Embed Size (px)
DESCRIPTION
Â
Citation preview
ACN NURSING amp HEALTH EXPOS 2015 eGuide
WA ExpoFriday 1 May 2015 900am ndash 100pm Perth Convention amp Exhibition Centre
VIC ExpoSaturday 18 April 2015 900am ndash 100pm Melbourne Convention amp Exhibition Centre
1
EPW
R028
8
Epworth provides a dynamic and supportive environment where graduate nurses and midwives can transition to become independent practitioners and strive for excellence in their clinical practice
Our program features support from highly skilled educators multiple rotation choices a full orientation and a host of employee benefits including salary packaging
Join us at one of our open days listed below to take a tour of our hospitals learn about our programs meet our graduates and see what we can do for your nursing career We look forward to seeing you
Epworth Richmond 6 May amp 1 July 5 ndash 7pm Epworth Rehabilitation 6 May amp 1 July 5 ndash 7pm (to be held at Epworth Richmond) Epworth Geelong 6 May amp 1 July 5 ndash 7pm (to be held at Epworth Richmond) Epworth Freemasons 17 May 2 ndash 330pm Midwifery (Epworth Freemasons) 17 May 4 ndash 530pm Epworth Eastern 31 May 130 ndash 4pm
Alternatively visit us online at epworthorgaugraduateprograms
Epworth excellence Thatrsquos why we want you to work here
ContentsWelcome from the CEO 5
ACN Nursing amp Health Expos an overview 6
A look back at the 2014 ACN Nursing amp Health Expos 7
Nursing Officer a vital role in the Australian Defence Force Article 9
The beginning of a career ACNrsquos Nursing amp Health Expos Article 10
Diary of a newly registered nurse Article 11
VIC Expo Melbourne 12
Welcome from the Chief Nurse amp Midwifery Officer 13
Expo information 14
Floor plan 16
Exhibitor listing 17
Graduate transition programs my personal experience Article 18
Banking freedom for nurses and midwives Advertorial 19
Diary of a newly registered nurse Article 21
Research collaboration students are welcome Article 22
Itrsquos never too early to become a leader Article 25
WA Expo Perth 26
Welcome from the Chief Nurse amp Midwifery Officer 27
Expo information 28
Floor plan 30
Exhibitor listing 31
The potential of the enrolled nursing workforce Article 32
Diary of a newly registered nurse Article 34
3
wwwacneduau
Save the date block out 12 May 2015 in your diary
2014 ACN National Nurses Breakfast Host Avondale College of Higher EducationIn 2014 Avondale College of Higher Education celebrated
IND by hosting its own ACN National Nurses Breakfast
During the event nursing students wrote messages of
encouragement to registered nurses and students at
Pacific Adventist University in Port Moresby Papua New
Guinea and Atoifi Adventist Hospital on Malaita in the
Solomon Islands The messages were hand delivered by
a team of Avondale students on a clinical service-learning
placement
In-line with the 2014 IND theme Nurses a force for
change ndash a vital resource for health Avondale
students were also asked to colour a cardboard person
representing themselves as a nurse and write a word
describing how they are a force for change These figures
have been proudly displayed on campus to serve as
encouragement and a reminder of the power nurses have
to make a lasting impact on the wider community and be a
lsquoforce for changersquo
What do you have planned for your ACNBreakfast
On Tuesday 12 May 2015 the Australian College of Nursing
(ACN) will once again be hosting the ACN National Nurses
Breakfast in celebration of International Nurses Day (IND)
The ACN National Nurses Breakfast encourages members of
the community to celebrate the invaluable contribution nurses
make to the health of our society by hosting a breakfast at their
workplace school or community centre This nationwide event
has been hosted since 2011 and sees over 4000 nurses and
their supporters come together at approximately 100 breakfasts
hosted around Australia
Help us build on the continued success of the ACN National
Nurses Breakfast by registering as a 2015 breakfast host today
We will send you a registration pack full of goodies to help you
decorate and theme your venue as well as some valuable
information about IND and the important work nurses do
Register your breakfast at
wwwacneduaunational_nurses_breakfast
Proudly supported by
2015
2015 IND THEME
NURSES A FORCE FOR CHANGE
CARE EFFECTIVE
COST EFFECTIVE
Itrsquos my great pleasure to welcome you to the Australian College of Nursingrsquos (ACN) Nursing and Health Expos and present to you the ACN Nursing and Health Expo eGuide for 2015
ACN is the national professional organisation for all nurse leaders nurses with an interest in leadership nurses aspiring to leadership roles and nurses in leadership roles across the Australian health system
ACN is an advocate for the nursing profession advancing the skills and expertise of nurses to provide leadership in their contribution to the policy practice and delivery of health care ACN encourages and supports nurses to develop and grow to become nurse leaders
Each year ACN hosts the ACN Nursing and Health Expos to highlight the profession of nursing and provide valuable connections and opportunities for nurses at each stage of their career
Nursing remains one of the top five most trusted professions in Australia A career in nursing and health offers lifelong learning critical thinking a broad array of career opportunities in a variety of settings and the chance to contribute to the health of Australian communities
This eGuide includes Expo floor plans showcases our diverse range of exhibitors and offers a wide range of education opportunities Throughout we feature both state specific and nationally focussed nursing updates from each Statersquos Chief Nurse and we also take a look back at the 2014 Expos
It is my hope that the addition of this yearrsquos eGuide will enable you to easily navigate and make the most of your Expo experience
For more details about ACN head to wwwacneduau
Welcome from the CEO
5
Why do we hold the Expos
The ACN Nursing and Health Expos are held to enhance the profile of nursing as a profession by connecting individuals to a wide range of organisations from the nursing and health industry The Expos aim to promote recruitment to and retention of the nursing workforce
Who will be there
During the Expo you will have the opportunity to meet and interact with
bull education providers
bull hospital and health care services
bull recruitment agencies
bull specialty nursing groups
bull companies offering health product and services
Do I have to pay an entry fee
Attendance at the Expos is free of charge and the seminars are also complimentary
Why should I attend the Expos
The ACN Expos have a strong reputation for connecting visitors with a wide range of organisations from the nursing and health industry You will have the unique opportunity to network with exhibitors who will deliver the information you need to kick start or progress your nursing career In addition a series of complimentary seminars will run throughout the day providing you with practical take-home skills
Who should attend the Expos
ACN encourages everyone who is interested in the nursing and health professions to attend the Expos They will be particularly beneficial to
bull registered nurses
bull enrolledDiv 2 nurses
bull health professionals
bull nursing undergraduate students
bull high school students
ACN Nursing amp Health Expos an overview
6
A look back at the 2014 ACN Nursing amp Health Expos
ldquoIrsquom very grateful for the opportunity to attend an expo like this as Irsquom new to the industry and am not entirely sure of what is available to merdquo
ldquoVery informative and helpful Addressed all of my concerns and reassured me that the process although complex when broken down is achievablerdquo
ldquoThe exhibitors were excellent in answering questionshellip[and] were alleviating the anxiety felt by many students attendingrdquo
ldquoIt was amazing I feel less stressed about graduate opportunities nowrdquo
ldquoAbsolutely fantastic I really have enjoyed ithellipthank you all very much for opening my mind to all these different areas in nursingrdquo
ldquoHelpful friendly informative inspiringrdquo
Visitors eagerly line up at the Expo entrance
Visitors chat to a wide range of
exhibitors
Visitors gain practical advice in a seminar session
Opportunity to connect with education
providers nursing groups and health care
providers
7
8CALL 13 19 01 OR VISIT DEFENCEJOBSGOVAU ARMY
THE ARMY ISNOW RECRUITINGNURSINGOFFICERS
A career as an Army Nursing Offi cer offers variety andchallenges in employment and travel not always availablein the normal hospital environment You will gain experienceand skills that will equip you for advancement in the Armyand will also be in high demand in your profession
Yoursquoll also enjoy great benefi ts like free medical and dentalworld class training subsidised accommodation excellentsalary packages worklife balance and unique experiences
To fi nd out more about becoming a Nursing Offi cersearch lsquoArmy Nursersquo
ARMY0176 Nurse Respec_210x297mm_V3indd 1 30012015 324 pm
Nursing Officer a vital role in the Australian Defence Force
In any environment healthcare is a challenge but during military operations that challenge can take on a new perspective As a Nursing Officer in the Australian Defence Force (ADF) Lieutenant Tess Demunk plays a vital role in the ongoing health and welfare of people in the Australian Army
Throughout her career Tess has enjoyed the sort of variety challenges and travel that a civilian nurse would never have the opportunity to experience
ldquoI joined the Army because I wanted to do something different with my nursing Irsquom interested in trauma nursing and obviously the Australian Army is a great place to go to for thatrdquo
ldquoItrsquos also a great opportunity to lsquogive something backrsquo you can care for the soldiers out there protecting us and our countryrdquo Tess said
Nursing Officers in the Australian Defence Force are employed across a range of clinical clinical management and broader health management duties They can expect to work in units and field hospitals that provide a comprehensive hospital service or in small Treatment Teams providing primary healthcare and immediate pre-hospital resuscitation
A Defence healthcare career offers variety and challenges in employment as well as opportunities that are not always available in a civilian hospital environment
The ADF offers amazing opportunities to travel around Australia and overseas on peacekeeping and emergency aid missions that make a genuine difference to peoples lives
Humanitarian work is a gateway to experience new cultures and interact with patients and locals like never before Its these kinds of career defining experiences that make your years of study all worthwhile
ldquoDeployments are a big opportunity Nursing overseas and being able to look after a lot of trauma injuries are two of the main reasons I joined the Armyrdquo Tess said
ldquoThere is a lot of primary healthcare stuff that we do as well but the reason that most people join is to do nursing in the field and on deploymentrdquo
ADF members also enjoy a great work-life balance with a selection of sporting clubs to play for fitness training thats included as part of the working day strong job security and role diversity Include the great benefits and competitive salary package with the chance to continually improve your medical knowledge and qualifications and the choice to pursue a military healthcare career just adds up
ldquoIn Defence you get free healthcare free dental and all the things that go along with that The mates you make along the way the courses that you get to do and the opportunities for deployment and the field exercises are other benefits as wellrdquo
ldquoI completed the Defence University Sponsorship (DUS) through Monash University It is a fantastic scheme that allowed me to study at university as a full-time student and be paid by the Army while doing thatrdquo
Full-time and part-time roles are available across the Navy Army and Air Force including graduate and undergraduate positions
Youll receive further training and post graduate study opportunities while youre in the ADF so you can go as far as you want to in your career
Put your medical and health-related skills and knowledge to use in a unique environment that is unlike anything else With the opportunity to broaden your skills and make a difference both at home and overseas a career in Defence healthcare is a worthwhile challenge that will just keep on giving
The Defence Force is currently recruiting for Nursing Officers and various health-related roles For further information on military training and careers in the Navy Army or Air Force visit
defencejobsgovau or call 13 19 01
By Tess Demunk Australian Army Nursing Officer
9
The beginning of a career ACNrsquos Nursing amp Health Expos
In pursuit of the belief that every nurse should have the opportunity to grow their career and further the nursing profession ACN is once again presenting the Nursing and Health Expos for 2015 The expos have provided an avenue for those interested in nursing in Australia to seek expert advice on education and employment opportunities One young nursersquos visit to an expo opened up a career
Ever since I could remember I wanted to help people When I was young I would look up diseases and conditions I had my own first aid kit and I would play lsquonursersquo with my mum and dad
In 2007 when I was in year 12 I attended my first NSW Nursing and Health Expo and Irsquove continued to visit the expos since Initially I wanted to become a paramedic but everyone I spoke to said that I should become a nurse first They gave me great advice to become an endorsed enrolled nurse (EEN) before becoming a registered nurse (RN) ndash to take it one step at a time
I studied at TAFE for 18 months to become an EEN I completed my Bachelor Degree at Southern Cross University while working as an EEN at a private hospital in Coffs Harbour This meant I was able to put my theory into practice
Now I work as an RN with Ramsay Health Care Every day I come home knowing I have a little place in someonersquos heart because I helped them Patients are very vulnerable people and sometimes all they need is for you to listen Listening is one of the most important lessons I have learnt as a nurse
Irsquod recommend the ACN Nursing and Health Expos to anyone especially year 12 students who are interested in a career as a nurse I always look forward to the expo and I make a day of it Itrsquos great to be around like-minded people listening to their stories and they are always interested in listening to mine Last year I was able to practice keyhole surgery at the expo and I was actually good at it ndash so maybe surgical nursing is an option down the track
I joined ACN last year and have now had this opportunity to share my nursing story and hopefully inspire others
by Brianna Gudgeon MACN
Brianna as a volunteer nurse in Samoa
Brianna (left) in 2008 training as an EEN at Concord Hospital with colleague
10
INSTITUTE OFHEALTH AND NURSING AUSTRALIA
RTO ID 21985 CRICOS Code 03386G
wwwihnaeduauenquiryihnaeduau1800 22 5283
Our Courses
bull Registered Nurse Re-entry to Practice Program
bull Registered Nurse Refresher Program
bull HLT51612 Diploma of Nursing (Enrolled-Division 2 Nursing)
bull HLT61107 Advanced Diploma of Nursing
The Institute of Health and Nursing Australia (IHNA) is one of Australias leading providers of comprehensive
health and nursing education at several levels IHNA is fast-growing dynamic and quality-driven institution committed to continuous improvement working hard to develop implement and deliver courses and professional development programs The courses offered by IHNA are prepared by experienced healthcare professionals and help students to pursue a successful career in Australian healthcare
Melbourne | Perth | Sydney
VET FEE HELP GOVT FUNDING AVAILABLE
Institute of Health and NursingAustralia
IHNA
Call 1800 675 839 for a Short-Form Product Disclosure Statement Prime Super (ABN 60 562 335 823) is issued by Prime Super Pty Ltd (ABN 81 067 241 016 AFSL 219723 RSE L0000277 RN 1000276)
VIC Expo Booth 33 | WA Expo Booth 17 | wwwprimesupercomau
Visit us at the Expo to find out morehellip
and enter our competition for your chance to WIN a $550
endota day spa voucher
Prime Super provides personal support to make super simpler
Now incorporating
11
VIC EXPO MELBOURNE
12
Welcome from the Chief Nurse amp Midwifery OfficerWelcome to the Australian College of Nursingrsquos 17th annual Nursing and Health Expo in Melbourne The Department of Health and Human Services in Victoria is a keen sponsor of this important event on the nursing calendar The Expo plays an important role in enhancing the profile of nursing as a profession which in turn promotes recruitment and retention of the nurses and midwives
As part of the health care team nurses and midwives are essential to the communityrsquos health and wellbeing Nurses and midwives play a critical role in delivering safe compassionate and quality care The Department of Health and Human Services encourages Victorian nurses and midwives to provide the best possible care for the community by providing clear strategic direction for the profession as well as supporting health services to implement initiatives across workforce development and reform
Being a nurse or midwife is a rewarding career but it is important to know if it is the right career choice for you In addition to having the relevant knowledge and skills nurses and midwives need to be compassionate caring and flexible Nursing and midwifery offers many and varied opportunities across multiple settings not only for graduates but for people of any age looking to enter the workforce
While traditionally nurses and midwives have always worked in hospitals they now work across multiple settings including general practice community-based services and aged-care services
The job market is competitive and opportunities will continue to be present for the existing returning and newly graduated nurses and midwives Because of the changing needs of the community there is often a contrast between where nurses and midwives prefer to work and where there are opportunities Growth opportunities are in areas such as rural aged care and chronic disease management and I encourage everyone to think beyond the traditional locations and to explore new and rewarding areas of employment
Senior members of the workforce are reminded of the important role we all play as professionals in encouraging and mentoring new starters and transitioning into other roles
Education and training is a lifelong journey essential to the continual development of the nursing and midwifery workforce which ensures highly skilled capable and critical decision makers
Associate Professor Alison McMillan MACN Chief Nurse and Midwifery Officer Department of Health amp Human Services VIC
13
Expo informationLocation
Visitors are often struck by the architectural brilliance of the Melbourne Convention and Exhibition Centre (MCEC) which has won some of Australiarsquos most prestigious architecture and design awards The Expo will be held in bays 17 and 18 of the MCEC
Doors open 9am ndash 1pm
Concourse
Link to convention
centre
Loading Dock
Normanby Road
Clar
endo
n St
reet
Entry Foyer
Clarendon Street
Entrance
ACN Expo Bays
17 amp 18
14
Seminars
This year the educational seminar series is back again to provide visitors with up to date information and practical skills to pursue or further their career Seminar attendance is free of charge and registration is not required
Time Topic Presented by
915am HESTA Your Partner for Career David Logan HESTA
950am Graduate NurseMidwifery Program Computer Match 2015 Paul Williamson Postgraduate Medical Council of Victoria
1025am Understanding delegation and supervision responsibilities and accountabilities
Associate Professor Alison McMillan MACN
Department of Health amp Human Services Victoria
1100am HESTA Your Partner for Career David Logan HESTA
1135am Graduate NurseMidwifery Program Computer Match 2015 Paul Williamson Postgraduate Medical Council of Victoria
1210pm Understanding delegation and supervision responsibilities and accountabilities
Associate Professor Alison McMillan MACN
Department of Health amp Human Services Victoria
The VIC Nursing amp Health Expo is proudly supported by
On 1 January 2015 the Victorian Government established the Department of Health amp Human Services bringing together the former Department of Health Department of Human Services and Sport and Recreation Victoria The department has been established to develop and deliver policies programs and services that support and enhance the wellbeing of all Victorians We take a broad view of the causes of ill health the drivers of good health the social and economic context in which people live and of the incidence and experience of vulnerability This will allow us to place people at the heart of policy-making service design and delivery
wwwdhhsvicgovau
15
Floor plan
BENC
H
SINK
ENTRANCEDOOR 9
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
20 21
22232425
26 27 28 29
30313233
34 35 36 37
38394041
42 43 44 45
46474849
50 51 52 53
54555657
58 59 60 61
62636465
66 67 68 69
7071727374
75
76
84
85
86
87
88
89
90
1918
16
Exhibitor listing
Organisation Name Booth Number
Alfred Health 6667
ANMF Victorian Branch 747576
Austin Health 4243
Australian Catholic University 89
Ballarat Health Services 62
BankVic 73
Baptcare 60
Belmore Nurses Bureau 47
Bendigo Health 44
Care Training Australia 17
Chisholm Institute of TAFE 19
Colbrow Healthcare 26
Critical Second 90
Crystal Clear Ear Clinic 6
Deakin University Nursing amp Midwifery 3435
Defence Force Recruiting 12
Eastern Health 3031
Epworth HealthCare 6465
Federation University Australia 41
First Call Health 40
First State Super 7
Forensicare 68
Health Skills Australia 72
HESTA 20
Holmesglen 4546
Institute of Health amp Nursing Australia 27
Kangan Institute 24
La Trobe University 121314
Martin Luther Homes 22
McFarlane Medical amp Scientific 23
mdBriefCase Australia 18
Mediserve Nursing Agency 28
Organisation Name Booth Number
Melbourne City Institute of Education 86
Mental Health Nursing Victoria 1011
Mercy Health 8788
Monash Health
Monash University 8485
NeilMed Pharmaceuticals 32
Northern Health 5354
NorthWestern Mental Health 59
Nurses Board of Victoria Legacy Limited
69
Nursing amp Midwifery Board of Australia 21
Peninsula Health 38
Peter MacCallum Cancer Centre 25
Postgraduate Medical Council of Victoria
71
Prime Super 33
Reflective Clinical Supervision Network 39
RMIT Faculty of Nursing 55
Royal Victorian Eye amp Ear Hospital 48
Sanita Australia 31
St Vincentrsquos Hospital 5051
St Vincentrsquos Mental Health 5
St Vincentrsquos Private Hospital 34
The Royal Melbourne Hospital 56
Tobin Brothers Funerals 49
University of Melbourne 89
University of Tasmania 52
Victoria University 57
Vital Health Recruitment 70
VNS Nursing Agency 58
Western District Health Service 63
Western Health 3637
Work the World 29
17
Graduate transition programs my personal experienceToo often we hear horror graduate stories Research shows horizontal violence and bullying is rampant in our profession We are told tales of the infamous ldquoeat our youngrdquo nursing culture We know graduates suffer transition shock when they start practicing and nearly 20 will leave in their first year
Unfortunately the good stories are often buried underneath the bad and so I wanted to share my graduate year experience When I started as an RN the only nursing experience I had were my clinical placements and a mere two months working as an AIN To say I was worried was a major understatement I was quietly petrified but tried to keep up a brave face
I had worked hard in university to learn as much as I could but I was still filled with doubts Would I be good enough Would I crash and burn Would I help or hinder my patientsrsquo recovery
My first day on the ward was sink or swim time I was amazed at the warm welcome I was given The other RNs were supportive and encouraging They made sure I knew if I felt myself struggling they would be there with a life-line
Every ward I rotated through gave me this same friendly reception Perhaps it was just luck or maybe our nursing culture is changing but I never encountered any of the pressure to change my values and practice in order to fit in that I had been told to expect Instead I found colleagues who understood I wouldnrsquot know everything on day one who were willing to take the time to teach me and who become great friends along the way
My clinical skills and knowledge increased out of sight during my graduate year I felt my university had given me a great foundation on which to build my career as an RN but my grad program cemented my theory into my practice I started the year having never removed a single stitch I ended the year confidently removing everything from sutures to ICCs and pacing wires while also successfully inserting NG tubes and cannulas Importantly I understood the pathophysiology and rationale behind each of these and could explain it to my patients
Irsquom not saying everyday was perfect Irsquom not saying every person was as helpful or welcoming as the next Irsquom not saying I didnrsquot have days when I struggled What I am saying is I never felt alone I knew the support was there all I had to do was ask
I know not every graduate nurse will have as positive an experience as I did Perhaps my journey was the exception not the rule However I hope the number of nurses who have an amazing graduate year like mine continues to increase until this becomes the norm
I do know that the success of your graduate year relies heavily on you and your attitude University teaches you how to think like a nurse but it is in clinical practice the real learning begins and it has a steep learning curve Approach your grad year knowing that everyone from the tea lady to the Director of Nursing will be your new teachers and success will come When the people you work with recognise your passion see your motivation to provide what is best for the patient and know you realise what a unique privilege it is to be a nurse their respect will follow
At the same time donrsquot be afraid to speak up for your patients for your colleagues and for yourself Harvey Fierstein said ldquoNever be bullied into silence Never allow yourself to be made a victim Accept no onersquos definition of your life define yourselfrdquo You have the ability to define your graduate year regardless of what hospital or ward you find yourself in
You can change the culture and reputation of the nursing profession for better or worse You can conform and join in bullying behaviour and continue negative traditions or you can decide it stops with you Set your standards high and have the moral courage to stick to them If every graduate nurse demonstrated this leadership and supported other nurses who did as well imagine the overwhelmingly positive impact that could have on nursing
Gandhi once said ldquoBe the change you want to see in the worldrdquo I would encourage you to be the change you want to see in nursing and just watch how the world changes with us
By Laurie Bickhoff MACN
18
Finishing studies and becoming a new graduate is an exciting milestone Itrsquos usually the first time you begin working full time perhaps moving away from home owning your own car and paying bills
Of course itrsquos important to budget ensuring you have enough money for daily expenses as well as being able to stash some money away The easiest way to keep track of your income versus expenses is to set up an everyday account with your salary paid into it and a savings account earning interest on the money yoursquore able to save In addition you might want to get a credit card so that yoursquove got some money for emergencies
Gain fee free banking freedom
With a BankVic Anywhere account you can enjoy unlimited free withdrawals at any ATM in Australia when you deposit $1000 per month1 Plus you can access your money with free unlimited eftpos transactions a Visa Debit card with paywave and a mobile App
Earn bonus interest on your savings
A BankVic Bonus Saver account is a high interest account that rewards you for saving by giving you bonus interest2 when you deposit a minimum of $100 a month and make no withdrawals plus there are no fees Itrsquos a great way to force yourself to save
Enjoy a credit card with no annual fee
A BankVic Visa Silver credit card offers great value with an introductory rate of 699pa3 for the first 6 months and a low ongoing rate plus no annual fee Itrsquos the perfect back up card
Why not call us today Call your dedicated Member Relationship Manager Phoebe Reid on 9268 9297 or via email preidbankviccomau
1 Minimum deposit of $1000 must be received in the account by close of business on the last business day of the month The deposit cannot be an internal transfer or interest earned form other BankVic products 2 Bonus Saver ndash Deposit $100 per calendar month with no withdrawals and yoursquoll be rewarded with bonus interest Bonus interest rate is capped at a maximum balance of $1000000 3 Credit Card interest rates are variable All interest rates are shown are current as at date of print and are subject to change Fees and charges apply Any advice is general before acting on the advice you should consider whether the advice is appropriate for you Before you make any decision to acquire any product or service you should obtain and consider the relevant Product Disclosure Statement available from our website bankviccomau any branch or by calling us on 13 63 73 Police Financial Services Limited ABN 33 087 651 661 AFSL 240923 Australian Credit Licence 240293ndash trading as BankVic 121 Cardigan Street Carlton Victoria 3053 3-15 5243BV
Advertorial
Banking freedom for nurses and midwives
members matter
Let BankVic take care of you while you take care of others
9268 9297preidbankviccomau
Canstar Pty Ltd Authorised Representative 443019 of Canstar Research Pty Limited ABN 29 114 422 909 AFSL 437917 Police Financial Services Limited ABN 33 087 651 661 AFSL 240293 (BankVic) 121 Cardigan Street Carlton Vic 3053 315 5280bv
Contact your dedicated Member Relationship Manager Phoebe Reid
bankviccomau
19
This is general advice only Consider our product disclosure statement before making a decision about First State Super Call us or visit fi rststatesupercomau for copies Becoming a Student Club member is diff erent to being a First State Super member as you do not hold a superannuation account with the Fund or have any interest right or other relationship with First State Super
FSS Trustee Corporation ABN 11 118 202 672 ASFL 293340 is the trustee of the First State Superannuation Scheme (First State Super) ABN 53 226 460 365 EXP_
Mel
b_Ex
po_A
4_03
15
Join our free Student Club and make the most of the support discounts and benefi ts available only to students
Learn to manage your super better and how you can take advantage of our exclusive member benefi ts
Find out why wersquore the super fund with a heart on Saturday 18 April
Visit us at booth 7 in Melbourne
EXP_Melb_Expo_A4_Mar15_ARTWORKindd 1 6032015 414 pm
By Claire Stewart MACN
Diary of a newly registered nurse
Irsquom almost three months into my role as a newly registered nurse and I had my first 40 Prolene moment recently For the uninitiated this can be a panic fuelled moment where a routine procedure ends up resembling the Texas chainsaw massacre Thankfully I was supported by a wonderfully calm surgeon who waited patiently while I painstakingly attempted to load his life saving suture After the surgery I wiped the blood from my glasses and took a moment to reflect on how I had handled the situation In fact Irsquove spent most of the last three months lsquoreflectingrsquo Deafening groans can be heard from many a third year nursing cohort when wersquore asked yet again to lsquocritically reflectrsquo on our practice as student nurses Let me be the first to admithellip It doesnrsquot stop at graduation
I may not use a dedicated framework or even put pen to paper but the skills I learned during my studies have set me up to ensure I gain the most from every learning opportunity by critically reflecting on my performance simply by force of habit During the last three months my learning curve has veered vertical as I transitioned from university study to my role as a
graduate registered nurse in perioperative services Irsquove had to deal with a new environment (donrsquot even get me started on finding your way around a theatre complex) new colleagues adjusting to full time work and managing family commitments learning an entire new skill set working as a scrubscout dealing with policies procedures and my favourite surgeonsrsquo preference
In these first few months itrsquos very easy to fall into the trap of focussing on how much you donrsquot know However practising critical reflection has allowed me to focus on what I do know how far Irsquove come and what I will learn because Irsquom self-aware Whether you are a new nurse like me and feel like yoursquove handed in one too many pieces of written reflection to your facilitator over the last three years or an experienced nurse who practices self-reflection sub-consciously on the drive home ndash embrace it for the wonderful tool that it is and use it to become the kind of nurse you want to work with
Be in demand Be successfulStudy nursing or midwifery at Monash If you want to make a difference in health care with great employment potential the School of Nursing and Midwifery is a great place to start
As a nurse or midwife there are a variety of roles and a number of specialty areas available to you ensuring a constant career of challenges and diversity
To find out more about our undergraduate courses visit us at ACN Expo Melbourne Stand 84 ndash 85
For more information on our courses visit medmonashedunursing
21
Research collaboration students are welcome
A collaborative research study in Queensland is tapping into the enthusiasm and intelligence of nursing students by training and employing third-years as research assistants data collectors and analysts in contract research projects
Researchers from James Cook Universityrsquos (JCU) Centre for Nursing and Midwifery Research (CNMR) the Far North Queensland Medicare Local and the Cairns and Hinterland Hospital and Health Service are trying to determine why emergency department (ED) presentations to Cairns Hospital have been increasing at a greater rate than the national average
To answer this question CNMR researchers recruited 14 nursing and medical students to survey every willing and able person who presented to the ED
Researchers asked participants for information regarding their reasons for coming to the ED They also asked where they would usually go for medical treatment and what physical and psychological factors influenced their decision to choose the ED over other treatment options
In other phases of the project hospital Emergency Department Information System (EDIS) data have been analysed and patient focus groups have been convened Unstinting faith in the local ED has been noted as one of the key reasons that people choose the ED over other health care options
Most people who come to the ED with lsquonon-urgentrsquo conditions do have general practitioners and a large percentage have sought medical advice in the days prior to presenting to the ED Worry anxiety and uncertainty rather than the severity of the medical condition itself however appears to be a significant motivator to come to the ED where people perceive there is a wide range of services professionals and diagnostic tools available
ACN Emerging Nurse Leader Anna Groth MACN a third-year nursing student from JCU has been collecting collating and analysing data
ldquoOften I would ask someone why they had come to the hospital and they would speak about being in pain but if you asked them about whether they came for the pain or because they were anxious about the pain they would say they had come to the hospital because of the anxietyrdquo explained Anna ldquoIt is such a huge difference ndash the motivation ndash coming for the pain or the anxietyrdquo
Anna said the project opened communication lines between people from different organisations including government university health service hospital and the community leading to collaboration and learning for all
By Marnie Hitchins
Benefits for the students included early career exposure to the research process in which they learnt about data collection analysis and research methods The students also had the opportunity to practise communication skills learn about the organisational cultures of universities and hospitals and work alongside health professionals and patients in a research environment
Students commented that because the power dynamics were different from that of clinical experience (they were not seen as health professionals by patients nor as lsquostudent nursesrsquo by health staff members) they gained insights into the hospital environment they might not otherwise have had
Anna said she learned a lot personally the ED research experience has catapulted her into another area of interest in which she can see herself working in the future
ldquoResearch and policy will be a part of my future Irsquove gained a deep interest in the treatment of women since doing this studyrdquo said Anna
ldquoI have become very interested in domestic violence and the way women are treated in the health service and in the society as a whole I was blown away by the struggle that people have with the system in trying to find support They are so lonely I recognised things being in the ED that I would like to research and have already started exploring the issuesrdquo
CNMR Director Associate Professor Jane Mills FACN said the recruitment and inclusion of students in research projects is part of a broader plan within the CNMR to build undergraduate research capacity
Jane said the CNMR also offered internships to undergraduate students to work on research projects alongside experienced scholars academics and researchers
ldquoJCU strongly supports the inclusion of undergraduate students in research studies where they can gain valuable knowledge skills and experience while also making a contribution to building the evidence base about health care issues of importance to people living in the tropicsrdquo said Jane
ldquoItrsquos a win-win situation where experienced researchers benefit from the studentsrsquo enthusiasm and familiarity with contemporary research principles and students increase their awareness of the importance of research to professional practicerdquo
It is clear to all parties involved that the inclusion of nursing students is benefitting the quality of the project as much as it is benefitting studentsrsquo learning and work experiences
22
Launch your nursing career at St Vincentrsquos
St Vincentrsquos Hospital Melbourne (SVHM) is part of St Vincentrsquos Health Australia and is a leading teaching research and tertiary health service which employs more than 5000 staff across 18 sites throughout Melbourne SVHM provides a diverse range of adult clinical services including acute medical and surgical services sub-acutecare medical diagnostics rehabilitation allied health mental health palliative care correctional health and community residential care SVHM is one of Australiarsquosleading Catholic not-for-prot healthcare providersMake the most of your talents Join the team at St Vincentrsquos
Visit us at the ACN Nursing and Health Expo 2015Find out about our 2016 Graduate Nurse Program andhave a chat to our current graduates educators and nursing staff
St Vincentrsquos Open Evening 2015Wednesday 3rd June 4pm-6pmSt Vincentrsquos Ground Floor Aikenhead Building 27 Victoria Parade Fitzroy
Welcome and Overview of the 2016 Graduate Nurse Program at 4pm 430pm amp 5pm
All welcome ndash no RSVP required
All 24 rotational areas on displayTours of inpatient wardsComplimentary food and beverages provided
For further information visit wwwsvhmorgau or phone the Graduate Nurse Hotline 9231 2244
To follow our 2016 recruitment process Like us at SVHM 2016 Graduate Nurse Program
Compassion Justice Integrity Excellence
24
INTERESTED IN STUDYING DEAKIN NURSING AND MIDWIFERYWe are holding information sessions for our undergraduate courses
BURWOOD CAMPUS 221 BURWOOD HIGHWAY BURWOODWednesday 22 July 6ndash8 pmSaturday 25 July 230ndash430 pm
WATERFRONT CAMPUS 1 GHERINGHAP STREET GEELONGWednesday 22 July 6ndash8 pmSaturday 25 July 230ndash430 pm
WARRNAMBOOL CITY CENTRE 165 TIMOR STREET WARRNAMBOOLFriday 24 July 730 pm
raquo To register your attendance at one of the information sessions above please email nursinfodeakineduau to advise which session you plan to attend
For more information about our undergraduate and postgraduate courses please phone 03 9244 6032
Deakin University CRICOS Provider Code 00113B HLH002
deakineduaunursing
Itrsquos never too early to become a leader
How did you become involved in nursing
I started volunteering from age 14 with St John Ambulance Australia in my hometown of Moruya NSW I loved everything about it ndash loved the joy of helping others and I was so intrigued to learn how to respond effectively in emergencies and show true compassion to others I was also fortunate to have had some very down-to-earth and inspiring mentors who encouraged my interest in nursing and after graduation from high school I undertook the University of Wollongongrsquos Bachelor of Nursing degree
I started my first paid nursing related employment in my third year of the degree at a local hospital I have now graduated and am working as a registered nurse (RN) in a local aged care facility learning the ins and outs of multiple comorbidities patient-centred care and compassionate palliative and end-of-life care
What is your nursing specialty
As I still consider myself as a lsquonewbiersquo RN I havenrsquot really discovered a specialty yet though I have interests in aged care mental health cardiology and nursing research So I guess I am intrigued to be involved in one or all of these areas at some point in my career but I am open to any interesting opportunities that may come my way
What do you love most about nursing
This is truly the job that never has a dull day Each day is different and I feel privileged to be so trusted with the lives of my patients and residents in their moments of hardship and need Along with my love of the workings of the human body the evidence-base behind nursing care and continuous educational opportunities I love the lsquoteamrsquo focus of nursing especially when the patient is at the centre of decision making and everything goes to plan
What is your least favourite part of nursing
When everything doesnrsquot go to plan
What brought you to this area of Australia
Irsquom originally from NSW South but I moved to Wollongong for University and have stuck around for the area the people and to continue to work and study here
What are some of the nursing and health issues that are specific to the Sydney SouthIllawarra Region
Two big issues come to mind Firstly many newly graduated RNs within our region have been unable to find employment Secondly local nurses struggle to find the time within their working hours to keep up to date with advances in education
What do you see as the biggest challenge currently facing the nursing profession and how do you think the profession is placed to respond to these challenges
I believe possible health funding cuts and workforce shortages that in-turn affect our ability to provide adequate and safe patient care are two significant challenges facing our profession There are recently graduated RNs who remain jobless yet there are local health districts crying out for nurses but only those with lsquoexperiencersquo with undergraduate nursing experience ignored Looking into alternative transition programs is key to overcoming this challenge
Whatrsquos the biggest misconception about your career choice
I have met some amazingly talented and intelligent nurses in a variety of roles who all make a great difference in the lives of their patients or indirectly through organisations or research The general misconception that irks me isnrsquot so much a misconception more a statement Irsquove heard multiple times ndash ldquoWhy didnrsquot you become a doctor Why are you just a nurserdquo I did not become a nurse because I didnrsquot have the marks to be a doctor and by the time I finish university again with a Research Masters I would have physically been enrolled in university for the same length of time I became a nurse because I found a passion for this role and spending time with people inspires me
Nursing is a holistic role that encompasses so much We are health professionals role models educators support systems and innovators we understand intimately the fragility of life and the human relationships that bring it meaning
Profile Renee Callender MACN
LeadershipACN
Expand your leadership capacity
25
INTERESTED IN STUDYING DEAKIN NURSING AND MIDWIFERYWe are holding information sessions for our undergraduate courses
BURWOOD CAMPUS 221 BURWOOD HIGHWAY BURWOODWednesday 22 July 6ndash8 pmSaturday 25 July 230ndash430 pm
WATERFRONT CAMPUS 1 GHERINGHAP STREET GEELONGWednesday 22 July 6ndash8 pmSaturday 25 July 230ndash430 pm
WARRNAMBOOL CITY CENTRE 165 TIMOR STREET WARRNAMBOOLFriday 24 July 730 pm
raquo To register your attendance at one of the information sessions above please email nursinfodeakineduau to advise which session you plan to attend
For more information about our undergraduate and postgraduate courses please phone 03 9244 6032
Deakin University CRICOS Provider Code 00113B HLH002
deakineduaunursing
WA EXPO PERTH
26
Welcome from the Chief Nurse amp Midwifery OfficerI am so pleased to be welcoming you to the Australian College of Nursingrsquos Western Australian Nursing and Health Expo for 2015
Attending the Expo is an invaluable experience for anyone interested in nursing and midwifery careers It especially helps high school students and their parents or anyone who is wondering which career direction to take
Hospitals and health services from across WA will be there with some of their nurses and midwives in attendance to answer any questions you may have Come and find out from them what itrsquos really like to be a nurse or midwife
There will also be a range of education providers who will be able to talk about the many courses available to get your career started
It is also a great place to come to discuss and find out about graduate job opportunities building your experience career development opportunities financial support to study changing employers or even returning to a career in nursing or midwifery after being away for a while
The decision to become a nurse or a midwife is a wonderful career choice for anyone who wants to be part of a diverse healthcare professional team and have a challenging rewarding and exciting job where you really can make a difference
The future demand for nurses and midwives is going to be high especially as WArsquos new Fiona Stanley Perth Childrenrsquos Busselton and Midland hospitals all start becoming fully operational so we encourage you to attend the Expo to see where nursing and midwifery might take you
I look forward to seeing you on Friday 1 May 2015 at the Perth Convention and Exhibition Centre
Karen Bradley MACN Chief Nurse and Midwifery Officer WA Health
27
Expo informationLocation
The Perth Convention and Exhibition Centre (PCEC) is Western Australiarsquos only dedicated convention and exhibition facility Each year over 500000 people attend one or more of the 600 plus events conducted at PCEC The Expo will be held in Pavillion 1 at PCEC
Doors open 9am ndash 1pm
Entry
Stairs amp Escalators to Level 2
Registration DeskEntry Foyer
Entry
ACN Expo Pavillion 1
28
Seminars
This year the educational seminar series is back again to provide visitors with up to date information and practical skills to pursue or further their career Seminar attendance is free of charge and registration is not required
Time Topic Presented by
915am How to become a nurse or midwife Rebecca Newton WA Nursing and Midwifery Office
950am Applying via GradConnect and other opportunities for graduate nurses and midwives
Regina Browne WA Nursing and Midwifery Office
1025am Unleashing the potential of your staff Lisa Ansbro and Donna Hampshire Chandler Macleod Health
1100am How to become a nurse or midwife Rebecca Newton WA Nursing and Midwifery Office
1135am Applying via GradConnect and other opportunities for graduate nurses and midwives
Regina Browne WA Nursing and Midwifery Office
1210pm Unleashing the potential of your staff Lisa Ansbro and Donna Hampshire Chandler Macleod Health
The lsquoUnleashing the potential of your staffrsquo seminar is proudly supported by
Chandler Macleod is Australasiarsquos leading provider of integrated HR services products and technologies We have more than 55 yearsrsquo experience in human resources and have specialised within the health sector for 10 of these We are ideally positioned to help you meet the growing demands on your business We provide permanent and temporarycontract recruitment for the full range of Health professions including Carers and Support Workers Enrolled Nurses Registered Nurses Facility and Operations Managers Directors Cleaners and Kitchen staff We are able to provide you with experienced caring staff 247 including public holidays
For more information contact Chandler Macleod on (08) 9217 0510 or visit wwwchandlermacleodcomclientshealth-recruitment
29
Floor plan
42 41
39
40
38
36
37
35
43
44
45
46
47
48
Entrance
Seminar area
Cafeacute
7
5
8
6
20
18
19
17
11
9
12
10
16
14
15
13
34 33 32 31 30 29 28
30
Exhibitor listing
Organisation Name Booth Number
AACDS 8
Armadale Health Service 38
Belmore Nurses Bureau 30
Central Institute of Technology 20
Chandler Macleod Health 16
Child amp Adolescent Health Service 42
Curtin University of Technology 19
Defence Force Recruiting 910
Edith Cowan University - School of Nursing and Midwifery
3334
Fiona Stanley Hospital 36
Fremantle Hospital 44
HESTA 5
Hollywood Private Hospital 7
Institute of Health amp Nursing Australia 32
Mediserve Nursing Agency 6
Murdoch University 1112
My Flex Health International 18
Organisation Name Booth Number
Next Step 48
North Metropolitan Mental Health 35
NurseWest 47
Nursing amp Midwifery Board of Australia 29
Osborne Park Hospital 46
Prime Super 17
PampN Bank 15
Rockingham General Hospital 39
Royal Perth Hospital 37
Sir Charles Gairdner Hospital 45
The Bethanie Group Inc 31
The University of Notre Dame 13
WA Country Health Service 40
WA Nursing amp Midwifery Office 43
West Coast Institute of Training 14
Women amp Newborn Health Service 41
Work the World 28
The WA Nursing amp Health Expo is proudly supported by
The WA Nursing and Midwifery Office is very proud to partner once again with the Australian College of Nursing for the 2015 Nursing and Health Expo The nursing and midwifery professions offer an array of interesting and diverse experiences With these highly valued and respected skills relevant anywhere in the world nurses and midwives will always be in demand ndash in hospitals and in a range of other workplaces In WA the future demand for nurses and midwives is going to be high especially as our new Fiona Stanley Perth Childrenrsquos Busselton and Midland hospitals all start becoming fully operational so considering a career in nursing or midwifery is a great idea
wwwnursinghealthwagovau
31
In Australia enrolled nurses (ENs) are a core component of the health care workforce and make an important contribution to Australiarsquos world-class health outcomes ENs work in varied settings across the country from blood services to aged care facilities Increasingly ENs are playing an important role in meeting the growing demand for care
Not all countries have recognised the importance of ENs in the nurse workforce mix Several European countries including France Denmark Italy and Spain have only one category of regulated nurse (HWA 2013 Robinson and Griffiths 2007) The United Kingdom (UK) ceased admitting new ENs to the register in the 1980s The minimum qualification for all UK nurses is now a three-year bachelorrsquos degree As a result the UK relies heavily on unregistered health care assistants rather than second-level nurses (UK Department of Health 2013) Closer to home New Zealand ceased training ENs in 1993 only to recommence in the 2000s (Meek 2009) New Zealandrsquos experiment is an instructive demonstration of the importance of ENs in the health care workforce as the demand for nursing care increases
In Australia we have remained committed to maintaining the EN role Rather than relying on unregistered health care workers Australia has chosen to maintain a large educated and professional EN workforce The skilled work of ENs is recognised to be of paramount importance to the delivery of high quality nursing care Our EN workforce is highly dynamic and continues to evolve within the changing landscape of Australian health care policy and regulation
Enrolled nurse demographics
According to the latest national figures there are 51624 ENs working in Australia The great majority of ENs have completed their pre-registration education in Australia fewer than 5 have been educated overseas (HWA 2013)
The EN workforce has a relatively high average age of 46 years and forty-five per cent of ENs have celebrated their fiftieth birthdays (AIHW 2013) According to Health Workforce Australia the ageing EN workforce could lead to a significant shortfall in the supply of ENs if action is not taken to retain the current cohort of ENs and increase the number of people studying to be the ENs of tomorrow (HWA 2012)
Men make up roughly 10 of the EN workforce While this number is rising gradually it indicates that there is progress to be made in terms of attracting and retaining males within the profession Aboriginal and Torres Strait Islander people are
also underrepresented in the EN workforce only around 800 of Australiarsquos ENs identify as Indigenous Australians (AIHW 2013)
Among the most common work settings for ENs are aged care rehabilitation and disability services In contrast ENs make up fewer than 5 of the critical care nursing workforce and represent only a small proportion of nurses working in education policy and management (AIHW 2013)
These statistics show that there are both challenges and opportunities for Australiarsquos EN workforce Efforts to recruit and retain ENs will need to be enhanced with a particular focus on encouraging men and Aboriginal and Torres Strait Islander people to become ENs At the same time roles in a wider range of clinical areas are becoming available to suitably educated and qualified ENs and there will be more such opportunities in the coming years
A growing role for ENs
The evolving role of the EN is reflected in recent changes to educational requirements for ENs As of 1 July 2014 the Certificate IV in enrolled nursing ceased to be available and the minimum qualification for EN entry to practice will be the Diploma of Nursing The transition to a Diploma recognises the high level of skill ENs contribute to todayrsquos health care teams A nationally consistent approach to EN education is also likely to enhance the mobility of the EN workforce by giving employers confidence in the knowledge and skills of ENs educated in other states
ENs are now undertaking a diverse range of roles One of the earliest areas of role expansion for ENs was medication endorsement Before the move to national registration in 2010 ENs in some states were able to obtain an endorsement in medicines administration and become Endorsed Enrolled Nurses by completing specified education units This endorsement has now been phased out because from 2008 onwards all newly qualified ENs have completed the required medicines administration education Instead the register now identifies ENs who have not completed the required courses (NMBA 2014) This example demonstrates how the EN role has evolved over the years Whereas once only a relatively small number of ENs were educated to administer medicines now all student ENs complete medicines administration units as part of their initial nursing education
The EN role is also expanding in other ways For example ENs are taking on a growing role within haemodialysis units (Tranter et al 2011) The 2008 Australia and New Zealand Dialysis Workforce Survey conducted by the Renal Society of Australia found that there were 188 ENs working in dialysis alongside 2433 registered nurses (RNs) The growing demand for dialysis
The potential of the enrolled nursing workforce
By Rosina Muir and Dr Marlene Eggert MACN
32
services and the shortage of dialysis RNs in some areas represents a clear opportunity for ENs According to a New South Wales study conducted in 2009 the scope of practice of ENs in haemodialysis units may include cannulation (including both native access and buttonhole cannulation) connecting and disconnecting haemodialysis central venous catheters (CVCs) performing CVC dressings giving iron infusions and administering erythropoietin anticoagulants and Lignocaine In addition ENs may also take on a case management or health promotion role for dialysis patients (Bennett et al 2009)
ENs are also moving into extended roles in rehabilitation services A recent study of ENs in an Australian rehabilitation facility found that in addition to assisting patients with activities of daily living ENs may take on roles in coaching and supporting patients to reach their individual goals monitoring the patientrsquos progress and liaising with other members of the multidisciplinary rehabilitation team The study found that many ENs demonstrate an understanding of the philosophy of rehabilitation nursing including goal setting and enabling self-care (Pryor and Buzio 2013)
In rural Australia ENs are taking on a diverse range of roles within the EN scope of practice in order to meet local needs ENs with specialist skills such as infection control or wound care make a significant contribution to some rural health services although their extended scope of practice is not always given appropriate recognition by their RN colleagues (Nankervis et al 2008) Rural health services are increasingly recognising that supporting ENs to take on extended roles and further develop their clinical skills can be a successful model for the delivery of high quality patient care
Recognising the evolving EN scope of practice
In light of the fact that there have been significant changes to EN education regulation and scope over the last decade the NMBA has commissioned Monash University to review the currency of the standards against contemporary enrolled nursing roles The Monash University project has involved a review of the literature as well as a series of focus groups and surveys to gather insights from both RNs and ENs on the education scope of practice and supervision of ENs (Monash University 2013) The project is expected to be completed in 2014 (NMBA 2013)
Our advocacy for ENs
ACNrsquos advocacy priorities are explicitly designed to support both registered and enrolled nurses In 2014 ACN has argued for a range of policies that would have a positive impact on the
retention and flexibility of enrolled nurses For example ACN has proposed a National Transition Framework to support the flexibility and mobility of both the EN and the RN workforces The Framework would be accessible to nurses entering the workforce as well as nurses transitioning from one area of practice to another For example it would support an EN wishing to transition from the aged care sector to a hospital-based role
ACN has also put forward a proposal for a new scholarship program to support newly registered and enrolled nurses to practice in rural services It is essential that rural health service providers are able to attract appropriately educated staff including both ENs and RNs in order to maintain an optimal skill mix The scholarship scheme will allow rural health services to employ newly registered and enrolled nurses as supernumerary team members while providing them with a structured clinical learning program
ACN will continue to provide a voice for ENs in policy discussions and advocate for the role of ENs in health care delivery Australian Institute of Health and Welfare 2013 Nursing and midwifery workforce 2012 lthttpwwwaihwgovauWorkAreaDownloadAssetaspxid=60129545314gt pp 6
Bennett P McNeill L Polaschek N 2009 lsquoThe Australian and New Zealand Dialysis Workforcersquo Renal Society of Australasia Journal vol 5 no3 pp 147-151 lthttpwwwrenalsocietyorgRSAJjournalnov09bennett2pdfgt
Health Workforce Australia 2012 Health Workforce 2025 Doctors Nurses and Midwives vol 1 lthttpwwwhwagovausitesuploadsFinalReport_Volume1_FINAL-20120424pdfgt pp 137-142
Health Workforce Australia 2013 Nurses in Focus lthttpwwwhwagovausitesuploadsNurses-in-Focus-FINALpdfgt
Meek G 2010 Second level nurses a critical examination of their evolving role in New Zealand Healthcare lthttpresearcharchivewintecacnz9621Repository_entry_HLNU902pdfgt pp 3
Monash University 2013 The National Review of the Enrolled Nurse Competency Standards lthttpwwwmedmonashedunursingcompetency-standardsgt
Nankervis K Kenny A Bish M 2008 Enhancing scope of practice for the second level nurse A change process to meet growing demand for rural health services lthttpwwwncbinlmnihgovpubmed18844530gt
Nursing and Midwifery Board of Australia 2013 Communique Meeting of the Nursing and Midwifery Board of Australia 27 February 2013 in the AHPRA Hobart Office TasmanialthttpwwwnursingmidwiferyboardgovauNewsCommuniques-from-Board-meetingsaspxgt
Nursing and Midwifery Board of Australia 2014 Enrolled nurses and medicine administration lt httpwwwnursingmidwiferyboardgovauCodes-Guidelines-StatementsFAQaspxgt
Pryor J Buzio A 2013 lsquoDo ldquotwo typesrdquo of ENs work in rehabilitation in Australiarsquo Journal of the Australasian Rehabilitation Nurses Association vol 16 no 1 pp 14-19 lthttpsearchinformitcomaudocumentSummarydn=480975443102792res=IELHEAgt
Robinson S and Griffiths P 2007 Nursing education and regulation International profiles and perspectives lthttpeprintssotonacuk3487721NurseEduProfilespdfgt pp 7-17
Tranter S Westgarth F White G 2011 lsquoThe scope of practice of the haemodialysis Enrolled Nurse in new South Walesrsquo Renal Society of Australasia Journal vol 7 no 1 pp 24-29 lthttpwwwrenalsocietyorgRSAJjournalmar11Tranterpdfgt
United Kingdom Department of Health 2013 The Cavendish Review An Independent Review into Healthcare Assistants and Support Workers in the NHS and social care settings lthttpswwwgovukgovernmentuploadssystemuploadsattachment_datafile236212Cavendish_Reviewpdfgt pp 6
33
By Laurie Bickhoff MACN
Diary of a newly registered nurse
In Australia it is estimated nearly 20 of nurses will leave the profession within their first year of practice (National Nursing and Nurse Education Taskforce [NNNET] 2005) Internationally this figure ranges from between 35 and 60 (Halfer amp Graf 2006) Many have speculated on the reasons for this with high workloads the difficulties of shift work and unrealistic expectations of what nursing entails all given due consideration (Halfer amp Graf 2006) However as I entered my second year of practice I began to wonder what role disillusionment plays in this exodus of newly trained nurses
Disillusionment to me occurs when you feel your passion dwindling when you suddenly find it that little bit harder to get ready for work when you start feeling a sense of dread as you walk onto the ward This wasnrsquot caused by long hours or ever increasing workloads coupled with diminishing resources It wasnrsquot caused by physically demanding duties or the lack of a social life due to shift work It wasnrsquot caused by dealing with things that might not look or smell that great Unfortunately it was caused by the people around me and an almost institutionalised lack of power not only for nurses but more importantly for our patients
I was dismayed and frustrated to hear how many of my colleagues from all health professions referred to patients I was disheartened to see how easily some could dismiss the suffering we see and the heartache I felt I was overwhelmingly saddened to realise not everyone had the same passion for their profession or empathy for those we are charged to care for as I did
This culminated for me towards the end of my first year of practice There wasnrsquot any one big incident more an accumulation of things that were gradually wearing me down I had a worried patient confide in me that they had been too scared to push the call button on the previous shift because of the response they would receive from the nurse I saw patients constantly being made to fit into everyone elsersquos schedules regardless of their requests It seemed everyone was more important than the person we were there to help
I heard patients referred to as lsquocactusrsquo or described in the notes as lsquounsalvageablersquo meaning there was no chance of the patients making meaningful recoveries I wondered is this really how we refer to people Or did we forget they were actual human beings we were talking about
I had other health professionals dismiss me with comments such as nurses ldquojust wipe bums all dayrdquo or roll their eyes at me when I raised my concerns When I dared to challenge or question I was met with comments of ldquoI miss the old new gradsrdquo I felt tired washed out and was beginning to wonder
whether I could stay in this profession without losing myself
Luckily I found some inspiration I listened to a presentation by Drew Dudley a well-known American academic and motivational speaker where he discusses the idea of lsquolollypop momentsrsquo These are small moments when the people we see and work with every day demonstrate leadership They arenrsquot big grand over the top statements They are small gestures which often unknown to the person who did it have an amazing impact on the lives of others I was lucky enough to have some of these lollypop moments just when I needed them These few sparks were all that I needed to reignite my passion for nursing
The first spark came from an RN2 caring for a patient at the end-stage of a number of diseases who had expressed to the nursing staff multiple times her wish to simply be made comfortable as she knew this was the end of her fight Despite this the patient was not only receiving active treatment but was also currently documented for full resuscitation if she deteriorated
The nurse raised the issue with the medical registrar asking him to have a discussion with the patient regarding her wishes and planning end-of-life care The registrar dismissed her saying ldquowell thatrsquos not what the consultant wantsrdquo The nurse wasnrsquot satisfied and responded ldquoitrsquos not their choice itrsquos the patientrsquos decisionrdquo This nurse had the courage to stand her ground and make sure her patientrsquos voice was heard which ultimately led to the patientrsquos wishes being honoured
The next spark came soon after I was working with a nurse who came from a different cultural background to me where it was seen as impolite to question anyone in authority especially if you were female This meant even if a doctor was accidently standing in her way she would prefer to simply wait rather than ask them to move
Then one day we had a patient who deteriorated rapidly and was in a very critical condition This nurse suddenly became one of the best clinical leaders I have witnessed She led the team questioning orders prompting treatments suggesting causes and outlining the options available I soon realised the difference this was about her patient She was going to ensure her patient received the best care and outcome possible When it was about her patient rather than herself she found her voice
There were a number of smaller incidents that soon followed Sparks came from the senior consultant who re-educated her advanced trainee on the importance of listening to the nurses and acting on their concerns Sparks came from our ward social
34
worker who day after day demonstrated his passion for helping and advocating for those with no voice and often no options Sparks came from the medical residents who expressed their gratitude when you picked up a mistake and were heartfelt in their appreciation of the work nurses do
The brightest sparks came from my patients and their relatives It was their ldquothanksrdquo their ldquoyou donrsquot know how much that meansrdquo their ldquoyoursquoll be back tomorrow wonrsquot yourdquo their squeezing of my hand that reminded me why I do what I do I didnrsquot have to search for inspiration I was surrounded by it The trick was to change my focus
Perhaps all nurses are disillusioned at some point during their careers Perhaps it happens multiple times Perhaps it is a rite of passage with those who make it through the other side the
ones with a true passion for nursing who turn around and help a colleague on their journey
As I continue my nursing career I now look for the brightness that I know is always there far outshining the negativity that we have to deal with I stockpile my lsquolollypop momentsrsquo knowing the amazing examples of kindness and leadership I see every day will help me grow and become a better nurse and hopefully I might be able to be a spark for someone else
You can listen to Drew Dudleyrsquos talk at wwwtedcomtalksdrew_dudley_everyday_leadership
Halfer D and Graf E lsquoGraduate Nurse Perceptions of the Work Experiencersquo Nursing Economics June 2006 Vol 24 No 3 pp 150-55
National Nursing and Nurse Education Taskforce 2005 Mythbusters Available online at httpwwwnnnetgovaudownloadsmythbusters_attritionpdf Accessed June 2014
Arts amp Sciences | Business | Education | Health Sciences | Law | Medicine | Nursing amp Midwifery | Philosophy amp Theology | Physiotherapy
Your journey to a meaningful career awaitsThe School of Nursing amp Midwifery offers the following courses
rsaquo Bachelor of Nursing
rsaquo Bachelor of Nursing (Articulation Pathway for EN Diploma)
rsaquo Graduate Certificate (Acute Mental Health Clinical Nursing Nursing and Nursing Leadership amp Management)
rsaquo Graduate Diploma (Acute Mental Health Clinical Nursing Critical Care Nursing Forensic Nursing Midwifery Nursing and Perioperative Nursing)
rsaquo Master of Nursing (Coursework and Research)
Looking to make a difference So are we
Apply direct notredameeduau
ND
1053
| C
RIC
OS
PR
OV
IDE
R C
OD
E 0
1032
F
35
36
EPW
R028
8
Epworth provides a dynamic and supportive environment where graduate nurses and midwives can transition to become independent practitioners and strive for excellence in their clinical practice
Our program features support from highly skilled educators multiple rotation choices a full orientation and a host of employee benefits including salary packaging
Join us at one of our open days listed below to take a tour of our hospitals learn about our programs meet our graduates and see what we can do for your nursing career We look forward to seeing you
Epworth Richmond 6 May amp 1 July 5 ndash 7pm Epworth Rehabilitation 6 May amp 1 July 5 ndash 7pm (to be held at Epworth Richmond) Epworth Geelong 6 May amp 1 July 5 ndash 7pm (to be held at Epworth Richmond) Epworth Freemasons 17 May 2 ndash 330pm Midwifery (Epworth Freemasons) 17 May 4 ndash 530pm Epworth Eastern 31 May 130 ndash 4pm
Alternatively visit us online at epworthorgaugraduateprograms
Epworth excellence Thatrsquos why we want you to work here
ContentsWelcome from the CEO 5
ACN Nursing amp Health Expos an overview 6
A look back at the 2014 ACN Nursing amp Health Expos 7
Nursing Officer a vital role in the Australian Defence Force Article 9
The beginning of a career ACNrsquos Nursing amp Health Expos Article 10
Diary of a newly registered nurse Article 11
VIC Expo Melbourne 12
Welcome from the Chief Nurse amp Midwifery Officer 13
Expo information 14
Floor plan 16
Exhibitor listing 17
Graduate transition programs my personal experience Article 18
Banking freedom for nurses and midwives Advertorial 19
Diary of a newly registered nurse Article 21
Research collaboration students are welcome Article 22
Itrsquos never too early to become a leader Article 25
WA Expo Perth 26
Welcome from the Chief Nurse amp Midwifery Officer 27
Expo information 28
Floor plan 30
Exhibitor listing 31
The potential of the enrolled nursing workforce Article 32
Diary of a newly registered nurse Article 34
3
wwwacneduau
Save the date block out 12 May 2015 in your diary
2014 ACN National Nurses Breakfast Host Avondale College of Higher EducationIn 2014 Avondale College of Higher Education celebrated
IND by hosting its own ACN National Nurses Breakfast
During the event nursing students wrote messages of
encouragement to registered nurses and students at
Pacific Adventist University in Port Moresby Papua New
Guinea and Atoifi Adventist Hospital on Malaita in the
Solomon Islands The messages were hand delivered by
a team of Avondale students on a clinical service-learning
placement
In-line with the 2014 IND theme Nurses a force for
change ndash a vital resource for health Avondale
students were also asked to colour a cardboard person
representing themselves as a nurse and write a word
describing how they are a force for change These figures
have been proudly displayed on campus to serve as
encouragement and a reminder of the power nurses have
to make a lasting impact on the wider community and be a
lsquoforce for changersquo
What do you have planned for your ACNBreakfast
On Tuesday 12 May 2015 the Australian College of Nursing
(ACN) will once again be hosting the ACN National Nurses
Breakfast in celebration of International Nurses Day (IND)
The ACN National Nurses Breakfast encourages members of
the community to celebrate the invaluable contribution nurses
make to the health of our society by hosting a breakfast at their
workplace school or community centre This nationwide event
has been hosted since 2011 and sees over 4000 nurses and
their supporters come together at approximately 100 breakfasts
hosted around Australia
Help us build on the continued success of the ACN National
Nurses Breakfast by registering as a 2015 breakfast host today
We will send you a registration pack full of goodies to help you
decorate and theme your venue as well as some valuable
information about IND and the important work nurses do
Register your breakfast at
wwwacneduaunational_nurses_breakfast
Proudly supported by
2015
2015 IND THEME
NURSES A FORCE FOR CHANGE
CARE EFFECTIVE
COST EFFECTIVE
Itrsquos my great pleasure to welcome you to the Australian College of Nursingrsquos (ACN) Nursing and Health Expos and present to you the ACN Nursing and Health Expo eGuide for 2015
ACN is the national professional organisation for all nurse leaders nurses with an interest in leadership nurses aspiring to leadership roles and nurses in leadership roles across the Australian health system
ACN is an advocate for the nursing profession advancing the skills and expertise of nurses to provide leadership in their contribution to the policy practice and delivery of health care ACN encourages and supports nurses to develop and grow to become nurse leaders
Each year ACN hosts the ACN Nursing and Health Expos to highlight the profession of nursing and provide valuable connections and opportunities for nurses at each stage of their career
Nursing remains one of the top five most trusted professions in Australia A career in nursing and health offers lifelong learning critical thinking a broad array of career opportunities in a variety of settings and the chance to contribute to the health of Australian communities
This eGuide includes Expo floor plans showcases our diverse range of exhibitors and offers a wide range of education opportunities Throughout we feature both state specific and nationally focussed nursing updates from each Statersquos Chief Nurse and we also take a look back at the 2014 Expos
It is my hope that the addition of this yearrsquos eGuide will enable you to easily navigate and make the most of your Expo experience
For more details about ACN head to wwwacneduau
Welcome from the CEO
5
Why do we hold the Expos
The ACN Nursing and Health Expos are held to enhance the profile of nursing as a profession by connecting individuals to a wide range of organisations from the nursing and health industry The Expos aim to promote recruitment to and retention of the nursing workforce
Who will be there
During the Expo you will have the opportunity to meet and interact with
bull education providers
bull hospital and health care services
bull recruitment agencies
bull specialty nursing groups
bull companies offering health product and services
Do I have to pay an entry fee
Attendance at the Expos is free of charge and the seminars are also complimentary
Why should I attend the Expos
The ACN Expos have a strong reputation for connecting visitors with a wide range of organisations from the nursing and health industry You will have the unique opportunity to network with exhibitors who will deliver the information you need to kick start or progress your nursing career In addition a series of complimentary seminars will run throughout the day providing you with practical take-home skills
Who should attend the Expos
ACN encourages everyone who is interested in the nursing and health professions to attend the Expos They will be particularly beneficial to
bull registered nurses
bull enrolledDiv 2 nurses
bull health professionals
bull nursing undergraduate students
bull high school students
ACN Nursing amp Health Expos an overview
6
A look back at the 2014 ACN Nursing amp Health Expos
ldquoIrsquom very grateful for the opportunity to attend an expo like this as Irsquom new to the industry and am not entirely sure of what is available to merdquo
ldquoVery informative and helpful Addressed all of my concerns and reassured me that the process although complex when broken down is achievablerdquo
ldquoThe exhibitors were excellent in answering questionshellip[and] were alleviating the anxiety felt by many students attendingrdquo
ldquoIt was amazing I feel less stressed about graduate opportunities nowrdquo
ldquoAbsolutely fantastic I really have enjoyed ithellipthank you all very much for opening my mind to all these different areas in nursingrdquo
ldquoHelpful friendly informative inspiringrdquo
Visitors eagerly line up at the Expo entrance
Visitors chat to a wide range of
exhibitors
Visitors gain practical advice in a seminar session
Opportunity to connect with education
providers nursing groups and health care
providers
7
8CALL 13 19 01 OR VISIT DEFENCEJOBSGOVAU ARMY
THE ARMY ISNOW RECRUITINGNURSINGOFFICERS
A career as an Army Nursing Offi cer offers variety andchallenges in employment and travel not always availablein the normal hospital environment You will gain experienceand skills that will equip you for advancement in the Armyand will also be in high demand in your profession
Yoursquoll also enjoy great benefi ts like free medical and dentalworld class training subsidised accommodation excellentsalary packages worklife balance and unique experiences
To fi nd out more about becoming a Nursing Offi cersearch lsquoArmy Nursersquo
ARMY0176 Nurse Respec_210x297mm_V3indd 1 30012015 324 pm
Nursing Officer a vital role in the Australian Defence Force
In any environment healthcare is a challenge but during military operations that challenge can take on a new perspective As a Nursing Officer in the Australian Defence Force (ADF) Lieutenant Tess Demunk plays a vital role in the ongoing health and welfare of people in the Australian Army
Throughout her career Tess has enjoyed the sort of variety challenges and travel that a civilian nurse would never have the opportunity to experience
ldquoI joined the Army because I wanted to do something different with my nursing Irsquom interested in trauma nursing and obviously the Australian Army is a great place to go to for thatrdquo
ldquoItrsquos also a great opportunity to lsquogive something backrsquo you can care for the soldiers out there protecting us and our countryrdquo Tess said
Nursing Officers in the Australian Defence Force are employed across a range of clinical clinical management and broader health management duties They can expect to work in units and field hospitals that provide a comprehensive hospital service or in small Treatment Teams providing primary healthcare and immediate pre-hospital resuscitation
A Defence healthcare career offers variety and challenges in employment as well as opportunities that are not always available in a civilian hospital environment
The ADF offers amazing opportunities to travel around Australia and overseas on peacekeeping and emergency aid missions that make a genuine difference to peoples lives
Humanitarian work is a gateway to experience new cultures and interact with patients and locals like never before Its these kinds of career defining experiences that make your years of study all worthwhile
ldquoDeployments are a big opportunity Nursing overseas and being able to look after a lot of trauma injuries are two of the main reasons I joined the Armyrdquo Tess said
ldquoThere is a lot of primary healthcare stuff that we do as well but the reason that most people join is to do nursing in the field and on deploymentrdquo
ADF members also enjoy a great work-life balance with a selection of sporting clubs to play for fitness training thats included as part of the working day strong job security and role diversity Include the great benefits and competitive salary package with the chance to continually improve your medical knowledge and qualifications and the choice to pursue a military healthcare career just adds up
ldquoIn Defence you get free healthcare free dental and all the things that go along with that The mates you make along the way the courses that you get to do and the opportunities for deployment and the field exercises are other benefits as wellrdquo
ldquoI completed the Defence University Sponsorship (DUS) through Monash University It is a fantastic scheme that allowed me to study at university as a full-time student and be paid by the Army while doing thatrdquo
Full-time and part-time roles are available across the Navy Army and Air Force including graduate and undergraduate positions
Youll receive further training and post graduate study opportunities while youre in the ADF so you can go as far as you want to in your career
Put your medical and health-related skills and knowledge to use in a unique environment that is unlike anything else With the opportunity to broaden your skills and make a difference both at home and overseas a career in Defence healthcare is a worthwhile challenge that will just keep on giving
The Defence Force is currently recruiting for Nursing Officers and various health-related roles For further information on military training and careers in the Navy Army or Air Force visit
defencejobsgovau or call 13 19 01
By Tess Demunk Australian Army Nursing Officer
9
The beginning of a career ACNrsquos Nursing amp Health Expos
In pursuit of the belief that every nurse should have the opportunity to grow their career and further the nursing profession ACN is once again presenting the Nursing and Health Expos for 2015 The expos have provided an avenue for those interested in nursing in Australia to seek expert advice on education and employment opportunities One young nursersquos visit to an expo opened up a career
Ever since I could remember I wanted to help people When I was young I would look up diseases and conditions I had my own first aid kit and I would play lsquonursersquo with my mum and dad
In 2007 when I was in year 12 I attended my first NSW Nursing and Health Expo and Irsquove continued to visit the expos since Initially I wanted to become a paramedic but everyone I spoke to said that I should become a nurse first They gave me great advice to become an endorsed enrolled nurse (EEN) before becoming a registered nurse (RN) ndash to take it one step at a time
I studied at TAFE for 18 months to become an EEN I completed my Bachelor Degree at Southern Cross University while working as an EEN at a private hospital in Coffs Harbour This meant I was able to put my theory into practice
Now I work as an RN with Ramsay Health Care Every day I come home knowing I have a little place in someonersquos heart because I helped them Patients are very vulnerable people and sometimes all they need is for you to listen Listening is one of the most important lessons I have learnt as a nurse
Irsquod recommend the ACN Nursing and Health Expos to anyone especially year 12 students who are interested in a career as a nurse I always look forward to the expo and I make a day of it Itrsquos great to be around like-minded people listening to their stories and they are always interested in listening to mine Last year I was able to practice keyhole surgery at the expo and I was actually good at it ndash so maybe surgical nursing is an option down the track
I joined ACN last year and have now had this opportunity to share my nursing story and hopefully inspire others
by Brianna Gudgeon MACN
Brianna as a volunteer nurse in Samoa
Brianna (left) in 2008 training as an EEN at Concord Hospital with colleague
10
INSTITUTE OFHEALTH AND NURSING AUSTRALIA
RTO ID 21985 CRICOS Code 03386G
wwwihnaeduauenquiryihnaeduau1800 22 5283
Our Courses
bull Registered Nurse Re-entry to Practice Program
bull Registered Nurse Refresher Program
bull HLT51612 Diploma of Nursing (Enrolled-Division 2 Nursing)
bull HLT61107 Advanced Diploma of Nursing
The Institute of Health and Nursing Australia (IHNA) is one of Australias leading providers of comprehensive
health and nursing education at several levels IHNA is fast-growing dynamic and quality-driven institution committed to continuous improvement working hard to develop implement and deliver courses and professional development programs The courses offered by IHNA are prepared by experienced healthcare professionals and help students to pursue a successful career in Australian healthcare
Melbourne | Perth | Sydney
VET FEE HELP GOVT FUNDING AVAILABLE
Institute of Health and NursingAustralia
IHNA
Call 1800 675 839 for a Short-Form Product Disclosure Statement Prime Super (ABN 60 562 335 823) is issued by Prime Super Pty Ltd (ABN 81 067 241 016 AFSL 219723 RSE L0000277 RN 1000276)
VIC Expo Booth 33 | WA Expo Booth 17 | wwwprimesupercomau
Visit us at the Expo to find out morehellip
and enter our competition for your chance to WIN a $550
endota day spa voucher
Prime Super provides personal support to make super simpler
Now incorporating
11
VIC EXPO MELBOURNE
12
Welcome from the Chief Nurse amp Midwifery OfficerWelcome to the Australian College of Nursingrsquos 17th annual Nursing and Health Expo in Melbourne The Department of Health and Human Services in Victoria is a keen sponsor of this important event on the nursing calendar The Expo plays an important role in enhancing the profile of nursing as a profession which in turn promotes recruitment and retention of the nurses and midwives
As part of the health care team nurses and midwives are essential to the communityrsquos health and wellbeing Nurses and midwives play a critical role in delivering safe compassionate and quality care The Department of Health and Human Services encourages Victorian nurses and midwives to provide the best possible care for the community by providing clear strategic direction for the profession as well as supporting health services to implement initiatives across workforce development and reform
Being a nurse or midwife is a rewarding career but it is important to know if it is the right career choice for you In addition to having the relevant knowledge and skills nurses and midwives need to be compassionate caring and flexible Nursing and midwifery offers many and varied opportunities across multiple settings not only for graduates but for people of any age looking to enter the workforce
While traditionally nurses and midwives have always worked in hospitals they now work across multiple settings including general practice community-based services and aged-care services
The job market is competitive and opportunities will continue to be present for the existing returning and newly graduated nurses and midwives Because of the changing needs of the community there is often a contrast between where nurses and midwives prefer to work and where there are opportunities Growth opportunities are in areas such as rural aged care and chronic disease management and I encourage everyone to think beyond the traditional locations and to explore new and rewarding areas of employment
Senior members of the workforce are reminded of the important role we all play as professionals in encouraging and mentoring new starters and transitioning into other roles
Education and training is a lifelong journey essential to the continual development of the nursing and midwifery workforce which ensures highly skilled capable and critical decision makers
Associate Professor Alison McMillan MACN Chief Nurse and Midwifery Officer Department of Health amp Human Services VIC
13
Expo informationLocation
Visitors are often struck by the architectural brilliance of the Melbourne Convention and Exhibition Centre (MCEC) which has won some of Australiarsquos most prestigious architecture and design awards The Expo will be held in bays 17 and 18 of the MCEC
Doors open 9am ndash 1pm
Concourse
Link to convention
centre
Loading Dock
Normanby Road
Clar
endo
n St
reet
Entry Foyer
Clarendon Street
Entrance
ACN Expo Bays
17 amp 18
14
Seminars
This year the educational seminar series is back again to provide visitors with up to date information and practical skills to pursue or further their career Seminar attendance is free of charge and registration is not required
Time Topic Presented by
915am HESTA Your Partner for Career David Logan HESTA
950am Graduate NurseMidwifery Program Computer Match 2015 Paul Williamson Postgraduate Medical Council of Victoria
1025am Understanding delegation and supervision responsibilities and accountabilities
Associate Professor Alison McMillan MACN
Department of Health amp Human Services Victoria
1100am HESTA Your Partner for Career David Logan HESTA
1135am Graduate NurseMidwifery Program Computer Match 2015 Paul Williamson Postgraduate Medical Council of Victoria
1210pm Understanding delegation and supervision responsibilities and accountabilities
Associate Professor Alison McMillan MACN
Department of Health amp Human Services Victoria
The VIC Nursing amp Health Expo is proudly supported by
On 1 January 2015 the Victorian Government established the Department of Health amp Human Services bringing together the former Department of Health Department of Human Services and Sport and Recreation Victoria The department has been established to develop and deliver policies programs and services that support and enhance the wellbeing of all Victorians We take a broad view of the causes of ill health the drivers of good health the social and economic context in which people live and of the incidence and experience of vulnerability This will allow us to place people at the heart of policy-making service design and delivery
wwwdhhsvicgovau
15
Floor plan
BENC
H
SINK
ENTRANCEDOOR 9
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
20 21
22232425
26 27 28 29
30313233
34 35 36 37
38394041
42 43 44 45
46474849
50 51 52 53
54555657
58 59 60 61
62636465
66 67 68 69
7071727374
75
76
84
85
86
87
88
89
90
1918
16
Exhibitor listing
Organisation Name Booth Number
Alfred Health 6667
ANMF Victorian Branch 747576
Austin Health 4243
Australian Catholic University 89
Ballarat Health Services 62
BankVic 73
Baptcare 60
Belmore Nurses Bureau 47
Bendigo Health 44
Care Training Australia 17
Chisholm Institute of TAFE 19
Colbrow Healthcare 26
Critical Second 90
Crystal Clear Ear Clinic 6
Deakin University Nursing amp Midwifery 3435
Defence Force Recruiting 12
Eastern Health 3031
Epworth HealthCare 6465
Federation University Australia 41
First Call Health 40
First State Super 7
Forensicare 68
Health Skills Australia 72
HESTA 20
Holmesglen 4546
Institute of Health amp Nursing Australia 27
Kangan Institute 24
La Trobe University 121314
Martin Luther Homes 22
McFarlane Medical amp Scientific 23
mdBriefCase Australia 18
Mediserve Nursing Agency 28
Organisation Name Booth Number
Melbourne City Institute of Education 86
Mental Health Nursing Victoria 1011
Mercy Health 8788
Monash Health
Monash University 8485
NeilMed Pharmaceuticals 32
Northern Health 5354
NorthWestern Mental Health 59
Nurses Board of Victoria Legacy Limited
69
Nursing amp Midwifery Board of Australia 21
Peninsula Health 38
Peter MacCallum Cancer Centre 25
Postgraduate Medical Council of Victoria
71
Prime Super 33
Reflective Clinical Supervision Network 39
RMIT Faculty of Nursing 55
Royal Victorian Eye amp Ear Hospital 48
Sanita Australia 31
St Vincentrsquos Hospital 5051
St Vincentrsquos Mental Health 5
St Vincentrsquos Private Hospital 34
The Royal Melbourne Hospital 56
Tobin Brothers Funerals 49
University of Melbourne 89
University of Tasmania 52
Victoria University 57
Vital Health Recruitment 70
VNS Nursing Agency 58
Western District Health Service 63
Western Health 3637
Work the World 29
17
Graduate transition programs my personal experienceToo often we hear horror graduate stories Research shows horizontal violence and bullying is rampant in our profession We are told tales of the infamous ldquoeat our youngrdquo nursing culture We know graduates suffer transition shock when they start practicing and nearly 20 will leave in their first year
Unfortunately the good stories are often buried underneath the bad and so I wanted to share my graduate year experience When I started as an RN the only nursing experience I had were my clinical placements and a mere two months working as an AIN To say I was worried was a major understatement I was quietly petrified but tried to keep up a brave face
I had worked hard in university to learn as much as I could but I was still filled with doubts Would I be good enough Would I crash and burn Would I help or hinder my patientsrsquo recovery
My first day on the ward was sink or swim time I was amazed at the warm welcome I was given The other RNs were supportive and encouraging They made sure I knew if I felt myself struggling they would be there with a life-line
Every ward I rotated through gave me this same friendly reception Perhaps it was just luck or maybe our nursing culture is changing but I never encountered any of the pressure to change my values and practice in order to fit in that I had been told to expect Instead I found colleagues who understood I wouldnrsquot know everything on day one who were willing to take the time to teach me and who become great friends along the way
My clinical skills and knowledge increased out of sight during my graduate year I felt my university had given me a great foundation on which to build my career as an RN but my grad program cemented my theory into my practice I started the year having never removed a single stitch I ended the year confidently removing everything from sutures to ICCs and pacing wires while also successfully inserting NG tubes and cannulas Importantly I understood the pathophysiology and rationale behind each of these and could explain it to my patients
Irsquom not saying everyday was perfect Irsquom not saying every person was as helpful or welcoming as the next Irsquom not saying I didnrsquot have days when I struggled What I am saying is I never felt alone I knew the support was there all I had to do was ask
I know not every graduate nurse will have as positive an experience as I did Perhaps my journey was the exception not the rule However I hope the number of nurses who have an amazing graduate year like mine continues to increase until this becomes the norm
I do know that the success of your graduate year relies heavily on you and your attitude University teaches you how to think like a nurse but it is in clinical practice the real learning begins and it has a steep learning curve Approach your grad year knowing that everyone from the tea lady to the Director of Nursing will be your new teachers and success will come When the people you work with recognise your passion see your motivation to provide what is best for the patient and know you realise what a unique privilege it is to be a nurse their respect will follow
At the same time donrsquot be afraid to speak up for your patients for your colleagues and for yourself Harvey Fierstein said ldquoNever be bullied into silence Never allow yourself to be made a victim Accept no onersquos definition of your life define yourselfrdquo You have the ability to define your graduate year regardless of what hospital or ward you find yourself in
You can change the culture and reputation of the nursing profession for better or worse You can conform and join in bullying behaviour and continue negative traditions or you can decide it stops with you Set your standards high and have the moral courage to stick to them If every graduate nurse demonstrated this leadership and supported other nurses who did as well imagine the overwhelmingly positive impact that could have on nursing
Gandhi once said ldquoBe the change you want to see in the worldrdquo I would encourage you to be the change you want to see in nursing and just watch how the world changes with us
By Laurie Bickhoff MACN
18
Finishing studies and becoming a new graduate is an exciting milestone Itrsquos usually the first time you begin working full time perhaps moving away from home owning your own car and paying bills
Of course itrsquos important to budget ensuring you have enough money for daily expenses as well as being able to stash some money away The easiest way to keep track of your income versus expenses is to set up an everyday account with your salary paid into it and a savings account earning interest on the money yoursquore able to save In addition you might want to get a credit card so that yoursquove got some money for emergencies
Gain fee free banking freedom
With a BankVic Anywhere account you can enjoy unlimited free withdrawals at any ATM in Australia when you deposit $1000 per month1 Plus you can access your money with free unlimited eftpos transactions a Visa Debit card with paywave and a mobile App
Earn bonus interest on your savings
A BankVic Bonus Saver account is a high interest account that rewards you for saving by giving you bonus interest2 when you deposit a minimum of $100 a month and make no withdrawals plus there are no fees Itrsquos a great way to force yourself to save
Enjoy a credit card with no annual fee
A BankVic Visa Silver credit card offers great value with an introductory rate of 699pa3 for the first 6 months and a low ongoing rate plus no annual fee Itrsquos the perfect back up card
Why not call us today Call your dedicated Member Relationship Manager Phoebe Reid on 9268 9297 or via email preidbankviccomau
1 Minimum deposit of $1000 must be received in the account by close of business on the last business day of the month The deposit cannot be an internal transfer or interest earned form other BankVic products 2 Bonus Saver ndash Deposit $100 per calendar month with no withdrawals and yoursquoll be rewarded with bonus interest Bonus interest rate is capped at a maximum balance of $1000000 3 Credit Card interest rates are variable All interest rates are shown are current as at date of print and are subject to change Fees and charges apply Any advice is general before acting on the advice you should consider whether the advice is appropriate for you Before you make any decision to acquire any product or service you should obtain and consider the relevant Product Disclosure Statement available from our website bankviccomau any branch or by calling us on 13 63 73 Police Financial Services Limited ABN 33 087 651 661 AFSL 240923 Australian Credit Licence 240293ndash trading as BankVic 121 Cardigan Street Carlton Victoria 3053 3-15 5243BV
Advertorial
Banking freedom for nurses and midwives
members matter
Let BankVic take care of you while you take care of others
9268 9297preidbankviccomau
Canstar Pty Ltd Authorised Representative 443019 of Canstar Research Pty Limited ABN 29 114 422 909 AFSL 437917 Police Financial Services Limited ABN 33 087 651 661 AFSL 240293 (BankVic) 121 Cardigan Street Carlton Vic 3053 315 5280bv
Contact your dedicated Member Relationship Manager Phoebe Reid
bankviccomau
19
This is general advice only Consider our product disclosure statement before making a decision about First State Super Call us or visit fi rststatesupercomau for copies Becoming a Student Club member is diff erent to being a First State Super member as you do not hold a superannuation account with the Fund or have any interest right or other relationship with First State Super
FSS Trustee Corporation ABN 11 118 202 672 ASFL 293340 is the trustee of the First State Superannuation Scheme (First State Super) ABN 53 226 460 365 EXP_
Mel
b_Ex
po_A
4_03
15
Join our free Student Club and make the most of the support discounts and benefi ts available only to students
Learn to manage your super better and how you can take advantage of our exclusive member benefi ts
Find out why wersquore the super fund with a heart on Saturday 18 April
Visit us at booth 7 in Melbourne
EXP_Melb_Expo_A4_Mar15_ARTWORKindd 1 6032015 414 pm
By Claire Stewart MACN
Diary of a newly registered nurse
Irsquom almost three months into my role as a newly registered nurse and I had my first 40 Prolene moment recently For the uninitiated this can be a panic fuelled moment where a routine procedure ends up resembling the Texas chainsaw massacre Thankfully I was supported by a wonderfully calm surgeon who waited patiently while I painstakingly attempted to load his life saving suture After the surgery I wiped the blood from my glasses and took a moment to reflect on how I had handled the situation In fact Irsquove spent most of the last three months lsquoreflectingrsquo Deafening groans can be heard from many a third year nursing cohort when wersquore asked yet again to lsquocritically reflectrsquo on our practice as student nurses Let me be the first to admithellip It doesnrsquot stop at graduation
I may not use a dedicated framework or even put pen to paper but the skills I learned during my studies have set me up to ensure I gain the most from every learning opportunity by critically reflecting on my performance simply by force of habit During the last three months my learning curve has veered vertical as I transitioned from university study to my role as a
graduate registered nurse in perioperative services Irsquove had to deal with a new environment (donrsquot even get me started on finding your way around a theatre complex) new colleagues adjusting to full time work and managing family commitments learning an entire new skill set working as a scrubscout dealing with policies procedures and my favourite surgeonsrsquo preference
In these first few months itrsquos very easy to fall into the trap of focussing on how much you donrsquot know However practising critical reflection has allowed me to focus on what I do know how far Irsquove come and what I will learn because Irsquom self-aware Whether you are a new nurse like me and feel like yoursquove handed in one too many pieces of written reflection to your facilitator over the last three years or an experienced nurse who practices self-reflection sub-consciously on the drive home ndash embrace it for the wonderful tool that it is and use it to become the kind of nurse you want to work with
Be in demand Be successfulStudy nursing or midwifery at Monash If you want to make a difference in health care with great employment potential the School of Nursing and Midwifery is a great place to start
As a nurse or midwife there are a variety of roles and a number of specialty areas available to you ensuring a constant career of challenges and diversity
To find out more about our undergraduate courses visit us at ACN Expo Melbourne Stand 84 ndash 85
For more information on our courses visit medmonashedunursing
21
Research collaboration students are welcome
A collaborative research study in Queensland is tapping into the enthusiasm and intelligence of nursing students by training and employing third-years as research assistants data collectors and analysts in contract research projects
Researchers from James Cook Universityrsquos (JCU) Centre for Nursing and Midwifery Research (CNMR) the Far North Queensland Medicare Local and the Cairns and Hinterland Hospital and Health Service are trying to determine why emergency department (ED) presentations to Cairns Hospital have been increasing at a greater rate than the national average
To answer this question CNMR researchers recruited 14 nursing and medical students to survey every willing and able person who presented to the ED
Researchers asked participants for information regarding their reasons for coming to the ED They also asked where they would usually go for medical treatment and what physical and psychological factors influenced their decision to choose the ED over other treatment options
In other phases of the project hospital Emergency Department Information System (EDIS) data have been analysed and patient focus groups have been convened Unstinting faith in the local ED has been noted as one of the key reasons that people choose the ED over other health care options
Most people who come to the ED with lsquonon-urgentrsquo conditions do have general practitioners and a large percentage have sought medical advice in the days prior to presenting to the ED Worry anxiety and uncertainty rather than the severity of the medical condition itself however appears to be a significant motivator to come to the ED where people perceive there is a wide range of services professionals and diagnostic tools available
ACN Emerging Nurse Leader Anna Groth MACN a third-year nursing student from JCU has been collecting collating and analysing data
ldquoOften I would ask someone why they had come to the hospital and they would speak about being in pain but if you asked them about whether they came for the pain or because they were anxious about the pain they would say they had come to the hospital because of the anxietyrdquo explained Anna ldquoIt is such a huge difference ndash the motivation ndash coming for the pain or the anxietyrdquo
Anna said the project opened communication lines between people from different organisations including government university health service hospital and the community leading to collaboration and learning for all
By Marnie Hitchins
Benefits for the students included early career exposure to the research process in which they learnt about data collection analysis and research methods The students also had the opportunity to practise communication skills learn about the organisational cultures of universities and hospitals and work alongside health professionals and patients in a research environment
Students commented that because the power dynamics were different from that of clinical experience (they were not seen as health professionals by patients nor as lsquostudent nursesrsquo by health staff members) they gained insights into the hospital environment they might not otherwise have had
Anna said she learned a lot personally the ED research experience has catapulted her into another area of interest in which she can see herself working in the future
ldquoResearch and policy will be a part of my future Irsquove gained a deep interest in the treatment of women since doing this studyrdquo said Anna
ldquoI have become very interested in domestic violence and the way women are treated in the health service and in the society as a whole I was blown away by the struggle that people have with the system in trying to find support They are so lonely I recognised things being in the ED that I would like to research and have already started exploring the issuesrdquo
CNMR Director Associate Professor Jane Mills FACN said the recruitment and inclusion of students in research projects is part of a broader plan within the CNMR to build undergraduate research capacity
Jane said the CNMR also offered internships to undergraduate students to work on research projects alongside experienced scholars academics and researchers
ldquoJCU strongly supports the inclusion of undergraduate students in research studies where they can gain valuable knowledge skills and experience while also making a contribution to building the evidence base about health care issues of importance to people living in the tropicsrdquo said Jane
ldquoItrsquos a win-win situation where experienced researchers benefit from the studentsrsquo enthusiasm and familiarity with contemporary research principles and students increase their awareness of the importance of research to professional practicerdquo
It is clear to all parties involved that the inclusion of nursing students is benefitting the quality of the project as much as it is benefitting studentsrsquo learning and work experiences
22
Launch your nursing career at St Vincentrsquos
St Vincentrsquos Hospital Melbourne (SVHM) is part of St Vincentrsquos Health Australia and is a leading teaching research and tertiary health service which employs more than 5000 staff across 18 sites throughout Melbourne SVHM provides a diverse range of adult clinical services including acute medical and surgical services sub-acutecare medical diagnostics rehabilitation allied health mental health palliative care correctional health and community residential care SVHM is one of Australiarsquosleading Catholic not-for-prot healthcare providersMake the most of your talents Join the team at St Vincentrsquos
Visit us at the ACN Nursing and Health Expo 2015Find out about our 2016 Graduate Nurse Program andhave a chat to our current graduates educators and nursing staff
St Vincentrsquos Open Evening 2015Wednesday 3rd June 4pm-6pmSt Vincentrsquos Ground Floor Aikenhead Building 27 Victoria Parade Fitzroy
Welcome and Overview of the 2016 Graduate Nurse Program at 4pm 430pm amp 5pm
All welcome ndash no RSVP required
All 24 rotational areas on displayTours of inpatient wardsComplimentary food and beverages provided
For further information visit wwwsvhmorgau or phone the Graduate Nurse Hotline 9231 2244
To follow our 2016 recruitment process Like us at SVHM 2016 Graduate Nurse Program
Compassion Justice Integrity Excellence
24
INTERESTED IN STUDYING DEAKIN NURSING AND MIDWIFERYWe are holding information sessions for our undergraduate courses
BURWOOD CAMPUS 221 BURWOOD HIGHWAY BURWOODWednesday 22 July 6ndash8 pmSaturday 25 July 230ndash430 pm
WATERFRONT CAMPUS 1 GHERINGHAP STREET GEELONGWednesday 22 July 6ndash8 pmSaturday 25 July 230ndash430 pm
WARRNAMBOOL CITY CENTRE 165 TIMOR STREET WARRNAMBOOLFriday 24 July 730 pm
raquo To register your attendance at one of the information sessions above please email nursinfodeakineduau to advise which session you plan to attend
For more information about our undergraduate and postgraduate courses please phone 03 9244 6032
Deakin University CRICOS Provider Code 00113B HLH002
deakineduaunursing
Itrsquos never too early to become a leader
How did you become involved in nursing
I started volunteering from age 14 with St John Ambulance Australia in my hometown of Moruya NSW I loved everything about it ndash loved the joy of helping others and I was so intrigued to learn how to respond effectively in emergencies and show true compassion to others I was also fortunate to have had some very down-to-earth and inspiring mentors who encouraged my interest in nursing and after graduation from high school I undertook the University of Wollongongrsquos Bachelor of Nursing degree
I started my first paid nursing related employment in my third year of the degree at a local hospital I have now graduated and am working as a registered nurse (RN) in a local aged care facility learning the ins and outs of multiple comorbidities patient-centred care and compassionate palliative and end-of-life care
What is your nursing specialty
As I still consider myself as a lsquonewbiersquo RN I havenrsquot really discovered a specialty yet though I have interests in aged care mental health cardiology and nursing research So I guess I am intrigued to be involved in one or all of these areas at some point in my career but I am open to any interesting opportunities that may come my way
What do you love most about nursing
This is truly the job that never has a dull day Each day is different and I feel privileged to be so trusted with the lives of my patients and residents in their moments of hardship and need Along with my love of the workings of the human body the evidence-base behind nursing care and continuous educational opportunities I love the lsquoteamrsquo focus of nursing especially when the patient is at the centre of decision making and everything goes to plan
What is your least favourite part of nursing
When everything doesnrsquot go to plan
What brought you to this area of Australia
Irsquom originally from NSW South but I moved to Wollongong for University and have stuck around for the area the people and to continue to work and study here
What are some of the nursing and health issues that are specific to the Sydney SouthIllawarra Region
Two big issues come to mind Firstly many newly graduated RNs within our region have been unable to find employment Secondly local nurses struggle to find the time within their working hours to keep up to date with advances in education
What do you see as the biggest challenge currently facing the nursing profession and how do you think the profession is placed to respond to these challenges
I believe possible health funding cuts and workforce shortages that in-turn affect our ability to provide adequate and safe patient care are two significant challenges facing our profession There are recently graduated RNs who remain jobless yet there are local health districts crying out for nurses but only those with lsquoexperiencersquo with undergraduate nursing experience ignored Looking into alternative transition programs is key to overcoming this challenge
Whatrsquos the biggest misconception about your career choice
I have met some amazingly talented and intelligent nurses in a variety of roles who all make a great difference in the lives of their patients or indirectly through organisations or research The general misconception that irks me isnrsquot so much a misconception more a statement Irsquove heard multiple times ndash ldquoWhy didnrsquot you become a doctor Why are you just a nurserdquo I did not become a nurse because I didnrsquot have the marks to be a doctor and by the time I finish university again with a Research Masters I would have physically been enrolled in university for the same length of time I became a nurse because I found a passion for this role and spending time with people inspires me
Nursing is a holistic role that encompasses so much We are health professionals role models educators support systems and innovators we understand intimately the fragility of life and the human relationships that bring it meaning
Profile Renee Callender MACN
LeadershipACN
Expand your leadership capacity
25
INTERESTED IN STUDYING DEAKIN NURSING AND MIDWIFERYWe are holding information sessions for our undergraduate courses
BURWOOD CAMPUS 221 BURWOOD HIGHWAY BURWOODWednesday 22 July 6ndash8 pmSaturday 25 July 230ndash430 pm
WATERFRONT CAMPUS 1 GHERINGHAP STREET GEELONGWednesday 22 July 6ndash8 pmSaturday 25 July 230ndash430 pm
WARRNAMBOOL CITY CENTRE 165 TIMOR STREET WARRNAMBOOLFriday 24 July 730 pm
raquo To register your attendance at one of the information sessions above please email nursinfodeakineduau to advise which session you plan to attend
For more information about our undergraduate and postgraduate courses please phone 03 9244 6032
Deakin University CRICOS Provider Code 00113B HLH002
deakineduaunursing
WA EXPO PERTH
26
Welcome from the Chief Nurse amp Midwifery OfficerI am so pleased to be welcoming you to the Australian College of Nursingrsquos Western Australian Nursing and Health Expo for 2015
Attending the Expo is an invaluable experience for anyone interested in nursing and midwifery careers It especially helps high school students and their parents or anyone who is wondering which career direction to take
Hospitals and health services from across WA will be there with some of their nurses and midwives in attendance to answer any questions you may have Come and find out from them what itrsquos really like to be a nurse or midwife
There will also be a range of education providers who will be able to talk about the many courses available to get your career started
It is also a great place to come to discuss and find out about graduate job opportunities building your experience career development opportunities financial support to study changing employers or even returning to a career in nursing or midwifery after being away for a while
The decision to become a nurse or a midwife is a wonderful career choice for anyone who wants to be part of a diverse healthcare professional team and have a challenging rewarding and exciting job where you really can make a difference
The future demand for nurses and midwives is going to be high especially as WArsquos new Fiona Stanley Perth Childrenrsquos Busselton and Midland hospitals all start becoming fully operational so we encourage you to attend the Expo to see where nursing and midwifery might take you
I look forward to seeing you on Friday 1 May 2015 at the Perth Convention and Exhibition Centre
Karen Bradley MACN Chief Nurse and Midwifery Officer WA Health
27
Expo informationLocation
The Perth Convention and Exhibition Centre (PCEC) is Western Australiarsquos only dedicated convention and exhibition facility Each year over 500000 people attend one or more of the 600 plus events conducted at PCEC The Expo will be held in Pavillion 1 at PCEC
Doors open 9am ndash 1pm
Entry
Stairs amp Escalators to Level 2
Registration DeskEntry Foyer
Entry
ACN Expo Pavillion 1
28
Seminars
This year the educational seminar series is back again to provide visitors with up to date information and practical skills to pursue or further their career Seminar attendance is free of charge and registration is not required
Time Topic Presented by
915am How to become a nurse or midwife Rebecca Newton WA Nursing and Midwifery Office
950am Applying via GradConnect and other opportunities for graduate nurses and midwives
Regina Browne WA Nursing and Midwifery Office
1025am Unleashing the potential of your staff Lisa Ansbro and Donna Hampshire Chandler Macleod Health
1100am How to become a nurse or midwife Rebecca Newton WA Nursing and Midwifery Office
1135am Applying via GradConnect and other opportunities for graduate nurses and midwives
Regina Browne WA Nursing and Midwifery Office
1210pm Unleashing the potential of your staff Lisa Ansbro and Donna Hampshire Chandler Macleod Health
The lsquoUnleashing the potential of your staffrsquo seminar is proudly supported by
Chandler Macleod is Australasiarsquos leading provider of integrated HR services products and technologies We have more than 55 yearsrsquo experience in human resources and have specialised within the health sector for 10 of these We are ideally positioned to help you meet the growing demands on your business We provide permanent and temporarycontract recruitment for the full range of Health professions including Carers and Support Workers Enrolled Nurses Registered Nurses Facility and Operations Managers Directors Cleaners and Kitchen staff We are able to provide you with experienced caring staff 247 including public holidays
For more information contact Chandler Macleod on (08) 9217 0510 or visit wwwchandlermacleodcomclientshealth-recruitment
29
Floor plan
42 41
39
40
38
36
37
35
43
44
45
46
47
48
Entrance
Seminar area
Cafeacute
7
5
8
6
20
18
19
17
11
9
12
10
16
14
15
13
34 33 32 31 30 29 28
30
Exhibitor listing
Organisation Name Booth Number
AACDS 8
Armadale Health Service 38
Belmore Nurses Bureau 30
Central Institute of Technology 20
Chandler Macleod Health 16
Child amp Adolescent Health Service 42
Curtin University of Technology 19
Defence Force Recruiting 910
Edith Cowan University - School of Nursing and Midwifery
3334
Fiona Stanley Hospital 36
Fremantle Hospital 44
HESTA 5
Hollywood Private Hospital 7
Institute of Health amp Nursing Australia 32
Mediserve Nursing Agency 6
Murdoch University 1112
My Flex Health International 18
Organisation Name Booth Number
Next Step 48
North Metropolitan Mental Health 35
NurseWest 47
Nursing amp Midwifery Board of Australia 29
Osborne Park Hospital 46
Prime Super 17
PampN Bank 15
Rockingham General Hospital 39
Royal Perth Hospital 37
Sir Charles Gairdner Hospital 45
The Bethanie Group Inc 31
The University of Notre Dame 13
WA Country Health Service 40
WA Nursing amp Midwifery Office 43
West Coast Institute of Training 14
Women amp Newborn Health Service 41
Work the World 28
The WA Nursing amp Health Expo is proudly supported by
The WA Nursing and Midwifery Office is very proud to partner once again with the Australian College of Nursing for the 2015 Nursing and Health Expo The nursing and midwifery professions offer an array of interesting and diverse experiences With these highly valued and respected skills relevant anywhere in the world nurses and midwives will always be in demand ndash in hospitals and in a range of other workplaces In WA the future demand for nurses and midwives is going to be high especially as our new Fiona Stanley Perth Childrenrsquos Busselton and Midland hospitals all start becoming fully operational so considering a career in nursing or midwifery is a great idea
wwwnursinghealthwagovau
31
In Australia enrolled nurses (ENs) are a core component of the health care workforce and make an important contribution to Australiarsquos world-class health outcomes ENs work in varied settings across the country from blood services to aged care facilities Increasingly ENs are playing an important role in meeting the growing demand for care
Not all countries have recognised the importance of ENs in the nurse workforce mix Several European countries including France Denmark Italy and Spain have only one category of regulated nurse (HWA 2013 Robinson and Griffiths 2007) The United Kingdom (UK) ceased admitting new ENs to the register in the 1980s The minimum qualification for all UK nurses is now a three-year bachelorrsquos degree As a result the UK relies heavily on unregistered health care assistants rather than second-level nurses (UK Department of Health 2013) Closer to home New Zealand ceased training ENs in 1993 only to recommence in the 2000s (Meek 2009) New Zealandrsquos experiment is an instructive demonstration of the importance of ENs in the health care workforce as the demand for nursing care increases
In Australia we have remained committed to maintaining the EN role Rather than relying on unregistered health care workers Australia has chosen to maintain a large educated and professional EN workforce The skilled work of ENs is recognised to be of paramount importance to the delivery of high quality nursing care Our EN workforce is highly dynamic and continues to evolve within the changing landscape of Australian health care policy and regulation
Enrolled nurse demographics
According to the latest national figures there are 51624 ENs working in Australia The great majority of ENs have completed their pre-registration education in Australia fewer than 5 have been educated overseas (HWA 2013)
The EN workforce has a relatively high average age of 46 years and forty-five per cent of ENs have celebrated their fiftieth birthdays (AIHW 2013) According to Health Workforce Australia the ageing EN workforce could lead to a significant shortfall in the supply of ENs if action is not taken to retain the current cohort of ENs and increase the number of people studying to be the ENs of tomorrow (HWA 2012)
Men make up roughly 10 of the EN workforce While this number is rising gradually it indicates that there is progress to be made in terms of attracting and retaining males within the profession Aboriginal and Torres Strait Islander people are
also underrepresented in the EN workforce only around 800 of Australiarsquos ENs identify as Indigenous Australians (AIHW 2013)
Among the most common work settings for ENs are aged care rehabilitation and disability services In contrast ENs make up fewer than 5 of the critical care nursing workforce and represent only a small proportion of nurses working in education policy and management (AIHW 2013)
These statistics show that there are both challenges and opportunities for Australiarsquos EN workforce Efforts to recruit and retain ENs will need to be enhanced with a particular focus on encouraging men and Aboriginal and Torres Strait Islander people to become ENs At the same time roles in a wider range of clinical areas are becoming available to suitably educated and qualified ENs and there will be more such opportunities in the coming years
A growing role for ENs
The evolving role of the EN is reflected in recent changes to educational requirements for ENs As of 1 July 2014 the Certificate IV in enrolled nursing ceased to be available and the minimum qualification for EN entry to practice will be the Diploma of Nursing The transition to a Diploma recognises the high level of skill ENs contribute to todayrsquos health care teams A nationally consistent approach to EN education is also likely to enhance the mobility of the EN workforce by giving employers confidence in the knowledge and skills of ENs educated in other states
ENs are now undertaking a diverse range of roles One of the earliest areas of role expansion for ENs was medication endorsement Before the move to national registration in 2010 ENs in some states were able to obtain an endorsement in medicines administration and become Endorsed Enrolled Nurses by completing specified education units This endorsement has now been phased out because from 2008 onwards all newly qualified ENs have completed the required medicines administration education Instead the register now identifies ENs who have not completed the required courses (NMBA 2014) This example demonstrates how the EN role has evolved over the years Whereas once only a relatively small number of ENs were educated to administer medicines now all student ENs complete medicines administration units as part of their initial nursing education
The EN role is also expanding in other ways For example ENs are taking on a growing role within haemodialysis units (Tranter et al 2011) The 2008 Australia and New Zealand Dialysis Workforce Survey conducted by the Renal Society of Australia found that there were 188 ENs working in dialysis alongside 2433 registered nurses (RNs) The growing demand for dialysis
The potential of the enrolled nursing workforce
By Rosina Muir and Dr Marlene Eggert MACN
32
services and the shortage of dialysis RNs in some areas represents a clear opportunity for ENs According to a New South Wales study conducted in 2009 the scope of practice of ENs in haemodialysis units may include cannulation (including both native access and buttonhole cannulation) connecting and disconnecting haemodialysis central venous catheters (CVCs) performing CVC dressings giving iron infusions and administering erythropoietin anticoagulants and Lignocaine In addition ENs may also take on a case management or health promotion role for dialysis patients (Bennett et al 2009)
ENs are also moving into extended roles in rehabilitation services A recent study of ENs in an Australian rehabilitation facility found that in addition to assisting patients with activities of daily living ENs may take on roles in coaching and supporting patients to reach their individual goals monitoring the patientrsquos progress and liaising with other members of the multidisciplinary rehabilitation team The study found that many ENs demonstrate an understanding of the philosophy of rehabilitation nursing including goal setting and enabling self-care (Pryor and Buzio 2013)
In rural Australia ENs are taking on a diverse range of roles within the EN scope of practice in order to meet local needs ENs with specialist skills such as infection control or wound care make a significant contribution to some rural health services although their extended scope of practice is not always given appropriate recognition by their RN colleagues (Nankervis et al 2008) Rural health services are increasingly recognising that supporting ENs to take on extended roles and further develop their clinical skills can be a successful model for the delivery of high quality patient care
Recognising the evolving EN scope of practice
In light of the fact that there have been significant changes to EN education regulation and scope over the last decade the NMBA has commissioned Monash University to review the currency of the standards against contemporary enrolled nursing roles The Monash University project has involved a review of the literature as well as a series of focus groups and surveys to gather insights from both RNs and ENs on the education scope of practice and supervision of ENs (Monash University 2013) The project is expected to be completed in 2014 (NMBA 2013)
Our advocacy for ENs
ACNrsquos advocacy priorities are explicitly designed to support both registered and enrolled nurses In 2014 ACN has argued for a range of policies that would have a positive impact on the
retention and flexibility of enrolled nurses For example ACN has proposed a National Transition Framework to support the flexibility and mobility of both the EN and the RN workforces The Framework would be accessible to nurses entering the workforce as well as nurses transitioning from one area of practice to another For example it would support an EN wishing to transition from the aged care sector to a hospital-based role
ACN has also put forward a proposal for a new scholarship program to support newly registered and enrolled nurses to practice in rural services It is essential that rural health service providers are able to attract appropriately educated staff including both ENs and RNs in order to maintain an optimal skill mix The scholarship scheme will allow rural health services to employ newly registered and enrolled nurses as supernumerary team members while providing them with a structured clinical learning program
ACN will continue to provide a voice for ENs in policy discussions and advocate for the role of ENs in health care delivery Australian Institute of Health and Welfare 2013 Nursing and midwifery workforce 2012 lthttpwwwaihwgovauWorkAreaDownloadAssetaspxid=60129545314gt pp 6
Bennett P McNeill L Polaschek N 2009 lsquoThe Australian and New Zealand Dialysis Workforcersquo Renal Society of Australasia Journal vol 5 no3 pp 147-151 lthttpwwwrenalsocietyorgRSAJjournalnov09bennett2pdfgt
Health Workforce Australia 2012 Health Workforce 2025 Doctors Nurses and Midwives vol 1 lthttpwwwhwagovausitesuploadsFinalReport_Volume1_FINAL-20120424pdfgt pp 137-142
Health Workforce Australia 2013 Nurses in Focus lthttpwwwhwagovausitesuploadsNurses-in-Focus-FINALpdfgt
Meek G 2010 Second level nurses a critical examination of their evolving role in New Zealand Healthcare lthttpresearcharchivewintecacnz9621Repository_entry_HLNU902pdfgt pp 3
Monash University 2013 The National Review of the Enrolled Nurse Competency Standards lthttpwwwmedmonashedunursingcompetency-standardsgt
Nankervis K Kenny A Bish M 2008 Enhancing scope of practice for the second level nurse A change process to meet growing demand for rural health services lthttpwwwncbinlmnihgovpubmed18844530gt
Nursing and Midwifery Board of Australia 2013 Communique Meeting of the Nursing and Midwifery Board of Australia 27 February 2013 in the AHPRA Hobart Office TasmanialthttpwwwnursingmidwiferyboardgovauNewsCommuniques-from-Board-meetingsaspxgt
Nursing and Midwifery Board of Australia 2014 Enrolled nurses and medicine administration lt httpwwwnursingmidwiferyboardgovauCodes-Guidelines-StatementsFAQaspxgt
Pryor J Buzio A 2013 lsquoDo ldquotwo typesrdquo of ENs work in rehabilitation in Australiarsquo Journal of the Australasian Rehabilitation Nurses Association vol 16 no 1 pp 14-19 lthttpsearchinformitcomaudocumentSummarydn=480975443102792res=IELHEAgt
