, ERIC, EBSCO in ScienceDirect. Uporabljeni so bili angleški izrazi: transcultural nursing, cultural competent care, cultural competency, education nursing, questionaire. V pregled so bili vključeni izvirni znanstveni članki z ustrezno preiskovano tematiko, dostopni v celotnem besedilu ter objavljeni po letu 2010. 2010.Rezultati: Izmed 247 člankov je bilo v končno analizo vključenih 11 člankov. Med analiziranimi vprašalniki smo na podlagi vsebine ter psihometričnih lastnosti, kot sta zanesljivost in konstrukcijska veljavnost, ugotovili, da so štirje vprašalniki najbolj primerni za merjenje kulturnih kompetenc pri medicinskih sestrah, trije vprašalniki za merjenje kulturnih kompetenc pri študentih zdravstvene nege in en vprašalnik pri medicinskih sestrah v izobraževanju.Diskusija in zaključek: Določeni vprašalniki, ki smo jih vključili v naš pregled, so na podlagi analize kakovosti merilnih lastnosti vprašalnikov primernejši za merjenje kulturnih kompetenc pri medicinskih sestrah, ostali vprašalniki pa za merjenje kulturnih kompetenc pri študentih zdravstvene nege. Sistematični pregled literature predstavlja dobro izhodišče za druge raziskovalce s področja merjenja kulturnih kompetenc pri izboru ustreznih vprašalnikov za nadaljnje raziskave.
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Cai D, He W, Klug D. Cultural competence among nurses and its influencing factors: A cross-sectional study. Nurs Health Sci 2021; 23:411-418. [PMID: 33577132 DOI: 10.1111/nhs.12821] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/06/2020] [Revised: 02/07/2021] [Accepted: 02/10/2021] [Indexed: 11/30/2022]
Abstract
The purpose of this study was to investigate the level of cultural competence and its influencing factors among Chinese nurses by using a cross-sectional design. Participants were recruited from four tertiary hospitals in Jiangsu, China, and 325 nurses completed the Cultural Competence Inventory for Nurses in China. Data were analyzed using stepwise multiple regression to identify factors influencing cultural competence. The results showed that Chinese nurses self-rated cultural competence at a moderate level (mean value of 101.7 out of 145), which indicates that cultural training is necessary to improve their cultural competence. Nurses who were younger and had fewer years of working experience, had lower educational backgrounds, seldom learned about different cultures via mass media, and rarely resided in or visited places with different cultures tended to have lower cultural competence levels, and should be provided more opportunities for cultural training. By considering demographic characteristics that influence cultural competence among Chinese nurses, educators can specifically design cultural training content at an appropriate level, targeting trainees' needs and thereby enhance training effectiveness.
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Affiliation(s)
- Duanying Cai
- School of Nursing, Jiujiang University, Jiujiang, China
| | - Wei He
- School of Nursing, Queensland University of Technology, Brisbane, Queensland, Australia
| | - David Klug
- School of Nursing, Queensland University of Technology, Brisbane, Queensland, Australia
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Abrams MP, Chalise S, Peralta H, Simms-Cendan J. Social, Demographic, Spanish Language, and Experiential Factors Influencing Nursing Students' Cultural Competence. J Nurs Educ 2021; 60:29-33. [PMID: 33400805 DOI: 10.3928/01484834-20201217-07] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/15/2020] [Accepted: 07/15/2020] [Indexed: 11/20/2022]
Abstract
BACKGROUND Development of culturally competent nursing students is a core objective in nursing education. METHOD One hundred sixty nursing students completed an online survey assessing sociodemographic information, Spanish language, service-learning participation, and cultural competency. RESULTS Degree of participation in the multidisciplinary farmworkers clinic (r = .374, p = .013), federally qualified health center (FQHC) (r = .387, p = .032), and short-term international medical mission trip (r = .433, p = .021) was associated with higher cultural competency. Furthermore, several demographic factors including being a native Spanish-speaker (p = .022), female (p = .004), Latino (p = .045) or a student of low socioeconomic status (p = .026) were associated with higher cultural competency. CONCLUSION Participation in service-learning opportunities involving care for minority and disadvantaged communities, whether required or voluntary, was correlated with higher cultural competency scores, as long as the students' experiences involved direct patient care responsibilities. These findings highlight the need for identifying more diverse opportunities for service-learning and more diverse direct patient care opportunities to foster students' cultural competence. [J Nurs Educ. 2021;60(1):29-33.].
