Post on 19-May-2015
description
Maximising Outcomes through
Specialist Education for
Correctional Nurses
Revitalising the West Moreton Prison
Health Service
“The health of a society is shaped by
the degree to which it can develop
and sustain a knowledgeable
nursing workforce.”
Thorne, Sally E. 2006. Nursing Education: Key Issues for the 21st Century.
Nurse Education Today, 26, 614-621.
Content
• West Moreton HHS
• Restructuring the Prison Health Service
• Revitalising nurse education
– Framework for Lifelong Learning
• Building Capacity
– Student and first-year nurses
• Challenges and Solutions
West
Moreton
Hospital
& Health
Service
Queensland Correctional Centres
Queensland Prison Health
Services
Pre-2008 July 1
2008 July 1
2012
Queensland
Corrective
Services
Offender
Health
Services
(state-wide).
Devolved to
HHS. State-
wide unit
abolished.
Present
West Moreton PHS
• Brisbane CC
• Bris. Women’s CC
• Wolston CC
• Bris. Youth DC
Limitations of original model
• Lack of differentiated skill
mix
• Inefficient work flow
• No education support
• Minimal scope for career
advancement
• Low recruitment levels
• High cost
Clinical Nurse
Nurse Unit Manager
Nursing Director
Graduate
Registered Nurse
Grade 5
Registered Nurse
Grade 5
Clinical Nurse
Grade 6
Nurse Educator
Grade 7
Nurse Unit Manager
Grade 7
Nurse Practitioner
Grade 8
Nursing Director
Expert
Advanced
Proficient
Entry
Career pathways –
Offender Health
Services
Enrolled Nurse AP
Grade 4
Nurse Educator
• Provide new staff orientation
• Coordinate Transition Support Program
• Arrange workplace inservice
• Chair Professional Advancement Committee
• Build partnerships with tertiary providers
• Implement Lifelong Learning framework
Lifelong Learning Framework
Spheres of learning:
•Clinical
•Organisational
•Professional
Learning Continuum:
•Orientation/induction
•Transition
•CPD
Building capacity – Student nurses
• Griffith University 3rd
year undergraduates
• 56 students in 2014
• 2-4 week clinical
placements
• Specific course
objectives
Building Capacity - Transition Support
• First program of its kind in Queensland
• 12 month full-time
• Rotation across three adult correctional centres
• Regular study days, competency assessment, peer-supported learning
• Access to external workshops
Challenges Solutions
Limited technologies Electronic patient records
Q-Health IT access
Rising prisoner
populations
More nurses?
Or fewer prisoners?
Evidence base for
correctional nursing
practice
Nurse-led research
Clinical Guidelines
Knowledgeable nursing
workforce
Nurse Practitioner
Post-grad tertiary studies
in correctional health
The End – Thank you
Ashleigh Djachenko
A/Nurse Educator
Prison Health Services
West Moreton HHS
Queensland Health
Ashleigh.Djachenko@health.qld.gov.au