Robinson S and Griffiths P 2007 Nursing education and regulation International profiles and perspectives lthttpeprintssotonacuk3487721NurseEduProfilespdfgt pp 7-17
Tranter S Westgarth F White G 2011 lsquoThe scope of practice of the haemodialysis Enrolled Nurse in new South Walesrsquo Renal Society of Australasia Journal vol 7 no 1 pp 24-29 lthttpwwwrenalsocietyorgRSAJjournalmar11Tranterpdfgt
United Kingdom Department of Health 2013 The Cavendish Review An Independent Review into Healthcare Assistants and Support Workers in the NHS and social care settings lthttpswwwgovukgovernmentuploadssystemuploadsattachment_datafile236212Cavendish_Reviewpdfgt pp 6
33
By Laurie Bickhoff MACN
Diary of a newly registered nurse
In Australia it is estimated nearly 20 of nurses will leave the profession within their first year of practice (National Nursing and Nurse Education Taskforce [NNNET] 2005) Internationally this figure ranges from between 35 and 60 (Halfer amp Graf 2006) Many have speculated on the reasons for this with high workloads the difficulties of shift work and unrealistic expectations of what nursing entails all given due consideration (Halfer amp Graf 2006) However as I entered my second year of practice I began to wonder what role disillusionment plays in this exodus of newly trained nurses
Disillusionment to me occurs when you feel your passion dwindling when you suddenly find it that little bit harder to get ready for work when you start feeling a sense of dread as you walk onto the ward This wasnrsquot caused by long hours or ever increasing workloads coupled with diminishing resources It wasnrsquot caused by physically demanding duties or the lack of a social life due to shift work It wasnrsquot caused by dealing with things that might not look or smell that great Unfortunately it was caused by the people around me and an almost institutionalised lack of power not only for nurses but more importantly for our patients
I was dismayed and frustrated to hear how many of my colleagues from all health professions referred to patients I was disheartened to see how easily some could dismiss the suffering we see and the heartache I felt I was overwhelmingly saddened to realise not everyone had the same passion for their profession or empathy for those we are charged to care for as I did
This culminated for me towards the end of my first year of practice There wasnrsquot any one big incident more an accumulation of things that were gradually wearing me down I had a worried patient confide in me that they had been too scared to push the call button on the previous shift because of the response they would receive from the nurse I saw patients constantly being made to fit into everyone elsersquos schedules regardless of their requests It seemed everyone was more important than the person we were there to help
I heard patients referred to as lsquocactusrsquo or described in the notes as lsquounsalvageablersquo meaning there was no chance of the patients making meaningful recoveries I wondered is this really how we refer to people Or did we forget they were actual human beings we were talking about
I had other health professionals dismiss me with comments such as nurses ldquojust wipe bums all dayrdquo or roll their eyes at me when I raised my concerns When I dared to challenge or question I was met with comments of ldquoI miss the old new gradsrdquo I felt tired washed out and was beginning to wonder
whether I could stay in this profession without losing myself
Luckily I found some inspiration I listened to a presentation by Drew Dudley a well-known American academic and motivational speaker where he discusses the idea of lsquolollypop momentsrsquo These are small moments when the people we see and work with every day demonstrate leadership They arenrsquot big grand over the top statements They are small gestures which often unknown to the person who did it have an amazing impact on the lives of others I was lucky enough to have some of these lollypop moments just when I needed them These few sparks were all that I needed to reignite my passion for nursing
The first spark came from an RN2 caring for a patient at the end-stage of a number of diseases who had expressed to the nursing staff multiple times her wish to simply be made comfortable as she knew this was the end of her fight Despite this the patient was not only receiving active treatment but was also currently documented for full resuscitation if she deteriorated
The nurse raised the issue with the medical registrar asking him to have a discussion with the patient regarding her wishes and planning end-of-life care The registrar dismissed her saying ldquowell thatrsquos not what the consultant wantsrdquo The nurse wasnrsquot satisfied and responded ldquoitrsquos not their choice itrsquos the patientrsquos decisionrdquo This nurse had the courage to stand her ground and make sure her patientrsquos voice was heard which ultimately led to the patientrsquos wishes being honoured
The next spark came soon after I was working with a nurse who came from a different cultural background to me where it was seen as impolite to question anyone in authority especially if you were female This meant even if a doctor was accidently standing in her way she would prefer to simply wait rather than ask them to move
Then one day we had a patient who deteriorated rapidly and was in a very critical condition This nurse suddenly became one of the best clinical leaders I have witnessed She led the team questioning orders prompting treatments suggesting causes and outlining the options available I soon realised the difference this was about her patient She was going to ensure her patient received the best care and outcome possible When it was about her patient rather than herself she found her voice
There were a number of smaller incidents that soon followed Sparks came from the senior consultant who re-educated her advanced trainee on the importance of listening to the nurses and acting on their concerns Sparks came from our ward social
34
worker who day after day demonstrated his passion for helping and advocating for those with no voice and often no options Sparks came from the medical residents who expressed their gratitude when you picked up a mistake and were heartfelt in their appreciation of the work nurses do
The brightest sparks came from my patients and their relatives It was their ldquothanksrdquo their ldquoyou donrsquot know how much that meansrdquo their ldquoyoursquoll be back tomorrow wonrsquot yourdquo their squeezing of my hand that reminded me why I do what I do I didnrsquot have to search for inspiration I was surrounded by it The trick was to change my focus
Perhaps all nurses are disillusioned at some point during their careers Perhaps it happens multiple times Perhaps it is a rite of passage with those who make it through the other side the
ones with a true passion for nursing who turn around and help a colleague on their journey
As I continue my nursing career I now look for the brightness that I know is always there far outshining the negativity that we have to deal with I stockpile my lsquolollypop momentsrsquo knowing the amazing examples of kindness and leadership I see every day will help me grow and become a better nurse and hopefully I might be able to be a spark for someone else
You can listen to Drew Dudleyrsquos talk at wwwtedcomtalksdrew_dudley_everyday_leadership
Halfer D and Graf E lsquoGraduate Nurse Perceptions of the Work Experiencersquo Nursing Economics June 2006 Vol 24 No 3 pp 150-55
National Nursing and Nurse Education Taskforce 2005 Mythbusters Available online at httpwwwnnnetgovaudownloadsmythbusters_attritionpdf Accessed June 2014
Arts amp Sciences | Business | Education | Health Sciences | Law | Medicine | Nursing amp Midwifery | Philosophy amp Theology | Physiotherapy
Your journey to a meaningful career awaitsThe School of Nursing amp Midwifery offers the following courses
rsaquo Bachelor of Nursing
rsaquo Bachelor of Nursing (Articulation Pathway for EN Diploma)
rsaquo Graduate Certificate (Acute Mental Health Clinical Nursing Nursing and Nursing Leadership amp Management)
rsaquo Graduate Diploma (Acute Mental Health Clinical Nursing Critical Care Nursing Forensic Nursing Midwifery Nursing and Perioperative Nursing)
rsaquo Master of Nursing (Coursework and Research)
Looking to make a difference So are we
Apply direct notredameeduau
ND
1053
| C
RIC
OS
PR
OV
IDE
R C
OD
E 0
1032
F
35
36
ContentsWelcome from the CEO 5
ACN Nursing amp Health Expos an overview 6
A look back at the 2014 ACN Nursing amp Health Expos 7
Nursing Officer a vital role in the Australian Defence Force Article 9
The beginning of a career ACNrsquos Nursing amp Health Expos Article 10
Diary of a newly registered nurse Article 11
VIC Expo Melbourne 12
Welcome from the Chief Nurse amp Midwifery Officer 13
Expo information 14
Floor plan 16
Exhibitor listing 17
Graduate transition programs my personal experience Article 18
Banking freedom for nurses and midwives Advertorial 19
Diary of a newly registered nurse Article 21
Research collaboration students are welcome Article 22
Itrsquos never too early to become a leader Article 25
WA Expo Perth 26
Welcome from the Chief Nurse amp Midwifery Officer 27
Expo information 28
Floor plan 30
Exhibitor listing 31
The potential of the enrolled nursing workforce Article 32
Diary of a newly registered nurse Article 34
3
wwwacneduau
Save the date block out 12 May 2015 in your diary
2014 ACN National Nurses Breakfast Host Avondale College of Higher EducationIn 2014 Avondale College of Higher Education celebrated
IND by hosting its own ACN National Nurses Breakfast
During the event nursing students wrote messages of
encouragement to registered nurses and students at
Pacific Adventist University in Port Moresby Papua New
Guinea and Atoifi Adventist Hospital on Malaita in the
Solomon Islands The messages were hand delivered by
a team of Avondale students on a clinical service-learning
placement
In-line with the 2014 IND theme Nurses a force for
change ndash a vital resource for health Avondale
students were also asked to colour a cardboard person
representing themselves as a nurse and write a word
describing how they are a force for change These figures
have been proudly displayed on campus to serve as
encouragement and a reminder of the power nurses have
to make a lasting impact on the wider community and be a
lsquoforce for changersquo
What do you have planned for your ACNBreakfast
On Tuesday 12 May 2015 the Australian College of Nursing
(ACN) will once again be hosting the ACN National Nurses
Breakfast in celebration of International Nurses Day (IND)
The ACN National Nurses Breakfast encourages members of
the community to celebrate the invaluable contribution nurses
make to the health of our society by hosting a breakfast at their
workplace school or community centre This nationwide event
has been hosted since 2011 and sees over 4000 nurses and
their supporters come together at approximately 100 breakfasts
hosted around Australia
Help us build on the continued success of the ACN National
Nurses Breakfast by registering as a 2015 breakfast host today
We will send you a registration pack full of goodies to help you
decorate and theme your venue as well as some valuable
information about IND and the important work nurses do
Register your breakfast at
wwwacneduaunational_nurses_breakfast
Proudly supported by
2015
2015 IND THEME
NURSES A FORCE FOR CHANGE
CARE EFFECTIVE
COST EFFECTIVE
Itrsquos my great pleasure to welcome you to the Australian College of Nursingrsquos (ACN) Nursing and Health Expos and present to you the ACN Nursing and Health Expo eGuide for 2015
ACN is the national professional organisation for all nurse leaders nurses with an interest in leadership nurses aspiring to leadership roles and nurses in leadership roles across the Australian health system
ACN is an advocate for the nursing profession advancing the skills and expertise of nurses to provide leadership in their contribution to the policy practice and delivery of health care ACN encourages and supports nurses to develop and grow to become nurse leaders
Each year ACN hosts the ACN Nursing and Health Expos to highlight the profession of nursing and provide valuable connections and opportunities for nurses at each stage of their career
Nursing remains one of the top five most trusted professions in Australia A career in nursing and health offers lifelong learning critical thinking a broad array of career opportunities in a variety of settings and the chance to contribute to the health of Australian communities
This eGuide includes Expo floor plans showcases our diverse range of exhibitors and offers a wide range of education opportunities Throughout we feature both state specific and nationally focussed nursing updates from each Statersquos Chief Nurse and we also take a look back at the 2014 Expos
It is my hope that the addition of this yearrsquos eGuide will enable you to easily navigate and make the most of your Expo experience
For more details about ACN head to wwwacneduau
Welcome from the CEO
5
Why do we hold the Expos
The ACN Nursing and Health Expos are held to enhance the profile of nursing as a profession by connecting individuals to a wide range of organisations from the nursing and health industry The Expos aim to promote recruitment to and retention of the nursing workforce
Who will be there
During the Expo you will have the opportunity to meet and interact with
bull education providers
bull hospital and health care services
bull recruitment agencies
bull specialty nursing groups
bull companies offering health product and services
Do I have to pay an entry fee
Attendance at the Expos is free of charge and the seminars are also complimentary
Why should I attend the Expos
The ACN Expos have a strong reputation for connecting visitors with a wide range of organisations from the nursing and health industry You will have the unique opportunity to network with exhibitors who will deliver the information you need to kick start or progress your nursing career In addition a series of complimentary seminars will run throughout the day providing you with practical take-home skills
Who should attend the Expos
ACN encourages everyone who is interested in the nursing and health professions to attend the Expos They will be particularly beneficial to
bull registered nurses
bull enrolledDiv 2 nurses
bull health professionals
bull nursing undergraduate students
bull high school students
ACN Nursing amp Health Expos an overview
6
A look back at the 2014 ACN Nursing amp Health Expos
ldquoIrsquom very grateful for the opportunity to attend an expo like this as Irsquom new to the industry and am not entirely sure of what is available to merdquo
ldquoVery informative and helpful Addressed all of my concerns and reassured me that the process although complex when broken down is achievablerdquo
ldquoThe exhibitors were excellent in answering questionshellip[and] were alleviating the anxiety felt by many students attendingrdquo
ldquoIt was amazing I feel less stressed about graduate opportunities nowrdquo
ldquoAbsolutely fantastic I really have enjoyed ithellipthank you all very much for opening my mind to all these different areas in nursingrdquo
ldquoHelpful friendly informative inspiringrdquo
Visitors eagerly line up at the Expo entrance
Visitors chat to a wide range of
exhibitors
Visitors gain practical advice in a seminar session
Opportunity to connect with education
providers nursing groups and health care
providers
7
8CALL 13 19 01 OR VISIT DEFENCEJOBSGOVAU ARMY
THE ARMY ISNOW RECRUITINGNURSINGOFFICERS
A career as an Army Nursing Offi cer offers variety andchallenges in employment and travel not always availablein the normal hospital environment You will gain experienceand skills that will equip you for advancement in the Armyand will also be in high demand in your profession
Yoursquoll also enjoy great benefi ts like free medical and dentalworld class training subsidised accommodation excellentsalary packages worklife balance and unique experiences
To fi nd out more about becoming a Nursing Offi cersearch lsquoArmy Nursersquo
ARMY0176 Nurse Respec_210x297mm_V3indd 1 30012015 324 pm
Nursing Officer a vital role in the Australian Defence Force
In any environment healthcare is a challenge but during military operations that challenge can take on a new perspective As a Nursing Officer in the Australian Defence Force (ADF) Lieutenant Tess Demunk plays a vital role in the ongoing health and welfare of people in the Australian Army
Throughout her career Tess has enjoyed the sort of variety challenges and travel that a civilian nurse would never have the opportunity to experience
ldquoI joined the Army because I wanted to do something different with my nursing Irsquom interested in trauma nursing and obviously the Australian Army is a great place to go to for thatrdquo
ldquoItrsquos also a great opportunity to lsquogive something backrsquo you can care for the soldiers out there protecting us and our countryrdquo Tess said
Nursing Officers in the Australian Defence Force are employed across a range of clinical clinical management and broader health management duties They can expect to work in units and field hospitals that provide a comprehensive hospital service or in small Treatment Teams providing primary healthcare and immediate pre-hospital resuscitation
A Defence healthcare career offers variety and challenges in employment as well as opportunities that are not always available in a civilian hospital environment
The ADF offers amazing opportunities to travel around Australia and overseas on peacekeeping and emergency aid missions that make a genuine difference to peoples lives
Humanitarian work is a gateway to experience new cultures and interact with patients and locals like never before Its these kinds of career defining experiences that make your years of study all worthwhile
ldquoDeployments are a big opportunity Nursing overseas and being able to look after a lot of trauma injuries are two of the main reasons I joined the Armyrdquo Tess said
ldquoThere is a lot of primary healthcare stuff that we do as well but the reason that most people join is to do nursing in the field and on deploymentrdquo
ADF members also enjoy a great work-life balance with a selection of sporting clubs to play for fitness training thats included as part of the working day strong job security and role diversity Include the great benefits and competitive salary package with the chance to continually improve your medical knowledge and qualifications and the choice to pursue a military healthcare career just adds up
ldquoIn Defence you get free healthcare free dental and all the things that go along with that The mates you make along the way the courses that you get to do and the opportunities for deployment and the field exercises are other benefits as wellrdquo
ldquoI completed the Defence University Sponsorship (DUS) through Monash University It is a fantastic scheme that allowed me to study at university as a full-time student and be paid by the Army while doing thatrdquo
Full-time and part-time roles are available across the Navy Army and Air Force including graduate and undergraduate positions
Youll receive further training and post graduate study opportunities while youre in the ADF so you can go as far as you want to in your career
Put your medical and health-related skills and knowledge to use in a unique environment that is unlike anything else With the opportunity to broaden your skills and make a difference both at home and overseas a career in Defence healthcare is a worthwhile challenge that will just keep on giving
The Defence Force is currently recruiting for Nursing Officers and various health-related roles For further information on military training and careers in the Navy Army or Air Force visit
defencejobsgovau or call 13 19 01
By Tess Demunk Australian Army Nursing Officer
9
The beginning of a career ACNrsquos Nursing amp Health Expos
In pursuit of the belief that every nurse should have the opportunity to grow their career and further the nursing profession ACN is once again presenting the Nursing and Health Expos for 2015 The expos have provided an avenue for those interested in nursing in Australia to seek expert advice on education and employment opportunities One young nursersquos visit to an expo opened up a career
Ever since I could remember I wanted to help people When I was young I would look up diseases and conditions I had my own first aid kit and I would play lsquonursersquo with my mum and dad
In 2007 when I was in year 12 I attended my first NSW Nursing and Health Expo and Irsquove continued to visit the expos since Initially I wanted to become a paramedic but everyone I spoke to said that I should become a nurse first They gave me great advice to become an endorsed enrolled nurse (EEN) before becoming a registered nurse (RN) ndash to take it one step at a time
I studied at TAFE for 18 months to become an EEN I completed my Bachelor Degree at Southern Cross University while working as an EEN at a private hospital in Coffs Harbour This meant I was able to put my theory into practice
Now I work as an RN with Ramsay Health Care Every day I come home knowing I have a little place in someonersquos heart because I helped them Patients are very vulnerable people and sometimes all they need is for you to listen Listening is one of the most important lessons I have learnt as a nurse
Irsquod recommend the ACN Nursing and Health Expos to anyone especially year 12 students who are interested in a career as a nurse I always look forward to the expo and I make a day of it Itrsquos great to be around like-minded people listening to their stories and they are always interested in listening to mine Last year I was able to practice keyhole surgery at the expo and I was actually good at it ndash so maybe surgical nursing is an option down the track
I joined ACN last year and have now had this opportunity to share my nursing story and hopefully inspire others
by Brianna Gudgeon MACN
Brianna as a volunteer nurse in Samoa
Brianna (left) in 2008 training as an EEN at Concord Hospital with colleague
10
INSTITUTE OFHEALTH AND NURSING AUSTRALIA
RTO ID 21985 CRICOS Code 03386G
wwwihnaeduauenquiryihnaeduau1800 22 5283
Our Courses
bull Registered Nurse Re-entry to Practice Program
bull Registered Nurse Refresher Program
bull HLT51612 Diploma of Nursing (Enrolled-Division 2 Nursing)
bull HLT61107 Advanced Diploma of Nursing
The Institute of Health and Nursing Australia (IHNA) is one of Australias leading providers of comprehensive
health and nursing education at several levels IHNA is fast-growing dynamic and quality-driven institution committed to continuous improvement working hard to develop implement and deliver courses and professional development programs The courses offered by IHNA are prepared by experienced healthcare professionals and help students to pursue a successful career in Australian healthcare
Melbourne | Perth | Sydney
VET FEE HELP GOVT FUNDING AVAILABLE
Institute of Health and NursingAustralia
IHNA
Call 1800 675 839 for a Short-Form Product Disclosure Statement Prime Super (ABN 60 562 335 823) is issued by Prime Super Pty Ltd (ABN 81 067 241 016 AFSL 219723 RSE L0000277 RN 1000276)
VIC Expo Booth 33 | WA Expo Booth 17 | wwwprimesupercomau
Visit us at the Expo to find out morehellip
and enter our competition for your chance to WIN a $550
endota day spa voucher
Prime Super provides personal support to make super simpler
Now incorporating
11
VIC EXPO MELBOURNE
12
Welcome from the Chief Nurse amp Midwifery OfficerWelcome to the Australian College of Nursingrsquos 17th annual Nursing and Health Expo in Melbourne The Department of Health and Human Services in Victoria is a keen sponsor of this important event on the nursing calendar The Expo plays an important role in enhancing the profile of nursing as a profession which in turn promotes recruitment and retention of the nurses and midwives
As part of the health care team nurses and midwives are essential to the communityrsquos health and wellbeing Nurses and midwives play a critical role in delivering safe compassionate and quality care The Department of Health and Human Services encourages Victorian nurses and midwives to provide the best possible care for the community by providing clear strategic direction for the profession as well as supporting health services to implement initiatives across workforce development and reform
Being a nurse or midwife is a rewarding career but it is important to know if it is the right career choice for you In addition to having the relevant knowledge and skills nurses and midwives need to be compassionate caring and flexible Nursing and midwifery offers many and varied opportunities across multiple settings not only for graduates but for people of any age looking to enter the workforce
While traditionally nurses and midwives have always worked in hospitals they now work across multiple settings including general practice community-based services and aged-care services
The job market is competitive and opportunities will continue to be present for the existing returning and newly graduated nurses and midwives Because of the changing needs of the community there is often a contrast between where nurses and midwives prefer to work and where there are opportunities Growth opportunities are in areas such as rural aged care and chronic disease management and I encourage everyone to think beyond the traditional locations and to explore new and rewarding areas of employment
Senior members of the workforce are reminded of the important role we all play as professionals in encouraging and mentoring new starters and transitioning into other roles
Education and training is a lifelong journey essential to the continual development of the nursing and midwifery workforce which ensures highly skilled capable and critical decision makers
Associate Professor Alison McMillan MACN Chief Nurse and Midwifery Officer Department of Health amp Human Services VIC
13
Expo informationLocation
Visitors are often struck by the architectural brilliance of the Melbourne Convention and Exhibition Centre (MCEC) which has won some of Australiarsquos most prestigious architecture and design awards The Expo will be held in bays 17 and 18 of the MCEC
Doors open 9am ndash 1pm
Concourse
Link to convention
centre
Loading Dock
Normanby Road
Clar
endo
n St
reet
Entry Foyer
Clarendon Street
Entrance
ACN Expo Bays
17 amp 18
14
Seminars
This year the educational seminar series is back again to provide visitors with up to date information and practical skills to pursue or further their career Seminar attendance is free of charge and registration is not required
Time Topic Presented by
915am HESTA Your Partner for Career David Logan HESTA
950am Graduate NurseMidwifery Program Computer Match 2015 Paul Williamson Postgraduate Medical Council of Victoria
1025am Understanding delegation and supervision responsibilities and accountabilities
Associate Professor Alison McMillan MACN
Department of Health amp Human Services Victoria
1100am HESTA Your Partner for Career David Logan HESTA
1135am Graduate NurseMidwifery Program Computer Match 2015 Paul Williamson Postgraduate Medical Council of Victoria
1210pm Understanding delegation and supervision responsibilities and accountabilities
Associate Professor Alison McMillan MACN
Department of Health amp Human Services Victoria
The VIC Nursing amp Health Expo is proudly supported by
On 1 January 2015 the Victorian Government established the Department of Health amp Human Services bringing together the former Department of Health Department of Human Services and Sport and Recreation Victoria The department has been established to develop and deliver policies programs and services that support and enhance the wellbeing of all Victorians We take a broad view of the causes of ill health the drivers of good health the social and economic context in which people live and of the incidence and experience of vulnerability This will allow us to place people at the heart of policy-making service design and delivery
wwwdhhsvicgovau
15
Floor plan
BENC
H
SINK
ENTRANCEDOOR 9
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
20 21
22232425
26 27 28 29
30313233
34 35 36 37
38394041
42 43 44 45
46474849
50 51 52 53
54555657
58 59 60 61
62636465
66 67 68 69
7071727374
75
76
84
85
86
87
88
89
90
1918
16
Exhibitor listing
Organisation Name Booth Number
Alfred Health 6667
ANMF Victorian Branch 747576
Austin Health 4243
Australian Catholic University 89
Ballarat Health Services 62
BankVic 73
Baptcare 60
Belmore Nurses Bureau 47
Bendigo Health 44
Care Training Australia 17
Chisholm Institute of TAFE 19
Colbrow Healthcare 26
Critical Second 90
Crystal Clear Ear Clinic 6
Deakin University Nursing amp Midwifery 3435
Defence Force Recruiting 12
Eastern Health 3031
Epworth HealthCare 6465
Federation University Australia 41
First Call Health 40
First State Super 7
Forensicare 68
Health Skills Australia 72
HESTA 20
Holmesglen 4546
Institute of Health amp Nursing Australia 27
Kangan Institute 24
La Trobe University 121314
Martin Luther Homes 22
McFarlane Medical amp Scientific 23
mdBriefCase Australia 18
Mediserve Nursing Agency 28
Organisation Name Booth Number
Melbourne City Institute of Education 86
Mental Health Nursing Victoria 1011
Mercy Health 8788
Monash Health
Monash University 8485
NeilMed Pharmaceuticals 32
Northern Health 5354
NorthWestern Mental Health 59
Nurses Board of Victoria Legacy Limited
69
Nursing amp Midwifery Board of Australia 21
Peninsula Health 38
Peter MacCallum Cancer Centre 25
Postgraduate Medical Council of Victoria
71
Prime Super 33
Reflective Clinical Supervision Network 39
RMIT Faculty of Nursing 55
Royal Victorian Eye amp Ear Hospital 48
Sanita Australia 31
St Vincentrsquos Hospital 5051
St Vincentrsquos Mental Health 5
St Vincentrsquos Private Hospital 34
The Royal Melbourne Hospital 56
Tobin Brothers Funerals 49
University of Melbourne 89
University of Tasmania 52
Victoria University 57
Vital Health Recruitment 70
VNS Nursing Agency 58
Western District Health Service 63
Western Health 3637
Work the World 29
17
Graduate transition programs my personal experienceToo often we hear horror graduate stories Research shows horizontal violence and bullying is rampant in our profession We are told tales of the infamous ldquoeat our youngrdquo nursing culture We know graduates suffer transition shock when they start practicing and nearly 20 will leave in their first year
Unfortunately the good stories are often buried underneath the bad and so I wanted to share my graduate year experience When I started as an RN the only nursing experience I had were my clinical placements and a mere two months working as an AIN To say I was worried was a major understatement I was quietly petrified but tried to keep up a brave face
I had worked hard in university to learn as much as I could but I was still filled with doubts Would I be good enough Would I crash and burn Would I help or hinder my patientsrsquo recovery
My first day on the ward was sink or swim time I was amazed at the warm welcome I was given The other RNs were supportive and encouraging They made sure I knew if I felt myself struggling they would be there with a life-line
Every ward I rotated through gave me this same friendly reception Perhaps it was just luck or maybe our nursing culture is changing but I never encountered any of the pressure to change my values and practice in order to fit in that I had been told to expect Instead I found colleagues who understood I wouldnrsquot know everything on day one who were willing to take the time to teach me and who become great friends along the way
My clinical skills and knowledge increased out of sight during my graduate year I felt my university had given me a great foundation on which to build my career as an RN but my grad program cemented my theory into my practice I started the year having never removed a single stitch I ended the year confidently removing everything from sutures to ICCs and pacing wires while also successfully inserting NG tubes and cannulas Importantly I understood the pathophysiology and rationale behind each of these and could explain it to my patients
Irsquom not saying everyday was perfect Irsquom not saying every person was as helpful or welcoming as the next Irsquom not saying I didnrsquot have days when I struggled What I am saying is I never felt alone I knew the support was there all I had to do was ask
I know not every graduate nurse will have as positive an experience as I did Perhaps my journey was the exception not the rule However I hope the number of nurses who have an amazing graduate year like mine continues to increase until this becomes the norm
I do know that the success of your graduate year relies heavily on you and your attitude University teaches you how to think like a nurse but it is in clinical practice the real learning begins and it has a steep learning curve Approach your grad year knowing that everyone from the tea lady to the Director of Nursing will be your new teachers and success will come When the people you work with recognise your passion see your motivation to provide what is best for the patient and know you realise what a unique privilege it is to be a nurse their respect will follow
At the same time donrsquot be afraid to speak up for your patients for your colleagues and for yourself Harvey Fierstein said ldquoNever be bullied into silence Never allow yourself to be made a victim Accept no onersquos definition of your life define yourselfrdquo You have the ability to define your graduate year regardless of what hospital or ward you find yourself in
You can change the culture and reputation of the nursing profession for better or worse You can conform and join in bullying behaviour and continue negative traditions or you can decide it stops with you Set your standards high and have the moral courage to stick to them If every graduate nurse demonstrated this leadership and supported other nurses who did as well imagine the overwhelmingly positive impact that could have on nursing
Gandhi once said ldquoBe the change you want to see in the worldrdquo I would encourage you to be the change you want to see in nursing and just watch how the world changes with us
By Laurie Bickhoff MACN
18
Finishing studies and becoming a new graduate is an exciting milestone Itrsquos usually the first time you begin working full time perhaps moving away from home owning your own car and paying bills
Of course itrsquos important to budget ensuring you have enough money for daily expenses as well as being able to stash some money away The easiest way to keep track of your income versus expenses is to set up an everyday account with your salary paid into it and a savings account earning interest on the money yoursquore able to save In addition you might want to get a credit card so that yoursquove got some money for emergencies
Gain fee free banking freedom
With a BankVic Anywhere account you can enjoy unlimited free withdrawals at any ATM in Australia when you deposit $1000 per month1 Plus you can access your money with free unlimited eftpos transactions a Visa Debit card with paywave and a mobile App
Earn bonus interest on your savings
A BankVic Bonus Saver account is a high interest account that rewards you for saving by giving you bonus interest2 when you deposit a minimum of $100 a month and make no withdrawals plus there are no fees Itrsquos a great way to force yourself to save
Enjoy a credit card with no annual fee
A BankVic Visa Silver credit card offers great value with an introductory rate of 699pa3 for the first 6 months and a low ongoing rate plus no annual fee Itrsquos the perfect back up card
Why not call us today Call your dedicated Member Relationship Manager Phoebe Reid on 9268 9297 or via email preidbankviccomau
1 Minimum deposit of $1000 must be received in the account by close of business on the last business day of the month The deposit cannot be an internal transfer or interest earned form other BankVic products 2 Bonus Saver ndash Deposit $100 per calendar month with no withdrawals and yoursquoll be rewarded with bonus interest Bonus interest rate is capped at a maximum balance of $1000000 3 Credit Card interest rates are variable All interest rates are shown are current as at date of print and are subject to change Fees and charges apply Any advice is general before acting on the advice you should consider whether the advice is appropriate for you Before you make any decision to acquire any product or service you should obtain and consider the relevant Product Disclosure Statement available from our website bankviccomau any branch or by calling us on 13 63 73 Police Financial Services Limited ABN 33 087 651 661 AFSL 240923 Australian Credit Licence 240293ndash trading as BankVic 121 Cardigan Street Carlton Victoria 3053 3-15 5243BV
Advertorial
Banking freedom for nurses and midwives
members matter
Let BankVic take care of you while you take care of others
9268 9297preidbankviccomau
Canstar Pty Ltd Authorised Representative 443019 of Canstar Research Pty Limited ABN 29 114 422 909 AFSL 437917 Police Financial Services Limited ABN 33 087 651 661 AFSL 240293 (BankVic) 121 Cardigan Street Carlton Vic 3053 315 5280bv
Contact your dedicated Member Relationship Manager Phoebe Reid
bankviccomau
19
This is general advice only Consider our product disclosure statement before making a decision about First State Super Call us or visit fi rststatesupercomau for copies Becoming a Student Club member is diff erent to being a First State Super member as you do not hold a superannuation account with the Fund or have any interest right or other relationship with First State Super
FSS Trustee Corporation ABN 11 118 202 672 ASFL 293340 is the trustee of the First State Superannuation Scheme (First State Super) ABN 53 226 460 365 EXP_
Mel
b_Ex
po_A
4_03
15
Join our free Student Club and make the most of the support discounts and benefi ts available only to students
Learn to manage your super better and how you can take advantage of our exclusive member benefi ts
Find out why wersquore the super fund with a heart on Saturday 18 April
Visit us at booth 7 in Melbourne
EXP_Melb_Expo_A4_Mar15_ARTWORKindd 1 6032015 414 pm
By Claire Stewart MACN
Diary of a newly registered nurse
Irsquom almost three months into my role as a newly registered nurse and I had my first 40 Prolene moment recently For the uninitiated this can be a panic fuelled moment where a routine procedure ends up resembling the Texas chainsaw massacre Thankfully I was supported by a wonderfully calm surgeon who waited patiently while I painstakingly attempted to load his life saving suture After the surgery I wiped the blood from my glasses and took a moment to reflect on how I had handled the situation In fact Irsquove spent most of the last three months lsquoreflectingrsquo Deafening groans can be heard from many a third year nursing cohort when wersquore asked yet again to lsquocritically reflectrsquo on our practice as student nurses Let me be the first to admithellip It doesnrsquot stop at graduation
I may not use a dedicated framework or even put pen to paper but the skills I learned during my studies have set me up to ensure I gain the most from every learning opportunity by critically reflecting on my performance simply by force of habit During the last three months my learning curve has veered vertical as I transitioned from university study to my role as a
graduate registered nurse in perioperative services Irsquove had to deal with a new environment (donrsquot even get me started on finding your way around a theatre complex) new colleagues adjusting to full time work and managing family commitments learning an entire new skill set working as a scrubscout dealing with policies procedures and my favourite surgeonsrsquo preference
In these first few months itrsquos very easy to fall into the trap of focussing on how much you donrsquot know However practising critical reflection has allowed me to focus on what I do know how far Irsquove come and what I will learn because Irsquom self-aware Whether you are a new nurse like me and feel like yoursquove handed in one too many pieces of written reflection to your facilitator over the last three years or an experienced nurse who practices self-reflection sub-consciously on the drive home ndash embrace it for the wonderful tool that it is and use it to become the kind of nurse you want to work with
Be in demand Be successfulStudy nursing or midwifery at Monash If you want to make a difference in health care with great employment potential the School of Nursing and Midwifery is a great place to start
As a nurse or midwife there are a variety of roles and a number of specialty areas available to you ensuring a constant career of challenges and diversity
To find out more about our undergraduate courses visit us at ACN Expo Melbourne Stand 84 ndash 85
For more information on our courses visit medmonashedunursing
21
Research collaboration students are welcome
A collaborative research study in Queensland is tapping into the enthusiasm and intelligence of nursing students by training and employing third-years as research assistants data collectors and analysts in contract research projects
Researchers from James Cook Universityrsquos (JCU) Centre for Nursing and Midwifery Research (CNMR) the Far North Queensland Medicare Local and the Cairns and Hinterland Hospital and Health Service are trying to determine why emergency department (ED) presentations to Cairns Hospital have been increasing at a greater rate than the national average
To answer this question CNMR researchers recruited 14 nursing and medical students to survey every willing and able person who presented to the ED
Researchers asked participants for information regarding their reasons for coming to the ED They also asked where they would usually go for medical treatment and what physical and psychological factors influenced their decision to choose the ED over other treatment options
In other phases of the project hospital Emergency Department Information System (EDIS) data have been analysed and patient focus groups have been convened Unstinting faith in the local ED has been noted as one of the key reasons that people choose the ED over other health care options
Most people who come to the ED with lsquonon-urgentrsquo conditions do have general practitioners and a large percentage have sought medical advice in the days prior to presenting to the ED Worry anxiety and uncertainty rather than the severity of the medical condition itself however appears to be a significant motivator to come to the ED where people perceive there is a wide range of services professionals and diagnostic tools available
ACN Emerging Nurse Leader Anna Groth MACN a third-year nursing student from JCU has been collecting collating and analysing data
ldquoOften I would ask someone why they had come to the hospital and they would speak about being in pain but if you asked them about whether they came for the pain or because they were anxious about the pain they would say they had come to the hospital because of the anxietyrdquo explained Anna ldquoIt is such a huge difference ndash the motivation ndash coming for the pain or the anxietyrdquo
Anna said the project opened communication lines between people from different organisations including government university health service hospital and the community leading to collaboration and learning for all
By Marnie Hitchins
Benefits for the students included early career exposure to the research process in which they learnt about data collection analysis and research methods The students also had the opportunity to practise communication skills learn about the organisational cultures of universities and hospitals and work alongside health professionals and patients in a research environment
Students commented that because the power dynamics were different from that of clinical experience (they were not seen as health professionals by patients nor as lsquostudent nursesrsquo by health staff members) they gained insights into the hospital environment they might not otherwise have had
Anna said she learned a lot personally the ED research experience has catapulted her into another area of interest in which she can see herself working in the future
ldquoResearch and policy will be a part of my future Irsquove gained a deep interest in the treatment of women since doing this studyrdquo said Anna
ldquoI have become very interested in domestic violence and the way women are treated in the health service and in the society as a whole I was blown away by the struggle that people have with the system in trying to find support They are so lonely I recognised things being in the ED that I would like to research and have already started exploring the issuesrdquo
CNMR Director Associate Professor Jane Mills FACN said the recruitment and inclusion of students in research projects is part of a broader plan within the CNMR to build undergraduate research capacity
Jane said the CNMR also offered internships to undergraduate students to work on research projects alongside experienced scholars academics and researchers
ldquoJCU strongly supports the inclusion of undergraduate students in research studies where they can gain valuable knowledge skills and experience while also making a contribution to building the evidence base about health care issues of importance to people living in the tropicsrdquo said Jane
ldquoItrsquos a win-win situation where experienced researchers benefit from the studentsrsquo enthusiasm and familiarity with contemporary research principles and students increase their awareness of the importance of research to professional practicerdquo
It is clear to all parties involved that the inclusion of nursing students is benefitting the quality of the project as much as it is benefitting studentsrsquo learning and work experiences
22
Launch your nursing career at St Vincentrsquos
St Vincentrsquos Hospital Melbourne (SVHM) is part of St Vincentrsquos Health Australia and is a leading teaching research and tertiary health service which employs more than 5000 staff across 18 sites throughout Melbourne SVHM provides a diverse range of adult clinical services including acute medical and surgical services sub-acutecare medical diagnostics rehabilitation allied health mental health palliative care correctional health and community residential care SVHM is one of Australiarsquosleading Catholic not-for-prot healthcare providersMake the most of your talents Join the team at St Vincentrsquos
Visit us at the ACN Nursing and Health Expo 2015Find out about our 2016 Graduate Nurse Program andhave a chat to our current graduates educators and nursing staff
St Vincentrsquos Open Evening 2015Wednesday 3rd June 4pm-6pmSt Vincentrsquos Ground Floor Aikenhead Building 27 Victoria Parade Fitzroy
Welcome and Overview of the 2016 Graduate Nurse Program at 4pm 430pm amp 5pm
All welcome ndash no RSVP required
All 24 rotational areas on displayTours of inpatient wardsComplimentary food and beverages provided
For further information visit wwwsvhmorgau or phone the Graduate Nurse Hotline 9231 2244
To follow our 2016 recruitment process Like us at SVHM 2016 Graduate Nurse Program
Compassion Justice Integrity Excellence
24
INTERESTED IN STUDYING DEAKIN NURSING AND MIDWIFERYWe are holding information sessions for our undergraduate courses
BURWOOD CAMPUS 221 BURWOOD HIGHWAY BURWOODWednesday 22 July 6ndash8 pmSaturday 25 July 230ndash430 pm
WATERFRONT CAMPUS 1 GHERINGHAP STREET GEELONGWednesday 22 July 6ndash8 pmSaturday 25 July 230ndash430 pm
WARRNAMBOOL CITY CENTRE 165 TIMOR STREET WARRNAMBOOLFriday 24 July 730 pm
raquo To register your attendance at one of the information sessions above please email nursinfodeakineduau to advise which session you plan to attend
For more information about our undergraduate and postgraduate courses please phone 03 9244 6032
Deakin University CRICOS Provider Code 00113B HLH002
deakineduaunursing
Itrsquos never too early to become a leader
How did you become involved in nursing
I started volunteering from age 14 with St John Ambulance Australia in my hometown of Moruya NSW I loved everything about it ndash loved the joy of helping others and I was so intrigued to learn how to respond effectively in emergencies and show true compassion to others I was also fortunate to have had some very down-to-earth and inspiring mentors who encouraged my interest in nursing and after graduation from high school I undertook the University of Wollongongrsquos Bachelor of Nursing degree
I started my first paid nursing related employment in my third year of the degree at a local hospital I have now graduated and am working as a registered nurse (RN) in a local aged care facility learning the ins and outs of multiple comorbidities patient-centred care and compassionate palliative and end-of-life care
What is your nursing specialty
As I still consider myself as a lsquonewbiersquo RN I havenrsquot really discovered a specialty yet though I have interests in aged care mental health cardiology and nursing research So I guess I am intrigued to be involved in one or all of these areas at some point in my career but I am open to any interesting opportunities that may come my way
What do you love most about nursing
This is truly the job that never has a dull day Each day is different and I feel privileged to be so trusted with the lives of my patients and residents in their moments of hardship and need Along with my love of the workings of the human body the evidence-base behind nursing care and continuous educational opportunities I love the lsquoteamrsquo focus of nursing especially when the patient is at the centre of decision making and everything goes to plan
What is your least favourite part of nursing
When everything doesnrsquot go to plan
What brought you to this area of Australia
Irsquom originally from NSW South but I moved to Wollongong for University and have stuck around for the area the people and to continue to work and study here
What are some of the nursing and health issues that are specific to the Sydney SouthIllawarra Region
Two big issues come to mind Firstly many newly graduated RNs within our region have been unable to find employment Secondly local nurses struggle to find the time within their working hours to keep up to date with advances in education
What do you see as the biggest challenge currently facing the nursing profession and how do you think the profession is placed to respond to these challenges
I believe possible health funding cuts and workforce shortages that in-turn affect our ability to provide adequate and safe patient care are two significant challenges facing our profession There are recently graduated RNs who remain jobless yet there are local health districts crying out for nurses but only those with lsquoexperiencersquo with undergraduate nursing experience ignored Looking into alternative transition programs is key to overcoming this challenge
Whatrsquos the biggest misconception about your career choice
I have met some amazingly talented and intelligent nurses in a variety of roles who all make a great difference in the lives of their patients or indirectly through organisations or research The general misconception that irks me isnrsquot so much a misconception more a statement Irsquove heard multiple times ndash ldquoWhy didnrsquot you become a doctor Why are you just a nurserdquo I did not become a nurse because I didnrsquot have the marks to be a doctor and by the time I finish university again with a Research Masters I would have physically been enrolled in university for the same length of time I became a nurse because I found a passion for this role and spending time with people inspires me
Nursing is a holistic role that encompasses so much We are health professionals role models educators support systems and innovators we understand intimately the fragility of life and the human relationships that bring it meaning
Profile Renee Callender MACN
LeadershipACN
Expand your leadership capacity
25
INTERESTED IN STUDYING DEAKIN NURSING AND MIDWIFERYWe are holding information sessions for our undergraduate courses
BURWOOD CAMPUS 221 BURWOOD HIGHWAY BURWOODWednesday 22 July 6ndash8 pmSaturday 25 July 230ndash430 pm
WATERFRONT CAMPUS 1 GHERINGHAP STREET GEELONGWednesday 22 July 6ndash8 pmSaturday 25 July 230ndash430 pm
WARRNAMBOOL CITY CENTRE 165 TIMOR STREET WARRNAMBOOLFriday 24 July 730 pm
raquo To register your attendance at one of the information sessions above please email nursinfodeakineduau to advise which session you plan to attend
For more information about our undergraduate and postgraduate courses please phone 03 9244 6032
Deakin University CRICOS Provider Code 00113B HLH002
deakineduaunursing
WA EXPO PERTH
26
Welcome from the Chief Nurse amp Midwifery OfficerI am so pleased to be welcoming you to the Australian College of Nursingrsquos Western Australian Nursing and Health Expo for 2015
Attending the Expo is an invaluable experience for anyone interested in nursing and midwifery careers It especially helps high school students and their parents or anyone who is wondering which career direction to take
Hospitals and health services from across WA will be there with some of their nurses and midwives in attendance to answer any questions you may have Come and find out from them what itrsquos really like to be a nurse or midwife
There will also be a range of education providers who will be able to talk about the many courses available to get your career started
It is also a great place to come to discuss and find out about graduate job opportunities building your experience career development opportunities financial support to study changing employers or even returning to a career in nursing or midwifery after being away for a while
The decision to become a nurse or a midwife is a wonderful career choice for anyone who wants to be part of a diverse healthcare professional team and have a challenging rewarding and exciting job where you really can make a difference
The future demand for nurses and midwives is going to be high especially as WArsquos new Fiona Stanley Perth Childrenrsquos Busselton and Midland hospitals all start becoming fully operational so we encourage you to attend the Expo to see where nursing and midwifery might take you
I look forward to seeing you on Friday 1 May 2015 at the Perth Convention and Exhibition Centre
Karen Bradley MACN Chief Nurse and Midwifery Officer WA Health
27
Expo informationLocation
The Perth Convention and Exhibition Centre (PCEC) is Western Australiarsquos only dedicated convention and exhibition facility Each year over 500000 people attend one or more of the 600 plus events conducted at PCEC The Expo will be held in Pavillion 1 at PCEC
Doors open 9am ndash 1pm
Entry
Stairs amp Escalators to Level 2
Registration DeskEntry Foyer
Entry
ACN Expo Pavillion 1
28
Seminars
This year the educational seminar series is back again to provide visitors with up to date information and practical skills to pursue or further their career Seminar attendance is free of charge and registration is not required
Time Topic Presented by
915am How to become a nurse or midwife Rebecca Newton WA Nursing and Midwifery Office
950am Applying via GradConnect and other opportunities for graduate nurses and midwives
Regina Browne WA Nursing and Midwifery Office
1025am Unleashing the potential of your staff Lisa Ansbro and Donna Hampshire Chandler Macleod Health
1100am How to become a nurse or midwife Rebecca Newton WA Nursing and Midwifery Office
1135am Applying via GradConnect and other opportunities for graduate nurses and midwives
Regina Browne WA Nursing and Midwifery Office
1210pm Unleashing the potential of your staff Lisa Ansbro and Donna Hampshire Chandler Macleod Health
The lsquoUnleashing the potential of your staffrsquo seminar is proudly supported by
Chandler Macleod is Australasiarsquos leading provider of integrated HR services products and technologies We have more than 55 yearsrsquo experience in human resources and have specialised within the health sector for 10 of these We are ideally positioned to help you meet the growing demands on your business We provide permanent and temporarycontract recruitment for the full range of Health professions including Carers and Support Workers Enrolled Nurses Registered Nurses Facility and Operations Managers Directors Cleaners and Kitchen staff We are able to provide you with experienced caring staff 247 including public holidays
For more information contact Chandler Macleod on (08) 9217 0510 or visit wwwchandlermacleodcomclientshealth-recruitment
29
Floor plan
42 41
39
40
38
36
37
35
43
44
45
46
47
48
Entrance
Seminar area
Cafeacute
7
5
8
6
20
18
19
17
11
9
12
10
16
14
15
13
34 33 32 31 30 29 28
30
Exhibitor listing
Organisation Name Booth Number
AACDS 8
Armadale Health Service 38
Belmore Nurses Bureau 30
Central Institute of Technology 20
Chandler Macleod Health 16
Child amp Adolescent Health Service 42
Curtin University of Technology 19
Defence Force Recruiting 910
Edith Cowan University - School of Nursing and Midwifery
3334
Fiona Stanley Hospital 36
Fremantle Hospital 44
HESTA 5
Hollywood Private Hospital 7
Institute of Health amp Nursing Australia 32
Mediserve Nursing Agency 6
Murdoch University 1112
My Flex Health International 18
Organisation Name Booth Number
Next Step 48
North Metropolitan Mental Health 35
NurseWest 47
Nursing amp Midwifery Board of Australia 29
Osborne Park Hospital 46
Prime Super 17
PampN Bank 15
Rockingham General Hospital 39
Royal Perth Hospital 37
Sir Charles Gairdner Hospital 45
The Bethanie Group Inc 31
The University of Notre Dame 13
WA Country Health Service 40
WA Nursing amp Midwifery Office 43
West Coast Institute of Training 14
Women amp Newborn Health Service 41
Work the World 28
The WA Nursing amp Health Expo is proudly supported by
The WA Nursing and Midwifery Office is very proud to partner once again with the Australian College of Nursing for the 2015 Nursing and Health Expo The nursing and midwifery professions offer an array of interesting and diverse experiences With these highly valued and respected skills relevant anywhere in the world nurses and midwives will always be in demand ndash in hospitals and in a range of other workplaces In WA the future demand for nurses and midwives is going to be high especially as our new Fiona Stanley Perth Childrenrsquos Busselton and Midland hospitals all start becoming fully operational so considering a career in nursing or midwifery is a great idea
wwwnursinghealthwagovau
31
In Australia enrolled nurses (ENs) are a core component of the health care workforce and make an important contribution to Australiarsquos world-class health outcomes ENs work in varied settings across the country from blood services to aged care facilities Increasingly ENs are playing an important role in meeting the growing demand for care
Not all countries have recognised the importance of ENs in the nurse workforce mix Several European countries including France Denmark Italy and Spain have only one category of regulated nurse (HWA 2013 Robinson and Griffiths 2007) The United Kingdom (UK) ceased admitting new ENs to the register in the 1980s The minimum qualification for all UK nurses is now a three-year bachelorrsquos degree As a result the UK relies heavily on unregistered health care assistants rather than second-level nurses (UK Department of Health 2013) Closer to home New Zealand ceased training ENs in 1993 only to recommence in the 2000s (Meek 2009) New Zealandrsquos experiment is an instructive demonstration of the importance of ENs in the health care workforce as the demand for nursing care increases
In Australia we have remained committed to maintaining the EN role Rather than relying on unregistered health care workers Australia has chosen to maintain a large educated and professional EN workforce The skilled work of ENs is recognised to be of paramount importance to the delivery of high quality nursing care Our EN workforce is highly dynamic and continues to evolve within the changing landscape of Australian health care policy and regulation
Enrolled nurse demographics
According to the latest national figures there are 51624 ENs working in Australia The great majority of ENs have completed their pre-registration education in Australia fewer than 5 have been educated overseas (HWA 2013)
The EN workforce has a relatively high average age of 46 years and forty-five per cent of ENs have celebrated their fiftieth birthdays (AIHW 2013) According to Health Workforce Australia the ageing EN workforce could lead to a significant shortfall in the supply of ENs if action is not taken to retain the current cohort of ENs and increase the number of people studying to be the ENs of tomorrow (HWA 2012)
Men make up roughly 10 of the EN workforce While this number is rising gradually it indicates that there is progress to be made in terms of attracting and retaining males within the profession Aboriginal and Torres Strait Islander people are
also underrepresented in the EN workforce only around 800 of Australiarsquos ENs identify as Indigenous Australians (AIHW 2013)
Among the most common work settings for ENs are aged care rehabilitation and disability services In contrast ENs make up fewer than 5 of the critical care nursing workforce and represent only a small proportion of nurses working in education policy and management (AIHW 2013)
These statistics show that there are both challenges and opportunities for Australiarsquos EN workforce Efforts to recruit and retain ENs will need to be enhanced with a particular focus on encouraging men and Aboriginal and Torres Strait Islander people to become ENs At the same time roles in a wider range of clinical areas are becoming available to suitably educated and qualified ENs and there will be more such opportunities in the coming years
A growing role for ENs
The evolving role of the EN is reflected in recent changes to educational requirements for ENs As of 1 July 2014 the Certificate IV in enrolled nursing ceased to be available and the minimum qualification for EN entry to practice will be the Diploma of Nursing The transition to a Diploma recognises the high level of skill ENs contribute to todayrsquos health care teams A nationally consistent approach to EN education is also likely to enhance the mobility of the EN workforce by giving employers confidence in the knowledge and skills of ENs educated in other states
ENs are now undertaking a diverse range of roles One of the earliest areas of role expansion for ENs was medication endorsement Before the move to national registration in 2010 ENs in some states were able to obtain an endorsement in medicines administration and become Endorsed Enrolled Nurses by completing specified education units This endorsement has now been phased out because from 2008 onwards all newly qualified ENs have completed the required medicines administration education Instead the register now identifies ENs who have not completed the required courses (NMBA 2014) This example demonstrates how the EN role has evolved over the years Whereas once only a relatively small number of ENs were educated to administer medicines now all student ENs complete medicines administration units as part of their initial nursing education
The EN role is also expanding in other ways For example ENs are taking on a growing role within haemodialysis units (Tranter et al 2011) The 2008 Australia and New Zealand Dialysis Workforce Survey conducted by the Renal Society of Australia found that there were 188 ENs working in dialysis alongside 2433 registered nurses (RNs) The growing demand for dialysis
The potential of the enrolled nursing workforce
By Rosina Muir and Dr Marlene Eggert MACN
32
services and the shortage of dialysis RNs in some areas represents a clear opportunity for ENs According to a New South Wales study conducted in 2009 the scope of practice of ENs in haemodialysis units may include cannulation (including both native access and buttonhole cannulation) connecting and disconnecting haemodialysis central venous catheters (CVCs) performing CVC dressings giving iron infusions and administering erythropoietin anticoagulants and Lignocaine In addition ENs may also take on a case management or health promotion role for dialysis patients (Bennett et al 2009)
ENs are also moving into extended roles in rehabilitation services A recent study of ENs in an Australian rehabilitation facility found that in addition to assisting patients with activities of daily living ENs may take on roles in coaching and supporting patients to reach their individual goals monitoring the patientrsquos progress and liaising with other members of the multidisciplinary rehabilitation team The study found that many ENs demonstrate an understanding of the philosophy of rehabilitation nursing including goal setting and enabling self-care (Pryor and Buzio 2013)
In rural Australia ENs are taking on a diverse range of roles within the EN scope of practice in order to meet local needs ENs with specialist skills such as infection control or wound care make a significant contribution to some rural health services although their extended scope of practice is not always given appropriate recognition by their RN colleagues (Nankervis et al 2008) Rural health services are increasingly recognising that supporting ENs to take on extended roles and further develop their clinical skills can be a successful model for the delivery of high quality patient care
Recognising the evolving EN scope of practice
In light of the fact that there have been significant changes to EN education regulation and scope over the last decade the NMBA has commissioned Monash University to review the currency of the standards against contemporary enrolled nursing roles The Monash University project has involved a review of the literature as well as a series of focus groups and surveys to gather insights from both RNs and ENs on the education scope of practice and supervision of ENs (Monash University 2013) The project is expected to be completed in 2014 (NMBA 2013)
Our advocacy for ENs
ACNrsquos advocacy priorities are explicitly designed to support both registered and enrolled nurses In 2014 ACN has argued for a range of policies that would have a positive impact on the
retention and flexibility of enrolled nurses For example ACN has proposed a National Transition Framework to support the flexibility and mobility of both the EN and the RN workforces The Framework would be accessible to nurses entering the workforce as well as nurses transitioning from one area of practice to another For example it would support an EN wishing to transition from the aged care sector to a hospital-based role
ACN has also put forward a proposal for a new scholarship program to support newly registered and enrolled nurses to practice in rural services It is essential that rural health service providers are able to attract appropriately educated staff including both ENs and RNs in order to maintain an optimal skill mix The scholarship scheme will allow rural health services to employ newly registered and enrolled nurses as supernumerary team members while providing them with a structured clinical learning program
ACN will continue to provide a voice for ENs in policy discussions and advocate for the role of ENs in health care delivery Australian Institute of Health and Welfare 2013 Nursing and midwifery workforce 2012 lthttpwwwaihwgovauWorkAreaDownloadAssetaspxid=60129545314gt pp 6
Bennett P McNeill L Polaschek N 2009 lsquoThe Australian and New Zealand Dialysis Workforcersquo Renal Society of Australasia Journal vol 5 no3 pp 147-151 lthttpwwwrenalsocietyorgRSAJjournalnov09bennett2pdfgt
Health Workforce Australia 2012 Health Workforce 2025 Doctors Nurses and Midwives vol 1 lthttpwwwhwagovausitesuploadsFinalReport_Volume1_FINAL-20120424pdfgt pp 137-142
Health Workforce Australia 2013 Nurses in Focus lthttpwwwhwagovausitesuploadsNurses-in-Focus-FINALpdfgt
Meek G 2010 Second level nurses a critical examination of their evolving role in New Zealand Healthcare lthttpresearcharchivewintecacnz9621Repository_entry_HLNU902pdfgt pp 3
Monash University 2013 The National Review of the Enrolled Nurse Competency Standards lthttpwwwmedmonashedunursingcompetency-standardsgt
Nankervis K Kenny A Bish M 2008 Enhancing scope of practice for the second level nurse A change process to meet growing demand for rural health services lthttpwwwncbinlmnihgovpubmed18844530gt
Nursing and Midwifery Board of Australia 2013 Communique Meeting of the Nursing and Midwifery Board of Australia 27 February 2013 in the AHPRA Hobart Office TasmanialthttpwwwnursingmidwiferyboardgovauNewsCommuniques-from-Board-meetingsaspxgt
Nursing and Midwifery Board of Australia 2014 Enrolled nurses and medicine administration lt httpwwwnursingmidwiferyboardgovauCodes-Guidelines-StatementsFAQaspxgt
Pryor J Buzio A 2013 lsquoDo ldquotwo typesrdquo of ENs work in rehabilitation in Australiarsquo Journal of the Australasian Rehabilitation Nurses Association vol 16 no 1 pp 14-19 lthttpsearchinformitcomaudocumentSummarydn=480975443102792res=IELHEAgt
Robinson S and Griffiths P 2007 Nursing education and regulation International profiles and perspectives lthttpeprintssotonacuk3487721NurseEduProfilespdfgt pp 7-17
Tranter S Westgarth F White G 2011 lsquoThe scope of practice of the haemodialysis Enrolled Nurse in new South Walesrsquo Renal Society of Australasia Journal vol 7 no 1 pp 24-29 lthttpwwwrenalsocietyorgRSAJjournalmar11Tranterpdfgt
United Kingdom Department of Health 2013 The Cavendish Review An Independent Review into Healthcare Assistants and Support Workers in the NHS and social care settings lthttpswwwgovukgovernmentuploadssystemuploadsattachment_datafile236212Cavendish_Reviewpdfgt pp 6
33
By Laurie Bickhoff MACN
Diary of a newly registered nurse
In Australia it is estimated nearly 20 of nurses will leave the profession within their first year of practice (National Nursing and Nurse Education Taskforce [NNNET] 2005) Internationally this figure ranges from between 35 and 60 (Halfer amp Graf 2006) Many have speculated on the reasons for this with high workloads the difficulties of shift work and unrealistic expectations of what nursing entails all given due consideration (Halfer amp Graf 2006) However as I entered my second year of practice I began to wonder what role disillusionment plays in this exodus of newly trained nurses
Disillusionment to me occurs when you feel your passion dwindling when you suddenly find it that little bit harder to get ready for work when you start feeling a sense of dread as you walk onto the ward This wasnrsquot caused by long hours or ever increasing workloads coupled with diminishing resources It wasnrsquot caused by physically demanding duties or the lack of a social life due to shift work It wasnrsquot caused by dealing with things that might not look or smell that great Unfortunately it was caused by the people around me and an almost institutionalised lack of power not only for nurses but more importantly for our patients
I was dismayed and frustrated to hear how many of my colleagues from all health professions referred to patients I was disheartened to see how easily some could dismiss the suffering we see and the heartache I felt I was overwhelmingly saddened to realise not everyone had the same passion for their profession or empathy for those we are charged to care for as I did
This culminated for me towards the end of my first year of practice There wasnrsquot any one big incident more an accumulation of things that were gradually wearing me down I had a worried patient confide in me that they had been too scared to push the call button on the previous shift because of the response they would receive from the nurse I saw patients constantly being made to fit into everyone elsersquos schedules regardless of their requests It seemed everyone was more important than the person we were there to help
I heard patients referred to as lsquocactusrsquo or described in the notes as lsquounsalvageablersquo meaning there was no chance of the patients making meaningful recoveries I wondered is this really how we refer to people Or did we forget they were actual human beings we were talking about
I had other health professionals dismiss me with comments such as nurses ldquojust wipe bums all dayrdquo or roll their eyes at me when I raised my concerns When I dared to challenge or question I was met with comments of ldquoI miss the old new gradsrdquo I felt tired washed out and was beginning to wonder
whether I could stay in this profession without losing myself
Luckily I found some inspiration I listened to a presentation by Drew Dudley a well-known American academic and motivational speaker where he discusses the idea of lsquolollypop momentsrsquo These are small moments when the people we see and work with every day demonstrate leadership They arenrsquot big grand over the top statements They are small gestures which often unknown to the person who did it have an amazing impact on the lives of others I was lucky enough to have some of these lollypop moments just when I needed them These few sparks were all that I needed to reignite my passion for nursing
The first spark came from an RN2 caring for a patient at the end-stage of a number of diseases who had expressed to the nursing staff multiple times her wish to simply be made comfortable as she knew this was the end of her fight Despite this the patient was not only receiving active treatment but was also currently documented for full resuscitation if she deteriorated
The nurse raised the issue with the medical registrar asking him to have a discussion with the patient regarding her wishes and planning end-of-life care The registrar dismissed her saying ldquowell thatrsquos not what the consultant wantsrdquo The nurse wasnrsquot satisfied and responded ldquoitrsquos not their choice itrsquos the patientrsquos decisionrdquo This nurse had the courage to stand her ground and make sure her patientrsquos voice was heard which ultimately led to the patientrsquos wishes being honoured
The next spark came soon after I was working with a nurse who came from a different cultural background to me where it was seen as impolite to question anyone in authority especially if you were female This meant even if a doctor was accidently standing in her way she would prefer to simply wait rather than ask them to move
Then one day we had a patient who deteriorated rapidly and was in a very critical condition This nurse suddenly became one of the best clinical leaders I have witnessed She led the team questioning orders prompting treatments suggesting causes and outlining the options available I soon realised the difference this was about her patient She was going to ensure her patient received the best care and outcome possible When it was about her patient rather than herself she found her voice
There were a number of smaller incidents that soon followed Sparks came from the senior consultant who re-educated her advanced trainee on the importance of listening to the nurses and acting on their concerns Sparks came from our ward social
34
worker who day after day demonstrated his passion for helping and advocating for those with no voice and often no options Sparks came from the medical residents who expressed their gratitude when you picked up a mistake and were heartfelt in their appreciation of the work nurses do
The brightest sparks came from my patients and their relatives It was their ldquothanksrdquo their ldquoyou donrsquot know how much that meansrdquo their ldquoyoursquoll be back tomorrow wonrsquot yourdquo their squeezing of my hand that reminded me why I do what I do I didnrsquot have to search for inspiration I was surrounded by it The trick was to change my focus
Perhaps all nurses are disillusioned at some point during their careers Perhaps it happens multiple times Perhaps it is a rite of passage with those who make it through the other side the
ones with a true passion for nursing who turn around and help a colleague on their journey
As I continue my nursing career I now look for the brightness that I know is always there far outshining the negativity that we have to deal with I stockpile my lsquolollypop momentsrsquo knowing the amazing examples of kindness and leadership I see every day will help me grow and become a better nurse and hopefully I might be able to be a spark for someone else
You can listen to Drew Dudleyrsquos talk at wwwtedcomtalksdrew_dudley_everyday_leadership
Halfer D and Graf E lsquoGraduate Nurse Perceptions of the Work Experiencersquo Nursing Economics June 2006 Vol 24 No 3 pp 150-55
National Nursing and Nurse Education Taskforce 2005 Mythbusters Available online at httpwwwnnnetgovaudownloadsmythbusters_attritionpdf Accessed June 2014
Arts amp Sciences | Business | Education | Health Sciences | Law | Medicine | Nursing amp Midwifery | Philosophy amp Theology | Physiotherapy
Your journey to a meaningful career awaitsThe School of Nursing amp Midwifery offers the following courses
rsaquo Bachelor of Nursing
rsaquo Bachelor of Nursing (Articulation Pathway for EN Diploma)
rsaquo Graduate Certificate (Acute Mental Health Clinical Nursing Nursing and Nursing Leadership amp Management)
rsaquo Graduate Diploma (Acute Mental Health Clinical Nursing Critical Care Nursing Forensic Nursing Midwifery Nursing and Perioperative Nursing)
rsaquo Master of Nursing (Coursework and Research)
Looking to make a difference So are we
Apply direct notredameeduau
ND
1053
| C
RIC
OS
PR
OV
IDE
R C
OD
E 0
1032
F
35
36
wwwacneduau
Save the date block out 12 May 2015 in your diary
2014 ACN National Nurses Breakfast Host Avondale College of Higher EducationIn 2014 Avondale College of Higher Education celebrated
IND by hosting its own ACN National Nurses Breakfast
During the event nursing students wrote messages of
encouragement to registered nurses and students at
Pacific Adventist University in Port Moresby Papua New
Guinea and Atoifi Adventist Hospital on Malaita in the
Solomon Islands The messages were hand delivered by
a team of Avondale students on a clinical service-learning
placement
In-line with the 2014 IND theme Nurses a force for
change ndash a vital resource for health Avondale
students were also asked to colour a cardboard person
representing themselves as a nurse and write a word
describing how they are a force for change These figures
have been proudly displayed on campus to serve as
encouragement and a reminder of the power nurses have
to make a lasting impact on the wider community and be a
lsquoforce for changersquo
What do you have planned for your ACNBreakfast
On Tuesday 12 May 2015 the Australian College of Nursing
(ACN) will once again be hosting the ACN National Nurses
Breakfast in celebration of International Nurses Day (IND)
The ACN National Nurses Breakfast encourages members of
the community to celebrate the invaluable contribution nurses
make to the health of our society by hosting a breakfast at their
workplace school or community centre This nationwide event
has been hosted since 2011 and sees over 4000 nurses and
their supporters come together at approximately 100 breakfasts
hosted around Australia
Help us build on the continued success of the ACN National
Nurses Breakfast by registering as a 2015 breakfast host today
We will send you a registration pack full of goodies to help you
decorate and theme your venue as well as some valuable
information about IND and the important work nurses do
Register your breakfast at
wwwacneduaunational_nurses_breakfast
Proudly supported by
2015
2015 IND THEME
NURSES A FORCE FOR CHANGE
CARE EFFECTIVE
COST EFFECTIVE
Itrsquos my great pleasure to welcome you to the Australian College of Nursingrsquos (ACN) Nursing and Health Expos and present to you the ACN Nursing and Health Expo eGuide for 2015
ACN is the national professional organisation for all nurse leaders nurses with an interest in leadership nurses aspiring to leadership roles and nurses in leadership roles across the Australian health system
ACN is an advocate for the nursing profession advancing the skills and expertise of nurses to provide leadership in their contribution to the policy practice and delivery of health care ACN encourages and supports nurses to develop and grow to become nurse leaders
Each year ACN hosts the ACN Nursing and Health Expos to highlight the profession of nursing and provide valuable connections and opportunities for nurses at each stage of their career
Nursing remains one of the top five most trusted professions in Australia A career in nursing and health offers lifelong learning critical thinking a broad array of career opportunities in a variety of settings and the chance to contribute to the health of Australian communities
This eGuide includes Expo floor plans showcases our diverse range of exhibitors and offers a wide range of education opportunities Throughout we feature both state specific and nationally focussed nursing updates from each Statersquos Chief Nurse and we also take a look back at the 2014 Expos
It is my hope that the addition of this yearrsquos eGuide will enable you to easily navigate and make the most of your Expo experience
For more details about ACN head to wwwacneduau
Welcome from the CEO
5
Why do we hold the Expos
The ACN Nursing and Health Expos are held to enhance the profile of nursing as a profession by connecting individuals to a wide range of organisations from the nursing and health industry The Expos aim to promote recruitment to and retention of the nursing workforce
Who will be there
During the Expo you will have the opportunity to meet and interact with
bull education providers
bull hospital and health care services
bull recruitment agencies
bull specialty nursing groups
bull companies offering health product and services
Do I have to pay an entry fee
Attendance at the Expos is free of charge and the seminars are also complimentary
Why should I attend the Expos
The ACN Expos have a strong reputation for connecting visitors with a wide range of organisations from the nursing and health industry You will have the unique opportunity to network with exhibitors who will deliver the information you need to kick start or progress your nursing career In addition a series of complimentary seminars will run throughout the day providing you with practical take-home skills
Who should attend the Expos
ACN encourages everyone who is interested in the nursing and health professions to attend the Expos They will be particularly beneficial to
bull registered nurses
bull enrolledDiv 2 nurses
bull health professionals
bull nursing undergraduate students
bull high school students
ACN Nursing amp Health Expos an overview
6
A look back at the 2014 ACN Nursing amp Health Expos
ldquoIrsquom very grateful for the opportunity to attend an expo like this as Irsquom new to the industry and am not entirely sure of what is available to merdquo
ldquoVery informative and helpful Addressed all of my concerns and reassured me that the process although complex when broken down is achievablerdquo
ldquoThe exhibitors were excellent in answering questionshellip[and] were alleviating the anxiety felt by many students attendingrdquo
ldquoIt was amazing I feel less stressed about graduate opportunities nowrdquo
ldquoAbsolutely fantastic I really have enjoyed ithellipthank you all very much for opening my mind to all these different areas in nursingrdquo
ldquoHelpful friendly informative inspiringrdquo
Visitors eagerly line up at the Expo entrance
Visitors chat to a wide range of
exhibitors
Visitors gain practical advice in a seminar session
Opportunity to connect with education
providers nursing groups and health care
providers
7
8CALL 13 19 01 OR VISIT DEFENCEJOBSGOVAU ARMY
THE ARMY ISNOW RECRUITINGNURSINGOFFICERS
A career as an Army Nursing Offi cer offers variety andchallenges in employment and travel not always availablein the normal hospital environment You will gain experienceand skills that will equip you for advancement in the Armyand will also be in high demand in your profession
Yoursquoll also enjoy great benefi ts like free medical and dentalworld class training subsidised accommodation excellentsalary packages worklife balance and unique experiences
To fi nd out more about becoming a Nursing Offi cersearch lsquoArmy Nursersquo
ARMY0176 Nurse Respec_210x297mm_V3indd 1 30012015 324 pm
Nursing Officer a vital role in the Australian Defence Force
In any environment healthcare is a challenge but during military operations that challenge can take on a new perspective As a Nursing Officer in the Australian Defence Force (ADF) Lieutenant Tess Demunk plays a vital role in the ongoing health and welfare of people in the Australian Army
Throughout her career Tess has enjoyed the sort of variety challenges and travel that a civilian nurse would never have the opportunity to experience
ldquoI joined the Army because I wanted to do something different with my nursing Irsquom interested in trauma nursing and obviously the Australian Army is a great place to go to for thatrdquo
ldquoItrsquos also a great opportunity to lsquogive something backrsquo you can care for the soldiers out there protecting us and our countryrdquo Tess said
Nursing Officers in the Australian Defence Force are employed across a range of clinical clinical management and broader health management duties They can expect to work in units and field hospitals that provide a comprehensive hospital service or in small Treatment Teams providing primary healthcare and immediate pre-hospital resuscitation
A Defence healthcare career offers variety and challenges in employment as well as opportunities that are not always available in a civilian hospital environment
The ADF offers amazing opportunities to travel around Australia and overseas on peacekeeping and emergency aid missions that make a genuine difference to peoples lives
Humanitarian work is a gateway to experience new cultures and interact with patients and locals like never before Its these kinds of career defining experiences that make your years of study all worthwhile
ldquoDeployments are a big opportunity Nursing overseas and being able to look after a lot of trauma injuries are two of the main reasons I joined the Armyrdquo Tess said
ldquoThere is a lot of primary healthcare stuff that we do as well but the reason that most people join is to do nursing in the field and on deploymentrdquo
ADF members also enjoy a great work-life balance with a selection of sporting clubs to play for fitness training thats included as part of the working day strong job security and role diversity Include the great benefits and competitive salary package with the chance to continually improve your medical knowledge and qualifications and the choice to pursue a military healthcare career just adds up
ldquoIn Defence you get free healthcare free dental and all the things that go along with that The mates you make along the way the courses that you get to do and the opportunities for deployment and the field exercises are other benefits as wellrdquo
ldquoI completed the Defence University Sponsorship (DUS) through Monash University It is a fantastic scheme that allowed me to study at university as a full-time student and be paid by the Army while doing thatrdquo
Full-time and part-time roles are available across the Navy Army and Air Force including graduate and undergraduate positions
Youll receive further training and post graduate study opportunities while youre in the ADF so you can go as far as you want to in your career
Put your medical and health-related skills and knowledge to use in a unique environment that is unlike anything else With the opportunity to broaden your skills and make a difference both at home and overseas a career in Defence healthcare is a worthwhile challenge that will just keep on giving
The Defence Force is currently recruiting for Nursing Officers and various health-related roles For further information on military training and careers in the Navy Army or Air Force visit
defencejobsgovau or call 13 19 01
By Tess Demunk Australian Army Nursing Officer
9
The beginning of a career ACNrsquos Nursing amp Health Expos
In pursuit of the belief that every nurse should have the opportunity to grow their career and further the nursing profession ACN is once again presenting the Nursing and Health Expos for 2015 The expos have provided an avenue for those interested in nursing in Australia to seek expert advice on education and employment opportunities One young nursersquos visit to an expo opened up a career
Ever since I could remember I wanted to help people When I was young I would look up diseases and conditions I had my own first aid kit and I would play lsquonursersquo with my mum and dad
In 2007 when I was in year 12 I attended my first NSW Nursing and Health Expo and Irsquove continued to visit the expos since Initially I wanted to become a paramedic but everyone I spoke to said that I should become a nurse first They gave me great advice to become an endorsed enrolled nurse (EEN) before becoming a registered nurse (RN) ndash to take it one step at a time
I studied at TAFE for 18 months to become an EEN I completed my Bachelor Degree at Southern Cross University while working as an EEN at a private hospital in Coffs Harbour This meant I was able to put my theory into practice
Now I work as an RN with Ramsay Health Care Every day I come home knowing I have a little place in someonersquos heart because I helped them Patients are very vulnerable people and sometimes all they need is for you to listen Listening is one of the most important lessons I have learnt as a nurse
Irsquod recommend the ACN Nursing and Health Expos to anyone especially year 12 students who are interested in a career as a nurse I always look forward to the expo and I make a day of it Itrsquos great to be around like-minded people listening to their stories and they are always interested in listening to mine Last year I was able to practice keyhole surgery at the expo and I was actually good at it ndash so maybe surgical nursing is an option down the track
I joined ACN last year and have now had this opportunity to share my nursing story and hopefully inspire others
by Brianna Gudgeon MACN
Brianna as a volunteer nurse in Samoa
Brianna (left) in 2008 training as an EEN at Concord Hospital with colleague
10
INSTITUTE OFHEALTH AND NURSING AUSTRALIA
RTO ID 21985 CRICOS Code 03386G
wwwihnaeduauenquiryihnaeduau1800 22 5283
Our Courses
bull Registered Nurse Re-entry to Practice Program
bull Registered Nurse Refresher Program
bull HLT51612 Diploma of Nursing (Enrolled-Division 2 Nursing)
bull HLT61107 Advanced Diploma of Nursing
The Institute of Health and Nursing Australia (IHNA) is one of Australias leading providers of comprehensive
health and nursing education at several levels IHNA is fast-growing dynamic and quality-driven institution committed to continuous improvement working hard to develop implement and deliver courses and professional development programs The courses offered by IHNA are prepared by experienced healthcare professionals and help students to pursue a successful career in Australian healthcare
Melbourne | Perth | Sydney
VET FEE HELP GOVT FUNDING AVAILABLE
Institute of Health and NursingAustralia
IHNA
Call 1800 675 839 for a Short-Form Product Disclosure Statement Prime Super (ABN 60 562 335 823) is issued by Prime Super Pty Ltd (ABN 81 067 241 016 AFSL 219723 RSE L0000277 RN 1000276)
VIC Expo Booth 33 | WA Expo Booth 17 | wwwprimesupercomau
Visit us at the Expo to find out morehellip
and enter our competition for your chance to WIN a $550
endota day spa voucher
Prime Super provides personal support to make super simpler
Now incorporating
11
VIC EXPO MELBOURNE
12
Welcome from the Chief Nurse amp Midwifery OfficerWelcome to the Australian College of Nursingrsquos 17th annual Nursing and Health Expo in Melbourne The Department of Health and Human Services in Victoria is a keen sponsor of this important event on the nursing calendar The Expo plays an important role in enhancing the profile of nursing as a profession which in turn promotes recruitment and retention of the nurses and midwives
As part of the health care team nurses and midwives are essential to the communityrsquos health and wellbeing Nurses and midwives play a critical role in delivering safe compassionate and quality care The Department of Health and Human Services encourages Victorian nurses and midwives to provide the best possible care for the community by providing clear strategic direction for the profession as well as supporting health services to implement initiatives across workforce development and reform
Being a nurse or midwife is a rewarding career but it is important to know if it is the right career choice for you In addition to having the relevant knowledge and skills nurses and midwives need to be compassionate caring and flexible Nursing and midwifery offers many and varied opportunities across multiple settings not only for graduates but for people of any age looking to enter the workforce
While traditionally nurses and midwives have always worked in hospitals they now work across multiple settings including general practice community-based services and aged-care services
The job market is competitive and opportunities will continue to be present for the existing returning and newly graduated nurses and midwives Because of the changing needs of the community there is often a contrast between where nurses and midwives prefer to work and where there are opportunities Growth opportunities are in areas such as rural aged care and chronic disease management and I encourage everyone to think beyond the traditional locations and to explore new and rewarding areas of employment
Senior members of the workforce are reminded of the important role we all play as professionals in encouraging and mentoring new starters and transitioning into other roles
Education and training is a lifelong journey essential to the continual development of the nursing and midwifery workforce which ensures highly skilled capable and critical decision makers
Associate Professor Alison McMillan MACN Chief Nurse and Midwifery Officer Department of Health amp Human Services VIC
13
Expo informationLocation
Visitors are often struck by the architectural brilliance of the Melbourne Convention and Exhibition Centre (MCEC) which has won some of Australiarsquos most prestigious architecture and design awards The Expo will be held in bays 17 and 18 of the MCEC
Doors open 9am ndash 1pm
Concourse
Link to convention
centre
Loading Dock
Normanby Road
Clar
endo
n St
reet
Entry Foyer
Clarendon Street
Entrance
ACN Expo Bays
17 amp 18
14
Seminars
This year the educational seminar series is back again to provide visitors with up to date information and practical skills to pursue or further their career Seminar attendance is free of charge and registration is not required
Time Topic Presented by
915am HESTA Your Partner for Career David Logan HESTA
950am Graduate NurseMidwifery Program Computer Match 2015 Paul Williamson Postgraduate Medical Council of Victoria
1025am Understanding delegation and supervision responsibilities and accountabilities
Associate Professor Alison McMillan MACN
Department of Health amp Human Services Victoria
1100am HESTA Your Partner for Career David Logan HESTA
1135am Graduate NurseMidwifery Program Computer Match 2015 Paul Williamson Postgraduate Medical Council of Victoria
1210pm Understanding delegation and supervision responsibilities and accountabilities
Associate Professor Alison McMillan MACN
Department of Health amp Human Services Victoria
The VIC Nursing amp Health Expo is proudly supported by
On 1 January 2015 the Victorian Government established the Department of Health amp Human Services bringing together the former Department of Health Department of Human Services and Sport and Recreation Victoria The department has been established to develop and deliver policies programs and services that support and enhance the wellbeing of all Victorians We take a broad view of the causes of ill health the drivers of good health the social and economic context in which people live and of the incidence and experience of vulnerability This will allow us to place people at the heart of policy-making service design and delivery
wwwdhhsvicgovau
15
Floor plan
BENC
H
SINK
ENTRANCEDOOR 9
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
20 21
22232425
26 27 28 29
30313233
34 35 36 37
38394041
42 43 44 45
46474849
50 51 52 53
54555657
58 59 60 61
62636465
66 67 68 69
7071727374
75
76
84
85
86
87
88
89
90
1918
16
Exhibitor listing
Organisation Name Booth Number
Alfred Health 6667
ANMF Victorian Branch 747576
Austin Health 4243
Australian Catholic University 89
Ballarat Health Services 62
BankVic 73
Baptcare 60
Belmore Nurses Bureau 47
Bendigo Health 44
Care Training Australia 17
Chisholm Institute of TAFE 19
Colbrow Healthcare 26
Critical Second 90
Crystal Clear Ear Clinic 6
Deakin University Nursing amp Midwifery 3435
Defence Force Recruiting 12
Eastern Health 3031
Epworth HealthCare 6465
Federation University Australia 41
First Call Health 40
First State Super 7
Forensicare 68
Health Skills Australia 72
HESTA 20
Holmesglen 4546
Institute of Health amp Nursing Australia 27
Kangan Institute 24
La Trobe University 121314
Martin Luther Homes 22
McFarlane Medical amp Scientific 23
mdBriefCase Australia 18
Mediserve Nursing Agency 28
Organisation Name Booth Number
Melbourne City Institute of Education 86
Mental Health Nursing Victoria 1011
Mercy Health 8788
Monash Health
Monash University 8485
NeilMed Pharmaceuticals 32
Northern Health 5354
NorthWestern Mental Health 59
Nurses Board of Victoria Legacy Limited
69
Nursing amp Midwifery Board of Australia 21
Peninsula Health 38
Peter MacCallum Cancer Centre 25
Postgraduate Medical Council of Victoria
71
Prime Super 33
Reflective Clinical Supervision Network 39
RMIT Faculty of Nursing 55
Royal Victorian Eye amp Ear Hospital 48
Sanita Australia 31
St Vincentrsquos Hospital 5051
St Vincentrsquos Mental Health 5
St Vincentrsquos Private Hospital 34
The Royal Melbourne Hospital 56
Tobin Brothers Funerals 49
University of Melbourne 89
University of Tasmania 52
Victoria University 57
Vital Health Recruitment 70
VNS Nursing Agency 58
Western District Health Service 63
Western Health 3637
Work the World 29
17
Graduate transition programs my personal experienceToo often we hear horror graduate stories Research shows horizontal violence and bullying is rampant in our profession We are told tales of the infamous ldquoeat our youngrdquo nursing culture We know graduates suffer transition shock when they start practicing and nearly 20 will leave in their first year
Unfortunately the good stories are often buried underneath the bad and so I wanted to share my graduate year experience When I started as an RN the only nursing experience I had were my clinical placements and a mere two months working as an AIN To say I was worried was a major understatement I was quietly petrified but tried to keep up a brave face
I had worked hard in university to learn as much as I could but I was still filled with doubts Would I be good enough Would I crash and burn Would I help or hinder my patientsrsquo recovery
My first day on the ward was sink or swim time I was amazed at the warm welcome I was given The other RNs were supportive and encouraging They made sure I knew if I felt myself struggling they would be there with a life-line
Every ward I rotated through gave me this same friendly reception Perhaps it was just luck or maybe our nursing culture is changing but I never encountered any of the pressure to change my values and practice in order to fit in that I had been told to expect Instead I found colleagues who understood I wouldnrsquot know everything on day one who were willing to take the time to teach me and who become great friends along the way
My clinical skills and knowledge increased out of sight during my graduate year I felt my university had given me a great foundation on which to build my career as an RN but my grad program cemented my theory into my practice I started the year having never removed a single stitch I ended the year confidently removing everything from sutures to ICCs and pacing wires while also successfully inserting NG tubes and cannulas Importantly I understood the pathophysiology and rationale behind each of these and could explain it to my patients
Irsquom not saying everyday was perfect Irsquom not saying every person was as helpful or welcoming as the next Irsquom not saying I didnrsquot have days when I struggled What I am saying is I never felt alone I knew the support was there all I had to do was ask
I know not every graduate nurse will have as positive an experience as I did Perhaps my journey was the exception not the rule However I hope the number of nurses who have an amazing graduate year like mine continues to increase until this becomes the norm
I do know that the success of your graduate year relies heavily on you and your attitude University teaches you how to think like a nurse but it is in clinical practice the real learning begins and it has a steep learning curve Approach your grad year knowing that everyone from the tea lady to the Director of Nursing will be your new teachers and success will come When the people you work with recognise your passion see your motivation to provide what is best for the patient and know you realise what a unique privilege it is to be a nurse their respect will follow
At the same time donrsquot be afraid to speak up for your patients for your colleagues and for yourself Harvey Fierstein said ldquoNever be bullied into silence Never allow yourself to be made a victim Accept no onersquos definition of your life define yourselfrdquo You have the ability to define your graduate year regardless of what hospital or ward you find yourself in
You can change the culture and reputation of the nursing profession for better or worse You can conform and join in bullying behaviour and continue negative traditions or you can decide it stops with you Set your standards high and have the moral courage to stick to them If every graduate nurse demonstrated this leadership and supported other nurses who did as well imagine the overwhelmingly positive impact that could have on nursing
Gandhi once said ldquoBe the change you want to see in the worldrdquo I would encourage you to be the change you want to see in nursing and just watch how the world changes with us
By Laurie Bickhoff MACN
18
Finishing studies and becoming a new graduate is an exciting milestone Itrsquos usually the first time you begin working full time perhaps moving away from home owning your own car and paying bills
Of course itrsquos important to budget ensuring you have enough money for daily expenses as well as being able to stash some money away The easiest way to keep track of your income versus expenses is to set up an everyday account with your salary paid into it and a savings account earning interest on the money yoursquore able to save In addition you might want to get a credit card so that yoursquove got some money for emergencies
Gain fee free banking freedom
With a BankVic Anywhere account you can enjoy unlimited free withdrawals at any ATM in Australia when you deposit $1000 per month1 Plus you can access your money with free unlimited eftpos transactions a Visa Debit card with paywave and a mobile App
Earn bonus interest on your savings
A BankVic Bonus Saver account is a high interest account that rewards you for saving by giving you bonus interest2 when you deposit a minimum of $100 a month and make no withdrawals plus there are no fees Itrsquos a great way to force yourself to save
Enjoy a credit card with no annual fee
A BankVic Visa Silver credit card offers great value with an introductory rate of 699pa3 for the first 6 months and a low ongoing rate plus no annual fee Itrsquos the perfect back up card
Why not call us today Call your dedicated Member Relationship Manager Phoebe Reid on 9268 9297 or via email preidbankviccomau
1 Minimum deposit of $1000 must be received in the account by close of business on the last business day of the month The deposit cannot be an internal transfer or interest earned form other BankVic products 2 Bonus Saver ndash Deposit $100 per calendar month with no withdrawals and yoursquoll be rewarded with bonus interest Bonus interest rate is capped at a maximum balance of $1000000 3 Credit Card interest rates are variable All interest rates are shown are current as at date of print and are subject to change Fees and charges apply Any advice is general before acting on the advice you should consider whether the advice is appropriate for you Before you make any decision to acquire any product or service you should obtain and consider the relevant Product Disclosure Statement available from our website bankviccomau any branch or by calling us on 13 63 73 Police Financial Services Limited ABN 33 087 651 661 AFSL 240923 Australian Credit Licence 240293ndash trading as BankVic 121 Cardigan Street Carlton Victoria 3053 3-15 5243BV
Advertorial
Banking freedom for nurses and midwives
members matter
Let BankVic take care of you while you take care of others
9268 9297preidbankviccomau
Canstar Pty Ltd Authorised Representative 443019 of Canstar Research Pty Limited ABN 29 114 422 909 AFSL 437917 Police Financial Services Limited ABN 33 087 651 661 AFSL 240293 (BankVic) 121 Cardigan Street Carlton Vic 3053 315 5280bv
Contact your dedicated Member Relationship Manager Phoebe Reid
bankviccomau
19
This is general advice only Consider our product disclosure statement before making a decision about First State Super Call us or visit fi rststatesupercomau for copies Becoming a Student Club member is diff erent to being a First State Super member as you do not hold a superannuation account with the Fund or have any interest right or other relationship with First State Super
FSS Trustee Corporation ABN 11 118 202 672 ASFL 293340 is the trustee of the First State Superannuation Scheme (First State Super) ABN 53 226 460 365 EXP_
Mel
b_Ex
po_A
4_03
15
Join our free Student Club and make the most of the support discounts and benefi ts available only to students
Learn to manage your super better and how you can take advantage of our exclusive member benefi ts
Find out why wersquore the super fund with a heart on Saturday 18 April
Visit us at booth 7 in Melbourne
EXP_Melb_Expo_A4_Mar15_ARTWORKindd 1 6032015 414 pm
By Claire Stewart MACN
Diary of a newly registered nurse
Irsquom almost three months into my role as a newly registered nurse and I had my first 40 Prolene moment recently For the uninitiated this can be a panic fuelled moment where a routine procedure ends up resembling the Texas chainsaw massacre Thankfully I was supported by a wonderfully calm surgeon who waited patiently while I painstakingly attempted to load his life saving suture After the surgery I wiped the blood from my glasses and took a moment to reflect on how I had handled the situation In fact Irsquove spent most of the last three months lsquoreflectingrsquo Deafening groans can be heard from many a third year nursing cohort when wersquore asked yet again to lsquocritically reflectrsquo on our practice as student nurses Let me be the first to admithellip It doesnrsquot stop at graduation
I may not use a dedicated framework or even put pen to paper but the skills I learned during my studies have set me up to ensure I gain the most from every learning opportunity by critically reflecting on my performance simply by force of habit During the last three months my learning curve has veered vertical as I transitioned from university study to my role as a
graduate registered nurse in perioperative services Irsquove had to deal with a new environment (donrsquot even get me started on finding your way around a theatre complex) new colleagues adjusting to full time work and managing family commitments learning an entire new skill set working as a scrubscout dealing with policies procedures and my favourite surgeonsrsquo preference
In these first few months itrsquos very easy to fall into the trap of focussing on how much you donrsquot know However practising critical reflection has allowed me to focus on what I do know how far Irsquove come and what I will learn because Irsquom self-aware Whether you are a new nurse like me and feel like yoursquove handed in one too many pieces of written reflection to your facilitator over the last three years or an experienced nurse who practices self-reflection sub-consciously on the drive home ndash embrace it for the wonderful tool that it is and use it to become the kind of nurse you want to work with
Be in demand Be successfulStudy nursing or midwifery at Monash If you want to make a difference in health care with great employment potential the School of Nursing and Midwifery is a great place to start
As a nurse or midwife there are a variety of roles and a number of specialty areas available to you ensuring a constant career of challenges and diversity
To find out more about our undergraduate courses visit us at ACN Expo Melbourne Stand 84 ndash 85
For more information on our courses visit medmonashedunursing
21
Research collaboration students are welcome
A collaborative research study in Queensland is tapping into the enthusiasm and intelligence of nursing students by training and employing third-years as research assistants data collectors and analysts in contract research projects
Researchers from James Cook Universityrsquos (JCU) Centre for Nursing and Midwifery Research (CNMR) the Far North Queensland Medicare Local and the Cairns and Hinterland Hospital and Health Service are trying to determine why emergency department (ED) presentations to Cairns Hospital have been increasing at a greater rate than the national average
To answer this question CNMR researchers recruited 14 nursing and medical students to survey every willing and able person who presented to the ED
Researchers asked participants for information regarding their reasons for coming to the ED They also asked where they would usually go for medical treatment and what physical and psychological factors influenced their decision to choose the ED over other treatment options
In other phases of the project hospital Emergency Department Information System (EDIS) data have been analysed and patient focus groups have been convened Unstinting faith in the local ED has been noted as one of the key reasons that people choose the ED over other health care options
Most people who come to the ED with lsquonon-urgentrsquo conditions do have general practitioners and a large percentage have sought medical advice in the days prior to presenting to the ED Worry anxiety and uncertainty rather than the severity of the medical condition itself however appears to be a significant motivator to come to the ED where people perceive there is a wide range of services professionals and diagnostic tools available
ACN Emerging Nurse Leader Anna Groth MACN a third-year nursing student from JCU has been collecting collating and analysing data
ldquoOften I would ask someone why they had come to the hospital and they would speak about being in pain but if you asked them about whether they came for the pain or because they were anxious about the pain they would say they had come to the hospital because of the anxietyrdquo explained Anna ldquoIt is such a huge difference ndash the motivation ndash coming for the pain or the anxietyrdquo
Anna said the project opened communication lines between people from different organisations including government university health service hospital and the community leading to collaboration and learning for all
By Marnie Hitchins
Benefits for the students included early career exposure to the research process in which they learnt about data collection analysis and research methods The students also had the opportunity to practise communication skills learn about the organisational cultures of universities and hospitals and work alongside health professionals and patients in a research environment
Students commented that because the power dynamics were different from that of clinical experience (they were not seen as health professionals by patients nor as lsquostudent nursesrsquo by health staff members) they gained insights into the hospital environment they might not otherwise have had
Anna said she learned a lot personally the ED research experience has catapulted her into another area of interest in which she can see herself working in the future
ldquoResearch and policy will be a part of my future Irsquove gained a deep interest in the treatment of women since doing this studyrdquo said Anna
ldquoI have become very interested in domestic violence and the way women are treated in the health service and in the society as a whole I was blown away by the struggle that people have with the system in trying to find support They are so lonely I recognised things being in the ED that I would like to research and have already started exploring the issuesrdquo
CNMR Director Associate Professor Jane Mills FACN said the recruitment and inclusion of students in research projects is part of a broader plan within the CNMR to build undergraduate research capacity
Jane said the CNMR also offered internships to undergraduate students to work on research projects alongside experienced scholars academics and researchers
ldquoJCU strongly supports the inclusion of undergraduate students in research studies where they can gain valuable knowledge skills and experience while also making a contribution to building the evidence base about health care issues of importance to people living in the tropicsrdquo said Jane
ldquoItrsquos a win-win situation where experienced researchers benefit from the studentsrsquo enthusiasm and familiarity with contemporary research principles and students increase their awareness of the importance of research to professional practicerdquo
It is clear to all parties involved that the inclusion of nursing students is benefitting the quality of the project as much as it is benefitting studentsrsquo learning and work experiences
22
Launch your nursing career at St Vincentrsquos
St Vincentrsquos Hospital Melbourne (SVHM) is part of St Vincentrsquos Health Australia and is a leading teaching research and tertiary health service which employs more than 5000 staff across 18 sites throughout Melbourne SVHM provides a diverse range of adult clinical services including acute medical and surgical services sub-acutecare medical diagnostics rehabilitation allied health mental health palliative care correctional health and community residential care SVHM is one of Australiarsquosleading Catholic not-for-prot healthcare providersMake the most of your talents Join the team at St Vincentrsquos
Visit us at the ACN Nursing and Health Expo 2015Find out about our 2016 Graduate Nurse Program andhave a chat to our current graduates educators and nursing staff
St Vincentrsquos Open Evening 2015Wednesday 3rd June 4pm-6pmSt Vincentrsquos Ground Floor Aikenhead Building 27 Victoria Parade Fitzroy
Welcome and Overview of the 2016 Graduate Nurse Program at 4pm 430pm amp 5pm
All welcome ndash no RSVP required
All 24 rotational areas on displayTours of inpatient wardsComplimentary food and beverages provided
For further information visit wwwsvhmorgau or phone the Graduate Nurse Hotline 9231 2244
To follow our 2016 recruitment process Like us at SVHM 2016 Graduate Nurse Program
Compassion Justice Integrity Excellence
24
INTERESTED IN STUDYING DEAKIN NURSING AND MIDWIFERYWe are holding information sessions for our undergraduate courses
BURWOOD CAMPUS 221 BURWOOD HIGHWAY BURWOODWednesday 22 July 6ndash8 pmSaturday 25 July 230ndash430 pm
WATERFRONT CAMPUS 1 GHERINGHAP STREET GEELONGWednesday 22 July 6ndash8 pmSaturday 25 July 230ndash430 pm
WARRNAMBOOL CITY CENTRE 165 TIMOR STREET WARRNAMBOOLFriday 24 July 730 pm
raquo To register your attendance at one of the information sessions above please email nursinfodeakineduau to advise which session you plan to attend
For more information about our undergraduate and postgraduate courses please phone 03 9244 6032
Deakin University CRICOS Provider Code 00113B HLH002
deakineduaunursing
Itrsquos never too early to become a leader
How did you become involved in nursing
I started volunteering from age 14 with St John Ambulance Australia in my hometown of Moruya NSW I loved everything about it ndash loved the joy of helping others and I was so intrigued to learn how to respond effectively in emergencies and show true compassion to others I was also fortunate to have had some very down-to-earth and inspiring mentors who encouraged my interest in nursing and after graduation from high school I undertook the University of Wollongongrsquos Bachelor of Nursing degree
I started my first paid nursing related employment in my third year of the degree at a local hospital I have now graduated and am working as a registered nurse (RN) in a local aged care facility learning the ins and outs of multiple comorbidities patient-centred care and compassionate palliative and end-of-life care
What is your nursing specialty
As I still consider myself as a lsquonewbiersquo RN I havenrsquot really discovered a specialty yet though I have interests in aged care mental health cardiology and nursing research So I guess I am intrigued to be involved in one or all of these areas at some point in my career but I am open to any interesting opportunities that may come my way
What do you love most about nursing
This is truly the job that never has a dull day Each day is different and I feel privileged to be so trusted with the lives of my patients and residents in their moments of hardship and need Along with my love of the workings of the human body the evidence-base behind nursing care and continuous educational opportunities I love the lsquoteamrsquo focus of nursing especially when the patient is at the centre of decision making and everything goes to plan
What is your least favourite part of nursing
When everything doesnrsquot go to plan
What brought you to this area of Australia
Irsquom originally from NSW South but I moved to Wollongong for University and have stuck around for the area the people and to continue to work and study here
What are some of the nursing and health issues that are specific to the Sydney SouthIllawarra Region
Two big issues come to mind Firstly many newly graduated RNs within our region have been unable to find employment Secondly local nurses struggle to find the time within their working hours to keep up to date with advances in education
What do you see as the biggest challenge currently facing the nursing profession and how do you think the profession is placed to respond to these challenges
I believe possible health funding cuts and workforce shortages that in-turn affect our ability to provide adequate and safe patient care are two significant challenges facing our profession There are recently graduated RNs who remain jobless yet there are local health districts crying out for nurses but only those with lsquoexperiencersquo with undergraduate nursing experience ignored Looking into alternative transition programs is key to overcoming this challenge
Whatrsquos the biggest misconception about your career choice
I have met some amazingly talented and intelligent nurses in a variety of roles who all make a great difference in the lives of their patients or indirectly through organisations or research The general misconception that irks me isnrsquot so much a misconception more a statement Irsquove heard multiple times ndash ldquoWhy didnrsquot you become a doctor Why are you just a nurserdquo I did not become a nurse because I didnrsquot have the marks to be a doctor and by the time I finish university again with a Research Masters I would have physically been enrolled in university for the same length of time I became a nurse because I found a passion for this role and spending time with people inspires me
Nursing is a holistic role that encompasses so much We are health professionals role models educators support systems and innovators we understand intimately the fragility of life and the human relationships that bring it meaning
Profile Renee Callender MACN
LeadershipACN
Expand your leadership capacity
25
INTERESTED IN STUDYING DEAKIN NURSING AND MIDWIFERYWe are holding information sessions for our undergraduate courses
BURWOOD CAMPUS 221 BURWOOD HIGHWAY BURWOODWednesday 22 July 6ndash8 pmSaturday 25 July 230ndash430 pm
WATERFRONT CAMPUS 1 GHERINGHAP STREET GEELONGWednesday 22 July 6ndash8 pmSaturday 25 July 230ndash430 pm
WARRNAMBOOL CITY CENTRE 165 TIMOR STREET WARRNAMBOOLFriday 24 July 730 pm
raquo To register your attendance at one of the information sessions above please email nursinfodeakineduau to advise which session you plan to attend
For more information about our undergraduate and postgraduate courses please phone 03 9244 6032
Deakin University CRICOS Provider Code 00113B HLH002
deakineduaunursing
WA EXPO PERTH
26
Welcome from the Chief Nurse amp Midwifery OfficerI am so pleased to be welcoming you to the Australian College of Nursingrsquos Western Australian Nursing and Health Expo for 2015
Attending the Expo is an invaluable experience for anyone interested in nursing and midwifery careers It especially helps high school students and their parents or anyone who is wondering which career direction to take
Hospitals and health services from across WA will be there with some of their nurses and midwives in attendance to answer any questions you may have Come and find out from them what itrsquos really like to be a nurse or midwife
There will also be a range of education providers who will be able to talk about the many courses available to get your career started
It is also a great place to come to discuss and find out about graduate job opportunities building your experience career development opportunities financial support to study changing employers or even returning to a career in nursing or midwifery after being away for a while
The decision to become a nurse or a midwife is a wonderful career choice for anyone who wants to be part of a diverse healthcare professional team and have a challenging rewarding and exciting job where you really can make a difference
The future demand for nurses and midwives is going to be high especially as WArsquos new Fiona Stanley Perth Childrenrsquos Busselton and Midland hospitals all start becoming fully operational so we encourage you to attend the Expo to see where nursing and midwifery might take you
I look forward to seeing you on Friday 1 May 2015 at the Perth Convention and Exhibition Centre
Karen Bradley MACN Chief Nurse and Midwifery Officer WA Health
27
Expo informationLocation
The Perth Convention and Exhibition Centre (PCEC) is Western Australiarsquos only dedicated convention and exhibition facility Each year over 500000 people attend one or more of the 600 plus events conducted at PCEC The Expo will be held in Pavillion 1 at PCEC
Doors open 9am ndash 1pm
Entry
Stairs amp Escalators to Level 2
Registration DeskEntry Foyer
Entry
ACN Expo Pavillion 1
28
Seminars
This year the educational seminar series is back again to provide visitors with up to date information and practical skills to pursue or further their career Seminar attendance is free of charge and registration is not required
Time Topic Presented by
915am How to become a nurse or midwife Rebecca Newton WA Nursing and Midwifery Office
950am Applying via GradConnect and other opportunities for graduate nurses and midwives
Regina Browne WA Nursing and Midwifery Office
1025am Unleashing the potential of your staff Lisa Ansbro and Donna Hampshire Chandler Macleod Health
1100am How to become a nurse or midwife Rebecca Newton WA Nursing and Midwifery Office
1135am Applying via GradConnect and other opportunities for graduate nurses and midwives
Regina Browne WA Nursing and Midwifery Office
1210pm Unleashing the potential of your staff Lisa Ansbro and Donna Hampshire Chandler Macleod Health
The lsquoUnleashing the potential of your staffrsquo seminar is proudly supported by
Chandler Macleod is Australasiarsquos leading provider of integrated HR services products and technologies We have more than 55 yearsrsquo experience in human resources and have specialised within the health sector for 10 of these We are ideally positioned to help you meet the growing demands on your business We provide permanent and temporarycontract recruitment for the full range of Health professions including Carers and Support Workers Enrolled Nurses Registered Nurses Facility and Operations Managers Directors Cleaners and Kitchen staff We are able to provide you with experienced caring staff 247 including public holidays
For more information contact Chandler Macleod on (08) 9217 0510 or visit wwwchandlermacleodcomclientshealth-recruitment
29
Floor plan
42 41
39
40
38
36
37
35
43
44
45
46
47
48
Entrance
Seminar area
Cafeacute
7
5
8
6
20
18
19
17
11
9
12
10
16
14
15
13
34 33 32 31 30 29 28
30
Exhibitor listing
Organisation Name Booth Number
AACDS 8
Armadale Health Service 38
Belmore Nurses Bureau 30
Central Institute of Technology 20
Chandler Macleod Health 16
Child amp Adolescent Health Service 42
Curtin University of Technology 19
Defence Force Recruiting 910
Edith Cowan University - School of Nursing and Midwifery
3334
Fiona Stanley Hospital 36
Fremantle Hospital 44
HESTA 5
Hollywood Private Hospital 7
Institute of Health amp Nursing Australia 32
Mediserve Nursing Agency 6
Murdoch University 1112
My Flex Health International 18
Organisation Name Booth Number
Next Step 48
North Metropolitan Mental Health 35
NurseWest 47
Nursing amp Midwifery Board of Australia 29
Osborne Park Hospital 46
Prime Super 17
PampN Bank 15
Rockingham General Hospital 39
Royal Perth Hospital 37
Sir Charles Gairdner Hospital 45
The Bethanie Group Inc 31
The University of Notre Dame 13
WA Country Health Service 40
WA Nursing amp Midwifery Office 43
West Coast Institute of Training 14
Women amp Newborn Health Service 41
Work the World 28
The WA Nursing amp Health Expo is proudly supported by
The WA Nursing and Midwifery Office is very proud to partner once again with the Australian College of Nursing for the 2015 Nursing and Health Expo The nursing and midwifery professions offer an array of interesting and diverse experiences With these highly valued and respected skills relevant anywhere in the world nurses and midwives will always be in demand ndash in hospitals and in a range of other workplaces In WA the future demand for nurses and midwives is going to be high especially as our new Fiona Stanley Perth Childrenrsquos Busselton and Midland hospitals all start becoming fully operational so considering a career in nursing or midwifery is a great idea
wwwnursinghealthwagovau
31
In Australia enrolled nurses (ENs) are a core component of the health care workforce and make an important contribution to Australiarsquos world-class health outcomes ENs work in varied settings across the country from blood services to aged care facilities Increasingly ENs are playing an important role in meeting the growing demand for care
Not all countries have recognised the importance of ENs in the nurse workforce mix Several European countries including France Denmark Italy and Spain have only one category of regulated nurse (HWA 2013 Robinson and Griffiths 2007) The United Kingdom (UK) ceased admitting new ENs to the register in the 1980s The minimum qualification for all UK nurses is now a three-year bachelorrsquos degree As a result the UK relies heavily on unregistered health care assistants rather than second-level nurses (UK Department of Health 2013) Closer to home New Zealand ceased training ENs in 1993 only to recommence in the 2000s (Meek 2009) New Zealandrsquos experiment is an instructive demonstration of the importance of ENs in the health care workforce as the demand for nursing care increases
In Australia we have remained committed to maintaining the EN role Rather than relying on unregistered health care workers Australia has chosen to maintain a large educated and professional EN workforce The skilled work of ENs is recognised to be of paramount importance to the delivery of high quality nursing care Our EN workforce is highly dynamic and continues to evolve within the changing landscape of Australian health care policy and regulation
Enrolled nurse demographics
According to the latest national figures there are 51624 ENs working in Australia The great majority of ENs have completed their pre-registration education in Australia fewer than 5 have been educated overseas (HWA 2013)
The EN workforce has a relatively high average age of 46 years and forty-five per cent of ENs have celebrated their fiftieth birthdays (AIHW 2013) According to Health Workforce Australia the ageing EN workforce could lead to a significant shortfall in the supply of ENs if action is not taken to retain the current cohort of ENs and increase the number of people studying to be the ENs of tomorrow (HWA 2012)
Men make up roughly 10 of the EN workforce While this number is rising gradually it indicates that there is progress to be made in terms of attracting and retaining males within the profession Aboriginal and Torres Strait Islander people are
also underrepresented in the EN workforce only around 800 of Australiarsquos ENs identify as Indigenous Australians (AIHW 2013)
Among the most common work settings for ENs are aged care rehabilitation and disability services In contrast ENs make up fewer than 5 of the critical care nursing workforce and represent only a small proportion of nurses working in education policy and management (AIHW 2013)
These statistics show that there are both challenges and opportunities for Australiarsquos EN workforce Efforts to recruit and retain ENs will need to be enhanced with a particular focus on encouraging men and Aboriginal and Torres Strait Islander people to become ENs At the same time roles in a wider range of clinical areas are becoming available to suitably educated and qualified ENs and there will be more such opportunities in the coming years
A growing role for ENs
The evolving role of the EN is reflected in recent changes to educational requirements for ENs As of 1 July 2014 the Certificate IV in enrolled nursing ceased to be available and the minimum qualification for EN entry to practice will be the Diploma of Nursing The transition to a Diploma recognises the high level of skill ENs contribute to todayrsquos health care teams A nationally consistent approach to EN education is also likely to enhance the mobility of the EN workforce by giving employers confidence in the knowledge and skills of ENs educated in other states
ENs are now undertaking a diverse range of roles One of the earliest areas of role expansion for ENs was medication endorsement Before the move to national registration in 2010 ENs in some states were able to obtain an endorsement in medicines administration and become Endorsed Enrolled Nurses by completing specified education units This endorsement has now been phased out because from 2008 onwards all newly qualified ENs have completed the required medicines administration education Instead the register now identifies ENs who have not completed the required courses (NMBA 2014) This example demonstrates how the EN role has evolved over the years Whereas once only a relatively small number of ENs were educated to administer medicines now all student ENs complete medicines administration units as part of their initial nursing education
The EN role is also expanding in other ways For example ENs are taking on a growing role within haemodialysis units (Tranter et al 2011) The 2008 Australia and New Zealand Dialysis Workforce Survey conducted by the Renal Society of Australia found that there were 188 ENs working in dialysis alongside 2433 registered nurses (RNs) The growing demand for dialysis
The potential of the enrolled nursing workforce
By Rosina Muir and Dr Marlene Eggert MACN
32