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Yadollahi S, Asadizaker M, Ebadi A, Molavynejad S. Cultural competence in clinical nursing: A qualitative study. INTERNATIONAL ARCHIVES OF HEALTH SCIENCES 2021. [DOI: 10.4103/iahs.iahs_139_21] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
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Evgin D, Muz G. Nursing students learning to care for refugee patients: a qualitative study †. Int Nurs Rev 2020; 68:341-348. [PMID: 33137217 DOI: 10.1111/inr.12641] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/05/2020] [Revised: 10/07/2020] [Accepted: 10/09/2020] [Indexed: 11/30/2022]
Abstract
BACKGROUND Nursing students should gain cultural knowledge and skills necessary for providing care to all types of patients. AIM This study aimed to determine problems faced by nursing students who care for refugee patients. METHOD The study used phenomenological qualitative design. The sample comprised 25 nursing students who cared for refugee patients in a clinic. Data were analysed using Colaizzi's seven-step method following focus group interviews. RESULTS Two themes were identified for the interviews: (i) language barrier: insufficient care and (ii) students' perspectives on being a refugee. Furthermore, three subthemes were also identified by analysis of the interviews: (i) superficial communication and insufficiency in psychological support, (ii) health problems in difficult living conditions and (iii) unchanged basic human needs and unmet care needs. CONCLUSIONS Nursing students find it difficult to care for refugee patients, but nursing education programmes based on culture care improve their knowledge and perceptions and the quality of care they provide to patients from different cultures. IMPLICATION FOR NURSING AND HEALTH POLICY In a multicultural society, nursing students must recognize cultural differences. Consequently, a multicultural education programme helps lay the groundwork for successful integration of nursing students in new cultures.
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Affiliation(s)
- D Evgin
- Department of Nursing, Kumluca Faculty of Health Sciences, Akdeniz University, Antalya, Turkey
| | - G Muz
- Department of Nursing, Semra and Vefa Küçük Faculty of Health Sciences, Nevsehir Haci Bektas Veli University, Nevsehir, Turkey
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Osmancevic S, Schoberer D, Lohrmann C, Großschädl F. Psychometric properties of instruments used to measure the cultural competence of nurses: A systematic review. Int J Nurs Stud 2020; 113:103789. [PMID: 33212330 DOI: 10.1016/j.ijnurstu.2020.103789] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/30/2020] [Revised: 08/31/2020] [Accepted: 10/01/2020] [Indexed: 10/23/2022]
Abstract
BACKGROUND Cultural competence is a key component of culturally congruent nursing care. In order to reduce healthcare inequalities and to identify potentials for improvement in nursing practice, researchers need to be able to assess cultural competence properly. Although many instruments for the assessment of cultural competence have been developed, their measurement properties have not yet been reviewed systematically. Such an overview of existing instruments, however, would allow researchers to identify the most valid and reliable instrument for nursing practice. OBJECTIVE The purpose of conducting this review is to identify and critically appraise the psychometric properties of instruments used to measure the cultural competence of nurses. METHODS A systematic literature search was performed in November 2019 in the following electronic databases: Cumulative Index of Nursing and Allied Health Literature, Embase, PsycINFO and PubMed. Studies that were conducted to assess any measurement property of instruments used to measure the cultural competence of nurses were included. Two reviewers independently screened the articles and assessed the risk of bias using the COnsensus-based Standards for the selection of health Measurement INstruments checklist. The quality of included instruments was assessed on the basis of the updated criteria for good measurement properties, and the quality of the summarised results was graded based on the principles of Grading of Recommendations Assessment, Development and Evaluation. RESULTS In total, 44 studies describing 21 instruments were included in this study. We found that most instruments were tested for at least some forms of validity, but seldom for reliability. The quality of the psychometric properties was evaluated using the criteria for good measurement properties for the following: content validity, structural validity, internal consistency, reliability, measurement error and construct validity. No studies were found in which cross-cultural validity, criterion validity, or the responsiveness of the included instruments were evaluated. The Transcultural Self-Efficacy Tool, the Cultural Competence Assessment, and the Cultural Competence Health Practitioner Assessment showed sufficient levels of quality for psychometric properties and can be recommended for the assessment of cultural competence in nurses. CONCLUSION Given the broad availability of self-administered instruments to assess cultural competence, the development of new instrument is not recommended. A particular need was identified to conduct further psychometric evaluation studies on existing instruments and to adapt them accordingly, and especially on less frequently evaluated properties, such as reliability, measurement error and responsiveness.
