"combining the university training with ward training"
This is the structure of the degree course they have moved classroom ward based learning to university's but clinical exposure starts on the wards from years 1-3 alongside university teaching. The degree programme was introduced to both professionalise nursing and ensure linear externally validated education. Moving simulations, skills acquisition and didactic lectures into universities upholds patient safety preparing students for applying knowledge on their clinical rotations with guidance and mentoring from experienced staff.
If nurses can not apply scientific knowledge in the medical setting they leave themselves open to erroneous practice, compromising patient safety, poorly communicating with the multidisciplinary team and litigation. A&P is the very basics of what nurses do each day and to say it is not needed promotes an autopilot effect in nursing care through pattern recognition as opposed to critical thinking. Nursing is a science based profession alongside medicine and physiotherapy. The care is provided through knowledge.
For longterm sustainability nursing perhaps look to other disciplines and countries models in medicine and indeed nursing in other parts of the world two years general experience with further skills acquisition is required before specialisation.
After working in the NHS many nurses never have career progression meetings with their managers this is a very basic if we are to build nurses experience and guide it the right direction if their long-term interest which gives them experience, routes of access and the knowledge they require to eventually specialise. Many start their jobs hitting the ground running and do in house courses and training and other cpd in their own time. Managers need to invest themselves in nurses long term career goals guide them through this and secure them the appropriate training places. This is not a quick fix but it is the right road to long-term sustainability.
An overhaul is needed within nursing education. Many of the biggest challenges now reside in more advanced assessments and interventions across all sectors. This means more autonomy and accountability.
There is 20 years worth of research that tells us nurses are not getting enough bio science education to both equip them for this role and enable them to articulate the biological basis of the diseases they are providing care for.
This is is just one aspect of nursing education.
With a retiring workforce new graduates need to be equipped with skills and knowledge to make accurate judgement both enhancing their care, documentation and prioritization.
Unfortunately a lot of nursing councils will not support educational research that does not have an immediate and apparent benefit to patient safety and quality of care because the fruits of education take time to ripen and become apparent. This feeds into a socio-political agenda of public expectation and governmental reforms as opposed to what is needed for the profession to evolve in its own right.
Much of nursing education research support comes from the medical field grants/bursaries and studentships.
Clinical placement coordinators (Band 6/7s) should be on site in hospitals for students acting as an educational link for staff mentors, students and universities, they are available in hospitals throughout Europe and the UK would benefit from the same.
Until nurses take on diverse roles in these areas and implement discipline specific changes education and research will not keep pace with the clinical environment
Nursing is an evidence based profession that incorporates research into practice. Nurses are encouraged to research this is not just a managerial dominion.
What appears "obvious" based on personal experience is still loose common connection this study isolated and studied cardiovascular physiology through sleep studies in shift workers to generate specific data on risks and benefits which had previously been identified due to prevalence stats of heart disease in shift workers compared to average working hours.
Research doesn't state the obvious it hones in on specific questions and attempts to answer them logically and unbiased lay by employing a systematic methodological approach that can be replicated by other researchers. This is then translated into "working data" essentially using evidence to ensure the right thing is being done!
Hand washing data so obvious? Perhaps some knowledge about Ignez Semmelweis and Louis Pasteur ... A classic example of what seems "obvious" based on pattern having more far-reaching consequences than anyone at that time could have envisaged.
Nursing is an evidence based profession it is nothing got to do with management and everything got to do with best practice.