services and the shortage of dialysis RNs in some areas represents a clear opportunity for ENs According to a New South Wales study conducted in 2009 the scope of practice of ENs in haemodialysis units may include cannulation (including both native access and buttonhole cannulation) connecting and disconnecting haemodialysis central venous catheters (CVCs) performing CVC dressings giving iron infusions and administering erythropoietin anticoagulants and Lignocaine In addition ENs may also take on a case management or health promotion role for dialysis patients (Bennett et al 2009)
ENs are also moving into extended roles in rehabilitation services A recent study of ENs in an Australian rehabilitation facility found that in addition to assisting patients with activities of daily living ENs may take on roles in coaching and supporting patients to reach their individual goals monitoring the patientrsquos progress and liaising with other members of the multidisciplinary rehabilitation team The study found that many ENs demonstrate an understanding of the philosophy of rehabilitation nursing including goal setting and enabling self-care (Pryor and Buzio 2013)
In rural Australia ENs are taking on a diverse range of roles within the EN scope of practice in order to meet local needs ENs with specialist skills such as infection control or wound care make a significant contribution to some rural health services although their extended scope of practice is not always given appropriate recognition by their RN colleagues (Nankervis et al 2008) Rural health services are increasingly recognising that supporting ENs to take on extended roles and further develop their clinical skills can be a successful model for the delivery of high quality patient care
Recognising the evolving EN scope of practice
In light of the fact that there have been significant changes to EN education regulation and scope over the last decade the NMBA has commissioned Monash University to review the currency of the standards against contemporary enrolled nursing roles The Monash University project has involved a review of the literature as well as a series of focus groups and surveys to gather insights from both RNs and ENs on the education scope of practice and supervision of ENs (Monash University 2013) The project is expected to be completed in 2014 (NMBA 2013)
Our advocacy for ENs
ACNrsquos advocacy priorities are explicitly designed to support both registered and enrolled nurses In 2014 ACN has argued for a range of policies that would have a positive impact on the
retention and flexibility of enrolled nurses For example ACN has proposed a National Transition Framework to support the flexibility and mobility of both the EN and the RN workforces The Framework would be accessible to nurses entering the workforce as well as nurses transitioning from one area of practice to another For example it would support an EN wishing to transition from the aged care sector to a hospital-based role
ACN has also put forward a proposal for a new scholarship program to support newly registered and enrolled nurses to practice in rural services It is essential that rural health service providers are able to attract appropriately educated staff including both ENs and RNs in order to maintain an optimal skill mix The scholarship scheme will allow rural health services to employ newly registered and enrolled nurses as supernumerary team members while providing them with a structured clinical learning program
ACN will continue to provide a voice for ENs in policy discussions and advocate for the role of ENs in health care delivery Australian Institute of Health and Welfare 2013 Nursing and midwifery workforce 2012 lthttpwwwaihwgovauWorkAreaDownloadAssetaspxid=60129545314gt pp 6
Bennett P McNeill L Polaschek N 2009 lsquoThe Australian and New Zealand Dialysis Workforcersquo Renal Society of Australasia Journal vol 5 no3 pp 147-151 lthttpwwwrenalsocietyorgRSAJjournalnov09bennett2pdfgt
Health Workforce Australia 2012 Health Workforce 2025 Doctors Nurses and Midwives vol 1 lthttpwwwhwagovausitesuploadsFinalReport_Volume1_FINAL-20120424pdfgt pp 137-142
Health Workforce Australia 2013 Nurses in Focus lthttpwwwhwagovausitesuploadsNurses-in-Focus-FINALpdfgt
Meek G 2010 Second level nurses a critical examination of their evolving role in New Zealand Healthcare lthttpresearcharchivewintecacnz9621Repository_entry_HLNU902pdfgt pp 3
Monash University 2013 The National Review of the Enrolled Nurse Competency Standards lthttpwwwmedmonashedunursingcompetency-standardsgt
Nankervis K Kenny A Bish M 2008 Enhancing scope of practice for the second level nurse A change process to meet growing demand for rural health services lthttpwwwncbinlmnihgovpubmed18844530gt
Nursing and Midwifery Board of Australia 2013 Communique Meeting of the Nursing and Midwifery Board of Australia 27 February 2013 in the AHPRA Hobart Office TasmanialthttpwwwnursingmidwiferyboardgovauNewsCommuniques-from-Board-meetingsaspxgt
Nursing and Midwifery Board of Australia 2014 Enrolled nurses and medicine administration lt httpwwwnursingmidwiferyboardgovauCodes-Guidelines-StatementsFAQaspxgt
Pryor J Buzio A 2013 lsquoDo ldquotwo typesrdquo of ENs work in rehabilitation in Australiarsquo Journal of the Australasian Rehabilitation Nurses Association vol 16 no 1 pp 14-19 lthttpsearchinformitcomaudocumentSummarydn=480975443102792res=IELHEAgt
Robinson S and Griffiths P 2007 Nursing education and regulation International profiles and perspectives lthttpeprintssotonacuk3487721NurseEduProfilespdfgt pp 7-17
Tranter S Westgarth F White G 2011 lsquoThe scope of practice of the haemodialysis Enrolled Nurse in new South Walesrsquo Renal Society of Australasia Journal vol 7 no 1 pp 24-29 lthttpwwwrenalsocietyorgRSAJjournalmar11Tranterpdfgt
United Kingdom Department of Health 2013 The Cavendish Review An Independent Review into Healthcare Assistants and Support Workers in the NHS and social care settings lthttpswwwgovukgovernmentuploadssystemuploadsattachment_datafile236212Cavendish_Reviewpdfgt pp 6
33
By Laurie Bickhoff MACN
Diary of a newly registered nurse
In Australia it is estimated nearly 20 of nurses will leave the profession within their first year of practice (National Nursing and Nurse Education Taskforce [NNNET] 2005) Internationally this figure ranges from between 35 and 60 (Halfer amp Graf 2006) Many have speculated on the reasons for this with high workloads the difficulties of shift work and unrealistic expectations of what nursing entails all given due consideration (Halfer amp Graf 2006) However as I entered my second year of practice I began to wonder what role disillusionment plays in this exodus of newly trained nurses
Disillusionment to me occurs when you feel your passion dwindling when you suddenly find it that little bit harder to get ready for work when you start feeling a sense of dread as you walk onto the ward This wasnrsquot caused by long hours or ever increasing workloads coupled with diminishing resources It wasnrsquot caused by physically demanding duties or the lack of a social life due to shift work It wasnrsquot caused by dealing with things that might not look or smell that great Unfortunately it was caused by the people around me and an almost institutionalised lack of power not only for nurses but more importantly for our patients
I was dismayed and frustrated to hear how many of my colleagues from all health professions referred to patients I was disheartened to see how easily some could dismiss the suffering we see and the heartache I felt I was overwhelmingly saddened to realise not everyone had the same passion for their profession or empathy for those we are charged to care for as I did
This culminated for me towards the end of my first year of practice There wasnrsquot any one big incident more an accumulation of things that were gradually wearing me down I had a worried patient confide in me that they had been too scared to push the call button on the previous shift because of the response they would receive from the nurse I saw patients constantly being made to fit into everyone elsersquos schedules regardless of their requests It seemed everyone was more important than the person we were there to help
I heard patients referred to as lsquocactusrsquo or described in the notes as lsquounsalvageablersquo meaning there was no chance of the patients making meaningful recoveries I wondered is this really how we refer to people Or did we forget they were actual human beings we were talking about
I had other health professionals dismiss me with comments such as nurses ldquojust wipe bums all dayrdquo or roll their eyes at me when I raised my concerns When I dared to challenge or question I was met with comments of ldquoI miss the old new gradsrdquo I felt tired washed out and was beginning to wonder
whether I could stay in this profession without losing myself
Luckily I found some inspiration I listened to a presentation by Drew Dudley a well-known American academic and motivational speaker where he discusses the idea of lsquolollypop momentsrsquo These are small moments when the people we see and work with every day demonstrate leadership They arenrsquot big grand over the top statements They are small gestures which often unknown to the person who did it have an amazing impact on the lives of others I was lucky enough to have some of these lollypop moments just when I needed them These few sparks were all that I needed to reignite my passion for nursing
The first spark came from an RN2 caring for a patient at the end-stage of a number of diseases who had expressed to the nursing staff multiple times her wish to simply be made comfortable as she knew this was the end of her fight Despite this the patient was not only receiving active treatment but was also currently documented for full resuscitation if she deteriorated
The nurse raised the issue with the medical registrar asking him to have a discussion with the patient regarding her wishes and planning end-of-life care The registrar dismissed her saying ldquowell thatrsquos not what the consultant wantsrdquo The nurse wasnrsquot satisfied and responded ldquoitrsquos not their choice itrsquos the patientrsquos decisionrdquo This nurse had the courage to stand her ground and make sure her patientrsquos voice was heard which ultimately led to the patientrsquos wishes being honoured
The next spark came soon after I was working with a nurse who came from a different cultural background to me where it was seen as impolite to question anyone in authority especially if you were female This meant even if a doctor was accidently standing in her way she would prefer to simply wait rather than ask them to move
Then one day we had a patient who deteriorated rapidly and was in a very critical condition This nurse suddenly became one of the best clinical leaders I have witnessed She led the team questioning orders prompting treatments suggesting causes and outlining the options available I soon realised the difference this was about her patient She was going to ensure her patient received the best care and outcome possible When it was about her patient rather than herself she found her voice
There were a number of smaller incidents that soon followed Sparks came from the senior consultant who re-educated her advanced trainee on the importance of listening to the nurses and acting on their concerns Sparks came from our ward social
34
worker who day after day demonstrated his passion for helping and advocating for those with no voice and often no options Sparks came from the medical residents who expressed their gratitude when you picked up a mistake and were heartfelt in their appreciation of the work nurses do
The brightest sparks came from my patients and their relatives It was their ldquothanksrdquo their ldquoyou donrsquot know how much that meansrdquo their ldquoyoursquoll be back tomorrow wonrsquot yourdquo their squeezing of my hand that reminded me why I do what I do I didnrsquot have to search for inspiration I was surrounded by it The trick was to change my focus
Perhaps all nurses are disillusioned at some point during their careers Perhaps it happens multiple times Perhaps it is a rite of passage with those who make it through the other side the
ones with a true passion for nursing who turn around and help a colleague on their journey
As I continue my nursing career I now look for the brightness that I know is always there far outshining the negativity that we have to deal with I stockpile my lsquolollypop momentsrsquo knowing the amazing examples of kindness and leadership I see every day will help me grow and become a better nurse and hopefully I might be able to be a spark for someone else
You can listen to Drew Dudleyrsquos talk at wwwtedcomtalksdrew_dudley_everyday_leadership
Halfer D and Graf E lsquoGraduate Nurse Perceptions of the Work Experiencersquo Nursing Economics June 2006 Vol 24 No 3 pp 150-55
National Nursing and Nurse Education Taskforce 2005 Mythbusters Available online at httpwwwnnnetgovaudownloadsmythbusters_attritionpdf Accessed June 2014
Arts amp Sciences | Business | Education | Health Sciences | Law | Medicine | Nursing amp Midwifery | Philosophy amp Theology | Physiotherapy
Your journey to a meaningful career awaitsThe School of Nursing amp Midwifery offers the following courses
rsaquo Bachelor of Nursing
rsaquo Bachelor of Nursing (Articulation Pathway for EN Diploma)
rsaquo Graduate Certificate (Acute Mental Health Clinical Nursing Nursing and Nursing Leadership amp Management)
rsaquo Graduate Diploma (Acute Mental Health Clinical Nursing Critical Care Nursing Forensic Nursing Midwifery Nursing and Perioperative Nursing)
rsaquo Master of Nursing (Coursework and Research)
Looking to make a difference So are we
Apply direct notredameeduau
ND
1053
| C
RIC
OS
PR
OV
IDE
R C
OD
E 0
1032
F
35
36
Itrsquos my great pleasure to welcome you to the Australian College of Nursingrsquos (ACN) Nursing and Health Expos and present to you the ACN Nursing and Health Expo eGuide for 2015
ACN is the national professional organisation for all nurse leaders nurses with an interest in leadership nurses aspiring to leadership roles and nurses in leadership roles across the Australian health system
ACN is an advocate for the nursing profession advancing the skills and expertise of nurses to provide leadership in their contribution to the policy practice and delivery of health care ACN encourages and supports nurses to develop and grow to become nurse leaders
Each year ACN hosts the ACN Nursing and Health Expos to highlight the profession of nursing and provide valuable connections and opportunities for nurses at each stage of their career
Nursing remains one of the top five most trusted professions in Australia A career in nursing and health offers lifelong learning critical thinking a broad array of career opportunities in a variety of settings and the chance to contribute to the health of Australian communities
This eGuide includes Expo floor plans showcases our diverse range of exhibitors and offers a wide range of education opportunities Throughout we feature both state specific and nationally focussed nursing updates from each Statersquos Chief Nurse and we also take a look back at the 2014 Expos
It is my hope that the addition of this yearrsquos eGuide will enable you to easily navigate and make the most of your Expo experience
For more details about ACN head to wwwacneduau
Welcome from the CEO
5
Why do we hold the Expos
The ACN Nursing and Health Expos are held to enhance the profile of nursing as a profession by connecting individuals to a wide range of organisations from the nursing and health industry The Expos aim to promote recruitment to and retention of the nursing workforce
Who will be there
During the Expo you will have the opportunity to meet and interact with
bull education providers
bull hospital and health care services
bull recruitment agencies
bull specialty nursing groups
bull companies offering health product and services
Do I have to pay an entry fee
Attendance at the Expos is free of charge and the seminars are also complimentary
Why should I attend the Expos
The ACN Expos have a strong reputation for connecting visitors with a wide range of organisations from the nursing and health industry You will have the unique opportunity to network with exhibitors who will deliver the information you need to kick start or progress your nursing career In addition a series of complimentary seminars will run throughout the day providing you with practical take-home skills
Who should attend the Expos
ACN encourages everyone who is interested in the nursing and health professions to attend the Expos They will be particularly beneficial to
bull registered nurses
bull enrolledDiv 2 nurses
bull health professionals
bull nursing undergraduate students
bull high school students
ACN Nursing amp Health Expos an overview
6
A look back at the 2014 ACN Nursing amp Health Expos
ldquoIrsquom very grateful for the opportunity to attend an expo like this as Irsquom new to the industry and am not entirely sure of what is available to merdquo
ldquoVery informative and helpful Addressed all of my concerns and reassured me that the process although complex when broken down is achievablerdquo
ldquoThe exhibitors were excellent in answering questionshellip[and] were alleviating the anxiety felt by many students attendingrdquo
ldquoIt was amazing I feel less stressed about graduate opportunities nowrdquo
ldquoAbsolutely fantastic I really have enjoyed ithellipthank you all very much for opening my mind to all these different areas in nursingrdquo
ldquoHelpful friendly informative inspiringrdquo
Visitors eagerly line up at the Expo entrance
Visitors chat to a wide range of
exhibitors
Visitors gain practical advice in a seminar session
Opportunity to connect with education
providers nursing groups and health care
providers
7
8CALL 13 19 01 OR VISIT DEFENCEJOBSGOVAU ARMY
THE ARMY ISNOW RECRUITINGNURSINGOFFICERS
A career as an Army Nursing Offi cer offers variety andchallenges in employment and travel not always availablein the normal hospital environment You will gain experienceand skills that will equip you for advancement in the Armyand will also be in high demand in your profession
Yoursquoll also enjoy great benefi ts like free medical and dentalworld class training subsidised accommodation excellentsalary packages worklife balance and unique experiences
To fi nd out more about becoming a Nursing Offi cersearch lsquoArmy Nursersquo
ARMY0176 Nurse Respec_210x297mm_V3indd 1 30012015 324 pm
Nursing Officer a vital role in the Australian Defence Force
In any environment healthcare is a challenge but during military operations that challenge can take on a new perspective As a Nursing Officer in the Australian Defence Force (ADF) Lieutenant Tess Demunk plays a vital role in the ongoing health and welfare of people in the Australian Army
Throughout her career Tess has enjoyed the sort of variety challenges and travel that a civilian nurse would never have the opportunity to experience
ldquoI joined the Army because I wanted to do something different with my nursing Irsquom interested in trauma nursing and obviously the Australian Army is a great place to go to for thatrdquo
ldquoItrsquos also a great opportunity to lsquogive something backrsquo you can care for the soldiers out there protecting us and our countryrdquo Tess said
Nursing Officers in the Australian Defence Force are employed across a range of clinical clinical management and broader health management duties They can expect to work in units and field hospitals that provide a comprehensive hospital service or in small Treatment Teams providing primary healthcare and immediate pre-hospital resuscitation
A Defence healthcare career offers variety and challenges in employment as well as opportunities that are not always available in a civilian hospital environment
The ADF offers amazing opportunities to travel around Australia and overseas on peacekeeping and emergency aid missions that make a genuine difference to peoples lives
Humanitarian work is a gateway to experience new cultures and interact with patients and locals like never before Its these kinds of career defining experiences that make your years of study all worthwhile
ldquoDeployments are a big opportunity Nursing overseas and being able to look after a lot of trauma injuries are two of the main reasons I joined the Armyrdquo Tess said
ldquoThere is a lot of primary healthcare stuff that we do as well but the reason that most people join is to do nursing in the field and on deploymentrdquo
ADF members also enjoy a great work-life balance with a selection of sporting clubs to play for fitness training thats included as part of the working day strong job security and role diversity Include the great benefits and competitive salary package with the chance to continually improve your medical knowledge and qualifications and the choice to pursue a military healthcare career just adds up
ldquoIn Defence you get free healthcare free dental and all the things that go along with that The mates you make along the way the courses that you get to do and the opportunities for deployment and the field exercises are other benefits as wellrdquo
ldquoI completed the Defence University Sponsorship (DUS) through Monash University It is a fantastic scheme that allowed me to study at university as a full-time student and be paid by the Army while doing thatrdquo
Full-time and part-time roles are available across the Navy Army and Air Force including graduate and undergraduate positions
Youll receive further training and post graduate study opportunities while youre in the ADF so you can go as far as you want to in your career
Put your medical and health-related skills and knowledge to use in a unique environment that is unlike anything else With the opportunity to broaden your skills and make a difference both at home and overseas a career in Defence healthcare is a worthwhile challenge that will just keep on giving
The Defence Force is currently recruiting for Nursing Officers and various health-related roles For further information on military training and careers in the Navy Army or Air Force visit
defencejobsgovau or call 13 19 01
By Tess Demunk Australian Army Nursing Officer
9
The beginning of a career ACNrsquos Nursing amp Health Expos
In pursuit of the belief that every nurse should have the opportunity to grow their career and further the nursing profession ACN is once again presenting the Nursing and Health Expos for 2015 The expos have provided an avenue for those interested in nursing in Australia to seek expert advice on education and employment opportunities One young nursersquos visit to an expo opened up a career
Ever since I could remember I wanted to help people When I was young I would look up diseases and conditions I had my own first aid kit and I would play lsquonursersquo with my mum and dad
In 2007 when I was in year 12 I attended my first NSW Nursing and Health Expo and Irsquove continued to visit the expos since Initially I wanted to become a paramedic but everyone I spoke to said that I should become a nurse first They gave me great advice to become an endorsed enrolled nurse (EEN) before becoming a registered nurse (RN) ndash to take it one step at a time
I studied at TAFE for 18 months to become an EEN I completed my Bachelor Degree at Southern Cross University while working as an EEN at a private hospital in Coffs Harbour This meant I was able to put my theory into practice
Now I work as an RN with Ramsay Health Care Every day I come home knowing I have a little place in someonersquos heart because I helped them Patients are very vulnerable people and sometimes all they need is for you to listen Listening is one of the most important lessons I have learnt as a nurse
Irsquod recommend the ACN Nursing and Health Expos to anyone especially year 12 students who are interested in a career as a nurse I always look forward to the expo and I make a day of it Itrsquos great to be around like-minded people listening to their stories and they are always interested in listening to mine Last year I was able to practice keyhole surgery at the expo and I was actually good at it ndash so maybe surgical nursing is an option down the track
I joined ACN last year and have now had this opportunity to share my nursing story and hopefully inspire others
by Brianna Gudgeon MACN
Brianna as a volunteer nurse in Samoa
Brianna (left) in 2008 training as an EEN at Concord Hospital with colleague
10
INSTITUTE OFHEALTH AND NURSING AUSTRALIA
RTO ID 21985 CRICOS Code 03386G
wwwihnaeduauenquiryihnaeduau1800 22 5283
Our Courses
bull Registered Nurse Re-entry to Practice Program
bull Registered Nurse Refresher Program
bull HLT51612 Diploma of Nursing (Enrolled-Division 2 Nursing)
bull HLT61107 Advanced Diploma of Nursing
The Institute of Health and Nursing Australia (IHNA) is one of Australias leading providers of comprehensive
health and nursing education at several levels IHNA is fast-growing dynamic and quality-driven institution committed to continuous improvement working hard to develop implement and deliver courses and professional development programs The courses offered by IHNA are prepared by experienced healthcare professionals and help students to pursue a successful career in Australian healthcare
Melbourne | Perth | Sydney
VET FEE HELP GOVT FUNDING AVAILABLE
Institute of Health and NursingAustralia
IHNA
Call 1800 675 839 for a Short-Form Product Disclosure Statement Prime Super (ABN 60 562 335 823) is issued by Prime Super Pty Ltd (ABN 81 067 241 016 AFSL 219723 RSE L0000277 RN 1000276)
VIC Expo Booth 33 | WA Expo Booth 17 | wwwprimesupercomau
Visit us at the Expo to find out morehellip
and enter our competition for your chance to WIN a $550
endota day spa voucher
Prime Super provides personal support to make super simpler
Now incorporating
11
VIC EXPO MELBOURNE
12
Welcome from the Chief Nurse amp Midwifery OfficerWelcome to the Australian College of Nursingrsquos 17th annual Nursing and Health Expo in Melbourne The Department of Health and Human Services in Victoria is a keen sponsor of this important event on the nursing calendar The Expo plays an important role in enhancing the profile of nursing as a profession which in turn promotes recruitment and retention of the nurses and midwives
As part of the health care team nurses and midwives are essential to the communityrsquos health and wellbeing Nurses and midwives play a critical role in delivering safe compassionate and quality care The Department of Health and Human Services encourages Victorian nurses and midwives to provide the best possible care for the community by providing clear strategic direction for the profession as well as supporting health services to implement initiatives across workforce development and reform
Being a nurse or midwife is a rewarding career but it is important to know if it is the right career choice for you In addition to having the relevant knowledge and skills nurses and midwives need to be compassionate caring and flexible Nursing and midwifery offers many and varied opportunities across multiple settings not only for graduates but for people of any age looking to enter the workforce
While traditionally nurses and midwives have always worked in hospitals they now work across multiple settings including general practice community-based services and aged-care services
The job market is competitive and opportunities will continue to be present for the existing returning and newly graduated nurses and midwives Because of the changing needs of the community there is often a contrast between where nurses and midwives prefer to work and where there are opportunities Growth opportunities are in areas such as rural aged care and chronic disease management and I encourage everyone to think beyond the traditional locations and to explore new and rewarding areas of employment
Senior members of the workforce are reminded of the important role we all play as professionals in encouraging and mentoring new starters and transitioning into other roles
Education and training is a lifelong journey essential to the continual development of the nursing and midwifery workforce which ensures highly skilled capable and critical decision makers
Associate Professor Alison McMillan MACN Chief Nurse and Midwifery Officer Department of Health amp Human Services VIC
13
Expo informationLocation
Visitors are often struck by the architectural brilliance of the Melbourne Convention and Exhibition Centre (MCEC) which has won some of Australiarsquos most prestigious architecture and design awards The Expo will be held in bays 17 and 18 of the MCEC
Doors open 9am ndash 1pm
Concourse
Link to convention
centre
Loading Dock
Normanby Road
Clar
endo
n St
reet
Entry Foyer
Clarendon Street
Entrance
ACN Expo Bays
17 amp 18
14
Seminars
This year the educational seminar series is back again to provide visitors with up to date information and practical skills to pursue or further their career Seminar attendance is free of charge and registration is not required
Time Topic Presented by
915am HESTA Your Partner for Career David Logan HESTA
950am Graduate NurseMidwifery Program Computer Match 2015 Paul Williamson Postgraduate Medical Council of Victoria
1025am Understanding delegation and supervision responsibilities and accountabilities
Associate Professor Alison McMillan MACN
Department of Health amp Human Services Victoria
1100am HESTA Your Partner for Career David Logan HESTA
1135am Graduate NurseMidwifery Program Computer Match 2015 Paul Williamson Postgraduate Medical Council of Victoria
1210pm Understanding delegation and supervision responsibilities and accountabilities
Associate Professor Alison McMillan MACN
Department of Health amp Human Services Victoria
The VIC Nursing amp Health Expo is proudly supported by
On 1 January 2015 the Victorian Government established the Department of Health amp Human Services bringing together the former Department of Health Department of Human Services and Sport and Recreation Victoria The department has been established to develop and deliver policies programs and services that support and enhance the wellbeing of all Victorians We take a broad view of the causes of ill health the drivers of good health the social and economic context in which people live and of the incidence and experience of vulnerability This will allow us to place people at the heart of policy-making service design and delivery
wwwdhhsvicgovau
15
Floor plan
BENC
H
SINK
ENTRANCEDOOR 9
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
20 21
22232425
26 27 28 29
30313233
34 35 36 37
38394041
42 43 44 45
46474849
50 51 52 53
54555657
58 59 60 61
62636465
66 67 68 69
7071727374
75
76
84
85
86
87
88
89
90
1918
16
Exhibitor listing
Organisation Name Booth Number
Alfred Health 6667
ANMF Victorian Branch 747576
Austin Health 4243
Australian Catholic University 89
Ballarat Health Services 62
BankVic 73
Baptcare 60
Belmore Nurses Bureau 47
Bendigo Health 44
Care Training Australia 17
Chisholm Institute of TAFE 19
Colbrow Healthcare 26
Critical Second 90
Crystal Clear Ear Clinic 6
Deakin University Nursing amp Midwifery 3435
Defence Force Recruiting 12
Eastern Health 3031
Epworth HealthCare 6465
Federation University Australia 41
First Call Health 40
First State Super 7
Forensicare 68
Health Skills Australia 72
HESTA 20
Holmesglen 4546
Institute of Health amp Nursing Australia 27
Kangan Institute 24
La Trobe University 121314
Martin Luther Homes 22
McFarlane Medical amp Scientific 23
mdBriefCase Australia 18
Mediserve Nursing Agency 28
Organisation Name Booth Number
Melbourne City Institute of Education 86
Mental Health Nursing Victoria 1011
Mercy Health 8788
Monash Health
Monash University 8485
NeilMed Pharmaceuticals 32
Northern Health 5354
NorthWestern Mental Health 59
Nurses Board of Victoria Legacy Limited
69
Nursing amp Midwifery Board of Australia 21
Peninsula Health 38
Peter MacCallum Cancer Centre 25
Postgraduate Medical Council of Victoria
71
Prime Super 33
Reflective Clinical Supervision Network 39
RMIT Faculty of Nursing 55
Royal Victorian Eye amp Ear Hospital 48
Sanita Australia 31
St Vincentrsquos Hospital 5051
St Vincentrsquos Mental Health 5
St Vincentrsquos Private Hospital 34
The Royal Melbourne Hospital 56
Tobin Brothers Funerals 49
University of Melbourne 89
University of Tasmania 52
Victoria University 57
Vital Health Recruitment 70
VNS Nursing Agency 58
Western District Health Service 63
Western Health 3637
Work the World 29
17
Graduate transition programs my personal experienceToo often we hear horror graduate stories Research shows horizontal violence and bullying is rampant in our profession We are told tales of the infamous ldquoeat our youngrdquo nursing culture We know graduates suffer transition shock when they start practicing and nearly 20 will leave in their first year
Unfortunately the good stories are often buried underneath the bad and so I wanted to share my graduate year experience When I started as an RN the only nursing experience I had were my clinical placements and a mere two months working as an AIN To say I was worried was a major understatement I was quietly petrified but tried to keep up a brave face
I had worked hard in university to learn as much as I could but I was still filled with doubts Would I be good enough Would I crash and burn Would I help or hinder my patientsrsquo recovery
My first day on the ward was sink or swim time I was amazed at the warm welcome I was given The other RNs were supportive and encouraging They made sure I knew if I felt myself struggling they would be there with a life-line
Every ward I rotated through gave me this same friendly reception Perhaps it was just luck or maybe our nursing culture is changing but I never encountered any of the pressure to change my values and practice in order to fit in that I had been told to expect Instead I found colleagues who understood I wouldnrsquot know everything on day one who were willing to take the time to teach me and who become great friends along the way
My clinical skills and knowledge increased out of sight during my graduate year I felt my university had given me a great foundation on which to build my career as an RN but my grad program cemented my theory into my practice I started the year having never removed a single stitch I ended the year confidently removing everything from sutures to ICCs and pacing wires while also successfully inserting NG tubes and cannulas Importantly I understood the pathophysiology and rationale behind each of these and could explain it to my patients
Irsquom not saying everyday was perfect Irsquom not saying every person was as helpful or welcoming as the next Irsquom not saying I didnrsquot have days when I struggled What I am saying is I never felt alone I knew the support was there all I had to do was ask
I know not every graduate nurse will have as positive an experience as I did Perhaps my journey was the exception not the rule However I hope the number of nurses who have an amazing graduate year like mine continues to increase until this becomes the norm
I do know that the success of your graduate year relies heavily on you and your attitude University teaches you how to think like a nurse but it is in clinical practice the real learning begins and it has a steep learning curve Approach your grad year knowing that everyone from the tea lady to the Director of Nursing will be your new teachers and success will come When the people you work with recognise your passion see your motivation to provide what is best for the patient and know you realise what a unique privilege it is to be a nurse their respect will follow
At the same time donrsquot be afraid to speak up for your patients for your colleagues and for yourself Harvey Fierstein said ldquoNever be bullied into silence Never allow yourself to be made a victim Accept no onersquos definition of your life define yourselfrdquo You have the ability to define your graduate year regardless of what hospital or ward you find yourself in
You can change the culture and reputation of the nursing profession for better or worse You can conform and join in bullying behaviour and continue negative traditions or you can decide it stops with you Set your standards high and have the moral courage to stick to them If every graduate nurse demonstrated this leadership and supported other nurses who did as well imagine the overwhelmingly positive impact that could have on nursing
Gandhi once said ldquoBe the change you want to see in the worldrdquo I would encourage you to be the change you want to see in nursing and just watch how the world changes with us
By Laurie Bickhoff MACN
18
Finishing studies and becoming a new graduate is an exciting milestone Itrsquos usually the first time you begin working full time perhaps moving away from home owning your own car and paying bills
Of course itrsquos important to budget ensuring you have enough money for daily expenses as well as being able to stash some money away The easiest way to keep track of your income versus expenses is to set up an everyday account with your salary paid into it and a savings account earning interest on the money yoursquore able to save In addition you might want to get a credit card so that yoursquove got some money for emergencies
Gain fee free banking freedom
With a BankVic Anywhere account you can enjoy unlimited free withdrawals at any ATM in Australia when you deposit $1000 per month1 Plus you can access your money with free unlimited eftpos transactions a Visa Debit card with paywave and a mobile App
Earn bonus interest on your savings
A BankVic Bonus Saver account is a high interest account that rewards you for saving by giving you bonus interest2 when you deposit a minimum of $100 a month and make no withdrawals plus there are no fees Itrsquos a great way to force yourself to save
Enjoy a credit card with no annual fee
A BankVic Visa Silver credit card offers great value with an introductory rate of 699pa3 for the first 6 months and a low ongoing rate plus no annual fee Itrsquos the perfect back up card
Why not call us today Call your dedicated Member Relationship Manager Phoebe Reid on 9268 9297 or via email preidbankviccomau
1 Minimum deposit of $1000 must be received in the account by close of business on the last business day of the month The deposit cannot be an internal transfer or interest earned form other BankVic products 2 Bonus Saver ndash Deposit $100 per calendar month with no withdrawals and yoursquoll be rewarded with bonus interest Bonus interest rate is capped at a maximum balance of $1000000 3 Credit Card interest rates are variable All interest rates are shown are current as at date of print and are subject to change Fees and charges apply Any advice is general before acting on the advice you should consider whether the advice is appropriate for you Before you make any decision to acquire any product or service you should obtain and consider the relevant Product Disclosure Statement available from our website bankviccomau any branch or by calling us on 13 63 73 Police Financial Services Limited ABN 33 087 651 661 AFSL 240923 Australian Credit Licence 240293ndash trading as BankVic 121 Cardigan Street Carlton Victoria 3053 3-15 5243BV
Advertorial
Banking freedom for nurses and midwives
members matter
Let BankVic take care of you while you take care of others
9268 9297preidbankviccomau
Canstar Pty Ltd Authorised Representative 443019 of Canstar Research Pty Limited ABN 29 114 422 909 AFSL 437917 Police Financial Services Limited ABN 33 087 651 661 AFSL 240293 (BankVic) 121 Cardigan Street Carlton Vic 3053 315 5280bv
Contact your dedicated Member Relationship Manager Phoebe Reid
bankviccomau
19
This is general advice only Consider our product disclosure statement before making a decision about First State Super Call us or visit fi rststatesupercomau for copies Becoming a Student Club member is diff erent to being a First State Super member as you do not hold a superannuation account with the Fund or have any interest right or other relationship with First State Super
FSS Trustee Corporation ABN 11 118 202 672 ASFL 293340 is the trustee of the First State Superannuation Scheme (First State Super) ABN 53 226 460 365 EXP_
Mel
b_Ex
po_A
4_03
15
Join our free Student Club and make the most of the support discounts and benefi ts available only to students
Learn to manage your super better and how you can take advantage of our exclusive member benefi ts
Find out why wersquore the super fund with a heart on Saturday 18 April
Visit us at booth 7 in Melbourne
EXP_Melb_Expo_A4_Mar15_ARTWORKindd 1 6032015 414 pm
By Claire Stewart MACN
Diary of a newly registered nurse
Irsquom almost three months into my role as a newly registered nurse and I had my first 40 Prolene moment recently For the uninitiated this can be a panic fuelled moment where a routine procedure ends up resembling the Texas chainsaw massacre Thankfully I was supported by a wonderfully calm surgeon who waited patiently while I painstakingly attempted to load his life saving suture After the surgery I wiped the blood from my glasses and took a moment to reflect on how I had handled the situation In fact Irsquove spent most of the last three months lsquoreflectingrsquo Deafening groans can be heard from many a third year nursing cohort when wersquore asked yet again to lsquocritically reflectrsquo on our practice as student nurses Let me be the first to admithellip It doesnrsquot stop at graduation
I may not use a dedicated framework or even put pen to paper but the skills I learned during my studies have set me up to ensure I gain the most from every learning opportunity by critically reflecting on my performance simply by force of habit During the last three months my learning curve has veered vertical as I transitioned from university study to my role as a
graduate registered nurse in perioperative services Irsquove had to deal with a new environment (donrsquot even get me started on finding your way around a theatre complex) new colleagues adjusting to full time work and managing family commitments learning an entire new skill set working as a scrubscout dealing with policies procedures and my favourite surgeonsrsquo preference
In these first few months itrsquos very easy to fall into the trap of focussing on how much you donrsquot know However practising critical reflection has allowed me to focus on what I do know how far Irsquove come and what I will learn because Irsquom self-aware Whether you are a new nurse like me and feel like yoursquove handed in one too many pieces of written reflection to your facilitator over the last three years or an experienced nurse who practices self-reflection sub-consciously on the drive home ndash embrace it for the wonderful tool that it is and use it to become the kind of nurse you want to work with
Be in demand Be successfulStudy nursing or midwifery at Monash If you want to make a difference in health care with great employment potential the School of Nursing and Midwifery is a great place to start
As a nurse or midwife there are a variety of roles and a number of specialty areas available to you ensuring a constant career of challenges and diversity
To find out more about our undergraduate courses visit us at ACN Expo Melbourne Stand 84 ndash 85
For more information on our courses visit medmonashedunursing
21
Research collaboration students are welcome
A collaborative research study in Queensland is tapping into the enthusiasm and intelligence of nursing students by training and employing third-years as research assistants data collectors and analysts in contract research projects
Researchers from James Cook Universityrsquos (JCU) Centre for Nursing and Midwifery Research (CNMR) the Far North Queensland Medicare Local and the Cairns and Hinterland Hospital and Health Service are trying to determine why emergency department (ED) presentations to Cairns Hospital have been increasing at a greater rate than the national average
To answer this question CNMR researchers recruited 14 nursing and medical students to survey every willing and able person who presented to the ED
Researchers asked participants for information regarding their reasons for coming to the ED They also asked where they would usually go for medical treatment and what physical and psychological factors influenced their decision to choose the ED over other treatment options
In other phases of the project hospital Emergency Department Information System (EDIS) data have been analysed and patient focus groups have been convened Unstinting faith in the local ED has been noted as one of the key reasons that people choose the ED over other health care options
Most people who come to the ED with lsquonon-urgentrsquo conditions do have general practitioners and a large percentage have sought medical advice in the days prior to presenting to the ED Worry anxiety and uncertainty rather than the severity of the medical condition itself however appears to be a significant motivator to come to the ED where people perceive there is a wide range of services professionals and diagnostic tools available
ACN Emerging Nurse Leader Anna Groth MACN a third-year nursing student from JCU has been collecting collating and analysing data
ldquoOften I would ask someone why they had come to the hospital and they would speak about being in pain but if you asked them about whether they came for the pain or because they were anxious about the pain they would say they had come to the hospital because of the anxietyrdquo explained Anna ldquoIt is such a huge difference ndash the motivation ndash coming for the pain or the anxietyrdquo
Anna said the project opened communication lines between people from different organisations including government university health service hospital and the community leading to collaboration and learning for all
By Marnie Hitchins
Benefits for the students included early career exposure to the research process in which they learnt about data collection analysis and research methods The students also had the opportunity to practise communication skills learn about the organisational cultures of universities and hospitals and work alongside health professionals and patients in a research environment
Students commented that because the power dynamics were different from that of clinical experience (they were not seen as health professionals by patients nor as lsquostudent nursesrsquo by health staff members) they gained insights into the hospital environment they might not otherwise have had
Anna said she learned a lot personally the ED research experience has catapulted her into another area of interest in which she can see herself working in the future
ldquoResearch and policy will be a part of my future Irsquove gained a deep interest in the treatment of women since doing this studyrdquo said Anna
ldquoI have become very interested in domestic violence and the way women are treated in the health service and in the society as a whole I was blown away by the struggle that people have with the system in trying to find support They are so lonely I recognised things being in the ED that I would like to research and have already started exploring the issuesrdquo
CNMR Director Associate Professor Jane Mills FACN said the recruitment and inclusion of students in research projects is part of a broader plan within the CNMR to build undergraduate research capacity
Jane said the CNMR also offered internships to undergraduate students to work on research projects alongside experienced scholars academics and researchers
ldquoJCU strongly supports the inclusion of undergraduate students in research studies where they can gain valuable knowledge skills and experience while also making a contribution to building the evidence base about health care issues of importance to people living in the tropicsrdquo said Jane
ldquoItrsquos a win-win situation where experienced researchers benefit from the studentsrsquo enthusiasm and familiarity with contemporary research principles and students increase their awareness of the importance of research to professional practicerdquo
It is clear to all parties involved that the inclusion of nursing students is benefitting the quality of the project as much as it is benefitting studentsrsquo learning and work experiences
22
Launch your nursing career at St Vincentrsquos
St Vincentrsquos Hospital Melbourne (SVHM) is part of St Vincentrsquos Health Australia and is a leading teaching research and tertiary health service which employs more than 5000 staff across 18 sites throughout Melbourne SVHM provides a diverse range of adult clinical services including acute medical and surgical services sub-acutecare medical diagnostics rehabilitation allied health mental health palliative care correctional health and community residential care SVHM is one of Australiarsquosleading Catholic not-for-prot healthcare providersMake the most of your talents Join the team at St Vincentrsquos
Visit us at the ACN Nursing and Health Expo 2015Find out about our 2016 Graduate Nurse Program andhave a chat to our current graduates educators and nursing staff
St Vincentrsquos Open Evening 2015Wednesday 3rd June 4pm-6pmSt Vincentrsquos Ground Floor Aikenhead Building 27 Victoria Parade Fitzroy
Welcome and Overview of the 2016 Graduate Nurse Program at 4pm 430pm amp 5pm
All welcome ndash no RSVP required
All 24 rotational areas on displayTours of inpatient wardsComplimentary food and beverages provided
For further information visit wwwsvhmorgau or phone the Graduate Nurse Hotline 9231 2244
To follow our 2016 recruitment process Like us at SVHM 2016 Graduate Nurse Program
Compassion Justice Integrity Excellence
24
INTERESTED IN STUDYING DEAKIN NURSING AND MIDWIFERYWe are holding information sessions for our undergraduate courses
BURWOOD CAMPUS 221 BURWOOD HIGHWAY BURWOODWednesday 22 July 6ndash8 pmSaturday 25 July 230ndash430 pm
WATERFRONT CAMPUS 1 GHERINGHAP STREET GEELONGWednesday 22 July 6ndash8 pmSaturday 25 July 230ndash430 pm
WARRNAMBOOL CITY CENTRE 165 TIMOR STREET WARRNAMBOOLFriday 24 July 730 pm
raquo To register your attendance at one of the information sessions above please email nursinfodeakineduau to advise which session you plan to attend
For more information about our undergraduate and postgraduate courses please phone 03 9244 6032
Deakin University CRICOS Provider Code 00113B HLH002
deakineduaunursing
Itrsquos never too early to become a leader
How did you become involved in nursing
I started volunteering from age 14 with St John Ambulance Australia in my hometown of Moruya NSW I loved everything about it ndash loved the joy of helping others and I was so intrigued to learn how to respond effectively in emergencies and show true compassion to others I was also fortunate to have had some very down-to-earth and inspiring mentors who encouraged my interest in nursing and after graduation from high school I undertook the University of Wollongongrsquos Bachelor of Nursing degree
I started my first paid nursing related employment in my third year of the degree at a local hospital I have now graduated and am working as a registered nurse (RN) in a local aged care facility learning the ins and outs of multiple comorbidities patient-centred care and compassionate palliative and end-of-life care
What is your nursing specialty
As I still consider myself as a lsquonewbiersquo RN I havenrsquot really discovered a specialty yet though I have interests in aged care mental health cardiology and nursing research So I guess I am intrigued to be involved in one or all of these areas at some point in my career but I am open to any interesting opportunities that may come my way
What do you love most about nursing
This is truly the job that never has a dull day Each day is different and I feel privileged to be so trusted with the lives of my patients and residents in their moments of hardship and need Along with my love of the workings of the human body the evidence-base behind nursing care and continuous educational opportunities I love the lsquoteamrsquo focus of nursing especially when the patient is at the centre of decision making and everything goes to plan
What is your least favourite part of nursing
When everything doesnrsquot go to plan
What brought you to this area of Australia
Irsquom originally from NSW South but I moved to Wollongong for University and have stuck around for the area the people and to continue to work and study here
What are some of the nursing and health issues that are specific to the Sydney SouthIllawarra Region
Two big issues come to mind Firstly many newly graduated RNs within our region have been unable to find employment Secondly local nurses struggle to find the time within their working hours to keep up to date with advances in education
What do you see as the biggest challenge currently facing the nursing profession and how do you think the profession is placed to respond to these challenges
I believe possible health funding cuts and workforce shortages that in-turn affect our ability to provide adequate and safe patient care are two significant challenges facing our profession There are recently graduated RNs who remain jobless yet there are local health districts crying out for nurses but only those with lsquoexperiencersquo with undergraduate nursing experience ignored Looking into alternative transition programs is key to overcoming this challenge
Whatrsquos the biggest misconception about your career choice
I have met some amazingly talented and intelligent nurses in a variety of roles who all make a great difference in the lives of their patients or indirectly through organisations or research The general misconception that irks me isnrsquot so much a misconception more a statement Irsquove heard multiple times ndash ldquoWhy didnrsquot you become a doctor Why are you just a nurserdquo I did not become a nurse because I didnrsquot have the marks to be a doctor and by the time I finish university again with a Research Masters I would have physically been enrolled in university for the same length of time I became a nurse because I found a passion for this role and spending time with people inspires me
Nursing is a holistic role that encompasses so much We are health professionals role models educators support systems and innovators we understand intimately the fragility of life and the human relationships that bring it meaning
Profile Renee Callender MACN
LeadershipACN
Expand your leadership capacity
25
INTERESTED IN STUDYING DEAKIN NURSING AND MIDWIFERYWe are holding information sessions for our undergraduate courses
BURWOOD CAMPUS 221 BURWOOD HIGHWAY BURWOODWednesday 22 July 6ndash8 pmSaturday 25 July 230ndash430 pm
WATERFRONT CAMPUS 1 GHERINGHAP STREET GEELONGWednesday 22 July 6ndash8 pmSaturday 25 July 230ndash430 pm
WARRNAMBOOL CITY CENTRE 165 TIMOR STREET WARRNAMBOOLFriday 24 July 730 pm
raquo To register your attendance at one of the information sessions above please email nursinfodeakineduau to advise which session you plan to attend
For more information about our undergraduate and postgraduate courses please phone 03 9244 6032
Deakin University CRICOS Provider Code 00113B HLH002
deakineduaunursing
WA EXPO PERTH
26
Welcome from the Chief Nurse amp Midwifery OfficerI am so pleased to be welcoming you to the Australian College of Nursingrsquos Western Australian Nursing and Health Expo for 2015
Attending the Expo is an invaluable experience for anyone interested in nursing and midwifery careers It especially helps high school students and their parents or anyone who is wondering which career direction to take
Hospitals and health services from across WA will be there with some of their nurses and midwives in attendance to answer any questions you may have Come and find out from them what itrsquos really like to be a nurse or midwife
There will also be a range of education providers who will be able to talk about the many courses available to get your career started
It is also a great place to come to discuss and find out about graduate job opportunities building your experience career development opportunities financial support to study changing employers or even returning to a career in nursing or midwifery after being away for a while
The decision to become a nurse or a midwife is a wonderful career choice for anyone who wants to be part of a diverse healthcare professional team and have a challenging rewarding and exciting job where you really can make a difference
The future demand for nurses and midwives is going to be high especially as WArsquos new Fiona Stanley Perth Childrenrsquos Busselton and Midland hospitals all start becoming fully operational so we encourage you to attend the Expo to see where nursing and midwifery might take you
I look forward to seeing you on Friday 1 May 2015 at the Perth Convention and Exhibition Centre
Karen Bradley MACN Chief Nurse and Midwifery Officer WA Health
27
Expo informationLocation
The Perth Convention and Exhibition Centre (PCEC) is Western Australiarsquos only dedicated convention and exhibition facility Each year over 500000 people attend one or more of the 600 plus events conducted at PCEC The Expo will be held in Pavillion 1 at PCEC
Doors open 9am ndash 1pm
Entry
Stairs amp Escalators to Level 2
Registration DeskEntry Foyer
Entry
ACN Expo Pavillion 1
28
Seminars
This year the educational seminar series is back again to provide visitors with up to date information and practical skills to pursue or further their career Seminar attendance is free of charge and registration is not required
Time Topic Presented by
915am How to become a nurse or midwife Rebecca Newton WA Nursing and Midwifery Office
950am Applying via GradConnect and other opportunities for graduate nurses and midwives
Regina Browne WA Nursing and Midwifery Office
1025am Unleashing the potential of your staff Lisa Ansbro and Donna Hampshire Chandler Macleod Health
1100am How to become a nurse or midwife Rebecca Newton WA Nursing and Midwifery Office
1135am Applying via GradConnect and other opportunities for graduate nurses and midwives
Regina Browne WA Nursing and Midwifery Office
1210pm Unleashing the potential of your staff Lisa Ansbro and Donna Hampshire Chandler Macleod Health
The lsquoUnleashing the potential of your staffrsquo seminar is proudly supported by
Chandler Macleod is Australasiarsquos leading provider of integrated HR services products and technologies We have more than 55 yearsrsquo experience in human resources and have specialised within the health sector for 10 of these We are ideally positioned to help you meet the growing demands on your business We provide permanent and temporarycontract recruitment for the full range of Health professions including Carers and Support Workers Enrolled Nurses Registered Nurses Facility and Operations Managers Directors Cleaners and Kitchen staff We are able to provide you with experienced caring staff 247 including public holidays
For more information contact Chandler Macleod on (08) 9217 0510 or visit wwwchandlermacleodcomclientshealth-recruitment
29
Floor plan
42 41
39
40
38
36
37
35
43
44
45
46
47
48
Entrance
Seminar area
Cafeacute
7
5
8
6
20
18
19
17
11
9
12
10
16
14
15
13
34 33 32 31 30 29 28
30
Exhibitor listing
Organisation Name Booth Number
AACDS 8
Armadale Health Service 38
Belmore Nurses Bureau 30
Central Institute of Technology 20
Chandler Macleod Health 16
Child amp Adolescent Health Service 42
Curtin University of Technology 19
Defence Force Recruiting 910
Edith Cowan University - School of Nursing and Midwifery
3334
Fiona Stanley Hospital 36
Fremantle Hospital 44
HESTA 5
Hollywood Private Hospital 7
Institute of Health amp Nursing Australia 32
Mediserve Nursing Agency 6
Murdoch University 1112
My Flex Health International 18
Organisation Name Booth Number
Next Step 48
North Metropolitan Mental Health 35
NurseWest 47
Nursing amp Midwifery Board of Australia 29
Osborne Park Hospital 46
Prime Super 17
PampN Bank 15
Rockingham General Hospital 39
Royal Perth Hospital 37
Sir Charles Gairdner Hospital 45
The Bethanie Group Inc 31
The University of Notre Dame 13
WA Country Health Service 40
WA Nursing amp Midwifery Office 43
West Coast Institute of Training 14
Women amp Newborn Health Service 41
Work the World 28
The WA Nursing amp Health Expo is proudly supported by
The WA Nursing and Midwifery Office is very proud to partner once again with the Australian College of Nursing for the 2015 Nursing and Health Expo The nursing and midwifery professions offer an array of interesting and diverse experiences With these highly valued and respected skills relevant anywhere in the world nurses and midwives will always be in demand ndash in hospitals and in a range of other workplaces In WA the future demand for nurses and midwives is going to be high especially as our new Fiona Stanley Perth Childrenrsquos Busselton and Midland hospitals all start becoming fully operational so considering a career in nursing or midwifery is a great idea
wwwnursinghealthwagovau
31
In Australia enrolled nurses (ENs) are a core component of the health care workforce and make an important contribution to Australiarsquos world-class health outcomes ENs work in varied settings across the country from blood services to aged care facilities Increasingly ENs are playing an important role in meeting the growing demand for care
Not all countries have recognised the importance of ENs in the nurse workforce mix Several European countries including France Denmark Italy and Spain have only one category of regulated nurse (HWA 2013 Robinson and Griffiths 2007) The United Kingdom (UK) ceased admitting new ENs to the register in the 1980s The minimum qualification for all UK nurses is now a three-year bachelorrsquos degree As a result the UK relies heavily on unregistered health care assistants rather than second-level nurses (UK Department of Health 2013) Closer to home New Zealand ceased training ENs in 1993 only to recommence in the 2000s (Meek 2009) New Zealandrsquos experiment is an instructive demonstration of the importance of ENs in the health care workforce as the demand for nursing care increases
In Australia we have remained committed to maintaining the EN role Rather than relying on unregistered health care workers Australia has chosen to maintain a large educated and professional EN workforce The skilled work of ENs is recognised to be of paramount importance to the delivery of high quality nursing care Our EN workforce is highly dynamic and continues to evolve within the changing landscape of Australian health care policy and regulation
Enrolled nurse demographics
According to the latest national figures there are 51624 ENs working in Australia The great majority of ENs have completed their pre-registration education in Australia fewer than 5 have been educated overseas (HWA 2013)
The EN workforce has a relatively high average age of 46 years and forty-five per cent of ENs have celebrated their fiftieth birthdays (AIHW 2013) According to Health Workforce Australia the ageing EN workforce could lead to a significant shortfall in the supply of ENs if action is not taken to retain the current cohort of ENs and increase the number of people studying to be the ENs of tomorrow (HWA 2012)
Men make up roughly 10 of the EN workforce While this number is rising gradually it indicates that there is progress to be made in terms of attracting and retaining males within the profession Aboriginal and Torres Strait Islander people are
also underrepresented in the EN workforce only around 800 of Australiarsquos ENs identify as Indigenous Australians (AIHW 2013)
Among the most common work settings for ENs are aged care rehabilitation and disability services In contrast ENs make up fewer than 5 of the critical care nursing workforce and represent only a small proportion of nurses working in education policy and management (AIHW 2013)
These statistics show that there are both challenges and opportunities for Australiarsquos EN workforce Efforts to recruit and retain ENs will need to be enhanced with a particular focus on encouraging men and Aboriginal and Torres Strait Islander people to become ENs At the same time roles in a wider range of clinical areas are becoming available to suitably educated and qualified ENs and there will be more such opportunities in the coming years
A growing role for ENs
The evolving role of the EN is reflected in recent changes to educational requirements for ENs As of 1 July 2014 the Certificate IV in enrolled nursing ceased to be available and the minimum qualification for EN entry to practice will be the Diploma of Nursing The transition to a Diploma recognises the high level of skill ENs contribute to todayrsquos health care teams A nationally consistent approach to EN education is also likely to enhance the mobility of the EN workforce by giving employers confidence in the knowledge and skills of ENs educated in other states
ENs are now undertaking a diverse range of roles One of the earliest areas of role expansion for ENs was medication endorsement Before the move to national registration in 2010 ENs in some states were able to obtain an endorsement in medicines administration and become Endorsed Enrolled Nurses by completing specified education units This endorsement has now been phased out because from 2008 onwards all newly qualified ENs have completed the required medicines administration education Instead the register now identifies ENs who have not completed the required courses (NMBA 2014) This example demonstrates how the EN role has evolved over the years Whereas once only a relatively small number of ENs were educated to administer medicines now all student ENs complete medicines administration units as part of their initial nursing education
The EN role is also expanding in other ways For example ENs are taking on a growing role within haemodialysis units (Tranter et al 2011) The 2008 Australia and New Zealand Dialysis Workforce Survey conducted by the Renal Society of Australia found that there were 188 ENs working in dialysis alongside 2433 registered nurses (RNs) The growing demand for dialysis
The potential of the enrolled nursing workforce
By Rosina Muir and Dr Marlene Eggert MACN
32
services and the shortage of dialysis RNs in some areas represents a clear opportunity for ENs According to a New South Wales study conducted in 2009 the scope of practice of ENs in haemodialysis units may include cannulation (including both native access and buttonhole cannulation) connecting and disconnecting haemodialysis central venous catheters (CVCs) performing CVC dressings giving iron infusions and administering erythropoietin anticoagulants and Lignocaine In addition ENs may also take on a case management or health promotion role for dialysis patients (Bennett et al 2009)
ENs are also moving into extended roles in rehabilitation services A recent study of ENs in an Australian rehabilitation facility found that in addition to assisting patients with activities of daily living ENs may take on roles in coaching and supporting patients to reach their individual goals monitoring the patientrsquos progress and liaising with other members of the multidisciplinary rehabilitation team The study found that many ENs demonstrate an understanding of the philosophy of rehabilitation nursing including goal setting and enabling self-care (Pryor and Buzio 2013)
In rural Australia ENs are taking on a diverse range of roles within the EN scope of practice in order to meet local needs ENs with specialist skills such as infection control or wound care make a significant contribution to some rural health services although their extended scope of practice is not always given appropriate recognition by their RN colleagues (Nankervis et al 2008) Rural health services are increasingly recognising that supporting ENs to take on extended roles and further develop their clinical skills can be a successful model for the delivery of high quality patient care
Recognising the evolving EN scope of practice
In light of the fact that there have been significant changes to EN education regulation and scope over the last decade the NMBA has commissioned Monash University to review the currency of the standards against contemporary enrolled nursing roles The Monash University project has involved a review of the literature as well as a series of focus groups and surveys to gather insights from both RNs and ENs on the education scope of practice and supervision of ENs (Monash University 2013) The project is expected to be completed in 2014 (NMBA 2013)
Our advocacy for ENs
ACNrsquos advocacy priorities are explicitly designed to support both registered and enrolled nurses In 2014 ACN has argued for a range of policies that would have a positive impact on the
retention and flexibility of enrolled nurses For example ACN has proposed a National Transition Framework to support the flexibility and mobility of both the EN and the RN workforces The Framework would be accessible to nurses entering the workforce as well as nurses transitioning from one area of practice to another For example it would support an EN wishing to transition from the aged care sector to a hospital-based role
ACN has also put forward a proposal for a new scholarship program to support newly registered and enrolled nurses to practice in rural services It is essential that rural health service providers are able to attract appropriately educated staff including both ENs and RNs in order to maintain an optimal skill mix The scholarship scheme will allow rural health services to employ newly registered and enrolled nurses as supernumerary team members while providing them with a structured clinical learning program
ACN will continue to provide a voice for ENs in policy discussions and advocate for the role of ENs in health care delivery Australian Institute of Health and Welfare 2013 Nursing and midwifery workforce 2012 lthttpwwwaihwgovauWorkAreaDownloadAssetaspxid=60129545314gt pp 6
Bennett P McNeill L Polaschek N 2009 lsquoThe Australian and New Zealand Dialysis Workforcersquo Renal Society of Australasia Journal vol 5 no3 pp 147-151 lthttpwwwrenalsocietyorgRSAJjournalnov09bennett2pdfgt
Health Workforce Australia 2012 Health Workforce 2025 Doctors Nurses and Midwives vol 1 lthttpwwwhwagovausitesuploadsFinalReport_Volume1_FINAL-20120424pdfgt pp 137-142
Health Workforce Australia 2013 Nurses in Focus lthttpwwwhwagovausitesuploadsNurses-in-Focus-FINALpdfgt
Meek G 2010 Second level nurses a critical examination of their evolving role in New Zealand Healthcare lthttpresearcharchivewintecacnz9621Repository_entry_HLNU902pdfgt pp 3
Monash University 2013 The National Review of the Enrolled Nurse Competency Standards lthttpwwwmedmonashedunursingcompetency-standardsgt
Nankervis K Kenny A Bish M 2008 Enhancing scope of practice for the second level nurse A change process to meet growing demand for rural health services lthttpwwwncbinlmnihgovpubmed18844530gt
Nursing and Midwifery Board of Australia 2013 Communique Meeting of the Nursing and Midwifery Board of Australia 27 February 2013 in the AHPRA Hobart Office TasmanialthttpwwwnursingmidwiferyboardgovauNewsCommuniques-from-Board-meetingsaspxgt
Nursing and Midwifery Board of Australia 2014 Enrolled nurses and medicine administration lt httpwwwnursingmidwiferyboardgovauCodes-Guidelines-StatementsFAQaspxgt
Pryor J Buzio A 2013 lsquoDo ldquotwo typesrdquo of ENs work in rehabilitation in Australiarsquo Journal of the Australasian Rehabilitation Nurses Association vol 16 no 1 pp 14-19 lthttpsearchinformitcomaudocumentSummarydn=480975443102792res=IELHEAgt
Robinson S and Griffiths P 2007 Nursing education and regulation International profiles and perspectives lthttpeprintssotonacuk3487721NurseEduProfilespdfgt pp 7-17
Tranter S Westgarth F White G 2011 lsquoThe scope of practice of the haemodialysis Enrolled Nurse in new South Walesrsquo Renal Society of Australasia Journal vol 7 no 1 pp 24-29 lthttpwwwrenalsocietyorgRSAJjournalmar11Tranterpdfgt
United Kingdom Department of Health 2013 The Cavendish Review An Independent Review into Healthcare Assistants and Support Workers in the NHS and social care settings lthttpswwwgovukgovernmentuploadssystemuploadsattachment_datafile236212Cavendish_Reviewpdfgt pp 6
33
By Laurie Bickhoff MACN
Diary of a newly registered nurse
In Australia it is estimated nearly 20 of nurses will leave the profession within their first year of practice (National Nursing and Nurse Education Taskforce [NNNET] 2005) Internationally this figure ranges from between 35 and 60 (Halfer amp Graf 2006) Many have speculated on the reasons for this with high workloads the difficulties of shift work and unrealistic expectations of what nursing entails all given due consideration (Halfer amp Graf 2006) However as I entered my second year of practice I began to wonder what role disillusionment plays in this exodus of newly trained nurses
Disillusionment to me occurs when you feel your passion dwindling when you suddenly find it that little bit harder to get ready for work when you start feeling a sense of dread as you walk onto the ward This wasnrsquot caused by long hours or ever increasing workloads coupled with diminishing resources It wasnrsquot caused by physically demanding duties or the lack of a social life due to shift work It wasnrsquot caused by dealing with things that might not look or smell that great Unfortunately it was caused by the people around me and an almost institutionalised lack of power not only for nurses but more importantly for our patients
I was dismayed and frustrated to hear how many of my colleagues from all health professions referred to patients I was disheartened to see how easily some could dismiss the suffering we see and the heartache I felt I was overwhelmingly saddened to realise not everyone had the same passion for their profession or empathy for those we are charged to care for as I did
This culminated for me towards the end of my first year of practice There wasnrsquot any one big incident more an accumulation of things that were gradually wearing me down I had a worried patient confide in me that they had been too scared to push the call button on the previous shift because of the response they would receive from the nurse I saw patients constantly being made to fit into everyone elsersquos schedules regardless of their requests It seemed everyone was more important than the person we were there to help
I heard patients referred to as lsquocactusrsquo or described in the notes as lsquounsalvageablersquo meaning there was no chance of the patients making meaningful recoveries I wondered is this really how we refer to people Or did we forget they were actual human beings we were talking about
I had other health professionals dismiss me with comments such as nurses ldquojust wipe bums all dayrdquo or roll their eyes at me when I raised my concerns When I dared to challenge or question I was met with comments of ldquoI miss the old new gradsrdquo I felt tired washed out and was beginning to wonder
whether I could stay in this profession without losing myself
Luckily I found some inspiration I listened to a presentation by Drew Dudley a well-known American academic and motivational speaker where he discusses the idea of lsquolollypop momentsrsquo These are small moments when the people we see and work with every day demonstrate leadership They arenrsquot big grand over the top statements They are small gestures which often unknown to the person who did it have an amazing impact on the lives of others I was lucky enough to have some of these lollypop moments just when I needed them These few sparks were all that I needed to reignite my passion for nursing
The first spark came from an RN2 caring for a patient at the end-stage of a number of diseases who had expressed to the nursing staff multiple times her wish to simply be made comfortable as she knew this was the end of her fight Despite this the patient was not only receiving active treatment but was also currently documented for full resuscitation if she deteriorated
The nurse raised the issue with the medical registrar asking him to have a discussion with the patient regarding her wishes and planning end-of-life care The registrar dismissed her saying ldquowell thatrsquos not what the consultant wantsrdquo The nurse wasnrsquot satisfied and responded ldquoitrsquos not their choice itrsquos the patientrsquos decisionrdquo This nurse had the courage to stand her ground and make sure her patientrsquos voice was heard which ultimately led to the patientrsquos wishes being honoured
The next spark came soon after I was working with a nurse who came from a different cultural background to me where it was seen as impolite to question anyone in authority especially if you were female This meant even if a doctor was accidently standing in her way she would prefer to simply wait rather than ask them to move
Then one day we had a patient who deteriorated rapidly and was in a very critical condition This nurse suddenly became one of the best clinical leaders I have witnessed She led the team questioning orders prompting treatments suggesting causes and outlining the options available I soon realised the difference this was about her patient She was going to ensure her patient received the best care and outcome possible When it was about her patient rather than herself she found her voice
There were a number of smaller incidents that soon followed Sparks came from the senior consultant who re-educated her advanced trainee on the importance of listening to the nurses and acting on their concerns Sparks came from our ward social
34
worker who day after day demonstrated his passion for helping and advocating for those with no voice and often no options Sparks came from the medical residents who expressed their gratitude when you picked up a mistake and were heartfelt in their appreciation of the work nurses do
The brightest sparks came from my patients and their relatives It was their ldquothanksrdquo their ldquoyou donrsquot know how much that meansrdquo their ldquoyoursquoll be back tomorrow wonrsquot yourdquo their squeezing of my hand that reminded me why I do what I do I didnrsquot have to search for inspiration I was surrounded by it The trick was to change my focus
Perhaps all nurses are disillusioned at some point during their careers Perhaps it happens multiple times Perhaps it is a rite of passage with those who make it through the other side the
ones with a true passion for nursing who turn around and help a colleague on their journey
As I continue my nursing career I now look for the brightness that I know is always there far outshining the negativity that we have to deal with I stockpile my lsquolollypop momentsrsquo knowing the amazing examples of kindness and leadership I see every day will help me grow and become a better nurse and hopefully I might be able to be a spark for someone else
You can listen to Drew Dudleyrsquos talk at wwwtedcomtalksdrew_dudley_everyday_leadership
Halfer D and Graf E lsquoGraduate Nurse Perceptions of the Work Experiencersquo Nursing Economics June 2006 Vol 24 No 3 pp 150-55
National Nursing and Nurse Education Taskforce 2005 Mythbusters Available online at httpwwwnnnetgovaudownloadsmythbusters_attritionpdf Accessed June 2014
Arts amp Sciences | Business | Education | Health Sciences | Law | Medicine | Nursing amp Midwifery | Philosophy amp Theology | Physiotherapy
Your journey to a meaningful career awaitsThe School of Nursing amp Midwifery offers the following courses
rsaquo Bachelor of Nursing
rsaquo Bachelor of Nursing (Articulation Pathway for EN Diploma)
rsaquo Graduate Certificate (Acute Mental Health Clinical Nursing Nursing and Nursing Leadership amp Management)
rsaquo Graduate Diploma (Acute Mental Health Clinical Nursing Critical Care Nursing Forensic Nursing Midwifery Nursing and Perioperative Nursing)
rsaquo Master of Nursing (Coursework and Research)
Looking to make a difference So are we
Apply direct notredameeduau
ND
1053
| C
RIC
OS
PR
OV
IDE
R C
OD
E 0
1032
F
35
36
Why do we hold the Expos
The ACN Nursing and Health Expos are held to enhance the profile of nursing as a profession by connecting individuals to a wide range of organisations from the nursing and health industry The Expos aim to promote recruitment to and retention of the nursing workforce
Who will be there
During the Expo you will have the opportunity to meet and interact with
bull education providers
bull hospital and health care services
bull recruitment agencies
bull specialty nursing groups
bull companies offering health product and services
Do I have to pay an entry fee
Attendance at the Expos is free of charge and the seminars are also complimentary
Why should I attend the Expos
The ACN Expos have a strong reputation for connecting visitors with a wide range of organisations from the nursing and health industry You will have the unique opportunity to network with exhibitors who will deliver the information you need to kick start or progress your nursing career In addition a series of complimentary seminars will run throughout the day providing you with practical take-home skills
Who should attend the Expos
ACN encourages everyone who is interested in the nursing and health professions to attend the Expos They will be particularly beneficial to
bull registered nurses
bull enrolledDiv 2 nurses
bull health professionals
bull nursing undergraduate students
bull high school students
ACN Nursing amp Health Expos an overview
6
A look back at the 2014 ACN Nursing amp Health Expos
ldquoIrsquom very grateful for the opportunity to attend an expo like this as Irsquom new to the industry and am not entirely sure of what is available to merdquo
ldquoVery informative and helpful Addressed all of my concerns and reassured me that the process although complex when broken down is achievablerdquo
ldquoThe exhibitors were excellent in answering questionshellip[and] were alleviating the anxiety felt by many students attendingrdquo
ldquoIt was amazing I feel less stressed about graduate opportunities nowrdquo
ldquoAbsolutely fantastic I really have enjoyed ithellipthank you all very much for opening my mind to all these different areas in nursingrdquo
ldquoHelpful friendly informative inspiringrdquo
Visitors eagerly line up at the Expo entrance
Visitors chat to a wide range of
exhibitors
Visitors gain practical advice in a seminar session
Opportunity to connect with education
providers nursing groups and health care
providers
7
8CALL 13 19 01 OR VISIT DEFENCEJOBSGOVAU ARMY
THE ARMY ISNOW RECRUITINGNURSINGOFFICERS
A career as an Army Nursing Offi cer offers variety andchallenges in employment and travel not always availablein the normal hospital environment You will gain experienceand skills that will equip you for advancement in the Armyand will also be in high demand in your profession
Yoursquoll also enjoy great benefi ts like free medical and dentalworld class training subsidised accommodation excellentsalary packages worklife balance and unique experiences
To fi nd out more about becoming a Nursing Offi cersearch lsquoArmy Nursersquo
ARMY0176 Nurse Respec_210x297mm_V3indd 1 30012015 324 pm
Nursing Officer a vital role in the Australian Defence Force
In any environment healthcare is a challenge but during military operations that challenge can take on a new perspective As a Nursing Officer in the Australian Defence Force (ADF) Lieutenant Tess Demunk plays a vital role in the ongoing health and welfare of people in the Australian Army
Throughout her career Tess has enjoyed the sort of variety challenges and travel that a civilian nurse would never have the opportunity to experience
ldquoI joined the Army because I wanted to do something different with my nursing Irsquom interested in trauma nursing and obviously the Australian Army is a great place to go to for thatrdquo
ldquoItrsquos also a great opportunity to lsquogive something backrsquo you can care for the soldiers out there protecting us and our countryrdquo Tess said
Nursing Officers in the Australian Defence Force are employed across a range of clinical clinical management and broader health management duties They can expect to work in units and field hospitals that provide a comprehensive hospital service or in small Treatment Teams providing primary healthcare and immediate pre-hospital resuscitation
A Defence healthcare career offers variety and challenges in employment as well as opportunities that are not always available in a civilian hospital environment
The ADF offers amazing opportunities to travel around Australia and overseas on peacekeeping and emergency aid missions that make a genuine difference to peoples lives
Humanitarian work is a gateway to experience new cultures and interact with patients and locals like never before Its these kinds of career defining experiences that make your years of study all worthwhile
ldquoDeployments are a big opportunity Nursing overseas and being able to look after a lot of trauma injuries are two of the main reasons I joined the Armyrdquo Tess said
ldquoThere is a lot of primary healthcare stuff that we do as well but the reason that most people join is to do nursing in the field and on deploymentrdquo
ADF members also enjoy a great work-life balance with a selection of sporting clubs to play for fitness training thats included as part of the working day strong job security and role diversity Include the great benefits and competitive salary package with the chance to continually improve your medical knowledge and qualifications and the choice to pursue a military healthcare career just adds up
ldquoIn Defence you get free healthcare free dental and all the things that go along with that The mates you make along the way the courses that you get to do and the opportunities for deployment and the field exercises are other benefits as wellrdquo
ldquoI completed the Defence University Sponsorship (DUS) through Monash University It is a fantastic scheme that allowed me to study at university as a full-time student and be paid by the Army while doing thatrdquo
Full-time and part-time roles are available across the Navy Army and Air Force including graduate and undergraduate positions
Youll receive further training and post graduate study opportunities while youre in the ADF so you can go as far as you want to in your career
Put your medical and health-related skills and knowledge to use in a unique environment that is unlike anything else With the opportunity to broaden your skills and make a difference both at home and overseas a career in Defence healthcare is a worthwhile challenge that will just keep on giving
The Defence Force is currently recruiting for Nursing Officers and various health-related roles For further information on military training and careers in the Navy Army or Air Force visit
defencejobsgovau or call 13 19 01
By Tess Demunk Australian Army Nursing Officer
9
The beginning of a career ACNrsquos Nursing amp Health Expos
In pursuit of the belief that every nurse should have the opportunity to grow their career and further the nursing profession ACN is once again presenting the Nursing and Health Expos for 2015 The expos have provided an avenue for those interested in nursing in Australia to seek expert advice on education and employment opportunities One young nursersquos visit to an expo opened up a career
Ever since I could remember I wanted to help people When I was young I would look up diseases and conditions I had my own first aid kit and I would play lsquonursersquo with my mum and dad
In 2007 when I was in year 12 I attended my first NSW Nursing and Health Expo and Irsquove continued to visit the expos since Initially I wanted to become a paramedic but everyone I spoke to said that I should become a nurse first They gave me great advice to become an endorsed enrolled nurse (EEN) before becoming a registered nurse (RN) ndash to take it one step at a time
I studied at TAFE for 18 months to become an EEN I completed my Bachelor Degree at Southern Cross University while working as an EEN at a private hospital in Coffs Harbour This meant I was able to put my theory into practice
Now I work as an RN with Ramsay Health Care Every day I come home knowing I have a little place in someonersquos heart because I helped them Patients are very vulnerable people and sometimes all they need is for you to listen Listening is one of the most important lessons I have learnt as a nurse
Irsquod recommend the ACN Nursing and Health Expos to anyone especially year 12 students who are interested in a career as a nurse I always look forward to the expo and I make a day of it Itrsquos great to be around like-minded people listening to their stories and they are always interested in listening to mine Last year I was able to practice keyhole surgery at the expo and I was actually good at it ndash so maybe surgical nursing is an option down the track
I joined ACN last year and have now had this opportunity to share my nursing story and hopefully inspire others
by Brianna Gudgeon MACN
Brianna as a volunteer nurse in Samoa
Brianna (left) in 2008 training as an EEN at Concord Hospital with colleague
10
INSTITUTE OFHEALTH AND NURSING AUSTRALIA
RTO ID 21985 CRICOS Code 03386G
wwwihnaeduauenquiryihnaeduau1800 22 5283
Our Courses
bull Registered Nurse Re-entry to Practice Program
bull Registered Nurse Refresher Program
bull HLT51612 Diploma of Nursing (Enrolled-Division 2 Nursing)
bull HLT61107 Advanced Diploma of Nursing
The Institute of Health and Nursing Australia (IHNA) is one of Australias leading providers of comprehensive
health and nursing education at several levels IHNA is fast-growing dynamic and quality-driven institution committed to continuous improvement working hard to develop implement and deliver courses and professional development programs The courses offered by IHNA are prepared by experienced healthcare professionals and help students to pursue a successful career in Australian healthcare
Melbourne | Perth | Sydney
VET FEE HELP GOVT FUNDING AVAILABLE
Institute of Health and NursingAustralia
IHNA
Call 1800 675 839 for a Short-Form Product Disclosure Statement Prime Super (ABN 60 562 335 823) is issued by Prime Super Pty Ltd (ABN 81 067 241 016 AFSL 219723 RSE L0000277 RN 1000276)
VIC Expo Booth 33 | WA Expo Booth 17 | wwwprimesupercomau
Visit us at the Expo to find out morehellip
and enter our competition for your chance to WIN a $550
endota day spa voucher
Prime Super provides personal support to make super simpler
Now incorporating
11
VIC EXPO MELBOURNE
12
Welcome from the Chief Nurse amp Midwifery OfficerWelcome to the Australian College of Nursingrsquos 17th annual Nursing and Health Expo in Melbourne The Department of Health and Human Services in Victoria is a keen sponsor of this important event on the nursing calendar The Expo plays an important role in enhancing the profile of nursing as a profession which in turn promotes recruitment and retention of the nurses and midwives
As part of the health care team nurses and midwives are essential to the communityrsquos health and wellbeing Nurses and midwives play a critical role in delivering safe compassionate and quality care The Department of Health and Human Services encourages Victorian nurses and midwives to provide the best possible care for the community by providing clear strategic direction for the profession as well as supporting health services to implement initiatives across workforce development and reform
Being a nurse or midwife is a rewarding career but it is important to know if it is the right career choice for you In addition to having the relevant knowledge and skills nurses and midwives need to be compassionate caring and flexible Nursing and midwifery offers many and varied opportunities across multiple settings not only for graduates but for people of any age looking to enter the workforce
While traditionally nurses and midwives have always worked in hospitals they now work across multiple settings including general practice community-based services and aged-care services
The job market is competitive and opportunities will continue to be present for the existing returning and newly graduated nurses and midwives Because of the changing needs of the community there is often a contrast between where nurses and midwives prefer to work and where there are opportunities Growth opportunities are in areas such as rural aged care and chronic disease management and I encourage everyone to think beyond the traditional locations and to explore new and rewarding areas of employment
Senior members of the workforce are reminded of the important role we all play as professionals in encouraging and mentoring new starters and transitioning into other roles
Education and training is a lifelong journey essential to the continual development of the nursing and midwifery workforce which ensures highly skilled capable and critical decision makers
Associate Professor Alison McMillan MACN Chief Nurse and Midwifery Officer Department of Health amp Human Services VIC
13
Expo informationLocation
Visitors are often struck by the architectural brilliance of the Melbourne Convention and Exhibition Centre (MCEC) which has won some of Australiarsquos most prestigious architecture and design awards The Expo will be held in bays 17 and 18 of the MCEC
Doors open 9am ndash 1pm
Concourse
Link to convention
centre
Loading Dock
Normanby Road
Clar
endo
n St
reet
Entry Foyer
Clarendon Street
Entrance
ACN Expo Bays
17 amp 18
14
Seminars
This year the educational seminar series is back again to provide visitors with up to date information and practical skills to pursue or further their career Seminar attendance is free of charge and registration is not required
Time Topic Presented by
915am HESTA Your Partner for Career David Logan HESTA
950am Graduate NurseMidwifery Program Computer Match 2015 Paul Williamson Postgraduate Medical Council of Victoria
1025am Understanding delegation and supervision responsibilities and accountabilities
Associate Professor Alison McMillan MACN
Department of Health amp Human Services Victoria
1100am HESTA Your Partner for Career David Logan HESTA
1135am Graduate NurseMidwifery Program Computer Match 2015 Paul Williamson Postgraduate Medical Council of Victoria
1210pm Understanding delegation and supervision responsibilities and accountabilities
Associate Professor Alison McMillan MACN
Department of Health amp Human Services Victoria
The VIC Nursing amp Health Expo is proudly supported by
On 1 January 2015 the Victorian Government established the Department of Health amp Human Services bringing together the former Department of Health Department of Human Services and Sport and Recreation Victoria The department has been established to develop and deliver policies programs and services that support and enhance the wellbeing of all Victorians We take a broad view of the causes of ill health the drivers of good health the social and economic context in which people live and of the incidence and experience of vulnerability This will allow us to place people at the heart of policy-making service design and delivery
wwwdhhsvicgovau
15
Floor plan
BENC
H
SINK
ENTRANCEDOOR 9
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
20 21
22232425
26 27 28 29
30313233
34 35 36 37
38394041
42 43 44 45
46474849
50 51 52 53
54555657
58 59 60 61
62636465
66 67 68 69
7071727374
75
76
84
85
86
87
88
89
90
1918
16
Exhibitor listing
Organisation Name Booth Number
Alfred Health 6667
ANMF Victorian Branch 747576
Austin Health 4243
Australian Catholic University 89
Ballarat Health Services 62
BankVic 73
Baptcare 60
Belmore Nurses Bureau 47
Bendigo Health 44
Care Training Australia 17
Chisholm Institute of TAFE 19
Colbrow Healthcare 26
Critical Second 90
Crystal Clear Ear Clinic 6
Deakin University Nursing amp Midwifery 3435
Defence Force Recruiting 12
Eastern Health 3031
Epworth HealthCare 6465
Federation University Australia 41
First Call Health 40
First State Super 7
Forensicare 68
Health Skills Australia 72
HESTA 20
Holmesglen 4546
Institute of Health amp Nursing Australia 27
Kangan Institute 24
La Trobe University 121314
Martin Luther Homes 22
McFarlane Medical amp Scientific 23
mdBriefCase Australia 18
Mediserve Nursing Agency 28
Organisation Name Booth Number
Melbourne City Institute of Education 86
Mental Health Nursing Victoria 1011
Mercy Health 8788
Monash Health
Monash University 8485
NeilMed Pharmaceuticals 32
Northern Health 5354
NorthWestern Mental Health 59
Nurses Board of Victoria Legacy Limited
69
Nursing amp Midwifery Board of Australia 21
Peninsula Health 38
Peter MacCallum Cancer Centre 25
Postgraduate Medical Council of Victoria
71
Prime Super 33
Reflective Clinical Supervision Network 39
RMIT Faculty of Nursing 55
Royal Victorian Eye amp Ear Hospital 48
Sanita Australia 31
St Vincentrsquos Hospital 5051
St Vincentrsquos Mental Health 5
St Vincentrsquos Private Hospital 34
The Royal Melbourne Hospital 56
Tobin Brothers Funerals 49
University of Melbourne 89
University of Tasmania 52
Victoria University 57
Vital Health Recruitment 70
VNS Nursing Agency 58
Western District Health Service 63
Western Health 3637
Work the World 29
17
Graduate transition programs my personal experienceToo often we hear horror graduate stories Research shows horizontal violence and bullying is rampant in our profession We are told tales of the infamous ldquoeat our youngrdquo nursing culture We know graduates suffer transition shock when they start practicing and nearly 20 will leave in their first year
Unfortunately the good stories are often buried underneath the bad and so I wanted to share my graduate year experience When I started as an RN the only nursing experience I had were my clinical placements and a mere two months working as an AIN To say I was worried was a major understatement I was quietly petrified but tried to keep up a brave face
I had worked hard in university to learn as much as I could but I was still filled with doubts Would I be good enough Would I crash and burn Would I help or hinder my patientsrsquo recovery
My first day on the ward was sink or swim time I was amazed at the warm welcome I was given The other RNs were supportive and encouraging They made sure I knew if I felt myself struggling they would be there with a life-line
Every ward I rotated through gave me this same friendly reception Perhaps it was just luck or maybe our nursing culture is changing but I never encountered any of the pressure to change my values and practice in order to fit in that I had been told to expect Instead I found colleagues who understood I wouldnrsquot know everything on day one who were willing to take the time to teach me and who become great friends along the way
My clinical skills and knowledge increased out of sight during my graduate year I felt my university had given me a great foundation on which to build my career as an RN but my grad program cemented my theory into my practice I started the year having never removed a single stitch I ended the year confidently removing everything from sutures to ICCs and pacing wires while also successfully inserting NG tubes and cannulas Importantly I understood the pathophysiology and rationale behind each of these and could explain it to my patients
Irsquom not saying everyday was perfect Irsquom not saying every person was as helpful or welcoming as the next Irsquom not saying I didnrsquot have days when I struggled What I am saying is I never felt alone I knew the support was there all I had to do was ask
I know not every graduate nurse will have as positive an experience as I did Perhaps my journey was the exception not the rule However I hope the number of nurses who have an amazing graduate year like mine continues to increase until this becomes the norm
I do know that the success of your graduate year relies heavily on you and your attitude University teaches you how to think like a nurse but it is in clinical practice the real learning begins and it has a steep learning curve Approach your grad year knowing that everyone from the tea lady to the Director of Nursing will be your new teachers and success will come When the people you work with recognise your passion see your motivation to provide what is best for the patient and know you realise what a unique privilege it is to be a nurse their respect will follow
At the same time donrsquot be afraid to speak up for your patients for your colleagues and for yourself Harvey Fierstein said ldquoNever be bullied into silence Never allow yourself to be made a victim Accept no onersquos definition of your life define yourselfrdquo You have the ability to define your graduate year regardless of what hospital or ward you find yourself in
You can change the culture and reputation of the nursing profession for better or worse You can conform and join in bullying behaviour and continue negative traditions or you can decide it stops with you Set your standards high and have the moral courage to stick to them If every graduate nurse demonstrated this leadership and supported other nurses who did as well imagine the overwhelmingly positive impact that could have on nursing
Gandhi once said ldquoBe the change you want to see in the worldrdquo I would encourage you to be the change you want to see in nursing and just watch how the world changes with us
By Laurie Bickhoff MACN
18
Finishing studies and becoming a new graduate is an exciting milestone Itrsquos usually the first time you begin working full time perhaps moving away from home owning your own car and paying bills
Of course itrsquos important to budget ensuring you have enough money for daily expenses as well as being able to stash some money away The easiest way to keep track of your income versus expenses is to set up an everyday account with your salary paid into it and a savings account earning interest on the money yoursquore able to save In addition you might want to get a credit card so that yoursquove got some money for emergencies
Gain fee free banking freedom
With a BankVic Anywhere account you can enjoy unlimited free withdrawals at any ATM in Australia when you deposit $1000 per month1 Plus you can access your money with free unlimited eftpos transactions a Visa Debit card with paywave and a mobile App
Earn bonus interest on your savings
A BankVic Bonus Saver account is a high interest account that rewards you for saving by giving you bonus interest2 when you deposit a minimum of $100 a month and make no withdrawals plus there are no fees Itrsquos a great way to force yourself to save
Enjoy a credit card with no annual fee
A BankVic Visa Silver credit card offers great value with an introductory rate of 699pa3 for the first 6 months and a low ongoing rate plus no annual fee Itrsquos the perfect back up card
Why not call us today Call your dedicated Member Relationship Manager Phoebe Reid on 9268 9297 or via email preidbankviccomau
1 Minimum deposit of $1000 must be received in the account by close of business on the last business day of the month The deposit cannot be an internal transfer or interest earned form other BankVic products 2 Bonus Saver ndash Deposit $100 per calendar month with no withdrawals and yoursquoll be rewarded with bonus interest Bonus interest rate is capped at a maximum balance of $1000000 3 Credit Card interest rates are variable All interest rates are shown are current as at date of print and are subject to change Fees and charges apply Any advice is general before acting on the advice you should consider whether the advice is appropriate for you Before you make any decision to acquire any product or service you should obtain and consider the relevant Product Disclosure Statement available from our website bankviccomau any branch or by calling us on 13 63 73 Police Financial Services Limited ABN 33 087 651 661 AFSL 240923 Australian Credit Licence 240293ndash trading as BankVic 121 Cardigan Street Carlton Victoria 3053 3-15 5243BV
Advertorial
Banking freedom for nurses and midwives
members matter
Let BankVic take care of you while you take care of others
9268 9297preidbankviccomau
Canstar Pty Ltd Authorised Representative 443019 of Canstar Research Pty Limited ABN 29 114 422 909 AFSL 437917 Police Financial Services Limited ABN 33 087 651 661 AFSL 240293 (BankVic) 121 Cardigan Street Carlton Vic 3053 315 5280bv
Contact your dedicated Member Relationship Manager Phoebe Reid
bankviccomau
19
This is general advice only Consider our product disclosure statement before making a decision about First State Super Call us or visit fi rststatesupercomau for copies Becoming a Student Club member is diff erent to being a First State Super member as you do not hold a superannuation account with the Fund or have any interest right or other relationship with First State Super
FSS Trustee Corporation ABN 11 118 202 672 ASFL 293340 is the trustee of the First State Superannuation Scheme (First State Super) ABN 53 226 460 365 EXP_
Mel
b_Ex
po_A
4_03
15
Join our free Student Club and make the most of the support discounts and benefi ts available only to students
Learn to manage your super better and how you can take advantage of our exclusive member benefi ts
Find out why wersquore the super fund with a heart on Saturday 18 April
Visit us at booth 7 in Melbourne
EXP_Melb_Expo_A4_Mar15_ARTWORKindd 1 6032015 414 pm
By Claire Stewart MACN
Diary of a newly registered nurse
Irsquom almost three months into my role as a newly registered nurse and I had my first 40 Prolene moment recently For the uninitiated this can be a panic fuelled moment where a routine procedure ends up resembling the Texas chainsaw massacre Thankfully I was supported by a wonderfully calm surgeon who waited patiently while I painstakingly attempted to load his life saving suture After the surgery I wiped the blood from my glasses and took a moment to reflect on how I had handled the situation In fact Irsquove spent most of the last three months lsquoreflectingrsquo Deafening groans can be heard from many a third year nursing cohort when wersquore asked yet again to lsquocritically reflectrsquo on our practice as student nurses Let me be the first to admithellip It doesnrsquot stop at graduation
I may not use a dedicated framework or even put pen to paper but the skills I learned during my studies have set me up to ensure I gain the most from every learning opportunity by critically reflecting on my performance simply by force of habit During the last three months my learning curve has veered vertical as I transitioned from university study to my role as a
graduate registered nurse in perioperative services Irsquove had to deal with a new environment (donrsquot even get me started on finding your way around a theatre complex) new colleagues adjusting to full time work and managing family commitments learning an entire new skill set working as a scrubscout dealing with policies procedures and my favourite surgeonsrsquo preference
In these first few months itrsquos very easy to fall into the trap of focussing on how much you donrsquot know However practising critical reflection has allowed me to focus on what I do know how far Irsquove come and what I will learn because Irsquom self-aware Whether you are a new nurse like me and feel like yoursquove handed in one too many pieces of written reflection to your facilitator over the last three years or an experienced nurse who practices self-reflection sub-consciously on the drive home ndash embrace it for the wonderful tool that it is and use it to become the kind of nurse you want to work with
Be in demand Be successfulStudy nursing or midwifery at Monash If you want to make a difference in health care with great employment potential the School of Nursing and Midwifery is a great place to start
As a nurse or midwife there are a variety of roles and a number of specialty areas available to you ensuring a constant career of challenges and diversity
To find out more about our undergraduate courses visit us at ACN Expo Melbourne Stand 84 ndash 85
For more information on our courses visit medmonashedunursing
21
Research collaboration students are welcome
A collaborative research study in Queensland is tapping into the enthusiasm and intelligence of nursing students by training and employing third-years as research assistants data collectors and analysts in contract research projects
Researchers from James Cook Universityrsquos (JCU) Centre for Nursing and Midwifery Research (CNMR) the Far North Queensland Medicare Local and the Cairns and Hinterland Hospital and Health Service are trying to determine why emergency department (ED) presentations to Cairns Hospital have been increasing at a greater rate than the national average
To answer this question CNMR researchers recruited 14 nursing and medical students to survey every willing and able person who presented to the ED
Researchers asked participants for information regarding their reasons for coming to the ED They also asked where they would usually go for medical treatment and what physical and psychological factors influenced their decision to choose the ED over other treatment options
In other phases of the project hospital Emergency Department Information System (EDIS) data have been analysed and patient focus groups have been convened Unstinting faith in the local ED has been noted as one of the key reasons that people choose the ED over other health care options
Most people who come to the ED with lsquonon-urgentrsquo conditions do have general practitioners and a large percentage have sought medical advice in the days prior to presenting to the ED Worry anxiety and uncertainty rather than the severity of the medical condition itself however appears to be a significant motivator to come to the ED where people perceive there is a wide range of services professionals and diagnostic tools available
ACN Emerging Nurse Leader Anna Groth MACN a third-year nursing student from JCU has been collecting collating and analysing data
ldquoOften I would ask someone why they had come to the hospital and they would speak about being in pain but if you asked them about whether they came for the pain or because they were anxious about the pain they would say they had come to the hospital because of the anxietyrdquo explained Anna ldquoIt is such a huge difference ndash the motivation ndash coming for the pain or the anxietyrdquo
Anna said the project opened communication lines between people from different organisations including government university health service hospital and the community leading to collaboration and learning for all
By Marnie Hitchins
Benefits for the students included early career exposure to the research process in which they learnt about data collection analysis and research methods The students also had the opportunity to practise communication skills learn about the organisational cultures of universities and hospitals and work alongside health professionals and patients in a research environment
Students commented that because the power dynamics were different from that of clinical experience (they were not seen as health professionals by patients nor as lsquostudent nursesrsquo by health staff members) they gained insights into the hospital environment they might not otherwise have had
Anna said she learned a lot personally the ED research experience has catapulted her into another area of interest in which she can see herself working in the future
ldquoResearch and policy will be a part of my future Irsquove gained a deep interest in the treatment of women since doing this studyrdquo said Anna
ldquoI have become very interested in domestic violence and the way women are treated in the health service and in the society as a whole I was blown away by the struggle that people have with the system in trying to find support They are so lonely I recognised things being in the ED that I would like to research and have already started exploring the issuesrdquo
CNMR Director Associate Professor Jane Mills FACN said the recruitment and inclusion of students in research projects is part of a broader plan within the CNMR to build undergraduate research capacity
Jane said the CNMR also offered internships to undergraduate students to work on research projects alongside experienced scholars academics and researchers
ldquoJCU strongly supports the inclusion of undergraduate students in research studies where they can gain valuable knowledge skills and experience while also making a contribution to building the evidence base about health care issues of importance to people living in the tropicsrdquo said Jane
ldquoItrsquos a win-win situation where experienced researchers benefit from the studentsrsquo enthusiasm and familiarity with contemporary research principles and students increase their awareness of the importance of research to professional practicerdquo
It is clear to all parties involved that the inclusion of nursing students is benefitting the quality of the project as much as it is benefitting studentsrsquo learning and work experiences
22
Launch your nursing career at St Vincentrsquos
St Vincentrsquos Hospital Melbourne (SVHM) is part of St Vincentrsquos Health Australia and is a leading teaching research and tertiary health service which employs more than 5000 staff across 18 sites throughout Melbourne SVHM provides a diverse range of adult clinical services including acute medical and surgical services sub-acutecare medical diagnostics rehabilitation allied health mental health palliative care correctional health and community residential care SVHM is one of Australiarsquosleading Catholic not-for-prot healthcare providersMake the most of your talents Join the team at St Vincentrsquos
Visit us at the ACN Nursing and Health Expo 2015Find out about our 2016 Graduate Nurse Program andhave a chat to our current graduates educators and nursing staff
St Vincentrsquos Open Evening 2015Wednesday 3rd June 4pm-6pmSt Vincentrsquos Ground Floor Aikenhead Building 27 Victoria Parade Fitzroy
Welcome and Overview of the 2016 Graduate Nurse Program at 4pm 430pm amp 5pm
All welcome ndash no RSVP required
All 24 rotational areas on displayTours of inpatient wardsComplimentary food and beverages provided
For further information visit wwwsvhmorgau or phone the Graduate Nurse Hotline 9231 2244
To follow our 2016 recruitment process Like us at SVHM 2016 Graduate Nurse Program
Compassion Justice Integrity Excellence
24
INTERESTED IN STUDYING DEAKIN NURSING AND MIDWIFERYWe are holding information sessions for our undergraduate courses
BURWOOD CAMPUS 221 BURWOOD HIGHWAY BURWOODWednesday 22 July 6ndash8 pmSaturday 25 July 230ndash430 pm
WATERFRONT CAMPUS 1 GHERINGHAP STREET GEELONGWednesday 22 July 6ndash8 pmSaturday 25 July 230ndash430 pm
WARRNAMBOOL CITY CENTRE 165 TIMOR STREET WARRNAMBOOLFriday 24 July 730 pm
raquo To register your attendance at one of the information sessions above please email nursinfodeakineduau to advise which session you plan to attend
For more information about our undergraduate and postgraduate courses please phone 03 9244 6032
Deakin University CRICOS Provider Code 00113B HLH002
deakineduaunursing
Itrsquos never too early to become a leader
How did you become involved in nursing
I started volunteering from age 14 with St John Ambulance Australia in my hometown of Moruya NSW I loved everything about it ndash loved the joy of helping others and I was so intrigued to learn how to respond effectively in emergencies and show true compassion to others I was also fortunate to have had some very down-to-earth and inspiring mentors who encouraged my interest in nursing and after graduation from high school I undertook the University of Wollongongrsquos Bachelor of Nursing degree
I started my first paid nursing related employment in my third year of the degree at a local hospital I have now graduated and am working as a registered nurse (RN) in a local aged care facility learning the ins and outs of multiple comorbidities patient-centred care and compassionate palliative and end-of-life care
What is your nursing specialty
As I still consider myself as a lsquonewbiersquo RN I havenrsquot really discovered a specialty yet though I have interests in aged care mental health cardiology and nursing research So I guess I am intrigued to be involved in one or all of these areas at some point in my career but I am open to any interesting opportunities that may come my way
What do you love most about nursing
This is truly the job that never has a dull day Each day is different and I feel privileged to be so trusted with the lives of my patients and residents in their moments of hardship and need Along with my love of the workings of the human body the evidence-base behind nursing care and continuous educational opportunities I love the lsquoteamrsquo focus of nursing especially when the patient is at the centre of decision making and everything goes to plan
What is your least favourite part of nursing
When everything doesnrsquot go to plan
What brought you to this area of Australia
Irsquom originally from NSW South but I moved to Wollongong for University and have stuck around for the area the people and to continue to work and study here
What are some of the nursing and health issues that are specific to the Sydney SouthIllawarra Region
Two big issues come to mind Firstly many newly graduated RNs within our region have been unable to find employment Secondly local nurses struggle to find the time within their working hours to keep up to date with advances in education
What do you see as the biggest challenge currently facing the nursing profession and how do you think the profession is placed to respond to these challenges
I believe possible health funding cuts and workforce shortages that in-turn affect our ability to provide adequate and safe patient care are two significant challenges facing our profession There are recently graduated RNs who remain jobless yet there are local health districts crying out for nurses but only those with lsquoexperiencersquo with undergraduate nursing experience ignored Looking into alternative transition programs is key to overcoming this challenge
Whatrsquos the biggest misconception about your career choice
I have met some amazingly talented and intelligent nurses in a variety of roles who all make a great difference in the lives of their patients or indirectly through organisations or research The general misconception that irks me isnrsquot so much a misconception more a statement Irsquove heard multiple times ndash ldquoWhy didnrsquot you become a doctor Why are you just a nurserdquo I did not become a nurse because I didnrsquot have the marks to be a doctor and by the time I finish university again with a Research Masters I would have physically been enrolled in university for the same length of time I became a nurse because I found a passion for this role and spending time with people inspires me
Nursing is a holistic role that encompasses so much We are health professionals role models educators support systems and innovators we understand intimately the fragility of life and the human relationships that bring it meaning
Profile Renee Callender MACN
LeadershipACN
Expand your leadership capacity
25
INTERESTED IN STUDYING DEAKIN NURSING AND MIDWIFERYWe are holding information sessions for our undergraduate courses
BURWOOD CAMPUS 221 BURWOOD HIGHWAY BURWOODWednesday 22 July 6ndash8 pmSaturday 25 July 230ndash430 pm
WATERFRONT CAMPUS 1 GHERINGHAP STREET GEELONGWednesday 22 July 6ndash8 pmSaturday 25 July 230ndash430 pm
WARRNAMBOOL CITY CENTRE 165 TIMOR STREET WARRNAMBOOLFriday 24 July 730 pm
raquo To register your attendance at one of the information sessions above please email nursinfodeakineduau to advise which session you plan to attend
For more information about our undergraduate and postgraduate courses please phone 03 9244 6032
Deakin University CRICOS Provider Code 00113B HLH002
deakineduaunursing
WA EXPO PERTH
26
Welcome from the Chief Nurse amp Midwifery OfficerI am so pleased to be welcoming you to the Australian College of Nursingrsquos Western Australian Nursing and Health Expo for 2015
Attending the Expo is an invaluable experience for anyone interested in nursing and midwifery careers It especially helps high school students and their parents or anyone who is wondering which career direction to take
Hospitals and health services from across WA will be there with some of their nurses and midwives in attendance to answer any questions you may have Come and find out from them what itrsquos really like to be a nurse or midwife
There will also be a range of education providers who will be able to talk about the many courses available to get your career started
It is also a great place to come to discuss and find out about graduate job opportunities building your experience career development opportunities financial support to study changing employers or even returning to a career in nursing or midwifery after being away for a while
The decision to become a nurse or a midwife is a wonderful career choice for anyone who wants to be part of a diverse healthcare professional team and have a challenging rewarding and exciting job where you really can make a difference
The future demand for nurses and midwives is going to be high especially as WArsquos new Fiona Stanley Perth Childrenrsquos Busselton and Midland hospitals all start becoming fully operational so we encourage you to attend the Expo to see where nursing and midwifery might take you
I look forward to seeing you on Friday 1 May 2015 at the Perth Convention and Exhibition Centre
Karen Bradley MACN Chief Nurse and Midwifery Officer WA Health
27
Expo informationLocation
The Perth Convention and Exhibition Centre (PCEC) is Western Australiarsquos only dedicated convention and exhibition facility Each year over 500000 people attend one or more of the 600 plus events conducted at PCEC The Expo will be held in Pavillion 1 at PCEC
Doors open 9am ndash 1pm
Entry
Stairs amp Escalators to Level 2
Registration DeskEntry Foyer
Entry
ACN Expo Pavillion 1
28
Seminars
This year the educational seminar series is back again to provide visitors with up to date information and practical skills to pursue or further their career Seminar attendance is free of charge and registration is not required
Time Topic Presented by
915am How to become a nurse or midwife Rebecca Newton WA Nursing and Midwifery Office
950am Applying via GradConnect and other opportunities for graduate nurses and midwives
Regina Browne WA Nursing and Midwifery Office
1025am Unleashing the potential of your staff Lisa Ansbro and Donna Hampshire Chandler Macleod Health
1100am How to become a nurse or midwife Rebecca Newton WA Nursing and Midwifery Office
1135am Applying via GradConnect and other opportunities for graduate nurses and midwives
Regina Browne WA Nursing and Midwifery Office
1210pm Unleashing the potential of your staff Lisa Ansbro and Donna Hampshire Chandler Macleod Health
The lsquoUnleashing the potential of your staffrsquo seminar is proudly supported by
Chandler Macleod is Australasiarsquos leading provider of integrated HR services products and technologies We have more than 55 yearsrsquo experience in human resources and have specialised within the health sector for 10 of these We are ideally positioned to help you meet the growing demands on your business We provide permanent and temporarycontract recruitment for the full range of Health professions including Carers and Support Workers Enrolled Nurses Registered Nurses Facility and Operations Managers Directors Cleaners and Kitchen staff We are able to provide you with experienced caring staff 247 including public holidays
For more information contact Chandler Macleod on (08) 9217 0510 or visit wwwchandlermacleodcomclientshealth-recruitment
29
Floor plan
42 41
39
40
38
36
37
35
43
44
45
46
47
48
Entrance
Seminar area
Cafeacute
7
5
8
6
20
18
19
17
11
9
12
10
16
14
15
13
34 33 32 31 30 29 28
30
Exhibitor listing
Organisation Name Booth Number
AACDS 8
Armadale Health Service 38
Belmore Nurses Bureau 30
Central Institute of Technology 20
Chandler Macleod Health 16
Child amp Adolescent Health Service 42
Curtin University of Technology 19
Defence Force Recruiting 910
Edith Cowan University - School of Nursing and Midwifery
3334
Fiona Stanley Hospital 36
Fremantle Hospital 44
HESTA 5
Hollywood Private Hospital 7
Institute of Health amp Nursing Australia 32
Mediserve Nursing Agency 6
Murdoch University 1112
My Flex Health International 18
Organisation Name Booth Number
Next Step 48
North Metropolitan Mental Health 35
NurseWest 47
Nursing amp Midwifery Board of Australia 29
Osborne Park Hospital 46
Prime Super 17
PampN Bank 15
Rockingham General Hospital 39
Royal Perth Hospital 37
Sir Charles Gairdner Hospital 45
The Bethanie Group Inc 31
The University of Notre Dame 13
WA Country Health Service 40
WA Nursing amp Midwifery Office 43
West Coast Institute of Training 14
Women amp Newborn Health Service 41
Work the World 28
The WA Nursing amp Health Expo is proudly supported by
The WA Nursing and Midwifery Office is very proud to partner once again with the Australian College of Nursing for the 2015 Nursing and Health Expo The nursing and midwifery professions offer an array of interesting and diverse experiences With these highly valued and respected skills relevant anywhere in the world nurses and midwives will always be in demand ndash in hospitals and in a range of other workplaces In WA the future demand for nurses and midwives is going to be high especially as our new Fiona Stanley Perth Childrenrsquos Busselton and Midland hospitals all start becoming fully operational so considering a career in nursing or midwifery is a great idea
wwwnursinghealthwagovau
31
In Australia enrolled nurses (ENs) are a core component of the health care workforce and make an important contribution to Australiarsquos world-class health outcomes ENs work in varied settings across the country from blood services to aged care facilities Increasingly ENs are playing an important role in meeting the growing demand for care
Not all countries have recognised the importance of ENs in the nurse workforce mix Several European countries including France Denmark Italy and Spain have only one category of regulated nurse (HWA 2013 Robinson and Griffiths 2007) The United Kingdom (UK) ceased admitting new ENs to the register in the 1980s The minimum qualification for all UK nurses is now a three-year bachelorrsquos degree As a result the UK relies heavily on unregistered health care assistants rather than second-level nurses (UK Department of Health 2013) Closer to home New Zealand ceased training ENs in 1993 only to recommence in the 2000s (Meek 2009) New Zealandrsquos experiment is an instructive demonstration of the importance of ENs in the health care workforce as the demand for nursing care increases
In Australia we have remained committed to maintaining the EN role Rather than relying on unregistered health care workers Australia has chosen to maintain a large educated and professional EN workforce The skilled work of ENs is recognised to be of paramount importance to the delivery of high quality nursing care Our EN workforce is highly dynamic and continues to evolve within the changing landscape of Australian health care policy and regulation
Enrolled nurse demographics
According to the latest national figures there are 51624 ENs working in Australia The great majority of ENs have completed their pre-registration education in Australia fewer than 5 have been educated overseas (HWA 2013)
The EN workforce has a relatively high average age of 46 years and forty-five per cent of ENs have celebrated their fiftieth birthdays (AIHW 2013) According to Health Workforce Australia the ageing EN workforce could lead to a significant shortfall in the supply of ENs if action is not taken to retain the current cohort of ENs and increase the number of people studying to be the ENs of tomorrow (HWA 2012)
Men make up roughly 10 of the EN workforce While this number is rising gradually it indicates that there is progress to be made in terms of attracting and retaining males within the profession Aboriginal and Torres Strait Islander people are
also underrepresented in the EN workforce only around 800 of Australiarsquos ENs identify as Indigenous Australians (AIHW 2013)
Among the most common work settings for ENs are aged care rehabilitation and disability services In contrast ENs make up fewer than 5 of the critical care nursing workforce and represent only a small proportion of nurses working in education policy and management (AIHW 2013)
These statistics show that there are both challenges and opportunities for Australiarsquos EN workforce Efforts to recruit and retain ENs will need to be enhanced with a particular focus on encouraging men and Aboriginal and Torres Strait Islander people to become ENs At the same time roles in a wider range of clinical areas are becoming available to suitably educated and qualified ENs and there will be more such opportunities in the coming years
A growing role for ENs
The evolving role of the EN is reflected in recent changes to educational requirements for ENs As of 1 July 2014 the Certificate IV in enrolled nursing ceased to be available and the minimum qualification for EN entry to practice will be the Diploma of Nursing The transition to a Diploma recognises the high level of skill ENs contribute to todayrsquos health care teams A nationally consistent approach to EN education is also likely to enhance the mobility of the EN workforce by giving employers confidence in the knowledge and skills of ENs educated in other states
ENs are now undertaking a diverse range of roles One of the earliest areas of role expansion for ENs was medication endorsement Before the move to national registration in 2010 ENs in some states were able to obtain an endorsement in medicines administration and become Endorsed Enrolled Nurses by completing specified education units This endorsement has now been phased out because from 2008 onwards all newly qualified ENs have completed the required medicines administration education Instead the register now identifies ENs who have not completed the required courses (NMBA 2014) This example demonstrates how the EN role has evolved over the years Whereas once only a relatively small number of ENs were educated to administer medicines now all student ENs complete medicines administration units as part of their initial nursing education
The EN role is also expanding in other ways For example ENs are taking on a growing role within haemodialysis units (Tranter et al 2011) The 2008 Australia and New Zealand Dialysis Workforce Survey conducted by the Renal Society of Australia found that there were 188 ENs working in dialysis alongside 2433 registered nurses (RNs) The growing demand for dialysis
The potential of the enrolled nursing workforce
By Rosina Muir and Dr Marlene Eggert MACN
32
services and the shortage of dialysis RNs in some areas represents a clear opportunity for ENs According to a New South Wales study conducted in 2009 the scope of practice of ENs in haemodialysis units may include cannulation (including both native access and buttonhole cannulation) connecting and disconnecting haemodialysis central venous catheters (CVCs) performing CVC dressings giving iron infusions and administering erythropoietin anticoagulants and Lignocaine In addition ENs may also take on a case management or health promotion role for dialysis patients (Bennett et al 2009)
ENs are also moving into extended roles in rehabilitation services A recent study of ENs in an Australian rehabilitation facility found that in addition to assisting patients with activities of daily living ENs may take on roles in coaching and supporting patients to reach their individual goals monitoring the patientrsquos progress and liaising with other members of the multidisciplinary rehabilitation team The study found that many ENs demonstrate an understanding of the philosophy of rehabilitation nursing including goal setting and enabling self-care (Pryor and Buzio 2013)
In rural Australia ENs are taking on a diverse range of roles within the EN scope of practice in order to meet local needs ENs with specialist skills such as infection control or wound care make a significant contribution to some rural health services although their extended scope of practice is not always given appropriate recognition by their RN colleagues (Nankervis et al 2008) Rural health services are increasingly recognising that supporting ENs to take on extended roles and further develop their clinical skills can be a successful model for the delivery of high quality patient care