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Affiliation(s)
- S Osmancevic
- Institute of Nursing Science, Medical University of Graz, Universitätsplatz 4, 8010 Graz, Austria.
| | - D Schoberer
- Institute of Nursing Science, Medical University of Graz, Universitätsplatz 4, 8010 Graz, Austria.
| | - C Lohrmann
- Institute of Nursing Science, Medical University of Graz, Universitätsplatz 4, 8010 Graz, Austria.
| | - F Großschädl
- Institute of Nursing Science, Medical University of Graz, Universitätsplatz 4, 8010 Graz, Austria.
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Vatandost S, Oshvandi K, Ahmadi F, Cheraghi F. The challenges of male nurses in the care of female patients in Iran. Int Nurs Rev 2020; 67:199-207. [PMID: 32314370 DOI: 10.1111/inr.12582] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/25/2019] [Revised: 02/04/2020] [Accepted: 02/26/2020] [Indexed: 02/03/2023]
Abstract
BACKGROUND Nurses professional duty mean that nurses must care for patients without gender discrimination. Meanwhile, the intrinsic differences between men and women and the need for personal contact with the patients during care procedures can create challenges for male nurses in the process of caring for a female patient. AIMS The present study aims to understand the challenges of male nurses in the care of female patients in Iran. METHODS A descriptive qualitative study was conducted with 20 male nurses selected by purposive sampling. Data were collected through unstructured and semi-structured interviews as well as observations and were analysed using conventional content analysis, based on the Graneheim and Lundman model. FINDINGS The findings revealed two main themes, including 'religious-cultural restrictions' and 'inappropriate organizational context'. DISCUSSION/CONCLUSION Male nurses are faced with a combination of religious-cultural and organizational challenges in providing patient care without discrimination in clinical settings. In addition to negatively affecting the quality of nursing care and satisfaction for female patients, these problems also create a stressful work environment for male nurses. IMPLICATIONS FOR HEALTH PRACTICE AND POLICY These problems can be alleviated in clinical settings by trying to ensure same-gender nurses and patients, especially when performing personal care. In addition to the efforts made by nurses to present a positive and real image of themselves in caring for female patients, health policy-makers should also attempt to improve society's attitude towards male nurses caring for female patients through the media.
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Affiliation(s)
- S Vatandost
- School of Nursing and Midwifery, Hamadan University of Medical Sciences, Hamadan, Iran
| | - K Oshvandi
- Child & Maternity Care Research Center, Hamadan University of Medical Sciences, Hamadan, Iran
| | - F Ahmadi
- Nursing Department, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran
| | - F Cheraghi
- Chronic diseases (home care) Research Center, Hamadan University of Medical Sciences, Hamadan, Iran
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Pedrero V, Bernales M, Chepo M, Manzi J, Pérez M, Fernández P. Development of an instrument to measure the cultural competence of health care workers. Rev Saude Publica 2020; 54:29. [PMID: 32215537 PMCID: PMC7069710 DOI: 10.11606/s1518-8787.2020054001695] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/29/2019] [Accepted: 08/01/2019] [Indexed: 11/13/2022] Open
Abstract
OBJECTIVE To validate an instrument measuring the cultural competence in health care workers from Chile. METHODS Using Sue & Sue’s theoretical model of cultural competence, we designed a scale, which was assessed by health care workers and experts. Subsequently, the scale was applied to a sample of 483 different health care workers, during 2018 in Santiago de Chile. The analysis included: exploratory and confirmatory factor analysis, estimation of reliability, and analysis of measurement bias. Finally, the level of cultural competence was calculated for every professional who participated in this study. RESULTS The final scale include 14 items that are grouped into three dimensions concordant with the theoretical model: sensitivity to own prejudices, cultural knowledge, and skills to work in culturally diverse environments. This scale showed good fit in factor models, adequate reliability and lack of evidence of measurement bias. Regarding the performance of health care workers, sensitivity showed a lower level compared with the other dimensions evaluated. CONCLUSION The scale for measuring the level of cultural competence in health care workers (EMCC-14) is a reliable instrument, with initial support for its validity, which can be used in the Chilean context. Additionally, the results of this study could guide some possible interventions in the health sector to strengthen the level of cultural competence.
