Ashleigh Djachenko - West Moreton Hospital Health Service - CASE STUDY: Maximising Outcomes through...
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Maximising Outcomes through
Specialist Education for
Correctional Nurses
Revitalising the West Moreton Prison
Health Service
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“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.
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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
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West
Moreton
Hospital
& Health
Service
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Queensland Correctional Centres
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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
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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
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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
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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
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Lifelong Learning Framework
Spheres of learning:
•Clinical
•Organisational
•Professional
Learning Continuum:
•Orientation/induction
•Transition
•CPD
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Building capacity – Student nurses
• Griffith University 3rd
year undergraduates
• 56 students in 2014
• 2-4 week clinical
placements
• Specific course
objectives
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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
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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
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The End – Thank you
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Ashleigh Djachenko
A/Nurse Educator
Prison Health Services
West Moreton HHS
Queensland Health