Recognising the evolving EN scope of practice
In light of the fact that there have been significant changes to EN education regulation and scope over the last decade the NMBA has commissioned Monash University to review the currency of the standards against contemporary enrolled nursing roles The Monash University project has involved a review of the literature as well as a series of focus groups and surveys to gather insights from both RNs and ENs on the education scope of practice and supervision of ENs (Monash University 2013) The project is expected to be completed in 2014 (NMBA 2013)
Our advocacy for ENs
ACNrsquos advocacy priorities are explicitly designed to support both registered and enrolled nurses In 2014 ACN has argued for a range of policies that would have a positive impact on the
retention and flexibility of enrolled nurses For example ACN has proposed a National Transition Framework to support the flexibility and mobility of both the EN and the RN workforces The Framework would be accessible to nurses entering the workforce as well as nurses transitioning from one area of practice to another For example it would support an EN wishing to transition from the aged care sector to a hospital-based role
ACN has also put forward a proposal for a new scholarship program to support newly registered and enrolled nurses to practice in rural services It is essential that rural health service providers are able to attract appropriately educated staff including both ENs and RNs in order to maintain an optimal skill mix The scholarship scheme will allow rural health services to employ newly registered and enrolled nurses as supernumerary team members while providing them with a structured clinical learning program
ACN will continue to provide a voice for ENs in policy discussions and advocate for the role of ENs in health care delivery Australian Institute of Health and Welfare 2013 Nursing and midwifery workforce 2012 lthttpwwwaihwgovauWorkAreaDownloadAssetaspxid=60129545314gt pp 6
Bennett P McNeill L Polaschek N 2009 lsquoThe Australian and New Zealand Dialysis Workforcersquo Renal Society of Australasia Journal vol 5 no3 pp 147-151 lthttpwwwrenalsocietyorgRSAJjournalnov09bennett2pdfgt
Health Workforce Australia 2012 Health Workforce 2025 Doctors Nurses and Midwives vol 1 lthttpwwwhwagovausitesuploadsFinalReport_Volume1_FINAL-20120424pdfgt pp 137-142
Health Workforce Australia 2013 Nurses in Focus lthttpwwwhwagovausitesuploadsNurses-in-Focus-FINALpdfgt
Meek G 2010 Second level nurses a critical examination of their evolving role in New Zealand Healthcare lthttpresearcharchivewintecacnz9621Repository_entry_HLNU902pdfgt pp 3
Monash University 2013 The National Review of the Enrolled Nurse Competency Standards lthttpwwwmedmonashedunursingcompetency-standardsgt
Nankervis K Kenny A Bish M 2008 Enhancing scope of practice for the second level nurse A change process to meet growing demand for rural health services lthttpwwwncbinlmnihgovpubmed18844530gt
Nursing and Midwifery Board of Australia 2013 Communique Meeting of the Nursing and Midwifery Board of Australia 27 February 2013 in the AHPRA Hobart Office TasmanialthttpwwwnursingmidwiferyboardgovauNewsCommuniques-from-Board-meetingsaspxgt
Nursing and Midwifery Board of Australia 2014 Enrolled nurses and medicine administration lt httpwwwnursingmidwiferyboardgovauCodes-Guidelines-StatementsFAQaspxgt
Pryor J Buzio A 2013 lsquoDo ldquotwo typesrdquo of ENs work in rehabilitation in Australiarsquo Journal of the Australasian Rehabilitation Nurses Association vol 16 no 1 pp 14-19 lthttpsearchinformitcomaudocumentSummarydn=480975443102792res=IELHEAgt
Robinson S and Griffiths P 2007 Nursing education and regulation International profiles and perspectives lthttpeprintssotonacuk3487721NurseEduProfilespdfgt pp 7-17
Tranter S Westgarth F White G 2011 lsquoThe scope of practice of the haemodialysis Enrolled Nurse in new South Walesrsquo Renal Society of Australasia Journal vol 7 no 1 pp 24-29 lthttpwwwrenalsocietyorgRSAJjournalmar11Tranterpdfgt
United Kingdom Department of Health 2013 The Cavendish Review An Independent Review into Healthcare Assistants and Support Workers in the NHS and social care settings lthttpswwwgovukgovernmentuploadssystemuploadsattachment_datafile236212Cavendish_Reviewpdfgt pp 6
33
By Laurie Bickhoff MACN
Diary of a newly registered nurse
In Australia it is estimated nearly 20 of nurses will leave the profession within their first year of practice (National Nursing and Nurse Education Taskforce [NNNET] 2005) Internationally this figure ranges from between 35 and 60 (Halfer amp Graf 2006) Many have speculated on the reasons for this with high workloads the difficulties of shift work and unrealistic expectations of what nursing entails all given due consideration (Halfer amp Graf 2006) However as I entered my second year of practice I began to wonder what role disillusionment plays in this exodus of newly trained nurses
Disillusionment to me occurs when you feel your passion dwindling when you suddenly find it that little bit harder to get ready for work when you start feeling a sense of dread as you walk onto the ward This wasnrsquot caused by long hours or ever increasing workloads coupled with diminishing resources It wasnrsquot caused by physically demanding duties or the lack of a social life due to shift work It wasnrsquot caused by dealing with things that might not look or smell that great Unfortunately it was caused by the people around me and an almost institutionalised lack of power not only for nurses but more importantly for our patients
I was dismayed and frustrated to hear how many of my colleagues from all health professions referred to patients I was disheartened to see how easily some could dismiss the suffering we see and the heartache I felt I was overwhelmingly saddened to realise not everyone had the same passion for their profession or empathy for those we are charged to care for as I did
This culminated for me towards the end of my first year of practice There wasnrsquot any one big incident more an accumulation of things that were gradually wearing me down I had a worried patient confide in me that they had been too scared to push the call button on the previous shift because of the response they would receive from the nurse I saw patients constantly being made to fit into everyone elsersquos schedules regardless of their requests It seemed everyone was more important than the person we were there to help
I heard patients referred to as lsquocactusrsquo or described in the notes as lsquounsalvageablersquo meaning there was no chance of the patients making meaningful recoveries I wondered is this really how we refer to people Or did we forget they were actual human beings we were talking about
I had other health professionals dismiss me with comments such as nurses ldquojust wipe bums all dayrdquo or roll their eyes at me when I raised my concerns When I dared to challenge or question I was met with comments of ldquoI miss the old new gradsrdquo I felt tired washed out and was beginning to wonder
whether I could stay in this profession without losing myself
Luckily I found some inspiration I listened to a presentation by Drew Dudley a well-known American academic and motivational speaker where he discusses the idea of lsquolollypop momentsrsquo These are small moments when the people we see and work with every day demonstrate leadership They arenrsquot big grand over the top statements They are small gestures which often unknown to the person who did it have an amazing impact on the lives of others I was lucky enough to have some of these lollypop moments just when I needed them These few sparks were all that I needed to reignite my passion for nursing
The first spark came from an RN2 caring for a patient at the end-stage of a number of diseases who had expressed to the nursing staff multiple times her wish to simply be made comfortable as she knew this was the end of her fight Despite this the patient was not only receiving active treatment but was also currently documented for full resuscitation if she deteriorated
The nurse raised the issue with the medical registrar asking him to have a discussion with the patient regarding her wishes and planning end-of-life care The registrar dismissed her saying ldquowell thatrsquos not what the consultant wantsrdquo The nurse wasnrsquot satisfied and responded ldquoitrsquos not their choice itrsquos the patientrsquos decisionrdquo This nurse had the courage to stand her ground and make sure her patientrsquos voice was heard which ultimately led to the patientrsquos wishes being honoured
The next spark came soon after I was working with a nurse who came from a different cultural background to me where it was seen as impolite to question anyone in authority especially if you were female This meant even if a doctor was accidently standing in her way she would prefer to simply wait rather than ask them to move
Then one day we had a patient who deteriorated rapidly and was in a very critical condition This nurse suddenly became one of the best clinical leaders I have witnessed She led the team questioning orders prompting treatments suggesting causes and outlining the options available I soon realised the difference this was about her patient She was going to ensure her patient received the best care and outcome possible When it was about her patient rather than herself she found her voice
There were a number of smaller incidents that soon followed Sparks came from the senior consultant who re-educated her advanced trainee on the importance of listening to the nurses and acting on their concerns Sparks came from our ward social
34
worker who day after day demonstrated his passion for helping and advocating for those with no voice and often no options Sparks came from the medical residents who expressed their gratitude when you picked up a mistake and were heartfelt in their appreciation of the work nurses do
The brightest sparks came from my patients and their relatives It was their ldquothanksrdquo their ldquoyou donrsquot know how much that meansrdquo their ldquoyoursquoll be back tomorrow wonrsquot yourdquo their squeezing of my hand that reminded me why I do what I do I didnrsquot have to search for inspiration I was surrounded by it The trick was to change my focus
Perhaps all nurses are disillusioned at some point during their careers Perhaps it happens multiple times Perhaps it is a rite of passage with those who make it through the other side the
ones with a true passion for nursing who turn around and help a colleague on their journey
As I continue my nursing career I now look for the brightness that I know is always there far outshining the negativity that we have to deal with I stockpile my lsquolollypop momentsrsquo knowing the amazing examples of kindness and leadership I see every day will help me grow and become a better nurse and hopefully I might be able to be a spark for someone else
You can listen to Drew Dudleyrsquos talk at wwwtedcomtalksdrew_dudley_everyday_leadership
Halfer D and Graf E lsquoGraduate Nurse Perceptions of the Work Experiencersquo Nursing Economics June 2006 Vol 24 No 3 pp 150-55
National Nursing and Nurse Education Taskforce 2005 Mythbusters Available online at httpwwwnnnetgovaudownloadsmythbusters_attritionpdf Accessed June 2014
Arts amp Sciences | Business | Education | Health Sciences | Law | Medicine | Nursing amp Midwifery | Philosophy amp Theology | Physiotherapy
Your journey to a meaningful career awaitsThe School of Nursing amp Midwifery offers the following courses
rsaquo Bachelor of Nursing
rsaquo Bachelor of Nursing (Articulation Pathway for EN Diploma)
rsaquo Graduate Certificate (Acute Mental Health Clinical Nursing Nursing and Nursing Leadership amp Management)
rsaquo Graduate Diploma (Acute Mental Health Clinical Nursing Critical Care Nursing Forensic Nursing Midwifery Nursing and Perioperative Nursing)
rsaquo Master of Nursing (Coursework and Research)
Looking to make a difference So are we
Apply direct notredameeduau
ND
1053
| C
RIC
OS
PR
OV
IDE
R C
OD
E 0
1032
F
35
36
A look back at the 2014 ACN Nursing amp Health Expos
ldquoIrsquom very grateful for the opportunity to attend an expo like this as Irsquom new to the industry and am not entirely sure of what is available to merdquo
ldquoVery informative and helpful Addressed all of my concerns and reassured me that the process although complex when broken down is achievablerdquo
ldquoThe exhibitors were excellent in answering questionshellip[and] were alleviating the anxiety felt by many students attendingrdquo
ldquoIt was amazing I feel less stressed about graduate opportunities nowrdquo
ldquoAbsolutely fantastic I really have enjoyed ithellipthank you all very much for opening my mind to all these different areas in nursingrdquo
ldquoHelpful friendly informative inspiringrdquo
Visitors eagerly line up at the Expo entrance
Visitors chat to a wide range of
exhibitors
Visitors gain practical advice in a seminar session
Opportunity to connect with education
providers nursing groups and health care
providers
7
8CALL 13 19 01 OR VISIT DEFENCEJOBSGOVAU ARMY
THE ARMY ISNOW RECRUITINGNURSINGOFFICERS
A career as an Army Nursing Offi cer offers variety andchallenges in employment and travel not always availablein the normal hospital environment You will gain experienceand skills that will equip you for advancement in the Armyand will also be in high demand in your profession
Yoursquoll also enjoy great benefi ts like free medical and dentalworld class training subsidised accommodation excellentsalary packages worklife balance and unique experiences
To fi nd out more about becoming a Nursing Offi cersearch lsquoArmy Nursersquo
ARMY0176 Nurse Respec_210x297mm_V3indd 1 30012015 324 pm
Nursing Officer a vital role in the Australian Defence Force
In any environment healthcare is a challenge but during military operations that challenge can take on a new perspective As a Nursing Officer in the Australian Defence Force (ADF) Lieutenant Tess Demunk plays a vital role in the ongoing health and welfare of people in the Australian Army
Throughout her career Tess has enjoyed the sort of variety challenges and travel that a civilian nurse would never have the opportunity to experience
ldquoI joined the Army because I wanted to do something different with my nursing Irsquom interested in trauma nursing and obviously the Australian Army is a great place to go to for thatrdquo
ldquoItrsquos also a great opportunity to lsquogive something backrsquo you can care for the soldiers out there protecting us and our countryrdquo Tess said
Nursing Officers in the Australian Defence Force are employed across a range of clinical clinical management and broader health management duties They can expect to work in units and field hospitals that provide a comprehensive hospital service or in small Treatment Teams providing primary healthcare and immediate pre-hospital resuscitation
A Defence healthcare career offers variety and challenges in employment as well as opportunities that are not always available in a civilian hospital environment
The ADF offers amazing opportunities to travel around Australia and overseas on peacekeeping and emergency aid missions that make a genuine difference to peoples lives
Humanitarian work is a gateway to experience new cultures and interact with patients and locals like never before Its these kinds of career defining experiences that make your years of study all worthwhile
ldquoDeployments are a big opportunity Nursing overseas and being able to look after a lot of trauma injuries are two of the main reasons I joined the Armyrdquo Tess said
ldquoThere is a lot of primary healthcare stuff that we do as well but the reason that most people join is to do nursing in the field and on deploymentrdquo
ADF members also enjoy a great work-life balance with a selection of sporting clubs to play for fitness training thats included as part of the working day strong job security and role diversity Include the great benefits and competitive salary package with the chance to continually improve your medical knowledge and qualifications and the choice to pursue a military healthcare career just adds up
ldquoIn Defence you get free healthcare free dental and all the things that go along with that The mates you make along the way the courses that you get to do and the opportunities for deployment and the field exercises are other benefits as wellrdquo
ldquoI completed the Defence University Sponsorship (DUS) through Monash University It is a fantastic scheme that allowed me to study at university as a full-time student and be paid by the Army while doing thatrdquo
Full-time and part-time roles are available across the Navy Army and Air Force including graduate and undergraduate positions
Youll receive further training and post graduate study opportunities while youre in the ADF so you can go as far as you want to in your career
Put your medical and health-related skills and knowledge to use in a unique environment that is unlike anything else With the opportunity to broaden your skills and make a difference both at home and overseas a career in Defence healthcare is a worthwhile challenge that will just keep on giving
The Defence Force is currently recruiting for Nursing Officers and various health-related roles For further information on military training and careers in the Navy Army or Air Force visit
defencejobsgovau or call 13 19 01
By Tess Demunk Australian Army Nursing Officer
9
The beginning of a career ACNrsquos Nursing amp Health Expos
In pursuit of the belief that every nurse should have the opportunity to grow their career and further the nursing profession ACN is once again presenting the Nursing and Health Expos for 2015 The expos have provided an avenue for those interested in nursing in Australia to seek expert advice on education and employment opportunities One young nursersquos visit to an expo opened up a career
Ever since I could remember I wanted to help people When I was young I would look up diseases and conditions I had my own first aid kit and I would play lsquonursersquo with my mum and dad
In 2007 when I was in year 12 I attended my first NSW Nursing and Health Expo and Irsquove continued to visit the expos since Initially I wanted to become a paramedic but everyone I spoke to said that I should become a nurse first They gave me great advice to become an endorsed enrolled nurse (EEN) before becoming a registered nurse (RN) ndash to take it one step at a time
I studied at TAFE for 18 months to become an EEN I completed my Bachelor Degree at Southern Cross University while working as an EEN at a private hospital in Coffs Harbour This meant I was able to put my theory into practice
Now I work as an RN with Ramsay Health Care Every day I come home knowing I have a little place in someonersquos heart because I helped them Patients are very vulnerable people and sometimes all they need is for you to listen Listening is one of the most important lessons I have learnt as a nurse
Irsquod recommend the ACN Nursing and Health Expos to anyone especially year 12 students who are interested in a career as a nurse I always look forward to the expo and I make a day of it Itrsquos great to be around like-minded people listening to their stories and they are always interested in listening to mine Last year I was able to practice keyhole surgery at the expo and I was actually good at it ndash so maybe surgical nursing is an option down the track
I joined ACN last year and have now had this opportunity to share my nursing story and hopefully inspire others
by Brianna Gudgeon MACN
Brianna as a volunteer nurse in Samoa
Brianna (left) in 2008 training as an EEN at Concord Hospital with colleague
10
INSTITUTE OFHEALTH AND NURSING AUSTRALIA
RTO ID 21985 CRICOS Code 03386G
wwwihnaeduauenquiryihnaeduau1800 22 5283
Our Courses
bull Registered Nurse Re-entry to Practice Program
bull Registered Nurse Refresher Program
bull HLT51612 Diploma of Nursing (Enrolled-Division 2 Nursing)
bull HLT61107 Advanced Diploma of Nursing
The Institute of Health and Nursing Australia (IHNA) is one of Australias leading providers of comprehensive
health and nursing education at several levels IHNA is fast-growing dynamic and quality-driven institution committed to continuous improvement working hard to develop implement and deliver courses and professional development programs The courses offered by IHNA are prepared by experienced healthcare professionals and help students to pursue a successful career in Australian healthcare
Melbourne | Perth | Sydney
VET FEE HELP GOVT FUNDING AVAILABLE
Institute of Health and NursingAustralia
IHNA
Call 1800 675 839 for a Short-Form Product Disclosure Statement Prime Super (ABN 60 562 335 823) is issued by Prime Super Pty Ltd (ABN 81 067 241 016 AFSL 219723 RSE L0000277 RN 1000276)
VIC Expo Booth 33 | WA Expo Booth 17 | wwwprimesupercomau
Visit us at the Expo to find out morehellip
and enter our competition for your chance to WIN a $550
endota day spa voucher
Prime Super provides personal support to make super simpler
Now incorporating
11
VIC EXPO MELBOURNE
12
Welcome from the Chief Nurse amp Midwifery OfficerWelcome to the Australian College of Nursingrsquos 17th annual Nursing and Health Expo in Melbourne The Department of Health and Human Services in Victoria is a keen sponsor of this important event on the nursing calendar The Expo plays an important role in enhancing the profile of nursing as a profession which in turn promotes recruitment and retention of the nurses and midwives
As part of the health care team nurses and midwives are essential to the communityrsquos health and wellbeing Nurses and midwives play a critical role in delivering safe compassionate and quality care The Department of Health and Human Services encourages Victorian nurses and midwives to provide the best possible care for the community by providing clear strategic direction for the profession as well as supporting health services to implement initiatives across workforce development and reform
Being a nurse or midwife is a rewarding career but it is important to know if it is the right career choice for you In addition to having the relevant knowledge and skills nurses and midwives need to be compassionate caring and flexible Nursing and midwifery offers many and varied opportunities across multiple settings not only for graduates but for people of any age looking to enter the workforce
While traditionally nurses and midwives have always worked in hospitals they now work across multiple settings including general practice community-based services and aged-care services
The job market is competitive and opportunities will continue to be present for the existing returning and newly graduated nurses and midwives Because of the changing needs of the community there is often a contrast between where nurses and midwives prefer to work and where there are opportunities Growth opportunities are in areas such as rural aged care and chronic disease management and I encourage everyone to think beyond the traditional locations and to explore new and rewarding areas of employment
Senior members of the workforce are reminded of the important role we all play as professionals in encouraging and mentoring new starters and transitioning into other roles
Education and training is a lifelong journey essential to the continual development of the nursing and midwifery workforce which ensures highly skilled capable and critical decision makers
Associate Professor Alison McMillan MACN Chief Nurse and Midwifery Officer Department of Health amp Human Services VIC
13
Expo informationLocation
Visitors are often struck by the architectural brilliance of the Melbourne Convention and Exhibition Centre (MCEC) which has won some of Australiarsquos most prestigious architecture and design awards The Expo will be held in bays 17 and 18 of the MCEC
Doors open 9am ndash 1pm
Concourse
Link to convention
centre
Loading Dock
Normanby Road
Clar
endo
n St
reet
Entry Foyer
Clarendon Street
Entrance
ACN Expo Bays
17 amp 18
14
Seminars
This year the educational seminar series is back again to provide visitors with up to date information and practical skills to pursue or further their career Seminar attendance is free of charge and registration is not required
Time Topic Presented by
915am HESTA Your Partner for Career David Logan HESTA
950am Graduate NurseMidwifery Program Computer Match 2015 Paul Williamson Postgraduate Medical Council of Victoria
1025am Understanding delegation and supervision responsibilities and accountabilities
Associate Professor Alison McMillan MACN
Department of Health amp Human Services Victoria
1100am HESTA Your Partner for Career David Logan HESTA
1135am Graduate NurseMidwifery Program Computer Match 2015 Paul Williamson Postgraduate Medical Council of Victoria
1210pm Understanding delegation and supervision responsibilities and accountabilities
Associate Professor Alison McMillan MACN
Department of Health amp Human Services Victoria
The VIC Nursing amp Health Expo is proudly supported by
On 1 January 2015 the Victorian Government established the Department of Health amp Human Services bringing together the former Department of Health Department of Human Services and Sport and Recreation Victoria The department has been established to develop and deliver policies programs and services that support and enhance the wellbeing of all Victorians We take a broad view of the causes of ill health the drivers of good health the social and economic context in which people live and of the incidence and experience of vulnerability This will allow us to place people at the heart of policy-making service design and delivery
wwwdhhsvicgovau
15
Floor plan
BENC
H
SINK
ENTRANCEDOOR 9
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
20 21
22232425
26 27 28 29
30313233
34 35 36 37
38394041
42 43 44 45
46474849
50 51 52 53
54555657
58 59 60 61
62636465
66 67 68 69
7071727374
75
76
84
85
86
87
88
89
90
1918
16
Exhibitor listing
Organisation Name Booth Number
Alfred Health 6667
ANMF Victorian Branch 747576
Austin Health 4243
Australian Catholic University 89
Ballarat Health Services 62
BankVic 73
Baptcare 60
Belmore Nurses Bureau 47
Bendigo Health 44
Care Training Australia 17
Chisholm Institute of TAFE 19
Colbrow Healthcare 26
Critical Second 90
Crystal Clear Ear Clinic 6
Deakin University Nursing amp Midwifery 3435
Defence Force Recruiting 12
Eastern Health 3031
Epworth HealthCare 6465
Federation University Australia 41
First Call Health 40
First State Super 7
Forensicare 68
Health Skills Australia 72
HESTA 20
Holmesglen 4546
Institute of Health amp Nursing Australia 27
Kangan Institute 24
La Trobe University 121314
Martin Luther Homes 22
McFarlane Medical amp Scientific 23
mdBriefCase Australia 18
Mediserve Nursing Agency 28
Organisation Name Booth Number
Melbourne City Institute of Education 86
Mental Health Nursing Victoria 1011
Mercy Health 8788
Monash Health
Monash University 8485
NeilMed Pharmaceuticals 32
Northern Health 5354
NorthWestern Mental Health 59
Nurses Board of Victoria Legacy Limited
69
Nursing amp Midwifery Board of Australia 21
Peninsula Health 38
Peter MacCallum Cancer Centre 25
Postgraduate Medical Council of Victoria
71
Prime Super 33
Reflective Clinical Supervision Network 39
RMIT Faculty of Nursing 55
Royal Victorian Eye amp Ear Hospital 48
Sanita Australia 31
St Vincentrsquos Hospital 5051
St Vincentrsquos Mental Health 5
St Vincentrsquos Private Hospital 34
The Royal Melbourne Hospital 56
Tobin Brothers Funerals 49
University of Melbourne 89
University of Tasmania 52
Victoria University 57
Vital Health Recruitment 70
VNS Nursing Agency 58
Western District Health Service 63
Western Health 3637
Work the World 29
17
Graduate transition programs my personal experienceToo often we hear horror graduate stories Research shows horizontal violence and bullying is rampant in our profession We are told tales of the infamous ldquoeat our youngrdquo nursing culture We know graduates suffer transition shock when they start practicing and nearly 20 will leave in their first year
Unfortunately the good stories are often buried underneath the bad and so I wanted to share my graduate year experience When I started as an RN the only nursing experience I had were my clinical placements and a mere two months working as an AIN To say I was worried was a major understatement I was quietly petrified but tried to keep up a brave face
I had worked hard in university to learn as much as I could but I was still filled with doubts Would I be good enough Would I crash and burn Would I help or hinder my patientsrsquo recovery
My first day on the ward was sink or swim time I was amazed at the warm welcome I was given The other RNs were supportive and encouraging They made sure I knew if I felt myself struggling they would be there with a life-line
Every ward I rotated through gave me this same friendly reception Perhaps it was just luck or maybe our nursing culture is changing but I never encountered any of the pressure to change my values and practice in order to fit in that I had been told to expect Instead I found colleagues who understood I wouldnrsquot know everything on day one who were willing to take the time to teach me and who become great friends along the way
My clinical skills and knowledge increased out of sight during my graduate year I felt my university had given me a great foundation on which to build my career as an RN but my grad program cemented my theory into my practice I started the year having never removed a single stitch I ended the year confidently removing everything from sutures to ICCs and pacing wires while also successfully inserting NG tubes and cannulas Importantly I understood the pathophysiology and rationale behind each of these and could explain it to my patients
Irsquom not saying everyday was perfect Irsquom not saying every person was as helpful or welcoming as the next Irsquom not saying I didnrsquot have days when I struggled What I am saying is I never felt alone I knew the support was there all I had to do was ask
I know not every graduate nurse will have as positive an experience as I did Perhaps my journey was the exception not the rule However I hope the number of nurses who have an amazing graduate year like mine continues to increase until this becomes the norm
I do know that the success of your graduate year relies heavily on you and your attitude University teaches you how to think like a nurse but it is in clinical practice the real learning begins and it has a steep learning curve Approach your grad year knowing that everyone from the tea lady to the Director of Nursing will be your new teachers and success will come When the people you work with recognise your passion see your motivation to provide what is best for the patient and know you realise what a unique privilege it is to be a nurse their respect will follow
At the same time donrsquot be afraid to speak up for your patients for your colleagues and for yourself Harvey Fierstein said ldquoNever be bullied into silence Never allow yourself to be made a victim Accept no onersquos definition of your life define yourselfrdquo You have the ability to define your graduate year regardless of what hospital or ward you find yourself in
You can change the culture and reputation of the nursing profession for better or worse You can conform and join in bullying behaviour and continue negative traditions or you can decide it stops with you Set your standards high and have the moral courage to stick to them If every graduate nurse demonstrated this leadership and supported other nurses who did as well imagine the overwhelmingly positive impact that could have on nursing
Gandhi once said ldquoBe the change you want to see in the worldrdquo I would encourage you to be the change you want to see in nursing and just watch how the world changes with us
By Laurie Bickhoff MACN
18
Finishing studies and becoming a new graduate is an exciting milestone Itrsquos usually the first time you begin working full time perhaps moving away from home owning your own car and paying bills
Of course itrsquos important to budget ensuring you have enough money for daily expenses as well as being able to stash some money away The easiest way to keep track of your income versus expenses is to set up an everyday account with your salary paid into it and a savings account earning interest on the money yoursquore able to save In addition you might want to get a credit card so that yoursquove got some money for emergencies
Gain fee free banking freedom
With a BankVic Anywhere account you can enjoy unlimited free withdrawals at any ATM in Australia when you deposit $1000 per month1 Plus you can access your money with free unlimited eftpos transactions a Visa Debit card with paywave and a mobile App
Earn bonus interest on your savings
A BankVic Bonus Saver account is a high interest account that rewards you for saving by giving you bonus interest2 when you deposit a minimum of $100 a month and make no withdrawals plus there are no fees Itrsquos a great way to force yourself to save
Enjoy a credit card with no annual fee
A BankVic Visa Silver credit card offers great value with an introductory rate of 699pa3 for the first 6 months and a low ongoing rate plus no annual fee Itrsquos the perfect back up card
Why not call us today Call your dedicated Member Relationship Manager Phoebe Reid on 9268 9297 or via email preidbankviccomau
1 Minimum deposit of $1000 must be received in the account by close of business on the last business day of the month The deposit cannot be an internal transfer or interest earned form other BankVic products 2 Bonus Saver ndash Deposit $100 per calendar month with no withdrawals and yoursquoll be rewarded with bonus interest Bonus interest rate is capped at a maximum balance of $1000000 3 Credit Card interest rates are variable All interest rates are shown are current as at date of print and are subject to change Fees and charges apply Any advice is general before acting on the advice you should consider whether the advice is appropriate for you Before you make any decision to acquire any product or service you should obtain and consider the relevant Product Disclosure Statement available from our website bankviccomau any branch or by calling us on 13 63 73 Police Financial Services Limited ABN 33 087 651 661 AFSL 240923 Australian Credit Licence 240293ndash trading as BankVic 121 Cardigan Street Carlton Victoria 3053 3-15 5243BV
Advertorial
Banking freedom for nurses and midwives
members matter
Let BankVic take care of you while you take care of others
9268 9297preidbankviccomau
Canstar Pty Ltd Authorised Representative 443019 of Canstar Research Pty Limited ABN 29 114 422 909 AFSL 437917 Police Financial Services Limited ABN 33 087 651 661 AFSL 240293 (BankVic) 121 Cardigan Street Carlton Vic 3053 315 5280bv
Contact your dedicated Member Relationship Manager Phoebe Reid
bankviccomau
19
This is general advice only Consider our product disclosure statement before making a decision about First State Super Call us or visit fi rststatesupercomau for copies Becoming a Student Club member is diff erent to being a First State Super member as you do not hold a superannuation account with the Fund or have any interest right or other relationship with First State Super
FSS Trustee Corporation ABN 11 118 202 672 ASFL 293340 is the trustee of the First State Superannuation Scheme (First State Super) ABN 53 226 460 365 EXP_
Mel
b_Ex
po_A
4_03
15
Join our free Student Club and make the most of the support discounts and benefi ts available only to students
Learn to manage your super better and how you can take advantage of our exclusive member benefi ts
Find out why wersquore the super fund with a heart on Saturday 18 April
Visit us at booth 7 in Melbourne
EXP_Melb_Expo_A4_Mar15_ARTWORKindd 1 6032015 414 pm
By Claire Stewart MACN
Diary of a newly registered nurse
Irsquom almost three months into my role as a newly registered nurse and I had my first 40 Prolene moment recently For the uninitiated this can be a panic fuelled moment where a routine procedure ends up resembling the Texas chainsaw massacre Thankfully I was supported by a wonderfully calm surgeon who waited patiently while I painstakingly attempted to load his life saving suture After the surgery I wiped the blood from my glasses and took a moment to reflect on how I had handled the situation In fact Irsquove spent most of the last three months lsquoreflectingrsquo Deafening groans can be heard from many a third year nursing cohort when wersquore asked yet again to lsquocritically reflectrsquo on our practice as student nurses Let me be the first to admithellip It doesnrsquot stop at graduation
I may not use a dedicated framework or even put pen to paper but the skills I learned during my studies have set me up to ensure I gain the most from every learning opportunity by critically reflecting on my performance simply by force of habit During the last three months my learning curve has veered vertical as I transitioned from university study to my role as a
graduate registered nurse in perioperative services Irsquove had to deal with a new environment (donrsquot even get me started on finding your way around a theatre complex) new colleagues adjusting to full time work and managing family commitments learning an entire new skill set working as a scrubscout dealing with policies procedures and my favourite surgeonsrsquo preference
In these first few months itrsquos very easy to fall into the trap of focussing on how much you donrsquot know However practising critical reflection has allowed me to focus on what I do know how far Irsquove come and what I will learn because Irsquom self-aware Whether you are a new nurse like me and feel like yoursquove handed in one too many pieces of written reflection to your facilitator over the last three years or an experienced nurse who practices self-reflection sub-consciously on the drive home ndash embrace it for the wonderful tool that it is and use it to become the kind of nurse you want to work with
Be in demand Be successfulStudy nursing or midwifery at Monash If you want to make a difference in health care with great employment potential the School of Nursing and Midwifery is a great place to start
As a nurse or midwife there are a variety of roles and a number of specialty areas available to you ensuring a constant career of challenges and diversity
To find out more about our undergraduate courses visit us at ACN Expo Melbourne Stand 84 ndash 85
For more information on our courses visit medmonashedunursing
21
Research collaboration students are welcome
A collaborative research study in Queensland is tapping into the enthusiasm and intelligence of nursing students by training and employing third-years as research assistants data collectors and analysts in contract research projects
Researchers from James Cook Universityrsquos (JCU) Centre for Nursing and Midwifery Research (CNMR) the Far North Queensland Medicare Local and the Cairns and Hinterland Hospital and Health Service are trying to determine why emergency department (ED) presentations to Cairns Hospital have been increasing at a greater rate than the national average
To answer this question CNMR researchers recruited 14 nursing and medical students to survey every willing and able person who presented to the ED
Researchers asked participants for information regarding their reasons for coming to the ED They also asked where they would usually go for medical treatment and what physical and psychological factors influenced their decision to choose the ED over other treatment options
In other phases of the project hospital Emergency Department Information System (EDIS) data have been analysed and patient focus groups have been convened Unstinting faith in the local ED has been noted as one of the key reasons that people choose the ED over other health care options
Most people who come to the ED with lsquonon-urgentrsquo conditions do have general practitioners and a large percentage have sought medical advice in the days prior to presenting to the ED Worry anxiety and uncertainty rather than the severity of the medical condition itself however appears to be a significant motivator to come to the ED where people perceive there is a wide range of services professionals and diagnostic tools available
ACN Emerging Nurse Leader Anna Groth MACN a third-year nursing student from JCU has been collecting collating and analysing data
ldquoOften I would ask someone why they had come to the hospital and they would speak about being in pain but if you asked them about whether they came for the pain or because they were anxious about the pain they would say they had come to the hospital because of the anxietyrdquo explained Anna ldquoIt is such a huge difference ndash the motivation ndash coming for the pain or the anxietyrdquo
Anna said the project opened communication lines between people from different organisations including government university health service hospital and the community leading to collaboration and learning for all
By Marnie Hitchins
Benefits for the students included early career exposure to the research process in which they learnt about data collection analysis and research methods The students also had the opportunity to practise communication skills learn about the organisational cultures of universities and hospitals and work alongside health professionals and patients in a research environment
Students commented that because the power dynamics were different from that of clinical experience (they were not seen as health professionals by patients nor as lsquostudent nursesrsquo by health staff members) they gained insights into the hospital environment they might not otherwise have had
Anna said she learned a lot personally the ED research experience has catapulted her into another area of interest in which she can see herself working in the future
ldquoResearch and policy will be a part of my future Irsquove gained a deep interest in the treatment of women since doing this studyrdquo said Anna
ldquoI have become very interested in domestic violence and the way women are treated in the health service and in the society as a whole I was blown away by the struggle that people have with the system in trying to find support They are so lonely I recognised things being in the ED that I would like to research and have already started exploring the issuesrdquo
CNMR Director Associate Professor Jane Mills FACN said the recruitment and inclusion of students in research projects is part of a broader plan within the CNMR to build undergraduate research capacity
Jane said the CNMR also offered internships to undergraduate students to work on research projects alongside experienced scholars academics and researchers
ldquoJCU strongly supports the inclusion of undergraduate students in research studies where they can gain valuable knowledge skills and experience while also making a contribution to building the evidence base about health care issues of importance to people living in the tropicsrdquo said Jane
ldquoItrsquos a win-win situation where experienced researchers benefit from the studentsrsquo enthusiasm and familiarity with contemporary research principles and students increase their awareness of the importance of research to professional practicerdquo
It is clear to all parties involved that the inclusion of nursing students is benefitting the quality of the project as much as it is benefitting studentsrsquo learning and work experiences
22
Launch your nursing career at St Vincentrsquos
St Vincentrsquos Hospital Melbourne (SVHM) is part of St Vincentrsquos Health Australia and is a leading teaching research and tertiary health service which employs more than 5000 staff across 18 sites throughout Melbourne SVHM provides a diverse range of adult clinical services including acute medical and surgical services sub-acutecare medical diagnostics rehabilitation allied health mental health palliative care correctional health and community residential care SVHM is one of Australiarsquosleading Catholic not-for-prot healthcare providersMake the most of your talents Join the team at St Vincentrsquos
Visit us at the ACN Nursing and Health Expo 2015Find out about our 2016 Graduate Nurse Program andhave a chat to our current graduates educators and nursing staff
St Vincentrsquos Open Evening 2015Wednesday 3rd June 4pm-6pmSt Vincentrsquos Ground Floor Aikenhead Building 27 Victoria Parade Fitzroy
Welcome and Overview of the 2016 Graduate Nurse Program at 4pm 430pm amp 5pm
All welcome ndash no RSVP required
All 24 rotational areas on displayTours of inpatient wardsComplimentary food and beverages provided
For further information visit wwwsvhmorgau or phone the Graduate Nurse Hotline 9231 2244
To follow our 2016 recruitment process Like us at SVHM 2016 Graduate Nurse Program
Compassion Justice Integrity Excellence
24
INTERESTED IN STUDYING DEAKIN NURSING AND MIDWIFERYWe are holding information sessions for our undergraduate courses
BURWOOD CAMPUS 221 BURWOOD HIGHWAY BURWOODWednesday 22 July 6ndash8 pmSaturday 25 July 230ndash430 pm
WATERFRONT CAMPUS 1 GHERINGHAP STREET GEELONGWednesday 22 July 6ndash8 pmSaturday 25 July 230ndash430 pm
WARRNAMBOOL CITY CENTRE 165 TIMOR STREET WARRNAMBOOLFriday 24 July 730 pm
raquo To register your attendance at one of the information sessions above please email nursinfodeakineduau to advise which session you plan to attend
For more information about our undergraduate and postgraduate courses please phone 03 9244 6032
Deakin University CRICOS Provider Code 00113B HLH002
deakineduaunursing
Itrsquos never too early to become a leader
How did you become involved in nursing
I started volunteering from age 14 with St John Ambulance Australia in my hometown of Moruya NSW I loved everything about it ndash loved the joy of helping others and I was so intrigued to learn how to respond effectively in emergencies and show true compassion to others I was also fortunate to have had some very down-to-earth and inspiring mentors who encouraged my interest in nursing and after graduation from high school I undertook the University of Wollongongrsquos Bachelor of Nursing degree
I started my first paid nursing related employment in my third year of the degree at a local hospital I have now graduated and am working as a registered nurse (RN) in a local aged care facility learning the ins and outs of multiple comorbidities patient-centred care and compassionate palliative and end-of-life care
What is your nursing specialty
As I still consider myself as a lsquonewbiersquo RN I havenrsquot really discovered a specialty yet though I have interests in aged care mental health cardiology and nursing research So I guess I am intrigued to be involved in one or all of these areas at some point in my career but I am open to any interesting opportunities that may come my way
What do you love most about nursing
This is truly the job that never has a dull day Each day is different and I feel privileged to be so trusted with the lives of my patients and residents in their moments of hardship and need Along with my love of the workings of the human body the evidence-base behind nursing care and continuous educational opportunities I love the lsquoteamrsquo focus of nursing especially when the patient is at the centre of decision making and everything goes to plan
What is your least favourite part of nursing
When everything doesnrsquot go to plan
What brought you to this area of Australia
Irsquom originally from NSW South but I moved to Wollongong for University and have stuck around for the area the people and to continue to work and study here
What are some of the nursing and health issues that are specific to the Sydney SouthIllawarra Region
Two big issues come to mind Firstly many newly graduated RNs within our region have been unable to find employment Secondly local nurses struggle to find the time within their working hours to keep up to date with advances in education
What do you see as the biggest challenge currently facing the nursing profession and how do you think the profession is placed to respond to these challenges
I believe possible health funding cuts and workforce shortages that in-turn affect our ability to provide adequate and safe patient care are two significant challenges facing our profession There are recently graduated RNs who remain jobless yet there are local health districts crying out for nurses but only those with lsquoexperiencersquo with undergraduate nursing experience ignored Looking into alternative transition programs is key to overcoming this challenge
Whatrsquos the biggest misconception about your career choice
I have met some amazingly talented and intelligent nurses in a variety of roles who all make a great difference in the lives of their patients or indirectly through organisations or research The general misconception that irks me isnrsquot so much a misconception more a statement Irsquove heard multiple times ndash ldquoWhy didnrsquot you become a doctor Why are you just a nurserdquo I did not become a nurse because I didnrsquot have the marks to be a doctor and by the time I finish university again with a Research Masters I would have physically been enrolled in university for the same length of time I became a nurse because I found a passion for this role and spending time with people inspires me
Nursing is a holistic role that encompasses so much We are health professionals role models educators support systems and innovators we understand intimately the fragility of life and the human relationships that bring it meaning
Profile Renee Callender MACN
LeadershipACN
Expand your leadership capacity
25
INTERESTED IN STUDYING DEAKIN NURSING AND MIDWIFERYWe are holding information sessions for our undergraduate courses
BURWOOD CAMPUS 221 BURWOOD HIGHWAY BURWOODWednesday 22 July 6ndash8 pmSaturday 25 July 230ndash430 pm
WATERFRONT CAMPUS 1 GHERINGHAP STREET GEELONGWednesday 22 July 6ndash8 pmSaturday 25 July 230ndash430 pm
WARRNAMBOOL CITY CENTRE 165 TIMOR STREET WARRNAMBOOLFriday 24 July 730 pm
raquo To register your attendance at one of the information sessions above please email nursinfodeakineduau to advise which session you plan to attend
For more information about our undergraduate and postgraduate courses please phone 03 9244 6032
Deakin University CRICOS Provider Code 00113B HLH002
deakineduaunursing
WA EXPO PERTH
26
Welcome from the Chief Nurse amp Midwifery OfficerI am so pleased to be welcoming you to the Australian College of Nursingrsquos Western Australian Nursing and Health Expo for 2015
Attending the Expo is an invaluable experience for anyone interested in nursing and midwifery careers It especially helps high school students and their parents or anyone who is wondering which career direction to take
Hospitals and health services from across WA will be there with some of their nurses and midwives in attendance to answer any questions you may have Come and find out from them what itrsquos really like to be a nurse or midwife
There will also be a range of education providers who will be able to talk about the many courses available to get your career started
It is also a great place to come to discuss and find out about graduate job opportunities building your experience career development opportunities financial support to study changing employers or even returning to a career in nursing or midwifery after being away for a while
The decision to become a nurse or a midwife is a wonderful career choice for anyone who wants to be part of a diverse healthcare professional team and have a challenging rewarding and exciting job where you really can make a difference
The future demand for nurses and midwives is going to be high especially as WArsquos new Fiona Stanley Perth Childrenrsquos Busselton and Midland hospitals all start becoming fully operational so we encourage you to attend the Expo to see where nursing and midwifery might take you
I look forward to seeing you on Friday 1 May 2015 at the Perth Convention and Exhibition Centre
Karen Bradley MACN Chief Nurse and Midwifery Officer WA Health
27
Expo informationLocation
The Perth Convention and Exhibition Centre (PCEC) is Western Australiarsquos only dedicated convention and exhibition facility Each year over 500000 people attend one or more of the 600 plus events conducted at PCEC The Expo will be held in Pavillion 1 at PCEC
Doors open 9am ndash 1pm
Entry
Stairs amp Escalators to Level 2
Registration DeskEntry Foyer
Entry
ACN Expo Pavillion 1
28
Seminars
This year the educational seminar series is back again to provide visitors with up to date information and practical skills to pursue or further their career Seminar attendance is free of charge and registration is not required
Time Topic Presented by
915am How to become a nurse or midwife Rebecca Newton WA Nursing and Midwifery Office
950am Applying via GradConnect and other opportunities for graduate nurses and midwives
Regina Browne WA Nursing and Midwifery Office
1025am Unleashing the potential of your staff Lisa Ansbro and Donna Hampshire Chandler Macleod Health
1100am How to become a nurse or midwife Rebecca Newton WA Nursing and Midwifery Office
1135am Applying via GradConnect and other opportunities for graduate nurses and midwives
Regina Browne WA Nursing and Midwifery Office
1210pm Unleashing the potential of your staff Lisa Ansbro and Donna Hampshire Chandler Macleod Health
The lsquoUnleashing the potential of your staffrsquo seminar is proudly supported by
Chandler Macleod is Australasiarsquos leading provider of integrated HR services products and technologies We have more than 55 yearsrsquo experience in human resources and have specialised within the health sector for 10 of these We are ideally positioned to help you meet the growing demands on your business We provide permanent and temporarycontract recruitment for the full range of Health professions including Carers and Support Workers Enrolled Nurses Registered Nurses Facility and Operations Managers Directors Cleaners and Kitchen staff We are able to provide you with experienced caring staff 247 including public holidays
For more information contact Chandler Macleod on (08) 9217 0510 or visit wwwchandlermacleodcomclientshealth-recruitment
29
Floor plan
42 41
39
40
38
36
37
35
43
44
45
46
47
48
Entrance
Seminar area
Cafeacute
7
5
8
6
20
18
19
17
11
9
12
10
16
14
15
13
34 33 32 31 30 29 28
30
Exhibitor listing
Organisation Name Booth Number
AACDS 8
Armadale Health Service 38
Belmore Nurses Bureau 30
Central Institute of Technology 20
Chandler Macleod Health 16
Child amp Adolescent Health Service 42
Curtin University of Technology 19
Defence Force Recruiting 910
Edith Cowan University - School of Nursing and Midwifery
3334
Fiona Stanley Hospital 36
Fremantle Hospital 44
HESTA 5
Hollywood Private Hospital 7
Institute of Health amp Nursing Australia 32
Mediserve Nursing Agency 6
Murdoch University 1112
My Flex Health International 18
Organisation Name Booth Number
Next Step 48
North Metropolitan Mental Health 35
NurseWest 47
Nursing amp Midwifery Board of Australia 29
Osborne Park Hospital 46
Prime Super 17
PampN Bank 15
Rockingham General Hospital 39
Royal Perth Hospital 37
Sir Charles Gairdner Hospital 45
The Bethanie Group Inc 31
The University of Notre Dame 13
WA Country Health Service 40
WA Nursing amp Midwifery Office 43
West Coast Institute of Training 14
Women amp Newborn Health Service 41
Work the World 28
The WA Nursing amp Health Expo is proudly supported by
The WA Nursing and Midwifery Office is very proud to partner once again with the Australian College of Nursing for the 2015 Nursing and Health Expo The nursing and midwifery professions offer an array of interesting and diverse experiences With these highly valued and respected skills relevant anywhere in the world nurses and midwives will always be in demand ndash in hospitals and in a range of other workplaces In WA the future demand for nurses and midwives is going to be high especially as our new Fiona Stanley Perth Childrenrsquos Busselton and Midland hospitals all start becoming fully operational so considering a career in nursing or midwifery is a great idea
wwwnursinghealthwagovau
31
In Australia enrolled nurses (ENs) are a core component of the health care workforce and make an important contribution to Australiarsquos world-class health outcomes ENs work in varied settings across the country from blood services to aged care facilities Increasingly ENs are playing an important role in meeting the growing demand for care
Not all countries have recognised the importance of ENs in the nurse workforce mix Several European countries including France Denmark Italy and Spain have only one category of regulated nurse (HWA 2013 Robinson and Griffiths 2007) The United Kingdom (UK) ceased admitting new ENs to the register in the 1980s The minimum qualification for all UK nurses is now a three-year bachelorrsquos degree As a result the UK relies heavily on unregistered health care assistants rather than second-level nurses (UK Department of Health 2013) Closer to home New Zealand ceased training ENs in 1993 only to recommence in the 2000s (Meek 2009) New Zealandrsquos experiment is an instructive demonstration of the importance of ENs in the health care workforce as the demand for nursing care increases
In Australia we have remained committed to maintaining the EN role Rather than relying on unregistered health care workers Australia has chosen to maintain a large educated and professional EN workforce The skilled work of ENs is recognised to be of paramount importance to the delivery of high quality nursing care Our EN workforce is highly dynamic and continues to evolve within the changing landscape of Australian health care policy and regulation
Enrolled nurse demographics
According to the latest national figures there are 51624 ENs working in Australia The great majority of ENs have completed their pre-registration education in Australia fewer than 5 have been educated overseas (HWA 2013)
The EN workforce has a relatively high average age of 46 years and forty-five per cent of ENs have celebrated their fiftieth birthdays (AIHW 2013) According to Health Workforce Australia the ageing EN workforce could lead to a significant shortfall in the supply of ENs if action is not taken to retain the current cohort of ENs and increase the number of people studying to be the ENs of tomorrow (HWA 2012)
Men make up roughly 10 of the EN workforce While this number is rising gradually it indicates that there is progress to be made in terms of attracting and retaining males within the profession Aboriginal and Torres Strait Islander people are
also underrepresented in the EN workforce only around 800 of Australiarsquos ENs identify as Indigenous Australians (AIHW 2013)
Among the most common work settings for ENs are aged care rehabilitation and disability services In contrast ENs make up fewer than 5 of the critical care nursing workforce and represent only a small proportion of nurses working in education policy and management (AIHW 2013)
These statistics show that there are both challenges and opportunities for Australiarsquos EN workforce Efforts to recruit and retain ENs will need to be enhanced with a particular focus on encouraging men and Aboriginal and Torres Strait Islander people to become ENs At the same time roles in a wider range of clinical areas are becoming available to suitably educated and qualified ENs and there will be more such opportunities in the coming years
A growing role for ENs
The evolving role of the EN is reflected in recent changes to educational requirements for ENs As of 1 July 2014 the Certificate IV in enrolled nursing ceased to be available and the minimum qualification for EN entry to practice will be the Diploma of Nursing The transition to a Diploma recognises the high level of skill ENs contribute to todayrsquos health care teams A nationally consistent approach to EN education is also likely to enhance the mobility of the EN workforce by giving employers confidence in the knowledge and skills of ENs educated in other states
ENs are now undertaking a diverse range of roles One of the earliest areas of role expansion for ENs was medication endorsement Before the move to national registration in 2010 ENs in some states were able to obtain an endorsement in medicines administration and become Endorsed Enrolled Nurses by completing specified education units This endorsement has now been phased out because from 2008 onwards all newly qualified ENs have completed the required medicines administration education Instead the register now identifies ENs who have not completed the required courses (NMBA 2014) This example demonstrates how the EN role has evolved over the years Whereas once only a relatively small number of ENs were educated to administer medicines now all student ENs complete medicines administration units as part of their initial nursing education
The EN role is also expanding in other ways For example ENs are taking on a growing role within haemodialysis units (Tranter et al 2011) The 2008 Australia and New Zealand Dialysis Workforce Survey conducted by the Renal Society of Australia found that there were 188 ENs working in dialysis alongside 2433 registered nurses (RNs) The growing demand for dialysis
The potential of the enrolled nursing workforce
By Rosina Muir and Dr Marlene Eggert MACN
32
services and the shortage of dialysis RNs in some areas represents a clear opportunity for ENs According to a New South Wales study conducted in 2009 the scope of practice of ENs in haemodialysis units may include cannulation (including both native access and buttonhole cannulation) connecting and disconnecting haemodialysis central venous catheters (CVCs) performing CVC dressings giving iron infusions and administering erythropoietin anticoagulants and Lignocaine In addition ENs may also take on a case management or health promotion role for dialysis patients (Bennett et al 2009)
ENs are also moving into extended roles in rehabilitation services A recent study of ENs in an Australian rehabilitation facility found that in addition to assisting patients with activities of daily living ENs may take on roles in coaching and supporting patients to reach their individual goals monitoring the patientrsquos progress and liaising with other members of the multidisciplinary rehabilitation team The study found that many ENs demonstrate an understanding of the philosophy of rehabilitation nursing including goal setting and enabling self-care (Pryor and Buzio 2013)
In rural Australia ENs are taking on a diverse range of roles within the EN scope of practice in order to meet local needs ENs with specialist skills such as infection control or wound care make a significant contribution to some rural health services although their extended scope of practice is not always given appropriate recognition by their RN colleagues (Nankervis et al 2008) Rural health services are increasingly recognising that supporting ENs to take on extended roles and further develop their clinical skills can be a successful model for the delivery of high quality patient care
Recognising the evolving EN scope of practice
In light of the fact that there have been significant changes to EN education regulation and scope over the last decade the NMBA has commissioned Monash University to review the currency of the standards against contemporary enrolled nursing roles The Monash University project has involved a review of the literature as well as a series of focus groups and surveys to gather insights from both RNs and ENs on the education scope of practice and supervision of ENs (Monash University 2013) The project is expected to be completed in 2014 (NMBA 2013)
Our advocacy for ENs
ACNrsquos advocacy priorities are explicitly designed to support both registered and enrolled nurses In 2014 ACN has argued for a range of policies that would have a positive impact on the
retention and flexibility of enrolled nurses For example ACN has proposed a National Transition Framework to support the flexibility and mobility of both the EN and the RN workforces The Framework would be accessible to nurses entering the workforce as well as nurses transitioning from one area of practice to another For example it would support an EN wishing to transition from the aged care sector to a hospital-based role
ACN has also put forward a proposal for a new scholarship program to support newly registered and enrolled nurses to practice in rural services It is essential that rural health service providers are able to attract appropriately educated staff including both ENs and RNs in order to maintain an optimal skill mix The scholarship scheme will allow rural health services to employ newly registered and enrolled nurses as supernumerary team members while providing them with a structured clinical learning program
ACN will continue to provide a voice for ENs in policy discussions and advocate for the role of ENs in health care delivery Australian Institute of Health and Welfare 2013 Nursing and midwifery workforce 2012 lthttpwwwaihwgovauWorkAreaDownloadAssetaspxid=60129545314gt pp 6
Bennett P McNeill L Polaschek N 2009 lsquoThe Australian and New Zealand Dialysis Workforcersquo Renal Society of Australasia Journal vol 5 no3 pp 147-151 lthttpwwwrenalsocietyorgRSAJjournalnov09bennett2pdfgt
Health Workforce Australia 2012 Health Workforce 2025 Doctors Nurses and Midwives vol 1 lthttpwwwhwagovausitesuploadsFinalReport_Volume1_FINAL-20120424pdfgt pp 137-142
Health Workforce Australia 2013 Nurses in Focus lthttpwwwhwagovausitesuploadsNurses-in-Focus-FINALpdfgt
Meek G 2010 Second level nurses a critical examination of their evolving role in New Zealand Healthcare lthttpresearcharchivewintecacnz9621Repository_entry_HLNU902pdfgt pp 3
Monash University 2013 The National Review of the Enrolled Nurse Competency Standards lthttpwwwmedmonashedunursingcompetency-standardsgt
Nankervis K Kenny A Bish M 2008 Enhancing scope of practice for the second level nurse A change process to meet growing demand for rural health services lthttpwwwncbinlmnihgovpubmed18844530gt
Nursing and Midwifery Board of Australia 2013 Communique Meeting of the Nursing and Midwifery Board of Australia 27 February 2013 in the AHPRA Hobart Office TasmanialthttpwwwnursingmidwiferyboardgovauNewsCommuniques-from-Board-meetingsaspxgt
Nursing and Midwifery Board of Australia 2014 Enrolled nurses and medicine administration lt httpwwwnursingmidwiferyboardgovauCodes-Guidelines-StatementsFAQaspxgt
Pryor J Buzio A 2013 lsquoDo ldquotwo typesrdquo of ENs work in rehabilitation in Australiarsquo Journal of the Australasian Rehabilitation Nurses Association vol 16 no 1 pp 14-19 lthttpsearchinformitcomaudocumentSummarydn=480975443102792res=IELHEAgt
Robinson S and Griffiths P 2007 Nursing education and regulation International profiles and perspectives lthttpeprintssotonacuk3487721NurseEduProfilespdfgt pp 7-17
Tranter S Westgarth F White G 2011 lsquoThe scope of practice of the haemodialysis Enrolled Nurse in new South Walesrsquo Renal Society of Australasia Journal vol 7 no 1 pp 24-29 lthttpwwwrenalsocietyorgRSAJjournalmar11Tranterpdfgt
United Kingdom Department of Health 2013 The Cavendish Review An Independent Review into Healthcare Assistants and Support Workers in the NHS and social care settings lthttpswwwgovukgovernmentuploadssystemuploadsattachment_datafile236212Cavendish_Reviewpdfgt pp 6
33
By Laurie Bickhoff MACN
Diary of a newly registered nurse
In Australia it is estimated nearly 20 of nurses will leave the profession within their first year of practice (National Nursing and Nurse Education Taskforce [NNNET] 2005) Internationally this figure ranges from between 35 and 60 (Halfer amp Graf 2006) Many have speculated on the reasons for this with high workloads the difficulties of shift work and unrealistic expectations of what nursing entails all given due consideration (Halfer amp Graf 2006) However as I entered my second year of practice I began to wonder what role disillusionment plays in this exodus of newly trained nurses
Disillusionment to me occurs when you feel your passion dwindling when you suddenly find it that little bit harder to get ready for work when you start feeling a sense of dread as you walk onto the ward This wasnrsquot caused by long hours or ever increasing workloads coupled with diminishing resources It wasnrsquot caused by physically demanding duties or the lack of a social life due to shift work It wasnrsquot caused by dealing with things that might not look or smell that great Unfortunately it was caused by the people around me and an almost institutionalised lack of power not only for nurses but more importantly for our patients
I was dismayed and frustrated to hear how many of my colleagues from all health professions referred to patients I was disheartened to see how easily some could dismiss the suffering we see and the heartache I felt I was overwhelmingly saddened to realise not everyone had the same passion for their profession or empathy for those we are charged to care for as I did
This culminated for me towards the end of my first year of practice There wasnrsquot any one big incident more an accumulation of things that were gradually wearing me down I had a worried patient confide in me that they had been too scared to push the call button on the previous shift because of the response they would receive from the nurse I saw patients constantly being made to fit into everyone elsersquos schedules regardless of their requests It seemed everyone was more important than the person we were there to help
I heard patients referred to as lsquocactusrsquo or described in the notes as lsquounsalvageablersquo meaning there was no chance of the patients making meaningful recoveries I wondered is this really how we refer to people Or did we forget they were actual human beings we were talking about
I had other health professionals dismiss me with comments such as nurses ldquojust wipe bums all dayrdquo or roll their eyes at me when I raised my concerns When I dared to challenge or question I was met with comments of ldquoI miss the old new gradsrdquo I felt tired washed out and was beginning to wonder
whether I could stay in this profession without losing myself
Luckily I found some inspiration I listened to a presentation by Drew Dudley a well-known American academic and motivational speaker where he discusses the idea of lsquolollypop momentsrsquo These are small moments when the people we see and work with every day demonstrate leadership They arenrsquot big grand over the top statements They are small gestures which often unknown to the person who did it have an amazing impact on the lives of others I was lucky enough to have some of these lollypop moments just when I needed them These few sparks were all that I needed to reignite my passion for nursing
The first spark came from an RN2 caring for a patient at the end-stage of a number of diseases who had expressed to the nursing staff multiple times her wish to simply be made comfortable as she knew this was the end of her fight Despite this the patient was not only receiving active treatment but was also currently documented for full resuscitation if she deteriorated
The nurse raised the issue with the medical registrar asking him to have a discussion with the patient regarding her wishes and planning end-of-life care The registrar dismissed her saying ldquowell thatrsquos not what the consultant wantsrdquo The nurse wasnrsquot satisfied and responded ldquoitrsquos not their choice itrsquos the patientrsquos decisionrdquo This nurse had the courage to stand her ground and make sure her patientrsquos voice was heard which ultimately led to the patientrsquos wishes being honoured
The next spark came soon after I was working with a nurse who came from a different cultural background to me where it was seen as impolite to question anyone in authority especially if you were female This meant even if a doctor was accidently standing in her way she would prefer to simply wait rather than ask them to move
Then one day we had a patient who deteriorated rapidly and was in a very critical condition This nurse suddenly became one of the best clinical leaders I have witnessed She led the team questioning orders prompting treatments suggesting causes and outlining the options available I soon realised the difference this was about her patient She was going to ensure her patient received the best care and outcome possible When it was about her patient rather than herself she found her voice
There were a number of smaller incidents that soon followed Sparks came from the senior consultant who re-educated her advanced trainee on the importance of listening to the nurses and acting on their concerns Sparks came from our ward social
34
worker who day after day demonstrated his passion for helping and advocating for those with no voice and often no options Sparks came from the medical residents who expressed their gratitude when you picked up a mistake and were heartfelt in their appreciation of the work nurses do
The brightest sparks came from my patients and their relatives It was their ldquothanksrdquo their ldquoyou donrsquot know how much that meansrdquo their ldquoyoursquoll be back tomorrow wonrsquot yourdquo their squeezing of my hand that reminded me why I do what I do I didnrsquot have to search for inspiration I was surrounded by it The trick was to change my focus
Perhaps all nurses are disillusioned at some point during their careers Perhaps it happens multiple times Perhaps it is a rite of passage with those who make it through the other side the
ones with a true passion for nursing who turn around and help a colleague on their journey
As I continue my nursing career I now look for the brightness that I know is always there far outshining the negativity that we have to deal with I stockpile my lsquolollypop momentsrsquo knowing the amazing examples of kindness and leadership I see every day will help me grow and become a better nurse and hopefully I might be able to be a spark for someone else
You can listen to Drew Dudleyrsquos talk at wwwtedcomtalksdrew_dudley_everyday_leadership
Halfer D and Graf E lsquoGraduate Nurse Perceptions of the Work Experiencersquo Nursing Economics June 2006 Vol 24 No 3 pp 150-55
National Nursing and Nurse Education Taskforce 2005 Mythbusters Available online at httpwwwnnnetgovaudownloadsmythbusters_attritionpdf Accessed June 2014
Arts amp Sciences | Business | Education | Health Sciences | Law | Medicine | Nursing amp Midwifery | Philosophy amp Theology | Physiotherapy
Your journey to a meaningful career awaitsThe School of Nursing amp Midwifery offers the following courses
rsaquo Bachelor of Nursing
rsaquo Bachelor of Nursing (Articulation Pathway for EN Diploma)
rsaquo Graduate Certificate (Acute Mental Health Clinical Nursing Nursing and Nursing Leadership amp Management)
rsaquo Graduate Diploma (Acute Mental Health Clinical Nursing Critical Care Nursing Forensic Nursing Midwifery Nursing and Perioperative Nursing)
rsaquo Master of Nursing (Coursework and Research)
Looking to make a difference So are we
Apply direct notredameeduau
ND
1053
| C
RIC
OS
PR
OV
IDE
R C
OD
E 0
1032
F
35
36
8CALL 13 19 01 OR VISIT DEFENCEJOBSGOVAU ARMY
THE ARMY ISNOW RECRUITINGNURSINGOFFICERS
A career as an Army Nursing Offi cer offers variety andchallenges in employment and travel not always availablein the normal hospital environment You will gain experienceand skills that will equip you for advancement in the Armyand will also be in high demand in your profession
Yoursquoll also enjoy great benefi ts like free medical and dentalworld class training subsidised accommodation excellentsalary packages worklife balance and unique experiences
To fi nd out more about becoming a Nursing Offi cersearch lsquoArmy Nursersquo
ARMY0176 Nurse Respec_210x297mm_V3indd 1 30012015 324 pm
Nursing Officer a vital role in the Australian Defence Force
In any environment healthcare is a challenge but during military operations that challenge can take on a new perspective As a Nursing Officer in the Australian Defence Force (ADF) Lieutenant Tess Demunk plays a vital role in the ongoing health and welfare of people in the Australian Army
Throughout her career Tess has enjoyed the sort of variety challenges and travel that a civilian nurse would never have the opportunity to experience
ldquoI joined the Army because I wanted to do something different with my nursing Irsquom interested in trauma nursing and obviously the Australian Army is a great place to go to for thatrdquo
ldquoItrsquos also a great opportunity to lsquogive something backrsquo you can care for the soldiers out there protecting us and our countryrdquo Tess said
Nursing Officers in the Australian Defence Force are employed across a range of clinical clinical management and broader health management duties They can expect to work in units and field hospitals that provide a comprehensive hospital service or in small Treatment Teams providing primary healthcare and immediate pre-hospital resuscitation
A Defence healthcare career offers variety and challenges in employment as well as opportunities that are not always available in a civilian hospital environment
The ADF offers amazing opportunities to travel around Australia and overseas on peacekeeping and emergency aid missions that make a genuine difference to peoples lives
Humanitarian work is a gateway to experience new cultures and interact with patients and locals like never before Its these kinds of career defining experiences that make your years of study all worthwhile
ldquoDeployments are a big opportunity Nursing overseas and being able to look after a lot of trauma injuries are two of the main reasons I joined the Armyrdquo Tess said
ldquoThere is a lot of primary healthcare stuff that we do as well but the reason that most people join is to do nursing in the field and on deploymentrdquo
ADF members also enjoy a great work-life balance with a selection of sporting clubs to play for fitness training thats included as part of the working day strong job security and role diversity Include the great benefits and competitive salary package with the chance to continually improve your medical knowledge and qualifications and the choice to pursue a military healthcare career just adds up
ldquoIn Defence you get free healthcare free dental and all the things that go along with that The mates you make along the way the courses that you get to do and the opportunities for deployment and the field exercises are other benefits as wellrdquo
ldquoI completed the Defence University Sponsorship (DUS) through Monash University It is a fantastic scheme that allowed me to study at university as a full-time student and be paid by the Army while doing thatrdquo
Full-time and part-time roles are available across the Navy Army and Air Force including graduate and undergraduate positions
Youll receive further training and post graduate study opportunities while youre in the ADF so you can go as far as you want to in your career
Put your medical and health-related skills and knowledge to use in a unique environment that is unlike anything else With the opportunity to broaden your skills and make a difference both at home and overseas a career in Defence healthcare is a worthwhile challenge that will just keep on giving
The Defence Force is currently recruiting for Nursing Officers and various health-related roles For further information on military training and careers in the Navy Army or Air Force visit
defencejobsgovau or call 13 19 01
By Tess Demunk Australian Army Nursing Officer
9
The beginning of a career ACNrsquos Nursing amp Health Expos
In pursuit of the belief that every nurse should have the opportunity to grow their career and further the nursing profession ACN is once again presenting the Nursing and Health Expos for 2015 The expos have provided an avenue for those interested in nursing in Australia to seek expert advice on education and employment opportunities One young nursersquos visit to an expo opened up a career
Ever since I could remember I wanted to help people When I was young I would look up diseases and conditions I had my own first aid kit and I would play lsquonursersquo with my mum and dad
In 2007 when I was in year 12 I attended my first NSW Nursing and Health Expo and Irsquove continued to visit the expos since Initially I wanted to become a paramedic but everyone I spoke to said that I should become a nurse first They gave me great advice to become an endorsed enrolled nurse (EEN) before becoming a registered nurse (RN) ndash to take it one step at a time
I studied at TAFE for 18 months to become an EEN I completed my Bachelor Degree at Southern Cross University while working as an EEN at a private hospital in Coffs Harbour This meant I was able to put my theory into practice
Now I work as an RN with Ramsay Health Care Every day I come home knowing I have a little place in someonersquos heart because I helped them Patients are very vulnerable people and sometimes all they need is for you to listen Listening is one of the most important lessons I have learnt as a nurse
Irsquod recommend the ACN Nursing and Health Expos to anyone especially year 12 students who are interested in a career as a nurse I always look forward to the expo and I make a day of it Itrsquos great to be around like-minded people listening to their stories and they are always interested in listening to mine Last year I was able to practice keyhole surgery at the expo and I was actually good at it ndash so maybe surgical nursing is an option down the track
I joined ACN last year and have now had this opportunity to share my nursing story and hopefully inspire others
by Brianna Gudgeon MACN
Brianna as a volunteer nurse in Samoa
Brianna (left) in 2008 training as an EEN at Concord Hospital with colleague
10
INSTITUTE OFHEALTH AND NURSING AUSTRALIA
RTO ID 21985 CRICOS Code 03386G
wwwihnaeduauenquiryihnaeduau1800 22 5283
Our Courses
bull Registered Nurse Re-entry to Practice Program
bull Registered Nurse Refresher Program
bull HLT51612 Diploma of Nursing (Enrolled-Division 2 Nursing)
bull HLT61107 Advanced Diploma of Nursing
The Institute of Health and Nursing Australia (IHNA) is one of Australias leading providers of comprehensive
health and nursing education at several levels IHNA is fast-growing dynamic and quality-driven institution committed to continuous improvement working hard to develop implement and deliver courses and professional development programs The courses offered by IHNA are prepared by experienced healthcare professionals and help students to pursue a successful career in Australian healthcare
Melbourne | Perth | Sydney
VET FEE HELP GOVT FUNDING AVAILABLE
Institute of Health and NursingAustralia
IHNA
Call 1800 675 839 for a Short-Form Product Disclosure Statement Prime Super (ABN 60 562 335 823) is issued by Prime Super Pty Ltd (ABN 81 067 241 016 AFSL 219723 RSE L0000277 RN 1000276)
VIC Expo Booth 33 | WA Expo Booth 17 | wwwprimesupercomau
Visit us at the Expo to find out morehellip
and enter our competition for your chance to WIN a $550
endota day spa voucher
Prime Super provides personal support to make super simpler
Now incorporating
11
VIC EXPO MELBOURNE
12
Welcome from the Chief Nurse amp Midwifery OfficerWelcome to the Australian College of Nursingrsquos 17th annual Nursing and Health Expo in Melbourne The Department of Health and Human Services in Victoria is a keen sponsor of this important event on the nursing calendar The Expo plays an important role in enhancing the profile of nursing as a profession which in turn promotes recruitment and retention of the nurses and midwives
As part of the health care team nurses and midwives are essential to the communityrsquos health and wellbeing Nurses and midwives play a critical role in delivering safe compassionate and quality care The Department of Health and Human Services encourages Victorian nurses and midwives to provide the best possible care for the community by providing clear strategic direction for the profession as well as supporting health services to implement initiatives across workforce development and reform
Being a nurse or midwife is a rewarding career but it is important to know if it is the right career choice for you In addition to having the relevant knowledge and skills nurses and midwives need to be compassionate caring and flexible Nursing and midwifery offers many and varied opportunities across multiple settings not only for graduates but for people of any age looking to enter the workforce
While traditionally nurses and midwives have always worked in hospitals they now work across multiple settings including general practice community-based services and aged-care services
The job market is competitive and opportunities will continue to be present for the existing returning and newly graduated nurses and midwives Because of the changing needs of the community there is often a contrast between where nurses and midwives prefer to work and where there are opportunities Growth opportunities are in areas such as rural aged care and chronic disease management and I encourage everyone to think beyond the traditional locations and to explore new and rewarding areas of employment
Senior members of the workforce are reminded of the important role we all play as professionals in encouraging and mentoring new starters and transitioning into other roles
Education and training is a lifelong journey essential to the continual development of the nursing and midwifery workforce which ensures highly skilled capable and critical decision makers
Associate Professor Alison McMillan MACN Chief Nurse and Midwifery Officer Department of Health amp Human Services VIC
13
Expo informationLocation
Visitors are often struck by the architectural brilliance of the Melbourne Convention and Exhibition Centre (MCEC) which has won some of Australiarsquos most prestigious architecture and design awards The Expo will be held in bays 17 and 18 of the MCEC
Doors open 9am ndash 1pm
Concourse
Link to convention
centre
Loading Dock
Normanby Road
Clar
endo
n St
reet
Entry Foyer
Clarendon Street
Entrance
ACN Expo Bays
17 amp 18
14
Seminars
This year the educational seminar series is back again to provide visitors with up to date information and practical skills to pursue or further their career Seminar attendance is free of charge and registration is not required
Time Topic Presented by
915am HESTA Your Partner for Career David Logan HESTA
950am Graduate NurseMidwifery Program Computer Match 2015 Paul Williamson Postgraduate Medical Council of Victoria
1025am Understanding delegation and supervision responsibilities and accountabilities
Associate Professor Alison McMillan MACN
Department of Health amp Human Services Victoria
1100am HESTA Your Partner for Career David Logan HESTA
1135am Graduate NurseMidwifery Program Computer Match 2015 Paul Williamson Postgraduate Medical Council of Victoria
1210pm Understanding delegation and supervision responsibilities and accountabilities
Associate Professor Alison McMillan MACN
Department of Health amp Human Services Victoria
The VIC Nursing amp Health Expo is proudly supported by
On 1 January 2015 the Victorian Government established the Department of Health amp Human Services bringing together the former Department of Health Department of Human Services and Sport and Recreation Victoria The department has been established to develop and deliver policies programs and services that support and enhance the wellbeing of all Victorians We take a broad view of the causes of ill health the drivers of good health the social and economic context in which people live and of the incidence and experience of vulnerability This will allow us to place people at the heart of policy-making service design and delivery
wwwdhhsvicgovau
15
Floor plan
BENC
H
SINK
ENTRANCEDOOR 9
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
20 21
22232425
26 27 28 29
30313233
34 35 36 37
38394041
42 43 44 45
46474849
50 51 52 53
54555657
58 59 60 61
62636465
66 67 68 69
7071727374
75
76
84
85
86
87
88
89
90
1918
16
Exhibitor listing
Organisation Name Booth Number
Alfred Health 6667
ANMF Victorian Branch 747576
Austin Health 4243
Australian Catholic University 89
Ballarat Health Services 62
BankVic 73
Baptcare 60
Belmore Nurses Bureau 47
Bendigo Health 44
Care Training Australia 17
Chisholm Institute of TAFE 19
Colbrow Healthcare 26
Critical Second 90
Crystal Clear Ear Clinic 6
Deakin University Nursing amp Midwifery 3435
Defence Force Recruiting 12
Eastern Health 3031
Epworth HealthCare 6465
Federation University Australia 41
First Call Health 40
First State Super 7
Forensicare 68
Health Skills Australia 72
HESTA 20
Holmesglen 4546
Institute of Health amp Nursing Australia 27
Kangan Institute 24
La Trobe University 121314
Martin Luther Homes 22
McFarlane Medical amp Scientific 23
mdBriefCase Australia 18
Mediserve Nursing Agency 28
Organisation Name Booth Number
Melbourne City Institute of Education 86
Mental Health Nursing Victoria 1011
Mercy Health 8788
Monash Health
Monash University 8485
NeilMed Pharmaceuticals 32
Northern Health 5354
NorthWestern Mental Health 59
Nurses Board of Victoria Legacy Limited
69
Nursing amp Midwifery Board of Australia 21
Peninsula Health 38
Peter MacCallum Cancer Centre 25
Postgraduate Medical Council of Victoria
71
Prime Super 33
Reflective Clinical Supervision Network 39
RMIT Faculty of Nursing 55
Royal Victorian Eye amp Ear Hospital 48
Sanita Australia 31
St Vincentrsquos Hospital 5051
St Vincentrsquos Mental Health 5
St Vincentrsquos Private Hospital 34
The Royal Melbourne Hospital 56
Tobin Brothers Funerals 49
University of Melbourne 89
University of Tasmania 52
Victoria University 57
Vital Health Recruitment 70
VNS Nursing Agency 58
Western District Health Service 63
Western Health 3637
Work the World 29
17
Graduate transition programs my personal experienceToo often we hear horror graduate stories Research shows horizontal violence and bullying is rampant in our profession We are told tales of the infamous ldquoeat our youngrdquo nursing culture We know graduates suffer transition shock when they start practicing and nearly 20 will leave in their first year
Unfortunately the good stories are often buried underneath the bad and so I wanted to share my graduate year experience When I started as an RN the only nursing experience I had were my clinical placements and a mere two months working as an AIN To say I was worried was a major understatement I was quietly petrified but tried to keep up a brave face
I had worked hard in university to learn as much as I could but I was still filled with doubts Would I be good enough Would I crash and burn Would I help or hinder my patientsrsquo recovery
My first day on the ward was sink or swim time I was amazed at the warm welcome I was given The other RNs were supportive and encouraging They made sure I knew if I felt myself struggling they would be there with a life-line
Every ward I rotated through gave me this same friendly reception Perhaps it was just luck or maybe our nursing culture is changing but I never encountered any of the pressure to change my values and practice in order to fit in that I had been told to expect Instead I found colleagues who understood I wouldnrsquot know everything on day one who were willing to take the time to teach me and who become great friends along the way
My clinical skills and knowledge increased out of sight during my graduate year I felt my university had given me a great foundation on which to build my career as an RN but my grad program cemented my theory into my practice I started the year having never removed a single stitch I ended the year confidently removing everything from sutures to ICCs and pacing wires while also successfully inserting NG tubes and cannulas Importantly I understood the pathophysiology and rationale behind each of these and could explain it to my patients
Irsquom not saying everyday was perfect Irsquom not saying every person was as helpful or welcoming as the next Irsquom not saying I didnrsquot have days when I struggled What I am saying is I never felt alone I knew the support was there all I had to do was ask
I know not every graduate nurse will have as positive an experience as I did Perhaps my journey was the exception not the rule However I hope the number of nurses who have an amazing graduate year like mine continues to increase until this becomes the norm
I do know that the success of your graduate year relies heavily on you and your attitude University teaches you how to think like a nurse but it is in clinical practice the real learning begins and it has a steep learning curve Approach your grad year knowing that everyone from the tea lady to the Director of Nursing will be your new teachers and success will come When the people you work with recognise your passion see your motivation to provide what is best for the patient and know you realise what a unique privilege it is to be a nurse their respect will follow
At the same time donrsquot be afraid to speak up for your patients for your colleagues and for yourself Harvey Fierstein said ldquoNever be bullied into silence Never allow yourself to be made a victim Accept no onersquos definition of your life define yourselfrdquo You have the ability to define your graduate year regardless of what hospital or ward you find yourself in
You can change the culture and reputation of the nursing profession for better or worse You can conform and join in bullying behaviour and continue negative traditions or you can decide it stops with you Set your standards high and have the moral courage to stick to them If every graduate nurse demonstrated this leadership and supported other nurses who did as well imagine the overwhelmingly positive impact that could have on nursing
Gandhi once said ldquoBe the change you want to see in the worldrdquo I would encourage you to be the change you want to see in nursing and just watch how the world changes with us
By Laurie Bickhoff MACN
18
Finishing studies and becoming a new graduate is an exciting milestone Itrsquos usually the first time you begin working full time perhaps moving away from home owning your own car and paying bills
Of course itrsquos important to budget ensuring you have enough money for daily expenses as well as being able to stash some money away The easiest way to keep track of your income versus expenses is to set up an everyday account with your salary paid into it and a savings account earning interest on the money yoursquore able to save In addition you might want to get a credit card so that yoursquove got some money for emergencies
Gain fee free banking freedom
With a BankVic Anywhere account you can enjoy unlimited free withdrawals at any ATM in Australia when you deposit $1000 per month1 Plus you can access your money with free unlimited eftpos transactions a Visa Debit card with paywave and a mobile App
Earn bonus interest on your savings
A BankVic Bonus Saver account is a high interest account that rewards you for saving by giving you bonus interest2 when you deposit a minimum of $100 a month and make no withdrawals plus there are no fees Itrsquos a great way to force yourself to save
Enjoy a credit card with no annual fee
A BankVic Visa Silver credit card offers great value with an introductory rate of 699pa3 for the first 6 months and a low ongoing rate plus no annual fee Itrsquos the perfect back up card
Why not call us today Call your dedicated Member Relationship Manager Phoebe Reid on 9268 9297 or via email preidbankviccomau
1 Minimum deposit of $1000 must be received in the account by close of business on the last business day of the month The deposit cannot be an internal transfer or interest earned form other BankVic products 2 Bonus Saver ndash Deposit $100 per calendar month with no withdrawals and yoursquoll be rewarded with bonus interest Bonus interest rate is capped at a maximum balance of $1000000 3 Credit Card interest rates are variable All interest rates are shown are current as at date of print and are subject to change Fees and charges apply Any advice is general before acting on the advice you should consider whether the advice is appropriate for you Before you make any decision to acquire any product or service you should obtain and consider the relevant Product Disclosure Statement available from our website bankviccomau any branch or by calling us on 13 63 73 Police Financial Services Limited ABN 33 087 651 661 AFSL 240923 Australian Credit Licence 240293ndash trading as BankVic 121 Cardigan Street Carlton Victoria 3053 3-15 5243BV
Advertorial
Banking freedom for nurses and midwives
members matter
Let BankVic take care of you while you take care of others
9268 9297preidbankviccomau
Canstar Pty Ltd Authorised Representative 443019 of Canstar Research Pty Limited ABN 29 114 422 909 AFSL 437917 Police Financial Services Limited ABN 33 087 651 661 AFSL 240293 (BankVic) 121 Cardigan Street Carlton Vic 3053 315 5280bv
Contact your dedicated Member Relationship Manager Phoebe Reid
bankviccomau
19
This is general advice only Consider our product disclosure statement before making a decision about First State Super Call us or visit fi rststatesupercomau for copies Becoming a Student Club member is diff erent to being a First State Super member as you do not hold a superannuation account with the Fund or have any interest right or other relationship with First State Super
FSS Trustee Corporation ABN 11 118 202 672 ASFL 293340 is the trustee of the First State Superannuation Scheme (First State Super) ABN 53 226 460 365 EXP_
Mel
b_Ex
po_A
4_03
15
Join our free Student Club and make the most of the support discounts and benefi ts available only to students
Learn to manage your super better and how you can take advantage of our exclusive member benefi ts
Find out why wersquore the super fund with a heart on Saturday 18 April
Visit us at booth 7 in Melbourne
EXP_Melb_Expo_A4_Mar15_ARTWORKindd 1 6032015 414 pm
By Claire Stewart MACN
Diary of a newly registered nurse
Irsquom almost three months into my role as a newly registered nurse and I had my first 40 Prolene moment recently For the uninitiated this can be a panic fuelled moment where a routine procedure ends up resembling the Texas chainsaw massacre Thankfully I was supported by a wonderfully calm surgeon who waited patiently while I painstakingly attempted to load his life saving suture After the surgery I wiped the blood from my glasses and took a moment to reflect on how I had handled the situation In fact Irsquove spent most of the last three months lsquoreflectingrsquo Deafening groans can be heard from many a third year nursing cohort when wersquore asked yet again to lsquocritically reflectrsquo on our practice as student nurses Let me be the first to admithellip It doesnrsquot stop at graduation
I may not use a dedicated framework or even put pen to paper but the skills I learned during my studies have set me up to ensure I gain the most from every learning opportunity by critically reflecting on my performance simply by force of habit During the last three months my learning curve has veered vertical as I transitioned from university study to my role as a
graduate registered nurse in perioperative services Irsquove had to deal with a new environment (donrsquot even get me started on finding your way around a theatre complex) new colleagues adjusting to full time work and managing family commitments learning an entire new skill set working as a scrubscout dealing with policies procedures and my favourite surgeonsrsquo preference
In these first few months itrsquos very easy to fall into the trap of focussing on how much you donrsquot know However practising critical reflection has allowed me to focus on what I do know how far Irsquove come and what I will learn because Irsquom self-aware Whether you are a new nurse like me and feel like yoursquove handed in one too many pieces of written reflection to your facilitator over the last three years or an experienced nurse who practices self-reflection sub-consciously on the drive home ndash embrace it for the wonderful tool that it is and use it to become the kind of nurse you want to work with
Be in demand Be successfulStudy nursing or midwifery at Monash If you want to make a difference in health care with great employment potential the School of Nursing and Midwifery is a great place to start
As a nurse or midwife there are a variety of roles and a number of specialty areas available to you ensuring a constant career of challenges and diversity
To find out more about our undergraduate courses visit us at ACN Expo Melbourne Stand 84 ndash 85
For more information on our courses visit medmonashedunursing
21
Research collaboration students are welcome
A collaborative research study in Queensland is tapping into the enthusiasm and intelligence of nursing students by training and employing third-years as research assistants data collectors and analysts in contract research projects
Researchers from James Cook Universityrsquos (JCU) Centre for Nursing and Midwifery Research (CNMR) the Far North Queensland Medicare Local and the Cairns and Hinterland Hospital and Health Service are trying to determine why emergency department (ED) presentations to Cairns Hospital have been increasing at a greater rate than the national average
To answer this question CNMR researchers recruited 14 nursing and medical students to survey every willing and able person who presented to the ED
Researchers asked participants for information regarding their reasons for coming to the ED They also asked where they would usually go for medical treatment and what physical and psychological factors influenced their decision to choose the ED over other treatment options
In other phases of the project hospital Emergency Department Information System (EDIS) data have been analysed and patient focus groups have been convened Unstinting faith in the local ED has been noted as one of the key reasons that people choose the ED over other health care options
Most people who come to the ED with lsquonon-urgentrsquo conditions do have general practitioners and a large percentage have sought medical advice in the days prior to presenting to the ED Worry anxiety and uncertainty rather than the severity of the medical condition itself however appears to be a significant motivator to come to the ED where people perceive there is a wide range of services professionals and diagnostic tools available
ACN Emerging Nurse Leader Anna Groth MACN a third-year nursing student from JCU has been collecting collating and analysing data
ldquoOften I would ask someone why they had come to the hospital and they would speak about being in pain but if you asked them about whether they came for the pain or because they were anxious about the pain they would say they had come to the hospital because of the anxietyrdquo explained Anna ldquoIt is such a huge difference ndash the motivation ndash coming for the pain or the anxietyrdquo
Anna said the project opened communication lines between people from different organisations including government university health service hospital and the community leading to collaboration and learning for all
By Marnie Hitchins
Benefits for the students included early career exposure to the research process in which they learnt about data collection analysis and research methods The students also had the opportunity to practise communication skills learn about the organisational cultures of universities and hospitals and work alongside health professionals and patients in a research environment
Students commented that because the power dynamics were different from that of clinical experience (they were not seen as health professionals by patients nor as lsquostudent nursesrsquo by health staff members) they gained insights into the hospital environment they might not otherwise have had
Anna said she learned a lot personally the ED research experience has catapulted her into another area of interest in which she can see herself working in the future
ldquoResearch and policy will be a part of my future Irsquove gained a deep interest in the treatment of women since doing this studyrdquo said Anna
ldquoI have become very interested in domestic violence and the way women are treated in the health service and in the society as a whole I was blown away by the struggle that people have with the system in trying to find support They are so lonely I recognised things being in the ED that I would like to research and have already started exploring the issuesrdquo
CNMR Director Associate Professor Jane Mills FACN said the recruitment and inclusion of students in research projects is part of a broader plan within the CNMR to build undergraduate research capacity
Jane said the CNMR also offered internships to undergraduate students to work on research projects alongside experienced scholars academics and researchers
ldquoJCU strongly supports the inclusion of undergraduate students in research studies where they can gain valuable knowledge skills and experience while also making a contribution to building the evidence base about health care issues of importance to people living in the tropicsrdquo said Jane
ldquoItrsquos a win-win situation where experienced researchers benefit from the studentsrsquo enthusiasm and familiarity with contemporary research principles and students increase their awareness of the importance of research to professional practicerdquo
It is clear to all parties involved that the inclusion of nursing students is benefitting the quality of the project as much as it is benefitting studentsrsquo learning and work experiences
22
Launch your nursing career at St Vincentrsquos
St Vincentrsquos Hospital Melbourne (SVHM) is part of St Vincentrsquos Health Australia and is a leading teaching research and tertiary health service which employs more than 5000 staff across 18 sites throughout Melbourne SVHM provides a diverse range of adult clinical services including acute medical and surgical services sub-acutecare medical diagnostics rehabilitation allied health mental health palliative care correctional health and community residential care SVHM is one of Australiarsquosleading Catholic not-for-prot healthcare providersMake the most of your talents Join the team at St Vincentrsquos
Visit us at the ACN Nursing and Health Expo 2015Find out about our 2016 Graduate Nurse Program andhave a chat to our current graduates educators and nursing staff
St Vincentrsquos Open Evening 2015Wednesday 3rd June 4pm-6pmSt Vincentrsquos Ground Floor Aikenhead Building 27 Victoria Parade Fitzroy
Welcome and Overview of the 2016 Graduate Nurse Program at 4pm 430pm amp 5pm
All welcome ndash no RSVP required
All 24 rotational areas on displayTours of inpatient wardsComplimentary food and beverages provided
For further information visit wwwsvhmorgau or phone the Graduate Nurse Hotline 9231 2244
To follow our 2016 recruitment process Like us at SVHM 2016 Graduate Nurse Program
Compassion Justice Integrity Excellence
24
INTERESTED IN STUDYING DEAKIN NURSING AND MIDWIFERYWe are holding information sessions for our undergraduate courses
BURWOOD CAMPUS 221 BURWOOD HIGHWAY BURWOODWednesday 22 July 6ndash8 pmSaturday 25 July 230ndash430 pm
WATERFRONT CAMPUS 1 GHERINGHAP STREET GEELONGWednesday 22 July 6ndash8 pmSaturday 25 July 230ndash430 pm
WARRNAMBOOL CITY CENTRE 165 TIMOR STREET WARRNAMBOOLFriday 24 July 730 pm
raquo To register your attendance at one of the information sessions above please email nursinfodeakineduau to advise which session you plan to attend
For more information about our undergraduate and postgraduate courses please phone 03 9244 6032
Deakin University CRICOS Provider Code 00113B HLH002
deakineduaunursing
Itrsquos never too early to become a leader
How did you become involved in nursing
I started volunteering from age 14 with St John Ambulance Australia in my hometown of Moruya NSW I loved everything about it ndash loved the joy of helping others and I was so intrigued to learn how to respond effectively in emergencies and show true compassion to others I was also fortunate to have had some very down-to-earth and inspiring mentors who encouraged my interest in nursing and after graduation from high school I undertook the University of Wollongongrsquos Bachelor of Nursing degree
I started my first paid nursing related employment in my third year of the degree at a local hospital I have now graduated and am working as a registered nurse (RN) in a local aged care facility learning the ins and outs of multiple comorbidities patient-centred care and compassionate palliative and end-of-life care
What is your nursing specialty
As I still consider myself as a lsquonewbiersquo RN I havenrsquot really discovered a specialty yet though I have interests in aged care mental health cardiology and nursing research So I guess I am intrigued to be involved in one or all of these areas at some point in my career but I am open to any interesting opportunities that may come my way
What do you love most about nursing
This is truly the job that never has a dull day Each day is different and I feel privileged to be so trusted with the lives of my patients and residents in their moments of hardship and need Along with my love of the workings of the human body the evidence-base behind nursing care and continuous educational opportunities I love the lsquoteamrsquo focus of nursing especially when the patient is at the centre of decision making and everything goes to plan
What is your least favourite part of nursing
When everything doesnrsquot go to plan
What brought you to this area of Australia
Irsquom originally from NSW South but I moved to Wollongong for University and have stuck around for the area the people and to continue to work and study here
What are some of the nursing and health issues that are specific to the Sydney SouthIllawarra Region
Two big issues come to mind Firstly many newly graduated RNs within our region have been unable to find employment Secondly local nurses struggle to find the time within their working hours to keep up to date with advances in education
What do you see as the biggest challenge currently facing the nursing profession and how do you think the profession is placed to respond to these challenges
I believe possible health funding cuts and workforce shortages that in-turn affect our ability to provide adequate and safe patient care are two significant challenges facing our profession There are recently graduated RNs who remain jobless yet there are local health districts crying out for nurses but only those with lsquoexperiencersquo with undergraduate nursing experience ignored Looking into alternative transition programs is key to overcoming this challenge
Whatrsquos the biggest misconception about your career choice
I have met some amazingly talented and intelligent nurses in a variety of roles who all make a great difference in the lives of their patients or indirectly through organisations or research The general misconception that irks me isnrsquot so much a misconception more a statement Irsquove heard multiple times ndash ldquoWhy didnrsquot you become a doctor Why are you just a nurserdquo I did not become a nurse because I didnrsquot have the marks to be a doctor and by the time I finish university again with a Research Masters I would have physically been enrolled in university for the same length of time I became a nurse because I found a passion for this role and spending time with people inspires me
Nursing is a holistic role that encompasses so much We are health professionals role models educators support systems and innovators we understand intimately the fragility of life and the human relationships that bring it meaning
Profile Renee Callender MACN
LeadershipACN
Expand your leadership capacity
25
INTERESTED IN STUDYING DEAKIN NURSING AND MIDWIFERYWe are holding information sessions for our undergraduate courses
BURWOOD CAMPUS 221 BURWOOD HIGHWAY BURWOODWednesday 22 July 6ndash8 pmSaturday 25 July 230ndash430 pm
WATERFRONT CAMPUS 1 GHERINGHAP STREET GEELONGWednesday 22 July 6ndash8 pmSaturday 25 July 230ndash430 pm
WARRNAMBOOL CITY CENTRE 165 TIMOR STREET WARRNAMBOOLFriday 24 July 730 pm
raquo To register your attendance at one of the information sessions above please email nursinfodeakineduau to advise which session you plan to attend
For more information about our undergraduate and postgraduate courses please phone 03 9244 6032
Deakin University CRICOS Provider Code 00113B HLH002
deakineduaunursing
WA EXPO PERTH
26
Welcome from the Chief Nurse amp Midwifery OfficerI am so pleased to be welcoming you to the Australian College of Nursingrsquos Western Australian Nursing and Health Expo for 2015
Attending the Expo is an invaluable experience for anyone interested in nursing and midwifery careers It especially helps high school students and their parents or anyone who is wondering which career direction to take
Hospitals and health services from across WA will be there with some of their nurses and midwives in attendance to answer any questions you may have Come and find out from them what itrsquos really like to be a nurse or midwife
There will also be a range of education providers who will be able to talk about the many courses available to get your career started
It is also a great place to come to discuss and find out about graduate job opportunities building your experience career development opportunities financial support to study changing employers or even returning to a career in nursing or midwifery after being away for a while
The decision to become a nurse or a midwife is a wonderful career choice for anyone who wants to be part of a diverse healthcare professional team and have a challenging rewarding and exciting job where you really can make a difference
The future demand for nurses and midwives is going to be high especially as WArsquos new Fiona Stanley Perth Childrenrsquos Busselton and Midland hospitals all start becoming fully operational so we encourage you to attend the Expo to see where nursing and midwifery might take you
I look forward to seeing you on Friday 1 May 2015 at the Perth Convention and Exhibition Centre
Karen Bradley MACN Chief Nurse and Midwifery Officer WA Health
27
Expo informationLocation
The Perth Convention and Exhibition Centre (PCEC) is Western Australiarsquos only dedicated convention and exhibition facility Each year over 500000 people attend one or more of the 600 plus events conducted at PCEC The Expo will be held in Pavillion 1 at PCEC
Doors open 9am ndash 1pm
Entry
Stairs amp Escalators to Level 2
Registration DeskEntry Foyer
Entry
ACN Expo Pavillion 1
28
Seminars
This year the educational seminar series is back again to provide visitors with up to date information and practical skills to pursue or further their career Seminar attendance is free of charge and registration is not required
Time Topic Presented by
915am How to become a nurse or midwife Rebecca Newton WA Nursing and Midwifery Office
950am Applying via GradConnect and other opportunities for graduate nurses and midwives
Regina Browne WA Nursing and Midwifery Office
1025am Unleashing the potential of your staff Lisa Ansbro and Donna Hampshire Chandler Macleod Health
1100am How to become a nurse or midwife Rebecca Newton WA Nursing and Midwifery Office
1135am Applying via GradConnect and other opportunities for graduate nurses and midwives
Regina Browne WA Nursing and Midwifery Office
1210pm Unleashing the potential of your staff Lisa Ansbro and Donna Hampshire Chandler Macleod Health
The lsquoUnleashing the potential of your staffrsquo seminar is proudly supported by
Chandler Macleod is Australasiarsquos leading provider of integrated HR services products and technologies We have more than 55 yearsrsquo experience in human resources and have specialised within the health sector for 10 of these We are ideally positioned to help you meet the growing demands on your business We provide permanent and temporarycontract recruitment for the full range of Health professions including Carers and Support Workers Enrolled Nurses Registered Nurses Facility and Operations Managers Directors Cleaners and Kitchen staff We are able to provide you with experienced caring staff 247 including public holidays
For more information contact Chandler Macleod on (08) 9217 0510 or visit wwwchandlermacleodcomclientshealth-recruitment
29
Floor plan
42 41
39
40
38
36
37
35
43
44
45
46
47
48
Entrance
Seminar area
Cafeacute
7
5
8
6
20
18
19
17
11
9
12
10
16
14
15
13
34 33 32 31 30 29 28
30
Exhibitor listing
Organisation Name Booth Number
AACDS 8
Armadale Health Service 38
Belmore Nurses Bureau 30
Central Institute of Technology 20
Chandler Macleod Health 16
Child amp Adolescent Health Service 42
Curtin University of Technology 19
Defence Force Recruiting 910
Edith Cowan University - School of Nursing and Midwifery
3334
Fiona Stanley Hospital 36
Fremantle Hospital 44
HESTA 5
Hollywood Private Hospital 7
Institute of Health amp Nursing Australia 32
Mediserve Nursing Agency 6
Murdoch University 1112
My Flex Health International 18
Organisation Name Booth Number
Next Step 48
North Metropolitan Mental Health 35
NurseWest 47
Nursing amp Midwifery Board of Australia 29
Osborne Park Hospital 46
Prime Super 17
PampN Bank 15
Rockingham General Hospital 39
Royal Perth Hospital 37
Sir Charles Gairdner Hospital 45
The Bethanie Group Inc 31
The University of Notre Dame 13
WA Country Health Service 40
WA Nursing amp Midwifery Office 43
West Coast Institute of Training 14
Women amp Newborn Health Service 41
Work the World 28
The WA Nursing amp Health Expo is proudly supported by
The WA Nursing and Midwifery Office is very proud to partner once again with the Australian College of Nursing for the 2015 Nursing and Health Expo The nursing and midwifery professions offer an array of interesting and diverse experiences With these highly valued and respected skills relevant anywhere in the world nurses and midwives will always be in demand ndash in hospitals and in a range of other workplaces In WA the future demand for nurses and midwives is going to be high especially as our new Fiona Stanley Perth Childrenrsquos Busselton and Midland hospitals all start becoming fully operational so considering a career in nursing or midwifery is a great idea
wwwnursinghealthwagovau
31
In Australia enrolled nurses (ENs) are a core component of the health care workforce and make an important contribution to Australiarsquos world-class health outcomes ENs work in varied settings across the country from blood services to aged care facilities Increasingly ENs are playing an important role in meeting the growing demand for care
Not all countries have recognised the importance of ENs in the nurse workforce mix Several European countries including France Denmark Italy and Spain have only one category of regulated nurse (HWA 2013 Robinson and Griffiths 2007) The United Kingdom (UK) ceased admitting new ENs to the register in the 1980s The minimum qualification for all UK nurses is now a three-year bachelorrsquos degree As a result the UK relies heavily on unregistered health care assistants rather than second-level nurses (UK Department of Health 2013) Closer to home New Zealand ceased training ENs in 1993 only to recommence in the 2000s (Meek 2009) New Zealandrsquos experiment is an instructive demonstration of the importance of ENs in the health care workforce as the demand for nursing care increases
In Australia we have remained committed to maintaining the EN role Rather than relying on unregistered health care workers Australia has chosen to maintain a large educated and professional EN workforce The skilled work of ENs is recognised to be of paramount importance to the delivery of high quality nursing care Our EN workforce is highly dynamic and continues to evolve within the changing landscape of Australian health care policy and regulation
Enrolled nurse demographics
According to the latest national figures there are 51624 ENs working in Australia The great majority of ENs have completed their pre-registration education in Australia fewer than 5 have been educated overseas (HWA 2013)
The EN workforce has a relatively high average age of 46 years and forty-five per cent of ENs have celebrated their fiftieth birthdays (AIHW 2013) According to Health Workforce Australia the ageing EN workforce could lead to a significant shortfall in the supply of ENs if action is not taken to retain the current cohort of ENs and increase the number of people studying to be the ENs of tomorrow (HWA 2012)
Men make up roughly 10 of the EN workforce While this number is rising gradually it indicates that there is progress to be made in terms of attracting and retaining males within the profession Aboriginal and Torres Strait Islander people are
also underrepresented in the EN workforce only around 800 of Australiarsquos ENs identify as Indigenous Australians (AIHW 2013)
Among the most common work settings for ENs are aged care rehabilitation and disability services In contrast ENs make up fewer than 5 of the critical care nursing workforce and represent only a small proportion of nurses working in education policy and management (AIHW 2013)
These statistics show that there are both challenges and opportunities for Australiarsquos EN workforce Efforts to recruit and retain ENs will need to be enhanced with a particular focus on encouraging men and Aboriginal and Torres Strait Islander people to become ENs At the same time roles in a wider range of clinical areas are becoming available to suitably educated and qualified ENs and there will be more such opportunities in the coming years
A growing role for ENs
The evolving role of the EN is reflected in recent changes to educational requirements for ENs As of 1 July 2014 the Certificate IV in enrolled nursing ceased to be available and the minimum qualification for EN entry to practice will be the Diploma of Nursing The transition to a Diploma recognises the high level of skill ENs contribute to todayrsquos health care teams A nationally consistent approach to EN education is also likely to enhance the mobility of the EN workforce by giving employers confidence in the knowledge and skills of ENs educated in other states
ENs are now undertaking a diverse range of roles One of the earliest areas of role expansion for ENs was medication endorsement Before the move to national registration in 2010 ENs in some states were able to obtain an endorsement in medicines administration and become Endorsed Enrolled Nurses by completing specified education units This endorsement has now been phased out because from 2008 onwards all newly qualified ENs have completed the required medicines administration education Instead the register now identifies ENs who have not completed the required courses (NMBA 2014) This example demonstrates how the EN role has evolved over the years Whereas once only a relatively small number of ENs were educated to administer medicines now all student ENs complete medicines administration units as part of their initial nursing education
The EN role is also expanding in other ways For example ENs are taking on a growing role within haemodialysis units (Tranter et al 2011) The 2008 Australia and New Zealand Dialysis Workforce Survey conducted by the Renal Society of Australia found that there were 188 ENs working in dialysis alongside 2433 registered nurses (RNs) The growing demand for dialysis
The potential of the enrolled nursing workforce
By Rosina Muir and Dr Marlene Eggert MACN
32
services and the shortage of dialysis RNs in some areas represents a clear opportunity for ENs According to a New South Wales study conducted in 2009 the scope of practice of ENs in haemodialysis units may include cannulation (including both native access and buttonhole cannulation) connecting and disconnecting haemodialysis central venous catheters (CVCs) performing CVC dressings giving iron infusions and administering erythropoietin anticoagulants and Lignocaine In addition ENs may also take on a case management or health promotion role for dialysis patients (Bennett et al 2009)
ENs are also moving into extended roles in rehabilitation services A recent study of ENs in an Australian rehabilitation facility found that in addition to assisting patients with activities of daily living ENs may take on roles in coaching and supporting patients to reach their individual goals monitoring the patientrsquos progress and liaising with other members of the multidisciplinary rehabilitation team The study found that many ENs demonstrate an understanding of the philosophy of rehabilitation nursing including goal setting and enabling self-care (Pryor and Buzio 2013)
In rural Australia ENs are taking on a diverse range of roles within the EN scope of practice in order to meet local needs ENs with specialist skills such as infection control or wound care make a significant contribution to some rural health services although their extended scope of practice is not always given appropriate recognition by their RN colleagues (Nankervis et al 2008) Rural health services are increasingly recognising that supporting ENs to take on extended roles and further develop their clinical skills can be a successful model for the delivery of high quality patient care
Recognising the evolving EN scope of practice
In light of the fact that there have been significant changes to EN education regulation and scope over the last decade the NMBA has commissioned Monash University to review the currency of the standards against contemporary enrolled nursing roles The Monash University project has involved a review of the literature as well as a series of focus groups and surveys to gather insights from both RNs and ENs on the education scope of practice and supervision of ENs (Monash University 2013) The project is expected to be completed in 2014 (NMBA 2013)
Our advocacy for ENs
ACNrsquos advocacy priorities are explicitly designed to support both registered and enrolled nurses In 2014 ACN has argued for a range of policies that would have a positive impact on the
retention and flexibility of enrolled nurses For example ACN has proposed a National Transition Framework to support the flexibility and mobility of both the EN and the RN workforces The Framework would be accessible to nurses entering the workforce as well as nurses transitioning from one area of practice to another For example it would support an EN wishing to transition from the aged care sector to a hospital-based role
ACN has also put forward a proposal for a new scholarship program to support newly registered and enrolled nurses to practice in rural services It is essential that rural health service providers are able to attract appropriately educated staff including both ENs and RNs in order to maintain an optimal skill mix The scholarship scheme will allow rural health services to employ newly registered and enrolled nurses as supernumerary team members while providing them with a structured clinical learning program
ACN will continue to provide a voice for ENs in policy discussions and advocate for the role of ENs in health care delivery Australian Institute of Health and Welfare 2013 Nursing and midwifery workforce 2012 lthttpwwwaihwgovauWorkAreaDownloadAssetaspxid=60129545314gt pp 6
Bennett P McNeill L Polaschek N 2009 lsquoThe Australian and New Zealand Dialysis Workforcersquo Renal Society of Australasia Journal vol 5 no3 pp 147-151 lthttpwwwrenalsocietyorgRSAJjournalnov09bennett2pdfgt
Health Workforce Australia 2012 Health Workforce 2025 Doctors Nurses and Midwives vol 1 lthttpwwwhwagovausitesuploadsFinalReport_Volume1_FINAL-20120424pdfgt pp 137-142
Health Workforce Australia 2013 Nurses in Focus lthttpwwwhwagovausitesuploadsNurses-in-Focus-FINALpdfgt
Meek G 2010 Second level nurses a critical examination of their evolving role in New Zealand Healthcare lthttpresearcharchivewintecacnz9621Repository_entry_HLNU902pdfgt pp 3
Monash University 2013 The National Review of the Enrolled Nurse Competency Standards lthttpwwwmedmonashedunursingcompetency-standardsgt
Nankervis K Kenny A Bish M 2008 Enhancing scope of practice for the second level nurse A change process to meet growing demand for rural health services lthttpwwwncbinlmnihgovpubmed18844530gt
Nursing and Midwifery Board of Australia 2013 Communique Meeting of the Nursing and Midwifery Board of Australia 27 February 2013 in the AHPRA Hobart Office TasmanialthttpwwwnursingmidwiferyboardgovauNewsCommuniques-from-Board-meetingsaspxgt
Nursing and Midwifery Board of Australia 2014 Enrolled nurses and medicine administration lt httpwwwnursingmidwiferyboardgovauCodes-Guidelines-StatementsFAQaspxgt
Pryor J Buzio A 2013 lsquoDo ldquotwo typesrdquo of ENs work in rehabilitation in Australiarsquo Journal of the Australasian Rehabilitation Nurses Association vol 16 no 1 pp 14-19 lthttpsearchinformitcomaudocumentSummarydn=480975443102792res=IELHEAgt
Robinson S and Griffiths P 2007 Nursing education and regulation International profiles and perspectives lthttpeprintssotonacuk3487721NurseEduProfilespdfgt pp 7-17
Tranter S Westgarth F White G 2011 lsquoThe scope of practice of the haemodialysis Enrolled Nurse in new South Walesrsquo Renal Society of Australasia Journal vol 7 no 1 pp 24-29 lthttpwwwrenalsocietyorgRSAJjournalmar11Tranterpdfgt
United Kingdom Department of Health 2013 The Cavendish Review An Independent Review into Healthcare Assistants and Support Workers in the NHS and social care settings lthttpswwwgovukgovernmentuploadssystemuploadsattachment_datafile236212Cavendish_Reviewpdfgt pp 6
33
By Laurie Bickhoff MACN
Diary of a newly registered nurse
In Australia it is estimated nearly 20 of nurses will leave the profession within their first year of practice (National Nursing and Nurse Education Taskforce [NNNET] 2005) Internationally this figure ranges from between 35 and 60 (Halfer amp Graf 2006) Many have speculated on the reasons for this with high workloads the difficulties of shift work and unrealistic expectations of what nursing entails all given due consideration (Halfer amp Graf 2006) However as I entered my second year of practice I began to wonder what role disillusionment plays in this exodus of newly trained nurses
Disillusionment to me occurs when you feel your passion dwindling when you suddenly find it that little bit harder to get ready for work when you start feeling a sense of dread as you walk onto the ward This wasnrsquot caused by long hours or ever increasing workloads coupled with diminishing resources It wasnrsquot caused by physically demanding duties or the lack of a social life due to shift work It wasnrsquot caused by dealing with things that might not look or smell that great Unfortunately it was caused by the people around me and an almost institutionalised lack of power not only for nurses but more importantly for our patients
I was dismayed and frustrated to hear how many of my colleagues from all health professions referred to patients I was disheartened to see how easily some could dismiss the suffering we see and the heartache I felt I was overwhelmingly saddened to realise not everyone had the same passion for their profession or empathy for those we are charged to care for as I did
This culminated for me towards the end of my first year of practice There wasnrsquot any one big incident more an accumulation of things that were gradually wearing me down I had a worried patient confide in me that they had been too scared to push the call button on the previous shift because of the response they would receive from the nurse I saw patients constantly being made to fit into everyone elsersquos schedules regardless of their requests It seemed everyone was more important than the person we were there to help
I heard patients referred to as lsquocactusrsquo or described in the notes as lsquounsalvageablersquo meaning there was no chance of the patients making meaningful recoveries I wondered is this really how we refer to people Or did we forget they were actual human beings we were talking about