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Affiliation(s)
- Victor Pedrero
- Universidad Andrés Bello. Facultad de Enfermería, Santiago, Chile
| | - Margarita Bernales
- Pontificia Universidad Católica de Chile. Facultad de Medicina, Escuela de Enfermería, Programa de Salud Global, Santiago, Chile
| | - Macarena Chepo
- Universidad Andrés Bello. Facultad de Enfermería, Santiago, Chile
| | - Jorge Manzi
- Pontificia Universidad Católica de Chile. Facultad de Ciencias Sociales. Escuela de Psicología, Santiago, Chile
| | - Miguel Pérez
- California State University Fresno. College of Health and Human Services. Department of Public Health, California, Estados Unidos
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Lin MH, Chang TH, Lee YH, Wang PY, Lin LH, Hsu HC. Developing and validating the Nursing Cultural Competence Scale in Taiwan. PLoS One 2019; 14:e0220944. [PMID: 31408503 PMCID: PMC6692013 DOI: 10.1371/journal.pone.0220944] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/07/2019] [Accepted: 07/27/2019] [Indexed: 11/18/2022] Open
Abstract
Background Culture influences personal health habits and behavior, and healthcare personnel possess different views of cultural perspectives. Currently, an appropriate instrument to assess cultural competence in clinical practice is limited. The present study aimed to develop and examine the psychometric properties of the Nursing Cultural Competence Scale (NCCS) for clinical nurses. Methods Developing and assessing the scale was carried out in two phases: Phase I involved a qualitative research to explore the themes of nurses’ cultural competence and instrument development; Phase II established construct validity of the scale using a sample of 246 nurses in Taiwan. Data from the questionnaire were analyzed using exploratory factor analysis, confirmatory factor analysis, internal consistency and test-retest reliability. Analysis results were used to determine the reliability and validity of the developed scale. Results The results showed four factors including cultural awareness ability, cultural action ability, cultural resources application ability, and self-learning cultural ability were generated by exploratory factor analysis, and these factors explained 62.0% of total variance. Cronbach’s α of the Nursing Cultural Competence Scale was .88, and test-retest reliability correlation was .70. Conclusions The establishment of the tool will facilitate accurate monitoring of the cultural competence among nurses and nursing managers, which can inform the construction of nursing policies aimed at pledge cultural competence expansion.
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Affiliation(s)
- Mei Hsiang Lin
- Department of Nursing, National Taipei University of Nursing and Health Sciences, Taiwan, R.O.C
| | | | | | - Pao Yu Wang
- Department of Nursing, National Taipei University of Nursing and Health Sciences, Taiwan, R.O.C
| | - Li Hui Lin
- Department of Nursing, National Taipei University of Nursing and Health Sciences, Taiwan, R.O.C
| | - Hsiu Chin Hsu
- Graduate Institute of Gerontology and Health Care Management, Chang Gung University of Science and Technology, Taiwan, R.O.C
- * E-mail:
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Aydin A, Hiçdurmaz D. Holistic nursing competence scale: Turkish translation and psychometric testing. Int Nurs Rev 2019; 66:425-433. [PMID: 31049974 DOI: 10.1111/inr.12514] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
Abstract
AIM This study aimed to culturally adapt and evaluate the reliability and validity of the Holistic Nursing Competence Scale for application in the Turkish context. BACKGROUND Nurses are expected to assess well-being of individuals by considering physical, social, psychological, cultural and spiritual dimensions to enhance adaptation to diseases. In Turkey, no tools have been developed to date for the evaluation of competencies in holistic nursing in the country. METHODS The study was conducted with 288 nurses working in two hospitals in Ankara equipped with over 500 beds. A confirmatory factor analysis was performed in order to identify whether the items and the sub-dimensions of the adapted scale complied with the original structure comprising 36 items and five sub-scales, namely 'general aptitude', 'staff education and management', 'ethically oriented practice', 'nursing care in a team' and 'professional development'. Cronbach's alpha value was used as an estimate for reliability analysis. RESULTS Opinions of 11 experts were obtained for content validation of the scale, and the content validity index was 0.90. The adaptation was observed to be acceptable on the basis of structural equation model fit indices in confirmatory factor analysis. Cronbach's alpha value was estimated to be 0.97 and 0.90, respectively, for the complete scale. CONCLUSION The study identified the Turkish version of Holistic Nursing Competence Scale as a valid and reliable tool for the evaluation of competence in holistic nursing among nurses. IMPLICATIONS FOR NURSING AND NURSING POLICY The instrument may now be utilized as a tool of measurement in nursing practice, as well as in education and research, for identifying the level of competence in the holistic nursing practices among the nurses in Turkey.
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Affiliation(s)
- A Aydin
- Sinop University Health College Nursing Department, Sinop, Turkey
| | - D Hiçdurmaz
- Hacettepe University Faculty of Nursing, Psychiatric Nursing Department, Ankara, Turkey
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Liu W, Stone TE, McMaster R. Increasing undergraduate nursing students' cultural competence: an evaluation study. Glob Health Res Policy 2018; 3:7. [PMID: 29516038 PMCID: PMC5836416 DOI: 10.1186/s41256-018-0062-2] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/15/2017] [Accepted: 02/07/2018] [Indexed: 11/30/2022] Open
Abstract
BACKGROUND Cultural competence has become increasingly important for Chinese health professionals because of internationalization and the opening up of China to overseas visitors and business as well as a growing awareness of the needs of minority groups within China. This study aimed to evaluate a workshop designed to improve cultural competence among Chinese undergraduate nursing students. METHODS A one-group pretest and posttest design was applied. The intervention was a one-day workshop based on transformative learning theory using a variety of teaching strategies. Forty undergraduate nursing students from a university in Wuhan, China selected by convenient sampling received the intervention. Data were collected before the intervention (T1), immediately after the intervention (T2), and 1 month (T3) and 3 months (T4) following the intervention through the Chinese version of Cultural Competence Inventory for Nurses (CCIN). A researcher-designed evaluation form including open-ended questions was also used. RESULTS Participants' scores by CCIN increased significantly in the total score (p < .001) as well as the components of cultural awareness (p = .003), cultural knowledge (p < .001), cultural understanding (p = .007) and cultural skills (p < .001), but not in cultural respect. This improvement maintained at T3 and T4. Overall, participants were satisfied with the workshop, and the qualitative results supported the effects of this intervention. CONCLUSIONS The one-day workshop was effective in improving nursing students' cultural competence. Replication or further refinement of this workshop is recommended for future research among additional nursing students with diverse backgrounds.
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Affiliation(s)
- Wenjia Liu
- School of Health Sciences, Wuhan University, No.115 Donghu Road, Wuhan, 430071 China
| | | | - Rosanna McMaster
- Professor of International Nursing, Faculty of Health Sciences, Graduate School of Medicine, Yamaguchi University, Yamaguchi, Japan
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Wang CC, Geraghty S. Casual for a cause: Exploring the employment status of nursing in Australia and China. Int J Nurs Sci 2017; 4:437-440. [PMID: 31406788 PMCID: PMC6626163 DOI: 10.1016/j.ijnss.2017.09.005] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/20/2017] [Revised: 06/06/2017] [Accepted: 09/29/2017] [Indexed: 11/24/2022] Open
Abstract
This paper outlines obligatory nursing education and the registration process required to become a nurse in Australia, including nurses' workload, career structure and pay. It also provides an overview of the nursing workforce in Australia, with particular reference to casual employment, and its implications. The aim of this paper is to outline the development strategies that may assist with China's increasing need for nursing education, and how changes to healthcare policy and management are required to increase the recruitment and retention of nurses in hospitals worldwide.
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Affiliation(s)
- Carol Chunfeng Wang
- School of Nursing and Midwifery, Edith Cowan University, Perth, WA 6027, Australia
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