I had other health professionals dismiss me with comments such as nurses ldquojust wipe bums all dayrdquo or roll their eyes at me when I raised my concerns When I dared to challenge or question I was met with comments of ldquoI miss the old new gradsrdquo I felt tired washed out and was beginning to wonder
whether I could stay in this profession without losing myself
Luckily I found some inspiration I listened to a presentation by Drew Dudley a well-known American academic and motivational speaker where he discusses the idea of lsquolollypop momentsrsquo These are small moments when the people we see and work with every day demonstrate leadership They arenrsquot big grand over the top statements They are small gestures which often unknown to the person who did it have an amazing impact on the lives of others I was lucky enough to have some of these lollypop moments just when I needed them These few sparks were all that I needed to reignite my passion for nursing
The first spark came from an RN2 caring for a patient at the end-stage of a number of diseases who had expressed to the nursing staff multiple times her wish to simply be made comfortable as she knew this was the end of her fight Despite this the patient was not only receiving active treatment but was also currently documented for full resuscitation if she deteriorated
The nurse raised the issue with the medical registrar asking him to have a discussion with the patient regarding her wishes and planning end-of-life care The registrar dismissed her saying ldquowell thatrsquos not what the consultant wantsrdquo The nurse wasnrsquot satisfied and responded ldquoitrsquos not their choice itrsquos the patientrsquos decisionrdquo This nurse had the courage to stand her ground and make sure her patientrsquos voice was heard which ultimately led to the patientrsquos wishes being honoured
The next spark came soon after I was working with a nurse who came from a different cultural background to me where it was seen as impolite to question anyone in authority especially if you were female This meant even if a doctor was accidently standing in her way she would prefer to simply wait rather than ask them to move
Then one day we had a patient who deteriorated rapidly and was in a very critical condition This nurse suddenly became one of the best clinical leaders I have witnessed She led the team questioning orders prompting treatments suggesting causes and outlining the options available I soon realised the difference this was about her patient She was going to ensure her patient received the best care and outcome possible When it was about her patient rather than herself she found her voice
There were a number of smaller incidents that soon followed Sparks came from the senior consultant who re-educated her advanced trainee on the importance of listening to the nurses and acting on their concerns Sparks came from our ward social
34
worker who day after day demonstrated his passion for helping and advocating for those with no voice and often no options Sparks came from the medical residents who expressed their gratitude when you picked up a mistake and were heartfelt in their appreciation of the work nurses do
The brightest sparks came from my patients and their relatives It was their ldquothanksrdquo their ldquoyou donrsquot know how much that meansrdquo their ldquoyoursquoll be back tomorrow wonrsquot yourdquo their squeezing of my hand that reminded me why I do what I do I didnrsquot have to search for inspiration I was surrounded by it The trick was to change my focus
Perhaps all nurses are disillusioned at some point during their careers Perhaps it happens multiple times Perhaps it is a rite of passage with those who make it through the other side the
ones with a true passion for nursing who turn around and help a colleague on their journey
As I continue my nursing career I now look for the brightness that I know is always there far outshining the negativity that we have to deal with I stockpile my lsquolollypop momentsrsquo knowing the amazing examples of kindness and leadership I see every day will help me grow and become a better nurse and hopefully I might be able to be a spark for someone else
You can listen to Drew Dudleyrsquos talk at wwwtedcomtalksdrew_dudley_everyday_leadership
Halfer D and Graf E lsquoGraduate Nurse Perceptions of the Work Experiencersquo Nursing Economics June 2006 Vol 24 No 3 pp 150-55
National Nursing and Nurse Education Taskforce 2005 Mythbusters Available online at httpwwwnnnetgovaudownloadsmythbusters_attritionpdf Accessed June 2014
Arts amp Sciences | Business | Education | Health Sciences | Law | Medicine | Nursing amp Midwifery | Philosophy amp Theology | Physiotherapy
Your journey to a meaningful career awaitsThe School of Nursing amp Midwifery offers the following courses
rsaquo Bachelor of Nursing
rsaquo Bachelor of Nursing (Articulation Pathway for EN Diploma)
rsaquo Graduate Certificate (Acute Mental Health Clinical Nursing Nursing and Nursing Leadership amp Management)
rsaquo Graduate Diploma (Acute Mental Health Clinical Nursing Critical Care Nursing Forensic Nursing Midwifery Nursing and Perioperative Nursing)
rsaquo Master of Nursing (Coursework and Research)
Looking to make a difference So are we
Apply direct notredameeduau
ND
1053
| C
RIC
OS
PR
OV
IDE
R C
OD
E 0
1032
F
35
36
Nursing Officer a vital role in the Australian Defence Force
In any environment healthcare is a challenge but during military operations that challenge can take on a new perspective As a Nursing Officer in the Australian Defence Force (ADF) Lieutenant Tess Demunk plays a vital role in the ongoing health and welfare of people in the Australian Army
Throughout her career Tess has enjoyed the sort of variety challenges and travel that a civilian nurse would never have the opportunity to experience
ldquoI joined the Army because I wanted to do something different with my nursing Irsquom interested in trauma nursing and obviously the Australian Army is a great place to go to for thatrdquo
ldquoItrsquos also a great opportunity to lsquogive something backrsquo you can care for the soldiers out there protecting us and our countryrdquo Tess said
Nursing Officers in the Australian Defence Force are employed across a range of clinical clinical management and broader health management duties They can expect to work in units and field hospitals that provide a comprehensive hospital service or in small Treatment Teams providing primary healthcare and immediate pre-hospital resuscitation
A Defence healthcare career offers variety and challenges in employment as well as opportunities that are not always available in a civilian hospital environment
The ADF offers amazing opportunities to travel around Australia and overseas on peacekeeping and emergency aid missions that make a genuine difference to peoples lives
Humanitarian work is a gateway to experience new cultures and interact with patients and locals like never before Its these kinds of career defining experiences that make your years of study all worthwhile
ldquoDeployments are a big opportunity Nursing overseas and being able to look after a lot of trauma injuries are two of the main reasons I joined the Armyrdquo Tess said
ldquoThere is a lot of primary healthcare stuff that we do as well but the reason that most people join is to do nursing in the field and on deploymentrdquo
ADF members also enjoy a great work-life balance with a selection of sporting clubs to play for fitness training thats included as part of the working day strong job security and role diversity Include the great benefits and competitive salary package with the chance to continually improve your medical knowledge and qualifications and the choice to pursue a military healthcare career just adds up
ldquoIn Defence you get free healthcare free dental and all the things that go along with that The mates you make along the way the courses that you get to do and the opportunities for deployment and the field exercises are other benefits as wellrdquo
ldquoI completed the Defence University Sponsorship (DUS) through Monash University It is a fantastic scheme that allowed me to study at university as a full-time student and be paid by the Army while doing thatrdquo
Full-time and part-time roles are available across the Navy Army and Air Force including graduate and undergraduate positions
Youll receive further training and post graduate study opportunities while youre in the ADF so you can go as far as you want to in your career
Put your medical and health-related skills and knowledge to use in a unique environment that is unlike anything else With the opportunity to broaden your skills and make a difference both at home and overseas a career in Defence healthcare is a worthwhile challenge that will just keep on giving
The Defence Force is currently recruiting for Nursing Officers and various health-related roles For further information on military training and careers in the Navy Army or Air Force visit
defencejobsgovau or call 13 19 01
By Tess Demunk Australian Army Nursing Officer
9
The beginning of a career ACNrsquos Nursing amp Health Expos
In pursuit of the belief that every nurse should have the opportunity to grow their career and further the nursing profession ACN is once again presenting the Nursing and Health Expos for 2015 The expos have provided an avenue for those interested in nursing in Australia to seek expert advice on education and employment opportunities One young nursersquos visit to an expo opened up a career
Ever since I could remember I wanted to help people When I was young I would look up diseases and conditions I had my own first aid kit and I would play lsquonursersquo with my mum and dad
In 2007 when I was in year 12 I attended my first NSW Nursing and Health Expo and Irsquove continued to visit the expos since Initially I wanted to become a paramedic but everyone I spoke to said that I should become a nurse first They gave me great advice to become an endorsed enrolled nurse (EEN) before becoming a registered nurse (RN) ndash to take it one step at a time
I studied at TAFE for 18 months to become an EEN I completed my Bachelor Degree at Southern Cross University while working as an EEN at a private hospital in Coffs Harbour This meant I was able to put my theory into practice
Now I work as an RN with Ramsay Health Care Every day I come home knowing I have a little place in someonersquos heart because I helped them Patients are very vulnerable people and sometimes all they need is for you to listen Listening is one of the most important lessons I have learnt as a nurse
Irsquod recommend the ACN Nursing and Health Expos to anyone especially year 12 students who are interested in a career as a nurse I always look forward to the expo and I make a day of it Itrsquos great to be around like-minded people listening to their stories and they are always interested in listening to mine Last year I was able to practice keyhole surgery at the expo and I was actually good at it ndash so maybe surgical nursing is an option down the track
I joined ACN last year and have now had this opportunity to share my nursing story and hopefully inspire others
by Brianna Gudgeon MACN
Brianna as a volunteer nurse in Samoa
Brianna (left) in 2008 training as an EEN at Concord Hospital with colleague
10
INSTITUTE OFHEALTH AND NURSING AUSTRALIA
RTO ID 21985 CRICOS Code 03386G
wwwihnaeduauenquiryihnaeduau1800 22 5283
Our Courses
bull Registered Nurse Re-entry to Practice Program
bull Registered Nurse Refresher Program
bull HLT51612 Diploma of Nursing (Enrolled-Division 2 Nursing)
bull HLT61107 Advanced Diploma of Nursing
The Institute of Health and Nursing Australia (IHNA) is one of Australias leading providers of comprehensive
health and nursing education at several levels IHNA is fast-growing dynamic and quality-driven institution committed to continuous improvement working hard to develop implement and deliver courses and professional development programs The courses offered by IHNA are prepared by experienced healthcare professionals and help students to pursue a successful career in Australian healthcare
Melbourne | Perth | Sydney
VET FEE HELP GOVT FUNDING AVAILABLE
Institute of Health and NursingAustralia
IHNA
Call 1800 675 839 for a Short-Form Product Disclosure Statement Prime Super (ABN 60 562 335 823) is issued by Prime Super Pty Ltd (ABN 81 067 241 016 AFSL 219723 RSE L0000277 RN 1000276)
VIC Expo Booth 33 | WA Expo Booth 17 | wwwprimesupercomau
Visit us at the Expo to find out morehellip
and enter our competition for your chance to WIN a $550
endota day spa voucher
Prime Super provides personal support to make super simpler
Now incorporating
11
VIC EXPO MELBOURNE
12
Welcome from the Chief Nurse amp Midwifery OfficerWelcome to the Australian College of Nursingrsquos 17th annual Nursing and Health Expo in Melbourne The Department of Health and Human Services in Victoria is a keen sponsor of this important event on the nursing calendar The Expo plays an important role in enhancing the profile of nursing as a profession which in turn promotes recruitment and retention of the nurses and midwives
As part of the health care team nurses and midwives are essential to the communityrsquos health and wellbeing Nurses and midwives play a critical role in delivering safe compassionate and quality care The Department of Health and Human Services encourages Victorian nurses and midwives to provide the best possible care for the community by providing clear strategic direction for the profession as well as supporting health services to implement initiatives across workforce development and reform
Being a nurse or midwife is a rewarding career but it is important to know if it is the right career choice for you In addition to having the relevant knowledge and skills nurses and midwives need to be compassionate caring and flexible Nursing and midwifery offers many and varied opportunities across multiple settings not only for graduates but for people of any age looking to enter the workforce
While traditionally nurses and midwives have always worked in hospitals they now work across multiple settings including general practice community-based services and aged-care services
The job market is competitive and opportunities will continue to be present for the existing returning and newly graduated nurses and midwives Because of the changing needs of the community there is often a contrast between where nurses and midwives prefer to work and where there are opportunities Growth opportunities are in areas such as rural aged care and chronic disease management and I encourage everyone to think beyond the traditional locations and to explore new and rewarding areas of employment
Senior members of the workforce are reminded of the important role we all play as professionals in encouraging and mentoring new starters and transitioning into other roles
Education and training is a lifelong journey essential to the continual development of the nursing and midwifery workforce which ensures highly skilled capable and critical decision makers
Associate Professor Alison McMillan MACN Chief Nurse and Midwifery Officer Department of Health amp Human Services VIC
13
Expo informationLocation
Visitors are often struck by the architectural brilliance of the Melbourne Convention and Exhibition Centre (MCEC) which has won some of Australiarsquos most prestigious architecture and design awards The Expo will be held in bays 17 and 18 of the MCEC
Doors open 9am ndash 1pm
Concourse
Link to convention
centre
Loading Dock
Normanby Road
Clar
endo
n St
reet
Entry Foyer
Clarendon Street
Entrance
ACN Expo Bays
17 amp 18
14
Seminars
This year the educational seminar series is back again to provide visitors with up to date information and practical skills to pursue or further their career Seminar attendance is free of charge and registration is not required
Time Topic Presented by
915am HESTA Your Partner for Career David Logan HESTA
950am Graduate NurseMidwifery Program Computer Match 2015 Paul Williamson Postgraduate Medical Council of Victoria
1025am Understanding delegation and supervision responsibilities and accountabilities
Associate Professor Alison McMillan MACN
Department of Health amp Human Services Victoria
1100am HESTA Your Partner for Career David Logan HESTA
1135am Graduate NurseMidwifery Program Computer Match 2015 Paul Williamson Postgraduate Medical Council of Victoria
1210pm Understanding delegation and supervision responsibilities and accountabilities
Associate Professor Alison McMillan MACN
Department of Health amp Human Services Victoria
The VIC Nursing amp Health Expo is proudly supported by
On 1 January 2015 the Victorian Government established the Department of Health amp Human Services bringing together the former Department of Health Department of Human Services and Sport and Recreation Victoria The department has been established to develop and deliver policies programs and services that support and enhance the wellbeing of all Victorians We take a broad view of the causes of ill health the drivers of good health the social and economic context in which people live and of the incidence and experience of vulnerability This will allow us to place people at the heart of policy-making service design and delivery
wwwdhhsvicgovau
15
Floor plan
BENC
H
SINK
ENTRANCEDOOR 9
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
20 21
22232425
26 27 28 29
30313233
34 35 36 37
38394041
42 43 44 45
46474849
50 51 52 53
54555657
58 59 60 61
62636465
66 67 68 69
7071727374
75
76
84
85
86
87
88
89
90
1918
16
Exhibitor listing
Organisation Name Booth Number
Alfred Health 6667
ANMF Victorian Branch 747576
Austin Health 4243
Australian Catholic University 89
Ballarat Health Services 62
BankVic 73
Baptcare 60
Belmore Nurses Bureau 47
Bendigo Health 44
Care Training Australia 17
Chisholm Institute of TAFE 19
Colbrow Healthcare 26
Critical Second 90
Crystal Clear Ear Clinic 6
Deakin University Nursing amp Midwifery 3435
Defence Force Recruiting 12
Eastern Health 3031
Epworth HealthCare 6465
Federation University Australia 41
First Call Health 40
First State Super 7
Forensicare 68
Health Skills Australia 72
HESTA 20
Holmesglen 4546
Institute of Health amp Nursing Australia 27
Kangan Institute 24
La Trobe University 121314
Martin Luther Homes 22
McFarlane Medical amp Scientific 23
mdBriefCase Australia 18
Mediserve Nursing Agency 28
Organisation Name Booth Number
Melbourne City Institute of Education 86
Mental Health Nursing Victoria 1011
Mercy Health 8788
Monash Health
Monash University 8485
NeilMed Pharmaceuticals 32
Northern Health 5354
NorthWestern Mental Health 59
Nurses Board of Victoria Legacy Limited
69
Nursing amp Midwifery Board of Australia 21
Peninsula Health 38
Peter MacCallum Cancer Centre 25
Postgraduate Medical Council of Victoria
71
Prime Super 33
Reflective Clinical Supervision Network 39
RMIT Faculty of Nursing 55
Royal Victorian Eye amp Ear Hospital 48
Sanita Australia 31
St Vincentrsquos Hospital 5051
St Vincentrsquos Mental Health 5
St Vincentrsquos Private Hospital 34
The Royal Melbourne Hospital 56
Tobin Brothers Funerals 49
University of Melbourne 89
University of Tasmania 52
Victoria University 57
Vital Health Recruitment 70
VNS Nursing Agency 58
Western District Health Service 63
Western Health 3637
Work the World 29
17
Graduate transition programs my personal experienceToo often we hear horror graduate stories Research shows horizontal violence and bullying is rampant in our profession We are told tales of the infamous ldquoeat our youngrdquo nursing culture We know graduates suffer transition shock when they start practicing and nearly 20 will leave in their first year
Unfortunately the good stories are often buried underneath the bad and so I wanted to share my graduate year experience When I started as an RN the only nursing experience I had were my clinical placements and a mere two months working as an AIN To say I was worried was a major understatement I was quietly petrified but tried to keep up a brave face
I had worked hard in university to learn as much as I could but I was still filled with doubts Would I be good enough Would I crash and burn Would I help or hinder my patientsrsquo recovery
My first day on the ward was sink or swim time I was amazed at the warm welcome I was given The other RNs were supportive and encouraging They made sure I knew if I felt myself struggling they would be there with a life-line
Every ward I rotated through gave me this same friendly reception Perhaps it was just luck or maybe our nursing culture is changing but I never encountered any of the pressure to change my values and practice in order to fit in that I had been told to expect Instead I found colleagues who understood I wouldnrsquot know everything on day one who were willing to take the time to teach me and who become great friends along the way
My clinical skills and knowledge increased out of sight during my graduate year I felt my university had given me a great foundation on which to build my career as an RN but my grad program cemented my theory into my practice I started the year having never removed a single stitch I ended the year confidently removing everything from sutures to ICCs and pacing wires while also successfully inserting NG tubes and cannulas Importantly I understood the pathophysiology and rationale behind each of these and could explain it to my patients
Irsquom not saying everyday was perfect Irsquom not saying every person was as helpful or welcoming as the next Irsquom not saying I didnrsquot have days when I struggled What I am saying is I never felt alone I knew the support was there all I had to do was ask
I know not every graduate nurse will have as positive an experience as I did Perhaps my journey was the exception not the rule However I hope the number of nurses who have an amazing graduate year like mine continues to increase until this becomes the norm
I do know that the success of your graduate year relies heavily on you and your attitude University teaches you how to think like a nurse but it is in clinical practice the real learning begins and it has a steep learning curve Approach your grad year knowing that everyone from the tea lady to the Director of Nursing will be your new teachers and success will come When the people you work with recognise your passion see your motivation to provide what is best for the patient and know you realise what a unique privilege it is to be a nurse their respect will follow
At the same time donrsquot be afraid to speak up for your patients for your colleagues and for yourself Harvey Fierstein said ldquoNever be bullied into silence Never allow yourself to be made a victim Accept no onersquos definition of your life define yourselfrdquo You have the ability to define your graduate year regardless of what hospital or ward you find yourself in
You can change the culture and reputation of the nursing profession for better or worse You can conform and join in bullying behaviour and continue negative traditions or you can decide it stops with you Set your standards high and have the moral courage to stick to them If every graduate nurse demonstrated this leadership and supported other nurses who did as well imagine the overwhelmingly positive impact that could have on nursing
Gandhi once said ldquoBe the change you want to see in the worldrdquo I would encourage you to be the change you want to see in nursing and just watch how the world changes with us
By Laurie Bickhoff MACN
18
Finishing studies and becoming a new graduate is an exciting milestone Itrsquos usually the first time you begin working full time perhaps moving away from home owning your own car and paying bills
Of course itrsquos important to budget ensuring you have enough money for daily expenses as well as being able to stash some money away The easiest way to keep track of your income versus expenses is to set up an everyday account with your salary paid into it and a savings account earning interest on the money yoursquore able to save In addition you might want to get a credit card so that yoursquove got some money for emergencies
Gain fee free banking freedom
With a BankVic Anywhere account you can enjoy unlimited free withdrawals at any ATM in Australia when you deposit $1000 per month1 Plus you can access your money with free unlimited eftpos transactions a Visa Debit card with paywave and a mobile App
Earn bonus interest on your savings
A BankVic Bonus Saver account is a high interest account that rewards you for saving by giving you bonus interest2 when you deposit a minimum of $100 a month and make no withdrawals plus there are no fees Itrsquos a great way to force yourself to save
Enjoy a credit card with no annual fee
A BankVic Visa Silver credit card offers great value with an introductory rate of 699pa3 for the first 6 months and a low ongoing rate plus no annual fee Itrsquos the perfect back up card
Why not call us today Call your dedicated Member Relationship Manager Phoebe Reid on 9268 9297 or via email preidbankviccomau
1 Minimum deposit of $1000 must be received in the account by close of business on the last business day of the month The deposit cannot be an internal transfer or interest earned form other BankVic products 2 Bonus Saver ndash Deposit $100 per calendar month with no withdrawals and yoursquoll be rewarded with bonus interest Bonus interest rate is capped at a maximum balance of $1000000 3 Credit Card interest rates are variable All interest rates are shown are current as at date of print and are subject to change Fees and charges apply Any advice is general before acting on the advice you should consider whether the advice is appropriate for you Before you make any decision to acquire any product or service you should obtain and consider the relevant Product Disclosure Statement available from our website bankviccomau any branch or by calling us on 13 63 73 Police Financial Services Limited ABN 33 087 651 661 AFSL 240923 Australian Credit Licence 240293ndash trading as BankVic 121 Cardigan Street Carlton Victoria 3053 3-15 5243BV
Advertorial
Banking freedom for nurses and midwives
members matter
Let BankVic take care of you while you take care of others
9268 9297preidbankviccomau
Canstar Pty Ltd Authorised Representative 443019 of Canstar Research Pty Limited ABN 29 114 422 909 AFSL 437917 Police Financial Services Limited ABN 33 087 651 661 AFSL 240293 (BankVic) 121 Cardigan Street Carlton Vic 3053 315 5280bv
Contact your dedicated Member Relationship Manager Phoebe Reid
bankviccomau
19
This is general advice only Consider our product disclosure statement before making a decision about First State Super Call us or visit fi rststatesupercomau for copies Becoming a Student Club member is diff erent to being a First State Super member as you do not hold a superannuation account with the Fund or have any interest right or other relationship with First State Super
FSS Trustee Corporation ABN 11 118 202 672 ASFL 293340 is the trustee of the First State Superannuation Scheme (First State Super) ABN 53 226 460 365 EXP_
Mel
b_Ex
po_A
4_03
15
Join our free Student Club and make the most of the support discounts and benefi ts available only to students
Learn to manage your super better and how you can take advantage of our exclusive member benefi ts
Find out why wersquore the super fund with a heart on Saturday 18 April
Visit us at booth 7 in Melbourne
EXP_Melb_Expo_A4_Mar15_ARTWORKindd 1 6032015 414 pm
By Claire Stewart MACN
Diary of a newly registered nurse
Irsquom almost three months into my role as a newly registered nurse and I had my first 40 Prolene moment recently For the uninitiated this can be a panic fuelled moment where a routine procedure ends up resembling the Texas chainsaw massacre Thankfully I was supported by a wonderfully calm surgeon who waited patiently while I painstakingly attempted to load his life saving suture After the surgery I wiped the blood from my glasses and took a moment to reflect on how I had handled the situation In fact Irsquove spent most of the last three months lsquoreflectingrsquo Deafening groans can be heard from many a third year nursing cohort when wersquore asked yet again to lsquocritically reflectrsquo on our practice as student nurses Let me be the first to admithellip It doesnrsquot stop at graduation
I may not use a dedicated framework or even put pen to paper but the skills I learned during my studies have set me up to ensure I gain the most from every learning opportunity by critically reflecting on my performance simply by force of habit During the last three months my learning curve has veered vertical as I transitioned from university study to my role as a
graduate registered nurse in perioperative services Irsquove had to deal with a new environment (donrsquot even get me started on finding your way around a theatre complex) new colleagues adjusting to full time work and managing family commitments learning an entire new skill set working as a scrubscout dealing with policies procedures and my favourite surgeonsrsquo preference
In these first few months itrsquos very easy to fall into the trap of focussing on how much you donrsquot know However practising critical reflection has allowed me to focus on what I do know how far Irsquove come and what I will learn because Irsquom self-aware Whether you are a new nurse like me and feel like yoursquove handed in one too many pieces of written reflection to your facilitator over the last three years or an experienced nurse who practices self-reflection sub-consciously on the drive home ndash embrace it for the wonderful tool that it is and use it to become the kind of nurse you want to work with
Be in demand Be successfulStudy nursing or midwifery at Monash If you want to make a difference in health care with great employment potential the School of Nursing and Midwifery is a great place to start
As a nurse or midwife there are a variety of roles and a number of specialty areas available to you ensuring a constant career of challenges and diversity
To find out more about our undergraduate courses visit us at ACN Expo Melbourne Stand 84 ndash 85
For more information on our courses visit medmonashedunursing
21
Research collaboration students are welcome
A collaborative research study in Queensland is tapping into the enthusiasm and intelligence of nursing students by training and employing third-years as research assistants data collectors and analysts in contract research projects
Researchers from James Cook Universityrsquos (JCU) Centre for Nursing and Midwifery Research (CNMR) the Far North Queensland Medicare Local and the Cairns and Hinterland Hospital and Health Service are trying to determine why emergency department (ED) presentations to Cairns Hospital have been increasing at a greater rate than the national average
To answer this question CNMR researchers recruited 14 nursing and medical students to survey every willing and able person who presented to the ED
Researchers asked participants for information regarding their reasons for coming to the ED They also asked where they would usually go for medical treatment and what physical and psychological factors influenced their decision to choose the ED over other treatment options
In other phases of the project hospital Emergency Department Information System (EDIS) data have been analysed and patient focus groups have been convened Unstinting faith in the local ED has been noted as one of the key reasons that people choose the ED over other health care options
Most people who come to the ED with lsquonon-urgentrsquo conditions do have general practitioners and a large percentage have sought medical advice in the days prior to presenting to the ED Worry anxiety and uncertainty rather than the severity of the medical condition itself however appears to be a significant motivator to come to the ED where people perceive there is a wide range of services professionals and diagnostic tools available
ACN Emerging Nurse Leader Anna Groth MACN a third-year nursing student from JCU has been collecting collating and analysing data
ldquoOften I would ask someone why they had come to the hospital and they would speak about being in pain but if you asked them about whether they came for the pain or because they were anxious about the pain they would say they had come to the hospital because of the anxietyrdquo explained Anna ldquoIt is such a huge difference ndash the motivation ndash coming for the pain or the anxietyrdquo
Anna said the project opened communication lines between people from different organisations including government university health service hospital and the community leading to collaboration and learning for all
By Marnie Hitchins
Benefits for the students included early career exposure to the research process in which they learnt about data collection analysis and research methods The students also had the opportunity to practise communication skills learn about the organisational cultures of universities and hospitals and work alongside health professionals and patients in a research environment
Students commented that because the power dynamics were different from that of clinical experience (they were not seen as health professionals by patients nor as lsquostudent nursesrsquo by health staff members) they gained insights into the hospital environment they might not otherwise have had
Anna said she learned a lot personally the ED research experience has catapulted her into another area of interest in which she can see herself working in the future
ldquoResearch and policy will be a part of my future Irsquove gained a deep interest in the treatment of women since doing this studyrdquo said Anna
ldquoI have become very interested in domestic violence and the way women are treated in the health service and in the society as a whole I was blown away by the struggle that people have with the system in trying to find support They are so lonely I recognised things being in the ED that I would like to research and have already started exploring the issuesrdquo
CNMR Director Associate Professor Jane Mills FACN said the recruitment and inclusion of students in research projects is part of a broader plan within the CNMR to build undergraduate research capacity
Jane said the CNMR also offered internships to undergraduate students to work on research projects alongside experienced scholars academics and researchers
ldquoJCU strongly supports the inclusion of undergraduate students in research studies where they can gain valuable knowledge skills and experience while also making a contribution to building the evidence base about health care issues of importance to people living in the tropicsrdquo said Jane
ldquoItrsquos a win-win situation where experienced researchers benefit from the studentsrsquo enthusiasm and familiarity with contemporary research principles and students increase their awareness of the importance of research to professional practicerdquo
It is clear to all parties involved that the inclusion of nursing students is benefitting the quality of the project as much as it is benefitting studentsrsquo learning and work experiences
22
Launch your nursing career at St Vincentrsquos
St Vincentrsquos Hospital Melbourne (SVHM) is part of St Vincentrsquos Health Australia and is a leading teaching research and tertiary health service which employs more than 5000 staff across 18 sites throughout Melbourne SVHM provides a diverse range of adult clinical services including acute medical and surgical services sub-acutecare medical diagnostics rehabilitation allied health mental health palliative care correctional health and community residential care SVHM is one of Australiarsquosleading Catholic not-for-prot healthcare providersMake the most of your talents Join the team at St Vincentrsquos
Visit us at the ACN Nursing and Health Expo 2015Find out about our 2016 Graduate Nurse Program andhave a chat to our current graduates educators and nursing staff
St Vincentrsquos Open Evening 2015Wednesday 3rd June 4pm-6pmSt Vincentrsquos Ground Floor Aikenhead Building 27 Victoria Parade Fitzroy
Welcome and Overview of the 2016 Graduate Nurse Program at 4pm 430pm amp 5pm
All welcome ndash no RSVP required
All 24 rotational areas on displayTours of inpatient wardsComplimentary food and beverages provided
For further information visit wwwsvhmorgau or phone the Graduate Nurse Hotline 9231 2244
To follow our 2016 recruitment process Like us at SVHM 2016 Graduate Nurse Program
Compassion Justice Integrity Excellence
24
INTERESTED IN STUDYING DEAKIN NURSING AND MIDWIFERYWe are holding information sessions for our undergraduate courses
BURWOOD CAMPUS 221 BURWOOD HIGHWAY BURWOODWednesday 22 July 6ndash8 pmSaturday 25 July 230ndash430 pm
WATERFRONT CAMPUS 1 GHERINGHAP STREET GEELONGWednesday 22 July 6ndash8 pmSaturday 25 July 230ndash430 pm
WARRNAMBOOL CITY CENTRE 165 TIMOR STREET WARRNAMBOOLFriday 24 July 730 pm
raquo To register your attendance at one of the information sessions above please email nursinfodeakineduau to advise which session you plan to attend
For more information about our undergraduate and postgraduate courses please phone 03 9244 6032
Deakin University CRICOS Provider Code 00113B HLH002
deakineduaunursing
Itrsquos never too early to become a leader
How did you become involved in nursing
I started volunteering from age 14 with St John Ambulance Australia in my hometown of Moruya NSW I loved everything about it ndash loved the joy of helping others and I was so intrigued to learn how to respond effectively in emergencies and show true compassion to others I was also fortunate to have had some very down-to-earth and inspiring mentors who encouraged my interest in nursing and after graduation from high school I undertook the University of Wollongongrsquos Bachelor of Nursing degree
I started my first paid nursing related employment in my third year of the degree at a local hospital I have now graduated and am working as a registered nurse (RN) in a local aged care facility learning the ins and outs of multiple comorbidities patient-centred care and compassionate palliative and end-of-life care
What is your nursing specialty
As I still consider myself as a lsquonewbiersquo RN I havenrsquot really discovered a specialty yet though I have interests in aged care mental health cardiology and nursing research So I guess I am intrigued to be involved in one or all of these areas at some point in my career but I am open to any interesting opportunities that may come my way
What do you love most about nursing
This is truly the job that never has a dull day Each day is different and I feel privileged to be so trusted with the lives of my patients and residents in their moments of hardship and need Along with my love of the workings of the human body the evidence-base behind nursing care and continuous educational opportunities I love the lsquoteamrsquo focus of nursing especially when the patient is at the centre of decision making and everything goes to plan
What is your least favourite part of nursing
When everything doesnrsquot go to plan
What brought you to this area of Australia
Irsquom originally from NSW South but I moved to Wollongong for University and have stuck around for the area the people and to continue to work and study here
What are some of the nursing and health issues that are specific to the Sydney SouthIllawarra Region
Two big issues come to mind Firstly many newly graduated RNs within our region have been unable to find employment Secondly local nurses struggle to find the time within their working hours to keep up to date with advances in education
What do you see as the biggest challenge currently facing the nursing profession and how do you think the profession is placed to respond to these challenges
I believe possible health funding cuts and workforce shortages that in-turn affect our ability to provide adequate and safe patient care are two significant challenges facing our profession There are recently graduated RNs who remain jobless yet there are local health districts crying out for nurses but only those with lsquoexperiencersquo with undergraduate nursing experience ignored Looking into alternative transition programs is key to overcoming this challenge
Whatrsquos the biggest misconception about your career choice
I have met some amazingly talented and intelligent nurses in a variety of roles who all make a great difference in the lives of their patients or indirectly through organisations or research The general misconception that irks me isnrsquot so much a misconception more a statement Irsquove heard multiple times ndash ldquoWhy didnrsquot you become a doctor Why are you just a nurserdquo I did not become a nurse because I didnrsquot have the marks to be a doctor and by the time I finish university again with a Research Masters I would have physically been enrolled in university for the same length of time I became a nurse because I found a passion for this role and spending time with people inspires me
Nursing is a holistic role that encompasses so much We are health professionals role models educators support systems and innovators we understand intimately the fragility of life and the human relationships that bring it meaning
Profile Renee Callender MACN
LeadershipACN
Expand your leadership capacity
25
INTERESTED IN STUDYING DEAKIN NURSING AND MIDWIFERYWe are holding information sessions for our undergraduate courses
BURWOOD CAMPUS 221 BURWOOD HIGHWAY BURWOODWednesday 22 July 6ndash8 pmSaturday 25 July 230ndash430 pm
WATERFRONT CAMPUS 1 GHERINGHAP STREET GEELONGWednesday 22 July 6ndash8 pmSaturday 25 July 230ndash430 pm
WARRNAMBOOL CITY CENTRE 165 TIMOR STREET WARRNAMBOOLFriday 24 July 730 pm
raquo To register your attendance at one of the information sessions above please email nursinfodeakineduau to advise which session you plan to attend
For more information about our undergraduate and postgraduate courses please phone 03 9244 6032
Deakin University CRICOS Provider Code 00113B HLH002
deakineduaunursing
WA EXPO PERTH
26
Welcome from the Chief Nurse amp Midwifery OfficerI am so pleased to be welcoming you to the Australian College of Nursingrsquos Western Australian Nursing and Health Expo for 2015
Attending the Expo is an invaluable experience for anyone interested in nursing and midwifery careers It especially helps high school students and their parents or anyone who is wondering which career direction to take
Hospitals and health services from across WA will be there with some of their nurses and midwives in attendance to answer any questions you may have Come and find out from them what itrsquos really like to be a nurse or midwife
There will also be a range of education providers who will be able to talk about the many courses available to get your career started
It is also a great place to come to discuss and find out about graduate job opportunities building your experience career development opportunities financial support to study changing employers or even returning to a career in nursing or midwifery after being away for a while
The decision to become a nurse or a midwife is a wonderful career choice for anyone who wants to be part of a diverse healthcare professional team and have a challenging rewarding and exciting job where you really can make a difference
The future demand for nurses and midwives is going to be high especially as WArsquos new Fiona Stanley Perth Childrenrsquos Busselton and Midland hospitals all start becoming fully operational so we encourage you to attend the Expo to see where nursing and midwifery might take you
I look forward to seeing you on Friday 1 May 2015 at the Perth Convention and Exhibition Centre
Karen Bradley MACN Chief Nurse and Midwifery Officer WA Health
27
Expo informationLocation
The Perth Convention and Exhibition Centre (PCEC) is Western Australiarsquos only dedicated convention and exhibition facility Each year over 500000 people attend one or more of the 600 plus events conducted at PCEC The Expo will be held in Pavillion 1 at PCEC
Doors open 9am ndash 1pm
Entry
Stairs amp Escalators to Level 2
Registration DeskEntry Foyer
Entry
ACN Expo Pavillion 1
28
Seminars
This year the educational seminar series is back again to provide visitors with up to date information and practical skills to pursue or further their career Seminar attendance is free of charge and registration is not required
Time Topic Presented by
915am How to become a nurse or midwife Rebecca Newton WA Nursing and Midwifery Office
950am Applying via GradConnect and other opportunities for graduate nurses and midwives
Regina Browne WA Nursing and Midwifery Office
1025am Unleashing the potential of your staff Lisa Ansbro and Donna Hampshire Chandler Macleod Health
1100am How to become a nurse or midwife Rebecca Newton WA Nursing and Midwifery Office
1135am Applying via GradConnect and other opportunities for graduate nurses and midwives
Regina Browne WA Nursing and Midwifery Office
1210pm Unleashing the potential of your staff Lisa Ansbro and Donna Hampshire Chandler Macleod Health
The lsquoUnleashing the potential of your staffrsquo seminar is proudly supported by
Chandler Macleod is Australasiarsquos leading provider of integrated HR services products and technologies We have more than 55 yearsrsquo experience in human resources and have specialised within the health sector for 10 of these We are ideally positioned to help you meet the growing demands on your business We provide permanent and temporarycontract recruitment for the full range of Health professions including Carers and Support Workers Enrolled Nurses Registered Nurses Facility and Operations Managers Directors Cleaners and Kitchen staff We are able to provide you with experienced caring staff 247 including public holidays
For more information contact Chandler Macleod on (08) 9217 0510 or visit wwwchandlermacleodcomclientshealth-recruitment
29
Floor plan
42 41
39
40
38
36
37
35
43
44
45
46
47
48
Entrance
Seminar area
Cafeacute
7
5
8
6
20
18
19
17
11
9
12
10
16
14
15
13
34 33 32 31 30 29 28
30
Exhibitor listing
Organisation Name Booth Number
AACDS 8
Armadale Health Service 38
Belmore Nurses Bureau 30
Central Institute of Technology 20
Chandler Macleod Health 16
Child amp Adolescent Health Service 42
Curtin University of Technology 19
Defence Force Recruiting 910
Edith Cowan University - School of Nursing and Midwifery
3334
Fiona Stanley Hospital 36
Fremantle Hospital 44
HESTA 5
Hollywood Private Hospital 7
Institute of Health amp Nursing Australia 32
Mediserve Nursing Agency 6
Murdoch University 1112
My Flex Health International 18
Organisation Name Booth Number
Next Step 48
North Metropolitan Mental Health 35
NurseWest 47
Nursing amp Midwifery Board of Australia 29
Osborne Park Hospital 46
Prime Super 17
PampN Bank 15
Rockingham General Hospital 39
Royal Perth Hospital 37
Sir Charles Gairdner Hospital 45
The Bethanie Group Inc 31
The University of Notre Dame 13
WA Country Health Service 40
WA Nursing amp Midwifery Office 43
West Coast Institute of Training 14
Women amp Newborn Health Service 41
Work the World 28
The WA Nursing amp Health Expo is proudly supported by
The WA Nursing and Midwifery Office is very proud to partner once again with the Australian College of Nursing for the 2015 Nursing and Health Expo The nursing and midwifery professions offer an array of interesting and diverse experiences With these highly valued and respected skills relevant anywhere in the world nurses and midwives will always be in demand ndash in hospitals and in a range of other workplaces In WA the future demand for nurses and midwives is going to be high especially as our new Fiona Stanley Perth Childrenrsquos Busselton and Midland hospitals all start becoming fully operational so considering a career in nursing or midwifery is a great idea
wwwnursinghealthwagovau
31
In Australia enrolled nurses (ENs) are a core component of the health care workforce and make an important contribution to Australiarsquos world-class health outcomes ENs work in varied settings across the country from blood services to aged care facilities Increasingly ENs are playing an important role in meeting the growing demand for care
Not all countries have recognised the importance of ENs in the nurse workforce mix Several European countries including France Denmark Italy and Spain have only one category of regulated nurse (HWA 2013 Robinson and Griffiths 2007) The United Kingdom (UK) ceased admitting new ENs to the register in the 1980s The minimum qualification for all UK nurses is now a three-year bachelorrsquos degree As a result the UK relies heavily on unregistered health care assistants rather than second-level nurses (UK Department of Health 2013) Closer to home New Zealand ceased training ENs in 1993 only to recommence in the 2000s (Meek 2009) New Zealandrsquos experiment is an instructive demonstration of the importance of ENs in the health care workforce as the demand for nursing care increases
In Australia we have remained committed to maintaining the EN role Rather than relying on unregistered health care workers Australia has chosen to maintain a large educated and professional EN workforce The skilled work of ENs is recognised to be of paramount importance to the delivery of high quality nursing care Our EN workforce is highly dynamic and continues to evolve within the changing landscape of Australian health care policy and regulation
Enrolled nurse demographics
According to the latest national figures there are 51624 ENs working in Australia The great majority of ENs have completed their pre-registration education in Australia fewer than 5 have been educated overseas (HWA 2013)
The EN workforce has a relatively high average age of 46 years and forty-five per cent of ENs have celebrated their fiftieth birthdays (AIHW 2013) According to Health Workforce Australia the ageing EN workforce could lead to a significant shortfall in the supply of ENs if action is not taken to retain the current cohort of ENs and increase the number of people studying to be the ENs of tomorrow (HWA 2012)
Men make up roughly 10 of the EN workforce While this number is rising gradually it indicates that there is progress to be made in terms of attracting and retaining males within the profession Aboriginal and Torres Strait Islander people are
also underrepresented in the EN workforce only around 800 of Australiarsquos ENs identify as Indigenous Australians (AIHW 2013)
Among the most common work settings for ENs are aged care rehabilitation and disability services In contrast ENs make up fewer than 5 of the critical care nursing workforce and represent only a small proportion of nurses working in education policy and management (AIHW 2013)
These statistics show that there are both challenges and opportunities for Australiarsquos EN workforce Efforts to recruit and retain ENs will need to be enhanced with a particular focus on encouraging men and Aboriginal and Torres Strait Islander people to become ENs At the same time roles in a wider range of clinical areas are becoming available to suitably educated and qualified ENs and there will be more such opportunities in the coming years
A growing role for ENs
The evolving role of the EN is reflected in recent changes to educational requirements for ENs As of 1 July 2014 the Certificate IV in enrolled nursing ceased to be available and the minimum qualification for EN entry to practice will be the Diploma of Nursing The transition to a Diploma recognises the high level of skill ENs contribute to todayrsquos health care teams A nationally consistent approach to EN education is also likely to enhance the mobility of the EN workforce by giving employers confidence in the knowledge and skills of ENs educated in other states
ENs are now undertaking a diverse range of roles One of the earliest areas of role expansion for ENs was medication endorsement Before the move to national registration in 2010 ENs in some states were able to obtain an endorsement in medicines administration and become Endorsed Enrolled Nurses by completing specified education units This endorsement has now been phased out because from 2008 onwards all newly qualified ENs have completed the required medicines administration education Instead the register now identifies ENs who have not completed the required courses (NMBA 2014) This example demonstrates how the EN role has evolved over the years Whereas once only a relatively small number of ENs were educated to administer medicines now all student ENs complete medicines administration units as part of their initial nursing education
The EN role is also expanding in other ways For example ENs are taking on a growing role within haemodialysis units (Tranter et al 2011) The 2008 Australia and New Zealand Dialysis Workforce Survey conducted by the Renal Society of Australia found that there were 188 ENs working in dialysis alongside 2433 registered nurses (RNs) The growing demand for dialysis
The potential of the enrolled nursing workforce
By Rosina Muir and Dr Marlene Eggert MACN
32
services and the shortage of dialysis RNs in some areas represents a clear opportunity for ENs According to a New South Wales study conducted in 2009 the scope of practice of ENs in haemodialysis units may include cannulation (including both native access and buttonhole cannulation) connecting and disconnecting haemodialysis central venous catheters (CVCs) performing CVC dressings giving iron infusions and administering erythropoietin anticoagulants and Lignocaine In addition ENs may also take on a case management or health promotion role for dialysis patients (Bennett et al 2009)
ENs are also moving into extended roles in rehabilitation services A recent study of ENs in an Australian rehabilitation facility found that in addition to assisting patients with activities of daily living ENs may take on roles in coaching and supporting patients to reach their individual goals monitoring the patientrsquos progress and liaising with other members of the multidisciplinary rehabilitation team The study found that many ENs demonstrate an understanding of the philosophy of rehabilitation nursing including goal setting and enabling self-care (Pryor and Buzio 2013)
In rural Australia ENs are taking on a diverse range of roles within the EN scope of practice in order to meet local needs ENs with specialist skills such as infection control or wound care make a significant contribution to some rural health services although their extended scope of practice is not always given appropriate recognition by their RN colleagues (Nankervis et al 2008) Rural health services are increasingly recognising that supporting ENs to take on extended roles and further develop their clinical skills can be a successful model for the delivery of high quality patient care
Recognising the evolving EN scope of practice
In light of the fact that there have been significant changes to EN education regulation and scope over the last decade the NMBA has commissioned Monash University to review the currency of the standards against contemporary enrolled nursing roles The Monash University project has involved a review of the literature as well as a series of focus groups and surveys to gather insights from both RNs and ENs on the education scope of practice and supervision of ENs (Monash University 2013) The project is expected to be completed in 2014 (NMBA 2013)
Our advocacy for ENs
ACNrsquos advocacy priorities are explicitly designed to support both registered and enrolled nurses In 2014 ACN has argued for a range of policies that would have a positive impact on the
retention and flexibility of enrolled nurses For example ACN has proposed a National Transition Framework to support the flexibility and mobility of both the EN and the RN workforces The Framework would be accessible to nurses entering the workforce as well as nurses transitioning from one area of practice to another For example it would support an EN wishing to transition from the aged care sector to a hospital-based role
ACN has also put forward a proposal for a new scholarship program to support newly registered and enrolled nurses to practice in rural services It is essential that rural health service providers are able to attract appropriately educated staff including both ENs and RNs in order to maintain an optimal skill mix The scholarship scheme will allow rural health services to employ newly registered and enrolled nurses as supernumerary team members while providing them with a structured clinical learning program
ACN will continue to provide a voice for ENs in policy discussions and advocate for the role of ENs in health care delivery Australian Institute of Health and Welfare 2013 Nursing and midwifery workforce 2012 lthttpwwwaihwgovauWorkAreaDownloadAssetaspxid=60129545314gt pp 6
Bennett P McNeill L Polaschek N 2009 lsquoThe Australian and New Zealand Dialysis Workforcersquo Renal Society of Australasia Journal vol 5 no3 pp 147-151 lthttpwwwrenalsocietyorgRSAJjournalnov09bennett2pdfgt
Health Workforce Australia 2012 Health Workforce 2025 Doctors Nurses and Midwives vol 1 lthttpwwwhwagovausitesuploadsFinalReport_Volume1_FINAL-20120424pdfgt pp 137-142
Health Workforce Australia 2013 Nurses in Focus lthttpwwwhwagovausitesuploadsNurses-in-Focus-FINALpdfgt
Meek G 2010 Second level nurses a critical examination of their evolving role in New Zealand Healthcare lthttpresearcharchivewintecacnz9621Repository_entry_HLNU902pdfgt pp 3
Monash University 2013 The National Review of the Enrolled Nurse Competency Standards lthttpwwwmedmonashedunursingcompetency-standardsgt
Nankervis K Kenny A Bish M 2008 Enhancing scope of practice for the second level nurse A change process to meet growing demand for rural health services lthttpwwwncbinlmnihgovpubmed18844530gt
Nursing and Midwifery Board of Australia 2013 Communique Meeting of the Nursing and Midwifery Board of Australia 27 February 2013 in the AHPRA Hobart Office TasmanialthttpwwwnursingmidwiferyboardgovauNewsCommuniques-from-Board-meetingsaspxgt
Nursing and Midwifery Board of Australia 2014 Enrolled nurses and medicine administration lt httpwwwnursingmidwiferyboardgovauCodes-Guidelines-StatementsFAQaspxgt
Pryor J Buzio A 2013 lsquoDo ldquotwo typesrdquo of ENs work in rehabilitation in Australiarsquo Journal of the Australasian Rehabilitation Nurses Association vol 16 no 1 pp 14-19 lthttpsearchinformitcomaudocumentSummarydn=480975443102792res=IELHEAgt
Robinson S and Griffiths P 2007 Nursing education and regulation International profiles and perspectives lthttpeprintssotonacuk3487721NurseEduProfilespdfgt pp 7-17
Tranter S Westgarth F White G 2011 lsquoThe scope of practice of the haemodialysis Enrolled Nurse in new South Walesrsquo Renal Society of Australasia Journal vol 7 no 1 pp 24-29 lthttpwwwrenalsocietyorgRSAJjournalmar11Tranterpdfgt
United Kingdom Department of Health 2013 The Cavendish Review An Independent Review into Healthcare Assistants and Support Workers in the NHS and social care settings lthttpswwwgovukgovernmentuploadssystemuploadsattachment_datafile236212Cavendish_Reviewpdfgt pp 6
33
By Laurie Bickhoff MACN
Diary of a newly registered nurse
In Australia it is estimated nearly 20 of nurses will leave the profession within their first year of practice (National Nursing and Nurse Education Taskforce [NNNET] 2005) Internationally this figure ranges from between 35 and 60 (Halfer amp Graf 2006) Many have speculated on the reasons for this with high workloads the difficulties of shift work and unrealistic expectations of what nursing entails all given due consideration (Halfer amp Graf 2006) However as I entered my second year of practice I began to wonder what role disillusionment plays in this exodus of newly trained nurses
Disillusionment to me occurs when you feel your passion dwindling when you suddenly find it that little bit harder to get ready for work when you start feeling a sense of dread as you walk onto the ward This wasnrsquot caused by long hours or ever increasing workloads coupled with diminishing resources It wasnrsquot caused by physically demanding duties or the lack of a social life due to shift work It wasnrsquot caused by dealing with things that might not look or smell that great Unfortunately it was caused by the people around me and an almost institutionalised lack of power not only for nurses but more importantly for our patients
I was dismayed and frustrated to hear how many of my colleagues from all health professions referred to patients I was disheartened to see how easily some could dismiss the suffering we see and the heartache I felt I was overwhelmingly saddened to realise not everyone had the same passion for their profession or empathy for those we are charged to care for as I did
This culminated for me towards the end of my first year of practice There wasnrsquot any one big incident more an accumulation of things that were gradually wearing me down I had a worried patient confide in me that they had been too scared to push the call button on the previous shift because of the response they would receive from the nurse I saw patients constantly being made to fit into everyone elsersquos schedules regardless of their requests It seemed everyone was more important than the person we were there to help
I heard patients referred to as lsquocactusrsquo or described in the notes as lsquounsalvageablersquo meaning there was no chance of the patients making meaningful recoveries I wondered is this really how we refer to people Or did we forget they were actual human beings we were talking about
I had other health professionals dismiss me with comments such as nurses ldquojust wipe bums all dayrdquo or roll their eyes at me when I raised my concerns When I dared to challenge or question I was met with comments of ldquoI miss the old new gradsrdquo I felt tired washed out and was beginning to wonder
whether I could stay in this profession without losing myself
Luckily I found some inspiration I listened to a presentation by Drew Dudley a well-known American academic and motivational speaker where he discusses the idea of lsquolollypop momentsrsquo These are small moments when the people we see and work with every day demonstrate leadership They arenrsquot big grand over the top statements They are small gestures which often unknown to the person who did it have an amazing impact on the lives of others I was lucky enough to have some of these lollypop moments just when I needed them These few sparks were all that I needed to reignite my passion for nursing
The first spark came from an RN2 caring for a patient at the end-stage of a number of diseases who had expressed to the nursing staff multiple times her wish to simply be made comfortable as she knew this was the end of her fight Despite this the patient was not only receiving active treatment but was also currently documented for full resuscitation if she deteriorated
The nurse raised the issue with the medical registrar asking him to have a discussion with the patient regarding her wishes and planning end-of-life care The registrar dismissed her saying ldquowell thatrsquos not what the consultant wantsrdquo The nurse wasnrsquot satisfied and responded ldquoitrsquos not their choice itrsquos the patientrsquos decisionrdquo This nurse had the courage to stand her ground and make sure her patientrsquos voice was heard which ultimately led to the patientrsquos wishes being honoured
The next spark came soon after I was working with a nurse who came from a different cultural background to me where it was seen as impolite to question anyone in authority especially if you were female This meant even if a doctor was accidently standing in her way she would prefer to simply wait rather than ask them to move
Then one day we had a patient who deteriorated rapidly and was in a very critical condition This nurse suddenly became one of the best clinical leaders I have witnessed She led the team questioning orders prompting treatments suggesting causes and outlining the options available I soon realised the difference this was about her patient She was going to ensure her patient received the best care and outcome possible When it was about her patient rather than herself she found her voice
There were a number of smaller incidents that soon followed Sparks came from the senior consultant who re-educated her advanced trainee on the importance of listening to the nurses and acting on their concerns Sparks came from our ward social
34
worker who day after day demonstrated his passion for helping and advocating for those with no voice and often no options Sparks came from the medical residents who expressed their gratitude when you picked up a mistake and were heartfelt in their appreciation of the work nurses do
The brightest sparks came from my patients and their relatives It was their ldquothanksrdquo their ldquoyou donrsquot know how much that meansrdquo their ldquoyoursquoll be back tomorrow wonrsquot yourdquo their squeezing of my hand that reminded me why I do what I do I didnrsquot have to search for inspiration I was surrounded by it The trick was to change my focus
Perhaps all nurses are disillusioned at some point during their careers Perhaps it happens multiple times Perhaps it is a rite of passage with those who make it through the other side the
ones with a true passion for nursing who turn around and help a colleague on their journey
As I continue my nursing career I now look for the brightness that I know is always there far outshining the negativity that we have to deal with I stockpile my lsquolollypop momentsrsquo knowing the amazing examples of kindness and leadership I see every day will help me grow and become a better nurse and hopefully I might be able to be a spark for someone else
You can listen to Drew Dudleyrsquos talk at wwwtedcomtalksdrew_dudley_everyday_leadership
Halfer D and Graf E lsquoGraduate Nurse Perceptions of the Work Experiencersquo Nursing Economics June 2006 Vol 24 No 3 pp 150-55
National Nursing and Nurse Education Taskforce 2005 Mythbusters Available online at httpwwwnnnetgovaudownloadsmythbusters_attritionpdf Accessed June 2014
Arts amp Sciences | Business | Education | Health Sciences | Law | Medicine | Nursing amp Midwifery | Philosophy amp Theology | Physiotherapy
Your journey to a meaningful career awaitsThe School of Nursing amp Midwifery offers the following courses
rsaquo Bachelor of Nursing
rsaquo Bachelor of Nursing (Articulation Pathway for EN Diploma)
rsaquo Graduate Certificate (Acute Mental Health Clinical Nursing Nursing and Nursing Leadership amp Management)
rsaquo Graduate Diploma (Acute Mental Health Clinical Nursing Critical Care Nursing Forensic Nursing Midwifery Nursing and Perioperative Nursing)
rsaquo Master of Nursing (Coursework and Research)
Looking to make a difference So are we
Apply direct notredameeduau
ND
1053
| C
RIC
OS
PR
OV
IDE
R C
OD
E 0
1032
F
35
36
The beginning of a career ACNrsquos Nursing amp Health Expos
In pursuit of the belief that every nurse should have the opportunity to grow their career and further the nursing profession ACN is once again presenting the Nursing and Health Expos for 2015 The expos have provided an avenue for those interested in nursing in Australia to seek expert advice on education and employment opportunities One young nursersquos visit to an expo opened up a career
Ever since I could remember I wanted to help people When I was young I would look up diseases and conditions I had my own first aid kit and I would play lsquonursersquo with my mum and dad
In 2007 when I was in year 12 I attended my first NSW Nursing and Health Expo and Irsquove continued to visit the expos since Initially I wanted to become a paramedic but everyone I spoke to said that I should become a nurse first They gave me great advice to become an endorsed enrolled nurse (EEN) before becoming a registered nurse (RN) ndash to take it one step at a time
I studied at TAFE for 18 months to become an EEN I completed my Bachelor Degree at Southern Cross University while working as an EEN at a private hospital in Coffs Harbour This meant I was able to put my theory into practice
Now I work as an RN with Ramsay Health Care Every day I come home knowing I have a little place in someonersquos heart because I helped them Patients are very vulnerable people and sometimes all they need is for you to listen Listening is one of the most important lessons I have learnt as a nurse
Irsquod recommend the ACN Nursing and Health Expos to anyone especially year 12 students who are interested in a career as a nurse I always look forward to the expo and I make a day of it Itrsquos great to be around like-minded people listening to their stories and they are always interested in listening to mine Last year I was able to practice keyhole surgery at the expo and I was actually good at it ndash so maybe surgical nursing is an option down the track
I joined ACN last year and have now had this opportunity to share my nursing story and hopefully inspire others
by Brianna Gudgeon MACN
Brianna as a volunteer nurse in Samoa
Brianna (left) in 2008 training as an EEN at Concord Hospital with colleague
10
INSTITUTE OFHEALTH AND NURSING AUSTRALIA
RTO ID 21985 CRICOS Code 03386G
wwwihnaeduauenquiryihnaeduau1800 22 5283
Our Courses
bull Registered Nurse Re-entry to Practice Program
bull Registered Nurse Refresher Program
bull HLT51612 Diploma of Nursing (Enrolled-Division 2 Nursing)
bull HLT61107 Advanced Diploma of Nursing
The Institute of Health and Nursing Australia (IHNA) is one of Australias leading providers of comprehensive
health and nursing education at several levels IHNA is fast-growing dynamic and quality-driven institution committed to continuous improvement working hard to develop implement and deliver courses and professional development programs The courses offered by IHNA are prepared by experienced healthcare professionals and help students to pursue a successful career in Australian healthcare
Melbourne | Perth | Sydney
VET FEE HELP GOVT FUNDING AVAILABLE
Institute of Health and NursingAustralia
IHNA
Call 1800 675 839 for a Short-Form Product Disclosure Statement Prime Super (ABN 60 562 335 823) is issued by Prime Super Pty Ltd (ABN 81 067 241 016 AFSL 219723 RSE L0000277 RN 1000276)
VIC Expo Booth 33 | WA Expo Booth 17 | wwwprimesupercomau
Visit us at the Expo to find out morehellip
and enter our competition for your chance to WIN a $550
endota day spa voucher
Prime Super provides personal support to make super simpler
Now incorporating
11
VIC EXPO MELBOURNE
12
Welcome from the Chief Nurse amp Midwifery OfficerWelcome to the Australian College of Nursingrsquos 17th annual Nursing and Health Expo in Melbourne The Department of Health and Human Services in Victoria is a keen sponsor of this important event on the nursing calendar The Expo plays an important role in enhancing the profile of nursing as a profession which in turn promotes recruitment and retention of the nurses and midwives
As part of the health care team nurses and midwives are essential to the communityrsquos health and wellbeing Nurses and midwives play a critical role in delivering safe compassionate and quality care The Department of Health and Human Services encourages Victorian nurses and midwives to provide the best possible care for the community by providing clear strategic direction for the profession as well as supporting health services to implement initiatives across workforce development and reform
Being a nurse or midwife is a rewarding career but it is important to know if it is the right career choice for you In addition to having the relevant knowledge and skills nurses and midwives need to be compassionate caring and flexible Nursing and midwifery offers many and varied opportunities across multiple settings not only for graduates but for people of any age looking to enter the workforce
While traditionally nurses and midwives have always worked in hospitals they now work across multiple settings including general practice community-based services and aged-care services
The job market is competitive and opportunities will continue to be present for the existing returning and newly graduated nurses and midwives Because of the changing needs of the community there is often a contrast between where nurses and midwives prefer to work and where there are opportunities Growth opportunities are in areas such as rural aged care and chronic disease management and I encourage everyone to think beyond the traditional locations and to explore new and rewarding areas of employment
Senior members of the workforce are reminded of the important role we all play as professionals in encouraging and mentoring new starters and transitioning into other roles
Education and training is a lifelong journey essential to the continual development of the nursing and midwifery workforce which ensures highly skilled capable and critical decision makers
Associate Professor Alison McMillan MACN Chief Nurse and Midwifery Officer Department of Health amp Human Services VIC
13
Expo informationLocation
Visitors are often struck by the architectural brilliance of the Melbourne Convention and Exhibition Centre (MCEC) which has won some of Australiarsquos most prestigious architecture and design awards The Expo will be held in bays 17 and 18 of the MCEC
Doors open 9am ndash 1pm
Concourse
Link to convention
centre
Loading Dock
Normanby Road
Clar
endo
n St
reet
Entry Foyer
Clarendon Street
Entrance
ACN Expo Bays
17 amp 18
14
Seminars
This year the educational seminar series is back again to provide visitors with up to date information and practical skills to pursue or further their career Seminar attendance is free of charge and registration is not required
Time Topic Presented by
915am HESTA Your Partner for Career David Logan HESTA
950am Graduate NurseMidwifery Program Computer Match 2015 Paul Williamson Postgraduate Medical Council of Victoria
1025am Understanding delegation and supervision responsibilities and accountabilities
Associate Professor Alison McMillan MACN
Department of Health amp Human Services Victoria
1100am HESTA Your Partner for Career David Logan HESTA
1135am Graduate NurseMidwifery Program Computer Match 2015 Paul Williamson Postgraduate Medical Council of Victoria
1210pm Understanding delegation and supervision responsibilities and accountabilities
Associate Professor Alison McMillan MACN
Department of Health amp Human Services Victoria
The VIC Nursing amp Health Expo is proudly supported by
On 1 January 2015 the Victorian Government established the Department of Health amp Human Services bringing together the former Department of Health Department of Human Services and Sport and Recreation Victoria The department has been established to develop and deliver policies programs and services that support and enhance the wellbeing of all Victorians We take a broad view of the causes of ill health the drivers of good health the social and economic context in which people live and of the incidence and experience of vulnerability This will allow us to place people at the heart of policy-making service design and delivery
wwwdhhsvicgovau
15
Floor plan
BENC
H
SINK
ENTRANCEDOOR 9
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
20 21
22232425
26 27 28 29
30313233
34 35 36 37
38394041
42 43 44 45
46474849
50 51 52 53
54555657
58 59 60 61
62636465
66 67 68 69
7071727374
75
76
84
85
86
87
88
89
90
1918
16
Exhibitor listing
Organisation Name Booth Number
Alfred Health 6667
ANMF Victorian Branch 747576
Austin Health 4243
Australian Catholic University 89
Ballarat Health Services 62
BankVic 73
Baptcare 60
Belmore Nurses Bureau 47
Bendigo Health 44
Care Training Australia 17
Chisholm Institute of TAFE 19
Colbrow Healthcare 26
Critical Second 90
Crystal Clear Ear Clinic 6
Deakin University Nursing amp Midwifery 3435
Defence Force Recruiting 12
Eastern Health 3031
Epworth HealthCare 6465
Federation University Australia 41
First Call Health 40
First State Super 7
Forensicare 68
Health Skills Australia 72
HESTA 20
Holmesglen 4546
Institute of Health amp Nursing Australia 27
Kangan Institute 24
La Trobe University 121314
Martin Luther Homes 22
McFarlane Medical amp Scientific 23
mdBriefCase Australia 18
Mediserve Nursing Agency 28
Organisation Name Booth Number
Melbourne City Institute of Education 86
Mental Health Nursing Victoria 1011
Mercy Health 8788
Monash Health
Monash University 8485
NeilMed Pharmaceuticals 32
Northern Health 5354
NorthWestern Mental Health 59
Nurses Board of Victoria Legacy Limited
69
Nursing amp Midwifery Board of Australia 21
Peninsula Health 38
Peter MacCallum Cancer Centre 25
Postgraduate Medical Council of Victoria
71
Prime Super 33
Reflective Clinical Supervision Network 39
RMIT Faculty of Nursing 55
Royal Victorian Eye amp Ear Hospital 48
Sanita Australia 31
St Vincentrsquos Hospital 5051
St Vincentrsquos Mental Health 5
St Vincentrsquos Private Hospital 34
The Royal Melbourne Hospital 56
Tobin Brothers Funerals 49
University of Melbourne 89
University of Tasmania 52
Victoria University 57
Vital Health Recruitment 70
VNS Nursing Agency 58
Western District Health Service 63
Western Health 3637
Work the World 29
17
Graduate transition programs my personal experienceToo often we hear horror graduate stories Research shows horizontal violence and bullying is rampant in our profession We are told tales of the infamous ldquoeat our youngrdquo nursing culture We know graduates suffer transition shock when they start practicing and nearly 20 will leave in their first year
Unfortunately the good stories are often buried underneath the bad and so I wanted to share my graduate year experience When I started as an RN the only nursing experience I had were my clinical placements and a mere two months working as an AIN To say I was worried was a major understatement I was quietly petrified but tried to keep up a brave face
I had worked hard in university to learn as much as I could but I was still filled with doubts Would I be good enough Would I crash and burn Would I help or hinder my patientsrsquo recovery
My first day on the ward was sink or swim time I was amazed at the warm welcome I was given The other RNs were supportive and encouraging They made sure I knew if I felt myself struggling they would be there with a life-line
Every ward I rotated through gave me this same friendly reception Perhaps it was just luck or maybe our nursing culture is changing but I never encountered any of the pressure to change my values and practice in order to fit in that I had been told to expect Instead I found colleagues who understood I wouldnrsquot know everything on day one who were willing to take the time to teach me and who become great friends along the way
My clinical skills and knowledge increased out of sight during my graduate year I felt my university had given me a great foundation on which to build my career as an RN but my grad program cemented my theory into my practice I started the year having never removed a single stitch I ended the year confidently removing everything from sutures to ICCs and pacing wires while also successfully inserting NG tubes and cannulas Importantly I understood the pathophysiology and rationale behind each of these and could explain it to my patients
Irsquom not saying everyday was perfect Irsquom not saying every person was as helpful or welcoming as the next Irsquom not saying I didnrsquot have days when I struggled What I am saying is I never felt alone I knew the support was there all I had to do was ask
I know not every graduate nurse will have as positive an experience as I did Perhaps my journey was the exception not the rule However I hope the number of nurses who have an amazing graduate year like mine continues to increase until this becomes the norm
I do know that the success of your graduate year relies heavily on you and your attitude University teaches you how to think like a nurse but it is in clinical practice the real learning begins and it has a steep learning curve Approach your grad year knowing that everyone from the tea lady to the Director of Nursing will be your new teachers and success will come When the people you work with recognise your passion see your motivation to provide what is best for the patient and know you realise what a unique privilege it is to be a nurse their respect will follow
At the same time donrsquot be afraid to speak up for your patients for your colleagues and for yourself Harvey Fierstein said ldquoNever be bullied into silence Never allow yourself to be made a victim Accept no onersquos definition of your life define yourselfrdquo You have the ability to define your graduate year regardless of what hospital or ward you find yourself in
You can change the culture and reputation of the nursing profession for better or worse You can conform and join in bullying behaviour and continue negative traditions or you can decide it stops with you Set your standards high and have the moral courage to stick to them If every graduate nurse demonstrated this leadership and supported other nurses who did as well imagine the overwhelmingly positive impact that could have on nursing
Gandhi once said ldquoBe the change you want to see in the worldrdquo I would encourage you to be the change you want to see in nursing and just watch how the world changes with us
By Laurie Bickhoff MACN
18
Finishing studies and becoming a new graduate is an exciting milestone Itrsquos usually the first time you begin working full time perhaps moving away from home owning your own car and paying bills
Of course itrsquos important to budget ensuring you have enough money for daily expenses as well as being able to stash some money away The easiest way to keep track of your income versus expenses is to set up an everyday account with your salary paid into it and a savings account earning interest on the money yoursquore able to save In addition you might want to get a credit card so that yoursquove got some money for emergencies
Gain fee free banking freedom
With a BankVic Anywhere account you can enjoy unlimited free withdrawals at any ATM in Australia when you deposit $1000 per month1 Plus you can access your money with free unlimited eftpos transactions a Visa Debit card with paywave and a mobile App
Earn bonus interest on your savings
A BankVic Bonus Saver account is a high interest account that rewards you for saving by giving you bonus interest2 when you deposit a minimum of $100 a month and make no withdrawals plus there are no fees Itrsquos a great way to force yourself to save
Enjoy a credit card with no annual fee
A BankVic Visa Silver credit card offers great value with an introductory rate of 699pa3 for the first 6 months and a low ongoing rate plus no annual fee Itrsquos the perfect back up card
Why not call us today Call your dedicated Member Relationship Manager Phoebe Reid on 9268 9297 or via email preidbankviccomau
1 Minimum deposit of $1000 must be received in the account by close of business on the last business day of the month The deposit cannot be an internal transfer or interest earned form other BankVic products 2 Bonus Saver ndash Deposit $100 per calendar month with no withdrawals and yoursquoll be rewarded with bonus interest Bonus interest rate is capped at a maximum balance of $1000000 3 Credit Card interest rates are variable All interest rates are shown are current as at date of print and are subject to change Fees and charges apply Any advice is general before acting on the advice you should consider whether the advice is appropriate for you Before you make any decision to acquire any product or service you should obtain and consider the relevant Product Disclosure Statement available from our website bankviccomau any branch or by calling us on 13 63 73 Police Financial Services Limited ABN 33 087 651 661 AFSL 240923 Australian Credit Licence 240293ndash trading as BankVic 121 Cardigan Street Carlton Victoria 3053 3-15 5243BV
Advertorial
Banking freedom for nurses and midwives
members matter
Let BankVic take care of you while you take care of others
9268 9297preidbankviccomau
Canstar Pty Ltd Authorised Representative 443019 of Canstar Research Pty Limited ABN 29 114 422 909 AFSL 437917 Police Financial Services Limited ABN 33 087 651 661 AFSL 240293 (BankVic) 121 Cardigan Street Carlton Vic 3053 315 5280bv
Contact your dedicated Member Relationship Manager Phoebe Reid
bankviccomau
19
This is general advice only Consider our product disclosure statement before making a decision about First State Super Call us or visit fi rststatesupercomau for copies Becoming a Student Club member is diff erent to being a First State Super member as you do not hold a superannuation account with the Fund or have any interest right or other relationship with First State Super
FSS Trustee Corporation ABN 11 118 202 672 ASFL 293340 is the trustee of the First State Superannuation Scheme (First State Super) ABN 53 226 460 365 EXP_
Mel
b_Ex
po_A
4_03
15
Join our free Student Club and make the most of the support discounts and benefi ts available only to students
Learn to manage your super better and how you can take advantage of our exclusive member benefi ts
Find out why wersquore the super fund with a heart on Saturday 18 April
Visit us at booth 7 in Melbourne
EXP_Melb_Expo_A4_Mar15_ARTWORKindd 1 6032015 414 pm
By Claire Stewart MACN
Diary of a newly registered nurse
Irsquom almost three months into my role as a newly registered nurse and I had my first 40 Prolene moment recently For the uninitiated this can be a panic fuelled moment where a routine procedure ends up resembling the Texas chainsaw massacre Thankfully I was supported by a wonderfully calm surgeon who waited patiently while I painstakingly attempted to load his life saving suture After the surgery I wiped the blood from my glasses and took a moment to reflect on how I had handled the situation In fact Irsquove spent most of the last three months lsquoreflectingrsquo Deafening groans can be heard from many a third year nursing cohort when wersquore asked yet again to lsquocritically reflectrsquo on our practice as student nurses Let me be the first to admithellip It doesnrsquot stop at graduation
I may not use a dedicated framework or even put pen to paper but the skills I learned during my studies have set me up to ensure I gain the most from every learning opportunity by critically reflecting on my performance simply by force of habit During the last three months my learning curve has veered vertical as I transitioned from university study to my role as a
graduate registered nurse in perioperative services Irsquove had to deal with a new environment (donrsquot even get me started on finding your way around a theatre complex) new colleagues adjusting to full time work and managing family commitments learning an entire new skill set working as a scrubscout dealing with policies procedures and my favourite surgeonsrsquo preference
In these first few months itrsquos very easy to fall into the trap of focussing on how much you donrsquot know However practising critical reflection has allowed me to focus on what I do know how far Irsquove come and what I will learn because Irsquom self-aware Whether you are a new nurse like me and feel like yoursquove handed in one too many pieces of written reflection to your facilitator over the last three years or an experienced nurse who practices self-reflection sub-consciously on the drive home ndash embrace it for the wonderful tool that it is and use it to become the kind of nurse you want to work with
Be in demand Be successfulStudy nursing or midwifery at Monash If you want to make a difference in health care with great employment potential the School of Nursing and Midwifery is a great place to start
As a nurse or midwife there are a variety of roles and a number of specialty areas available to you ensuring a constant career of challenges and diversity
To find out more about our undergraduate courses visit us at ACN Expo Melbourne Stand 84 ndash 85
For more information on our courses visit medmonashedunursing
21
Research collaboration students are welcome
A collaborative research study in Queensland is tapping into the enthusiasm and intelligence of nursing students by training and employing third-years as research assistants data collectors and analysts in contract research projects
Researchers from James Cook Universityrsquos (JCU) Centre for Nursing and Midwifery Research (CNMR) the Far North Queensland Medicare Local and the Cairns and Hinterland Hospital and Health Service are trying to determine why emergency department (ED) presentations to Cairns Hospital have been increasing at a greater rate than the national average
To answer this question CNMR researchers recruited 14 nursing and medical students to survey every willing and able person who presented to the ED
Researchers asked participants for information regarding their reasons for coming to the ED They also asked where they would usually go for medical treatment and what physical and psychological factors influenced their decision to choose the ED over other treatment options
In other phases of the project hospital Emergency Department Information System (EDIS) data have been analysed and patient focus groups have been convened Unstinting faith in the local ED has been noted as one of the key reasons that people choose the ED over other health care options
Most people who come to the ED with lsquonon-urgentrsquo conditions do have general practitioners and a large percentage have sought medical advice in the days prior to presenting to the ED Worry anxiety and uncertainty rather than the severity of the medical condition itself however appears to be a significant motivator to come to the ED where people perceive there is a wide range of services professionals and diagnostic tools available
ACN Emerging Nurse Leader Anna Groth MACN a third-year nursing student from JCU has been collecting collating and analysing data
ldquoOften I would ask someone why they had come to the hospital and they would speak about being in pain but if you asked them about whether they came for the pain or because they were anxious about the pain they would say they had come to the hospital because of the anxietyrdquo explained Anna ldquoIt is such a huge difference ndash the motivation ndash coming for the pain or the anxietyrdquo
Anna said the project opened communication lines between people from different organisations including government university health service hospital and the community leading to collaboration and learning for all
By Marnie Hitchins
Benefits for the students included early career exposure to the research process in which they learnt about data collection analysis and research methods The students also had the opportunity to practise communication skills learn about the organisational cultures of universities and hospitals and work alongside health professionals and patients in a research environment
Students commented that because the power dynamics were different from that of clinical experience (they were not seen as health professionals by patients nor as lsquostudent nursesrsquo by health staff members) they gained insights into the hospital environment they might not otherwise have had
Anna said she learned a lot personally the ED research experience has catapulted her into another area of interest in which she can see herself working in the future
ldquoResearch and policy will be a part of my future Irsquove gained a deep interest in the treatment of women since doing this studyrdquo said Anna
ldquoI have become very interested in domestic violence and the way women are treated in the health service and in the society as a whole I was blown away by the struggle that people have with the system in trying to find support They are so lonely I recognised things being in the ED that I would like to research and have already started exploring the issuesrdquo
CNMR Director Associate Professor Jane Mills FACN said the recruitment and inclusion of students in research projects is part of a broader plan within the CNMR to build undergraduate research capacity
Jane said the CNMR also offered internships to undergraduate students to work on research projects alongside experienced scholars academics and researchers
ldquoJCU strongly supports the inclusion of undergraduate students in research studies where they can gain valuable knowledge skills and experience while also making a contribution to building the evidence base about health care issues of importance to people living in the tropicsrdquo said Jane
ldquoItrsquos a win-win situation where experienced researchers benefit from the studentsrsquo enthusiasm and familiarity with contemporary research principles and students increase their awareness of the importance of research to professional practicerdquo
It is clear to all parties involved that the inclusion of nursing students is benefitting the quality of the project as much as it is benefitting studentsrsquo learning and work experiences
22
Launch your nursing career at St Vincentrsquos
St Vincentrsquos Hospital Melbourne (SVHM) is part of St Vincentrsquos Health Australia and is a leading teaching research and tertiary health service which employs more than 5000 staff across 18 sites throughout Melbourne SVHM provides a diverse range of adult clinical services including acute medical and surgical services sub-acutecare medical diagnostics rehabilitation allied health mental health palliative care correctional health and community residential care SVHM is one of Australiarsquosleading Catholic not-for-prot healthcare providersMake the most of your talents Join the team at St Vincentrsquos
Visit us at the ACN Nursing and Health Expo 2015Find out about our 2016 Graduate Nurse Program andhave a chat to our current graduates educators and nursing staff
St Vincentrsquos Open Evening 2015Wednesday 3rd June 4pm-6pmSt Vincentrsquos Ground Floor Aikenhead Building 27 Victoria Parade Fitzroy
Welcome and Overview of the 2016 Graduate Nurse Program at 4pm 430pm amp 5pm
All welcome ndash no RSVP required
All 24 rotational areas on displayTours of inpatient wardsComplimentary food and beverages provided
For further information visit wwwsvhmorgau or phone the Graduate Nurse Hotline 9231 2244
To follow our 2016 recruitment process Like us at SVHM 2016 Graduate Nurse Program
Compassion Justice Integrity Excellence
24
INTERESTED IN STUDYING DEAKIN NURSING AND MIDWIFERYWe are holding information sessions for our undergraduate courses
BURWOOD CAMPUS 221 BURWOOD HIGHWAY BURWOODWednesday 22 July 6ndash8 pmSaturday 25 July 230ndash430 pm
WATERFRONT CAMPUS 1 GHERINGHAP STREET GEELONGWednesday 22 July 6ndash8 pmSaturday 25 July 230ndash430 pm
WARRNAMBOOL CITY CENTRE 165 TIMOR STREET WARRNAMBOOLFriday 24 July 730 pm
raquo To register your attendance at one of the information sessions above please email nursinfodeakineduau to advise which session you plan to attend
For more information about our undergraduate and postgraduate courses please phone 03 9244 6032
Deakin University CRICOS Provider Code 00113B HLH002
deakineduaunursing
Itrsquos never too early to become a leader
How did you become involved in nursing
I started volunteering from age 14 with St John Ambulance Australia in my hometown of Moruya NSW I loved everything about it ndash loved the joy of helping others and I was so intrigued to learn how to respond effectively in emergencies and show true compassion to others I was also fortunate to have had some very down-to-earth and inspiring mentors who encouraged my interest in nursing and after graduation from high school I undertook the University of Wollongongrsquos Bachelor of Nursing degree
I started my first paid nursing related employment in my third year of the degree at a local hospital I have now graduated and am working as a registered nurse (RN) in a local aged care facility learning the ins and outs of multiple comorbidities patient-centred care and compassionate palliative and end-of-life care
What is your nursing specialty
As I still consider myself as a lsquonewbiersquo RN I havenrsquot really discovered a specialty yet though I have interests in aged care mental health cardiology and nursing research So I guess I am intrigued to be involved in one or all of these areas at some point in my career but I am open to any interesting opportunities that may come my way
What do you love most about nursing
This is truly the job that never has a dull day Each day is different and I feel privileged to be so trusted with the lives of my patients and residents in their moments of hardship and need Along with my love of the workings of the human body the evidence-base behind nursing care and continuous educational opportunities I love the lsquoteamrsquo focus of nursing especially when the patient is at the centre of decision making and everything goes to plan
What is your least favourite part of nursing
When everything doesnrsquot go to plan
What brought you to this area of Australia
Irsquom originally from NSW South but I moved to Wollongong for University and have stuck around for the area the people and to continue to work and study here
What are some of the nursing and health issues that are specific to the Sydney SouthIllawarra Region
Two big issues come to mind Firstly many newly graduated RNs within our region have been unable to find employment Secondly local nurses struggle to find the time within their working hours to keep up to date with advances in education
What do you see as the biggest challenge currently facing the nursing profession and how do you think the profession is placed to respond to these challenges
I believe possible health funding cuts and workforce shortages that in-turn affect our ability to provide adequate and safe patient care are two significant challenges facing our profession There are recently graduated RNs who remain jobless yet there are local health districts crying out for nurses but only those with lsquoexperiencersquo with undergraduate nursing experience ignored Looking into alternative transition programs is key to overcoming this challenge
Whatrsquos the biggest misconception about your career choice
I have met some amazingly talented and intelligent nurses in a variety of roles who all make a great difference in the lives of their patients or indirectly through organisations or research The general misconception that irks me isnrsquot so much a misconception more a statement Irsquove heard multiple times ndash ldquoWhy didnrsquot you become a doctor Why are you just a nurserdquo I did not become a nurse because I didnrsquot have the marks to be a doctor and by the time I finish university again with a Research Masters I would have physically been enrolled in university for the same length of time I became a nurse because I found a passion for this role and spending time with people inspires me
Nursing is a holistic role that encompasses so much We are health professionals role models educators support systems and innovators we understand intimately the fragility of life and the human relationships that bring it meaning
Profile Renee Callender MACN
LeadershipACN
Expand your leadership capacity
25
INTERESTED IN STUDYING DEAKIN NURSING AND MIDWIFERYWe are holding information sessions for our undergraduate courses
BURWOOD CAMPUS 221 BURWOOD HIGHWAY BURWOODWednesday 22 July 6ndash8 pmSaturday 25 July 230ndash430 pm
WATERFRONT CAMPUS 1 GHERINGHAP STREET GEELONGWednesday 22 July 6ndash8 pmSaturday 25 July 230ndash430 pm
WARRNAMBOOL CITY CENTRE 165 TIMOR STREET WARRNAMBOOLFriday 24 July 730 pm
raquo To register your attendance at one of the information sessions above please email nursinfodeakineduau to advise which session you plan to attend
For more information about our undergraduate and postgraduate courses please phone 03 9244 6032
Deakin University CRICOS Provider Code 00113B HLH002
deakineduaunursing
WA EXPO PERTH
26
Welcome from the Chief Nurse amp Midwifery OfficerI am so pleased to be welcoming you to the Australian College of Nursingrsquos Western Australian Nursing and Health Expo for 2015
Attending the Expo is an invaluable experience for anyone interested in nursing and midwifery careers It especially helps high school students and their parents or anyone who is wondering which career direction to take
Hospitals and health services from across WA will be there with some of their nurses and midwives in attendance to answer any questions you may have Come and find out from them what itrsquos really like to be a nurse or midwife
There will also be a range of education providers who will be able to talk about the many courses available to get your career started
It is also a great place to come to discuss and find out about graduate job opportunities building your experience career development opportunities financial support to study changing employers or even returning to a career in nursing or midwifery after being away for a while
The decision to become a nurse or a midwife is a wonderful career choice for anyone who wants to be part of a diverse healthcare professional team and have a challenging rewarding and exciting job where you really can make a difference
The future demand for nurses and midwives is going to be high especially as WArsquos new Fiona Stanley Perth Childrenrsquos Busselton and Midland hospitals all start becoming fully operational so we encourage you to attend the Expo to see where nursing and midwifery might take you
I look forward to seeing you on Friday 1 May 2015 at the Perth Convention and Exhibition Centre
Karen Bradley MACN Chief Nurse and Midwifery Officer WA Health
27
Expo informationLocation
The Perth Convention and Exhibition Centre (PCEC) is Western Australiarsquos only dedicated convention and exhibition facility Each year over 500000 people attend one or more of the 600 plus events conducted at PCEC The Expo will be held in Pavillion 1 at PCEC
Doors open 9am ndash 1pm
Entry
Stairs amp Escalators to Level 2
Registration DeskEntry Foyer
Entry
ACN Expo Pavillion 1
28
Seminars
This year the educational seminar series is back again to provide visitors with up to date information and practical skills to pursue or further their career Seminar attendance is free of charge and registration is not required
Time Topic Presented by
915am How to become a nurse or midwife Rebecca Newton WA Nursing and Midwifery Office
950am Applying via GradConnect and other opportunities for graduate nurses and midwives
Regina Browne WA Nursing and Midwifery Office
1025am Unleashing the potential of your staff Lisa Ansbro and Donna Hampshire Chandler Macleod Health
1100am How to become a nurse or midwife Rebecca Newton WA Nursing and Midwifery Office
1135am Applying via GradConnect and other opportunities for graduate nurses and midwives
Regina Browne WA Nursing and Midwifery Office
1210pm Unleashing the potential of your staff Lisa Ansbro and Donna Hampshire Chandler Macleod Health
The lsquoUnleashing the potential of your staffrsquo seminar is proudly supported by
Chandler Macleod is Australasiarsquos leading provider of integrated HR services products and technologies We have more than 55 yearsrsquo experience in human resources and have specialised within the health sector for 10 of these We are ideally positioned to help you meet the growing demands on your business We provide permanent and temporarycontract recruitment for the full range of Health professions including Carers and Support Workers Enrolled Nurses Registered Nurses Facility and Operations Managers Directors Cleaners and Kitchen staff We are able to provide you with experienced caring staff 247 including public holidays
For more information contact Chandler Macleod on (08) 9217 0510 or visit wwwchandlermacleodcomclientshealth-recruitment
29
Floor plan
42 41
39
40
38
36
37
35
43
44
45
46
47
48
Entrance
Seminar area
Cafeacute
7
5
8
6
20
18
19
17
11
9
12
10
16
14
15
13
34 33 32 31 30 29 28
30
Exhibitor listing
Organisation Name Booth Number
AACDS 8
Armadale Health Service 38
Belmore Nurses Bureau 30
Central Institute of Technology 20
Chandler Macleod Health 16
Child amp Adolescent Health Service 42
Curtin University of Technology 19
Defence Force Recruiting 910
Edith Cowan University - School of Nursing and Midwifery
3334
Fiona Stanley Hospital 36
Fremantle Hospital 44
HESTA 5
Hollywood Private Hospital 7
Institute of Health amp Nursing Australia 32
Mediserve Nursing Agency 6
Murdoch University 1112
My Flex Health International 18
Organisation Name Booth Number
Next Step 48
North Metropolitan Mental Health 35
NurseWest 47
Nursing amp Midwifery Board of Australia 29
Osborne Park Hospital 46
Prime Super 17
PampN Bank 15
Rockingham General Hospital 39
Royal Perth Hospital 37
Sir Charles Gairdner Hospital 45
The Bethanie Group Inc 31
The University of Notre Dame 13
WA Country Health Service 40
WA Nursing amp Midwifery Office 43
West Coast Institute of Training 14
Women amp Newborn Health Service 41
Work the World 28
The WA Nursing amp Health Expo is proudly supported by
The WA Nursing and Midwifery Office is very proud to partner once again with the Australian College of Nursing for the 2015 Nursing and Health Expo The nursing and midwifery professions offer an array of interesting and diverse experiences With these highly valued and respected skills relevant anywhere in the world nurses and midwives will always be in demand ndash in hospitals and in a range of other workplaces In WA the future demand for nurses and midwives is going to be high especially as our new Fiona Stanley Perth Childrenrsquos Busselton and Midland hospitals all start becoming fully operational so considering a career in nursing or midwifery is a great idea
wwwnursinghealthwagovau
31
In Australia enrolled nurses (ENs) are a core component of the health care workforce and make an important contribution to Australiarsquos world-class health outcomes ENs work in varied settings across the country from blood services to aged care facilities Increasingly ENs are playing an important role in meeting the growing demand for care
Not all countries have recognised the importance of ENs in the nurse workforce mix Several European countries including France Denmark Italy and Spain have only one category of regulated nurse (HWA 2013 Robinson and Griffiths 2007) The United Kingdom (UK) ceased admitting new ENs to the register in the 1980s The minimum qualification for all UK nurses is now a three-year bachelorrsquos degree As a result the UK relies heavily on unregistered health care assistants rather than second-level nurses (UK Department of Health 2013) Closer to home New Zealand ceased training ENs in 1993 only to recommence in the 2000s (Meek 2009) New Zealandrsquos experiment is an instructive demonstration of the importance of ENs in the health care workforce as the demand for nursing care increases
In Australia we have remained committed to maintaining the EN role Rather than relying on unregistered health care workers Australia has chosen to maintain a large educated and professional EN workforce The skilled work of ENs is recognised to be of paramount importance to the delivery of high quality nursing care Our EN workforce is highly dynamic and continues to evolve within the changing landscape of Australian health care policy and regulation
Enrolled nurse demographics
According to the latest national figures there are 51624 ENs working in Australia The great majority of ENs have completed their pre-registration education in Australia fewer than 5 have been educated overseas (HWA 2013)
The EN workforce has a relatively high average age of 46 years and forty-five per cent of ENs have celebrated their fiftieth birthdays (AIHW 2013) According to Health Workforce Australia the ageing EN workforce could lead to a significant shortfall in the supply of ENs if action is not taken to retain the current cohort of ENs and increase the number of people studying to be the ENs of tomorrow (HWA 2012)
Men make up roughly 10 of the EN workforce While this number is rising gradually it indicates that there is progress to be made in terms of attracting and retaining males within the profession Aboriginal and Torres Strait Islander people are
also underrepresented in the EN workforce only around 800 of Australiarsquos ENs identify as Indigenous Australians (AIHW 2013)
Among the most common work settings for ENs are aged care rehabilitation and disability services In contrast ENs make up fewer than 5 of the critical care nursing workforce and represent only a small proportion of nurses working in education policy and management (AIHW 2013)
These statistics show that there are both challenges and opportunities for Australiarsquos EN workforce Efforts to recruit and retain ENs will need to be enhanced with a particular focus on encouraging men and Aboriginal and Torres Strait Islander people to become ENs At the same time roles in a wider range of clinical areas are becoming available to suitably educated and qualified ENs and there will be more such opportunities in the coming years
A growing role for ENs
The evolving role of the EN is reflected in recent changes to educational requirements for ENs As of 1 July 2014 the Certificate IV in enrolled nursing ceased to be available and the minimum qualification for EN entry to practice will be the Diploma of Nursing The transition to a Diploma recognises the high level of skill ENs contribute to todayrsquos health care teams A nationally consistent approach to EN education is also likely to enhance the mobility of the EN workforce by giving employers confidence in the knowledge and skills of ENs educated in other states
ENs are now undertaking a diverse range of roles One of the earliest areas of role expansion for ENs was medication endorsement Before the move to national registration in 2010 ENs in some states were able to obtain an endorsement in medicines administration and become Endorsed Enrolled Nurses by completing specified education units This endorsement has now been phased out because from 2008 onwards all newly qualified ENs have completed the required medicines administration education Instead the register now identifies ENs who have not completed the required courses (NMBA 2014) This example demonstrates how the EN role has evolved over the years Whereas once only a relatively small number of ENs were educated to administer medicines now all student ENs complete medicines administration units as part of their initial nursing education
The EN role is also expanding in other ways For example ENs are taking on a growing role within haemodialysis units (Tranter et al 2011) The 2008 Australia and New Zealand Dialysis Workforce Survey conducted by the Renal Society of Australia found that there were 188 ENs working in dialysis alongside 2433 registered nurses (RNs) The growing demand for dialysis
The potential of the enrolled nursing workforce
By Rosina Muir and Dr Marlene Eggert MACN
32
services and the shortage of dialysis RNs in some areas represents a clear opportunity for ENs According to a New South Wales study conducted in 2009 the scope of practice of ENs in haemodialysis units may include cannulation (including both native access and buttonhole cannulation) connecting and disconnecting haemodialysis central venous catheters (CVCs) performing CVC dressings giving iron infusions and administering erythropoietin anticoagulants and Lignocaine In addition ENs may also take on a case management or health promotion role for dialysis patients (Bennett et al 2009)
ENs are also moving into extended roles in rehabilitation services A recent study of ENs in an Australian rehabilitation facility found that in addition to assisting patients with activities of daily living ENs may take on roles in coaching and supporting patients to reach their individual goals monitoring the patientrsquos progress and liaising with other members of the multidisciplinary rehabilitation team The study found that many ENs demonstrate an understanding of the philosophy of rehabilitation nursing including goal setting and enabling self-care (Pryor and Buzio 2013)
In rural Australia ENs are taking on a diverse range of roles within the EN scope of practice in order to meet local needs ENs with specialist skills such as infection control or wound care make a significant contribution to some rural health services although their extended scope of practice is not always given appropriate recognition by their RN colleagues (Nankervis et al 2008) Rural health services are increasingly recognising that supporting ENs to take on extended roles and further develop their clinical skills can be a successful model for the delivery of high quality patient care
Recognising the evolving EN scope of practice
In light of the fact that there have been significant changes to EN education regulation and scope over the last decade the NMBA has commissioned Monash University to review the currency of the standards against contemporary enrolled nursing roles The Monash University project has involved a review of the literature as well as a series of focus groups and surveys to gather insights from both RNs and ENs on the education scope of practice and supervision of ENs (Monash University 2013) The project is expected to be completed in 2014 (NMBA 2013)
Our advocacy for ENs
ACNrsquos advocacy priorities are explicitly designed to support both registered and enrolled nurses In 2014 ACN has argued for a range of policies that would have a positive impact on the
retention and flexibility of enrolled nurses For example ACN has proposed a National Transition Framework to support the flexibility and mobility of both the EN and the RN workforces The Framework would be accessible to nurses entering the workforce as well as nurses transitioning from one area of practice to another For example it would support an EN wishing to transition from the aged care sector to a hospital-based role
ACN has also put forward a proposal for a new scholarship program to support newly registered and enrolled nurses to practice in rural services It is essential that rural health service providers are able to attract appropriately educated staff including both ENs and RNs in order to maintain an optimal skill mix The scholarship scheme will allow rural health services to employ newly registered and enrolled nurses as supernumerary team members while providing them with a structured clinical learning program
ACN will continue to provide a voice for ENs in policy discussions and advocate for the role of ENs in health care delivery Australian Institute of Health and Welfare 2013 Nursing and midwifery workforce 2012 lthttpwwwaihwgovauWorkAreaDownloadAssetaspxid=60129545314gt pp 6
Bennett P McNeill L Polaschek N 2009 lsquoThe Australian and New Zealand Dialysis Workforcersquo Renal Society of Australasia Journal vol 5 no3 pp 147-151 lthttpwwwrenalsocietyorgRSAJjournalnov09bennett2pdfgt
Health Workforce Australia 2012 Health Workforce 2025 Doctors Nurses and Midwives vol 1 lthttpwwwhwagovausitesuploadsFinalReport_Volume1_FINAL-20120424pdfgt pp 137-142
Health Workforce Australia 2013 Nurses in Focus lthttpwwwhwagovausitesuploadsNurses-in-Focus-FINALpdfgt
Meek G 2010 Second level nurses a critical examination of their evolving role in New Zealand Healthcare lthttpresearcharchivewintecacnz9621Repository_entry_HLNU902pdfgt pp 3
Monash University 2013 The National Review of the Enrolled Nurse Competency Standards lthttpwwwmedmonashedunursingcompetency-standardsgt
Nankervis K Kenny A Bish M 2008 Enhancing scope of practice for the second level nurse A change process to meet growing demand for rural health services lthttpwwwncbinlmnihgovpubmed18844530gt
Nursing and Midwifery Board of Australia 2013 Communique Meeting of the Nursing and Midwifery Board of Australia 27 February 2013 in the AHPRA Hobart Office TasmanialthttpwwwnursingmidwiferyboardgovauNewsCommuniques-from-Board-meetingsaspxgt
Nursing and Midwifery Board of Australia 2014 Enrolled nurses and medicine administration lt httpwwwnursingmidwiferyboardgovauCodes-Guidelines-StatementsFAQaspxgt
Pryor J Buzio A 2013 lsquoDo ldquotwo typesrdquo of ENs work in rehabilitation in Australiarsquo Journal of the Australasian Rehabilitation Nurses Association vol 16 no 1 pp 14-19 lthttpsearchinformitcomaudocumentSummarydn=480975443102792res=IELHEAgt
Robinson S and Griffiths P 2007 Nursing education and regulation International profiles and perspectives lthttpeprintssotonacuk3487721NurseEduProfilespdfgt pp 7-17
Tranter S Westgarth F White G 2011 lsquoThe scope of practice of the haemodialysis Enrolled Nurse in new South Walesrsquo Renal Society of Australasia Journal vol 7 no 1 pp 24-29 lthttpwwwrenalsocietyorgRSAJjournalmar11Tranterpdfgt
United Kingdom Department of Health 2013 The Cavendish Review An Independent Review into Healthcare Assistants and Support Workers in the NHS and social care settings lthttpswwwgovukgovernmentuploadssystemuploadsattachment_datafile236212Cavendish_Reviewpdfgt pp 6
33
By Laurie Bickhoff MACN
Diary of a newly registered nurse
In Australia it is estimated nearly 20 of nurses will leave the profession within their first year of practice (National Nursing and Nurse Education Taskforce [NNNET] 2005) Internationally this figure ranges from between 35 and 60 (Halfer amp Graf 2006) Many have speculated on the reasons for this with high workloads the difficulties of shift work and unrealistic expectations of what nursing entails all given due consideration (Halfer amp Graf 2006) However as I entered my second year of practice I began to wonder what role disillusionment plays in this exodus of newly trained nurses
Disillusionment to me occurs when you feel your passion dwindling when you suddenly find it that little bit harder to get ready for work when you start feeling a sense of dread as you walk onto the ward This wasnrsquot caused by long hours or ever increasing workloads coupled with diminishing resources It wasnrsquot caused by physically demanding duties or the lack of a social life due to shift work It wasnrsquot caused by dealing with things that might not look or smell that great Unfortunately it was caused by the people around me and an almost institutionalised lack of power not only for nurses but more importantly for our patients
I was dismayed and frustrated to hear how many of my colleagues from all health professions referred to patients I was disheartened to see how easily some could dismiss the suffering we see and the heartache I felt I was overwhelmingly saddened to realise not everyone had the same passion for their profession or empathy for those we are charged to care for as I did
This culminated for me towards the end of my first year of practice There wasnrsquot any one big incident more an accumulation of things that were gradually wearing me down I had a worried patient confide in me that they had been too scared to push the call button on the previous shift because of the response they would receive from the nurse I saw patients constantly being made to fit into everyone elsersquos schedules regardless of their requests It seemed everyone was more important than the person we were there to help
I heard patients referred to as lsquocactusrsquo or described in the notes as lsquounsalvageablersquo meaning there was no chance of the patients making meaningful recoveries I wondered is this really how we refer to people Or did we forget they were actual human beings we were talking about
I had other health professionals dismiss me with comments such as nurses ldquojust wipe bums all dayrdquo or roll their eyes at me when I raised my concerns When I dared to challenge or question I was met with comments of ldquoI miss the old new gradsrdquo I felt tired washed out and was beginning to wonder
whether I could stay in this profession without losing myself
Luckily I found some inspiration I listened to a presentation by Drew Dudley a well-known American academic and motivational speaker where he discusses the idea of lsquolollypop momentsrsquo These are small moments when the people we see and work with every day demonstrate leadership They arenrsquot big grand over the top statements They are small gestures which often unknown to the person who did it have an amazing impact on the lives of others I was lucky enough to have some of these lollypop moments just when I needed them These few sparks were all that I needed to reignite my passion for nursing
The first spark came from an RN2 caring for a patient at the end-stage of a number of diseases who had expressed to the nursing staff multiple times her wish to simply be made comfortable as she knew this was the end of her fight Despite this the patient was not only receiving active treatment but was also currently documented for full resuscitation if she deteriorated
The nurse raised the issue with the medical registrar asking him to have a discussion with the patient regarding her wishes and planning end-of-life care The registrar dismissed her saying ldquowell thatrsquos not what the consultant wantsrdquo The nurse wasnrsquot satisfied and responded ldquoitrsquos not their choice itrsquos the patientrsquos decisionrdquo This nurse had the courage to stand her ground and make sure her patientrsquos voice was heard which ultimately led to the patientrsquos wishes being honoured
The next spark came soon after I was working with a nurse who came from a different cultural background to me where it was seen as impolite to question anyone in authority especially if you were female This meant even if a doctor was accidently standing in her way she would prefer to simply wait rather than ask them to move
Then one day we had a patient who deteriorated rapidly and was in a very critical condition This nurse suddenly became one of the best clinical leaders I have witnessed She led the team questioning orders prompting treatments suggesting causes and outlining the options available I soon realised the difference this was about her patient She was going to ensure her patient received the best care and outcome possible When it was about her patient rather than herself she found her voice
There were a number of smaller incidents that soon followed Sparks came from the senior consultant who re-educated her advanced trainee on the importance of listening to the nurses and acting on their concerns Sparks came from our ward social
34
worker who day after day demonstrated his passion for helping and advocating for those with no voice and often no options Sparks came from the medical residents who expressed their gratitude when you picked up a mistake and were heartfelt in their appreciation of the work nurses do
The brightest sparks came from my patients and their relatives It was their ldquothanksrdquo their ldquoyou donrsquot know how much that meansrdquo their ldquoyoursquoll be back tomorrow wonrsquot yourdquo their squeezing of my hand that reminded me why I do what I do I didnrsquot have to search for inspiration I was surrounded by it The trick was to change my focus
Perhaps all nurses are disillusioned at some point during their careers Perhaps it happens multiple times Perhaps it is a rite of passage with those who make it through the other side the
ones with a true passion for nursing who turn around and help a colleague on their journey
As I continue my nursing career I now look for the brightness that I know is always there far outshining the negativity that we have to deal with I stockpile my lsquolollypop momentsrsquo knowing the amazing examples of kindness and leadership I see every day will help me grow and become a better nurse and hopefully I might be able to be a spark for someone else
You can listen to Drew Dudleyrsquos talk at wwwtedcomtalksdrew_dudley_everyday_leadership
Halfer D and Graf E lsquoGraduate Nurse Perceptions of the Work Experiencersquo Nursing Economics June 2006 Vol 24 No 3 pp 150-55
National Nursing and Nurse Education Taskforce 2005 Mythbusters Available online at httpwwwnnnetgovaudownloadsmythbusters_attritionpdf Accessed June 2014
Arts amp Sciences | Business | Education | Health Sciences | Law | Medicine | Nursing amp Midwifery | Philosophy amp Theology | Physiotherapy
Your journey to a meaningful career awaitsThe School of Nursing amp Midwifery offers the following courses
rsaquo Bachelor of Nursing
rsaquo Bachelor of Nursing (Articulation Pathway for EN Diploma)
rsaquo Graduate Certificate (Acute Mental Health Clinical Nursing Nursing and Nursing Leadership amp Management)
rsaquo Graduate Diploma (Acute Mental Health Clinical Nursing Critical Care Nursing Forensic Nursing Midwifery Nursing and Perioperative Nursing)
rsaquo Master of Nursing (Coursework and Research)
Looking to make a difference So are we
Apply direct notredameeduau
ND
1053
| C
RIC
OS
PR
OV
IDE
R C
OD
E 0
1032
F
35
36
INSTITUTE OFHEALTH AND NURSING AUSTRALIA
RTO ID 21985 CRICOS Code 03386G
wwwihnaeduauenquiryihnaeduau1800 22 5283
Our Courses
bull Registered Nurse Re-entry to Practice Program
bull Registered Nurse Refresher Program
bull HLT51612 Diploma of Nursing (Enrolled-Division 2 Nursing)
bull HLT61107 Advanced Diploma of Nursing
The Institute of Health and Nursing Australia (IHNA) is one of Australias leading providers of comprehensive
health and nursing education at several levels IHNA is fast-growing dynamic and quality-driven institution committed to continuous improvement working hard to develop implement and deliver courses and professional development programs The courses offered by IHNA are prepared by experienced healthcare professionals and help students to pursue a successful career in Australian healthcare
Melbourne | Perth | Sydney
VET FEE HELP GOVT FUNDING AVAILABLE
Institute of Health and NursingAustralia
IHNA
Call 1800 675 839 for a Short-Form Product Disclosure Statement Prime Super (ABN 60 562 335 823) is issued by Prime Super Pty Ltd (ABN 81 067 241 016 AFSL 219723 RSE L0000277 RN 1000276)
VIC Expo Booth 33 | WA Expo Booth 17 | wwwprimesupercomau
Visit us at the Expo to find out morehellip
and enter our competition for your chance to WIN a $550
endota day spa voucher
Prime Super provides personal support to make super simpler
Now incorporating
11
VIC EXPO MELBOURNE
12
Welcome from the Chief Nurse amp Midwifery OfficerWelcome to the Australian College of Nursingrsquos 17th annual Nursing and Health Expo in Melbourne The Department of Health and Human Services in Victoria is a keen sponsor of this important event on the nursing calendar The Expo plays an important role in enhancing the profile of nursing as a profession which in turn promotes recruitment and retention of the nurses and midwives
As part of the health care team nurses and midwives are essential to the communityrsquos health and wellbeing Nurses and midwives play a critical role in delivering safe compassionate and quality care The Department of Health and Human Services encourages Victorian nurses and midwives to provide the best possible care for the community by providing clear strategic direction for the profession as well as supporting health services to implement initiatives across workforce development and reform
Being a nurse or midwife is a rewarding career but it is important to know if it is the right career choice for you In addition to having the relevant knowledge and skills nurses and midwives need to be compassionate caring and flexible Nursing and midwifery offers many and varied opportunities across multiple settings not only for graduates but for people of any age looking to enter the workforce
While traditionally nurses and midwives have always worked in hospitals they now work across multiple settings including general practice community-based services and aged-care services
The job market is competitive and opportunities will continue to be present for the existing returning and newly graduated nurses and midwives Because of the changing needs of the community there is often a contrast between where nurses and midwives prefer to work and where there are opportunities Growth opportunities are in areas such as rural aged care and chronic disease management and I encourage everyone to think beyond the traditional locations and to explore new and rewarding areas of employment
Senior members of the workforce are reminded of the important role we all play as professionals in encouraging and mentoring new starters and transitioning into other roles
Education and training is a lifelong journey essential to the continual development of the nursing and midwifery workforce which ensures highly skilled capable and critical decision makers
Associate Professor Alison McMillan MACN Chief Nurse and Midwifery Officer Department of Health amp Human Services VIC
13
Expo informationLocation
Visitors are often struck by the architectural brilliance of the Melbourne Convention and Exhibition Centre (MCEC) which has won some of Australiarsquos most prestigious architecture and design awards The Expo will be held in bays 17 and 18 of the MCEC
Doors open 9am ndash 1pm
Concourse
Link to convention
centre
Loading Dock
Normanby Road
Clar
endo
n St
reet
Entry Foyer
Clarendon Street
Entrance
ACN Expo Bays
17 amp 18
14
Seminars
This year the educational seminar series is back again to provide visitors with up to date information and practical skills to pursue or further their career Seminar attendance is free of charge and registration is not required
Time Topic Presented by
915am HESTA Your Partner for Career David Logan HESTA
950am Graduate NurseMidwifery Program Computer Match 2015 Paul Williamson Postgraduate Medical Council of Victoria
1025am Understanding delegation and supervision responsibilities and accountabilities
Associate Professor Alison McMillan MACN
Department of Health amp Human Services Victoria
1100am HESTA Your Partner for Career David Logan HESTA
1135am Graduate NurseMidwifery Program Computer Match 2015 Paul Williamson Postgraduate Medical Council of Victoria
1210pm Understanding delegation and supervision responsibilities and accountabilities
Associate Professor Alison McMillan MACN
Department of Health amp Human Services Victoria
The VIC Nursing amp Health Expo is proudly supported by
On 1 January 2015 the Victorian Government established the Department of Health amp Human Services bringing together the former Department of Health Department of Human Services and Sport and Recreation Victoria The department has been established to develop and deliver policies programs and services that support and enhance the wellbeing of all Victorians We take a broad view of the causes of ill health the drivers of good health the social and economic context in which people live and of the incidence and experience of vulnerability This will allow us to place people at the heart of policy-making service design and delivery
wwwdhhsvicgovau
15
Floor plan
BENC
H
SINK
ENTRANCEDOOR 9
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
20 21
22232425
26 27 28 29
30313233
34 35 36 37
38394041
42 43 44 45
46474849
50 51 52 53
54555657
58 59 60 61
62636465
66 67 68 69
7071727374
75
76
84
85
86
87
88
89
90
1918
16
Exhibitor listing
Organisation Name Booth Number
Alfred Health 6667
ANMF Victorian Branch 747576
Austin Health 4243
Australian Catholic University 89
Ballarat Health Services 62
BankVic 73
Baptcare 60
Belmore Nurses Bureau 47
Bendigo Health 44
Care Training Australia 17
Chisholm Institute of TAFE 19
Colbrow Healthcare 26
Critical Second 90
Crystal Clear Ear Clinic 6
Deakin University Nursing amp Midwifery 3435
Defence Force Recruiting 12
Eastern Health 3031
Epworth HealthCare 6465
Federation University Australia 41
First Call Health 40
First State Super 7
Forensicare 68
Health Skills Australia 72
HESTA 20
Holmesglen 4546
Institute of Health amp Nursing Australia 27
Kangan Institute 24
La Trobe University 121314
Martin Luther Homes 22
McFarlane Medical amp Scientific 23
mdBriefCase Australia 18
Mediserve Nursing Agency 28
Organisation Name Booth Number
Melbourne City Institute of Education 86
Mental Health Nursing Victoria 1011
Mercy Health 8788
Monash Health
Monash University 8485
NeilMed Pharmaceuticals 32
Northern Health 5354
NorthWestern Mental Health 59
Nurses Board of Victoria Legacy Limited
69
Nursing amp Midwifery Board of Australia 21
Peninsula Health 38
Peter MacCallum Cancer Centre 25
Postgraduate Medical Council of Victoria
71
Prime Super 33
Reflective Clinical Supervision Network 39
RMIT Faculty of Nursing 55
Royal Victorian Eye amp Ear Hospital 48
Sanita Australia 31
St Vincentrsquos Hospital 5051
St Vincentrsquos Mental Health 5
St Vincentrsquos Private Hospital 34
The Royal Melbourne Hospital 56
Tobin Brothers Funerals 49
University of Melbourne 89
University of Tasmania 52
Victoria University 57
Vital Health Recruitment 70
VNS Nursing Agency 58
Western District Health Service 63
Western Health 3637
Work the World 29
17
Graduate transition programs my personal experienceToo often we hear horror graduate stories Research shows horizontal violence and bullying is rampant in our profession We are told tales of the infamous ldquoeat our youngrdquo nursing culture We know graduates suffer transition shock when they start practicing and nearly 20 will leave in their first year
Unfortunately the good stories are often buried underneath the bad and so I wanted to share my graduate year experience When I started as an RN the only nursing experience I had were my clinical placements and a mere two months working as an AIN To say I was worried was a major understatement I was quietly petrified but tried to keep up a brave face
I had worked hard in university to learn as much as I could but I was still filled with doubts Would I be good enough Would I crash and burn Would I help or hinder my patientsrsquo recovery
My first day on the ward was sink or swim time I was amazed at the warm welcome I was given The other RNs were supportive and encouraging They made sure I knew if I felt myself struggling they would be there with a life-line
Every ward I rotated through gave me this same friendly reception Perhaps it was just luck or maybe our nursing culture is changing but I never encountered any of the pressure to change my values and practice in order to fit in that I had been told to expect Instead I found colleagues who understood I wouldnrsquot know everything on day one who were willing to take the time to teach me and who become great friends along the way
My clinical skills and knowledge increased out of sight during my graduate year I felt my university had given me a great foundation on which to build my career as an RN but my grad program cemented my theory into my practice I started the year having never removed a single stitch I ended the year confidently removing everything from sutures to ICCs and pacing wires while also successfully inserting NG tubes and cannulas Importantly I understood the pathophysiology and rationale behind each of these and could explain it to my patients
Irsquom not saying everyday was perfect Irsquom not saying every person was as helpful or welcoming as the next Irsquom not saying I didnrsquot have days when I struggled What I am saying is I never felt alone I knew the support was there all I had to do was ask
I know not every graduate nurse will have as positive an experience as I did Perhaps my journey was the exception not the rule However I hope the number of nurses who have an amazing graduate year like mine continues to increase until this becomes the norm
I do know that the success of your graduate year relies heavily on you and your attitude University teaches you how to think like a nurse but it is in clinical practice the real learning begins and it has a steep learning curve Approach your grad year knowing that everyone from the tea lady to the Director of Nursing will be your new teachers and success will come When the people you work with recognise your passion see your motivation to provide what is best for the patient and know you realise what a unique privilege it is to be a nurse their respect will follow
At the same time donrsquot be afraid to speak up for your patients for your colleagues and for yourself Harvey Fierstein said ldquoNever be bullied into silence Never allow yourself to be made a victim Accept no onersquos definition of your life define yourselfrdquo You have the ability to define your graduate year regardless of what hospital or ward you find yourself in
You can change the culture and reputation of the nursing profession for better or worse You can conform and join in bullying behaviour and continue negative traditions or you can decide it stops with you Set your standards high and have the moral courage to stick to them If every graduate nurse demonstrated this leadership and supported other nurses who did as well imagine the overwhelmingly positive impact that could have on nursing
Gandhi once said ldquoBe the change you want to see in the worldrdquo I would encourage you to be the change you want to see in nursing and just watch how the world changes with us
By Laurie Bickhoff MACN
18
Finishing studies and becoming a new graduate is an exciting milestone Itrsquos usually the first time you begin working full time perhaps moving away from home owning your own car and paying bills
Of course itrsquos important to budget ensuring you have enough money for daily expenses as well as being able to stash some money away The easiest way to keep track of your income versus expenses is to set up an everyday account with your salary paid into it and a savings account earning interest on the money yoursquore able to save In addition you might want to get a credit card so that yoursquove got some money for emergencies
Gain fee free banking freedom
With a BankVic Anywhere account you can enjoy unlimited free withdrawals at any ATM in Australia when you deposit $1000 per month1 Plus you can access your money with free unlimited eftpos transactions a Visa Debit card with paywave and a mobile App
Earn bonus interest on your savings
A BankVic Bonus Saver account is a high interest account that rewards you for saving by giving you bonus interest2 when you deposit a minimum of $100 a month and make no withdrawals plus there are no fees Itrsquos a great way to force yourself to save
Enjoy a credit card with no annual fee
A BankVic Visa Silver credit card offers great value with an introductory rate of 699pa3 for the first 6 months and a low ongoing rate plus no annual fee Itrsquos the perfect back up card
Why not call us today Call your dedicated Member Relationship Manager Phoebe Reid on 9268 9297 or via email preidbankviccomau
1 Minimum deposit of $1000 must be received in the account by close of business on the last business day of the month The deposit cannot be an internal transfer or interest earned form other BankVic products 2 Bonus Saver ndash Deposit $100 per calendar month with no withdrawals and yoursquoll be rewarded with bonus interest Bonus interest rate is capped at a maximum balance of $1000000 3 Credit Card interest rates are variable All interest rates are shown are current as at date of print and are subject to change Fees and charges apply Any advice is general before acting on the advice you should consider whether the advice is appropriate for you Before you make any decision to acquire any product or service you should obtain and consider the relevant Product Disclosure Statement available from our website bankviccomau any branch or by calling us on 13 63 73 Police Financial Services Limited ABN 33 087 651 661 AFSL 240923 Australian Credit Licence 240293ndash trading as BankVic 121 Cardigan Street Carlton Victoria 3053 3-15 5243BV
Advertorial
Banking freedom for nurses and midwives
members matter
Let BankVic take care of you while you take care of others
9268 9297preidbankviccomau
Canstar Pty Ltd Authorised Representative 443019 of Canstar Research Pty Limited ABN 29 114 422 909 AFSL 437917 Police Financial Services Limited ABN 33 087 651 661 AFSL 240293 (BankVic) 121 Cardigan Street Carlton Vic 3053 315 5280bv
Contact your dedicated Member Relationship Manager Phoebe Reid
bankviccomau
19
This is general advice only Consider our product disclosure statement before making a decision about First State Super Call us or visit fi rststatesupercomau for copies Becoming a Student Club member is diff erent to being a First State Super member as you do not hold a superannuation account with the Fund or have any interest right or other relationship with First State Super
FSS Trustee Corporation ABN 11 118 202 672 ASFL 293340 is the trustee of the First State Superannuation Scheme (First State Super) ABN 53 226 460 365 EXP_
Mel
b_Ex
po_A
4_03
15
Join our free Student Club and make the most of the support discounts and benefi ts available only to students
Learn to manage your super better and how you can take advantage of our exclusive member benefi ts
Find out why wersquore the super fund with a heart on Saturday 18 April
Visit us at booth 7 in Melbourne
EXP_Melb_Expo_A4_Mar15_ARTWORKindd 1 6032015 414 pm
By Claire Stewart MACN
Diary of a newly registered nurse
Irsquom almost three months into my role as a newly registered nurse and I had my first 40 Prolene moment recently For the uninitiated this can be a panic fuelled moment where a routine procedure ends up resembling the Texas chainsaw massacre Thankfully I was supported by a wonderfully calm surgeon who waited patiently while I painstakingly attempted to load his life saving suture After the surgery I wiped the blood from my glasses and took a moment to reflect on how I had handled the situation In fact Irsquove spent most of the last three months lsquoreflectingrsquo Deafening groans can be heard from many a third year nursing cohort when wersquore asked yet again to lsquocritically reflectrsquo on our practice as student nurses Let me be the first to admithellip It doesnrsquot stop at graduation
I may not use a dedicated framework or even put pen to paper but the skills I learned during my studies have set me up to ensure I gain the most from every learning opportunity by critically reflecting on my performance simply by force of habit During the last three months my learning curve has veered vertical as I transitioned from university study to my role as a
graduate registered nurse in perioperative services Irsquove had to deal with a new environment (donrsquot even get me started on finding your way around a theatre complex) new colleagues adjusting to full time work and managing family commitments learning an entire new skill set working as a scrubscout dealing with policies procedures and my favourite surgeonsrsquo preference
In these first few months itrsquos very easy to fall into the trap of focussing on how much you donrsquot know However practising critical reflection has allowed me to focus on what I do know how far Irsquove come and what I will learn because Irsquom self-aware Whether you are a new nurse like me and feel like yoursquove handed in one too many pieces of written reflection to your facilitator over the last three years or an experienced nurse who practices self-reflection sub-consciously on the drive home ndash embrace it for the wonderful tool that it is and use it to become the kind of nurse you want to work with
Be in demand Be successfulStudy nursing or midwifery at Monash If you want to make a difference in health care with great employment potential the School of Nursing and Midwifery is a great place to start
As a nurse or midwife there are a variety of roles and a number of specialty areas available to you ensuring a constant career of challenges and diversity
To find out more about our undergraduate courses visit us at ACN Expo Melbourne Stand 84 ndash 85
For more information on our courses visit medmonashedunursing
21
Research collaboration students are welcome
A collaborative research study in Queensland is tapping into the enthusiasm and intelligence of nursing students by training and employing third-years as research assistants data collectors and analysts in contract research projects
Researchers from James Cook Universityrsquos (JCU) Centre for Nursing and Midwifery Research (CNMR) the Far North Queensland Medicare Local and the Cairns and Hinterland Hospital and Health Service are trying to determine why emergency department (ED) presentations to Cairns Hospital have been increasing at a greater rate than the national average
To answer this question CNMR researchers recruited 14 nursing and medical students to survey every willing and able person who presented to the ED
Researchers asked participants for information regarding their reasons for coming to the ED They also asked where they would usually go for medical treatment and what physical and psychological factors influenced their decision to choose the ED over other treatment options
In other phases of the project hospital Emergency Department Information System (EDIS) data have been analysed and patient focus groups have been convened Unstinting faith in the local ED has been noted as one of the key reasons that people choose the ED over other health care options
Most people who come to the ED with lsquonon-urgentrsquo conditions do have general practitioners and a large percentage have sought medical advice in the days prior to presenting to the ED Worry anxiety and uncertainty rather than the severity of the medical condition itself however appears to be a significant motivator to come to the ED where people perceive there is a wide range of services professionals and diagnostic tools available
ACN Emerging Nurse Leader Anna Groth MACN a third-year nursing student from JCU has been collecting collating and analysing data
ldquoOften I would ask someone why they had come to the hospital and they would speak about being in pain but if you asked them about whether they came for the pain or because they were anxious about the pain they would say they had come to the hospital because of the anxietyrdquo explained Anna ldquoIt is such a huge difference ndash the motivation ndash coming for the pain or the anxietyrdquo
Anna said the project opened communication lines between people from different organisations including government university health service hospital and the community leading to collaboration and learning for all
By Marnie Hitchins
Benefits for the students included early career exposure to the research process in which they learnt about data collection analysis and research methods The students also had the opportunity to practise communication skills learn about the organisational cultures of universities and hospitals and work alongside health professionals and patients in a research environment
Students commented that because the power dynamics were different from that of clinical experience (they were not seen as health professionals by patients nor as lsquostudent nursesrsquo by health staff members) they gained insights into the hospital environment they might not otherwise have had
Anna said she learned a lot personally the ED research experience has catapulted her into another area of interest in which she can see herself working in the future
ldquoResearch and policy will be a part of my future Irsquove gained a deep interest in the treatment of women since doing this studyrdquo said Anna
ldquoI have become very interested in domestic violence and the way women are treated in the health service and in the society as a whole I was blown away by the struggle that people have with the system in trying to find support They are so lonely I recognised things being in the ED that I would like to research and have already started exploring the issuesrdquo
CNMR Director Associate Professor Jane Mills FACN said the recruitment and inclusion of students in research projects is part of a broader plan within the CNMR to build undergraduate research capacity
Jane said the CNMR also offered internships to undergraduate students to work on research projects alongside experienced scholars academics and researchers
ldquoJCU strongly supports the inclusion of undergraduate students in research studies where they can gain valuable knowledge skills and experience while also making a contribution to building the evidence base about health care issues of importance to people living in the tropicsrdquo said Jane
ldquoItrsquos a win-win situation where experienced researchers benefit from the studentsrsquo enthusiasm and familiarity with contemporary research principles and students increase their awareness of the importance of research to professional practicerdquo
It is clear to all parties involved that the inclusion of nursing students is benefitting the quality of the project as much as it is benefitting studentsrsquo learning and work experiences
22
Launch your nursing career at St Vincentrsquos
St Vincentrsquos Hospital Melbourne (SVHM) is part of St Vincentrsquos Health Australia and is a leading teaching research and tertiary health service which employs more than 5000 staff across 18 sites throughout Melbourne SVHM provides a diverse range of adult clinical services including acute medical and surgical services sub-acutecare medical diagnostics rehabilitation allied health mental health palliative care correctional health and community residential care SVHM is one of Australiarsquosleading Catholic not-for-prot healthcare providersMake the most of your talents Join the team at St Vincentrsquos
Visit us at the ACN Nursing and Health Expo 2015Find out about our 2016 Graduate Nurse Program andhave a chat to our current graduates educators and nursing staff
St Vincentrsquos Open Evening 2015Wednesday 3rd June 4pm-6pmSt Vincentrsquos Ground Floor Aikenhead Building 27 Victoria Parade Fitzroy
Welcome and Overview of the 2016 Graduate Nurse Program at 4pm 430pm amp 5pm
All welcome ndash no RSVP required
All 24 rotational areas on displayTours of inpatient wardsComplimentary food and beverages provided
For further information visit wwwsvhmorgau or phone the Graduate Nurse Hotline 9231 2244
To follow our 2016 recruitment process Like us at SVHM 2016 Graduate Nurse Program
Compassion Justice Integrity Excellence
24
INTERESTED IN STUDYING DEAKIN NURSING AND MIDWIFERYWe are holding information sessions for our undergraduate courses
BURWOOD CAMPUS 221 BURWOOD HIGHWAY BURWOODWednesday 22 July 6ndash8 pmSaturday 25 July 230ndash430 pm
WATERFRONT CAMPUS 1 GHERINGHAP STREET GEELONGWednesday 22 July 6ndash8 pmSaturday 25 July 230ndash430 pm
WARRNAMBOOL CITY CENTRE 165 TIMOR STREET WARRNAMBOOLFriday 24 July 730 pm
raquo To register your attendance at one of the information sessions above please email nursinfodeakineduau to advise which session you plan to attend
For more information about our undergraduate and postgraduate courses please phone 03 9244 6032
Deakin University CRICOS Provider Code 00113B HLH002
deakineduaunursing
Itrsquos never too early to become a leader
How did you become involved in nursing
I started volunteering from age 14 with St John Ambulance Australia in my hometown of Moruya NSW I loved everything about it ndash loved the joy of helping others and I was so intrigued to learn how to respond effectively in emergencies and show true compassion to others I was also fortunate to have had some very down-to-earth and inspiring mentors who encouraged my interest in nursing and after graduation from high school I undertook the University of Wollongongrsquos Bachelor of Nursing degree
I started my first paid nursing related employment in my third year of the degree at a local hospital I have now graduated and am working as a registered nurse (RN) in a local aged care facility learning the ins and outs of multiple comorbidities patient-centred care and compassionate palliative and end-of-life care
What is your nursing specialty
As I still consider myself as a lsquonewbiersquo RN I havenrsquot really discovered a specialty yet though I have interests in aged care mental health cardiology and nursing research So I guess I am intrigued to be involved in one or all of these areas at some point in my career but I am open to any interesting opportunities that may come my way
What do you love most about nursing
This is truly the job that never has a dull day Each day is different and I feel privileged to be so trusted with the lives of my patients and residents in their moments of hardship and need Along with my love of the workings of the human body the evidence-base behind nursing care and continuous educational opportunities I love the lsquoteamrsquo focus of nursing especially when the patient is at the centre of decision making and everything goes to plan
What is your least favourite part of nursing
When everything doesnrsquot go to plan
What brought you to this area of Australia
Irsquom originally from NSW South but I moved to Wollongong for University and have stuck around for the area the people and to continue to work and study here
What are some of the nursing and health issues that are specific to the Sydney SouthIllawarra Region
Two big issues come to mind Firstly many newly graduated RNs within our region have been unable to find employment Secondly local nurses struggle to find the time within their working hours to keep up to date with advances in education
What do you see as the biggest challenge currently facing the nursing profession and how do you think the profession is placed to respond to these challenges
I believe possible health funding cuts and workforce shortages that in-turn affect our ability to provide adequate and safe patient care are two significant challenges facing our profession There are recently graduated RNs who remain jobless yet there are local health districts crying out for nurses but only those with lsquoexperiencersquo with undergraduate nursing experience ignored Looking into alternative transition programs is key to overcoming this challenge
Whatrsquos the biggest misconception about your career choice
I have met some amazingly talented and intelligent nurses in a variety of roles who all make a great difference in the lives of their patients or indirectly through organisations or research The general misconception that irks me isnrsquot so much a misconception more a statement Irsquove heard multiple times ndash ldquoWhy didnrsquot you become a doctor Why are you just a nurserdquo I did not become a nurse because I didnrsquot have the marks to be a doctor and by the time I finish university again with a Research Masters I would have physically been enrolled in university for the same length of time I became a nurse because I found a passion for this role and spending time with people inspires me
Nursing is a holistic role that encompasses so much We are health professionals role models educators support systems and innovators we understand intimately the fragility of life and the human relationships that bring it meaning
Profile Renee Callender MACN
LeadershipACN
Expand your leadership capacity
25
INTERESTED IN STUDYING DEAKIN NURSING AND MIDWIFERYWe are holding information sessions for our undergraduate courses
BURWOOD CAMPUS 221 BURWOOD HIGHWAY BURWOODWednesday 22 July 6ndash8 pmSaturday 25 July 230ndash430 pm
WATERFRONT CAMPUS 1 GHERINGHAP STREET GEELONGWednesday 22 July 6ndash8 pmSaturday 25 July 230ndash430 pm
WARRNAMBOOL CITY CENTRE 165 TIMOR STREET WARRNAMBOOLFriday 24 July 730 pm
raquo To register your attendance at one of the information sessions above please email nursinfodeakineduau to advise which session you plan to attend
For more information about our undergraduate and postgraduate courses please phone 03 9244 6032
Deakin University CRICOS Provider Code 00113B HLH002
deakineduaunursing
WA EXPO PERTH
26
Welcome from the Chief Nurse amp Midwifery OfficerI am so pleased to be welcoming you to the Australian College of Nursingrsquos Western Australian Nursing and Health Expo for 2015
Attending the Expo is an invaluable experience for anyone interested in nursing and midwifery careers It especially helps high school students and their parents or anyone who is wondering which career direction to take
Hospitals and health services from across WA will be there with some of their nurses and midwives in attendance to answer any questions you may have Come and find out from them what itrsquos really like to be a nurse or midwife
There will also be a range of education providers who will be able to talk about the many courses available to get your career started
It is also a great place to come to discuss and find out about graduate job opportunities building your experience career development opportunities financial support to study changing employers or even returning to a career in nursing or midwifery after being away for a while
The decision to become a nurse or a midwife is a wonderful career choice for anyone who wants to be part of a diverse healthcare professional team and have a challenging rewarding and exciting job where you really can make a difference
The future demand for nurses and midwives is going to be high especially as WArsquos new Fiona Stanley Perth Childrenrsquos Busselton and Midland hospitals all start becoming fully operational so we encourage you to attend the Expo to see where nursing and midwifery might take you
I look forward to seeing you on Friday 1 May 2015 at the Perth Convention and Exhibition Centre
Karen Bradley MACN Chief Nurse and Midwifery Officer WA Health
27
Expo informationLocation
The Perth Convention and Exhibition Centre (PCEC) is Western Australiarsquos only dedicated convention and exhibition facility Each year over 500000 people attend one or more of the 600 plus events conducted at PCEC The Expo will be held in Pavillion 1 at PCEC
Doors open 9am ndash 1pm
Entry
Stairs amp Escalators to Level 2
Registration DeskEntry Foyer
Entry
ACN Expo Pavillion 1
28
Seminars
This year the educational seminar series is back again to provide visitors with up to date information and practical skills to pursue or further their career Seminar attendance is free of charge and registration is not required
Time Topic Presented by
915am How to become a nurse or midwife Rebecca Newton WA Nursing and Midwifery Office
950am Applying via GradConnect and other opportunities for graduate nurses and midwives
Regina Browne WA Nursing and Midwifery Office
1025am Unleashing the potential of your staff Lisa Ansbro and Donna Hampshire Chandler Macleod Health
1100am How to become a nurse or midwife Rebecca Newton WA Nursing and Midwifery Office
1135am Applying via GradConnect and other opportunities for graduate nurses and midwives
Regina Browne WA Nursing and Midwifery Office
1210pm Unleashing the potential of your staff Lisa Ansbro and Donna Hampshire Chandler Macleod Health
The lsquoUnleashing the potential of your staffrsquo seminar is proudly supported by
Chandler Macleod is Australasiarsquos leading provider of integrated HR services products and technologies We have more than 55 yearsrsquo experience in human resources and have specialised within the health sector for 10 of these We are ideally positioned to help you meet the growing demands on your business We provide permanent and temporarycontract recruitment for the full range of Health professions including Carers and Support Workers Enrolled Nurses Registered Nurses Facility and Operations Managers Directors Cleaners and Kitchen staff We are able to provide you with experienced caring staff 247 including public holidays
For more information contact Chandler Macleod on (08) 9217 0510 or visit wwwchandlermacleodcomclientshealth-recruitment
29
Floor plan
42 41
39
40
38
36
37
35
43
44
45
46
47
48
Entrance
Seminar area
Cafeacute
7
5
8
6
20
18
19
17
11
9
12
10
16
14
15
13
34 33 32 31 30 29 28
30
Exhibitor listing
Organisation Name Booth Number
AACDS 8
Armadale Health Service 38
Belmore Nurses Bureau 30
Central Institute of Technology 20
Chandler Macleod Health 16
Child amp Adolescent Health Service 42
Curtin University of Technology 19
Defence Force Recruiting 910
Edith Cowan University - School of Nursing and Midwifery
3334
Fiona Stanley Hospital 36
Fremantle Hospital 44
HESTA 5
Hollywood Private Hospital 7
Institute of Health amp Nursing Australia 32
Mediserve Nursing Agency 6
Murdoch University 1112
My Flex Health International 18
Organisation Name Booth Number
Next Step 48
North Metropolitan Mental Health 35
NurseWest 47
Nursing amp Midwifery Board of Australia 29
Osborne Park Hospital 46
Prime Super 17
PampN Bank 15
Rockingham General Hospital 39
Royal Perth Hospital 37
Sir Charles Gairdner Hospital 45
The Bethanie Group Inc 31
The University of Notre Dame 13
WA Country Health Service 40
WA Nursing amp Midwifery Office 43
West Coast Institute of Training 14
Women amp Newborn Health Service 41
Work the World 28
The WA Nursing amp Health Expo is proudly supported by
The WA Nursing and Midwifery Office is very proud to partner once again with the Australian College of Nursing for the 2015 Nursing and Health Expo The nursing and midwifery professions offer an array of interesting and diverse experiences With these highly valued and respected skills relevant anywhere in the world nurses and midwives will always be in demand ndash in hospitals and in a range of other workplaces In WA the future demand for nurses and midwives is going to be high especially as our new Fiona Stanley Perth Childrenrsquos Busselton and Midland hospitals all start becoming fully operational so considering a career in nursing or midwifery is a great idea
wwwnursinghealthwagovau
31
In Australia enrolled nurses (ENs) are a core component of the health care workforce and make an important contribution to Australiarsquos world-class health outcomes ENs work in varied settings across the country from blood services to aged care facilities Increasingly ENs are playing an important role in meeting the growing demand for care
Not all countries have recognised the importance of ENs in the nurse workforce mix Several European countries including France Denmark Italy and Spain have only one category of regulated nurse (HWA 2013 Robinson and Griffiths 2007) The United Kingdom (UK) ceased admitting new ENs to the register in the 1980s The minimum qualification for all UK nurses is now a three-year bachelorrsquos degree As a result the UK relies heavily on unregistered health care assistants rather than second-level nurses (UK Department of Health 2013) Closer to home New Zealand ceased training ENs in 1993 only to recommence in the 2000s (Meek 2009) New Zealandrsquos experiment is an instructive demonstration of the importance of ENs in the health care workforce as the demand for nursing care increases
In Australia we have remained committed to maintaining the EN role Rather than relying on unregistered health care workers Australia has chosen to maintain a large educated and professional EN workforce The skilled work of ENs is recognised to be of paramount importance to the delivery of high quality nursing care Our EN workforce is highly dynamic and continues to evolve within the changing landscape of Australian health care policy and regulation
Enrolled nurse demographics
According to the latest national figures there are 51624 ENs working in Australia The great majority of ENs have completed their pre-registration education in Australia fewer than 5 have been educated overseas (HWA 2013)
The EN workforce has a relatively high average age of 46 years and forty-five per cent of ENs have celebrated their fiftieth birthdays (AIHW 2013) According to Health Workforce Australia the ageing EN workforce could lead to a significant shortfall in the supply of ENs if action is not taken to retain the current cohort of ENs and increase the number of people studying to be the ENs of tomorrow (HWA 2012)
Men make up roughly 10 of the EN workforce While this number is rising gradually it indicates that there is progress to be made in terms of attracting and retaining males within the profession Aboriginal and Torres Strait Islander people are
also underrepresented in the EN workforce only around 800 of Australiarsquos ENs identify as Indigenous Australians (AIHW 2013)
Among the most common work settings for ENs are aged care rehabilitation and disability services In contrast ENs make up fewer than 5 of the critical care nursing workforce and represent only a small proportion of nurses working in education policy and management (AIHW 2013)
These statistics show that there are both challenges and opportunities for Australiarsquos EN workforce Efforts to recruit and retain ENs will need to be enhanced with a particular focus on encouraging men and Aboriginal and Torres Strait Islander people to become ENs At the same time roles in a wider range of clinical areas are becoming available to suitably educated and qualified ENs and there will be more such opportunities in the coming years
A growing role for ENs
The evolving role of the EN is reflected in recent changes to educational requirements for ENs As of 1 July 2014 the Certificate IV in enrolled nursing ceased to be available and the minimum qualification for EN entry to practice will be the Diploma of Nursing The transition to a Diploma recognises the high level of skill ENs contribute to todayrsquos health care teams A nationally consistent approach to EN education is also likely to enhance the mobility of the EN workforce by giving employers confidence in the knowledge and skills of ENs educated in other states
ENs are now undertaking a diverse range of roles One of the earliest areas of role expansion for ENs was medication endorsement Before the move to national registration in 2010 ENs in some states were able to obtain an endorsement in medicines administration and become Endorsed Enrolled Nurses by completing specified education units This endorsement has now been phased out because from 2008 onwards all newly qualified ENs have completed the required medicines administration education Instead the register now identifies ENs who have not completed the required courses (NMBA 2014) This example demonstrates how the EN role has evolved over the years Whereas once only a relatively small number of ENs were educated to administer medicines now all student ENs complete medicines administration units as part of their initial nursing education
The EN role is also expanding in other ways For example ENs are taking on a growing role within haemodialysis units (Tranter et al 2011) The 2008 Australia and New Zealand Dialysis Workforce Survey conducted by the Renal Society of Australia found that there were 188 ENs working in dialysis alongside 2433 registered nurses (RNs) The growing demand for dialysis
The potential of the enrolled nursing workforce
By Rosina Muir and Dr Marlene Eggert MACN
32
services and the shortage of dialysis RNs in some areas represents a clear opportunity for ENs According to a New South Wales study conducted in 2009 the scope of practice of ENs in haemodialysis units may include cannulation (including both native access and buttonhole cannulation) connecting and disconnecting haemodialysis central venous catheters (CVCs) performing CVC dressings giving iron infusions and administering erythropoietin anticoagulants and Lignocaine In addition ENs may also take on a case management or health promotion role for dialysis patients (Bennett et al 2009)
ENs are also moving into extended roles in rehabilitation services A recent study of ENs in an Australian rehabilitation facility found that in addition to assisting patients with activities of daily living ENs may take on roles in coaching and supporting patients to reach their individual goals monitoring the patientrsquos progress and liaising with other members of the multidisciplinary rehabilitation team The study found that many ENs demonstrate an understanding of the philosophy of rehabilitation nursing including goal setting and enabling self-care (Pryor and Buzio 2013)
In rural Australia ENs are taking on a diverse range of roles within the EN scope of practice in order to meet local needs ENs with specialist skills such as infection control or wound care make a significant contribution to some rural health services although their extended scope of practice is not always given appropriate recognition by their RN colleagues (Nankervis et al 2008) Rural health services are increasingly recognising that supporting ENs to take on extended roles and further develop their clinical skills can be a successful model for the delivery of high quality patient care
Recognising the evolving EN scope of practice
In light of the fact that there have been significant changes to EN education regulation and scope over the last decade the NMBA has commissioned Monash University to review the currency of the standards against contemporary enrolled nursing roles The Monash University project has involved a review of the literature as well as a series of focus groups and surveys to gather insights from both RNs and ENs on the education scope of practice and supervision of ENs (Monash University 2013) The project is expected to be completed in 2014 (NMBA 2013)
Our advocacy for ENs
ACNrsquos advocacy priorities are explicitly designed to support both registered and enrolled nurses In 2014 ACN has argued for a range of policies that would have a positive impact on the
retention and flexibility of enrolled nurses For example ACN has proposed a National Transition Framework to support the flexibility and mobility of both the EN and the RN workforces The Framework would be accessible to nurses entering the workforce as well as nurses transitioning from one area of practice to another For example it would support an EN wishing to transition from the aged care sector to a hospital-based role
ACN has also put forward a proposal for a new scholarship program to support newly registered and enrolled nurses to practice in rural services It is essential that rural health service providers are able to attract appropriately educated staff including both ENs and RNs in order to maintain an optimal skill mix The scholarship scheme will allow rural health services to employ newly registered and enrolled nurses as supernumerary team members while providing them with a structured clinical learning program
ACN will continue to provide a voice for ENs in policy discussions and advocate for the role of ENs in health care delivery Australian Institute of Health and Welfare 2013 Nursing and midwifery workforce 2012 lthttpwwwaihwgovauWorkAreaDownloadAssetaspxid=60129545314gt pp 6
Bennett P McNeill L Polaschek N 2009 lsquoThe Australian and New Zealand Dialysis Workforcersquo Renal Society of Australasia Journal vol 5 no3 pp 147-151 lthttpwwwrenalsocietyorgRSAJjournalnov09bennett2pdfgt
Health Workforce Australia 2012 Health Workforce 2025 Doctors Nurses and Midwives vol 1 lthttpwwwhwagovausitesuploadsFinalReport_Volume1_FINAL-20120424pdfgt pp 137-142
Health Workforce Australia 2013 Nurses in Focus lthttpwwwhwagovausitesuploadsNurses-in-Focus-FINALpdfgt
Meek G 2010 Second level nurses a critical examination of their evolving role in New Zealand Healthcare lthttpresearcharchivewintecacnz9621Repository_entry_HLNU902pdfgt pp 3
Monash University 2013 The National Review of the Enrolled Nurse Competency Standards lthttpwwwmedmonashedunursingcompetency-standardsgt
Nankervis K Kenny A Bish M 2008 Enhancing scope of practice for the second level nurse A change process to meet growing demand for rural health services lthttpwwwncbinlmnihgovpubmed18844530gt
Nursing and Midwifery Board of Australia 2013 Communique Meeting of the Nursing and Midwifery Board of Australia 27 February 2013 in the AHPRA Hobart Office TasmanialthttpwwwnursingmidwiferyboardgovauNewsCommuniques-from-Board-meetingsaspxgt
Nursing and Midwifery Board of Australia 2014 Enrolled nurses and medicine administration lt httpwwwnursingmidwiferyboardgovauCodes-Guidelines-StatementsFAQaspxgt
Pryor J Buzio A 2013 lsquoDo ldquotwo typesrdquo of ENs work in rehabilitation in Australiarsquo Journal of the Australasian Rehabilitation Nurses Association vol 16 no 1 pp 14-19 lthttpsearchinformitcomaudocumentSummarydn=480975443102792res=IELHEAgt
Robinson S and Griffiths P 2007 Nursing education and regulation International profiles and perspectives lthttpeprintssotonacuk3487721NurseEduProfilespdfgt pp 7-17
Tranter S Westgarth F White G 2011 lsquoThe scope of practice of the haemodialysis Enrolled Nurse in new South Walesrsquo Renal Society of Australasia Journal vol 7 no 1 pp 24-29 lthttpwwwrenalsocietyorgRSAJjournalmar11Tranterpdfgt
United Kingdom Department of Health 2013 The Cavendish Review An Independent Review into Healthcare Assistants and Support Workers in the NHS and social care settings lthttpswwwgovukgovernmentuploadssystemuploadsattachment_datafile236212Cavendish_Reviewpdfgt pp 6
33
By Laurie Bickhoff MACN
Diary of a newly registered nurse
In Australia it is estimated nearly 20 of nurses will leave the profession within their first year of practice (National Nursing and Nurse Education Taskforce [NNNET] 2005) Internationally this figure ranges from between 35 and 60 (Halfer amp Graf 2006) Many have speculated on the reasons for this with high workloads the difficulties of shift work and unrealistic expectations of what nursing entails all given due consideration (Halfer amp Graf 2006) However as I entered my second year of practice I began to wonder what role disillusionment plays in this exodus of newly trained nurses
Disillusionment to me occurs when you feel your passion dwindling when you suddenly find it that little bit harder to get ready for work when you start feeling a sense of dread as you walk onto the ward This wasnrsquot caused by long hours or ever increasing workloads coupled with diminishing resources It wasnrsquot caused by physically demanding duties or the lack of a social life due to shift work It wasnrsquot caused by dealing with things that might not look or smell that great Unfortunately it was caused by the people around me and an almost institutionalised lack of power not only for nurses but more importantly for our patients
I was dismayed and frustrated to hear how many of my colleagues from all health professions referred to patients I was disheartened to see how easily some could dismiss the suffering we see and the heartache I felt I was overwhelmingly saddened to realise not everyone had the same passion for their profession or empathy for those we are charged to care for as I did
This culminated for me towards the end of my first year of practice There wasnrsquot any one big incident more an accumulation of things that were gradually wearing me down I had a worried patient confide in me that they had been too scared to push the call button on the previous shift because of the response they would receive from the nurse I saw patients constantly being made to fit into everyone elsersquos schedules regardless of their requests It seemed everyone was more important than the person we were there to help
I heard patients referred to as lsquocactusrsquo or described in the notes as lsquounsalvageablersquo meaning there was no chance of the patients making meaningful recoveries I wondered is this really how we refer to people Or did we forget they were actual human beings we were talking about
I had other health professionals dismiss me with comments such as nurses ldquojust wipe bums all dayrdquo or roll their eyes at me when I raised my concerns When I dared to challenge or question I was met with comments of ldquoI miss the old new gradsrdquo I felt tired washed out and was beginning to wonder
whether I could stay in this profession without losing myself
Luckily I found some inspiration I listened to a presentation by Drew Dudley a well-known American academic and motivational speaker where he discusses the idea of lsquolollypop momentsrsquo These are small moments when the people we see and work with every day demonstrate leadership They arenrsquot big grand over the top statements They are small gestures which often unknown to the person who did it have an amazing impact on the lives of others I was lucky enough to have some of these lollypop moments just when I needed them These few sparks were all that I needed to reignite my passion for nursing
The first spark came from an RN2 caring for a patient at the end-stage of a number of diseases who had expressed to the nursing staff multiple times her wish to simply be made comfortable as she knew this was the end of her fight Despite this the patient was not only receiving active treatment but was also currently documented for full resuscitation if she deteriorated
The nurse raised the issue with the medical registrar asking him to have a discussion with the patient regarding her wishes and planning end-of-life care The registrar dismissed her saying ldquowell thatrsquos not what the consultant wantsrdquo The nurse wasnrsquot satisfied and responded ldquoitrsquos not their choice itrsquos the patientrsquos decisionrdquo This nurse had the courage to stand her ground and make sure her patientrsquos voice was heard which ultimately led to the patientrsquos wishes being honoured
The next spark came soon after I was working with a nurse who came from a different cultural background to me where it was seen as impolite to question anyone in authority especially if you were female This meant even if a doctor was accidently standing in her way she would prefer to simply wait rather than ask them to move
Then one day we had a patient who deteriorated rapidly and was in a very critical condition This nurse suddenly became one of the best clinical leaders I have witnessed She led the team questioning orders prompting treatments suggesting causes and outlining the options available I soon realised the difference this was about her patient She was going to ensure her patient received the best care and outcome possible When it was about her patient rather than herself she found her voice
There were a number of smaller incidents that soon followed Sparks came from the senior consultant who re-educated her advanced trainee on the importance of listening to the nurses and acting on their concerns Sparks came from our ward social
34
worker who day after day demonstrated his passion for helping and advocating for those with no voice and often no options Sparks came from the medical residents who expressed their gratitude when you picked up a mistake and were heartfelt in their appreciation of the work nurses do
The brightest sparks came from my patients and their relatives It was their ldquothanksrdquo their ldquoyou donrsquot know how much that meansrdquo their ldquoyoursquoll be back tomorrow wonrsquot yourdquo their squeezing of my hand that reminded me why I do what I do I didnrsquot have to search for inspiration I was surrounded by it The trick was to change my focus
Perhaps all nurses are disillusioned at some point during their careers Perhaps it happens multiple times Perhaps it is a rite of passage with those who make it through the other side the
ones with a true passion for nursing who turn around and help a colleague on their journey
As I continue my nursing career I now look for the brightness that I know is always there far outshining the negativity that we have to deal with I stockpile my lsquolollypop momentsrsquo knowing the amazing examples of kindness and leadership I see every day will help me grow and become a better nurse and hopefully I might be able to be a spark for someone else
You can listen to Drew Dudleyrsquos talk at wwwtedcomtalksdrew_dudley_everyday_leadership
Halfer D and Graf E lsquoGraduate Nurse Perceptions of the Work Experiencersquo Nursing Economics June 2006 Vol 24 No 3 pp 150-55
National Nursing and Nurse Education Taskforce 2005 Mythbusters Available online at httpwwwnnnetgovaudownloadsmythbusters_attritionpdf Accessed June 2014
Arts amp Sciences | Business | Education | Health Sciences | Law | Medicine | Nursing amp Midwifery | Philosophy amp Theology | Physiotherapy
Your journey to a meaningful career awaitsThe School of Nursing amp Midwifery offers the following courses
rsaquo Bachelor of Nursing
rsaquo Bachelor of Nursing (Articulation Pathway for EN Diploma)
rsaquo Graduate Certificate (Acute Mental Health Clinical Nursing Nursing and Nursing Leadership amp Management)
rsaquo Graduate Diploma (Acute Mental Health Clinical Nursing Critical Care Nursing Forensic Nursing Midwifery Nursing and Perioperative Nursing)
rsaquo Master of Nursing (Coursework and Research)
Looking to make a difference So are we
Apply direct notredameeduau
ND
1053
| C
RIC
OS
PR
OV
IDE
R C
OD
E 0
1032
F
35
36
VIC EXPO MELBOURNE
12
Welcome from the Chief Nurse amp Midwifery OfficerWelcome to the Australian College of Nursingrsquos 17th annual Nursing and Health Expo in Melbourne The Department of Health and Human Services in Victoria is a keen sponsor of this important event on the nursing calendar The Expo plays an important role in enhancing the profile of nursing as a profession which in turn promotes recruitment and retention of the nurses and midwives
As part of the health care team nurses and midwives are essential to the communityrsquos health and wellbeing Nurses and midwives play a critical role in delivering safe compassionate and quality care The Department of Health and Human Services encourages Victorian nurses and midwives to provide the best possible care for the community by providing clear strategic direction for the profession as well as supporting health services to implement initiatives across workforce development and reform
Being a nurse or midwife is a rewarding career but it is important to know if it is the right career choice for you In addition to having the relevant knowledge and skills nurses and midwives need to be compassionate caring and flexible Nursing and midwifery offers many and varied opportunities across multiple settings not only for graduates but for people of any age looking to enter the workforce
While traditionally nurses and midwives have always worked in hospitals they now work across multiple settings including general practice community-based services and aged-care services
The job market is competitive and opportunities will continue to be present for the existing returning and newly graduated nurses and midwives Because of the changing needs of the community there is often a contrast between where nurses and midwives prefer to work and where there are opportunities Growth opportunities are in areas such as rural aged care and chronic disease management and I encourage everyone to think beyond the traditional locations and to explore new and rewarding areas of employment
Senior members of the workforce are reminded of the important role we all play as professionals in encouraging and mentoring new starters and transitioning into other roles
Education and training is a lifelong journey essential to the continual development of the nursing and midwifery workforce which ensures highly skilled capable and critical decision makers
Associate Professor Alison McMillan MACN Chief Nurse and Midwifery Officer Department of Health amp Human Services VIC
13
Expo informationLocation
Visitors are often struck by the architectural brilliance of the Melbourne Convention and Exhibition Centre (MCEC) which has won some of Australiarsquos most prestigious architecture and design awards The Expo will be held in bays 17 and 18 of the MCEC
Doors open 9am ndash 1pm
Concourse
Link to convention
centre
Loading Dock
Normanby Road
Clar
endo
n St
reet
Entry Foyer
Clarendon Street
Entrance
ACN Expo Bays
17 amp 18
14
Seminars
This year the educational seminar series is back again to provide visitors with up to date information and practical skills to pursue or further their career Seminar attendance is free of charge and registration is not required
Time Topic Presented by
915am HESTA Your Partner for Career David Logan HESTA
950am Graduate NurseMidwifery Program Computer Match 2015 Paul Williamson Postgraduate Medical Council of Victoria
1025am Understanding delegation and supervision responsibilities and accountabilities
Associate Professor Alison McMillan MACN
Department of Health amp Human Services Victoria
1100am HESTA Your Partner for Career David Logan HESTA
1135am Graduate NurseMidwifery Program Computer Match 2015 Paul Williamson Postgraduate Medical Council of Victoria
1210pm Understanding delegation and supervision responsibilities and accountabilities
Associate Professor Alison McMillan MACN
Department of Health amp Human Services Victoria
The VIC Nursing amp Health Expo is proudly supported by
On 1 January 2015 the Victorian Government established the Department of Health amp Human Services bringing together the former Department of Health Department of Human Services and Sport and Recreation Victoria The department has been established to develop and deliver policies programs and services that support and enhance the wellbeing of all Victorians We take a broad view of the causes of ill health the drivers of good health the social and economic context in which people live and of the incidence and experience of vulnerability This will allow us to place people at the heart of policy-making service design and delivery
wwwdhhsvicgovau
15
Floor plan
BENC
H
SINK
ENTRANCEDOOR 9
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
20 21
22232425
26 27 28 29
30313233
34 35 36 37
38394041
42 43 44 45
46474849
50 51 52 53
54555657
58 59 60 61
62636465
66 67 68 69
7071727374
75
76
84
85
86
87
88
89
90
1918
16
Exhibitor listing
Organisation Name Booth Number
Alfred Health 6667
ANMF Victorian Branch 747576
Austin Health 4243
Australian Catholic University 89
Ballarat Health Services 62
BankVic 73
Baptcare 60
Belmore Nurses Bureau 47
Bendigo Health 44
Care Training Australia 17
Chisholm Institute of TAFE 19
Colbrow Healthcare 26
Critical Second 90
Crystal Clear Ear Clinic 6
Deakin University Nursing amp Midwifery 3435
Defence Force Recruiting 12
Eastern Health 3031
Epworth HealthCare 6465
Federation University Australia 41
First Call Health 40
First State Super 7
Forensicare 68
Health Skills Australia 72
HESTA 20
Holmesglen 4546
Institute of Health amp Nursing Australia 27
Kangan Institute 24
La Trobe University 121314
Martin Luther Homes 22
McFarlane Medical amp Scientific 23
mdBriefCase Australia 18
Mediserve Nursing Agency 28
Organisation Name Booth Number
Melbourne City Institute of Education 86
Mental Health Nursing Victoria 1011
Mercy Health 8788
Monash Health
Monash University 8485
NeilMed Pharmaceuticals 32
Northern Health 5354
NorthWestern Mental Health 59
Nurses Board of Victoria Legacy Limited
69
Nursing amp Midwifery Board of Australia 21
Peninsula Health 38
Peter MacCallum Cancer Centre 25
Postgraduate Medical Council of Victoria
71
Prime Super 33
Reflective Clinical Supervision Network 39
RMIT Faculty of Nursing 55
Royal Victorian Eye amp Ear Hospital 48
Sanita Australia 31
St Vincentrsquos Hospital 5051
St Vincentrsquos Mental Health 5
St Vincentrsquos Private Hospital 34
The Royal Melbourne Hospital 56
Tobin Brothers Funerals 49
University of Melbourne 89
University of Tasmania 52
Victoria University 57
Vital Health Recruitment 70
VNS Nursing Agency 58
Western District Health Service 63
Western Health 3637
Work the World 29
17
Graduate transition programs my personal experienceToo often we hear horror graduate stories Research shows horizontal violence and bullying is rampant in our profession We are told tales of the infamous ldquoeat our youngrdquo nursing culture We know graduates suffer transition shock when they start practicing and nearly 20 will leave in their first year
Unfortunately the good stories are often buried underneath the bad and so I wanted to share my graduate year experience When I started as an RN the only nursing experience I had were my clinical placements and a mere two months working as an AIN To say I was worried was a major understatement I was quietly petrified but tried to keep up a brave face
I had worked hard in university to learn as much as I could but I was still filled with doubts Would I be good enough Would I crash and burn Would I help or hinder my patientsrsquo recovery
My first day on the ward was sink or swim time I was amazed at the warm welcome I was given The other RNs were supportive and encouraging They made sure I knew if I felt myself struggling they would be there with a life-line
Every ward I rotated through gave me this same friendly reception Perhaps it was just luck or maybe our nursing culture is changing but I never encountered any of the pressure to change my values and practice in order to fit in that I had been told to expect Instead I found colleagues who understood I wouldnrsquot know everything on day one who were willing to take the time to teach me and who become great friends along the way
My clinical skills and knowledge increased out of sight during my graduate year I felt my university had given me a great foundation on which to build my career as an RN but my grad program cemented my theory into my practice I started the year having never removed a single stitch I ended the year confidently removing everything from sutures to ICCs and pacing wires while also successfully inserting NG tubes and cannulas Importantly I understood the pathophysiology and rationale behind each of these and could explain it to my patients
Irsquom not saying everyday was perfect Irsquom not saying every person was as helpful or welcoming as the next Irsquom not saying I didnrsquot have days when I struggled What I am saying is I never felt alone I knew the support was there all I had to do was ask
I know not every graduate nurse will have as positive an experience as I did Perhaps my journey was the exception not the rule However I hope the number of nurses who have an amazing graduate year like mine continues to increase until this becomes the norm
I do know that the success of your graduate year relies heavily on you and your attitude University teaches you how to think like a nurse but it is in clinical practice the real learning begins and it has a steep learning curve Approach your grad year knowing that everyone from the tea lady to the Director of Nursing will be your new teachers and success will come When the people you work with recognise your passion see your motivation to provide what is best for the patient and know you realise what a unique privilege it is to be a nurse their respect will follow
At the same time donrsquot be afraid to speak up for your patients for your colleagues and for yourself Harvey Fierstein said ldquoNever be bullied into silence Never allow yourself to be made a victim Accept no onersquos definition of your life define yourselfrdquo You have the ability to define your graduate year regardless of what hospital or ward you find yourself in
You can change the culture and reputation of the nursing profession for better or worse You can conform and join in bullying behaviour and continue negative traditions or you can decide it stops with you Set your standards high and have the moral courage to stick to them If every graduate nurse demonstrated this leadership and supported other nurses who did as well imagine the overwhelmingly positive impact that could have on nursing
Gandhi once said ldquoBe the change you want to see in the worldrdquo I would encourage you to be the change you want to see in nursing and just watch how the world changes with us
By Laurie Bickhoff MACN
18
Finishing studies and becoming a new graduate is an exciting milestone Itrsquos usually the first time you begin working full time perhaps moving away from home owning your own car and paying bills
Of course itrsquos important to budget ensuring you have enough money for daily expenses as well as being able to stash some money away The easiest way to keep track of your income versus expenses is to set up an everyday account with your salary paid into it and a savings account earning interest on the money yoursquore able to save In addition you might want to get a credit card so that yoursquove got some money for emergencies
Gain fee free banking freedom
With a BankVic Anywhere account you can enjoy unlimited free withdrawals at any ATM in Australia when you deposit $1000 per month1 Plus you can access your money with free unlimited eftpos transactions a Visa Debit card with paywave and a mobile App
Earn bonus interest on your savings
A BankVic Bonus Saver account is a high interest account that rewards you for saving by giving you bonus interest2 when you deposit a minimum of $100 a month and make no withdrawals plus there are no fees Itrsquos a great way to force yourself to save
Enjoy a credit card with no annual fee
A BankVic Visa Silver credit card offers great value with an introductory rate of 699pa3 for the first 6 months and a low ongoing rate plus no annual fee Itrsquos the perfect back up card
Why not call us today Call your dedicated Member Relationship Manager Phoebe Reid on 9268 9297 or via email preidbankviccomau
1 Minimum deposit of $1000 must be received in the account by close of business on the last business day of the month The deposit cannot be an internal transfer or interest earned form other BankVic products 2 Bonus Saver ndash Deposit $100 per calendar month with no withdrawals and yoursquoll be rewarded with bonus interest Bonus interest rate is capped at a maximum balance of $1000000 3 Credit Card interest rates are variable All interest rates are shown are current as at date of print and are subject to change Fees and charges apply Any advice is general before acting on the advice you should consider whether the advice is appropriate for you Before you make any decision to acquire any product or service you should obtain and consider the relevant Product Disclosure Statement available from our website bankviccomau any branch or by calling us on 13 63 73 Police Financial Services Limited ABN 33 087 651 661 AFSL 240923 Australian Credit Licence 240293ndash trading as BankVic 121 Cardigan Street Carlton Victoria 3053 3-15 5243BV
Advertorial
Banking freedom for nurses and midwives
members matter
Let BankVic take care of you while you take care of others
9268 9297preidbankviccomau
Canstar Pty Ltd Authorised Representative 443019 of Canstar Research Pty Limited ABN 29 114 422 909 AFSL 437917 Police Financial Services Limited ABN 33 087 651 661 AFSL 240293 (BankVic) 121 Cardigan Street Carlton Vic 3053 315 5280bv
Contact your dedicated Member Relationship Manager Phoebe Reid
bankviccomau
19
This is general advice only Consider our product disclosure statement before making a decision about First State Super Call us or visit fi rststatesupercomau for copies Becoming a Student Club member is diff erent to being a First State Super member as you do not hold a superannuation account with the Fund or have any interest right or other relationship with First State Super
FSS Trustee Corporation ABN 11 118 202 672 ASFL 293340 is the trustee of the First State Superannuation Scheme (First State Super) ABN 53 226 460 365 EXP_
Mel
b_Ex
po_A
4_03
15
Join our free Student Club and make the most of the support discounts and benefi ts available only to students
Learn to manage your super better and how you can take advantage of our exclusive member benefi ts
Find out why wersquore the super fund with a heart on Saturday 18 April
Visit us at booth 7 in Melbourne
EXP_Melb_Expo_A4_Mar15_ARTWORKindd 1 6032015 414 pm
By Claire Stewart MACN
Diary of a newly registered nurse
Irsquom almost three months into my role as a newly registered nurse and I had my first 40 Prolene moment recently For the uninitiated this can be a panic fuelled moment where a routine procedure ends up resembling the Texas chainsaw massacre Thankfully I was supported by a wonderfully calm surgeon who waited patiently while I painstakingly attempted to load his life saving suture After the surgery I wiped the blood from my glasses and took a moment to reflect on how I had handled the situation In fact Irsquove spent most of the last three months lsquoreflectingrsquo Deafening groans can be heard from many a third year nursing cohort when wersquore asked yet again to lsquocritically reflectrsquo on our practice as student nurses Let me be the first to admithellip It doesnrsquot stop at graduation
I may not use a dedicated framework or even put pen to paper but the skills I learned during my studies have set me up to ensure I gain the most from every learning opportunity by critically reflecting on my performance simply by force of habit During the last three months my learning curve has veered vertical as I transitioned from university study to my role as a
graduate registered nurse in perioperative services Irsquove had to deal with a new environment (donrsquot even get me started on finding your way around a theatre complex) new colleagues adjusting to full time work and managing family commitments learning an entire new skill set working as a scrubscout dealing with policies procedures and my favourite surgeonsrsquo preference
In these first few months itrsquos very easy to fall into the trap of focussing on how much you donrsquot know However practising critical reflection has allowed me to focus on what I do know how far Irsquove come and what I will learn because Irsquom self-aware Whether you are a new nurse like me and feel like yoursquove handed in one too many pieces of written reflection to your facilitator over the last three years or an experienced nurse who practices self-reflection sub-consciously on the drive home ndash embrace it for the wonderful tool that it is and use it to become the kind of nurse you want to work with
Be in demand Be successfulStudy nursing or midwifery at Monash If you want to make a difference in health care with great employment potential the School of Nursing and Midwifery is a great place to start
As a nurse or midwife there are a variety of roles and a number of specialty areas available to you ensuring a constant career of challenges and diversity
To find out more about our undergraduate courses visit us at ACN Expo Melbourne Stand 84 ndash 85
For more information on our courses visit medmonashedunursing
21
Research collaboration students are welcome
A collaborative research study in Queensland is tapping into the enthusiasm and intelligence of nursing students by training and employing third-years as research assistants data collectors and analysts in contract research projects
Researchers from James Cook Universityrsquos (JCU) Centre for Nursing and Midwifery Research (CNMR) the Far North Queensland Medicare Local and the Cairns and Hinterland Hospital and Health Service are trying to determine why emergency department (ED) presentations to Cairns Hospital have been increasing at a greater rate than the national average
To answer this question CNMR researchers recruited 14 nursing and medical students to survey every willing and able person who presented to the ED
Researchers asked participants for information regarding their reasons for coming to the ED They also asked where they would usually go for medical treatment and what physical and psychological factors influenced their decision to choose the ED over other treatment options
In other phases of the project hospital Emergency Department Information System (EDIS) data have been analysed and patient focus groups have been convened Unstinting faith in the local ED has been noted as one of the key reasons that people choose the ED over other health care options
Most people who come to the ED with lsquonon-urgentrsquo conditions do have general practitioners and a large percentage have sought medical advice in the days prior to presenting to the ED Worry anxiety and uncertainty rather than the severity of the medical condition itself however appears to be a significant motivator to come to the ED where people perceive there is a wide range of services professionals and diagnostic tools available
ACN Emerging Nurse Leader Anna Groth MACN a third-year nursing student from JCU has been collecting collating and analysing data
ldquoOften I would ask someone why they had come to the hospital and they would speak about being in pain but if you asked them about whether they came for the pain or because they were anxious about the pain they would say they had come to the hospital because of the anxietyrdquo explained Anna ldquoIt is such a huge difference ndash the motivation ndash coming for the pain or the anxietyrdquo
Anna said the project opened communication lines between people from different organisations including government university health service hospital and the community leading to collaboration and learning for all
By Marnie Hitchins
Benefits for the students included early career exposure to the research process in which they learnt about data collection analysis and research methods The students also had the opportunity to practise communication skills learn about the organisational cultures of universities and hospitals and work alongside health professionals and patients in a research environment
Students commented that because the power dynamics were different from that of clinical experience (they were not seen as health professionals by patients nor as lsquostudent nursesrsquo by health staff members) they gained insights into the hospital environment they might not otherwise have had
Anna said she learned a lot personally the ED research experience has catapulted her into another area of interest in which she can see herself working in the future
ldquoResearch and policy will be a part of my future Irsquove gained a deep interest in the treatment of women since doing this studyrdquo said Anna
ldquoI have become very interested in domestic violence and the way women are treated in the health service and in the society as a whole I was blown away by the struggle that people have with the system in trying to find support They are so lonely I recognised things being in the ED that I would like to research and have already started exploring the issuesrdquo
CNMR Director Associate Professor Jane Mills FACN said the recruitment and inclusion of students in research projects is part of a broader plan within the CNMR to build undergraduate research capacity
Jane said the CNMR also offered internships to undergraduate students to work on research projects alongside experienced scholars academics and researchers
ldquoJCU strongly supports the inclusion of undergraduate students in research studies where they can gain valuable knowledge skills and experience while also making a contribution to building the evidence base about health care issues of importance to people living in the tropicsrdquo said Jane
ldquoItrsquos a win-win situation where experienced researchers benefit from the studentsrsquo enthusiasm and familiarity with contemporary research principles and students increase their awareness of the importance of research to professional practicerdquo
It is clear to all parties involved that the inclusion of nursing students is benefitting the quality of the project as much as it is benefitting studentsrsquo learning and work experiences
22
Launch your nursing career at St Vincentrsquos
St Vincentrsquos Hospital Melbourne (SVHM) is part of St Vincentrsquos Health Australia and is a leading teaching research and tertiary health service which employs more than 5000 staff across 18 sites throughout Melbourne SVHM provides a diverse range of adult clinical services including acute medical and surgical services sub-acutecare medical diagnostics rehabilitation allied health mental health palliative care correctional health and community residential care SVHM is one of Australiarsquosleading Catholic not-for-prot healthcare providersMake the most of your talents Join the team at St Vincentrsquos
Visit us at the ACN Nursing and Health Expo 2015Find out about our 2016 Graduate Nurse Program andhave a chat to our current graduates educators and nursing staff
St Vincentrsquos Open Evening 2015Wednesday 3rd June 4pm-6pmSt Vincentrsquos Ground Floor Aikenhead Building 27 Victoria Parade Fitzroy
Welcome and Overview of the 2016 Graduate Nurse Program at 4pm 430pm amp 5pm
All welcome ndash no RSVP required
All 24 rotational areas on displayTours of inpatient wardsComplimentary food and beverages provided
For further information visit wwwsvhmorgau or phone the Graduate Nurse Hotline 9231 2244
To follow our 2016 recruitment process Like us at SVHM 2016 Graduate Nurse Program
Compassion Justice Integrity Excellence
24
INTERESTED IN STUDYING DEAKIN NURSING AND MIDWIFERYWe are holding information sessions for our undergraduate courses
BURWOOD CAMPUS 221 BURWOOD HIGHWAY BURWOODWednesday 22 July 6ndash8 pmSaturday 25 July 230ndash430 pm
WATERFRONT CAMPUS 1 GHERINGHAP STREET GEELONGWednesday 22 July 6ndash8 pmSaturday 25 July 230ndash430 pm
WARRNAMBOOL CITY CENTRE 165 TIMOR STREET WARRNAMBOOLFriday 24 July 730 pm
raquo To register your attendance at one of the information sessions above please email nursinfodeakineduau to advise which session you plan to attend
For more information about our undergraduate and postgraduate courses please phone 03 9244 6032
Deakin University CRICOS Provider Code 00113B HLH002
deakineduaunursing
Itrsquos never too early to become a leader
How did you become involved in nursing
I started volunteering from age 14 with St John Ambulance Australia in my hometown of Moruya NSW I loved everything about it ndash loved the joy of helping others and I was so intrigued to learn how to respond effectively in emergencies and show true compassion to others I was also fortunate to have had some very down-to-earth and inspiring mentors who encouraged my interest in nursing and after graduation from high school I undertook the University of Wollongongrsquos Bachelor of Nursing degree
I started my first paid nursing related employment in my third year of the degree at a local hospital I have now graduated and am working as a registered nurse (RN) in a local aged care facility learning the ins and outs of multiple comorbidities patient-centred care and compassionate palliative and end-of-life care
What is your nursing specialty
As I still consider myself as a lsquonewbiersquo RN I havenrsquot really discovered a specialty yet though I have interests in aged care mental health cardiology and nursing research So I guess I am intrigued to be involved in one or all of these areas at some point in my career but I am open to any interesting opportunities that may come my way
What do you love most about nursing
This is truly the job that never has a dull day Each day is different and I feel privileged to be so trusted with the lives of my patients and residents in their moments of hardship and need Along with my love of the workings of the human body the evidence-base behind nursing care and continuous educational opportunities I love the lsquoteamrsquo focus of nursing especially when the patient is at the centre of decision making and everything goes to plan
What is your least favourite part of nursing
When everything doesnrsquot go to plan
What brought you to this area of Australia
Irsquom originally from NSW South but I moved to Wollongong for University and have stuck around for the area the people and to continue to work and study here
What are some of the nursing and health issues that are specific to the Sydney SouthIllawarra Region
Two big issues come to mind Firstly many newly graduated RNs within our region have been unable to find employment Secondly local nurses struggle to find the time within their working hours to keep up to date with advances in education
What do you see as the biggest challenge currently facing the nursing profession and how do you think the profession is placed to respond to these challenges
I believe possible health funding cuts and workforce shortages that in-turn affect our ability to provide adequate and safe patient care are two significant challenges facing our profession There are recently graduated RNs who remain jobless yet there are local health districts crying out for nurses but only those with lsquoexperiencersquo with undergraduate nursing experience ignored Looking into alternative transition programs is key to overcoming this challenge
Whatrsquos the biggest misconception about your career choice
I have met some amazingly talented and intelligent nurses in a variety of roles who all make a great difference in the lives of their patients or indirectly through organisations or research The general misconception that irks me isnrsquot so much a misconception more a statement Irsquove heard multiple times ndash ldquoWhy didnrsquot you become a doctor Why are you just a nurserdquo I did not become a nurse because I didnrsquot have the marks to be a doctor and by the time I finish university again with a Research Masters I would have physically been enrolled in university for the same length of time I became a nurse because I found a passion for this role and spending time with people inspires me
Nursing is a holistic role that encompasses so much We are health professionals role models educators support systems and innovators we understand intimately the fragility of life and the human relationships that bring it meaning
Profile Renee Callender MACN
LeadershipACN
Expand your leadership capacity
25
INTERESTED IN STUDYING DEAKIN NURSING AND MIDWIFERYWe are holding information sessions for our undergraduate courses
BURWOOD CAMPUS 221 BURWOOD HIGHWAY BURWOODWednesday 22 July 6ndash8 pmSaturday 25 July 230ndash430 pm
WATERFRONT CAMPUS 1 GHERINGHAP STREET GEELONGWednesday 22 July 6ndash8 pmSaturday 25 July 230ndash430 pm
WARRNAMBOOL CITY CENTRE 165 TIMOR STREET WARRNAMBOOLFriday 24 July 730 pm
raquo To register your attendance at one of the information sessions above please email nursinfodeakineduau to advise which session you plan to attend
For more information about our undergraduate and postgraduate courses please phone 03 9244 6032
Deakin University CRICOS Provider Code 00113B HLH002
deakineduaunursing
WA EXPO PERTH
26
Welcome from the Chief Nurse amp Midwifery OfficerI am so pleased to be welcoming you to the Australian College of Nursingrsquos Western Australian Nursing and Health Expo for 2015
Attending the Expo is an invaluable experience for anyone interested in nursing and midwifery careers It especially helps high school students and their parents or anyone who is wondering which career direction to take
Hospitals and health services from across WA will be there with some of their nurses and midwives in attendance to answer any questions you may have Come and find out from them what itrsquos really like to be a nurse or midwife
There will also be a range of education providers who will be able to talk about the many courses available to get your career started
It is also a great place to come to discuss and find out about graduate job opportunities building your experience career development opportunities financial support to study changing employers or even returning to a career in nursing or midwifery after being away for a while
The decision to become a nurse or a midwife is a wonderful career choice for anyone who wants to be part of a diverse healthcare professional team and have a challenging rewarding and exciting job where you really can make a difference
The future demand for nurses and midwives is going to be high especially as WArsquos new Fiona Stanley Perth Childrenrsquos Busselton and Midland hospitals all start becoming fully operational so we encourage you to attend the Expo to see where nursing and midwifery might take you
I look forward to seeing you on Friday 1 May 2015 at the Perth Convention and Exhibition Centre
Karen Bradley MACN Chief Nurse and Midwifery Officer WA Health
27
Expo informationLocation
The Perth Convention and Exhibition Centre (PCEC) is Western Australiarsquos only dedicated convention and exhibition facility Each year over 500000 people attend one or more of the 600 plus events conducted at PCEC The Expo will be held in Pavillion 1 at PCEC
Doors open 9am ndash 1pm
Entry
Stairs amp Escalators to Level 2
Registration DeskEntry Foyer
Entry
ACN Expo Pavillion 1
28
Seminars
This year the educational seminar series is back again to provide visitors with up to date information and practical skills to pursue or further their career Seminar attendance is free of charge and registration is not required
Time Topic Presented by
915am How to become a nurse or midwife Rebecca Newton WA Nursing and Midwifery Office
950am Applying via GradConnect and other opportunities for graduate nurses and midwives
Regina Browne WA Nursing and Midwifery Office
1025am Unleashing the potential of your staff Lisa Ansbro and Donna Hampshire Chandler Macleod Health
1100am How to become a nurse or midwife Rebecca Newton WA Nursing and Midwifery Office
1135am Applying via GradConnect and other opportunities for graduate nurses and midwives
Regina Browne WA Nursing and Midwifery Office
1210pm Unleashing the potential of your staff Lisa Ansbro and Donna Hampshire Chandler Macleod Health
The lsquoUnleashing the potential of your staffrsquo seminar is proudly supported by
Chandler Macleod is Australasiarsquos leading provider of integrated HR services products and technologies We have more than 55 yearsrsquo experience in human resources and have specialised within the health sector for 10 of these We are ideally positioned to help you meet the growing demands on your business We provide permanent and temporarycontract recruitment for the full range of Health professions including Carers and Support Workers Enrolled Nurses Registered Nurses Facility and Operations Managers Directors Cleaners and Kitchen staff We are able to provide you with experienced caring staff 247 including public holidays
For more information contact Chandler Macleod on (08) 9217 0510 or visit wwwchandlermacleodcomclientshealth-recruitment
29
Floor plan
42 41
39
40
38
36
37
35
43
44
45
46
47
48
Entrance
Seminar area
Cafeacute
7
5
8
6
20
18
19
17
11
9
12
10
16
14
15
13
34 33 32 31 30 29 28
30
Exhibitor listing
Organisation Name Booth Number
AACDS 8
Armadale Health Service 38
Belmore Nurses Bureau 30
Central Institute of Technology 20
Chandler Macleod Health 16
Child amp Adolescent Health Service 42
Curtin University of Technology 19
Defence Force Recruiting 910
Edith Cowan University - School of Nursing and Midwifery
3334
Fiona Stanley Hospital 36
Fremantle Hospital 44
HESTA 5
Hollywood Private Hospital 7
Institute of Health amp Nursing Australia 32
Mediserve Nursing Agency 6
Murdoch University 1112
My Flex Health International 18
Organisation Name Booth Number
Next Step 48
North Metropolitan Mental Health 35
NurseWest 47
Nursing amp Midwifery Board of Australia 29
Osborne Park Hospital 46
Prime Super 17
PampN Bank 15
Rockingham General Hospital 39
Royal Perth Hospital 37
Sir Charles Gairdner Hospital 45
The Bethanie Group Inc 31
The University of Notre Dame 13
WA Country Health Service 40
WA Nursing amp Midwifery Office 43
West Coast Institute of Training 14
Women amp Newborn Health Service 41
Work the World 28
The WA Nursing amp Health Expo is proudly supported by
The WA Nursing and Midwifery Office is very proud to partner once again with the Australian College of Nursing for the 2015 Nursing and Health Expo The nursing and midwifery professions offer an array of interesting and diverse experiences With these highly valued and respected skills relevant anywhere in the world nurses and midwives will always be in demand ndash in hospitals and in a range of other workplaces In WA the future demand for nurses and midwives is going to be high especially as our new Fiona Stanley Perth Childrenrsquos Busselton and Midland hospitals all start becoming fully operational so considering a career in nursing or midwifery is a great idea
wwwnursinghealthwagovau
31
In Australia enrolled nurses (ENs) are a core component of the health care workforce and make an important contribution to Australiarsquos world-class health outcomes ENs work in varied settings across the country from blood services to aged care facilities Increasingly ENs are playing an important role in meeting the growing demand for care
Not all countries have recognised the importance of ENs in the nurse workforce mix Several European countries including France Denmark Italy and Spain have only one category of regulated nurse (HWA 2013 Robinson and Griffiths 2007) The United Kingdom (UK) ceased admitting new ENs to the register in the 1980s The minimum qualification for all UK nurses is now a three-year bachelorrsquos degree As a result the UK relies heavily on unregistered health care assistants rather than second-level nurses (UK Department of Health 2013) Closer to home New Zealand ceased training ENs in 1993 only to recommence in the 2000s (Meek 2009) New Zealandrsquos experiment is an instructive demonstration of the importance of ENs in the health care workforce as the demand for nursing care increases
In Australia we have remained committed to maintaining the EN role Rather than relying on unregistered health care workers Australia has chosen to maintain a large educated and professional EN workforce The skilled work of ENs is recognised to be of paramount importance to the delivery of high quality nursing care Our EN workforce is highly dynamic and continues to evolve within the changing landscape of Australian health care policy and regulation
Enrolled nurse demographics
According to the latest national figures there are 51624 ENs working in Australia The great majority of ENs have completed their pre-registration education in Australia fewer than 5 have been educated overseas (HWA 2013)
The EN workforce has a relatively high average age of 46 years and forty-five per cent of ENs have celebrated their fiftieth birthdays (AIHW 2013) According to Health Workforce Australia the ageing EN workforce could lead to a significant shortfall in the supply of ENs if action is not taken to retain the current cohort of ENs and increase the number of people studying to be the ENs of tomorrow (HWA 2012)
Men make up roughly 10 of the EN workforce While this number is rising gradually it indicates that there is progress to be made in terms of attracting and retaining males within the profession Aboriginal and Torres Strait Islander people are
also underrepresented in the EN workforce only around 800 of Australiarsquos ENs identify as Indigenous Australians (AIHW 2013)
Among the most common work settings for ENs are aged care rehabilitation and disability services In contrast ENs make up fewer than 5 of the critical care nursing workforce and represent only a small proportion of nurses working in education policy and management (AIHW 2013)
These statistics show that there are both challenges and opportunities for Australiarsquos EN workforce Efforts to recruit and retain ENs will need to be enhanced with a particular focus on encouraging men and Aboriginal and Torres Strait Islander people to become ENs At the same time roles in a wider range of clinical areas are becoming available to suitably educated and qualified ENs and there will be more such opportunities in the coming years
A growing role for ENs
The evolving role of the EN is reflected in recent changes to educational requirements for ENs As of 1 July 2014 the Certificate IV in enrolled nursing ceased to be available and the minimum qualification for EN entry to practice will be the Diploma of Nursing The transition to a Diploma recognises the high level of skill ENs contribute to todayrsquos health care teams A nationally consistent approach to EN education is also likely to enhance the mobility of the EN workforce by giving employers confidence in the knowledge and skills of ENs educated in other states
ENs are now undertaking a diverse range of roles One of the earliest areas of role expansion for ENs was medication endorsement Before the move to national registration in 2010 ENs in some states were able to obtain an endorsement in medicines administration and become Endorsed Enrolled Nurses by completing specified education units This endorsement has now been phased out because from 2008 onwards all newly qualified ENs have completed the required medicines administration education Instead the register now identifies ENs who have not completed the required courses (NMBA 2014) This example demonstrates how the EN role has evolved over the years Whereas once only a relatively small number of ENs were educated to administer medicines now all student ENs complete medicines administration units as part of their initial nursing education
The EN role is also expanding in other ways For example ENs are taking on a growing role within haemodialysis units (Tranter et al 2011) The 2008 Australia and New Zealand Dialysis Workforce Survey conducted by the Renal Society of Australia found that there were 188 ENs working in dialysis alongside 2433 registered nurses (RNs) The growing demand for dialysis
The potential of the enrolled nursing workforce
By Rosina Muir and Dr Marlene Eggert MACN
32
services and the shortage of dialysis RNs in some areas represents a clear opportunity for ENs According to a New South Wales study conducted in 2009 the scope of practice of ENs in haemodialysis units may include cannulation (including both native access and buttonhole cannulation) connecting and disconnecting haemodialysis central venous catheters (CVCs) performing CVC dressings giving iron infusions and administering erythropoietin anticoagulants and Lignocaine In addition ENs may also take on a case management or health promotion role for dialysis patients (Bennett et al 2009)
ENs are also moving into extended roles in rehabilitation services A recent study of ENs in an Australian rehabilitation facility found that in addition to assisting patients with activities of daily living ENs may take on roles in coaching and supporting patients to reach their individual goals monitoring the patientrsquos progress and liaising with other members of the multidisciplinary rehabilitation team The study found that many ENs demonstrate an understanding of the philosophy of rehabilitation nursing including goal setting and enabling self-care (Pryor and Buzio 2013)
In rural Australia ENs are taking on a diverse range of roles within the EN scope of practice in order to meet local needs ENs with specialist skills such as infection control or wound care make a significant contribution to some rural health services although their extended scope of practice is not always given appropriate recognition by their RN colleagues (Nankervis et al 2008) Rural health services are increasingly recognising that supporting ENs to take on extended roles and further develop their clinical skills can be a successful model for the delivery of high quality patient care
Recognising the evolving EN scope of practice
In light of the fact that there have been significant changes to EN education regulation and scope over the last decade the NMBA has commissioned Monash University to review the currency of the standards against contemporary enrolled nursing roles The Monash University project has involved a review of the literature as well as a series of focus groups and surveys to gather insights from both RNs and ENs on the education scope of practice and supervision of ENs (Monash University 2013) The project is expected to be completed in 2014 (NMBA 2013)
Our advocacy for ENs
ACNrsquos advocacy priorities are explicitly designed to support both registered and enrolled nurses In 2014 ACN has argued for a range of policies that would have a positive impact on the
retention and flexibility of enrolled nurses For example ACN has proposed a National Transition Framework to support the flexibility and mobility of both the EN and the RN workforces The Framework would be accessible to nurses entering the workforce as well as nurses transitioning from one area of practice to another For example it would support an EN wishing to transition from the aged care sector to a hospital-based role
ACN has also put forward a proposal for a new scholarship program to support newly registered and enrolled nurses to practice in rural services It is essential that rural health service providers are able to attract appropriately educated staff including both ENs and RNs in order to maintain an optimal skill mix The scholarship scheme will allow rural health services to employ newly registered and enrolled nurses as supernumerary team members while providing them with a structured clinical learning program
ACN will continue to provide a voice for ENs in policy discussions and advocate for the role of ENs in health care delivery Australian Institute of Health and Welfare 2013 Nursing and midwifery workforce 2012 lthttpwwwaihwgovauWorkAreaDownloadAssetaspxid=60129545314gt pp 6
Bennett P McNeill L Polaschek N 2009 lsquoThe Australian and New Zealand Dialysis Workforcersquo Renal Society of Australasia Journal vol 5 no3 pp 147-151 lthttpwwwrenalsocietyorgRSAJjournalnov09bennett2pdfgt
Health Workforce Australia 2012 Health Workforce 2025 Doctors Nurses and Midwives vol 1 lthttpwwwhwagovausitesuploadsFinalReport_Volume1_FINAL-20120424pdfgt pp 137-142
Health Workforce Australia 2013 Nurses in Focus lthttpwwwhwagovausitesuploadsNurses-in-Focus-FINALpdfgt
Meek G 2010 Second level nurses a critical examination of their evolving role in New Zealand Healthcare lthttpresearcharchivewintecacnz9621Repository_entry_HLNU902pdfgt pp 3
Monash University 2013 The National Review of the Enrolled Nurse Competency Standards lthttpwwwmedmonashedunursingcompetency-standardsgt
Nankervis K Kenny A Bish M 2008 Enhancing scope of practice for the second level nurse A change process to meet growing demand for rural health services lthttpwwwncbinlmnihgovpubmed18844530gt
Nursing and Midwifery Board of Australia 2013 Communique Meeting of the Nursing and Midwifery Board of Australia 27 February 2013 in the AHPRA Hobart Office TasmanialthttpwwwnursingmidwiferyboardgovauNewsCommuniques-from-Board-meetingsaspxgt
Nursing and Midwifery Board of Australia 2014 Enrolled nurses and medicine administration lt httpwwwnursingmidwiferyboardgovauCodes-Guidelines-StatementsFAQaspxgt
Pryor J Buzio A 2013 lsquoDo ldquotwo typesrdquo of ENs work in rehabilitation in Australiarsquo Journal of the Australasian Rehabilitation Nurses Association vol 16 no 1 pp 14-19 lthttpsearchinformitcomaudocumentSummarydn=480975443102792res=IELHEAgt
Robinson S and Griffiths P 2007 Nursing education and regulation International profiles and perspectives lthttpeprintssotonacuk3487721NurseEduProfilespdfgt pp 7-17
Tranter S Westgarth F White G 2011 lsquoThe scope of practice of the haemodialysis Enrolled Nurse in new South Walesrsquo Renal Society of Australasia Journal vol 7 no 1 pp 24-29 lthttpwwwrenalsocietyorgRSAJjournalmar11Tranterpdfgt
United Kingdom Department of Health 2013 The Cavendish Review An Independent Review into Healthcare Assistants and Support Workers in the NHS and social care settings lthttpswwwgovukgovernmentuploadssystemuploadsattachment_datafile236212Cavendish_Reviewpdfgt pp 6
33
By Laurie Bickhoff MACN
Diary of a newly registered nurse
In Australia it is estimated nearly 20 of nurses will leave the profession within their first year of practice (National Nursing and Nurse Education Taskforce [NNNET] 2005) Internationally this figure ranges from between 35 and 60 (Halfer amp Graf 2006) Many have speculated on the reasons for this with high workloads the difficulties of shift work and unrealistic expectations of what nursing entails all given due consideration (Halfer amp Graf 2006) However as I entered my second year of practice I began to wonder what role disillusionment plays in this exodus of newly trained nurses
Disillusionment to me occurs when you feel your passion dwindling when you suddenly find it that little bit harder to get ready for work when you start feeling a sense of dread as you walk onto the ward This wasnrsquot caused by long hours or ever increasing workloads coupled with diminishing resources It wasnrsquot caused by physically demanding duties or the lack of a social life due to shift work It wasnrsquot caused by dealing with things that might not look or smell that great Unfortunately it was caused by the people around me and an almost institutionalised lack of power not only for nurses but more importantly for our patients
I was dismayed and frustrated to hear how many of my colleagues from all health professions referred to patients I was disheartened to see how easily some could dismiss the suffering we see and the heartache I felt I was overwhelmingly saddened to realise not everyone had the same passion for their profession or empathy for those we are charged to care for as I did
This culminated for me towards the end of my first year of practice There wasnrsquot any one big incident more an accumulation of things that were gradually wearing me down I had a worried patient confide in me that they had been too scared to push the call button on the previous shift because of the response they would receive from the nurse I saw patients constantly being made to fit into everyone elsersquos schedules regardless of their requests It seemed everyone was more important than the person we were there to help
I heard patients referred to as lsquocactusrsquo or described in the notes as lsquounsalvageablersquo meaning there was no chance of the patients making meaningful recoveries I wondered is this really how we refer to people Or did we forget they were actual human beings we were talking about
I had other health professionals dismiss me with comments such as nurses ldquojust wipe bums all dayrdquo or roll their eyes at me when I raised my concerns When I dared to challenge or question I was met with comments of ldquoI miss the old new gradsrdquo I felt tired washed out and was beginning to wonder
whether I could stay in this profession without losing myself
Luckily I found some inspiration I listened to a presentation by Drew Dudley a well-known American academic and motivational speaker where he discusses the idea of lsquolollypop momentsrsquo These are small moments when the people we see and work with every day demonstrate leadership They arenrsquot big grand over the top statements They are small gestures which often unknown to the person who did it have an amazing impact on the lives of others I was lucky enough to have some of these lollypop moments just when I needed them These few sparks were all that I needed to reignite my passion for nursing
The first spark came from an RN2 caring for a patient at the end-stage of a number of diseases who had expressed to the nursing staff multiple times her wish to simply be made comfortable as she knew this was the end of her fight Despite this the patient was not only receiving active treatment but was also currently documented for full resuscitation if she deteriorated
The nurse raised the issue with the medical registrar asking him to have a discussion with the patient regarding her wishes and planning end-of-life care The registrar dismissed her saying ldquowell thatrsquos not what the consultant wantsrdquo The nurse wasnrsquot satisfied and responded ldquoitrsquos not their choice itrsquos the patientrsquos decisionrdquo This nurse had the courage to stand her ground and make sure her patientrsquos voice was heard which ultimately led to the patientrsquos wishes being honoured
The next spark came soon after I was working with a nurse who came from a different cultural background to me where it was seen as impolite to question anyone in authority especially if you were female This meant even if a doctor was accidently standing in her way she would prefer to simply wait rather than ask them to move
Then one day we had a patient who deteriorated rapidly and was in a very critical condition This nurse suddenly became one of the best clinical leaders I have witnessed She led the team questioning orders prompting treatments suggesting causes and outlining the options available I soon realised the difference this was about her patient She was going to ensure her patient received the best care and outcome possible When it was about her patient rather than herself she found her voice
There were a number of smaller incidents that soon followed Sparks came from the senior consultant who re-educated her advanced trainee on the importance of listening to the nurses and acting on their concerns Sparks came from our ward social
34
worker who day after day demonstrated his passion for helping and advocating for those with no voice and often no options Sparks came from the medical residents who expressed their gratitude when you picked up a mistake and were heartfelt in their appreciation of the work nurses do
The brightest sparks came from my patients and their relatives It was their ldquothanksrdquo their ldquoyou donrsquot know how much that meansrdquo their ldquoyoursquoll be back tomorrow wonrsquot yourdquo their squeezing of my hand that reminded me why I do what I do I didnrsquot have to search for inspiration I was surrounded by it The trick was to change my focus
Perhaps all nurses are disillusioned at some point during their careers Perhaps it happens multiple times Perhaps it is a rite of passage with those who make it through the other side the
ones with a true passion for nursing who turn around and help a colleague on their journey
As I continue my nursing career I now look for the brightness that I know is always there far outshining the negativity that we have to deal with I stockpile my lsquolollypop momentsrsquo knowing the amazing examples of kindness and leadership I see every day will help me grow and become a better nurse and hopefully I might be able to be a spark for someone else
You can listen to Drew Dudleyrsquos talk at wwwtedcomtalksdrew_dudley_everyday_leadership
Halfer D and Graf E lsquoGraduate Nurse Perceptions of the Work Experiencersquo Nursing Economics June 2006 Vol 24 No 3 pp 150-55
National Nursing and Nurse Education Taskforce 2005 Mythbusters Available online at httpwwwnnnetgovaudownloadsmythbusters_attritionpdf Accessed June 2014
Arts amp Sciences | Business | Education | Health Sciences | Law | Medicine | Nursing amp Midwifery | Philosophy amp Theology | Physiotherapy
Your journey to a meaningful career awaitsThe School of Nursing amp Midwifery offers the following courses
rsaquo Bachelor of Nursing
rsaquo Bachelor of Nursing (Articulation Pathway for EN Diploma)
rsaquo Graduate Certificate (Acute Mental Health Clinical Nursing Nursing and Nursing Leadership amp Management)
rsaquo Graduate Diploma (Acute Mental Health Clinical Nursing Critical Care Nursing Forensic Nursing Midwifery Nursing and Perioperative Nursing)
rsaquo Master of Nursing (Coursework and Research)
Looking to make a difference So are we
Apply direct notredameeduau
ND
1053
| C
RIC
OS
PR
OV
IDE
R C
OD
E 0
1032
F
35
36
Welcome from the Chief Nurse amp Midwifery OfficerWelcome to the Australian College of Nursingrsquos 17th annual Nursing and Health Expo in Melbourne The Department of Health and Human Services in Victoria is a keen sponsor of this important event on the nursing calendar The Expo plays an important role in enhancing the profile of nursing as a profession which in turn promotes recruitment and retention of the nurses and midwives
As part of the health care team nurses and midwives are essential to the communityrsquos health and wellbeing Nurses and midwives play a critical role in delivering safe compassionate and quality care The Department of Health and Human Services encourages Victorian nurses and midwives to provide the best possible care for the community by providing clear strategic direction for the profession as well as supporting health services to implement initiatives across workforce development and reform
Being a nurse or midwife is a rewarding career but it is important to know if it is the right career choice for you In addition to having the relevant knowledge and skills nurses and midwives need to be compassionate caring and flexible Nursing and midwifery offers many and varied opportunities across multiple settings not only for graduates but for people of any age looking to enter the workforce
While traditionally nurses and midwives have always worked in hospitals they now work across multiple settings including general practice community-based services and aged-care services
The job market is competitive and opportunities will continue to be present for the existing returning and newly graduated nurses and midwives Because of the changing needs of the community there is often a contrast between where nurses and midwives prefer to work and where there are opportunities Growth opportunities are in areas such as rural aged care and chronic disease management and I encourage everyone to think beyond the traditional locations and to explore new and rewarding areas of employment
Senior members of the workforce are reminded of the important role we all play as professionals in encouraging and mentoring new starters and transitioning into other roles
Education and training is a lifelong journey essential to the continual development of the nursing and midwifery workforce which ensures highly skilled capable and critical decision makers
Associate Professor Alison McMillan MACN Chief Nurse and Midwifery Officer Department of Health amp Human Services VIC
13
Expo informationLocation
Visitors are often struck by the architectural brilliance of the Melbourne Convention and Exhibition Centre (MCEC) which has won some of Australiarsquos most prestigious architecture and design awards The Expo will be held in bays 17 and 18 of the MCEC
Doors open 9am ndash 1pm
Concourse
Link to convention
centre
Loading Dock
Normanby Road
Clar
endo
n St
reet
Entry Foyer
Clarendon Street
Entrance
ACN Expo Bays
17 amp 18
14
Seminars
This year the educational seminar series is back again to provide visitors with up to date information and practical skills to pursue or further their career Seminar attendance is free of charge and registration is not required
Time Topic Presented by
915am HESTA Your Partner for Career David Logan HESTA
950am Graduate NurseMidwifery Program Computer Match 2015 Paul Williamson Postgraduate Medical Council of Victoria
1025am Understanding delegation and supervision responsibilities and accountabilities
Associate Professor Alison McMillan MACN
Department of Health amp Human Services Victoria
1100am HESTA Your Partner for Career David Logan HESTA
1135am Graduate NurseMidwifery Program Computer Match 2015 Paul Williamson Postgraduate Medical Council of Victoria
1210pm Understanding delegation and supervision responsibilities and accountabilities
Associate Professor Alison McMillan MACN
Department of Health amp Human Services Victoria
The VIC Nursing amp Health Expo is proudly supported by
On 1 January 2015 the Victorian Government established the Department of Health amp Human Services bringing together the former Department of Health Department of Human Services and Sport and Recreation Victoria The department has been established to develop and deliver policies programs and services that support and enhance the wellbeing of all Victorians We take a broad view of the causes of ill health the drivers of good health the social and economic context in which people live and of the incidence and experience of vulnerability This will allow us to place people at the heart of policy-making service design and delivery
wwwdhhsvicgovau
15
Floor plan
BENC
H
SINK
ENTRANCEDOOR 9
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
20 21
22232425
26 27 28 29
30313233
34 35 36 37
38394041
42 43 44 45
46474849
50 51 52 53
54555657
58 59 60 61
62636465
66 67 68 69
7071727374
75
76
84
85
86
87
88
89
90
1918
16
Exhibitor listing
Organisation Name Booth Number
Alfred Health 6667
ANMF Victorian Branch 747576
Austin Health 4243
Australian Catholic University 89
Ballarat Health Services 62
BankVic 73
Baptcare 60
Belmore Nurses Bureau 47
Bendigo Health 44
Care Training Australia 17
Chisholm Institute of TAFE 19
Colbrow Healthcare 26
Critical Second 90
Crystal Clear Ear Clinic 6
Deakin University Nursing amp Midwifery 3435
Defence Force Recruiting 12
Eastern Health 3031
Epworth HealthCare 6465
Federation University Australia 41
First Call Health 40
First State Super 7
Forensicare 68
Health Skills Australia 72
HESTA 20
Holmesglen 4546
Institute of Health amp Nursing Australia 27
Kangan Institute 24
La Trobe University 121314
Martin Luther Homes 22
McFarlane Medical amp Scientific 23
mdBriefCase Australia 18
Mediserve Nursing Agency 28
Organisation Name Booth Number
Melbourne City Institute of Education 86
Mental Health Nursing Victoria 1011
Mercy Health 8788
Monash Health
Monash University 8485
NeilMed Pharmaceuticals 32
Northern Health 5354
NorthWestern Mental Health 59
Nurses Board of Victoria Legacy Limited
69
Nursing amp Midwifery Board of Australia 21
Peninsula Health 38
Peter MacCallum Cancer Centre 25
Postgraduate Medical Council of Victoria
71
Prime Super 33
Reflective Clinical Supervision Network 39
RMIT Faculty of Nursing 55
Royal Victorian Eye amp Ear Hospital 48
Sanita Australia 31
St Vincentrsquos Hospital 5051
St Vincentrsquos Mental Health 5
St Vincentrsquos Private Hospital 34
The Royal Melbourne Hospital 56
Tobin Brothers Funerals 49
University of Melbourne 89
University of Tasmania 52
Victoria University 57
Vital Health Recruitment 70
VNS Nursing Agency 58
Western District Health Service 63
Western Health 3637
Work the World 29
17
Graduate transition programs my personal experienceToo often we hear horror graduate stories Research shows horizontal violence and bullying is rampant in our profession We are told tales of the infamous ldquoeat our youngrdquo nursing culture We know graduates suffer transition shock when they start practicing and nearly 20 will leave in their first year
Unfortunately the good stories are often buried underneath the bad and so I wanted to share my graduate year experience When I started as an RN the only nursing experience I had were my clinical placements and a mere two months working as an AIN To say I was worried was a major understatement I was quietly petrified but tried to keep up a brave face
I had worked hard in university to learn as much as I could but I was still filled with doubts Would I be good enough Would I crash and burn Would I help or hinder my patientsrsquo recovery
My first day on the ward was sink or swim time I was amazed at the warm welcome I was given The other RNs were supportive and encouraging They made sure I knew if I felt myself struggling they would be there with a life-line
Every ward I rotated through gave me this same friendly reception Perhaps it was just luck or maybe our nursing culture is changing but I never encountered any of the pressure to change my values and practice in order to fit in that I had been told to expect Instead I found colleagues who understood I wouldnrsquot know everything on day one who were willing to take the time to teach me and who become great friends along the way
My clinical skills and knowledge increased out of sight during my graduate year I felt my university had given me a great foundation on which to build my career as an RN but my grad program cemented my theory into my practice I started the year having never removed a single stitch I ended the year confidently removing everything from sutures to ICCs and pacing wires while also successfully inserting NG tubes and cannulas Importantly I understood the pathophysiology and rationale behind each of these and could explain it to my patients
Irsquom not saying everyday was perfect Irsquom not saying every person was as helpful or welcoming as the next Irsquom not saying I didnrsquot have days when I struggled What I am saying is I never felt alone I knew the support was there all I had to do was ask
I know not every graduate nurse will have as positive an experience as I did Perhaps my journey was the exception not the rule However I hope the number of nurses who have an amazing graduate year like mine continues to increase until this becomes the norm
I do know that the success of your graduate year relies heavily on you and your attitude University teaches you how to think like a nurse but it is in clinical practice the real learning begins and it has a steep learning curve Approach your grad year knowing that everyone from the tea lady to the Director of Nursing will be your new teachers and success will come When the people you work with recognise your passion see your motivation to provide what is best for the patient and know you realise what a unique privilege it is to be a nurse their respect will follow
At the same time donrsquot be afraid to speak up for your patients for your colleagues and for yourself Harvey Fierstein said ldquoNever be bullied into silence Never allow yourself to be made a victim Accept no onersquos definition of your life define yourselfrdquo You have the ability to define your graduate year regardless of what hospital or ward you find yourself in
You can change the culture and reputation of the nursing profession for better or worse You can conform and join in bullying behaviour and continue negative traditions or you can decide it stops with you Set your standards high and have the moral courage to stick to them If every graduate nurse demonstrated this leadership and supported other nurses who did as well imagine the overwhelmingly positive impact that could have on nursing
Gandhi once said ldquoBe the change you want to see in the worldrdquo I would encourage you to be the change you want to see in nursing and just watch how the world changes with us
By Laurie Bickhoff MACN
18
Finishing studies and becoming a new graduate is an exciting milestone Itrsquos usually the first time you begin working full time perhaps moving away from home owning your own car and paying bills
Of course itrsquos important to budget ensuring you have enough money for daily expenses as well as being able to stash some money away The easiest way to keep track of your income versus expenses is to set up an everyday account with your salary paid into it and a savings account earning interest on the money yoursquore able to save In addition you might want to get a credit card so that yoursquove got some money for emergencies
Gain fee free banking freedom
With a BankVic Anywhere account you can enjoy unlimited free withdrawals at any ATM in Australia when you deposit $1000 per month1 Plus you can access your money with free unlimited eftpos transactions a Visa Debit card with paywave and a mobile App
Earn bonus interest on your savings
A BankVic Bonus Saver account is a high interest account that rewards you for saving by giving you bonus interest2 when you deposit a minimum of $100 a month and make no withdrawals plus there are no fees Itrsquos a great way to force yourself to save
Enjoy a credit card with no annual fee
A BankVic Visa Silver credit card offers great value with an introductory rate of 699pa3 for the first 6 months and a low ongoing rate plus no annual fee Itrsquos the perfect back up card
Why not call us today Call your dedicated Member Relationship Manager Phoebe Reid on 9268 9297 or via email preidbankviccomau
1 Minimum deposit of $1000 must be received in the account by close of business on the last business day of the month The deposit cannot be an internal transfer or interest earned form other BankVic products 2 Bonus Saver ndash Deposit $100 per calendar month with no withdrawals and yoursquoll be rewarded with bonus interest Bonus interest rate is capped at a maximum balance of $1000000 3 Credit Card interest rates are variable All interest rates are shown are current as at date of print and are subject to change Fees and charges apply Any advice is general before acting on the advice you should consider whether the advice is appropriate for you Before you make any decision to acquire any product or service you should obtain and consider the relevant Product Disclosure Statement available from our website bankviccomau any branch or by calling us on 13 63 73 Police Financial Services Limited ABN 33 087 651 661 AFSL 240923 Australian Credit Licence 240293ndash trading as BankVic 121 Cardigan Street Carlton Victoria 3053 3-15 5243BV
Advertorial
Banking freedom for nurses and midwives
members matter
Let BankVic take care of you while you take care of others
9268 9297preidbankviccomau
Canstar Pty Ltd Authorised Representative 443019 of Canstar Research Pty Limited ABN 29 114 422 909 AFSL 437917 Police Financial Services Limited ABN 33 087 651 661 AFSL 240293 (BankVic) 121 Cardigan Street Carlton Vic 3053 315 5280bv
Contact your dedicated Member Relationship Manager Phoebe Reid
bankviccomau
19
This is general advice only Consider our product disclosure statement before making a decision about First State Super Call us or visit fi rststatesupercomau for copies Becoming a Student Club member is diff erent to being a First State Super member as you do not hold a superannuation account with the Fund or have any interest right or other relationship with First State Super
FSS Trustee Corporation ABN 11 118 202 672 ASFL 293340 is the trustee of the First State Superannuation Scheme (First State Super) ABN 53 226 460 365 EXP_
Mel
b_Ex
po_A
4_03
15
Join our free Student Club and make the most of the support discounts and benefi ts available only to students
Learn to manage your super better and how you can take advantage of our exclusive member benefi ts
Find out why wersquore the super fund with a heart on Saturday 18 April
Visit us at booth 7 in Melbourne
EXP_Melb_Expo_A4_Mar15_ARTWORKindd 1 6032015 414 pm
By Claire Stewart MACN
Diary of a newly registered nurse
Irsquom almost three months into my role as a newly registered nurse and I had my first 40 Prolene moment recently For the uninitiated this can be a panic fuelled moment where a routine procedure ends up resembling the Texas chainsaw massacre Thankfully I was supported by a wonderfully calm surgeon who waited patiently while I painstakingly attempted to load his life saving suture After the surgery I wiped the blood from my glasses and took a moment to reflect on how I had handled the situation In fact Irsquove spent most of the last three months lsquoreflectingrsquo Deafening groans can be heard from many a third year nursing cohort when wersquore asked yet again to lsquocritically reflectrsquo on our practice as student nurses Let me be the first to admithellip It doesnrsquot stop at graduation
I may not use a dedicated framework or even put pen to paper but the skills I learned during my studies have set me up to ensure I gain the most from every learning opportunity by critically reflecting on my performance simply by force of habit During the last three months my learning curve has veered vertical as I transitioned from university study to my role as a
graduate registered nurse in perioperative services Irsquove had to deal with a new environment (donrsquot even get me started on finding your way around a theatre complex) new colleagues adjusting to full time work and managing family commitments learning an entire new skill set working as a scrubscout dealing with policies procedures and my favourite surgeonsrsquo preference
In these first few months itrsquos very easy to fall into the trap of focussing on how much you donrsquot know However practising critical reflection has allowed me to focus on what I do know how far Irsquove come and what I will learn because Irsquom self-aware Whether you are a new nurse like me and feel like yoursquove handed in one too many pieces of written reflection to your facilitator over the last three years or an experienced nurse who practices self-reflection sub-consciously on the drive home ndash embrace it for the wonderful tool that it is and use it to become the kind of nurse you want to work with
Be in demand Be successfulStudy nursing or midwifery at Monash If you want to make a difference in health care with great employment potential the School of Nursing and Midwifery is a great place to start
As a nurse or midwife there are a variety of roles and a number of specialty areas available to you ensuring a constant career of challenges and diversity
To find out more about our undergraduate courses visit us at ACN Expo Melbourne Stand 84 ndash 85
For more information on our courses visit medmonashedunursing
21
Research collaboration students are welcome
A collaborative research study in Queensland is tapping into the enthusiasm and intelligence of nursing students by training and employing third-years as research assistants data collectors and analysts in contract research projects
Researchers from James Cook Universityrsquos (JCU) Centre for Nursing and Midwifery Research (CNMR) the Far North Queensland Medicare Local and the Cairns and Hinterland Hospital and Health Service are trying to determine why emergency department (ED) presentations to Cairns Hospital have been increasing at a greater rate than the national average
To answer this question CNMR researchers recruited 14 nursing and medical students to survey every willing and able person who presented to the ED
Researchers asked participants for information regarding their reasons for coming to the ED They also asked where they would usually go for medical treatment and what physical and psychological factors influenced their decision to choose the ED over other treatment options
In other phases of the project hospital Emergency Department Information System (EDIS) data have been analysed and patient focus groups have been convened Unstinting faith in the local ED has been noted as one of the key reasons that people choose the ED over other health care options
Most people who come to the ED with lsquonon-urgentrsquo conditions do have general practitioners and a large percentage have sought medical advice in the days prior to presenting to the ED Worry anxiety and uncertainty rather than the severity of the medical condition itself however appears to be a significant motivator to come to the ED where people perceive there is a wide range of services professionals and diagnostic tools available
ACN Emerging Nurse Leader Anna Groth MACN a third-year nursing student from JCU has been collecting collating and analysing data
ldquoOften I would ask someone why they had come to the hospital and they would speak about being in pain but if you asked them about whether they came for the pain or because they were anxious about the pain they would say they had come to the hospital because of the anxietyrdquo explained Anna ldquoIt is such a huge difference ndash the motivation ndash coming for the pain or the anxietyrdquo
Anna said the project opened communication lines between people from different organisations including government university health service hospital and the community leading to collaboration and learning for all
By Marnie Hitchins
Benefits for the students included early career exposure to the research process in which they learnt about data collection analysis and research methods The students also had the opportunity to practise communication skills learn about the organisational cultures of universities and hospitals and work alongside health professionals and patients in a research environment
Students commented that because the power dynamics were different from that of clinical experience (they were not seen as health professionals by patients nor as lsquostudent nursesrsquo by health staff members) they gained insights into the hospital environment they might not otherwise have had
Anna said she learned a lot personally the ED research experience has catapulted her into another area of interest in which she can see herself working in the future
ldquoResearch and policy will be a part of my future Irsquove gained a deep interest in the treatment of women since doing this studyrdquo said Anna
ldquoI have become very interested in domestic violence and the way women are treated in the health service and in the society as a whole I was blown away by the struggle that people have with the system in trying to find support They are so lonely I recognised things being in the ED that I would like to research and have already started exploring the issuesrdquo
CNMR Director Associate Professor Jane Mills FACN said the recruitment and inclusion of students in research projects is part of a broader plan within the CNMR to build undergraduate research capacity
Jane said the CNMR also offered internships to undergraduate students to work on research projects alongside experienced scholars academics and researchers
ldquoJCU strongly supports the inclusion of undergraduate students in research studies where they can gain valuable knowledge skills and experience while also making a contribution to building the evidence base about health care issues of importance to people living in the tropicsrdquo said Jane
ldquoItrsquos a win-win situation where experienced researchers benefit from the studentsrsquo enthusiasm and familiarity with contemporary research principles and students increase their awareness of the importance of research to professional practicerdquo
It is clear to all parties involved that the inclusion of nursing students is benefitting the quality of the project as much as it is benefitting studentsrsquo learning and work experiences
22
Launch your nursing career at St Vincentrsquos
St Vincentrsquos Hospital Melbourne (SVHM) is part of St Vincentrsquos Health Australia and is a leading teaching research and tertiary health service which employs more than 5000 staff across 18 sites throughout Melbourne SVHM provides a diverse range of adult clinical services including acute medical and surgical services sub-acutecare medical diagnostics rehabilitation allied health mental health palliative care correctional health and community residential care SVHM is one of Australiarsquosleading Catholic not-for-prot healthcare providersMake the most of your talents Join the team at St Vincentrsquos
Visit us at the ACN Nursing and Health Expo 2015Find out about our 2016 Graduate Nurse Program andhave a chat to our current graduates educators and nursing staff
St Vincentrsquos Open Evening 2015Wednesday 3rd June 4pm-6pmSt Vincentrsquos Ground Floor Aikenhead Building 27 Victoria Parade Fitzroy
Welcome and Overview of the 2016 Graduate Nurse Program at 4pm 430pm amp 5pm
All welcome ndash no RSVP required
All 24 rotational areas on displayTours of inpatient wardsComplimentary food and beverages provided
For further information visit wwwsvhmorgau or phone the Graduate Nurse Hotline 9231 2244
To follow our 2016 recruitment process Like us at SVHM 2016 Graduate Nurse Program
Compassion Justice Integrity Excellence
24
INTERESTED IN STUDYING DEAKIN NURSING AND MIDWIFERYWe are holding information sessions for our undergraduate courses
BURWOOD CAMPUS 221 BURWOOD HIGHWAY BURWOODWednesday 22 July 6ndash8 pmSaturday 25 July 230ndash430 pm
WATERFRONT CAMPUS 1 GHERINGHAP STREET GEELONGWednesday 22 July 6ndash8 pmSaturday 25 July 230ndash430 pm
WARRNAMBOOL CITY CENTRE 165 TIMOR STREET WARRNAMBOOLFriday 24 July 730 pm
raquo To register your attendance at one of the information sessions above please email nursinfodeakineduau to advise which session you plan to attend
For more information about our undergraduate and postgraduate courses please phone 03 9244 6032
Deakin University CRICOS Provider Code 00113B HLH002
deakineduaunursing
Itrsquos never too early to become a leader
How did you become involved in nursing
I started volunteering from age 14 with St John Ambulance Australia in my hometown of Moruya NSW I loved everything about it ndash loved the joy of helping others and I was so intrigued to learn how to respond effectively in emergencies and show true compassion to others I was also fortunate to have had some very down-to-earth and inspiring mentors who encouraged my interest in nursing and after graduation from high school I undertook the University of Wollongongrsquos Bachelor of Nursing degree
I started my first paid nursing related employment in my third year of the degree at a local hospital I have now graduated and am working as a registered nurse (RN) in a local aged care facility learning the ins and outs of multiple comorbidities patient-centred care and compassionate palliative and end-of-life care
What is your nursing specialty
As I still consider myself as a lsquonewbiersquo RN I havenrsquot really discovered a specialty yet though I have interests in aged care mental health cardiology and nursing research So I guess I am intrigued to be involved in one or all of these areas at some point in my career but I am open to any interesting opportunities that may come my way
What do you love most about nursing
This is truly the job that never has a dull day Each day is different and I feel privileged to be so trusted with the lives of my patients and residents in their moments of hardship and need Along with my love of the workings of the human body the evidence-base behind nursing care and continuous educational opportunities I love the lsquoteamrsquo focus of nursing especially when the patient is at the centre of decision making and everything goes to plan
What is your least favourite part of nursing
When everything doesnrsquot go to plan
What brought you to this area of Australia
Irsquom originally from NSW South but I moved to Wollongong for University and have stuck around for the area the people and to continue to work and study here
What are some of the nursing and health issues that are specific to the Sydney SouthIllawarra Region
Two big issues come to mind Firstly many newly graduated RNs within our region have been unable to find employment Secondly local nurses struggle to find the time within their working hours to keep up to date with advances in education
What do you see as the biggest challenge currently facing the nursing profession and how do you think the profession is placed to respond to these challenges
I believe possible health funding cuts and workforce shortages that in-turn affect our ability to provide adequate and safe patient care are two significant challenges facing our profession There are recently graduated RNs who remain jobless yet there are local health districts crying out for nurses but only those with lsquoexperiencersquo with undergraduate nursing experience ignored Looking into alternative transition programs is key to overcoming this challenge
Whatrsquos the biggest misconception about your career choice
I have met some amazingly talented and intelligent nurses in a variety of roles who all make a great difference in the lives of their patients or indirectly through organisations or research The general misconception that irks me isnrsquot so much a misconception more a statement Irsquove heard multiple times ndash ldquoWhy didnrsquot you become a doctor Why are you just a nurserdquo I did not become a nurse because I didnrsquot have the marks to be a doctor and by the time I finish university again with a Research Masters I would have physically been enrolled in university for the same length of time I became a nurse because I found a passion for this role and spending time with people inspires me
Nursing is a holistic role that encompasses so much We are health professionals role models educators support systems and innovators we understand intimately the fragility of life and the human relationships that bring it meaning
Profile Renee Callender MACN
LeadershipACN
Expand your leadership capacity
25
INTERESTED IN STUDYING DEAKIN NURSING AND MIDWIFERYWe are holding information sessions for our undergraduate courses
BURWOOD CAMPUS 221 BURWOOD HIGHWAY BURWOODWednesday 22 July 6ndash8 pmSaturday 25 July 230ndash430 pm
WATERFRONT CAMPUS 1 GHERINGHAP STREET GEELONGWednesday 22 July 6ndash8 pmSaturday 25 July 230ndash430 pm
WARRNAMBOOL CITY CENTRE 165 TIMOR STREET WARRNAMBOOLFriday 24 July 730 pm
raquo To register your attendance at one of the information sessions above please email nursinfodeakineduau to advise which session you plan to attend
For more information about our undergraduate and postgraduate courses please phone 03 9244 6032
Deakin University CRICOS Provider Code 00113B HLH002
deakineduaunursing
WA EXPO PERTH
26
Welcome from the Chief Nurse amp Midwifery OfficerI am so pleased to be welcoming you to the Australian College of Nursingrsquos Western Australian Nursing and Health Expo for 2015
Attending the Expo is an invaluable experience for anyone interested in nursing and midwifery careers It especially helps high school students and their parents or anyone who is wondering which career direction to take
Hospitals and health services from across WA will be there with some of their nurses and midwives in attendance to answer any questions you may have Come and find out from them what itrsquos really like to be a nurse or midwife
There will also be a range of education providers who will be able to talk about the many courses available to get your career started
It is also a great place to come to discuss and find out about graduate job opportunities building your experience career development opportunities financial support to study changing employers or even returning to a career in nursing or midwifery after being away for a while
The decision to become a nurse or a midwife is a wonderful career choice for anyone who wants to be part of a diverse healthcare professional team and have a challenging rewarding and exciting job where you really can make a difference
The future demand for nurses and midwives is going to be high especially as WArsquos new Fiona Stanley Perth Childrenrsquos Busselton and Midland hospitals all start becoming fully operational so we encourage you to attend the Expo to see where nursing and midwifery might take you
I look forward to seeing you on Friday 1 May 2015 at the Perth Convention and Exhibition Centre
Karen Bradley MACN Chief Nurse and Midwifery Officer WA Health
27
Expo informationLocation
The Perth Convention and Exhibition Centre (PCEC) is Western Australiarsquos only dedicated convention and exhibition facility Each year over 500000 people attend one or more of the 600 plus events conducted at PCEC The Expo will be held in Pavillion 1 at PCEC
Doors open 9am ndash 1pm
Entry
Stairs amp Escalators to Level 2
Registration DeskEntry Foyer
Entry
ACN Expo Pavillion 1
28
Seminars
This year the educational seminar series is back again to provide visitors with up to date information and practical skills to pursue or further their career Seminar attendance is free of charge and registration is not required
Time Topic Presented by
915am How to become a nurse or midwife Rebecca Newton WA Nursing and Midwifery Office
950am Applying via GradConnect and other opportunities for graduate nurses and midwives
Regina Browne WA Nursing and Midwifery Office
1025am Unleashing the potential of your staff Lisa Ansbro and Donna Hampshire Chandler Macleod Health
1100am How to become a nurse or midwife Rebecca Newton WA Nursing and Midwifery Office
1135am Applying via GradConnect and other opportunities for graduate nurses and midwives
Regina Browne WA Nursing and Midwifery Office
1210pm Unleashing the potential of your staff Lisa Ansbro and Donna Hampshire Chandler Macleod Health
The lsquoUnleashing the potential of your staffrsquo seminar is proudly supported by
Chandler Macleod is Australasiarsquos leading provider of integrated HR services products and technologies We have more than 55 yearsrsquo experience in human resources and have specialised within the health sector for 10 of these We are ideally positioned to help you meet the growing demands on your business We provide permanent and temporarycontract recruitment for the full range of Health professions including Carers and Support Workers Enrolled Nurses Registered Nurses Facility and Operations Managers Directors Cleaners and Kitchen staff We are able to provide you with experienced caring staff 247 including public holidays
For more information contact Chandler Macleod on (08) 9217 0510 or visit wwwchandlermacleodcomclientshealth-recruitment
29
Floor plan
42 41
39
40
38
36
37
35
43
44
45
46
47
48
Entrance
Seminar area
Cafeacute
7
5
8
6
20
18
19
17
11
9
12
10
16
14
15
13
34 33 32 31 30 29 28
30
Exhibitor listing
Organisation Name Booth Number
AACDS 8
Armadale Health Service 38
Belmore Nurses Bureau 30
Central Institute of Technology 20
Chandler Macleod Health 16
Child amp Adolescent Health Service 42
Curtin University of Technology 19
Defence Force Recruiting 910
Edith Cowan University - School of Nursing and Midwifery
3334
Fiona Stanley Hospital 36
Fremantle Hospital 44
HESTA 5
Hollywood Private Hospital 7
Institute of Health amp Nursing Australia 32
Mediserve Nursing Agency 6
Murdoch University 1112
My Flex Health International 18
Organisation Name Booth Number
Next Step 48
North Metropolitan Mental Health 35
NurseWest 47
Nursing amp Midwifery Board of Australia 29
Osborne Park Hospital 46
Prime Super 17
PampN Bank 15
Rockingham General Hospital 39
Royal Perth Hospital 37
Sir Charles Gairdner Hospital 45
The Bethanie Group Inc 31
The University of Notre Dame 13
WA Country Health Service 40
WA Nursing amp Midwifery Office 43
West Coast Institute of Training 14
Women amp Newborn Health Service 41
Work the World 28
The WA Nursing amp Health Expo is proudly supported by
The WA Nursing and Midwifery Office is very proud to partner once again with the Australian College of Nursing for the 2015 Nursing and Health Expo The nursing and midwifery professions offer an array of interesting and diverse experiences With these highly valued and respected skills relevant anywhere in the world nurses and midwives will always be in demand ndash in hospitals and in a range of other workplaces In WA the future demand for nurses and midwives is going to be high especially as our new Fiona Stanley Perth Childrenrsquos Busselton and Midland hospitals all start becoming fully operational so considering a career in nursing or midwifery is a great idea
wwwnursinghealthwagovau
31
In Australia enrolled nurses (ENs) are a core component of the health care workforce and make an important contribution to Australiarsquos world-class health outcomes ENs work in varied settings across the country from blood services to aged care facilities Increasingly ENs are playing an important role in meeting the growing demand for care
Not all countries have recognised the importance of ENs in the nurse workforce mix Several European countries including France Denmark Italy and Spain have only one category of regulated nurse (HWA 2013 Robinson and Griffiths 2007) The United Kingdom (UK) ceased admitting new ENs to the register in the 1980s The minimum qualification for all UK nurses is now a three-year bachelorrsquos degree As a result the UK relies heavily on unregistered health care assistants rather than second-level nurses (UK Department of Health 2013) Closer to home New Zealand ceased training ENs in 1993 only to recommence in the 2000s (Meek 2009) New Zealandrsquos experiment is an instructive demonstration of the importance of ENs in the health care workforce as the demand for nursing care increases
In Australia we have remained committed to maintaining the EN role Rather than relying on unregistered health care workers Australia has chosen to maintain a large educated and professional EN workforce The skilled work of ENs is recognised to be of paramount importance to the delivery of high quality nursing care Our EN workforce is highly dynamic and continues to evolve within the changing landscape of Australian health care policy and regulation
Enrolled nurse demographics
According to the latest national figures there are 51624 ENs working in Australia The great majority of ENs have completed their pre-registration education in Australia fewer than 5 have been educated overseas (HWA 2013)
The EN workforce has a relatively high average age of 46 years and forty-five per cent of ENs have celebrated their fiftieth birthdays (AIHW 2013) According to Health Workforce Australia the ageing EN workforce could lead to a significant shortfall in the supply of ENs if action is not taken to retain the current cohort of ENs and increase the number of people studying to be the ENs of tomorrow (HWA 2012)
Men make up roughly 10 of the EN workforce While this number is rising gradually it indicates that there is progress to be made in terms of attracting and retaining males within the profession Aboriginal and Torres Strait Islander people are
also underrepresented in the EN workforce only around 800 of Australiarsquos ENs identify as Indigenous Australians (AIHW 2013)
Among the most common work settings for ENs are aged care rehabilitation and disability services In contrast ENs make up fewer than 5 of the critical care nursing workforce and represent only a small proportion of nurses working in education policy and management (AIHW 2013)
These statistics show that there are both challenges and opportunities for Australiarsquos EN workforce Efforts to recruit and retain ENs will need to be enhanced with a particular focus on encouraging men and Aboriginal and Torres Strait Islander people to become ENs At the same time roles in a wider range of clinical areas are becoming available to suitably educated and qualified ENs and there will be more such opportunities in the coming years
A growing role for ENs
The evolving role of the EN is reflected in recent changes to educational requirements for ENs As of 1 July 2014 the Certificate IV in enrolled nursing ceased to be available and the minimum qualification for EN entry to practice will be the Diploma of Nursing The transition to a Diploma recognises the high level of skill ENs contribute to todayrsquos health care teams A nationally consistent approach to EN education is also likely to enhance the mobility of the EN workforce by giving employers confidence in the knowledge and skills of ENs educated in other states
ENs are now undertaking a diverse range of roles One of the earliest areas of role expansion for ENs was medication endorsement Before the move to national registration in 2010 ENs in some states were able to obtain an endorsement in medicines administration and become Endorsed Enrolled Nurses by completing specified education units This endorsement has now been phased out because from 2008 onwards all newly qualified ENs have completed the required medicines administration education Instead the register now identifies ENs who have not completed the required courses (NMBA 2014) This example demonstrates how the EN role has evolved over the years Whereas once only a relatively small number of ENs were educated to administer medicines now all student ENs complete medicines administration units as part of their initial nursing education
The EN role is also expanding in other ways For example ENs are taking on a growing role within haemodialysis units (Tranter et al 2011) The 2008 Australia and New Zealand Dialysis Workforce Survey conducted by the Renal Society of Australia found that there were 188 ENs working in dialysis alongside 2433 registered nurses (RNs) The growing demand for dialysis
The potential of the enrolled nursing workforce
By Rosina Muir and Dr Marlene Eggert MACN
32
services and the shortage of dialysis RNs in some areas represents a clear opportunity for ENs According to a New South Wales study conducted in 2009 the scope of practice of ENs in haemodialysis units may include cannulation (including both native access and buttonhole cannulation) connecting and disconnecting haemodialysis central venous catheters (CVCs) performing CVC dressings giving iron infusions and administering erythropoietin anticoagulants and Lignocaine In addition ENs may also take on a case management or health promotion role for dialysis patients (Bennett et al 2009)
ENs are also moving into extended roles in rehabilitation services A recent study of ENs in an Australian rehabilitation facility found that in addition to assisting patients with activities of daily living ENs may take on roles in coaching and supporting patients to reach their individual goals monitoring the patientrsquos progress and liaising with other members of the multidisciplinary rehabilitation team The study found that many ENs demonstrate an understanding of the philosophy of rehabilitation nursing including goal setting and enabling self-care (Pryor and Buzio 2013)
In rural Australia ENs are taking on a diverse range of roles within the EN scope of practice in order to meet local needs ENs with specialist skills such as infection control or wound care make a significant contribution to some rural health services although their extended scope of practice is not always given appropriate recognition by their RN colleagues (Nankervis et al 2008) Rural health services are increasingly recognising that supporting ENs to take on extended roles and further develop their clinical skills can be a successful model for the delivery of high quality patient care
Recognising the evolving EN scope of practice
In light of the fact that there have been significant changes to EN education regulation and scope over the last decade the NMBA has commissioned Monash University to review the currency of the standards against contemporary enrolled nursing roles The Monash University project has involved a review of the literature as well as a series of focus groups and surveys to gather insights from both RNs and ENs on the education scope of practice and supervision of ENs (Monash University 2013) The project is expected to be completed in 2014 (NMBA 2013)
Our advocacy for ENs
ACNrsquos advocacy priorities are explicitly designed to support both registered and enrolled nurses In 2014 ACN has argued for a range of policies that would have a positive impact on the
retention and flexibility of enrolled nurses For example ACN has proposed a National Transition Framework to support the flexibility and mobility of both the EN and the RN workforces The Framework would be accessible to nurses entering the workforce as well as nurses transitioning from one area of practice to another For example it would support an EN wishing to transition from the aged care sector to a hospital-based role
ACN has also put forward a proposal for a new scholarship program to support newly registered and enrolled nurses to practice in rural services It is essential that rural health service providers are able to attract appropriately educated staff including both ENs and RNs in order to maintain an optimal skill mix The scholarship scheme will allow rural health services to employ newly registered and enrolled nurses as supernumerary team members while providing them with a structured clinical learning program
ACN will continue to provide a voice for ENs in policy discussions and advocate for the role of ENs in health care delivery Australian Institute of Health and Welfare 2013 Nursing and midwifery workforce 2012 lthttpwwwaihwgovauWorkAreaDownloadAssetaspxid=60129545314gt pp 6
Bennett P McNeill L Polaschek N 2009 lsquoThe Australian and New Zealand Dialysis Workforcersquo Renal Society of Australasia Journal vol 5 no3 pp 147-151 lthttpwwwrenalsocietyorgRSAJjournalnov09bennett2pdfgt
Health Workforce Australia 2012 Health Workforce 2025 Doctors Nurses and Midwives vol 1 lthttpwwwhwagovausitesuploadsFinalReport_Volume1_FINAL-20120424pdfgt pp 137-142
Health Workforce Australia 2013 Nurses in Focus lthttpwwwhwagovausitesuploadsNurses-in-Focus-FINALpdfgt
Meek G 2010 Second level nurses a critical examination of their evolving role in New Zealand Healthcare lthttpresearcharchivewintecacnz9621Repository_entry_HLNU902pdfgt pp 3
Monash University 2013 The National Review of the Enrolled Nurse Competency Standards lthttpwwwmedmonashedunursingcompetency-standardsgt
Nankervis K Kenny A Bish M 2008 Enhancing scope of practice for the second level nurse A change process to meet growing demand for rural health services lthttpwwwncbinlmnihgovpubmed18844530gt
Nursing and Midwifery Board of Australia 2013 Communique Meeting of the Nursing and Midwifery Board of Australia 27 February 2013 in the AHPRA Hobart Office TasmanialthttpwwwnursingmidwiferyboardgovauNewsCommuniques-from-Board-meetingsaspxgt
Nursing and Midwifery Board of Australia 2014 Enrolled nurses and medicine administration lt httpwwwnursingmidwiferyboardgovauCodes-Guidelines-StatementsFAQaspxgt
Pryor J Buzio A 2013 lsquoDo ldquotwo typesrdquo of ENs work in rehabilitation in Australiarsquo Journal of the Australasian Rehabilitation Nurses Association vol 16 no 1 pp 14-19 lthttpsearchinformitcomaudocumentSummarydn=480975443102792res=IELHEAgt
Robinson S and Griffiths P 2007 Nursing education and regulation International profiles and perspectives lthttpeprintssotonacuk3487721NurseEduProfilespdfgt pp 7-17
Tranter S Westgarth F White G 2011 lsquoThe scope of practice of the haemodialysis Enrolled Nurse in new South Walesrsquo Renal Society of Australasia Journal vol 7 no 1 pp 24-29 lthttpwwwrenalsocietyorgRSAJjournalmar11Tranterpdfgt
United Kingdom Department of Health 2013 The Cavendish Review An Independent Review into Healthcare Assistants and Support Workers in the NHS and social care settings lthttpswwwgovukgovernmentuploadssystemuploadsattachment_datafile236212Cavendish_Reviewpdfgt pp 6
33
By Laurie Bickhoff MACN
Diary of a newly registered nurse
In Australia it is estimated nearly 20 of nurses will leave the profession within their first year of practice (National Nursing and Nurse Education Taskforce [NNNET] 2005) Internationally this figure ranges from between 35 and 60 (Halfer amp Graf 2006) Many have speculated on the reasons for this with high workloads the difficulties of shift work and unrealistic expectations of what nursing entails all given due consideration (Halfer amp Graf 2006) However as I entered my second year of practice I began to wonder what role disillusionment plays in this exodus of newly trained nurses
Disillusionment to me occurs when you feel your passion dwindling when you suddenly find it that little bit harder to get ready for work when you start feeling a sense of dread as you walk onto the ward This wasnrsquot caused by long hours or ever increasing workloads coupled with diminishing resources It wasnrsquot caused by physically demanding duties or the lack of a social life due to shift work It wasnrsquot caused by dealing with things that might not look or smell that great Unfortunately it was caused by the people around me and an almost institutionalised lack of power not only for nurses but more importantly for our patients
I was dismayed and frustrated to hear how many of my colleagues from all health professions referred to patients I was disheartened to see how easily some could dismiss the suffering we see and the heartache I felt I was overwhelmingly saddened to realise not everyone had the same passion for their profession or empathy for those we are charged to care for as I did
This culminated for me towards the end of my first year of practice There wasnrsquot any one big incident more an accumulation of things that were gradually wearing me down I had a worried patient confide in me that they had been too scared to push the call button on the previous shift because of the response they would receive from the nurse I saw patients constantly being made to fit into everyone elsersquos schedules regardless of their requests It seemed everyone was more important than the person we were there to help
I heard patients referred to as lsquocactusrsquo or described in the notes as lsquounsalvageablersquo meaning there was no chance of the patients making meaningful recoveries I wondered is this really how we refer to people Or did we forget they were actual human beings we were talking about
I had other health professionals dismiss me with comments such as nurses ldquojust wipe bums all dayrdquo or roll their eyes at me when I raised my concerns When I dared to challenge or question I was met with comments of ldquoI miss the old new gradsrdquo I felt tired washed out and was beginning to wonder
whether I could stay in this profession without losing myself
Luckily I found some inspiration I listened to a presentation by Drew Dudley a well-known American academic and motivational speaker where he discusses the idea of lsquolollypop momentsrsquo These are small moments when the people we see and work with every day demonstrate leadership They arenrsquot big grand over the top statements They are small gestures which often unknown to the person who did it have an amazing impact on the lives of others I was lucky enough to have some of these lollypop moments just when I needed them These few sparks were all that I needed to reignite my passion for nursing
The first spark came from an RN2 caring for a patient at the end-stage of a number of diseases who had expressed to the nursing staff multiple times her wish to simply be made comfortable as she knew this was the end of her fight Despite this the patient was not only receiving active treatment but was also currently documented for full resuscitation if she deteriorated
The nurse raised the issue with the medical registrar asking him to have a discussion with the patient regarding her wishes and planning end-of-life care The registrar dismissed her saying ldquowell thatrsquos not what the consultant wantsrdquo The nurse wasnrsquot satisfied and responded ldquoitrsquos not their choice itrsquos the patientrsquos decisionrdquo This nurse had the courage to stand her ground and make sure her patientrsquos voice was heard which ultimately led to the patientrsquos wishes being honoured
The next spark came soon after I was working with a nurse who came from a different cultural background to me where it was seen as impolite to question anyone in authority especially if you were female This meant even if a doctor was accidently standing in her way she would prefer to simply wait rather than ask them to move
Then one day we had a patient who deteriorated rapidly and was in a very critical condition This nurse suddenly became one of the best clinical leaders I have witnessed She led the team questioning orders prompting treatments suggesting causes and outlining the options available I soon realised the difference this was about her patient She was going to ensure her patient received the best care and outcome possible When it was about her patient rather than herself she found her voice
There were a number of smaller incidents that soon followed Sparks came from the senior consultant who re-educated her advanced trainee on the importance of listening to the nurses and acting on their concerns Sparks came from our ward social
34
worker who day after day demonstrated his passion for helping and advocating for those with no voice and often no options Sparks came from the medical residents who expressed their gratitude when you picked up a mistake and were heartfelt in their appreciation of the work nurses do
The brightest sparks came from my patients and their relatives It was their ldquothanksrdquo their ldquoyou donrsquot know how much that meansrdquo their ldquoyoursquoll be back tomorrow wonrsquot yourdquo their squeezing of my hand that reminded me why I do what I do I didnrsquot have to search for inspiration I was surrounded by it The trick was to change my focus
Perhaps all nurses are disillusioned at some point during their careers Perhaps it happens multiple times Perhaps it is a rite of passage with those who make it through the other side the
ones with a true passion for nursing who turn around and help a colleague on their journey
As I continue my nursing career I now look for the brightness that I know is always there far outshining the negativity that we have to deal with I stockpile my lsquolollypop momentsrsquo knowing the amazing examples of kindness and leadership I see every day will help me grow and become a better nurse and hopefully I might be able to be a spark for someone else
You can listen to Drew Dudleyrsquos talk at wwwtedcomtalksdrew_dudley_everyday_leadership
Halfer D and Graf E lsquoGraduate Nurse Perceptions of the Work Experiencersquo Nursing Economics June 2006 Vol 24 No 3 pp 150-55
National Nursing and Nurse Education Taskforce 2005 Mythbusters Available online at httpwwwnnnetgovaudownloadsmythbusters_attritionpdf Accessed June 2014
Arts amp Sciences | Business | Education | Health Sciences | Law | Medicine | Nursing amp Midwifery | Philosophy amp Theology | Physiotherapy
Your journey to a meaningful career awaitsThe School of Nursing amp Midwifery offers the following courses
rsaquo Bachelor of Nursing
rsaquo Bachelor of Nursing (Articulation Pathway for EN Diploma)
rsaquo Graduate Certificate (Acute Mental Health Clinical Nursing Nursing and Nursing Leadership amp Management)
rsaquo Graduate Diploma (Acute Mental Health Clinical Nursing Critical Care Nursing Forensic Nursing Midwifery Nursing and Perioperative Nursing)
rsaquo Master of Nursing (Coursework and Research)
Looking to make a difference So are we
Apply direct notredameeduau
ND
1053
| C
RIC
OS
PR
OV
IDE
R C
OD
E 0
1032
F
35
36
Expo informationLocation
Visitors are often struck by the architectural brilliance of the Melbourne Convention and Exhibition Centre (MCEC) which has won some of Australiarsquos most prestigious architecture and design awards The Expo will be held in bays 17 and 18 of the MCEC
Doors open 9am ndash 1pm
Concourse
Link to convention
centre
Loading Dock
Normanby Road
Clar
endo
n St
reet
Entry Foyer
Clarendon Street
Entrance
ACN Expo Bays
17 amp 18
14
Seminars
This year the educational seminar series is back again to provide visitors with up to date information and practical skills to pursue or further their career Seminar attendance is free of charge and registration is not required
Time Topic Presented by
915am HESTA Your Partner for Career David Logan HESTA
950am Graduate NurseMidwifery Program Computer Match 2015 Paul Williamson Postgraduate Medical Council of Victoria
1025am Understanding delegation and supervision responsibilities and accountabilities
Associate Professor Alison McMillan MACN
Department of Health amp Human Services Victoria
1100am HESTA Your Partner for Career David Logan HESTA
1135am Graduate NurseMidwifery Program Computer Match 2015 Paul Williamson Postgraduate Medical Council of Victoria
1210pm Understanding delegation and supervision responsibilities and accountabilities
Associate Professor Alison McMillan MACN
Department of Health amp Human Services Victoria
The VIC Nursing amp Health Expo is proudly supported by
On 1 January 2015 the Victorian Government established the Department of Health amp Human Services bringing together the former Department of Health Department of Human Services and Sport and Recreation Victoria The department has been established to develop and deliver policies programs and services that support and enhance the wellbeing of all Victorians We take a broad view of the causes of ill health the drivers of good health the social and economic context in which people live and of the incidence and experience of vulnerability This will allow us to place people at the heart of policy-making service design and delivery
wwwdhhsvicgovau
15
Floor plan
BENC
H
SINK
ENTRANCEDOOR 9
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
20 21
22232425
26 27 28 29
30313233
34 35 36 37
38394041
42 43 44 45
46474849
50 51 52 53
54555657
58 59 60 61
62636465
66 67 68 69
7071727374
75
76
84
85
86
87
88
89
90
1918
16
Exhibitor listing
Organisation Name Booth Number
Alfred Health 6667
ANMF Victorian Branch 747576
Austin Health 4243
Australian Catholic University 89
Ballarat Health Services 62
BankVic 73
Baptcare 60
Belmore Nurses Bureau 47
Bendigo Health 44
Care Training Australia 17
Chisholm Institute of TAFE 19
Colbrow Healthcare 26
Critical Second 90
Crystal Clear Ear Clinic 6
Deakin University Nursing amp Midwifery 3435
Defence Force Recruiting 12
Eastern Health 3031
Epworth HealthCare 6465
Federation University Australia 41
First Call Health 40
First State Super 7
Forensicare 68
Health Skills Australia 72
HESTA 20
Holmesglen 4546
Institute of Health amp Nursing Australia 27
Kangan Institute 24
La Trobe University 121314
Martin Luther Homes 22
McFarlane Medical amp Scientific 23
mdBriefCase Australia 18
Mediserve Nursing Agency 28
Organisation Name Booth Number
Melbourne City Institute of Education 86
Mental Health Nursing Victoria 1011
Mercy Health 8788
Monash Health
Monash University 8485
NeilMed Pharmaceuticals 32
Northern Health 5354
NorthWestern Mental Health 59
Nurses Board of Victoria Legacy Limited
69
Nursing amp Midwifery Board of Australia 21
Peninsula Health 38
Peter MacCallum Cancer Centre 25
Postgraduate Medical Council of Victoria
71
Prime Super 33
Reflective Clinical Supervision Network 39
RMIT Faculty of Nursing 55
Royal Victorian Eye amp Ear Hospital 48
Sanita Australia 31
St Vincentrsquos Hospital 5051
St Vincentrsquos Mental Health 5
St Vincentrsquos Private Hospital 34
The Royal Melbourne Hospital 56
Tobin Brothers Funerals 49
University of Melbourne 89
University of Tasmania 52
Victoria University 57
Vital Health Recruitment 70
VNS Nursing Agency 58
Western District Health Service 63
Western Health 3637
Work the World 29
17
Graduate transition programs my personal experienceToo often we hear horror graduate stories Research shows horizontal violence and bullying is rampant in our profession We are told tales of the infamous ldquoeat our youngrdquo nursing culture We know graduates suffer transition shock when they start practicing and nearly 20 will leave in their first year
Unfortunately the good stories are often buried underneath the bad and so I wanted to share my graduate year experience When I started as an RN the only nursing experience I had were my clinical placements and a mere two months working as an AIN To say I was worried was a major understatement I was quietly petrified but tried to keep up a brave face
I had worked hard in university to learn as much as I could but I was still filled with doubts Would I be good enough Would I crash and burn Would I help or hinder my patientsrsquo recovery
My first day on the ward was sink or swim time I was amazed at the warm welcome I was given The other RNs were supportive and encouraging They made sure I knew if I felt myself struggling they would be there with a life-line
Every ward I rotated through gave me this same friendly reception Perhaps it was just luck or maybe our nursing culture is changing but I never encountered any of the pressure to change my values and practice in order to fit in that I had been told to expect Instead I found colleagues who understood I wouldnrsquot know everything on day one who were willing to take the time to teach me and who become great friends along the way
My clinical skills and knowledge increased out of sight during my graduate year I felt my university had given me a great foundation on which to build my career as an RN but my grad program cemented my theory into my practice I started the year having never removed a single stitch I ended the year confidently removing everything from sutures to ICCs and pacing wires while also successfully inserting NG tubes and cannulas Importantly I understood the pathophysiology and rationale behind each of these and could explain it to my patients
Irsquom not saying everyday was perfect Irsquom not saying every person was as helpful or welcoming as the next Irsquom not saying I didnrsquot have days when I struggled What I am saying is I never felt alone I knew the support was there all I had to do was ask
I know not every graduate nurse will have as positive an experience as I did Perhaps my journey was the exception not the rule However I hope the number of nurses who have an amazing graduate year like mine continues to increase until this becomes the norm
I do know that the success of your graduate year relies heavily on you and your attitude University teaches you how to think like a nurse but it is in clinical practice the real learning begins and it has a steep learning curve Approach your grad year knowing that everyone from the tea lady to the Director of Nursing will be your new teachers and success will come When the people you work with recognise your passion see your motivation to provide what is best for the patient and know you realise what a unique privilege it is to be a nurse their respect will follow
At the same time donrsquot be afraid to speak up for your patients for your colleagues and for yourself Harvey Fierstein said ldquoNever be bullied into silence Never allow yourself to be made a victim Accept no onersquos definition of your life define yourselfrdquo You have the ability to define your graduate year regardless of what hospital or ward you find yourself in
You can change the culture and reputation of the nursing profession for better or worse You can conform and join in bullying behaviour and continue negative traditions or you can decide it stops with you Set your standards high and have the moral courage to stick to them If every graduate nurse demonstrated this leadership and supported other nurses who did as well imagine the overwhelmingly positive impact that could have on nursing
Gandhi once said ldquoBe the change you want to see in the worldrdquo I would encourage you to be the change you want to see in nursing and just watch how the world changes with us
By Laurie Bickhoff MACN
18
Finishing studies and becoming a new graduate is an exciting milestone Itrsquos usually the first time you begin working full time perhaps moving away from home owning your own car and paying bills
Of course itrsquos important to budget ensuring you have enough money for daily expenses as well as being able to stash some money away The easiest way to keep track of your income versus expenses is to set up an everyday account with your salary paid into it and a savings account earning interest on the money yoursquore able to save In addition you might want to get a credit card so that yoursquove got some money for emergencies
Gain fee free banking freedom
With a BankVic Anywhere account you can enjoy unlimited free withdrawals at any ATM in Australia when you deposit $1000 per month1 Plus you can access your money with free unlimited eftpos transactions a Visa Debit card with paywave and a mobile App
Earn bonus interest on your savings
A BankVic Bonus Saver account is a high interest account that rewards you for saving by giving you bonus interest2 when you deposit a minimum of $100 a month and make no withdrawals plus there are no fees Itrsquos a great way to force yourself to save
Enjoy a credit card with no annual fee
A BankVic Visa Silver credit card offers great value with an introductory rate of 699pa3 for the first 6 months and a low ongoing rate plus no annual fee Itrsquos the perfect back up card
Why not call us today Call your dedicated Member Relationship Manager Phoebe Reid on 9268 9297 or via email preidbankviccomau
1 Minimum deposit of $1000 must be received in the account by close of business on the last business day of the month The deposit cannot be an internal transfer or interest earned form other BankVic products 2 Bonus Saver ndash Deposit $100 per calendar month with no withdrawals and yoursquoll be rewarded with bonus interest Bonus interest rate is capped at a maximum balance of $1000000 3 Credit Card interest rates are variable All interest rates are shown are current as at date of print and are subject to change Fees and charges apply Any advice is general before acting on the advice you should consider whether the advice is appropriate for you Before you make any decision to acquire any product or service you should obtain and consider the relevant Product Disclosure Statement available from our website bankviccomau any branch or by calling us on 13 63 73 Police Financial Services Limited ABN 33 087 651 661 AFSL 240923 Australian Credit Licence 240293ndash trading as BankVic 121 Cardigan Street Carlton Victoria 3053 3-15 5243BV
Advertorial
Banking freedom for nurses and midwives
members matter
Let BankVic take care of you while you take care of others
9268 9297preidbankviccomau
Canstar Pty Ltd Authorised Representative 443019 of Canstar Research Pty Limited ABN 29 114 422 909 AFSL 437917 Police Financial Services Limited ABN 33 087 651 661 AFSL 240293 (BankVic) 121 Cardigan Street Carlton Vic 3053 315 5280bv
Contact your dedicated Member Relationship Manager Phoebe Reid
bankviccomau
19
This is general advice only Consider our product disclosure statement before making a decision about First State Super Call us or visit fi rststatesupercomau for copies Becoming a Student Club member is diff erent to being a First State Super member as you do not hold a superannuation account with the Fund or have any interest right or other relationship with First State Super
FSS Trustee Corporation ABN 11 118 202 672 ASFL 293340 is the trustee of the First State Superannuation Scheme (First State Super) ABN 53 226 460 365 EXP_
Mel
b_Ex
po_A
4_03
15
Join our free Student Club and make the most of the support discounts and benefi ts available only to students
Learn to manage your super better and how you can take advantage of our exclusive member benefi ts
Find out why wersquore the super fund with a heart on Saturday 18 April
Visit us at booth 7 in Melbourne
EXP_Melb_Expo_A4_Mar15_ARTWORKindd 1 6032015 414 pm
By Claire Stewart MACN
Diary of a newly registered nurse
Irsquom almost three months into my role as a newly registered nurse and I had my first 40 Prolene moment recently For the uninitiated this can be a panic fuelled moment where a routine procedure ends up resembling the Texas chainsaw massacre Thankfully I was supported by a wonderfully calm surgeon who waited patiently while I painstakingly attempted to load his life saving suture After the surgery I wiped the blood from my glasses and took a moment to reflect on how I had handled the situation In fact Irsquove spent most of the last three months lsquoreflectingrsquo Deafening groans can be heard from many a third year nursing cohort when wersquore asked yet again to lsquocritically reflectrsquo on our practice as student nurses Let me be the first to admithellip It doesnrsquot stop at graduation
I may not use a dedicated framework or even put pen to paper but the skills I learned during my studies have set me up to ensure I gain the most from every learning opportunity by critically reflecting on my performance simply by force of habit During the last three months my learning curve has veered vertical as I transitioned from university study to my role as a
graduate registered nurse in perioperative services Irsquove had to deal with a new environment (donrsquot even get me started on finding your way around a theatre complex) new colleagues adjusting to full time work and managing family commitments learning an entire new skill set working as a scrubscout dealing with policies procedures and my favourite surgeonsrsquo preference
In these first few months itrsquos very easy to fall into the trap of focussing on how much you donrsquot know However practising critical reflection has allowed me to focus on what I do know how far Irsquove come and what I will learn because Irsquom self-aware Whether you are a new nurse like me and feel like yoursquove handed in one too many pieces of written reflection to your facilitator over the last three years or an experienced nurse who practices self-reflection sub-consciously on the drive home ndash embrace it for the wonderful tool that it is and use it to become the kind of nurse you want to work with
Be in demand Be successfulStudy nursing or midwifery at Monash If you want to make a difference in health care with great employment potential the School of Nursing and Midwifery is a great place to start
As a nurse or midwife there are a variety of roles and a number of specialty areas available to you ensuring a constant career of challenges and diversity
To find out more about our undergraduate courses visit us at ACN Expo Melbourne Stand 84 ndash 85
For more information on our courses visit medmonashedunursing
21
Research collaboration students are welcome
A collaborative research study in Queensland is tapping into the enthusiasm and intelligence of nursing students by training and employing third-years as research assistants data collectors and analysts in contract research projects
Researchers from James Cook Universityrsquos (JCU) Centre for Nursing and Midwifery Research (CNMR) the Far North Queensland Medicare Local and the Cairns and Hinterland Hospital and Health Service are trying to determine why emergency department (ED) presentations to Cairns Hospital have been increasing at a greater rate than the national average
To answer this question CNMR researchers recruited 14 nursing and medical students to survey every willing and able person who presented to the ED
Researchers asked participants for information regarding their reasons for coming to the ED They also asked where they would usually go for medical treatment and what physical and psychological factors influenced their decision to choose the ED over other treatment options
In other phases of the project hospital Emergency Department Information System (EDIS) data have been analysed and patient focus groups have been convened Unstinting faith in the local ED has been noted as one of the key reasons that people choose the ED over other health care options
Most people who come to the ED with lsquonon-urgentrsquo conditions do have general practitioners and a large percentage have sought medical advice in the days prior to presenting to the ED Worry anxiety and uncertainty rather than the severity of the medical condition itself however appears to be a significant motivator to come to the ED where people perceive there is a wide range of services professionals and diagnostic tools available
ACN Emerging Nurse Leader Anna Groth MACN a third-year nursing student from JCU has been collecting collating and analysing data
ldquoOften I would ask someone why they had come to the hospital and they would speak about being in pain but if you asked them about whether they came for the pain or because they were anxious about the pain they would say they had come to the hospital because of the anxietyrdquo explained Anna ldquoIt is such a huge difference ndash the motivation ndash coming for the pain or the anxietyrdquo
Anna said the project opened communication lines between people from different organisations including government university health service hospital and the community leading to collaboration and learning for all
By Marnie Hitchins
Benefits for the students included early career exposure to the research process in which they learnt about data collection analysis and research methods The students also had the opportunity to practise communication skills learn about the organisational cultures of universities and hospitals and work alongside health professionals and patients in a research environment
Students commented that because the power dynamics were different from that of clinical experience (they were not seen as health professionals by patients nor as lsquostudent nursesrsquo by health staff members) they gained insights into the hospital environment they might not otherwise have had
Anna said she learned a lot personally the ED research experience has catapulted her into another area of interest in which she can see herself working in the future
ldquoResearch and policy will be a part of my future Irsquove gained a deep interest in the treatment of women since doing this studyrdquo said Anna
ldquoI have become very interested in domestic violence and the way women are treated in the health service and in the society as a whole I was blown away by the struggle that people have with the system in trying to find support They are so lonely I recognised things being in the ED that I would like to research and have already started exploring the issuesrdquo
CNMR Director Associate Professor Jane Mills FACN said the recruitment and inclusion of students in research projects is part of a broader plan within the CNMR to build undergraduate research capacity
Jane said the CNMR also offered internships to undergraduate students to work on research projects alongside experienced scholars academics and researchers
ldquoJCU strongly supports the inclusion of undergraduate students in research studies where they can gain valuable knowledge skills and experience while also making a contribution to building the evidence base about health care issues of importance to people living in the tropicsrdquo said Jane
ldquoItrsquos a win-win situation where experienced researchers benefit from the studentsrsquo enthusiasm and familiarity with contemporary research principles and students increase their awareness of the importance of research to professional practicerdquo
It is clear to all parties involved that the inclusion of nursing students is benefitting the quality of the project as much as it is benefitting studentsrsquo learning and work experiences
22
Launch your nursing career at St Vincentrsquos
St Vincentrsquos Hospital Melbourne (SVHM) is part of St Vincentrsquos Health Australia and is a leading teaching research and tertiary health service which employs more than 5000 staff across 18 sites throughout Melbourne SVHM provides a diverse range of adult clinical services including acute medical and surgical services sub-acutecare medical diagnostics rehabilitation allied health mental health palliative care correctional health and community residential care SVHM is one of Australiarsquosleading Catholic not-for-prot healthcare providersMake the most of your talents Join the team at St Vincentrsquos
Visit us at the ACN Nursing and Health Expo 2015Find out about our 2016 Graduate Nurse Program andhave a chat to our current graduates educators and nursing staff
St Vincentrsquos Open Evening 2015Wednesday 3rd June 4pm-6pmSt Vincentrsquos Ground Floor Aikenhead Building 27 Victoria Parade Fitzroy
Welcome and Overview of the 2016 Graduate Nurse Program at 4pm 430pm amp 5pm
All welcome ndash no RSVP required
All 24 rotational areas on displayTours of inpatient wardsComplimentary food and beverages provided
For further information visit wwwsvhmorgau or phone the Graduate Nurse Hotline 9231 2244
To follow our 2016 recruitment process Like us at SVHM 2016 Graduate Nurse Program
Compassion Justice Integrity Excellence
24
INTERESTED IN STUDYING DEAKIN NURSING AND MIDWIFERYWe are holding information sessions for our undergraduate courses
BURWOOD CAMPUS 221 BURWOOD HIGHWAY BURWOODWednesday 22 July 6ndash8 pmSaturday 25 July 230ndash430 pm
WATERFRONT CAMPUS 1 GHERINGHAP STREET GEELONGWednesday 22 July 6ndash8 pmSaturday 25 July 230ndash430 pm
WARRNAMBOOL CITY CENTRE 165 TIMOR STREET WARRNAMBOOLFriday 24 July 730 pm
raquo To register your attendance at one of the information sessions above please email nursinfodeakineduau to advise which session you plan to attend
For more information about our undergraduate and postgraduate courses please phone 03 9244 6032
Deakin University CRICOS Provider Code 00113B HLH002
deakineduaunursing
Itrsquos never too early to become a leader
How did you become involved in nursing
I started volunteering from age 14 with St John Ambulance Australia in my hometown of Moruya NSW I loved everything about it ndash loved the joy of helping others and I was so intrigued to learn how to respond effectively in emergencies and show true compassion to others I was also fortunate to have had some very down-to-earth and inspiring mentors who encouraged my interest in nursing and after graduation from high school I undertook the University of Wollongongrsquos Bachelor of Nursing degree
I started my first paid nursing related employment in my third year of the degree at a local hospital I have now graduated and am working as a registered nurse (RN) in a local aged care facility learning the ins and outs of multiple comorbidities patient-centred care and compassionate palliative and end-of-life care
What is your nursing specialty
As I still consider myself as a lsquonewbiersquo RN I havenrsquot really discovered a specialty yet though I have interests in aged care mental health cardiology and nursing research So I guess I am intrigued to be involved in one or all of these areas at some point in my career but I am open to any interesting opportunities that may come my way
What do you love most about nursing
This is truly the job that never has a dull day Each day is different and I feel privileged to be so trusted with the lives of my patients and residents in their moments of hardship and need Along with my love of the workings of the human body the evidence-base behind nursing care and continuous educational opportunities I love the lsquoteamrsquo focus of nursing especially when the patient is at the centre of decision making and everything goes to plan
What is your least favourite part of nursing
When everything doesnrsquot go to plan
What brought you to this area of Australia
Irsquom originally from NSW South but I moved to Wollongong for University and have stuck around for the area the people and to continue to work and study here
What are some of the nursing and health issues that are specific to the Sydney SouthIllawarra Region
Two big issues come to mind Firstly many newly graduated RNs within our region have been unable to find employment Secondly local nurses struggle to find the time within their working hours to keep up to date with advances in education
What do you see as the biggest challenge currently facing the nursing profession and how do you think the profession is placed to respond to these challenges
I believe possible health funding cuts and workforce shortages that in-turn affect our ability to provide adequate and safe patient care are two significant challenges facing our profession There are recently graduated RNs who remain jobless yet there are local health districts crying out for nurses but only those with lsquoexperiencersquo with undergraduate nursing experience ignored Looking into alternative transition programs is key to overcoming this challenge
Whatrsquos the biggest misconception about your career choice
I have met some amazingly talented and intelligent nurses in a variety of roles who all make a great difference in the lives of their patients or indirectly through organisations or research The general misconception that irks me isnrsquot so much a misconception more a statement Irsquove heard multiple times ndash ldquoWhy didnrsquot you become a doctor Why are you just a nurserdquo I did not become a nurse because I didnrsquot have the marks to be a doctor and by the time I finish university again with a Research Masters I would have physically been enrolled in university for the same length of time I became a nurse because I found a passion for this role and spending time with people inspires me
Nursing is a holistic role that encompasses so much We are health professionals role models educators support systems and innovators we understand intimately the fragility of life and the human relationships that bring it meaning
Profile Renee Callender MACN
LeadershipACN
Expand your leadership capacity
25
INTERESTED IN STUDYING DEAKIN NURSING AND MIDWIFERYWe are holding information sessions for our undergraduate courses
BURWOOD CAMPUS 221 BURWOOD HIGHWAY BURWOODWednesday 22 July 6ndash8 pmSaturday 25 July 230ndash430 pm
WATERFRONT CAMPUS 1 GHERINGHAP STREET GEELONGWednesday 22 July 6ndash8 pmSaturday 25 July 230ndash430 pm
WARRNAMBOOL CITY CENTRE 165 TIMOR STREET WARRNAMBOOLFriday 24 July 730 pm
raquo To register your attendance at one of the information sessions above please email nursinfodeakineduau to advise which session you plan to attend
For more information about our undergraduate and postgraduate courses please phone 03 9244 6032
Deakin University CRICOS Provider Code 00113B HLH002
deakineduaunursing
WA EXPO PERTH
26
Welcome from the Chief Nurse amp Midwifery OfficerI am so pleased to be welcoming you to the Australian College of Nursingrsquos Western Australian Nursing and Health Expo for 2015
Attending the Expo is an invaluable experience for anyone interested in nursing and midwifery careers It especially helps high school students and their parents or anyone who is wondering which career direction to take
Hospitals and health services from across WA will be there with some of their nurses and midwives in attendance to answer any questions you may have Come and find out from them what itrsquos really like to be a nurse or midwife
There will also be a range of education providers who will be able to talk about the many courses available to get your career started
It is also a great place to come to discuss and find out about graduate job opportunities building your experience career development opportunities financial support to study changing employers or even returning to a career in nursing or midwifery after being away for a while
The decision to become a nurse or a midwife is a wonderful career choice for anyone who wants to be part of a diverse healthcare professional team and have a challenging rewarding and exciting job where you really can make a difference
The future demand for nurses and midwives is going to be high especially as WArsquos new Fiona Stanley Perth Childrenrsquos Busselton and Midland hospitals all start becoming fully operational so we encourage you to attend the Expo to see where nursing and midwifery might take you
I look forward to seeing you on Friday 1 May 2015 at the Perth Convention and Exhibition Centre
Karen Bradley MACN Chief Nurse and Midwifery Officer WA Health
27
Expo informationLocation
The Perth Convention and Exhibition Centre (PCEC) is Western Australiarsquos only dedicated convention and exhibition facility Each year over 500000 people attend one or more of the 600 plus events conducted at PCEC The Expo will be held in Pavillion 1 at PCEC
Doors open 9am ndash 1pm
Entry
Stairs amp Escalators to Level 2
Registration DeskEntry Foyer
Entry
ACN Expo Pavillion 1
28
Seminars
This year the educational seminar series is back again to provide visitors with up to date information and practical skills to pursue or further their career Seminar attendance is free of charge and registration is not required
Time Topic Presented by
915am How to become a nurse or midwife Rebecca Newton WA Nursing and Midwifery Office
950am Applying via GradConnect and other opportunities for graduate nurses and midwives
Regina Browne WA Nursing and Midwifery Office
1025am Unleashing the potential of your staff Lisa Ansbro and Donna Hampshire Chandler Macleod Health
1100am How to become a nurse or midwife Rebecca Newton WA Nursing and Midwifery Office
1135am Applying via GradConnect and other opportunities for graduate nurses and midwives
Regina Browne WA Nursing and Midwifery Office
1210pm Unleashing the potential of your staff Lisa Ansbro and Donna Hampshire Chandler Macleod Health
The lsquoUnleashing the potential of your staffrsquo seminar is proudly supported by
Chandler Macleod is Australasiarsquos leading provider of integrated HR services products and technologies We have more than 55 yearsrsquo experience in human resources and have specialised within the health sector for 10 of these We are ideally positioned to help you meet the growing demands on your business We provide permanent and temporarycontract recruitment for the full range of Health professions including Carers and Support Workers Enrolled Nurses Registered Nurses Facility and Operations Managers Directors Cleaners and Kitchen staff We are able to provide you with experienced caring staff 247 including public holidays
For more information contact Chandler Macleod on (08) 9217 0510 or visit wwwchandlermacleodcomclientshealth-recruitment
29
Floor plan
42 41
39
40
38
36
37
35
43
44
45
46
47
48
Entrance
Seminar area
Cafeacute
7
5
8
6
20
18
19
17
11
9
12
10
16
14
15
13
34 33 32 31 30 29 28
30
Exhibitor listing
Organisation Name Booth Number
AACDS 8
Armadale Health Service 38
Belmore Nurses Bureau 30
Central Institute of Technology 20
Chandler Macleod Health 16
Child amp Adolescent Health Service 42
Curtin University of Technology 19
Defence Force Recruiting 910
Edith Cowan University - School of Nursing and Midwifery
3334
Fiona Stanley Hospital 36
Fremantle Hospital 44
HESTA 5
Hollywood Private Hospital 7
Institute of Health amp Nursing Australia 32
Mediserve Nursing Agency 6
Murdoch University 1112
My Flex Health International 18
Organisation Name Booth Number
Next Step 48
North Metropolitan Mental Health 35
NurseWest 47
Nursing amp Midwifery Board of Australia 29
Osborne Park Hospital 46
Prime Super 17
PampN Bank 15
Rockingham General Hospital 39
Royal Perth Hospital 37
Sir Charles Gairdner Hospital 45
The Bethanie Group Inc 31
The University of Notre Dame 13
WA Country Health Service 40
WA Nursing amp Midwifery Office 43
West Coast Institute of Training 14
Women amp Newborn Health Service 41
Work the World 28
The WA Nursing amp Health Expo is proudly supported by
The WA Nursing and Midwifery Office is very proud to partner once again with the Australian College of Nursing for the 2015 Nursing and Health Expo The nursing and midwifery professions offer an array of interesting and diverse experiences With these highly valued and respected skills relevant anywhere in the world nurses and midwives will always be in demand ndash in hospitals and in a range of other workplaces In WA the future demand for nurses and midwives is going to be high especially as our new Fiona Stanley Perth Childrenrsquos Busselton and Midland hospitals all start becoming fully operational so considering a career in nursing or midwifery is a great idea
wwwnursinghealthwagovau
31
In Australia enrolled nurses (ENs) are a core component of the health care workforce and make an important contribution to Australiarsquos world-class health outcomes ENs work in varied settings across the country from blood services to aged care facilities Increasingly ENs are playing an important role in meeting the growing demand for care
Not all countries have recognised the importance of ENs in the nurse workforce mix Several European countries including France Denmark Italy and Spain have only one category of regulated nurse (HWA 2013 Robinson and Griffiths 2007) The United Kingdom (UK) ceased admitting new ENs to the register in the 1980s The minimum qualification for all UK nurses is now a three-year bachelorrsquos degree As a result the UK relies heavily on unregistered health care assistants rather than second-level nurses (UK Department of Health 2013) Closer to home New Zealand ceased training ENs in 1993 only to recommence in the 2000s (Meek 2009) New Zealandrsquos experiment is an instructive demonstration of the importance of ENs in the health care workforce as the demand for nursing care increases
In Australia we have remained committed to maintaining the EN role Rather than relying on unregistered health care workers Australia has chosen to maintain a large educated and professional EN workforce The skilled work of ENs is recognised to be of paramount importance to the delivery of high quality nursing care Our EN workforce is highly dynamic and continues to evolve within the changing landscape of Australian health care policy and regulation
Enrolled nurse demographics
According to the latest national figures there are 51624 ENs working in Australia The great majority of ENs have completed their pre-registration education in Australia fewer than 5 have been educated overseas (HWA 2013)
The EN workforce has a relatively high average age of 46 years and forty-five per cent of ENs have celebrated their fiftieth birthdays (AIHW 2013) According to Health Workforce Australia the ageing EN workforce could lead to a significant shortfall in the supply of ENs if action is not taken to retain the current cohort of ENs and increase the number of people studying to be the ENs of tomorrow (HWA 2012)
Men make up roughly 10 of the EN workforce While this number is rising gradually it indicates that there is progress to be made in terms of attracting and retaining males within the profession Aboriginal and Torres Strait Islander people are
also underrepresented in the EN workforce only around 800 of Australiarsquos ENs identify as Indigenous Australians (AIHW 2013)
Among the most common work settings for ENs are aged care rehabilitation and disability services In contrast ENs make up fewer than 5 of the critical care nursing workforce and represent only a small proportion of nurses working in education policy and management (AIHW 2013)
These statistics show that there are both challenges and opportunities for Australiarsquos EN workforce Efforts to recruit and retain ENs will need to be enhanced with a particular focus on encouraging men and Aboriginal and Torres Strait Islander people to become ENs At the same time roles in a wider range of clinical areas are becoming available to suitably educated and qualified ENs and there will be more such opportunities in the coming years
A growing role for ENs
The evolving role of the EN is reflected in recent changes to educational requirements for ENs As of 1 July 2014 the Certificate IV in enrolled nursing ceased to be available and the minimum qualification for EN entry to practice will be the Diploma of Nursing The transition to a Diploma recognises the high level of skill ENs contribute to todayrsquos health care teams A nationally consistent approach to EN education is also likely to enhance the mobility of the EN workforce by giving employers confidence in the knowledge and skills of ENs educated in other states
ENs are now undertaking a diverse range of roles One of the earliest areas of role expansion for ENs was medication endorsement Before the move to national registration in 2010 ENs in some states were able to obtain an endorsement in medicines administration and become Endorsed Enrolled Nurses by completing specified education units This endorsement has now been phased out because from 2008 onwards all newly qualified ENs have completed the required medicines administration education Instead the register now identifies ENs who have not completed the required courses (NMBA 2014) This example demonstrates how the EN role has evolved over the years Whereas once only a relatively small number of ENs were educated to administer medicines now all student ENs complete medicines administration units as part of their initial nursing education
The EN role is also expanding in other ways For example ENs are taking on a growing role within haemodialysis units (Tranter et al 2011) The 2008 Australia and New Zealand Dialysis Workforce Survey conducted by the Renal Society of Australia found that there were 188 ENs working in dialysis alongside 2433 registered nurses (RNs) The growing demand for dialysis
The potential of the enrolled nursing workforce
By Rosina Muir and Dr Marlene Eggert MACN
32
services and the shortage of dialysis RNs in some areas represents a clear opportunity for ENs According to a New South Wales study conducted in 2009 the scope of practice of ENs in haemodialysis units may include cannulation (including both native access and buttonhole cannulation) connecting and disconnecting haemodialysis central venous catheters (CVCs) performing CVC dressings giving iron infusions and administering erythropoietin anticoagulants and Lignocaine In addition ENs may also take on a case management or health promotion role for dialysis patients (Bennett et al 2009)
ENs are also moving into extended roles in rehabilitation services A recent study of ENs in an Australian rehabilitation facility found that in addition to assisting patients with activities of daily living ENs may take on roles in coaching and supporting patients to reach their individual goals monitoring the patientrsquos progress and liaising with other members of the multidisciplinary rehabilitation team The study found that many ENs demonstrate an understanding of the philosophy of rehabilitation nursing including goal setting and enabling self-care (Pryor and Buzio 2013)
In rural Australia ENs are taking on a diverse range of roles within the EN scope of practice in order to meet local needs ENs with specialist skills such as infection control or wound care make a significant contribution to some rural health services although their extended scope of practice is not always given appropriate recognition by their RN colleagues (Nankervis et al 2008) Rural health services are increasingly recognising that supporting ENs to take on extended roles and further develop their clinical skills can be a successful model for the delivery of high quality patient care
Recognising the evolving EN scope of practice
In light of the fact that there have been significant changes to EN education regulation and scope over the last decade the NMBA has commissioned Monash University to review the currency of the standards against contemporary enrolled nursing roles The Monash University project has involved a review of the literature as well as a series of focus groups and surveys to gather insights from both RNs and ENs on the education scope of practice and supervision of ENs (Monash University 2013) The project is expected to be completed in 2014 (NMBA 2013)
Our advocacy for ENs
ACNrsquos advocacy priorities are explicitly designed to support both registered and enrolled nurses In 2014 ACN has argued for a range of policies that would have a positive impact on the
retention and flexibility of enrolled nurses For example ACN has proposed a National Transition Framework to support the flexibility and mobility of both the EN and the RN workforces The Framework would be accessible to nurses entering the workforce as well as nurses transitioning from one area of practice to another For example it would support an EN wishing to transition from the aged care sector to a hospital-based role
ACN has also put forward a proposal for a new scholarship program to support newly registered and enrolled nurses to practice in rural services It is essential that rural health service providers are able to attract appropriately educated staff including both ENs and RNs in order to maintain an optimal skill mix The scholarship scheme will allow rural health services to employ newly registered and enrolled nurses as supernumerary team members while providing them with a structured clinical learning program
ACN will continue to provide a voice for ENs in policy discussions and advocate for the role of ENs in health care delivery Australian Institute of Health and Welfare 2013 Nursing and midwifery workforce 2012 lthttpwwwaihwgovauWorkAreaDownloadAssetaspxid=60129545314gt pp 6
Bennett P McNeill L Polaschek N 2009 lsquoThe Australian and New Zealand Dialysis Workforcersquo Renal Society of Australasia Journal vol 5 no3 pp 147-151 lthttpwwwrenalsocietyorgRSAJjournalnov09bennett2pdfgt
Health Workforce Australia 2012 Health Workforce 2025 Doctors Nurses and Midwives vol 1 lthttpwwwhwagovausitesuploadsFinalReport_Volume1_FINAL-20120424pdfgt pp 137-142
Health Workforce Australia 2013 Nurses in Focus lthttpwwwhwagovausitesuploadsNurses-in-Focus-FINALpdfgt
Meek G 2010 Second level nurses a critical examination of their evolving role in New Zealand Healthcare lthttpresearcharchivewintecacnz9621Repository_entry_HLNU902pdfgt pp 3
Monash University 2013 The National Review of the Enrolled Nurse Competency Standards lthttpwwwmedmonashedunursingcompetency-standardsgt
Nankervis K Kenny A Bish M 2008 Enhancing scope of practice for the second level nurse A change process to meet growing demand for rural health services lthttpwwwncbinlmnihgovpubmed18844530gt
Nursing and Midwifery Board of Australia 2013 Communique Meeting of the Nursing and Midwifery Board of Australia 27 February 2013 in the AHPRA Hobart Office TasmanialthttpwwwnursingmidwiferyboardgovauNewsCommuniques-from-Board-meetingsaspxgt
Nursing and Midwifery Board of Australia 2014 Enrolled nurses and medicine administration lt httpwwwnursingmidwiferyboardgovauCodes-Guidelines-StatementsFAQaspxgt
Pryor J Buzio A 2013 lsquoDo ldquotwo typesrdquo of ENs work in rehabilitation in Australiarsquo Journal of the Australasian Rehabilitation Nurses Association vol 16 no 1 pp 14-19 lthttpsearchinformitcomaudocumentSummarydn=480975443102792res=IELHEAgt
Robinson S and Griffiths P 2007 Nursing education and regulation International profiles and perspectives lthttpeprintssotonacuk3487721NurseEduProfilespdfgt pp 7-17
Tranter S Westgarth F White G 2011 lsquoThe scope of practice of the haemodialysis Enrolled Nurse in new South Walesrsquo Renal Society of Australasia Journal vol 7 no 1 pp 24-29 lthttpwwwrenalsocietyorgRSAJjournalmar11Tranterpdfgt
United Kingdom Department of Health 2013 The Cavendish Review An Independent Review into Healthcare Assistants and Support Workers in the NHS and social care settings lthttpswwwgovukgovernmentuploadssystemuploadsattachment_datafile236212Cavendish_Reviewpdfgt pp 6
33
By Laurie Bickhoff MACN
Diary of a newly registered nurse
In Australia it is estimated nearly 20 of nurses will leave the profession within their first year of practice (National Nursing and Nurse Education Taskforce [NNNET] 2005) Internationally this figure ranges from between 35 and 60 (Halfer amp Graf 2006) Many have speculated on the reasons for this with high workloads the difficulties of shift work and unrealistic expectations of what nursing entails all given due consideration (Halfer amp Graf 2006) However as I entered my second year of practice I began to wonder what role disillusionment plays in this exodus of newly trained nurses
Disillusionment to me occurs when you feel your passion dwindling when you suddenly find it that little bit harder to get ready for work when you start feeling a sense of dread as you walk onto the ward This wasnrsquot caused by long hours or ever increasing workloads coupled with diminishing resources It wasnrsquot caused by physically demanding duties or the lack of a social life due to shift work It wasnrsquot caused by dealing with things that might not look or smell that great Unfortunately it was caused by the people around me and an almost institutionalised lack of power not only for nurses but more importantly for our patients
I was dismayed and frustrated to hear how many of my colleagues from all health professions referred to patients I was disheartened to see how easily some could dismiss the suffering we see and the heartache I felt I was overwhelmingly saddened to realise not everyone had the same passion for their profession or empathy for those we are charged to care for as I did
This culminated for me towards the end of my first year of practice There wasnrsquot any one big incident more an accumulation of things that were gradually wearing me down I had a worried patient confide in me that they had been too scared to push the call button on the previous shift because of the response they would receive from the nurse I saw patients constantly being made to fit into everyone elsersquos schedules regardless of their requests It seemed everyone was more important than the person we were there to help
I heard patients referred to as lsquocactusrsquo or described in the notes as lsquounsalvageablersquo meaning there was no chance of the patients making meaningful recoveries I wondered is this really how we refer to people Or did we forget they were actual human beings we were talking about
I had other health professionals dismiss me with comments such as nurses ldquojust wipe bums all dayrdquo or roll their eyes at me when I raised my concerns When I dared to challenge or question I was met with comments of ldquoI miss the old new gradsrdquo I felt tired washed out and was beginning to wonder
whether I could stay in this profession without losing myself
Luckily I found some inspiration I listened to a presentation by Drew Dudley a well-known American academic and motivational speaker where he discusses the idea of lsquolollypop momentsrsquo These are small moments when the people we see and work with every day demonstrate leadership They arenrsquot big grand over the top statements They are small gestures which often unknown to the person who did it have an amazing impact on the lives of others I was lucky enough to have some of these lollypop moments just when I needed them These few sparks were all that I needed to reignite my passion for nursing
The first spark came from an RN2 caring for a patient at the end-stage of a number of diseases who had expressed to the nursing staff multiple times her wish to simply be made comfortable as she knew this was the end of her fight Despite this the patient was not only receiving active treatment but was also currently documented for full resuscitation if she deteriorated
The nurse raised the issue with the medical registrar asking him to have a discussion with the patient regarding her wishes and planning end-of-life care The registrar dismissed her saying ldquowell thatrsquos not what the consultant wantsrdquo The nurse wasnrsquot satisfied and responded ldquoitrsquos not their choice itrsquos the patientrsquos decisionrdquo This nurse had the courage to stand her ground and make sure her patientrsquos voice was heard which ultimately led to the patientrsquos wishes being honoured
The next spark came soon after I was working with a nurse who came from a different cultural background to me where it was seen as impolite to question anyone in authority especially if you were female This meant even if a doctor was accidently standing in her way she would prefer to simply wait rather than ask them to move
Then one day we had a patient who deteriorated rapidly and was in a very critical condition This nurse suddenly became one of the best clinical leaders I have witnessed She led the team questioning orders prompting treatments suggesting causes and outlining the options available I soon realised the difference this was about her patient She was going to ensure her patient received the best care and outcome possible When it was about her patient rather than herself she found her voice
There were a number of smaller incidents that soon followed Sparks came from the senior consultant who re-educated her advanced trainee on the importance of listening to the nurses and acting on their concerns Sparks came from our ward social
34
worker who day after day demonstrated his passion for helping and advocating for those with no voice and often no options Sparks came from the medical residents who expressed their gratitude when you picked up a mistake and were heartfelt in their appreciation of the work nurses do
The brightest sparks came from my patients and their relatives It was their ldquothanksrdquo their ldquoyou donrsquot know how much that meansrdquo their ldquoyoursquoll be back tomorrow wonrsquot yourdquo their squeezing of my hand that reminded me why I do what I do I didnrsquot have to search for inspiration I was surrounded by it The trick was to change my focus
Perhaps all nurses are disillusioned at some point during their careers Perhaps it happens multiple times Perhaps it is a rite of passage with those who make it through the other side the
ones with a true passion for nursing who turn around and help a colleague on their journey
As I continue my nursing career I now look for the brightness that I know is always there far outshining the negativity that we have to deal with I stockpile my lsquolollypop momentsrsquo knowing the amazing examples of kindness and leadership I see every day will help me grow and become a better nurse and hopefully I might be able to be a spark for someone else
You can listen to Drew Dudleyrsquos talk at wwwtedcomtalksdrew_dudley_everyday_leadership
Halfer D and Graf E lsquoGraduate Nurse Perceptions of the Work Experiencersquo Nursing Economics June 2006 Vol 24 No 3 pp 150-55
National Nursing and Nurse Education Taskforce 2005 Mythbusters Available online at httpwwwnnnetgovaudownloadsmythbusters_attritionpdf Accessed June 2014
Arts amp Sciences | Business | Education | Health Sciences | Law | Medicine | Nursing amp Midwifery | Philosophy amp Theology | Physiotherapy
Your journey to a meaningful career awaitsThe School of Nursing amp Midwifery offers the following courses
rsaquo Bachelor of Nursing
rsaquo Bachelor of Nursing (Articulation Pathway for EN Diploma)
rsaquo Graduate Certificate (Acute Mental Health Clinical Nursing Nursing and Nursing Leadership amp Management)
rsaquo Graduate Diploma (Acute Mental Health Clinical Nursing Critical Care Nursing Forensic Nursing Midwifery Nursing and Perioperative Nursing)
rsaquo Master of Nursing (Coursework and Research)
Looking to make a difference So are we
Apply direct notredameeduau
ND
1053
| C
RIC
OS
PR
OV
IDE
R C
OD
E 0
1032
F
35
36
Seminars
This year the educational seminar series is back again to provide visitors with up to date information and practical skills to pursue or further their career Seminar attendance is free of charge and registration is not required
Time Topic Presented by
915am HESTA Your Partner for Career David Logan HESTA
950am Graduate NurseMidwifery Program Computer Match 2015 Paul Williamson Postgraduate Medical Council of Victoria
1025am Understanding delegation and supervision responsibilities and accountabilities
Associate Professor Alison McMillan MACN
Department of Health amp Human Services Victoria
1100am HESTA Your Partner for Career David Logan HESTA
1135am Graduate NurseMidwifery Program Computer Match 2015 Paul Williamson Postgraduate Medical Council of Victoria
1210pm Understanding delegation and supervision responsibilities and accountabilities
Associate Professor Alison McMillan MACN
Department of Health amp Human Services Victoria
The VIC Nursing amp Health Expo is proudly supported by
On 1 January 2015 the Victorian Government established the Department of Health amp Human Services bringing together the former Department of Health Department of Human Services and Sport and Recreation Victoria The department has been established to develop and deliver policies programs and services that support and enhance the wellbeing of all Victorians We take a broad view of the causes of ill health the drivers of good health the social and economic context in which people live and of the incidence and experience of vulnerability This will allow us to place people at the heart of policy-making service design and delivery
wwwdhhsvicgovau
15
Floor plan
BENC
H
SINK
ENTRANCEDOOR 9
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
20 21
22232425
26 27 28 29
30313233
34 35 36 37
38394041
42 43 44 45
46474849
50 51 52 53
54555657
58 59 60 61
62636465
66 67 68 69
7071727374
75
76
84
85
86
87
88
89
90
1918
16
Exhibitor listing
Organisation Name Booth Number
Alfred Health 6667
ANMF Victorian Branch 747576
Austin Health 4243
Australian Catholic University 89
Ballarat Health Services 62
BankVic 73
Baptcare 60
Belmore Nurses Bureau 47
Bendigo Health 44
Care Training Australia 17
Chisholm Institute of TAFE 19
Colbrow Healthcare 26
Critical Second 90
Crystal Clear Ear Clinic 6
Deakin University Nursing amp Midwifery 3435
Defence Force Recruiting 12
Eastern Health 3031
Epworth HealthCare 6465
Federation University Australia 41
First Call Health 40
First State Super 7
Forensicare 68
Health Skills Australia 72
HESTA 20
Holmesglen 4546
Institute of Health amp Nursing Australia 27
Kangan Institute 24
La Trobe University 121314
Martin Luther Homes 22
McFarlane Medical amp Scientific 23
mdBriefCase Australia 18
Mediserve Nursing Agency 28
Organisation Name Booth Number
Melbourne City Institute of Education 86
Mental Health Nursing Victoria 1011
Mercy Health 8788
Monash Health
Monash University 8485
NeilMed Pharmaceuticals 32
Northern Health 5354
NorthWestern Mental Health 59
Nurses Board of Victoria Legacy Limited
69
Nursing amp Midwifery Board of Australia 21
Peninsula Health 38
Peter MacCallum Cancer Centre 25
Postgraduate Medical Council of Victoria
71
Prime Super 33
Reflective Clinical Supervision Network 39
RMIT Faculty of Nursing 55
Royal Victorian Eye amp Ear Hospital 48
Sanita Australia 31
St Vincentrsquos Hospital 5051
St Vincentrsquos Mental Health 5
St Vincentrsquos Private Hospital 34
The Royal Melbourne Hospital 56
Tobin Brothers Funerals 49
University of Melbourne 89
University of Tasmania 52
Victoria University 57
Vital Health Recruitment 70
VNS Nursing Agency 58
Western District Health Service 63
Western Health 3637
Work the World 29
17
Graduate transition programs my personal experienceToo often we hear horror graduate stories Research shows horizontal violence and bullying is rampant in our profession We are told tales of the infamous ldquoeat our youngrdquo nursing culture We know graduates suffer transition shock when they start practicing and nearly 20 will leave in their first year
Unfortunately the good stories are often buried underneath the bad and so I wanted to share my graduate year experience When I started as an RN the only nursing experience I had were my clinical placements and a mere two months working as an AIN To say I was worried was a major understatement I was quietly petrified but tried to keep up a brave face
I had worked hard in university to learn as much as I could but I was still filled with doubts Would I be good enough Would I crash and burn Would I help or hinder my patientsrsquo recovery
My first day on the ward was sink or swim time I was amazed at the warm welcome I was given The other RNs were supportive and encouraging They made sure I knew if I felt myself struggling they would be there with a life-line
Every ward I rotated through gave me this same friendly reception Perhaps it was just luck or maybe our nursing culture is changing but I never encountered any of the pressure to change my values and practice in order to fit in that I had been told to expect Instead I found colleagues who understood I wouldnrsquot know everything on day one who were willing to take the time to teach me and who become great friends along the way
My clinical skills and knowledge increased out of sight during my graduate year I felt my university had given me a great foundation on which to build my career as an RN but my grad program cemented my theory into my practice I started the year having never removed a single stitch I ended the year confidently removing everything from sutures to ICCs and pacing wires while also successfully inserting NG tubes and cannulas Importantly I understood the pathophysiology and rationale behind each of these and could explain it to my patients
Irsquom not saying everyday was perfect Irsquom not saying every person was as helpful or welcoming as the next Irsquom not saying I didnrsquot have days when I struggled What I am saying is I never felt alone I knew the support was there all I had to do was ask
I know not every graduate nurse will have as positive an experience as I did Perhaps my journey was the exception not the rule However I hope the number of nurses who have an amazing graduate year like mine continues to increase until this becomes the norm
I do know that the success of your graduate year relies heavily on you and your attitude University teaches you how to think like a nurse but it is in clinical practice the real learning begins and it has a steep learning curve Approach your grad year knowing that everyone from the tea lady to the Director of Nursing will be your new teachers and success will come When the people you work with recognise your passion see your motivation to provide what is best for the patient and know you realise what a unique privilege it is to be a nurse their respect will follow
At the same time donrsquot be afraid to speak up for your patients for your colleagues and for yourself Harvey Fierstein said ldquoNever be bullied into silence Never allow yourself to be made a victim Accept no onersquos definition of your life define yourselfrdquo You have the ability to define your graduate year regardless of what hospital or ward you find yourself in
You can change the culture and reputation of the nursing profession for better or worse You can conform and join in bullying behaviour and continue negative traditions or you can decide it stops with you Set your standards high and have the moral courage to stick to them If every graduate nurse demonstrated this leadership and supported other nurses who did as well imagine the overwhelmingly positive impact that could have on nursing
Gandhi once said ldquoBe the change you want to see in the worldrdquo I would encourage you to be the change you want to see in nursing and just watch how the world changes with us
By Laurie Bickhoff MACN
18
Finishing studies and becoming a new graduate is an exciting milestone Itrsquos usually the first time you begin working full time perhaps moving away from home owning your own car and paying bills
Of course itrsquos important to budget ensuring you have enough money for daily expenses as well as being able to stash some money away The easiest way to keep track of your income versus expenses is to set up an everyday account with your salary paid into it and a savings account earning interest on the money yoursquore able to save In addition you might want to get a credit card so that yoursquove got some money for emergencies
Gain fee free banking freedom
With a BankVic Anywhere account you can enjoy unlimited free withdrawals at any ATM in Australia when you deposit $1000 per month1 Plus you can access your money with free unlimited eftpos transactions a Visa Debit card with paywave and a mobile App
Earn bonus interest on your savings
A BankVic Bonus Saver account is a high interest account that rewards you for saving by giving you bonus interest2 when you deposit a minimum of $100 a month and make no withdrawals plus there are no fees Itrsquos a great way to force yourself to save
Enjoy a credit card with no annual fee
A BankVic Visa Silver credit card offers great value with an introductory rate of 699pa3 for the first 6 months and a low ongoing rate plus no annual fee Itrsquos the perfect back up card
Why not call us today Call your dedicated Member Relationship Manager Phoebe Reid on 9268 9297 or via email preidbankviccomau
1 Minimum deposit of $1000 must be received in the account by close of business on the last business day of the month The deposit cannot be an internal transfer or interest earned form other BankVic products 2 Bonus Saver ndash Deposit $100 per calendar month with no withdrawals and yoursquoll be rewarded with bonus interest Bonus interest rate is capped at a maximum balance of $1000000 3 Credit Card interest rates are variable All interest rates are shown are current as at date of print and are subject to change Fees and charges apply Any advice is general before acting on the advice you should consider whether the advice is appropriate for you Before you make any decision to acquire any product or service you should obtain and consider the relevant Product Disclosure Statement available from our website bankviccomau any branch or by calling us on 13 63 73 Police Financial Services Limited ABN 33 087 651 661 AFSL 240923 Australian Credit Licence 240293ndash trading as BankVic 121 Cardigan Street Carlton Victoria 3053 3-15 5243BV
Advertorial
Banking freedom for nurses and midwives
members matter
Let BankVic take care of you while you take care of others
9268 9297preidbankviccomau
Canstar Pty Ltd Authorised Representative 443019 of Canstar Research Pty Limited ABN 29 114 422 909 AFSL 437917 Police Financial Services Limited ABN 33 087 651 661 AFSL 240293 (BankVic) 121 Cardigan Street Carlton Vic 3053 315 5280bv
Contact your dedicated Member Relationship Manager Phoebe Reid
bankviccomau
19
This is general advice only Consider our product disclosure statement before making a decision about First State Super Call us or visit fi rststatesupercomau for copies Becoming a Student Club member is diff erent to being a First State Super member as you do not hold a superannuation account with the Fund or have any interest right or other relationship with First State Super
FSS Trustee Corporation ABN 11 118 202 672 ASFL 293340 is the trustee of the First State Superannuation Scheme (First State Super) ABN 53 226 460 365 EXP_
Mel
b_Ex
po_A
4_03
15
Join our free Student Club and make the most of the support discounts and benefi ts available only to students
Learn to manage your super better and how you can take advantage of our exclusive member benefi ts
Find out why wersquore the super fund with a heart on Saturday 18 April
Visit us at booth 7 in Melbourne
EXP_Melb_Expo_A4_Mar15_ARTWORKindd 1 6032015 414 pm
By Claire Stewart MACN
Diary of a newly registered nurse
Irsquom almost three months into my role as a newly registered nurse and I had my first 40 Prolene moment recently For the uninitiated this can be a panic fuelled moment where a routine procedure ends up resembling the Texas chainsaw massacre Thankfully I was supported by a wonderfully calm surgeon who waited patiently while I painstakingly attempted to load his life saving suture After the surgery I wiped the blood from my glasses and took a moment to reflect on how I had handled the situation In fact Irsquove spent most of the last three months lsquoreflectingrsquo Deafening groans can be heard from many a third year nursing cohort when wersquore asked yet again to lsquocritically reflectrsquo on our practice as student nurses Let me be the first to admithellip It doesnrsquot stop at graduation
I may not use a dedicated framework or even put pen to paper but the skills I learned during my studies have set me up to ensure I gain the most from every learning opportunity by critically reflecting on my performance simply by force of habit During the last three months my learning curve has veered vertical as I transitioned from university study to my role as a
graduate registered nurse in perioperative services Irsquove had to deal with a new environment (donrsquot even get me started on finding your way around a theatre complex) new colleagues adjusting to full time work and managing family commitments learning an entire new skill set working as a scrubscout dealing with policies procedures and my favourite surgeonsrsquo preference
In these first few months itrsquos very easy to fall into the trap of focussing on how much you donrsquot know However practising critical reflection has allowed me to focus on what I do know how far Irsquove come and what I will learn because Irsquom self-aware Whether you are a new nurse like me and feel like yoursquove handed in one too many pieces of written reflection to your facilitator over the last three years or an experienced nurse who practices self-reflection sub-consciously on the drive home ndash embrace it for the wonderful tool that it is and use it to become the kind of nurse you want to work with
Be in demand Be successfulStudy nursing or midwifery at Monash If you want to make a difference in health care with great employment potential the School of Nursing and Midwifery is a great place to start
As a nurse or midwife there are a variety of roles and a number of specialty areas available to you ensuring a constant career of challenges and diversity
To find out more about our undergraduate courses visit us at ACN Expo Melbourne Stand 84 ndash 85
For more information on our courses visit medmonashedunursing
21
Research collaboration students are welcome
A collaborative research study in Queensland is tapping into the enthusiasm and intelligence of nursing students by training and employing third-years as research assistants data collectors and analysts in contract research projects
Researchers from James Cook Universityrsquos (JCU) Centre for Nursing and Midwifery Research (CNMR) the Far North Queensland Medicare Local and the Cairns and Hinterland Hospital and Health Service are trying to determine why emergency department (ED) presentations to Cairns Hospital have been increasing at a greater rate than the national average
To answer this question CNMR researchers recruited 14 nursing and medical students to survey every willing and able person who presented to the ED
Researchers asked participants for information regarding their reasons for coming to the ED They also asked where they would usually go for medical treatment and what physical and psychological factors influenced their decision to choose the ED over other treatment options
In other phases of the project hospital Emergency Department Information System (EDIS) data have been analysed and patient focus groups have been convened Unstinting faith in the local ED has been noted as one of the key reasons that people choose the ED over other health care options
Most people who come to the ED with lsquonon-urgentrsquo conditions do have general practitioners and a large percentage have sought medical advice in the days prior to presenting to the ED Worry anxiety and uncertainty rather than the severity of the medical condition itself however appears to be a significant motivator to come to the ED where people perceive there is a wide range of services professionals and diagnostic tools available
ACN Emerging Nurse Leader Anna Groth MACN a third-year nursing student from JCU has been collecting collating and analysing data
ldquoOften I would ask someone why they had come to the hospital and they would speak about being in pain but if you asked them about whether they came for the pain or because they were anxious about the pain they would say they had come to the hospital because of the anxietyrdquo explained Anna ldquoIt is such a huge difference ndash the motivation ndash coming for the pain or the anxietyrdquo
Anna said the project opened communication lines between people from different organisations including government university health service hospital and the community leading to collaboration and learning for all
By Marnie Hitchins
Benefits for the students included early career exposure to the research process in which they learnt about data collection analysis and research methods The students also had the opportunity to practise communication skills learn about the organisational cultures of universities and hospitals and work alongside health professionals and patients in a research environment
Students commented that because the power dynamics were different from that of clinical experience (they were not seen as health professionals by patients nor as lsquostudent nursesrsquo by health staff members) they gained insights into the hospital environment they might not otherwise have had
Anna said she learned a lot personally the ED research experience has catapulted her into another area of interest in which she can see herself working in the future
ldquoResearch and policy will be a part of my future Irsquove gained a deep interest in the treatment of women since doing this studyrdquo said Anna
ldquoI have become very interested in domestic violence and the way women are treated in the health service and in the society as a whole I was blown away by the struggle that people have with the system in trying to find support They are so lonely I recognised things being in the ED that I would like to research and have already started exploring the issuesrdquo
CNMR Director Associate Professor Jane Mills FACN said the recruitment and inclusion of students in research projects is part of a broader plan within the CNMR to build undergraduate research capacity
Jane said the CNMR also offered internships to undergraduate students to work on research projects alongside experienced scholars academics and researchers
ldquoJCU strongly supports the inclusion of undergraduate students in research studies where they can gain valuable knowledge skills and experience while also making a contribution to building the evidence base about health care issues of importance to people living in the tropicsrdquo said Jane
ldquoItrsquos a win-win situation where experienced researchers benefit from the studentsrsquo enthusiasm and familiarity with contemporary research principles and students increase their awareness of the importance of research to professional practicerdquo
It is clear to all parties involved that the inclusion of nursing students is benefitting the quality of the project as much as it is benefitting studentsrsquo learning and work experiences
22
Launch your nursing career at St Vincentrsquos
St Vincentrsquos Hospital Melbourne (SVHM) is part of St Vincentrsquos Health Australia and is a leading teaching research and tertiary health service which employs more than 5000 staff across 18 sites throughout Melbourne SVHM provides a diverse range of adult clinical services including acute medical and surgical services sub-acutecare medical diagnostics rehabilitation allied health mental health palliative care correctional health and community residential care SVHM is one of Australiarsquosleading Catholic not-for-prot healthcare providersMake the most of your talents Join the team at St Vincentrsquos
Visit us at the ACN Nursing and Health Expo 2015Find out about our 2016 Graduate Nurse Program andhave a chat to our current graduates educators and nursing staff
St Vincentrsquos Open Evening 2015Wednesday 3rd June 4pm-6pmSt Vincentrsquos Ground Floor Aikenhead Building 27 Victoria Parade Fitzroy
Welcome and Overview of the 2016 Graduate Nurse Program at 4pm 430pm amp 5pm
All welcome ndash no RSVP required
All 24 rotational areas on displayTours of inpatient wardsComplimentary food and beverages provided
For further information visit wwwsvhmorgau or phone the Graduate Nurse Hotline 9231 2244
To follow our 2016 recruitment process Like us at SVHM 2016 Graduate Nurse Program
Compassion Justice Integrity Excellence
24
INTERESTED IN STUDYING DEAKIN NURSING AND MIDWIFERYWe are holding information sessions for our undergraduate courses
BURWOOD CAMPUS 221 BURWOOD HIGHWAY BURWOODWednesday 22 July 6ndash8 pmSaturday 25 July 230ndash430 pm
WATERFRONT CAMPUS 1 GHERINGHAP STREET GEELONGWednesday 22 July 6ndash8 pmSaturday 25 July 230ndash430 pm
WARRNAMBOOL CITY CENTRE 165 TIMOR STREET WARRNAMBOOLFriday 24 July 730 pm
raquo To register your attendance at one of the information sessions above please email nursinfodeakineduau to advise which session you plan to attend
For more information about our undergraduate and postgraduate courses please phone 03 9244 6032
Deakin University CRICOS Provider Code 00113B HLH002
deakineduaunursing
Itrsquos never too early to become a leader
How did you become involved in nursing
I started volunteering from age 14 with St John Ambulance Australia in my hometown of Moruya NSW I loved everything about it ndash loved the joy of helping others and I was so intrigued to learn how to respond effectively in emergencies and show true compassion to others I was also fortunate to have had some very down-to-earth and inspiring mentors who encouraged my interest in nursing and after graduation from high school I undertook the University of Wollongongrsquos Bachelor of Nursing degree
I started my first paid nursing related employment in my third year of the degree at a local hospital I have now graduated and am working as a registered nurse (RN) in a local aged care facility learning the ins and outs of multiple comorbidities patient-centred care and compassionate palliative and end-of-life care
What is your nursing specialty
As I still consider myself as a lsquonewbiersquo RN I havenrsquot really discovered a specialty yet though I have interests in aged care mental health cardiology and nursing research So I guess I am intrigued to be involved in one or all of these areas at some point in my career but I am open to any interesting opportunities that may come my way
What do you love most about nursing
This is truly the job that never has a dull day Each day is different and I feel privileged to be so trusted with the lives of my patients and residents in their moments of hardship and need Along with my love of the workings of the human body the evidence-base behind nursing care and continuous educational opportunities I love the lsquoteamrsquo focus of nursing especially when the patient is at the centre of decision making and everything goes to plan
What is your least favourite part of nursing
When everything doesnrsquot go to plan
What brought you to this area of Australia
Irsquom originally from NSW South but I moved to Wollongong for University and have stuck around for the area the people and to continue to work and study here
What are some of the nursing and health issues that are specific to the Sydney SouthIllawarra Region
Two big issues come to mind Firstly many newly graduated RNs within our region have been unable to find employment Secondly local nurses struggle to find the time within their working hours to keep up to date with advances in education
What do you see as the biggest challenge currently facing the nursing profession and how do you think the profession is placed to respond to these challenges
I believe possible health funding cuts and workforce shortages that in-turn affect our ability to provide adequate and safe patient care are two significant challenges facing our profession There are recently graduated RNs who remain jobless yet there are local health districts crying out for nurses but only those with lsquoexperiencersquo with undergraduate nursing experience ignored Looking into alternative transition programs is key to overcoming this challenge
Whatrsquos the biggest misconception about your career choice
I have met some amazingly talented and intelligent nurses in a variety of roles who all make a great difference in the lives of their patients or indirectly through organisations or research The general misconception that irks me isnrsquot so much a misconception more a statement Irsquove heard multiple times ndash ldquoWhy didnrsquot you become a doctor Why are you just a nurserdquo I did not become a nurse because I didnrsquot have the marks to be a doctor and by the time I finish university again with a Research Masters I would have physically been enrolled in university for the same length of time I became a nurse because I found a passion for this role and spending time with people inspires me
Nursing is a holistic role that encompasses so much We are health professionals role models educators support systems and innovators we understand intimately the fragility of life and the human relationships that bring it meaning
Profile Renee Callender MACN
LeadershipACN
Expand your leadership capacity
25
INTERESTED IN STUDYING DEAKIN NURSING AND MIDWIFERYWe are holding information sessions for our undergraduate courses
BURWOOD CAMPUS 221 BURWOOD HIGHWAY BURWOODWednesday 22 July 6ndash8 pmSaturday 25 July 230ndash430 pm
WATERFRONT CAMPUS 1 GHERINGHAP STREET GEELONGWednesday 22 July 6ndash8 pmSaturday 25 July 230ndash430 pm
WARRNAMBOOL CITY CENTRE 165 TIMOR STREET WARRNAMBOOLFriday 24 July 730 pm
raquo To register your attendance at one of the information sessions above please email nursinfodeakineduau to advise which session you plan to attend
For more information about our undergraduate and postgraduate courses please phone 03 9244 6032
Deakin University CRICOS Provider Code 00113B HLH002
deakineduaunursing
WA EXPO PERTH
26
Welcome from the Chief Nurse amp Midwifery OfficerI am so pleased to be welcoming you to the Australian College of Nursingrsquos Western Australian Nursing and Health Expo for 2015
Attending the Expo is an invaluable experience for anyone interested in nursing and midwifery careers It especially helps high school students and their parents or anyone who is wondering which career direction to take
Hospitals and health services from across WA will be there with some of their nurses and midwives in attendance to answer any questions you may have Come and find out from them what itrsquos really like to be a nurse or midwife
There will also be a range of education providers who will be able to talk about the many courses available to get your career started
It is also a great place to come to discuss and find out about graduate job opportunities building your experience career development opportunities financial support to study changing employers or even returning to a career in nursing or midwifery after being away for a while
The decision to become a nurse or a midwife is a wonderful career choice for anyone who wants to be part of a diverse healthcare professional team and have a challenging rewarding and exciting job where you really can make a difference
The future demand for nurses and midwives is going to be high especially as WArsquos new Fiona Stanley Perth Childrenrsquos Busselton and Midland hospitals all start becoming fully operational so we encourage you to attend the Expo to see where nursing and midwifery might take you
I look forward to seeing you on Friday 1 May 2015 at the Perth Convention and Exhibition Centre
Karen Bradley MACN Chief Nurse and Midwifery Officer WA Health
27
Expo informationLocation
The Perth Convention and Exhibition Centre (PCEC) is Western Australiarsquos only dedicated convention and exhibition facility Each year over 500000 people attend one or more of the 600 plus events conducted at PCEC The Expo will be held in Pavillion 1 at PCEC
Doors open 9am ndash 1pm
Entry
Stairs amp Escalators to Level 2
Registration DeskEntry Foyer
Entry
ACN Expo Pavillion 1
28
Seminars
This year the educational seminar series is back again to provide visitors with up to date information and practical skills to pursue or further their career Seminar attendance is free of charge and registration is not required
Time Topic Presented by
915am How to become a nurse or midwife Rebecca Newton WA Nursing and Midwifery Office
950am Applying via GradConnect and other opportunities for graduate nurses and midwives
Regina Browne WA Nursing and Midwifery Office
1025am Unleashing the potential of your staff Lisa Ansbro and Donna Hampshire Chandler Macleod Health
1100am How to become a nurse or midwife Rebecca Newton WA Nursing and Midwifery Office
1135am Applying via GradConnect and other opportunities for graduate nurses and midwives
Regina Browne WA Nursing and Midwifery Office
1210pm Unleashing the potential of your staff Lisa Ansbro and Donna Hampshire Chandler Macleod Health
The lsquoUnleashing the potential of your staffrsquo seminar is proudly supported by
Chandler Macleod is Australasiarsquos leading provider of integrated HR services products and technologies We have more than 55 yearsrsquo experience in human resources and have specialised within the health sector for 10 of these We are ideally positioned to help you meet the growing demands on your business We provide permanent and temporarycontract recruitment for the full range of Health professions including Carers and Support Workers Enrolled Nurses Registered Nurses Facility and Operations Managers Directors Cleaners and Kitchen staff We are able to provide you with experienced caring staff 247 including public holidays
For more information contact Chandler Macleod on (08) 9217 0510 or visit wwwchandlermacleodcomclientshealth-recruitment
29
Floor plan
42 41
39
40
38
36
37
35
43
44
45
46
47
48
Entrance
Seminar area
Cafeacute
7
5
8
6
20
18
19
17
11
9
12
10
16
14
15
13
34 33 32 31 30 29 28
30
Exhibitor listing
Organisation Name Booth Number
AACDS 8
Armadale Health Service 38
Belmore Nurses Bureau 30
Central Institute of Technology 20
Chandler Macleod Health 16
Child amp Adolescent Health Service 42
Curtin University of Technology 19
Defence Force Recruiting 910
Edith Cowan University - School of Nursing and Midwifery
3334
Fiona Stanley Hospital 36
Fremantle Hospital 44
HESTA 5
Hollywood Private Hospital 7
Institute of Health amp Nursing Australia 32
Mediserve Nursing Agency 6
Murdoch University 1112
My Flex Health International 18
Organisation Name Booth Number
Next Step 48
North Metropolitan Mental Health 35
NurseWest 47
Nursing amp Midwifery Board of Australia 29
Osborne Park Hospital 46
Prime Super 17
PampN Bank 15
Rockingham General Hospital 39
Royal Perth Hospital 37
Sir Charles Gairdner Hospital 45
The Bethanie Group Inc 31
The University of Notre Dame 13
WA Country Health Service 40
WA Nursing amp Midwifery Office 43
West Coast Institute of Training 14
Women amp Newborn Health Service 41
Work the World 28
The WA Nursing amp Health Expo is proudly supported by
The WA Nursing and Midwifery Office is very proud to partner once again with the Australian College of Nursing for the 2015 Nursing and Health Expo The nursing and midwifery professions offer an array of interesting and diverse experiences With these highly valued and respected skills relevant anywhere in the world nurses and midwives will always be in demand ndash in hospitals and in a range of other workplaces In WA the future demand for nurses and midwives is going to be high especially as our new Fiona Stanley Perth Childrenrsquos Busselton and Midland hospitals all start becoming fully operational so considering a career in nursing or midwifery is a great idea
wwwnursinghealthwagovau
31
In Australia enrolled nurses (ENs) are a core component of the health care workforce and make an important contribution to Australiarsquos world-class health outcomes ENs work in varied settings across the country from blood services to aged care facilities Increasingly ENs are playing an important role in meeting the growing demand for care
Not all countries have recognised the importance of ENs in the nurse workforce mix Several European countries including France Denmark Italy and Spain have only one category of regulated nurse (HWA 2013 Robinson and Griffiths 2007) The United Kingdom (UK) ceased admitting new ENs to the register in the 1980s The minimum qualification for all UK nurses is now a three-year bachelorrsquos degree As a result the UK relies heavily on unregistered health care assistants rather than second-level nurses (UK Department of Health 2013) Closer to home New Zealand ceased training ENs in 1993 only to recommence in the 2000s (Meek 2009) New Zealandrsquos experiment is an instructive demonstration of the importance of ENs in the health care workforce as the demand for nursing care increases
In Australia we have remained committed to maintaining the EN role Rather than relying on unregistered health care workers Australia has chosen to maintain a large educated and professional EN workforce The skilled work of ENs is recognised to be of paramount importance to the delivery of high quality nursing care Our EN workforce is highly dynamic and continues to evolve within the changing landscape of Australian health care policy and regulation
Enrolled nurse demographics
According to the latest national figures there are 51624 ENs working in Australia The great majority of ENs have completed their pre-registration education in Australia fewer than 5 have been educated overseas (HWA 2013)
The EN workforce has a relatively high average age of 46 years and forty-five per cent of ENs have celebrated their fiftieth birthdays (AIHW 2013) According to Health Workforce Australia the ageing EN workforce could lead to a significant shortfall in the supply of ENs if action is not taken to retain the current cohort of ENs and increase the number of people studying to be the ENs of tomorrow (HWA 2012)
Men make up roughly 10 of the EN workforce While this number is rising gradually it indicates that there is progress to be made in terms of attracting and retaining males within the profession Aboriginal and Torres Strait Islander people are
also underrepresented in the EN workforce only around 800 of Australiarsquos ENs identify as Indigenous Australians (AIHW 2013)
Among the most common work settings for ENs are aged care rehabilitation and disability services In contrast ENs make up fewer than 5 of the critical care nursing workforce and represent only a small proportion of nurses working in education policy and management (AIHW 2013)
These statistics show that there are both challenges and opportunities for Australiarsquos EN workforce Efforts to recruit and retain ENs will need to be enhanced with a particular focus on encouraging men and Aboriginal and Torres Strait Islander people to become ENs At the same time roles in a wider range of clinical areas are becoming available to suitably educated and qualified ENs and there will be more such opportunities in the coming years
A growing role for ENs
The evolving role of the EN is reflected in recent changes to educational requirements for ENs As of 1 July 2014 the Certificate IV in enrolled nursing ceased to be available and the minimum qualification for EN entry to practice will be the Diploma of Nursing The transition to a Diploma recognises the high level of skill ENs contribute to todayrsquos health care teams A nationally consistent approach to EN education is also likely to enhance the mobility of the EN workforce by giving employers confidence in the knowledge and skills of ENs educated in other states
ENs are now undertaking a diverse range of roles One of the earliest areas of role expansion for ENs was medication endorsement Before the move to national registration in 2010 ENs in some states were able to obtain an endorsement in medicines administration and become Endorsed Enrolled Nurses by completing specified education units This endorsement has now been phased out because from 2008 onwards all newly qualified ENs have completed the required medicines administration education Instead the register now identifies ENs who have not completed the required courses (NMBA 2014) This example demonstrates how the EN role has evolved over the years Whereas once only a relatively small number of ENs were educated to administer medicines now all student ENs complete medicines administration units as part of their initial nursing education
The EN role is also expanding in other ways For example ENs are taking on a growing role within haemodialysis units (Tranter et al 2011) The 2008 Australia and New Zealand Dialysis Workforce Survey conducted by the Renal Society of Australia found that there were 188 ENs working in dialysis alongside 2433 registered nurses (RNs) The growing demand for dialysis
The potential of the enrolled nursing workforce
By Rosina Muir and Dr Marlene Eggert MACN
32
services and the shortage of dialysis RNs in some areas represents a clear opportunity for ENs According to a New South Wales study conducted in 2009 the scope of practice of ENs in haemodialysis units may include cannulation (including both native access and buttonhole cannulation) connecting and disconnecting haemodialysis central venous catheters (CVCs) performing CVC dressings giving iron infusions and administering erythropoietin anticoagulants and Lignocaine In addition ENs may also take on a case management or health promotion role for dialysis patients (Bennett et al 2009)
ENs are also moving into extended roles in rehabilitation services A recent study of ENs in an Australian rehabilitation facility found that in addition to assisting patients with activities of daily living ENs may take on roles in coaching and supporting patients to reach their individual goals monitoring the patientrsquos progress and liaising with other members of the multidisciplinary rehabilitation team The study found that many ENs demonstrate an understanding of the philosophy of rehabilitation nursing including goal setting and enabling self-care (Pryor and Buzio 2013)
In rural Australia ENs are taking on a diverse range of roles within the EN scope of practice in order to meet local needs ENs with specialist skills such as infection control or wound care make a significant contribution to some rural health services although their extended scope of practice is not always given appropriate recognition by their RN colleagues (Nankervis et al 2008) Rural health services are increasingly recognising that supporting ENs to take on extended roles and further develop their clinical skills can be a successful model for the delivery of high quality patient care
Recognising the evolving EN scope of practice
In light of the fact that there have been significant changes to EN education regulation and scope over the last decade the NMBA has commissioned Monash University to review the currency of the standards against contemporary enrolled nursing roles The Monash University project has involved a review of the literature as well as a series of focus groups and surveys to gather insights from both RNs and ENs on the education scope of practice and supervision of ENs (Monash University 2013) The project is expected to be completed in 2014 (NMBA 2013)
Our advocacy for ENs
ACNrsquos advocacy priorities are explicitly designed to support both registered and enrolled nurses In 2014 ACN has argued for a range of policies that would have a positive impact on the
retention and flexibility of enrolled nurses For example ACN has proposed a National Transition Framework to support the flexibility and mobility of both the EN and the RN workforces The Framework would be accessible to nurses entering the workforce as well as nurses transitioning from one area of practice to another For example it would support an EN wishing to transition from the aged care sector to a hospital-based role
ACN has also put forward a proposal for a new scholarship program to support newly registered and enrolled nurses to practice in rural services It is essential that rural health service providers are able to attract appropriately educated staff including both ENs and RNs in order to maintain an optimal skill mix The scholarship scheme will allow rural health services to employ newly registered and enrolled nurses as supernumerary team members while providing them with a structured clinical learning program
ACN will continue to provide a voice for ENs in policy discussions and advocate for the role of ENs in health care delivery Australian Institute of Health and Welfare 2013 Nursing and midwifery workforce 2012 lthttpwwwaihwgovauWorkAreaDownloadAssetaspxid=60129545314gt pp 6
Bennett P McNeill L Polaschek N 2009 lsquoThe Australian and New Zealand Dialysis Workforcersquo Renal Society of Australasia Journal vol 5 no3 pp 147-151 lthttpwwwrenalsocietyorgRSAJjournalnov09bennett2pdfgt
Health Workforce Australia 2012 Health Workforce 2025 Doctors Nurses and Midwives vol 1 lthttpwwwhwagovausitesuploadsFinalReport_Volume1_FINAL-20120424pdfgt pp 137-142
Health Workforce Australia 2013 Nurses in Focus lthttpwwwhwagovausitesuploadsNurses-in-Focus-FINALpdfgt
Meek G 2010 Second level nurses a critical examination of their evolving role in New Zealand Healthcare lthttpresearcharchivewintecacnz9621Repository_entry_HLNU902pdfgt pp 3
Monash University 2013 The National Review of the Enrolled Nurse Competency Standards lthttpwwwmedmonashedunursingcompetency-standardsgt
Nankervis K Kenny A Bish M 2008 Enhancing scope of practice for the second level nurse A change process to meet growing demand for rural health services lthttpwwwncbinlmnihgovpubmed18844530gt
Nursing and Midwifery Board of Australia 2013 Communique Meeting of the Nursing and Midwifery Board of Australia 27 February 2013 in the AHPRA Hobart Office TasmanialthttpwwwnursingmidwiferyboardgovauNewsCommuniques-from-Board-meetingsaspxgt
Nursing and Midwifery Board of Australia 2014 Enrolled nurses and medicine administration lt httpwwwnursingmidwiferyboardgovauCodes-Guidelines-StatementsFAQaspxgt
Pryor J Buzio A 2013 lsquoDo ldquotwo typesrdquo of ENs work in rehabilitation in Australiarsquo Journal of the Australasian Rehabilitation Nurses Association vol 16 no 1 pp 14-19 lthttpsearchinformitcomaudocumentSummarydn=480975443102792res=IELHEAgt
Robinson S and Griffiths P 2007 Nursing education and regulation International profiles and perspectives lthttpeprintssotonacuk3487721NurseEduProfilespdfgt pp 7-17
Tranter S Westgarth F White G 2011 lsquoThe scope of practice of the haemodialysis Enrolled Nurse in new South Walesrsquo Renal Society of Australasia Journal vol 7 no 1 pp 24-29 lthttpwwwrenalsocietyorgRSAJjournalmar11Tranterpdfgt
United Kingdom Department of Health 2013 The Cavendish Review An Independent Review into Healthcare Assistants and Support Workers in the NHS and social care settings lthttpswwwgovukgovernmentuploadssystemuploadsattachment_datafile236212Cavendish_Reviewpdfgt pp 6
33
By Laurie Bickhoff MACN
Diary of a newly registered nurse
In Australia it is estimated nearly 20 of nurses will leave the profession within their first year of practice (National Nursing and Nurse Education Taskforce [NNNET] 2005) Internationally this figure ranges from between 35 and 60 (Halfer amp Graf 2006) Many have speculated on the reasons for this with high workloads the difficulties of shift work and unrealistic expectations of what nursing entails all given due consideration (Halfer amp Graf 2006) However as I entered my second year of practice I began to wonder what role disillusionment plays in this exodus of newly trained nurses
Disillusionment to me occurs when you feel your passion dwindling when you suddenly find it that little bit harder to get ready for work when you start feeling a sense of dread as you walk onto the ward This wasnrsquot caused by long hours or ever increasing workloads coupled with diminishing resources It wasnrsquot caused by physically demanding duties or the lack of a social life due to shift work It wasnrsquot caused by dealing with things that might not look or smell that great Unfortunately it was caused by the people around me and an almost institutionalised lack of power not only for nurses but more importantly for our patients
I was dismayed and frustrated to hear how many of my colleagues from all health professions referred to patients I was disheartened to see how easily some could dismiss the suffering we see and the heartache I felt I was overwhelmingly saddened to realise not everyone had the same passion for their profession or empathy for those we are charged to care for as I did
This culminated for me towards the end of my first year of practice There wasnrsquot any one big incident more an accumulation of things that were gradually wearing me down I had a worried patient confide in me that they had been too scared to push the call button on the previous shift because of the response they would receive from the nurse I saw patients constantly being made to fit into everyone elsersquos schedules regardless of their requests It seemed everyone was more important than the person we were there to help
I heard patients referred to as lsquocactusrsquo or described in the notes as lsquounsalvageablersquo meaning there was no chance of the patients making meaningful recoveries I wondered is this really how we refer to people Or did we forget they were actual human beings we were talking about
I had other health professionals dismiss me with comments such as nurses ldquojust wipe bums all dayrdquo or roll their eyes at me when I raised my concerns When I dared to challenge or question I was met with comments of ldquoI miss the old new gradsrdquo I felt tired washed out and was beginning to wonder
whether I could stay in this profession without losing myself
Luckily I found some inspiration I listened to a presentation by Drew Dudley a well-known American academic and motivational speaker where he discusses the idea of lsquolollypop momentsrsquo These are small moments when the people we see and work with every day demonstrate leadership They arenrsquot big grand over the top statements They are small gestures which often unknown to the person who did it have an amazing impact on the lives of others I was lucky enough to have some of these lollypop moments just when I needed them These few sparks were all that I needed to reignite my passion for nursing
The first spark came from an RN2 caring for a patient at the end-stage of a number of diseases who had expressed to the nursing staff multiple times her wish to simply be made comfortable as she knew this was the end of her fight Despite this the patient was not only receiving active treatment but was also currently documented for full resuscitation if she deteriorated
The nurse raised the issue with the medical registrar asking him to have a discussion with the patient regarding her wishes and planning end-of-life care The registrar dismissed her saying ldquowell thatrsquos not what the consultant wantsrdquo The nurse wasnrsquot satisfied and responded ldquoitrsquos not their choice itrsquos the patientrsquos decisionrdquo This nurse had the courage to stand her ground and make sure her patientrsquos voice was heard which ultimately led to the patientrsquos wishes being honoured
The next spark came soon after I was working with a nurse who came from a different cultural background to me where it was seen as impolite to question anyone in authority especially if you were female This meant even if a doctor was accidently standing in her way she would prefer to simply wait rather than ask them to move
Then one day we had a patient who deteriorated rapidly and was in a very critical condition This nurse suddenly became one of the best clinical leaders I have witnessed She led the team questioning orders prompting treatments suggesting causes and outlining the options available I soon realised the difference this was about her patient She was going to ensure her patient received the best care and outcome possible When it was about her patient rather than herself she found her voice
There were a number of smaller incidents that soon followed Sparks came from the senior consultant who re-educated her advanced trainee on the importance of listening to the nurses and acting on their concerns Sparks came from our ward social
34
worker who day after day demonstrated his passion for helping and advocating for those with no voice and often no options Sparks came from the medical residents who expressed their gratitude when you picked up a mistake and were heartfelt in their appreciation of the work nurses do
The brightest sparks came from my patients and their relatives It was their ldquothanksrdquo their ldquoyou donrsquot know how much that meansrdquo their ldquoyoursquoll be back tomorrow wonrsquot yourdquo their squeezing of my hand that reminded me why I do what I do I didnrsquot have to search for inspiration I was surrounded by it The trick was to change my focus
Perhaps all nurses are disillusioned at some point during their careers Perhaps it happens multiple times Perhaps it is a rite of passage with those who make it through the other side the
ones with a true passion for nursing who turn around and help a colleague on their journey
As I continue my nursing career I now look for the brightness that I know is always there far outshining the negativity that we have to deal with I stockpile my lsquolollypop momentsrsquo knowing the amazing examples of kindness and leadership I see every day will help me grow and become a better nurse and hopefully I might be able to be a spark for someone else
You can listen to Drew Dudleyrsquos talk at wwwtedcomtalksdrew_dudley_everyday_leadership
Halfer D and Graf E lsquoGraduate Nurse Perceptions of the Work Experiencersquo Nursing Economics June 2006 Vol 24 No 3 pp 150-55
National Nursing and Nurse Education Taskforce 2005 Mythbusters Available online at httpwwwnnnetgovaudownloadsmythbusters_attritionpdf Accessed June 2014
Arts amp Sciences | Business | Education | Health Sciences | Law | Medicine | Nursing amp Midwifery | Philosophy amp Theology | Physiotherapy
Your journey to a meaningful career awaitsThe School of Nursing amp Midwifery offers the following courses
rsaquo Bachelor of Nursing
rsaquo Bachelor of Nursing (Articulation Pathway for EN Diploma)
rsaquo Graduate Certificate (Acute Mental Health Clinical Nursing Nursing and Nursing Leadership amp Management)
rsaquo Graduate Diploma (Acute Mental Health Clinical Nursing Critical Care Nursing Forensic Nursing Midwifery Nursing and Perioperative Nursing)
rsaquo Master of Nursing (Coursework and Research)
Looking to make a difference So are we
Apply direct notredameeduau
ND
1053
| C
RIC
OS
PR
OV
IDE
R C
OD
E 0
1032
F
35
36
Floor plan
BENC
H
SINK
ENTRANCEDOOR 9
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
20 21
22232425
26 27 28 29
30313233
34 35 36 37
38394041
42 43 44 45
46474849
50 51 52 53
54555657
58 59 60 61
62636465
66 67 68 69
7071727374
75
76
84
85
86
87
88
89
90
1918
16
Exhibitor listing
Organisation Name Booth Number
Alfred Health 6667
ANMF Victorian Branch 747576
Austin Health 4243
Australian Catholic University 89
Ballarat Health Services 62
BankVic 73
Baptcare 60
Belmore Nurses Bureau 47
Bendigo Health 44
Care Training Australia 17
Chisholm Institute of TAFE 19
Colbrow Healthcare 26
Critical Second 90
Crystal Clear Ear Clinic 6
Deakin University Nursing amp Midwifery 3435
Defence Force Recruiting 12
Eastern Health 3031
Epworth HealthCare 6465
Federation University Australia 41
First Call Health 40
First State Super 7
Forensicare 68
Health Skills Australia 72
HESTA 20
Holmesglen 4546
Institute of Health amp Nursing Australia 27
Kangan Institute 24
La Trobe University 121314
Martin Luther Homes 22
McFarlane Medical amp Scientific 23
mdBriefCase Australia 18
Mediserve Nursing Agency 28
Organisation Name Booth Number
Melbourne City Institute of Education 86
Mental Health Nursing Victoria 1011
Mercy Health 8788
Monash Health
Monash University 8485
NeilMed Pharmaceuticals 32
Northern Health 5354
NorthWestern Mental Health 59
Nurses Board of Victoria Legacy Limited
69
Nursing amp Midwifery Board of Australia 21
Peninsula Health 38
Peter MacCallum Cancer Centre 25
Postgraduate Medical Council of Victoria
71
Prime Super 33
Reflective Clinical Supervision Network 39
RMIT Faculty of Nursing 55
Royal Victorian Eye amp Ear Hospital 48
Sanita Australia 31
St Vincentrsquos Hospital 5051
St Vincentrsquos Mental Health 5
St Vincentrsquos Private Hospital 34
The Royal Melbourne Hospital 56
Tobin Brothers Funerals 49
University of Melbourne 89
University of Tasmania 52
Victoria University 57
Vital Health Recruitment 70
VNS Nursing Agency 58
Western District Health Service 63
Western Health 3637
Work the World 29
17
Graduate transition programs my personal experienceToo often we hear horror graduate stories Research shows horizontal violence and bullying is rampant in our profession We are told tales of the infamous ldquoeat our youngrdquo nursing culture We know graduates suffer transition shock when they start practicing and nearly 20 will leave in their first year
Unfortunately the good stories are often buried underneath the bad and so I wanted to share my graduate year experience When I started as an RN the only nursing experience I had were my clinical placements and a mere two months working as an AIN To say I was worried was a major understatement I was quietly petrified but tried to keep up a brave face
I had worked hard in university to learn as much as I could but I was still filled with doubts Would I be good enough Would I crash and burn Would I help or hinder my patientsrsquo recovery
My first day on the ward was sink or swim time I was amazed at the warm welcome I was given The other RNs were supportive and encouraging They made sure I knew if I felt myself struggling they would be there with a life-line
Every ward I rotated through gave me this same friendly reception Perhaps it was just luck or maybe our nursing culture is changing but I never encountered any of the pressure to change my values and practice in order to fit in that I had been told to expect Instead I found colleagues who understood I wouldnrsquot know everything on day one who were willing to take the time to teach me and who become great friends along the way
My clinical skills and knowledge increased out of sight during my graduate year I felt my university had given me a great foundation on which to build my career as an RN but my grad program cemented my theory into my practice I started the year having never removed a single stitch I ended the year confidently removing everything from sutures to ICCs and pacing wires while also successfully inserting NG tubes and cannulas Importantly I understood the pathophysiology and rationale behind each of these and could explain it to my patients
Irsquom not saying everyday was perfect Irsquom not saying every person was as helpful or welcoming as the next Irsquom not saying I didnrsquot have days when I struggled What I am saying is I never felt alone I knew the support was there all I had to do was ask
I know not every graduate nurse will have as positive an experience as I did Perhaps my journey was the exception not the rule However I hope the number of nurses who have an amazing graduate year like mine continues to increase until this becomes the norm
I do know that the success of your graduate year relies heavily on you and your attitude University teaches you how to think like a nurse but it is in clinical practice the real learning begins and it has a steep learning curve Approach your grad year knowing that everyone from the tea lady to the Director of Nursing will be your new teachers and success will come When the people you work with recognise your passion see your motivation to provide what is best for the patient and know you realise what a unique privilege it is to be a nurse their respect will follow
At the same time donrsquot be afraid to speak up for your patients for your colleagues and for yourself Harvey Fierstein said ldquoNever be bullied into silence Never allow yourself to be made a victim Accept no onersquos definition of your life define yourselfrdquo You have the ability to define your graduate year regardless of what hospital or ward you find yourself in
You can change the culture and reputation of the nursing profession for better or worse You can conform and join in bullying behaviour and continue negative traditions or you can decide it stops with you Set your standards high and have the moral courage to stick to them If every graduate nurse demonstrated this leadership and supported other nurses who did as well imagine the overwhelmingly positive impact that could have on nursing
Gandhi once said ldquoBe the change you want to see in the worldrdquo I would encourage you to be the change you want to see in nursing and just watch how the world changes with us
By Laurie Bickhoff MACN
18
Finishing studies and becoming a new graduate is an exciting milestone Itrsquos usually the first time you begin working full time perhaps moving away from home owning your own car and paying bills
Of course itrsquos important to budget ensuring you have enough money for daily expenses as well as being able to stash some money away The easiest way to keep track of your income versus expenses is to set up an everyday account with your salary paid into it and a savings account earning interest on the money yoursquore able to save In addition you might want to get a credit card so that yoursquove got some money for emergencies
Gain fee free banking freedom
With a BankVic Anywhere account you can enjoy unlimited free withdrawals at any ATM in Australia when you deposit $1000 per month1 Plus you can access your money with free unlimited eftpos transactions a Visa Debit card with paywave and a mobile App
Earn bonus interest on your savings
A BankVic Bonus Saver account is a high interest account that rewards you for saving by giving you bonus interest2 when you deposit a minimum of $100 a month and make no withdrawals plus there are no fees Itrsquos a great way to force yourself to save
Enjoy a credit card with no annual fee
A BankVic Visa Silver credit card offers great value with an introductory rate of 699pa3 for the first 6 months and a low ongoing rate plus no annual fee Itrsquos the perfect back up card
Why not call us today Call your dedicated Member Relationship Manager Phoebe Reid on 9268 9297 or via email preidbankviccomau
1 Minimum deposit of $1000 must be received in the account by close of business on the last business day of the month The deposit cannot be an internal transfer or interest earned form other BankVic products 2 Bonus Saver ndash Deposit $100 per calendar month with no withdrawals and yoursquoll be rewarded with bonus interest Bonus interest rate is capped at a maximum balance of $1000000 3 Credit Card interest rates are variable All interest rates are shown are current as at date of print and are subject to change Fees and charges apply Any advice is general before acting on the advice you should consider whether the advice is appropriate for you Before you make any decision to acquire any product or service you should obtain and consider the relevant Product Disclosure Statement available from our website bankviccomau any branch or by calling us on 13 63 73 Police Financial Services Limited ABN 33 087 651 661 AFSL 240923 Australian Credit Licence 240293ndash trading as BankVic 121 Cardigan Street Carlton Victoria 3053 3-15 5243BV
Advertorial
Banking freedom for nurses and midwives
members matter
Let BankVic take care of you while you take care of others
9268 9297preidbankviccomau
Canstar Pty Ltd Authorised Representative 443019 of Canstar Research Pty Limited ABN 29 114 422 909 AFSL 437917 Police Financial Services Limited ABN 33 087 651 661 AFSL 240293 (BankVic) 121 Cardigan Street Carlton Vic 3053 315 5280bv
Contact your dedicated Member Relationship Manager Phoebe Reid
bankviccomau
19
This is general advice only Consider our product disclosure statement before making a decision about First State Super Call us or visit fi rststatesupercomau for copies Becoming a Student Club member is diff erent to being a First State Super member as you do not hold a superannuation account with the Fund or have any interest right or other relationship with First State Super
FSS Trustee Corporation ABN 11 118 202 672 ASFL 293340 is the trustee of the First State Superannuation Scheme (First State Super) ABN 53 226 460 365 EXP_
Mel
b_Ex
po_A
4_03
15
Join our free Student Club and make the most of the support discounts and benefi ts available only to students
Learn to manage your super better and how you can take advantage of our exclusive member benefi ts
Find out why wersquore the super fund with a heart on Saturday 18 April
Visit us at booth 7 in Melbourne
EXP_Melb_Expo_A4_Mar15_ARTWORKindd 1 6032015 414 pm
By Claire Stewart MACN
Diary of a newly registered nurse
Irsquom almost three months into my role as a newly registered nurse and I had my first 40 Prolene moment recently For the uninitiated this can be a panic fuelled moment where a routine procedure ends up resembling the Texas chainsaw massacre Thankfully I was supported by a wonderfully calm surgeon who waited patiently while I painstakingly attempted to load his life saving suture After the surgery I wiped the blood from my glasses and took a moment to reflect on how I had handled the situation In fact Irsquove spent most of the last three months lsquoreflectingrsquo Deafening groans can be heard from many a third year nursing cohort when wersquore asked yet again to lsquocritically reflectrsquo on our practice as student nurses Let me be the first to admithellip It doesnrsquot stop at graduation
I may not use a dedicated framework or even put pen to paper but the skills I learned during my studies have set me up to ensure I gain the most from every learning opportunity by critically reflecting on my performance simply by force of habit During the last three months my learning curve has veered vertical as I transitioned from university study to my role as a
graduate registered nurse in perioperative services Irsquove had to deal with a new environment (donrsquot even get me started on finding your way around a theatre complex) new colleagues adjusting to full time work and managing family commitments learning an entire new skill set working as a scrubscout dealing with policies procedures and my favourite surgeonsrsquo preference
In these first few months itrsquos very easy to fall into the trap of focussing on how much you donrsquot know However practising critical reflection has allowed me to focus on what I do know how far Irsquove come and what I will learn because Irsquom self-aware Whether you are a new nurse like me and feel like yoursquove handed in one too many pieces of written reflection to your facilitator over the last three years or an experienced nurse who practices self-reflection sub-consciously on the drive home ndash embrace it for the wonderful tool that it is and use it to become the kind of nurse you want to work with
Be in demand Be successfulStudy nursing or midwifery at Monash If you want to make a difference in health care with great employment potential the School of Nursing and Midwifery is a great place to start
As a nurse or midwife there are a variety of roles and a number of specialty areas available to you ensuring a constant career of challenges and diversity
To find out more about our undergraduate courses visit us at ACN Expo Melbourne Stand 84 ndash 85
For more information on our courses visit medmonashedunursing
21
Research collaboration students are welcome
A collaborative research study in Queensland is tapping into the enthusiasm and intelligence of nursing students by training and employing third-years as research assistants data collectors and analysts in contract research projects
Researchers from James Cook Universityrsquos (JCU) Centre for Nursing and Midwifery Research (CNMR) the Far North Queensland Medicare Local and the Cairns and Hinterland Hospital and Health Service are trying to determine why emergency department (ED) presentations to Cairns Hospital have been increasing at a greater rate than the national average
To answer this question CNMR researchers recruited 14 nursing and medical students to survey every willing and able person who presented to the ED
Researchers asked participants for information regarding their reasons for coming to the ED They also asked where they would usually go for medical treatment and what physical and psychological factors influenced their decision to choose the ED over other treatment options
In other phases of the project hospital Emergency Department Information System (EDIS) data have been analysed and patient focus groups have been convened Unstinting faith in the local ED has been noted as one of the key reasons that people choose the ED over other health care options
Most people who come to the ED with lsquonon-urgentrsquo conditions do have general practitioners and a large percentage have sought medical advice in the days prior to presenting to the ED Worry anxiety and uncertainty rather than the severity of the medical condition itself however appears to be a significant motivator to come to the ED where people perceive there is a wide range of services professionals and diagnostic tools available
ACN Emerging Nurse Leader Anna Groth MACN a third-year nursing student from JCU has been collecting collating and analysing data
ldquoOften I would ask someone why they had come to the hospital and they would speak about being in pain but if you asked them about whether they came for the pain or because they were anxious about the pain they would say they had come to the hospital because of the anxietyrdquo explained Anna ldquoIt is such a huge difference ndash the motivation ndash coming for the pain or the anxietyrdquo
Anna said the project opened communication lines between people from different organisations including government university health service hospital and the community leading to collaboration and learning for all
By Marnie Hitchins
Benefits for the students included early career exposure to the research process in which they learnt about data collection analysis and research methods The students also had the opportunity to practise communication skills learn about the organisational cultures of universities and hospitals and work alongside health professionals and patients in a research environment
Students commented that because the power dynamics were different from that of clinical experience (they were not seen as health professionals by patients nor as lsquostudent nursesrsquo by health staff members) they gained insights into the hospital environment they might not otherwise have had
Anna said she learned a lot personally the ED research experience has catapulted her into another area of interest in which she can see herself working in the future
ldquoResearch and policy will be a part of my future Irsquove gained a deep interest in the treatment of women since doing this studyrdquo said Anna
ldquoI have become very interested in domestic violence and the way women are treated in the health service and in the society as a whole I was blown away by the struggle that people have with the system in trying to find support They are so lonely I recognised things being in the ED that I would like to research and have already started exploring the issuesrdquo
CNMR Director Associate Professor Jane Mills FACN said the recruitment and inclusion of students in research projects is part of a broader plan within the CNMR to build undergraduate research capacity
Jane said the CNMR also offered internships to undergraduate students to work on research projects alongside experienced scholars academics and researchers
ldquoJCU strongly supports the inclusion of undergraduate students in research studies where they can gain valuable knowledge skills and experience while also making a contribution to building the evidence base about health care issues of importance to people living in the tropicsrdquo said Jane
ldquoItrsquos a win-win situation where experienced researchers benefit from the studentsrsquo enthusiasm and familiarity with contemporary research principles and students increase their awareness of the importance of research to professional practicerdquo
It is clear to all parties involved that the inclusion of nursing students is benefitting the quality of the project as much as it is benefitting studentsrsquo learning and work experiences
22
Launch your nursing career at St Vincentrsquos
St Vincentrsquos Hospital Melbourne (SVHM) is part of St Vincentrsquos Health Australia and is a leading teaching research and tertiary health service which employs more than 5000 staff across 18 sites throughout Melbourne SVHM provides a diverse range of adult clinical services including acute medical and surgical services sub-acutecare medical diagnostics rehabilitation allied health mental health palliative care correctional health and community residential care SVHM is one of Australiarsquosleading Catholic not-for-prot healthcare providersMake the most of your talents Join the team at St Vincentrsquos
Visit us at the ACN Nursing and Health Expo 2015Find out about our 2016 Graduate Nurse Program andhave a chat to our current graduates educators and nursing staff
St Vincentrsquos Open Evening 2015Wednesday 3rd June 4pm-6pmSt Vincentrsquos Ground Floor Aikenhead Building 27 Victoria Parade Fitzroy
Welcome and Overview of the 2016 Graduate Nurse Program at 4pm 430pm amp 5pm
All welcome ndash no RSVP required
All 24 rotational areas on displayTours of inpatient wardsComplimentary food and beverages provided
For further information visit wwwsvhmorgau or phone the Graduate Nurse Hotline 9231 2244
To follow our 2016 recruitment process Like us at SVHM 2016 Graduate Nurse Program
Compassion Justice Integrity Excellence
24
INTERESTED IN STUDYING DEAKIN NURSING AND MIDWIFERYWe are holding information sessions for our undergraduate courses
BURWOOD CAMPUS 221 BURWOOD HIGHWAY BURWOODWednesday 22 July 6ndash8 pmSaturday 25 July 230ndash430 pm
WATERFRONT CAMPUS 1 GHERINGHAP STREET GEELONGWednesday 22 July 6ndash8 pmSaturday 25 July 230ndash430 pm
WARRNAMBOOL CITY CENTRE 165 TIMOR STREET WARRNAMBOOLFriday 24 July 730 pm
raquo To register your attendance at one of the information sessions above please email nursinfodeakineduau to advise which session you plan to attend
For more information about our undergraduate and postgraduate courses please phone 03 9244 6032
Deakin University CRICOS Provider Code 00113B HLH002
deakineduaunursing
Itrsquos never too early to become a leader
How did you become involved in nursing
I started volunteering from age 14 with St John Ambulance Australia in my hometown of Moruya NSW I loved everything about it ndash loved the joy of helping others and I was so intrigued to learn how to respond effectively in emergencies and show true compassion to others I was also fortunate to have had some very down-to-earth and inspiring mentors who encouraged my interest in nursing and after graduation from high school I undertook the University of Wollongongrsquos Bachelor of Nursing degree
I started my first paid nursing related employment in my third year of the degree at a local hospital I have now graduated and am working as a registered nurse (RN) in a local aged care facility learning the ins and outs of multiple comorbidities patient-centred care and compassionate palliative and end-of-life care
What is your nursing specialty
As I still consider myself as a lsquonewbiersquo RN I havenrsquot really discovered a specialty yet though I have interests in aged care mental health cardiology and nursing research So I guess I am intrigued to be involved in one or all of these areas at some point in my career but I am open to any interesting opportunities that may come my way
What do you love most about nursing
This is truly the job that never has a dull day Each day is different and I feel privileged to be so trusted with the lives of my patients and residents in their moments of hardship and need Along with my love of the workings of the human body the evidence-base behind nursing care and continuous educational opportunities I love the lsquoteamrsquo focus of nursing especially when the patient is at the centre of decision making and everything goes to plan
What is your least favourite part of nursing
When everything doesnrsquot go to plan
What brought you to this area of Australia
Irsquom originally from NSW South but I moved to Wollongong for University and have stuck around for the area the people and to continue to work and study here
What are some of the nursing and health issues that are specific to the Sydney SouthIllawarra Region
Two big issues come to mind Firstly many newly graduated RNs within our region have been unable to find employment Secondly local nurses struggle to find the time within their working hours to keep up to date with advances in education
What do you see as the biggest challenge currently facing the nursing profession and how do you think the profession is placed to respond to these challenges
I believe possible health funding cuts and workforce shortages that in-turn affect our ability to provide adequate and safe patient care are two significant challenges facing our profession There are recently graduated RNs who remain jobless yet there are local health districts crying out for nurses but only those with lsquoexperiencersquo with undergraduate nursing experience ignored Looking into alternative transition programs is key to overcoming this challenge
Whatrsquos the biggest misconception about your career choice
I have met some amazingly talented and intelligent nurses in a variety of roles who all make a great difference in the lives of their patients or indirectly through organisations or research The general misconception that irks me isnrsquot so much a misconception more a statement Irsquove heard multiple times ndash ldquoWhy didnrsquot you become a doctor Why are you just a nurserdquo I did not become a nurse because I didnrsquot have the marks to be a doctor and by the time I finish university again with a Research Masters I would have physically been enrolled in university for the same length of time I became a nurse because I found a passion for this role and spending time with people inspires me
Nursing is a holistic role that encompasses so much We are health professionals role models educators support systems and innovators we understand intimately the fragility of life and the human relationships that bring it meaning
Profile Renee Callender MACN
LeadershipACN
Expand your leadership capacity
25
INTERESTED IN STUDYING DEAKIN NURSING AND MIDWIFERYWe are holding information sessions for our undergraduate courses
BURWOOD CAMPUS 221 BURWOOD HIGHWAY BURWOODWednesday 22 July 6ndash8 pmSaturday 25 July 230ndash430 pm
WATERFRONT CAMPUS 1 GHERINGHAP STREET GEELONGWednesday 22 July 6ndash8 pmSaturday 25 July 230ndash430 pm
WARRNAMBOOL CITY CENTRE 165 TIMOR STREET WARRNAMBOOLFriday 24 July 730 pm
raquo To register your attendance at one of the information sessions above please email nursinfodeakineduau to advise which session you plan to attend
For more information about our undergraduate and postgraduate courses please phone 03 9244 6032
Deakin University CRICOS Provider Code 00113B HLH002
deakineduaunursing
WA EXPO PERTH
26
Welcome from the Chief Nurse amp Midwifery OfficerI am so pleased to be welcoming you to the Australian College of Nursingrsquos Western Australian Nursing and Health Expo for 2015
Attending the Expo is an invaluable experience for anyone interested in nursing and midwifery careers It especially helps high school students and their parents or anyone who is wondering which career direction to take
Hospitals and health services from across WA will be there with some of their nurses and midwives in attendance to answer any questions you may have Come and find out from them what itrsquos really like to be a nurse or midwife
There will also be a range of education providers who will be able to talk about the many courses available to get your career started
It is also a great place to come to discuss and find out about graduate job opportunities building your experience career development opportunities financial support to study changing employers or even returning to a career in nursing or midwifery after being away for a while
The decision to become a nurse or a midwife is a wonderful career choice for anyone who wants to be part of a diverse healthcare professional team and have a challenging rewarding and exciting job where you really can make a difference
The future demand for nurses and midwives is going to be high especially as WArsquos new Fiona Stanley Perth Childrenrsquos Busselton and Midland hospitals all start becoming fully operational so we encourage you to attend the Expo to see where nursing and midwifery might take you
I look forward to seeing you on Friday 1 May 2015 at the Perth Convention and Exhibition Centre
Karen Bradley MACN Chief Nurse and Midwifery Officer WA Health
27
Expo informationLocation
The Perth Convention and Exhibition Centre (PCEC) is Western Australiarsquos only dedicated convention and exhibition facility Each year over 500000 people attend one or more of the 600 plus events conducted at PCEC The Expo will be held in Pavillion 1 at PCEC
Doors open 9am ndash 1pm
Entry
Stairs amp Escalators to Level 2
Registration DeskEntry Foyer
Entry
ACN Expo Pavillion 1
28
Seminars
This year the educational seminar series is back again to provide visitors with up to date information and practical skills to pursue or further their career Seminar attendance is free of charge and registration is not required
Time Topic Presented by
915am How to become a nurse or midwife Rebecca Newton WA Nursing and Midwifery Office
950am Applying via GradConnect and other opportunities for graduate nurses and midwives
Regina Browne WA Nursing and Midwifery Office
1025am Unleashing the potential of your staff Lisa Ansbro and Donna Hampshire Chandler Macleod Health
1100am How to become a nurse or midwife Rebecca Newton WA Nursing and Midwifery Office
1135am Applying via GradConnect and other opportunities for graduate nurses and midwives
Regina Browne WA Nursing and Midwifery Office
1210pm Unleashing the potential of your staff Lisa Ansbro and Donna Hampshire Chandler Macleod Health
The lsquoUnleashing the potential of your staffrsquo seminar is proudly supported by
Chandler Macleod is Australasiarsquos leading provider of integrated HR services products and technologies We have more than 55 yearsrsquo experience in human resources and have specialised within the health sector for 10 of these We are ideally positioned to help you meet the growing demands on your business We provide permanent and temporarycontract recruitment for the full range of Health professions including Carers and Support Workers Enrolled Nurses Registered Nurses Facility and Operations Managers Directors Cleaners and Kitchen staff We are able to provide you with experienced caring staff 247 including public holidays
For more information contact Chandler Macleod on (08) 9217 0510 or visit wwwchandlermacleodcomclientshealth-recruitment
29
Floor plan
42 41
39
40
38
36
37
35
43
44
45
46
47
48
Entrance
Seminar area
Cafeacute
7
5
8
6
20
18
19
17
11
9
12
10
16
14
15
13
34 33 32 31 30 29 28
30
Exhibitor listing
Organisation Name Booth Number
AACDS 8
Armadale Health Service 38
Belmore Nurses Bureau 30
Central Institute of Technology 20
Chandler Macleod Health 16
Child amp Adolescent Health Service 42
Curtin University of Technology 19
Defence Force Recruiting 910
Edith Cowan University - School of Nursing and Midwifery
3334
Fiona Stanley Hospital 36
Fremantle Hospital 44
HESTA 5
Hollywood Private Hospital 7
Institute of Health amp Nursing Australia 32
Mediserve Nursing Agency 6
Murdoch University 1112
My Flex Health International 18
Organisation Name Booth Number
Next Step 48
North Metropolitan Mental Health 35
NurseWest 47
Nursing amp Midwifery Board of Australia 29
Osborne Park Hospital 46
Prime Super 17
PampN Bank 15
Rockingham General Hospital 39
Royal Perth Hospital 37
Sir Charles Gairdner Hospital 45
The Bethanie Group Inc 31
The University of Notre Dame 13
WA Country Health Service 40
WA Nursing amp Midwifery Office 43
West Coast Institute of Training 14
Women amp Newborn Health Service 41
Work the World 28
The WA Nursing amp Health Expo is proudly supported by
The WA Nursing and Midwifery Office is very proud to partner once again with the Australian College of Nursing for the 2015 Nursing and Health Expo The nursing and midwifery professions offer an array of interesting and diverse experiences With these highly valued and respected skills relevant anywhere in the world nurses and midwives will always be in demand ndash in hospitals and in a range of other workplaces In WA the future demand for nurses and midwives is going to be high especially as our new Fiona Stanley Perth Childrenrsquos Busselton and Midland hospitals all start becoming fully operational so considering a career in nursing or midwifery is a great idea
wwwnursinghealthwagovau
31
In Australia enrolled nurses (ENs) are a core component of the health care workforce and make an important contribution to Australiarsquos world-class health outcomes ENs work in varied settings across the country from blood services to aged care facilities Increasingly ENs are playing an important role in meeting the growing demand for care
Not all countries have recognised the importance of ENs in the nurse workforce mix Several European countries including France Denmark Italy and Spain have only one category of regulated nurse (HWA 2013 Robinson and Griffiths 2007) The United Kingdom (UK) ceased admitting new ENs to the register in the 1980s The minimum qualification for all UK nurses is now a three-year bachelorrsquos degree As a result the UK relies heavily on unregistered health care assistants rather than second-level nurses (UK Department of Health 2013) Closer to home New Zealand ceased training ENs in 1993 only to recommence in the 2000s (Meek 2009) New Zealandrsquos experiment is an instructive demonstration of the importance of ENs in the health care workforce as the demand for nursing care increases
In Australia we have remained committed to maintaining the EN role Rather than relying on unregistered health care workers Australia has chosen to maintain a large educated and professional EN workforce The skilled work of ENs is recognised to be of paramount importance to the delivery of high quality nursing care Our EN workforce is highly dynamic and continues to evolve within the changing landscape of Australian health care policy and regulation
Enrolled nurse demographics
According to the latest national figures there are 51624 ENs working in Australia The great majority of ENs have completed their pre-registration education in Australia fewer than 5 have been educated overseas (HWA 2013)
The EN workforce has a relatively high average age of 46 years and forty-five per cent of ENs have celebrated their fiftieth birthdays (AIHW 2013) According to Health Workforce Australia the ageing EN workforce could lead to a significant shortfall in the supply of ENs if action is not taken to retain the current cohort of ENs and increase the number of people studying to be the ENs of tomorrow (HWA 2012)
Men make up roughly 10 of the EN workforce While this number is rising gradually it indicates that there is progress to be made in terms of attracting and retaining males within the profession Aboriginal and Torres Strait Islander people are
also underrepresented in the EN workforce only around 800 of Australiarsquos ENs identify as Indigenous Australians (AIHW 2013)
Among the most common work settings for ENs are aged care rehabilitation and disability services In contrast ENs make up fewer than 5 of the critical care nursing workforce and represent only a small proportion of nurses working in education policy and management (AIHW 2013)
These statistics show that there are both challenges and opportunities for Australiarsquos EN workforce Efforts to recruit and retain ENs will need to be enhanced with a particular focus on encouraging men and Aboriginal and Torres Strait Islander people to become ENs At the same time roles in a wider range of clinical areas are becoming available to suitably educated and qualified ENs and there will be more such opportunities in the coming years
A growing role for ENs
The evolving role of the EN is reflected in recent changes to educational requirements for ENs As of 1 July 2014 the Certificate IV in enrolled nursing ceased to be available and the minimum qualification for EN entry to practice will be the Diploma of Nursing The transition to a Diploma recognises the high level of skill ENs contribute to todayrsquos health care teams A nationally consistent approach to EN education is also likely to enhance the mobility of the EN workforce by giving employers confidence in the knowledge and skills of ENs educated in other states
ENs are now undertaking a diverse range of roles One of the earliest areas of role expansion for ENs was medication endorsement Before the move to national registration in 2010 ENs in some states were able to obtain an endorsement in medicines administration and become Endorsed Enrolled Nurses by completing specified education units This endorsement has now been phased out because from 2008 onwards all newly qualified ENs have completed the required medicines administration education Instead the register now identifies ENs who have not completed the required courses (NMBA 2014) This example demonstrates how the EN role has evolved over the years Whereas once only a relatively small number of ENs were educated to administer medicines now all student ENs complete medicines administration units as part of their initial nursing education
The EN role is also expanding in other ways For example ENs are taking on a growing role within haemodialysis units (Tranter et al 2011) The 2008 Australia and New Zealand Dialysis Workforce Survey conducted by the Renal Society of Australia found that there were 188 ENs working in dialysis alongside 2433 registered nurses (RNs) The growing demand for dialysis
The potential of the enrolled nursing workforce
By Rosina Muir and Dr Marlene Eggert MACN
32
services and the shortage of dialysis RNs in some areas represents a clear opportunity for ENs According to a New South Wales study conducted in 2009 the scope of practice of ENs in haemodialysis units may include cannulation (including both native access and buttonhole cannulation) connecting and disconnecting haemodialysis central venous catheters (CVCs) performing CVC dressings giving iron infusions and administering erythropoietin anticoagulants and Lignocaine In addition ENs may also take on a case management or health promotion role for dialysis patients (Bennett et al 2009)
ENs are also moving into extended roles in rehabilitation services A recent study of ENs in an Australian rehabilitation facility found that in addition to assisting patients with activities of daily living ENs may take on roles in coaching and supporting patients to reach their individual goals monitoring the patientrsquos progress and liaising with other members of the multidisciplinary rehabilitation team The study found that many ENs demonstrate an understanding of the philosophy of rehabilitation nursing including goal setting and enabling self-care (Pryor and Buzio 2013)
In rural Australia ENs are taking on a diverse range of roles within the EN scope of practice in order to meet local needs ENs with specialist skills such as infection control or wound care make a significant contribution to some rural health services although their extended scope of practice is not always given appropriate recognition by their RN colleagues (Nankervis et al 2008) Rural health services are increasingly recognising that supporting ENs to take on extended roles and further develop their clinical skills can be a successful model for the delivery of high quality patient care
Recognising the evolving EN scope of practice
In light of the fact that there have been significant changes to EN education regulation and scope over the last decade the NMBA has commissioned Monash University to review the currency of the standards against contemporary enrolled nursing roles The Monash University project has involved a review of the literature as well as a series of focus groups and surveys to gather insights from both RNs and ENs on the education scope of practice and supervision of ENs (Monash University 2013) The project is expected to be completed in 2014 (NMBA 2013)
Our advocacy for ENs
ACNrsquos advocacy priorities are explicitly designed to support both registered and enrolled nurses In 2014 ACN has argued for a range of policies that would have a positive impact on the
retention and flexibility of enrolled nurses For example ACN has proposed a National Transition Framework to support the flexibility and mobility of both the EN and the RN workforces The Framework would be accessible to nurses entering the workforce as well as nurses transitioning from one area of practice to another For example it would support an EN wishing to transition from the aged care sector to a hospital-based role
ACN has also put forward a proposal for a new scholarship program to support newly registered and enrolled nurses to practice in rural services It is essential that rural health service providers are able to attract appropriately educated staff including both ENs and RNs in order to maintain an optimal skill mix The scholarship scheme will allow rural health services to employ newly registered and enrolled nurses as supernumerary team members while providing them with a structured clinical learning program
ACN will continue to provide a voice for ENs in policy discussions and advocate for the role of ENs in health care delivery Australian Institute of Health and Welfare 2013 Nursing and midwifery workforce 2012 lthttpwwwaihwgovauWorkAreaDownloadAssetaspxid=60129545314gt pp 6
Bennett P McNeill L Polaschek N 2009 lsquoThe Australian and New Zealand Dialysis Workforcersquo Renal Society of Australasia Journal vol 5 no3 pp 147-151 lthttpwwwrenalsocietyorgRSAJjournalnov09bennett2pdfgt
Health Workforce Australia 2012 Health Workforce 2025 Doctors Nurses and Midwives vol 1 lthttpwwwhwagovausitesuploadsFinalReport_Volume1_FINAL-20120424pdfgt pp 137-142
Health Workforce Australia 2013 Nurses in Focus lthttpwwwhwagovausitesuploadsNurses-in-Focus-FINALpdfgt
Meek G 2010 Second level nurses a critical examination of their evolving role in New Zealand Healthcare lthttpresearcharchivewintecacnz9621Repository_entry_HLNU902pdfgt pp 3
Monash University 2013 The National Review of the Enrolled Nurse Competency Standards lthttpwwwmedmonashedunursingcompetency-standardsgt
Nankervis K Kenny A Bish M 2008 Enhancing scope of practice for the second level nurse A change process to meet growing demand for rural health services lthttpwwwncbinlmnihgovpubmed18844530gt
Nursing and Midwifery Board of Australia 2013 Communique Meeting of the Nursing and Midwifery Board of Australia 27 February 2013 in the AHPRA Hobart Office TasmanialthttpwwwnursingmidwiferyboardgovauNewsCommuniques-from-Board-meetingsaspxgt
Nursing and Midwifery Board of Australia 2014 Enrolled nurses and medicine administration lt httpwwwnursingmidwiferyboardgovauCodes-Guidelines-StatementsFAQaspxgt
Pryor J Buzio A 2013 lsquoDo ldquotwo typesrdquo of ENs work in rehabilitation in Australiarsquo Journal of the Australasian Rehabilitation Nurses Association vol 16 no 1 pp 14-19 lthttpsearchinformitcomaudocumentSummarydn=480975443102792res=IELHEAgt
Robinson S and Griffiths P 2007 Nursing education and regulation International profiles and perspectives lthttpeprintssotonacuk3487721NurseEduProfilespdfgt pp 7-17
Tranter S Westgarth F White G 2011 lsquoThe scope of practice of the haemodialysis Enrolled Nurse in new South Walesrsquo Renal Society of Australasia Journal vol 7 no 1 pp 24-29 lthttpwwwrenalsocietyorgRSAJjournalmar11Tranterpdfgt
United Kingdom Department of Health 2013 The Cavendish Review An Independent Review into Healthcare Assistants and Support Workers in the NHS and social care settings lthttpswwwgovukgovernmentuploadssystemuploadsattachment_datafile236212Cavendish_Reviewpdfgt pp 6
33
By Laurie Bickhoff MACN
Diary of a newly registered nurse
In Australia it is estimated nearly 20 of nurses will leave the profession within their first year of practice (National Nursing and Nurse Education Taskforce [NNNET] 2005) Internationally this figure ranges from between 35 and 60 (Halfer amp Graf 2006) Many have speculated on the reasons for this with high workloads the difficulties of shift work and unrealistic expectations of what nursing entails all given due consideration (Halfer amp Graf 2006) However as I entered my second year of practice I began to wonder what role disillusionment plays in this exodus of newly trained nurses
Disillusionment to me occurs when you feel your passion dwindling when you suddenly find it that little bit harder to get ready for work when you start feeling a sense of dread as you walk onto the ward This wasnrsquot caused by long hours or ever increasing workloads coupled with diminishing resources It wasnrsquot caused by physically demanding duties or the lack of a social life due to shift work It wasnrsquot caused by dealing with things that might not look or smell that great Unfortunately it was caused by the people around me and an almost institutionalised lack of power not only for nurses but more importantly for our patients
I was dismayed and frustrated to hear how many of my colleagues from all health professions referred to patients I was disheartened to see how easily some could dismiss the suffering we see and the heartache I felt I was overwhelmingly saddened to realise not everyone had the same passion for their profession or empathy for those we are charged to care for as I did
This culminated for me towards the end of my first year of practice There wasnrsquot any one big incident more an accumulation of things that were gradually wearing me down I had a worried patient confide in me that they had been too scared to push the call button on the previous shift because of the response they would receive from the nurse I saw patients constantly being made to fit into everyone elsersquos schedules regardless of their requests It seemed everyone was more important than the person we were there to help
I heard patients referred to as lsquocactusrsquo or described in the notes as lsquounsalvageablersquo meaning there was no chance of the patients making meaningful recoveries I wondered is this really how we refer to people Or did we forget they were actual human beings we were talking about
I had other health professionals dismiss me with comments such as nurses ldquojust wipe bums all dayrdquo or roll their eyes at me when I raised my concerns When I dared to challenge or question I was met with comments of ldquoI miss the old new gradsrdquo I felt tired washed out and was beginning to wonder
whether I could stay in this profession without losing myself
Luckily I found some inspiration I listened to a presentation by Drew Dudley a well-known American academic and motivational speaker where he discusses the idea of lsquolollypop momentsrsquo These are small moments when the people we see and work with every day demonstrate leadership They arenrsquot big grand over the top statements They are small gestures which often unknown to the person who did it have an amazing impact on the lives of others I was lucky enough to have some of these lollypop moments just when I needed them These few sparks were all that I needed to reignite my passion for nursing
The first spark came from an RN2 caring for a patient at the end-stage of a number of diseases who had expressed to the nursing staff multiple times her wish to simply be made comfortable as she knew this was the end of her fight Despite this the patient was not only receiving active treatment but was also currently documented for full resuscitation if she deteriorated
The nurse raised the issue with the medical registrar asking him to have a discussion with the patient regarding her wishes and planning end-of-life care The registrar dismissed her saying ldquowell thatrsquos not what the consultant wantsrdquo The nurse wasnrsquot satisfied and responded ldquoitrsquos not their choice itrsquos the patientrsquos decisionrdquo This nurse had the courage to stand her ground and make sure her patientrsquos voice was heard which ultimately led to the patientrsquos wishes being honoured
The next spark came soon after I was working with a nurse who came from a different cultural background to me where it was seen as impolite to question anyone in authority especially if you were female This meant even if a doctor was accidently standing in her way she would prefer to simply wait rather than ask them to move
Then one day we had a patient who deteriorated rapidly and was in a very critical condition This nurse suddenly became one of the best clinical leaders I have witnessed She led the team questioning orders prompting treatments suggesting causes and outlining the options available I soon realised the difference this was about her patient She was going to ensure her patient received the best care and outcome possible When it was about her patient rather than herself she found her voice
There were a number of smaller incidents that soon followed Sparks came from the senior consultant who re-educated her advanced trainee on the importance of listening to the nurses and acting on their concerns Sparks came from our ward social
34
worker who day after day demonstrated his passion for helping and advocating for those with no voice and often no options Sparks came from the medical residents who expressed their gratitude when you picked up a mistake and were heartfelt in their appreciation of the work nurses do
The brightest sparks came from my patients and their relatives It was their ldquothanksrdquo their ldquoyou donrsquot know how much that meansrdquo their ldquoyoursquoll be back tomorrow wonrsquot yourdquo their squeezing of my hand that reminded me why I do what I do I didnrsquot have to search for inspiration I was surrounded by it The trick was to change my focus
Perhaps all nurses are disillusioned at some point during their careers Perhaps it happens multiple times Perhaps it is a rite of passage with those who make it through the other side the
ones with a true passion for nursing who turn around and help a colleague on their journey
As I continue my nursing career I now look for the brightness that I know is always there far outshining the negativity that we have to deal with I stockpile my lsquolollypop momentsrsquo knowing the amazing examples of kindness and leadership I see every day will help me grow and become a better nurse and hopefully I might be able to be a spark for someone else
You can listen to Drew Dudleyrsquos talk at wwwtedcomtalksdrew_dudley_everyday_leadership
Halfer D and Graf E lsquoGraduate Nurse Perceptions of the Work Experiencersquo Nursing Economics June 2006 Vol 24 No 3 pp 150-55
National Nursing and Nurse Education Taskforce 2005 Mythbusters Available online at httpwwwnnnetgovaudownloadsmythbusters_attritionpdf Accessed June 2014
Arts amp Sciences | Business | Education | Health Sciences | Law | Medicine | Nursing amp Midwifery | Philosophy amp Theology | Physiotherapy
Your journey to a meaningful career awaitsThe School of Nursing amp Midwifery offers the following courses
rsaquo Bachelor of Nursing
rsaquo Bachelor of Nursing (Articulation Pathway for EN Diploma)
rsaquo Graduate Certificate (Acute Mental Health Clinical Nursing Nursing and Nursing Leadership amp Management)
rsaquo Graduate Diploma (Acute Mental Health Clinical Nursing Critical Care Nursing Forensic Nursing Midwifery Nursing and Perioperative Nursing)
rsaquo Master of Nursing (Coursework and Research)
Looking to make a difference So are we
Apply direct notredameeduau
ND
1053
| C
RIC
OS
PR
OV
IDE
R C
OD
E 0
1032
F
35
36
Exhibitor listing
Organisation Name Booth Number
Alfred Health 6667
ANMF Victorian Branch 747576
Austin Health 4243
Australian Catholic University 89
Ballarat Health Services 62
BankVic 73
Baptcare 60
Belmore Nurses Bureau 47
Bendigo Health 44
Care Training Australia 17
Chisholm Institute of TAFE 19
Colbrow Healthcare 26
Critical Second 90
Crystal Clear Ear Clinic 6
Deakin University Nursing amp Midwifery 3435
Defence Force Recruiting 12
Eastern Health 3031
Epworth HealthCare 6465
Federation University Australia 41
First Call Health 40
First State Super 7
Forensicare 68
Health Skills Australia 72
HESTA 20
Holmesglen 4546
Institute of Health amp Nursing Australia 27
Kangan Institute 24
La Trobe University 121314
Martin Luther Homes 22
McFarlane Medical amp Scientific 23
mdBriefCase Australia 18
Mediserve Nursing Agency 28
Organisation Name Booth Number
Melbourne City Institute of Education 86
Mental Health Nursing Victoria 1011
Mercy Health 8788
Monash Health
Monash University 8485
NeilMed Pharmaceuticals 32
Northern Health 5354
NorthWestern Mental Health 59
Nurses Board of Victoria Legacy Limited
69
Nursing amp Midwifery Board of Australia 21
Peninsula Health 38
Peter MacCallum Cancer Centre 25
Postgraduate Medical Council of Victoria
71
Prime Super 33
Reflective Clinical Supervision Network 39
RMIT Faculty of Nursing 55
Royal Victorian Eye amp Ear Hospital 48
Sanita Australia 31
St Vincentrsquos Hospital 5051
St Vincentrsquos Mental Health 5
St Vincentrsquos Private Hospital 34
The Royal Melbourne Hospital 56
Tobin Brothers Funerals 49
University of Melbourne 89
University of Tasmania 52
Victoria University 57
Vital Health Recruitment 70
VNS Nursing Agency 58
Western District Health Service 63
Western Health 3637
Work the World 29
17
Graduate transition programs my personal experienceToo often we hear horror graduate stories Research shows horizontal violence and bullying is rampant in our profession We are told tales of the infamous ldquoeat our youngrdquo nursing culture We know graduates suffer transition shock when they start practicing and nearly 20 will leave in their first year
Unfortunately the good stories are often buried underneath the bad and so I wanted to share my graduate year experience When I started as an RN the only nursing experience I had were my clinical placements and a mere two months working as an AIN To say I was worried was a major understatement I was quietly petrified but tried to keep up a brave face
I had worked hard in university to learn as much as I could but I was still filled with doubts Would I be good enough Would I crash and burn Would I help or hinder my patientsrsquo recovery
My first day on the ward was sink or swim time I was amazed at the warm welcome I was given The other RNs were supportive and encouraging They made sure I knew if I felt myself struggling they would be there with a life-line
Every ward I rotated through gave me this same friendly reception Perhaps it was just luck or maybe our nursing culture is changing but I never encountered any of the pressure to change my values and practice in order to fit in that I had been told to expect Instead I found colleagues who understood I wouldnrsquot know everything on day one who were willing to take the time to teach me and who become great friends along the way
My clinical skills and knowledge increased out of sight during my graduate year I felt my university had given me a great foundation on which to build my career as an RN but my grad program cemented my theory into my practice I started the year having never removed a single stitch I ended the year confidently removing everything from sutures to ICCs and pacing wires while also successfully inserting NG tubes and cannulas Importantly I understood the pathophysiology and rationale behind each of these and could explain it to my patients
Irsquom not saying everyday was perfect Irsquom not saying every person was as helpful or welcoming as the next Irsquom not saying I didnrsquot have days when I struggled What I am saying is I never felt alone I knew the support was there all I had to do was ask
I know not every graduate nurse will have as positive an experience as I did Perhaps my journey was the exception not the rule However I hope the number of nurses who have an amazing graduate year like mine continues to increase until this becomes the norm
I do know that the success of your graduate year relies heavily on you and your attitude University teaches you how to think like a nurse but it is in clinical practice the real learning begins and it has a steep learning curve Approach your grad year knowing that everyone from the tea lady to the Director of Nursing will be your new teachers and success will come When the people you work with recognise your passion see your motivation to provide what is best for the patient and know you realise what a unique privilege it is to be a nurse their respect will follow
At the same time donrsquot be afraid to speak up for your patients for your colleagues and for yourself Harvey Fierstein said ldquoNever be bullied into silence Never allow yourself to be made a victim Accept no onersquos definition of your life define yourselfrdquo You have the ability to define your graduate year regardless of what hospital or ward you find yourself in
You can change the culture and reputation of the nursing profession for better or worse You can conform and join in bullying behaviour and continue negative traditions or you can decide it stops with you Set your standards high and have the moral courage to stick to them If every graduate nurse demonstrated this leadership and supported other nurses who did as well imagine the overwhelmingly positive impact that could have on nursing
Gandhi once said ldquoBe the change you want to see in the worldrdquo I would encourage you to be the change you want to see in nursing and just watch how the world changes with us
By Laurie Bickhoff MACN
18
Finishing studies and becoming a new graduate is an exciting milestone Itrsquos usually the first time you begin working full time perhaps moving away from home owning your own car and paying bills
Of course itrsquos important to budget ensuring you have enough money for daily expenses as well as being able to stash some money away The easiest way to keep track of your income versus expenses is to set up an everyday account with your salary paid into it and a savings account earning interest on the money yoursquore able to save In addition you might want to get a credit card so that yoursquove got some money for emergencies
Gain fee free banking freedom
With a BankVic Anywhere account you can enjoy unlimited free withdrawals at any ATM in Australia when you deposit $1000 per month1 Plus you can access your money with free unlimited eftpos transactions a Visa Debit card with paywave and a mobile App
Earn bonus interest on your savings
A BankVic Bonus Saver account is a high interest account that rewards you for saving by giving you bonus interest2 when you deposit a minimum of $100 a month and make no withdrawals plus there are no fees Itrsquos a great way to force yourself to save
Enjoy a credit card with no annual fee
A BankVic Visa Silver credit card offers great value with an introductory rate of 699pa3 for the first 6 months and a low ongoing rate plus no annual fee Itrsquos the perfect back up card
Why not call us today Call your dedicated Member Relationship Manager Phoebe Reid on 9268 9297 or via email preidbankviccomau
1 Minimum deposit of $1000 must be received in the account by close of business on the last business day of the month The deposit cannot be an internal transfer or interest earned form other BankVic products 2 Bonus Saver ndash Deposit $100 per calendar month with no withdrawals and yoursquoll be rewarded with bonus interest Bonus interest rate is capped at a maximum balance of $1000000 3 Credit Card interest rates are variable All interest rates are shown are current as at date of print and are subject to change Fees and charges apply Any advice is general before acting on the advice you should consider whether the advice is appropriate for you Before you make any decision to acquire any product or service you should obtain and consider the relevant Product Disclosure Statement available from our website bankviccomau any branch or by calling us on 13 63 73 Police Financial Services Limited ABN 33 087 651 661 AFSL 240923 Australian Credit Licence 240293ndash trading as BankVic 121 Cardigan Street Carlton Victoria 3053 3-15 5243BV
Advertorial
Banking freedom for nurses and midwives
members matter
Let BankVic take care of you while you take care of others
9268 9297preidbankviccomau
Canstar Pty Ltd Authorised Representative 443019 of Canstar Research Pty Limited ABN 29 114 422 909 AFSL 437917 Police Financial Services Limited ABN 33 087 651 661 AFSL 240293 (BankVic) 121 Cardigan Street Carlton Vic 3053 315 5280bv
Contact your dedicated Member Relationship Manager Phoebe Reid
bankviccomau
19
This is general advice only Consider our product disclosure statement before making a decision about First State Super Call us or visit fi rststatesupercomau for copies Becoming a Student Club member is diff erent to being a First State Super member as you do not hold a superannuation account with the Fund or have any interest right or other relationship with First State Super
FSS Trustee Corporation ABN 11 118 202 672 ASFL 293340 is the trustee of the First State Superannuation Scheme (First State Super) ABN 53 226 460 365 EXP_
Mel
b_Ex
po_A
4_03
15
Join our free Student Club and make the most of the support discounts and benefi ts available only to students
Learn to manage your super better and how you can take advantage of our exclusive member benefi ts
Find out why wersquore the super fund with a heart on Saturday 18 April
Visit us at booth 7 in Melbourne
EXP_Melb_Expo_A4_Mar15_ARTWORKindd 1 6032015 414 pm
By Claire Stewart MACN
Diary of a newly registered nurse
Irsquom almost three months into my role as a newly registered nurse and I had my first 40 Prolene moment recently For the uninitiated this can be a panic fuelled moment where a routine procedure ends up resembling the Texas chainsaw massacre Thankfully I was supported by a wonderfully calm surgeon who waited patiently while I painstakingly attempted to load his life saving suture After the surgery I wiped the blood from my glasses and took a moment to reflect on how I had handled the situation In fact Irsquove spent most of the last three months lsquoreflectingrsquo Deafening groans can be heard from many a third year nursing cohort when wersquore asked yet again to lsquocritically reflectrsquo on our practice as student nurses Let me be the first to admithellip It doesnrsquot stop at graduation
I may not use a dedicated framework or even put pen to paper but the skills I learned during my studies have set me up to ensure I gain the most from every learning opportunity by critically reflecting on my performance simply by force of habit During the last three months my learning curve has veered vertical as I transitioned from university study to my role as a
graduate registered nurse in perioperative services Irsquove had to deal with a new environment (donrsquot even get me started on finding your way around a theatre complex) new colleagues adjusting to full time work and managing family commitments learning an entire new skill set working as a scrubscout dealing with policies procedures and my favourite surgeonsrsquo preference
In these first few months itrsquos very easy to fall into the trap of focussing on how much you donrsquot know However practising critical reflection has allowed me to focus on what I do know how far Irsquove come and what I will learn because Irsquom self-aware Whether you are a new nurse like me and feel like yoursquove handed in one too many pieces of written reflection to your facilitator over the last three years or an experienced nurse who practices self-reflection sub-consciously on the drive home ndash embrace it for the wonderful tool that it is and use it to become the kind of nurse you want to work with
Be in demand Be successfulStudy nursing or midwifery at Monash If you want to make a difference in health care with great employment potential the School of Nursing and Midwifery is a great place to start
As a nurse or midwife there are a variety of roles and a number of specialty areas available to you ensuring a constant career of challenges and diversity
To find out more about our undergraduate courses visit us at ACN Expo Melbourne Stand 84 ndash 85
For more information on our courses visit medmonashedunursing
21
Research collaboration students are welcome
A collaborative research study in Queensland is tapping into the enthusiasm and intelligence of nursing students by training and employing third-years as research assistants data collectors and analysts in contract research projects
Researchers from James Cook Universityrsquos (JCU) Centre for Nursing and Midwifery Research (CNMR) the Far North Queensland Medicare Local and the Cairns and Hinterland Hospital and Health Service are trying to determine why emergency department (ED) presentations to Cairns Hospital have been increasing at a greater rate than the national average
To answer this question CNMR researchers recruited 14 nursing and medical students to survey every willing and able person who presented to the ED
Researchers asked participants for information regarding their reasons for coming to the ED They also asked where they would usually go for medical treatment and what physical and psychological factors influenced their decision to choose the ED over other treatment options
In other phases of the project hospital Emergency Department Information System (EDIS) data have been analysed and patient focus groups have been convened Unstinting faith in the local ED has been noted as one of the key reasons that people choose the ED over other health care options
Most people who come to the ED with lsquonon-urgentrsquo conditions do have general practitioners and a large percentage have sought medical advice in the days prior to presenting to the ED Worry anxiety and uncertainty rather than the severity of the medical condition itself however appears to be a significant motivator to come to the ED where people perceive there is a wide range of services professionals and diagnostic tools available
ACN Emerging Nurse Leader Anna Groth MACN a third-year nursing student from JCU has been collecting collating and analysing data
ldquoOften I would ask someone why they had come to the hospital and they would speak about being in pain but if you asked them about whether they came for the pain or because they were anxious about the pain they would say they had come to the hospital because of the anxietyrdquo explained Anna ldquoIt is such a huge difference ndash the motivation ndash coming for the pain or the anxietyrdquo
Anna said the project opened communication lines between people from different organisations including government university health service hospital and the community leading to collaboration and learning for all
By Marnie Hitchins
Benefits for the students included early career exposure to the research process in which they learnt about data collection analysis and research methods The students also had the opportunity to practise communication skills learn about the organisational cultures of universities and hospitals and work alongside health professionals and patients in a research environment
Students commented that because the power dynamics were different from that of clinical experience (they were not seen as health professionals by patients nor as lsquostudent nursesrsquo by health staff members) they gained insights into the hospital environment they might not otherwise have had
Anna said she learned a lot personally the ED research experience has catapulted her into another area of interest in which she can see herself working in the future
ldquoResearch and policy will be a part of my future Irsquove gained a deep interest in the treatment of women since doing this studyrdquo said Anna
ldquoI have become very interested in domestic violence and the way women are treated in the health service and in the society as a whole I was blown away by the struggle that people have with the system in trying to find support They are so lonely I recognised things being in the ED that I would like to research and have already started exploring the issuesrdquo
CNMR Director Associate Professor Jane Mills FACN said the recruitment and inclusion of students in research projects is part of a broader plan within the CNMR to build undergraduate research capacity
Jane said the CNMR also offered internships to undergraduate students to work on research projects alongside experienced scholars academics and researchers
ldquoJCU strongly supports the inclusion of undergraduate students in research studies where they can gain valuable knowledge skills and experience while also making a contribution to building the evidence base about health care issues of importance to people living in the tropicsrdquo said Jane
ldquoItrsquos a win-win situation where experienced researchers benefit from the studentsrsquo enthusiasm and familiarity with contemporary research principles and students increase their awareness of the importance of research to professional practicerdquo
It is clear to all parties involved that the inclusion of nursing students is benefitting the quality of the project as much as it is benefitting studentsrsquo learning and work experiences
22
Launch your nursing career at St Vincentrsquos
St Vincentrsquos Hospital Melbourne (SVHM) is part of St Vincentrsquos Health Australia and is a leading teaching research and tertiary health service which employs more than 5000 staff across 18 sites throughout Melbourne SVHM provides a diverse range of adult clinical services including acute medical and surgical services sub-acutecare medical diagnostics rehabilitation allied health mental health palliative care correctional health and community residential care SVHM is one of Australiarsquosleading Catholic not-for-prot healthcare providersMake the most of your talents Join the team at St Vincentrsquos
Visit us at the ACN Nursing and Health Expo 2015Find out about our 2016 Graduate Nurse Program andhave a chat to our current graduates educators and nursing staff
St Vincentrsquos Open Evening 2015Wednesday 3rd June 4pm-6pmSt Vincentrsquos Ground Floor Aikenhead Building 27 Victoria Parade Fitzroy
Welcome and Overview of the 2016 Graduate Nurse Program at 4pm 430pm amp 5pm
All welcome ndash no RSVP required
All 24 rotational areas on displayTours of inpatient wardsComplimentary food and beverages provided
For further information visit wwwsvhmorgau or phone the Graduate Nurse Hotline 9231 2244
To follow our 2016 recruitment process Like us at SVHM 2016 Graduate Nurse Program
Compassion Justice Integrity Excellence
24
INTERESTED IN STUDYING DEAKIN NURSING AND MIDWIFERYWe are holding information sessions for our undergraduate courses
BURWOOD CAMPUS 221 BURWOOD HIGHWAY BURWOODWednesday 22 July 6ndash8 pmSaturday 25 July 230ndash430 pm
WATERFRONT CAMPUS 1 GHERINGHAP STREET GEELONGWednesday 22 July 6ndash8 pmSaturday 25 July 230ndash430 pm
WARRNAMBOOL CITY CENTRE 165 TIMOR STREET WARRNAMBOOLFriday 24 July 730 pm
raquo To register your attendance at one of the information sessions above please email nursinfodeakineduau to advise which session you plan to attend
For more information about our undergraduate and postgraduate courses please phone 03 9244 6032
Deakin University CRICOS Provider Code 00113B HLH002
deakineduaunursing
Itrsquos never too early to become a leader
How did you become involved in nursing
I started volunteering from age 14 with St John Ambulance Australia in my hometown of Moruya NSW I loved everything about it ndash loved the joy of helping others and I was so intrigued to learn how to respond effectively in emergencies and show true compassion to others I was also fortunate to have had some very down-to-earth and inspiring mentors who encouraged my interest in nursing and after graduation from high school I undertook the University of Wollongongrsquos Bachelor of Nursing degree
I started my first paid nursing related employment in my third year of the degree at a local hospital I have now graduated and am working as a registered nurse (RN) in a local aged care facility learning the ins and outs of multiple comorbidities patient-centred care and compassionate palliative and end-of-life care
What is your nursing specialty
As I still consider myself as a lsquonewbiersquo RN I havenrsquot really discovered a specialty yet though I have interests in aged care mental health cardiology and nursing research So I guess I am intrigued to be involved in one or all of these areas at some point in my career but I am open to any interesting opportunities that may come my way
What do you love most about nursing
This is truly the job that never has a dull day Each day is different and I feel privileged to be so trusted with the lives of my patients and residents in their moments of hardship and need Along with my love of the workings of the human body the evidence-base behind nursing care and continuous educational opportunities I love the lsquoteamrsquo focus of nursing especially when the patient is at the centre of decision making and everything goes to plan
What is your least favourite part of nursing
When everything doesnrsquot go to plan
What brought you to this area of Australia
Irsquom originally from NSW South but I moved to Wollongong for University and have stuck around for the area the people and to continue to work and study here
What are some of the nursing and health issues that are specific to the Sydney SouthIllawarra Region
Two big issues come to mind Firstly many newly graduated RNs within our region have been unable to find employment Secondly local nurses struggle to find the time within their working hours to keep up to date with advances in education
What do you see as the biggest challenge currently facing the nursing profession and how do you think the profession is placed to respond to these challenges
I believe possible health funding cuts and workforce shortages that in-turn affect our ability to provide adequate and safe patient care are two significant challenges facing our profession There are recently graduated RNs who remain jobless yet there are local health districts crying out for nurses but only those with lsquoexperiencersquo with undergraduate nursing experience ignored Looking into alternative transition programs is key to overcoming this challenge
Whatrsquos the biggest misconception about your career choice
I have met some amazingly talented and intelligent nurses in a variety of roles who all make a great difference in the lives of their patients or indirectly through organisations or research The general misconception that irks me isnrsquot so much a misconception more a statement Irsquove heard multiple times ndash ldquoWhy didnrsquot you become a doctor Why are you just a nurserdquo I did not become a nurse because I didnrsquot have the marks to be a doctor and by the time I finish university again with a Research Masters I would have physically been enrolled in university for the same length of time I became a nurse because I found a passion for this role and spending time with people inspires me
Nursing is a holistic role that encompasses so much We are health professionals role models educators support systems and innovators we understand intimately the fragility of life and the human relationships that bring it meaning
Profile Renee Callender MACN
LeadershipACN
Expand your leadership capacity
25
INTERESTED IN STUDYING DEAKIN NURSING AND MIDWIFERYWe are holding information sessions for our undergraduate courses
BURWOOD CAMPUS 221 BURWOOD HIGHWAY BURWOODWednesday 22 July 6ndash8 pmSaturday 25 July 230ndash430 pm
WATERFRONT CAMPUS 1 GHERINGHAP STREET GEELONGWednesday 22 July 6ndash8 pmSaturday 25 July 230ndash430 pm
WARRNAMBOOL CITY CENTRE 165 TIMOR STREET WARRNAMBOOLFriday 24 July 730 pm
raquo To register your attendance at one of the information sessions above please email nursinfodeakineduau to advise which session you plan to attend
For more information about our undergraduate and postgraduate courses please phone 03 9244 6032
Deakin University CRICOS Provider Code 00113B HLH002
deakineduaunursing
WA EXPO PERTH
26
Welcome from the Chief Nurse amp Midwifery OfficerI am so pleased to be welcoming you to the Australian College of Nursingrsquos Western Australian Nursing and Health Expo for 2015
Attending the Expo is an invaluable experience for anyone interested in nursing and midwifery careers It especially helps high school students and their parents or anyone who is wondering which career direction to take
Hospitals and health services from across WA will be there with some of their nurses and midwives in attendance to answer any questions you may have Come and find out from them what itrsquos really like to be a nurse or midwife
There will also be a range of education providers who will be able to talk about the many courses available to get your career started
It is also a great place to come to discuss and find out about graduate job opportunities building your experience career development opportunities financial support to study changing employers or even returning to a career in nursing or midwifery after being away for a while
The decision to become a nurse or a midwife is a wonderful career choice for anyone who wants to be part of a diverse healthcare professional team and have a challenging rewarding and exciting job where you really can make a difference
The future demand for nurses and midwives is going to be high especially as WArsquos new Fiona Stanley Perth Childrenrsquos Busselton and Midland hospitals all start becoming fully operational so we encourage you to attend the Expo to see where nursing and midwifery might take you
I look forward to seeing you on Friday 1 May 2015 at the Perth Convention and Exhibition Centre
Karen Bradley MACN Chief Nurse and Midwifery Officer WA Health
27
Expo informationLocation
The Perth Convention and Exhibition Centre (PCEC) is Western Australiarsquos only dedicated convention and exhibition facility Each year over 500000 people attend one or more of the 600 plus events conducted at PCEC The Expo will be held in Pavillion 1 at PCEC
Doors open 9am ndash 1pm
Entry
Stairs amp Escalators to Level 2
Registration DeskEntry Foyer
Entry
ACN Expo Pavillion 1
28
Seminars
This year the educational seminar series is back again to provide visitors with up to date information and practical skills to pursue or further their career Seminar attendance is free of charge and registration is not required
Time Topic Presented by
915am How to become a nurse or midwife Rebecca Newton WA Nursing and Midwifery Office
950am Applying via GradConnect and other opportunities for graduate nurses and midwives
Regina Browne WA Nursing and Midwifery Office
1025am Unleashing the potential of your staff Lisa Ansbro and Donna Hampshire Chandler Macleod Health
1100am How to become a nurse or midwife Rebecca Newton WA Nursing and Midwifery Office
1135am Applying via GradConnect and other opportunities for graduate nurses and midwives
Regina Browne WA Nursing and Midwifery Office
1210pm Unleashing the potential of your staff Lisa Ansbro and Donna Hampshire Chandler Macleod Health
The lsquoUnleashing the potential of your staffrsquo seminar is proudly supported by
Chandler Macleod is Australasiarsquos leading provider of integrated HR services products and technologies We have more than 55 yearsrsquo experience in human resources and have specialised within the health sector for 10 of these We are ideally positioned to help you meet the growing demands on your business We provide permanent and temporarycontract recruitment for the full range of Health professions including Carers and Support Workers Enrolled Nurses Registered Nurses Facility and Operations Managers Directors Cleaners and Kitchen staff We are able to provide you with experienced caring staff 247 including public holidays
For more information contact Chandler Macleod on (08) 9217 0510 or visit wwwchandlermacleodcomclientshealth-recruitment
29
Floor plan
42 41
39
40
38
36
37
35
43
44
45
46
47
48
Entrance
Seminar area
Cafeacute
7
5
8
6
20
18
19
17
11
9
12
10
16
14
15
13
34 33 32 31 30 29 28
30
Exhibitor listing
Organisation Name Booth Number
AACDS 8
Armadale Health Service 38
Belmore Nurses Bureau 30
Central Institute of Technology 20
Chandler Macleod Health 16
Child amp Adolescent Health Service 42
Curtin University of Technology 19
Defence Force Recruiting 910
Edith Cowan University - School of Nursing and Midwifery
3334
Fiona Stanley Hospital 36
Fremantle Hospital 44
HESTA 5
Hollywood Private Hospital 7
Institute of Health amp Nursing Australia 32
Mediserve Nursing Agency 6
Murdoch University 1112
My Flex Health International 18
Organisation Name Booth Number
Next Step 48
North Metropolitan Mental Health 35
NurseWest 47
Nursing amp Midwifery Board of Australia 29
Osborne Park Hospital 46
Prime Super 17
PampN Bank 15
Rockingham General Hospital 39
Royal Perth Hospital 37
Sir Charles Gairdner Hospital 45
The Bethanie Group Inc 31
The University of Notre Dame 13
WA Country Health Service 40
WA Nursing amp Midwifery Office 43
West Coast Institute of Training 14
Women amp Newborn Health Service 41
Work the World 28
The WA Nursing amp Health Expo is proudly supported by
The WA Nursing and Midwifery Office is very proud to partner once again with the Australian College of Nursing for the 2015 Nursing and Health Expo The nursing and midwifery professions offer an array of interesting and diverse experiences With these highly valued and respected skills relevant anywhere in the world nurses and midwives will always be in demand ndash in hospitals and in a range of other workplaces In WA the future demand for nurses and midwives is going to be high especially as our new Fiona Stanley Perth Childrenrsquos Busselton and Midland hospitals all start becoming fully operational so considering a career in nursing or midwifery is a great idea
wwwnursinghealthwagovau
31
In Australia enrolled nurses (ENs) are a core component of the health care workforce and make an important contribution to Australiarsquos world-class health outcomes ENs work in varied settings across the country from blood services to aged care facilities Increasingly ENs are playing an important role in meeting the growing demand for care
Not all countries have recognised the importance of ENs in the nurse workforce mix Several European countries including France Denmark Italy and Spain have only one category of regulated nurse (HWA 2013 Robinson and Griffiths 2007) The United Kingdom (UK) ceased admitting new ENs to the register in the 1980s The minimum qualification for all UK nurses is now a three-year bachelorrsquos degree As a result the UK relies heavily on unregistered health care assistants rather than second-level nurses (UK Department of Health 2013) Closer to home New Zealand ceased training ENs in 1993 only to recommence in the 2000s (Meek 2009) New Zealandrsquos experiment is an instructive demonstration of the importance of ENs in the health care workforce as the demand for nursing care increases
In Australia we have remained committed to maintaining the EN role Rather than relying on unregistered health care workers Australia has chosen to maintain a large educated and professional EN workforce The skilled work of ENs is recognised to be of paramount importance to the delivery of high quality nursing care Our EN workforce is highly dynamic and continues to evolve within the changing landscape of Australian health care policy and regulation
Enrolled nurse demographics
According to the latest national figures there are 51624 ENs working in Australia The great majority of ENs have completed their pre-registration education in Australia fewer than 5 have been educated overseas (HWA 2013)
The EN workforce has a relatively high average age of 46 years and forty-five per cent of ENs have celebrated their fiftieth birthdays (AIHW 2013) According to Health Workforce Australia the ageing EN workforce could lead to a significant shortfall in the supply of ENs if action is not taken to retain the current cohort of ENs and increase the number of people studying to be the ENs of tomorrow (HWA 2012)
Men make up roughly 10 of the EN workforce While this number is rising gradually it indicates that there is progress to be made in terms of attracting and retaining males within the profession Aboriginal and Torres Strait Islander people are
also underrepresented in the EN workforce only around 800 of Australiarsquos ENs identify as Indigenous Australians (AIHW 2013)
Among the most common work settings for ENs are aged care rehabilitation and disability services In contrast ENs make up fewer than 5 of the critical care nursing workforce and represent only a small proportion of nurses working in education policy and management (AIHW 2013)
These statistics show that there are both challenges and opportunities for Australiarsquos EN workforce Efforts to recruit and retain ENs will need to be enhanced with a particular focus on encouraging men and Aboriginal and Torres Strait Islander people to become ENs At the same time roles in a wider range of clinical areas are becoming available to suitably educated and qualified ENs and there will be more such opportunities in the coming years
A growing role for ENs
The evolving role of the EN is reflected in recent changes to educational requirements for ENs As of 1 July 2014 the Certificate IV in enrolled nursing ceased to be available and the minimum qualification for EN entry to practice will be the Diploma of Nursing The transition to a Diploma recognises the high level of skill ENs contribute to todayrsquos health care teams A nationally consistent approach to EN education is also likely to enhance the mobility of the EN workforce by giving employers confidence in the knowledge and skills of ENs educated in other states
ENs are now undertaking a diverse range of roles One of the earliest areas of role expansion for ENs was medication endorsement Before the move to national registration in 2010 ENs in some states were able to obtain an endorsement in medicines administration and become Endorsed Enrolled Nurses by completing specified education units This endorsement has now been phased out because from 2008 onwards all newly qualified ENs have completed the required medicines administration education Instead the register now identifies ENs who have not completed the required courses (NMBA 2014) This example demonstrates how the EN role has evolved over the years Whereas once only a relatively small number of ENs were educated to administer medicines now all student ENs complete medicines administration units as part of their initial nursing education
The EN role is also expanding in other ways For example ENs are taking on a growing role within haemodialysis units (Tranter et al 2011) The 2008 Australia and New Zealand Dialysis Workforce Survey conducted by the Renal Society of Australia found that there were 188 ENs working in dialysis alongside 2433 registered nurses (RNs) The growing demand for dialysis
The potential of the enrolled nursing workforce
By Rosina Muir and Dr Marlene Eggert MACN
32
services and the shortage of dialysis RNs in some areas represents a clear opportunity for ENs According to a New South Wales study conducted in 2009 the scope of practice of ENs in haemodialysis units may include cannulation (including both native access and buttonhole cannulation) connecting and disconnecting haemodialysis central venous catheters (CVCs) performing CVC dressings giving iron infusions and administering erythropoietin anticoagulants and Lignocaine In addition ENs may also take on a case management or health promotion role for dialysis patients (Bennett et al 2009)
ENs are also moving into extended roles in rehabilitation services A recent study of ENs in an Australian rehabilitation facility found that in addition to assisting patients with activities of daily living ENs may take on roles in coaching and supporting patients to reach their individual goals monitoring the patientrsquos progress and liaising with other members of the multidisciplinary rehabilitation team The study found that many ENs demonstrate an understanding of the philosophy of rehabilitation nursing including goal setting and enabling self-care (Pryor and Buzio 2013)
In rural Australia ENs are taking on a diverse range of roles within the EN scope of practice in order to meet local needs ENs with specialist skills such as infection control or wound care make a significant contribution to some rural health services although their extended scope of practice is not always given appropriate recognition by their RN colleagues (Nankervis et al 2008) Rural health services are increasingly recognising that supporting ENs to take on extended roles and further develop their clinical skills can be a successful model for the delivery of high quality patient care
Recognising the evolving EN scope of practice
In light of the fact that there have been significant changes to EN education regulation and scope over the last decade the NMBA has commissioned Monash University to review the currency of the standards against contemporary enrolled nursing roles The Monash University project has involved a review of the literature as well as a series of focus groups and surveys to gather insights from both RNs and ENs on the education scope of practice and supervision of ENs (Monash University 2013) The project is expected to be completed in 2014 (NMBA 2013)
Our advocacy for ENs
ACNrsquos advocacy priorities are explicitly designed to support both registered and enrolled nurses In 2014 ACN has argued for a range of policies that would have a positive impact on the
retention and flexibility of enrolled nurses For example ACN has proposed a National Transition Framework to support the flexibility and mobility of both the EN and the RN workforces The Framework would be accessible to nurses entering the workforce as well as nurses transitioning from one area of practice to another For example it would support an EN wishing to transition from the aged care sector to a hospital-based role
ACN has also put forward a proposal for a new scholarship program to support newly registered and enrolled nurses to practice in rural services It is essential that rural health service providers are able to attract appropriately educated staff including both ENs and RNs in order to maintain an optimal skill mix The scholarship scheme will allow rural health services to employ newly registered and enrolled nurses as supernumerary team members while providing them with a structured clinical learning program
ACN will continue to provide a voice for ENs in policy discussions and advocate for the role of ENs in health care delivery Australian Institute of Health and Welfare 2013 Nursing and midwifery workforce 2012 lthttpwwwaihwgovauWorkAreaDownloadAssetaspxid=60129545314gt pp 6
Bennett P McNeill L Polaschek N 2009 lsquoThe Australian and New Zealand Dialysis Workforcersquo Renal Society of Australasia Journal vol 5 no3 pp 147-151 lthttpwwwrenalsocietyorgRSAJjournalnov09bennett2pdfgt
Health Workforce Australia 2012 Health Workforce 2025 Doctors Nurses and Midwives vol 1 lthttpwwwhwagovausitesuploadsFinalReport_Volume1_FINAL-20120424pdfgt pp 137-142
Health Workforce Australia 2013 Nurses in Focus lthttpwwwhwagovausitesuploadsNurses-in-Focus-FINALpdfgt
Meek G 2010 Second level nurses a critical examination of their evolving role in New Zealand Healthcare lthttpresearcharchivewintecacnz9621Repository_entry_HLNU902pdfgt pp 3
Monash University 2013 The National Review of the Enrolled Nurse Competency Standards lthttpwwwmedmonashedunursingcompetency-standardsgt
Nankervis K Kenny A Bish M 2008 Enhancing scope of practice for the second level nurse A change process to meet growing demand for rural health services lthttpwwwncbinlmnihgovpubmed18844530gt
Nursing and Midwifery Board of Australia 2013 Communique Meeting of the Nursing and Midwifery Board of Australia 27 February 2013 in the AHPRA Hobart Office TasmanialthttpwwwnursingmidwiferyboardgovauNewsCommuniques-from-Board-meetingsaspxgt
Nursing and Midwifery Board of Australia 2014 Enrolled nurses and medicine administration lt httpwwwnursingmidwiferyboardgovauCodes-Guidelines-StatementsFAQaspxgt
Pryor J Buzio A 2013 lsquoDo ldquotwo typesrdquo of ENs work in rehabilitation in Australiarsquo Journal of the Australasian Rehabilitation Nurses Association vol 16 no 1 pp 14-19 lthttpsearchinformitcomaudocumentSummarydn=480975443102792res=IELHEAgt
Robinson S and Griffiths P 2007 Nursing education and regulation International profiles and perspectives lthttpeprintssotonacuk3487721NurseEduProfilespdfgt pp 7-17
Tranter S Westgarth F White G 2011 lsquoThe scope of practice of the haemodialysis Enrolled Nurse in new South Walesrsquo Renal Society of Australasia Journal vol 7 no 1 pp 24-29 lthttpwwwrenalsocietyorgRSAJjournalmar11Tranterpdfgt
United Kingdom Department of Health 2013 The Cavendish Review An Independent Review into Healthcare Assistants and Support Workers in the NHS and social care settings lthttpswwwgovukgovernmentuploadssystemuploadsattachment_datafile236212Cavendish_Reviewpdfgt pp 6
33
By Laurie Bickhoff MACN
Diary of a newly registered nurse
In Australia it is estimated nearly 20 of nurses will leave the profession within their first year of practice (National Nursing and Nurse Education Taskforce [NNNET] 2005) Internationally this figure ranges from between 35 and 60 (Halfer amp Graf 2006) Many have speculated on the reasons for this with high workloads the difficulties of shift work and unrealistic expectations of what nursing entails all given due consideration (Halfer amp Graf 2006) However as I entered my second year of practice I began to wonder what role disillusionment plays in this exodus of newly trained nurses
Disillusionment to me occurs when you feel your passion dwindling when you suddenly find it that little bit harder to get ready for work when you start feeling a sense of dread as you walk onto the ward This wasnrsquot caused by long hours or ever increasing workloads coupled with diminishing resources It wasnrsquot caused by physically demanding duties or the lack of a social life due to shift work It wasnrsquot caused by dealing with things that might not look or smell that great Unfortunately it was caused by the people around me and an almost institutionalised lack of power not only for nurses but more importantly for our patients
I was dismayed and frustrated to hear how many of my colleagues from all health professions referred to patients I was disheartened to see how easily some could dismiss the suffering we see and the heartache I felt I was overwhelmingly saddened to realise not everyone had the same passion for their profession or empathy for those we are charged to care for as I did
This culminated for me towards the end of my first year of practice There wasnrsquot any one big incident more an accumulation of things that were gradually wearing me down I had a worried patient confide in me that they had been too scared to push the call button on the previous shift because of the response they would receive from the nurse I saw patients constantly being made to fit into everyone elsersquos schedules regardless of their requests It seemed everyone was more important than the person we were there to help
I heard patients referred to as lsquocactusrsquo or described in the notes as lsquounsalvageablersquo meaning there was no chance of the patients making meaningful recoveries I wondered is this really how we refer to people Or did we forget they were actual human beings we were talking about
I had other health professionals dismiss me with comments such as nurses ldquojust wipe bums all dayrdquo or roll their eyes at me when I raised my concerns When I dared to challenge or question I was met with comments of ldquoI miss the old new gradsrdquo I felt tired washed out and was beginning to wonder
whether I could stay in this profession without losing myself
Luckily I found some inspiration I listened to a presentation by Drew Dudley a well-known American academic and motivational speaker where he discusses the idea of lsquolollypop momentsrsquo These are small moments when the people we see and work with every day demonstrate leadership They arenrsquot big grand over the top statements They are small gestures which often unknown to the person who did it have an amazing impact on the lives of others I was lucky enough to have some of these lollypop moments just when I needed them These few sparks were all that I needed to reignite my passion for nursing
The first spark came from an RN2 caring for a patient at the end-stage of a number of diseases who had expressed to the nursing staff multiple times her wish to simply be made comfortable as she knew this was the end of her fight Despite this the patient was not only receiving active treatment but was also currently documented for full resuscitation if she deteriorated
The nurse raised the issue with the medical registrar asking him to have a discussion with the patient regarding her wishes and planning end-of-life care The registrar dismissed her saying ldquowell thatrsquos not what the consultant wantsrdquo The nurse wasnrsquot satisfied and responded ldquoitrsquos not their choice itrsquos the patientrsquos decisionrdquo This nurse had the courage to stand her ground and make sure her patientrsquos voice was heard which ultimately led to the patientrsquos wishes being honoured
The next spark came soon after I was working with a nurse who came from a different cultural background to me where it was seen as impolite to question anyone in authority especially if you were female This meant even if a doctor was accidently standing in her way she would prefer to simply wait rather than ask them to move
Then one day we had a patient who deteriorated rapidly and was in a very critical condition This nurse suddenly became one of the best clinical leaders I have witnessed She led the team questioning orders prompting treatments suggesting causes and outlining the options available I soon realised the difference this was about her patient She was going to ensure her patient received the best care and outcome possible When it was about her patient rather than herself she found her voice
There were a number of smaller incidents that soon followed Sparks came from the senior consultant who re-educated her advanced trainee on the importance of listening to the nurses and acting on their concerns Sparks came from our ward social
34
worker who day after day demonstrated his passion for helping and advocating for those with no voice and often no options Sparks came from the medical residents who expressed their gratitude when you picked up a mistake and were heartfelt in their appreciation of the work nurses do
The brightest sparks came from my patients and their relatives It was their ldquothanksrdquo their ldquoyou donrsquot know how much that meansrdquo their ldquoyoursquoll be back tomorrow wonrsquot yourdquo their squeezing of my hand that reminded me why I do what I do I didnrsquot have to search for inspiration I was surrounded by it The trick was to change my focus
Perhaps all nurses are disillusioned at some point during their careers Perhaps it happens multiple times Perhaps it is a rite of passage with those who make it through the other side the
ones with a true passion for nursing who turn around and help a colleague on their journey
As I continue my nursing career I now look for the brightness that I know is always there far outshining the negativity that we have to deal with I stockpile my lsquolollypop momentsrsquo knowing the amazing examples of kindness and leadership I see every day will help me grow and become a better nurse and hopefully I might be able to be a spark for someone else
You can listen to Drew Dudleyrsquos talk at wwwtedcomtalksdrew_dudley_everyday_leadership
Halfer D and Graf E lsquoGraduate Nurse Perceptions of the Work Experiencersquo Nursing Economics June 2006 Vol 24 No 3 pp 150-55
National Nursing and Nurse Education Taskforce 2005 Mythbusters Available online at httpwwwnnnetgovaudownloadsmythbusters_attritionpdf Accessed June 2014
Arts amp Sciences | Business | Education | Health Sciences | Law | Medicine | Nursing amp Midwifery | Philosophy amp Theology | Physiotherapy
Your journey to a meaningful career awaitsThe School of Nursing amp Midwifery offers the following courses
rsaquo Bachelor of Nursing
rsaquo Bachelor of Nursing (Articulation Pathway for EN Diploma)
rsaquo Graduate Certificate (Acute Mental Health Clinical Nursing Nursing and Nursing Leadership amp Management)
rsaquo Graduate Diploma (Acute Mental Health Clinical Nursing Critical Care Nursing Forensic Nursing Midwifery Nursing and Perioperative Nursing)
rsaquo Master of Nursing (Coursework and Research)
Looking to make a difference So are we
Apply direct notredameeduau
ND
1053
| C
RIC
OS
PR
OV
IDE
R C
OD
E 0
1032
F
35
36
Graduate transition programs my personal experienceToo often we hear horror graduate stories Research shows horizontal violence and bullying is rampant in our profession We are told tales of the infamous ldquoeat our youngrdquo nursing culture We know graduates suffer transition shock when they start practicing and nearly 20 will leave in their first year
Unfortunately the good stories are often buried underneath the bad and so I wanted to share my graduate year experience When I started as an RN the only nursing experience I had were my clinical placements and a mere two months working as an AIN To say I was worried was a major understatement I was quietly petrified but tried to keep up a brave face
I had worked hard in university to learn as much as I could but I was still filled with doubts Would I be good enough Would I crash and burn Would I help or hinder my patientsrsquo recovery
My first day on the ward was sink or swim time I was amazed at the warm welcome I was given The other RNs were supportive and encouraging They made sure I knew if I felt myself struggling they would be there with a life-line
Every ward I rotated through gave me this same friendly reception Perhaps it was just luck or maybe our nursing culture is changing but I never encountered any of the pressure to change my values and practice in order to fit in that I had been told to expect Instead I found colleagues who understood I wouldnrsquot know everything on day one who were willing to take the time to teach me and who become great friends along the way
My clinical skills and knowledge increased out of sight during my graduate year I felt my university had given me a great foundation on which to build my career as an RN but my grad program cemented my theory into my practice I started the year having never removed a single stitch I ended the year confidently removing everything from sutures to ICCs and pacing wires while also successfully inserting NG tubes and cannulas Importantly I understood the pathophysiology and rationale behind each of these and could explain it to my patients
Irsquom not saying everyday was perfect Irsquom not saying every person was as helpful or welcoming as the next Irsquom not saying I didnrsquot have days when I struggled What I am saying is I never felt alone I knew the support was there all I had to do was ask
I know not every graduate nurse will have as positive an experience as I did Perhaps my journey was the exception not the rule However I hope the number of nurses who have an amazing graduate year like mine continues to increase until this becomes the norm
I do know that the success of your graduate year relies heavily on you and your attitude University teaches you how to think like a nurse but it is in clinical practice the real learning begins and it has a steep learning curve Approach your grad year knowing that everyone from the tea lady to the Director of Nursing will be your new teachers and success will come When the people you work with recognise your passion see your motivation to provide what is best for the patient and know you realise what a unique privilege it is to be a nurse their respect will follow
At the same time donrsquot be afraid to speak up for your patients for your colleagues and for yourself Harvey Fierstein said ldquoNever be bullied into silence Never allow yourself to be made a victim Accept no onersquos definition of your life define yourselfrdquo You have the ability to define your graduate year regardless of what hospital or ward you find yourself in
You can change the culture and reputation of the nursing profession for better or worse You can conform and join in bullying behaviour and continue negative traditions or you can decide it stops with you Set your standards high and have the moral courage to stick to them If every graduate nurse demonstrated this leadership and supported other nurses who did as well imagine the overwhelmingly positive impact that could have on nursing
Gandhi once said ldquoBe the change you want to see in the worldrdquo I would encourage you to be the change you want to see in nursing and just watch how the world changes with us
By Laurie Bickhoff MACN
18
Finishing studies and becoming a new graduate is an exciting milestone Itrsquos usually the first time you begin working full time perhaps moving away from home owning your own car and paying bills
Of course itrsquos important to budget ensuring you have enough money for daily expenses as well as being able to stash some money away The easiest way to keep track of your income versus expenses is to set up an everyday account with your salary paid into it and a savings account earning interest on the money yoursquore able to save In addition you might want to get a credit card so that yoursquove got some money for emergencies
Gain fee free banking freedom
With a BankVic Anywhere account you can enjoy unlimited free withdrawals at any ATM in Australia when you deposit $1000 per month1 Plus you can access your money with free unlimited eftpos transactions a Visa Debit card with paywave and a mobile App
Earn bonus interest on your savings
A BankVic Bonus Saver account is a high interest account that rewards you for saving by giving you bonus interest2 when you deposit a minimum of $100 a month and make no withdrawals plus there are no fees Itrsquos a great way to force yourself to save
Enjoy a credit card with no annual fee
A BankVic Visa Silver credit card offers great value with an introductory rate of 699pa3 for the first 6 months and a low ongoing rate plus no annual fee Itrsquos the perfect back up card
Why not call us today Call your dedicated Member Relationship Manager Phoebe Reid on 9268 9297 or via email preidbankviccomau
1 Minimum deposit of $1000 must be received in the account by close of business on the last business day of the month The deposit cannot be an internal transfer or interest earned form other BankVic products 2 Bonus Saver ndash Deposit $100 per calendar month with no withdrawals and yoursquoll be rewarded with bonus interest Bonus interest rate is capped at a maximum balance of $1000000 3 Credit Card interest rates are variable All interest rates are shown are current as at date of print and are subject to change Fees and charges apply Any advice is general before acting on the advice you should consider whether the advice is appropriate for you Before you make any decision to acquire any product or service you should obtain and consider the relevant Product Disclosure Statement available from our website bankviccomau any branch or by calling us on 13 63 73 Police Financial Services Limited ABN 33 087 651 661 AFSL 240923 Australian Credit Licence 240293ndash trading as BankVic 121 Cardigan Street Carlton Victoria 3053 3-15 5243BV
Advertorial
Banking freedom for nurses and midwives
members matter
Let BankVic take care of you while you take care of others
9268 9297preidbankviccomau
Canstar Pty Ltd Authorised Representative 443019 of Canstar Research Pty Limited ABN 29 114 422 909 AFSL 437917 Police Financial Services Limited ABN 33 087 651 661 AFSL 240293 (BankVic) 121 Cardigan Street Carlton Vic 3053 315 5280bv
Contact your dedicated Member Relationship Manager Phoebe Reid
bankviccomau
19
This is general advice only Consider our product disclosure statement before making a decision about First State Super Call us or visit fi rststatesupercomau for copies Becoming a Student Club member is diff erent to being a First State Super member as you do not hold a superannuation account with the Fund or have any interest right or other relationship with First State Super
FSS Trustee Corporation ABN 11 118 202 672 ASFL 293340 is the trustee of the First State Superannuation Scheme (First State Super) ABN 53 226 460 365 EXP_
Mel
b_Ex
po_A
4_03
15
Join our free Student Club and make the most of the support discounts and benefi ts available only to students
Learn to manage your super better and how you can take advantage of our exclusive member benefi ts
Find out why wersquore the super fund with a heart on Saturday 18 April
Visit us at booth 7 in Melbourne
EXP_Melb_Expo_A4_Mar15_ARTWORKindd 1 6032015 414 pm
By Claire Stewart MACN
Diary of a newly registered nurse
Irsquom almost three months into my role as a newly registered nurse and I had my first 40 Prolene moment recently For the uninitiated this can be a panic fuelled moment where a routine procedure ends up resembling the Texas chainsaw massacre Thankfully I was supported by a wonderfully calm surgeon who waited patiently while I painstakingly attempted to load his life saving suture After the surgery I wiped the blood from my glasses and took a moment to reflect on how I had handled the situation In fact Irsquove spent most of the last three months lsquoreflectingrsquo Deafening groans can be heard from many a third year nursing cohort when wersquore asked yet again to lsquocritically reflectrsquo on our practice as student nurses Let me be the first to admithellip It doesnrsquot stop at graduation
I may not use a dedicated framework or even put pen to paper but the skills I learned during my studies have set me up to ensure I gain the most from every learning opportunity by critically reflecting on my performance simply by force of habit During the last three months my learning curve has veered vertical as I transitioned from university study to my role as a
graduate registered nurse in perioperative services Irsquove had to deal with a new environment (donrsquot even get me started on finding your way around a theatre complex) new colleagues adjusting to full time work and managing family commitments learning an entire new skill set working as a scrubscout dealing with policies procedures and my favourite surgeonsrsquo preference
In these first few months itrsquos very easy to fall into the trap of focussing on how much you donrsquot know However practising critical reflection has allowed me to focus on what I do know how far Irsquove come and what I will learn because Irsquom self-aware Whether you are a new nurse like me and feel like yoursquove handed in one too many pieces of written reflection to your facilitator over the last three years or an experienced nurse who practices self-reflection sub-consciously on the drive home ndash embrace it for the wonderful tool that it is and use it to become the kind of nurse you want to work with
Be in demand Be successfulStudy nursing or midwifery at Monash If you want to make a difference in health care with great employment potential the School of Nursing and Midwifery is a great place to start
As a nurse or midwife there are a variety of roles and a number of specialty areas available to you ensuring a constant career of challenges and diversity
To find out more about our undergraduate courses visit us at ACN Expo Melbourne Stand 84 ndash 85
For more information on our courses visit medmonashedunursing
21
Research collaboration students are welcome
A collaborative research study in Queensland is tapping into the enthusiasm and intelligence of nursing students by training and employing third-years as research assistants data collectors and analysts in contract research projects
Researchers from James Cook Universityrsquos (JCU) Centre for Nursing and Midwifery Research (CNMR) the Far North Queensland Medicare Local and the Cairns and Hinterland Hospital and Health Service are trying to determine why emergency department (ED) presentations to Cairns Hospital have been increasing at a greater rate than the national average
To answer this question CNMR researchers recruited 14 nursing and medical students to survey every willing and able person who presented to the ED
Researchers asked participants for information regarding their reasons for coming to the ED They also asked where they would usually go for medical treatment and what physical and psychological factors influenced their decision to choose the ED over other treatment options
In other phases of the project hospital Emergency Department Information System (EDIS) data have been analysed and patient focus groups have been convened Unstinting faith in the local ED has been noted as one of the key reasons that people choose the ED over other health care options
Most people who come to the ED with lsquonon-urgentrsquo conditions do have general practitioners and a large percentage have sought medical advice in the days prior to presenting to the ED Worry anxiety and uncertainty rather than the severity of the medical condition itself however appears to be a significant motivator to come to the ED where people perceive there is a wide range of services professionals and diagnostic tools available
ACN Emerging Nurse Leader Anna Groth MACN a third-year nursing student from JCU has been collecting collating and analysing data
ldquoOften I would ask someone why they had come to the hospital and they would speak about being in pain but if you asked them about whether they came for the pain or because they were anxious about the pain they would say they had come to the hospital because of the anxietyrdquo explained Anna ldquoIt is such a huge difference ndash the motivation ndash coming for the pain or the anxietyrdquo
Anna said the project opened communication lines between people from different organisations including government university health service hospital and the community leading to collaboration and learning for all
By Marnie Hitchins
Benefits for the students included early career exposure to the research process in which they learnt about data collection analysis and research methods The students also had the opportunity to practise communication skills learn about the organisational cultures of universities and hospitals and work alongside health professionals and patients in a research environment
Students commented that because the power dynamics were different from that of clinical experience (they were not seen as health professionals by patients nor as lsquostudent nursesrsquo by health staff members) they gained insights into the hospital environment they might not otherwise have had
Anna said she learned a lot personally the ED research experience has catapulted her into another area of interest in which she can see herself working in the future
ldquoResearch and policy will be a part of my future Irsquove gained a deep interest in the treatment of women since doing this studyrdquo said Anna
ldquoI have become very interested in domestic violence and the way women are treated in the health service and in the society as a whole I was blown away by the struggle that people have with the system in trying to find support They are so lonely I recognised things being in the ED that I would like to research and have already started exploring the issuesrdquo
CNMR Director Associate Professor Jane Mills FACN said the recruitment and inclusion of students in research projects is part of a broader plan within the CNMR to build undergraduate research capacity
Jane said the CNMR also offered internships to undergraduate students to work on research projects alongside experienced scholars academics and researchers
ldquoJCU strongly supports the inclusion of undergraduate students in research studies where they can gain valuable knowledge skills and experience while also making a contribution to building the evidence base about health care issues of importance to people living in the tropicsrdquo said Jane
ldquoItrsquos a win-win situation where experienced researchers benefit from the studentsrsquo enthusiasm and familiarity with contemporary research principles and students increase their awareness of the importance of research to professional practicerdquo
It is clear to all parties involved that the inclusion of nursing students is benefitting the quality of the project as much as it is benefitting studentsrsquo learning and work experiences
22
Launch your nursing career at St Vincentrsquos
St Vincentrsquos Hospital Melbourne (SVHM) is part of St Vincentrsquos Health Australia and is a leading teaching research and tertiary health service which employs more than 5000 staff across 18 sites throughout Melbourne SVHM provides a diverse range of adult clinical services including acute medical and surgical services sub-acutecare medical diagnostics rehabilitation allied health mental health palliative care correctional health and community residential care SVHM is one of Australiarsquosleading Catholic not-for-prot healthcare providersMake the most of your talents Join the team at St Vincentrsquos
Visit us at the ACN Nursing and Health Expo 2015Find out about our 2016 Graduate Nurse Program andhave a chat to our current graduates educators and nursing staff
St Vincentrsquos Open Evening 2015Wednesday 3rd June 4pm-6pmSt Vincentrsquos Ground Floor Aikenhead Building 27 Victoria Parade Fitzroy
Welcome and Overview of the 2016 Graduate Nurse Program at 4pm 430pm amp 5pm
All welcome ndash no RSVP required
All 24 rotational areas on displayTours of inpatient wardsComplimentary food and beverages provided
For further information visit wwwsvhmorgau or phone the Graduate Nurse Hotline 9231 2244
To follow our 2016 recruitment process Like us at SVHM 2016 Graduate Nurse Program
Compassion Justice Integrity Excellence
24
INTERESTED IN STUDYING DEAKIN NURSING AND MIDWIFERYWe are holding information sessions for our undergraduate courses
BURWOOD CAMPUS 221 BURWOOD HIGHWAY BURWOODWednesday 22 July 6ndash8 pmSaturday 25 July 230ndash430 pm
WATERFRONT CAMPUS 1 GHERINGHAP STREET GEELONGWednesday 22 July 6ndash8 pmSaturday 25 July 230ndash430 pm
WARRNAMBOOL CITY CENTRE 165 TIMOR STREET WARRNAMBOOLFriday 24 July 730 pm
raquo To register your attendance at one of the information sessions above please email nursinfodeakineduau to advise which session you plan to attend
For more information about our undergraduate and postgraduate courses please phone 03 9244 6032
Deakin University CRICOS Provider Code 00113B HLH002
deakineduaunursing
Itrsquos never too early to become a leader
How did you become involved in nursing
I started volunteering from age 14 with St John Ambulance Australia in my hometown of Moruya NSW I loved everything about it ndash loved the joy of helping others and I was so intrigued to learn how to respond effectively in emergencies and show true compassion to others I was also fortunate to have had some very down-to-earth and inspiring mentors who encouraged my interest in nursing and after graduation from high school I undertook the University of Wollongongrsquos Bachelor of Nursing degree
I started my first paid nursing related employment in my third year of the degree at a local hospital I have now graduated and am working as a registered nurse (RN) in a local aged care facility learning the ins and outs of multiple comorbidities patient-centred care and compassionate palliative and end-of-life care
What is your nursing specialty
As I still consider myself as a lsquonewbiersquo RN I havenrsquot really discovered a specialty yet though I have interests in aged care mental health cardiology and nursing research So I guess I am intrigued to be involved in one or all of these areas at some point in my career but I am open to any interesting opportunities that may come my way
What do you love most about nursing
This is truly the job that never has a dull day Each day is different and I feel privileged to be so trusted with the lives of my patients and residents in their moments of hardship and need Along with my love of the workings of the human body the evidence-base behind nursing care and continuous educational opportunities I love the lsquoteamrsquo focus of nursing especially when the patient is at the centre of decision making and everything goes to plan
What is your least favourite part of nursing
When everything doesnrsquot go to plan
What brought you to this area of Australia
Irsquom originally from NSW South but I moved to Wollongong for University and have stuck around for the area the people and to continue to work and study here
What are some of the nursing and health issues that are specific to the Sydney SouthIllawarra Region
Two big issues come to mind Firstly many newly graduated RNs within our region have been unable to find employment Secondly local nurses struggle to find the time within their working hours to keep up to date with advances in education
What do you see as the biggest challenge currently facing the nursing profession and how do you think the profession is placed to respond to these challenges
I believe possible health funding cuts and workforce shortages that in-turn affect our ability to provide adequate and safe patient care are two significant challenges facing our profession There are recently graduated RNs who remain jobless yet there are local health districts crying out for nurses but only those with lsquoexperiencersquo with undergraduate nursing experience ignored Looking into alternative transition programs is key to overcoming this challenge
Whatrsquos the biggest misconception about your career choice
I have met some amazingly talented and intelligent nurses in a variety of roles who all make a great difference in the lives of their patients or indirectly through organisations or research The general misconception that irks me isnrsquot so much a misconception more a statement Irsquove heard multiple times ndash ldquoWhy didnrsquot you become a doctor Why are you just a nurserdquo I did not become a nurse because I didnrsquot have the marks to be a doctor and by the time I finish university again with a Research Masters I would have physically been enrolled in university for the same length of time I became a nurse because I found a passion for this role and spending time with people inspires me
Nursing is a holistic role that encompasses so much We are health professionals role models educators support systems and innovators we understand intimately the fragility of life and the human relationships that bring it meaning
Profile Renee Callender MACN
LeadershipACN
Expand your leadership capacity
25
INTERESTED IN STUDYING DEAKIN NURSING AND MIDWIFERYWe are holding information sessions for our undergraduate courses
BURWOOD CAMPUS 221 BURWOOD HIGHWAY BURWOODWednesday 22 July 6ndash8 pmSaturday 25 July 230ndash430 pm
WATERFRONT CAMPUS 1 GHERINGHAP STREET GEELONGWednesday 22 July 6ndash8 pmSaturday 25 July 230ndash430 pm
WARRNAMBOOL CITY CENTRE 165 TIMOR STREET WARRNAMBOOLFriday 24 July 730 pm
raquo To register your attendance at one of the information sessions above please email nursinfodeakineduau to advise which session you plan to attend
For more information about our undergraduate and postgraduate courses please phone 03 9244 6032
Deakin University CRICOS Provider Code 00113B HLH002
deakineduaunursing
WA EXPO PERTH
26
Welcome from the Chief Nurse amp Midwifery OfficerI am so pleased to be welcoming you to the Australian College of Nursingrsquos Western Australian Nursing and Health Expo for 2015
Attending the Expo is an invaluable experience for anyone interested in nursing and midwifery careers It especially helps high school students and their parents or anyone who is wondering which career direction to take
Hospitals and health services from across WA will be there with some of their nurses and midwives in attendance to answer any questions you may have Come and find out from them what itrsquos really like to be a nurse or midwife
There will also be a range of education providers who will be able to talk about the many courses available to get your career started
It is also a great place to come to discuss and find out about graduate job opportunities building your experience career development opportunities financial support to study changing employers or even returning to a career in nursing or midwifery after being away for a while
The decision to become a nurse or a midwife is a wonderful career choice for anyone who wants to be part of a diverse healthcare professional team and have a challenging rewarding and exciting job where you really can make a difference
The future demand for nurses and midwives is going to be high especially as WArsquos new Fiona Stanley Perth Childrenrsquos Busselton and Midland hospitals all start becoming fully operational so we encourage you to attend the Expo to see where nursing and midwifery might take you
I look forward to seeing you on Friday 1 May 2015 at the Perth Convention and Exhibition Centre
Karen Bradley MACN Chief Nurse and Midwifery Officer WA Health
27
Expo informationLocation
The Perth Convention and Exhibition Centre (PCEC) is Western Australiarsquos only dedicated convention and exhibition facility Each year over 500000 people attend one or more of the 600 plus events conducted at PCEC The Expo will be held in Pavillion 1 at PCEC
Doors open 9am ndash 1pm
Entry
Stairs amp Escalators to Level 2
Registration DeskEntry Foyer
Entry
ACN Expo Pavillion 1
28
Seminars
This year the educational seminar series is back again to provide visitors with up to date information and practical skills to pursue or further their career Seminar attendance is free of charge and registration is not required
Time Topic Presented by
915am How to become a nurse or midwife Rebecca Newton WA Nursing and Midwifery Office
950am Applying via GradConnect and other opportunities for graduate nurses and midwives
Regina Browne WA Nursing and Midwifery Office
1025am Unleashing the potential of your staff Lisa Ansbro and Donna Hampshire Chandler Macleod Health
1100am How to become a nurse or midwife Rebecca Newton WA Nursing and Midwifery Office
1135am Applying via GradConnect and other opportunities for graduate nurses and midwives
Regina Browne WA Nursing and Midwifery Office
1210pm Unleashing the potential of your staff Lisa Ansbro and Donna Hampshire Chandler Macleod Health
The lsquoUnleashing the potential of your staffrsquo seminar is proudly supported by
Chandler Macleod is Australasiarsquos leading provider of integrated HR services products and technologies We have more than 55 yearsrsquo experience in human resources and have specialised within the health sector for 10 of these We are ideally positioned to help you meet the growing demands on your business We provide permanent and temporarycontract recruitment for the full range of Health professions including Carers and Support Workers Enrolled Nurses Registered Nurses Facility and Operations Managers Directors Cleaners and Kitchen staff We are able to provide you with experienced caring staff 247 including public holidays
For more information contact Chandler Macleod on (08) 9217 0510 or visit wwwchandlermacleodcomclientshealth-recruitment
29
Floor plan
42 41
39
40
38
36
37
35
43
44
45
46
47
48
Entrance
Seminar area
Cafeacute
7
5
8
6
20
18
19
17
11
9
12
10
16
14
15
13
34 33 32 31 30 29 28
30
Exhibitor listing
Organisation Name Booth Number
AACDS 8
Armadale Health Service 38
Belmore Nurses Bureau 30
Central Institute of Technology 20
Chandler Macleod Health 16
Child amp Adolescent Health Service 42
Curtin University of Technology 19
Defence Force Recruiting 910
Edith Cowan University - School of Nursing and Midwifery
3334
Fiona Stanley Hospital 36
Fremantle Hospital 44
HESTA 5
Hollywood Private Hospital 7
Institute of Health amp Nursing Australia 32
Mediserve Nursing Agency 6
Murdoch University 1112
My Flex Health International 18
Organisation Name Booth Number
Next Step 48
North Metropolitan Mental Health 35
NurseWest 47
Nursing amp Midwifery Board of Australia 29
Osborne Park Hospital 46
Prime Super 17
PampN Bank 15
Rockingham General Hospital 39
Royal Perth Hospital 37
Sir Charles Gairdner Hospital 45
The Bethanie Group Inc 31
The University of Notre Dame 13
WA Country Health Service 40
WA Nursing amp Midwifery Office 43
West Coast Institute of Training 14
Women amp Newborn Health Service 41
Work the World 28
The WA Nursing amp Health Expo is proudly supported by
The WA Nursing and Midwifery Office is very proud to partner once again with the Australian College of Nursing for the 2015 Nursing and Health Expo The nursing and midwifery professions offer an array of interesting and diverse experiences With these highly valued and respected skills relevant anywhere in the world nurses and midwives will always be in demand ndash in hospitals and in a range of other workplaces In WA the future demand for nurses and midwives is going to be high especially as our new Fiona Stanley Perth Childrenrsquos Busselton and Midland hospitals all start becoming fully operational so considering a career in nursing or midwifery is a great idea
wwwnursinghealthwagovau
31
In Australia enrolled nurses (ENs) are a core component of the health care workforce and make an important contribution to Australiarsquos world-class health outcomes ENs work in varied settings across the country from blood services to aged care facilities Increasingly ENs are playing an important role in meeting the growing demand for care
Not all countries have recognised the importance of ENs in the nurse workforce mix Several European countries including France Denmark Italy and Spain have only one category of regulated nurse (HWA 2013 Robinson and Griffiths 2007) The United Kingdom (UK) ceased admitting new ENs to the register in the 1980s The minimum qualification for all UK nurses is now a three-year bachelorrsquos degree As a result the UK relies heavily on unregistered health care assistants rather than second-level nurses (UK Department of Health 2013) Closer to home New Zealand ceased training ENs in 1993 only to recommence in the 2000s (Meek 2009) New Zealandrsquos experiment is an instructive demonstration of the importance of ENs in the health care workforce as the demand for nursing care increases
In Australia we have remained committed to maintaining the EN role Rather than relying on unregistered health care workers Australia has chosen to maintain a large educated and professional EN workforce The skilled work of ENs is recognised to be of paramount importance to the delivery of high quality nursing care Our EN workforce is highly dynamic and continues to evolve within the changing landscape of Australian health care policy and regulation
Enrolled nurse demographics
According to the latest national figures there are 51624 ENs working in Australia The great majority of ENs have completed their pre-registration education in Australia fewer than 5 have been educated overseas (HWA 2013)
The EN workforce has a relatively high average age of 46 years and forty-five per cent of ENs have celebrated their fiftieth birthdays (AIHW 2013) According to Health Workforce Australia the ageing EN workforce could lead to a significant shortfall in the supply of ENs if action is not taken to retain the current cohort of ENs and increase the number of people studying to be the ENs of tomorrow (HWA 2012)
Men make up roughly 10 of the EN workforce While this number is rising gradually it indicates that there is progress to be made in terms of attracting and retaining males within the profession Aboriginal and Torres Strait Islander people are
also underrepresented in the EN workforce only around 800 of Australiarsquos ENs identify as Indigenous Australians (AIHW 2013)
Among the most common work settings for ENs are aged care rehabilitation and disability services In contrast ENs make up fewer than 5 of the critical care nursing workforce and represent only a small proportion of nurses working in education policy and management (AIHW 2013)
These statistics show that there are both challenges and opportunities for Australiarsquos EN workforce Efforts to recruit and retain ENs will need to be enhanced with a particular focus on encouraging men and Aboriginal and Torres Strait Islander people to become ENs At the same time roles in a wider range of clinical areas are becoming available to suitably educated and qualified ENs and there will be more such opportunities in the coming years
A growing role for ENs
The evolving role of the EN is reflected in recent changes to educational requirements for ENs As of 1 July 2014 the Certificate IV in enrolled nursing ceased to be available and the minimum qualification for EN entry to practice will be the Diploma of Nursing The transition to a Diploma recognises the high level of skill ENs contribute to todayrsquos health care teams A nationally consistent approach to EN education is also likely to enhance the mobility of the EN workforce by giving employers confidence in the knowledge and skills of ENs educated in other states
ENs are now undertaking a diverse range of roles One of the earliest areas of role expansion for ENs was medication endorsement Before the move to national registration in 2010 ENs in some states were able to obtain an endorsement in medicines administration and become Endorsed Enrolled Nurses by completing specified education units This endorsement has now been phased out because from 2008 onwards all newly qualified ENs have completed the required medicines administration education Instead the register now identifies ENs who have not completed the required courses (NMBA 2014) This example demonstrates how the EN role has evolved over the years Whereas once only a relatively small number of ENs were educated to administer medicines now all student ENs complete medicines administration units as part of their initial nursing education
The EN role is also expanding in other ways For example ENs are taking on a growing role within haemodialysis units (Tranter et al 2011) The 2008 Australia and New Zealand Dialysis Workforce Survey conducted by the Renal Society of Australia found that there were 188 ENs working in dialysis alongside 2433 registered nurses (RNs) The growing demand for dialysis
The potential of the enrolled nursing workforce
By Rosina Muir and Dr Marlene Eggert MACN
32
services and the shortage of dialysis RNs in some areas represents a clear opportunity for ENs According to a New South Wales study conducted in 2009 the scope of practice of ENs in haemodialysis units may include cannulation (including both native access and buttonhole cannulation) connecting and disconnecting haemodialysis central venous catheters (CVCs) performing CVC dressings giving iron infusions and administering erythropoietin anticoagulants and Lignocaine In addition ENs may also take on a case management or health promotion role for dialysis patients (Bennett et al 2009)
ENs are also moving into extended roles in rehabilitation services A recent study of ENs in an Australian rehabilitation facility found that in addition to assisting patients with activities of daily living ENs may take on roles in coaching and supporting patients to reach their individual goals monitoring the patientrsquos progress and liaising with other members of the multidisciplinary rehabilitation team The study found that many ENs demonstrate an understanding of the philosophy of rehabilitation nursing including goal setting and enabling self-care (Pryor and Buzio 2013)
In rural Australia ENs are taking on a diverse range of roles within the EN scope of practice in order to meet local needs ENs with specialist skills such as infection control or wound care make a significant contribution to some rural health services although their extended scope of practice is not always given appropriate recognition by their RN colleagues (Nankervis et al 2008) Rural health services are increasingly recognising that supporting ENs to take on extended roles and further develop their clinical skills can be a successful model for the delivery of high quality patient care
Recognising the evolving EN scope of practice
In light of the fact that there have been significant changes to EN education regulation and scope over the last decade the NMBA has commissioned Monash University to review the currency of the standards against contemporary enrolled nursing roles The Monash University project has involved a review of the literature as well as a series of focus groups and surveys to gather insights from both RNs and ENs on the education scope of practice and supervision of ENs (Monash University 2013) The project is expected to be completed in 2014 (NMBA 2013)
Our advocacy for ENs
ACNrsquos advocacy priorities are explicitly designed to support both registered and enrolled nurses In 2014 ACN has argued for a range of policies that would have a positive impact on the
retention and flexibility of enrolled nurses For example ACN has proposed a National Transition Framework to support the flexibility and mobility of both the EN and the RN workforces The Framework would be accessible to nurses entering the workforce as well as nurses transitioning from one area of practice to another For example it would support an EN wishing to transition from the aged care sector to a hospital-based role
ACN has also put forward a proposal for a new scholarship program to support newly registered and enrolled nurses to practice in rural services It is essential that rural health service providers are able to attract appropriately educated staff including both ENs and RNs in order to maintain an optimal skill mix The scholarship scheme will allow rural health services to employ newly registered and enrolled nurses as supernumerary team members while providing them with a structured clinical learning program
ACN will continue to provide a voice for ENs in policy discussions and advocate for the role of ENs in health care delivery Australian Institute of Health and Welfare 2013 Nursing and midwifery workforce 2012 lthttpwwwaihwgovauWorkAreaDownloadAssetaspxid=60129545314gt pp 6
Bennett P McNeill L Polaschek N 2009 lsquoThe Australian and New Zealand Dialysis Workforcersquo Renal Society of Australasia Journal vol 5 no3 pp 147-151 lthttpwwwrenalsocietyorgRSAJjournalnov09bennett2pdfgt
Health Workforce Australia 2012 Health Workforce 2025 Doctors Nurses and Midwives vol 1 lthttpwwwhwagovausitesuploadsFinalReport_Volume1_FINAL-20120424pdfgt pp 137-142
Health Workforce Australia 2013 Nurses in Focus lthttpwwwhwagovausitesuploadsNurses-in-Focus-FINALpdfgt
Meek G 2010 Second level nurses a critical examination of their evolving role in New Zealand Healthcare lthttpresearcharchivewintecacnz9621Repository_entry_HLNU902pdfgt pp 3
Monash University 2013 The National Review of the Enrolled Nurse Competency Standards lthttpwwwmedmonashedunursingcompetency-standardsgt
Nankervis K Kenny A Bish M 2008 Enhancing scope of practice for the second level nurse A change process to meet growing demand for rural health services lthttpwwwncbinlmnihgovpubmed18844530gt
Nursing and Midwifery Board of Australia 2013 Communique Meeting of the Nursing and Midwifery Board of Australia 27 February 2013 in the AHPRA Hobart Office TasmanialthttpwwwnursingmidwiferyboardgovauNewsCommuniques-from-Board-meetingsaspxgt
Nursing and Midwifery Board of Australia 2014 Enrolled nurses and medicine administration lt httpwwwnursingmidwiferyboardgovauCodes-Guidelines-StatementsFAQaspxgt
Pryor J Buzio A 2013 lsquoDo ldquotwo typesrdquo of ENs work in rehabilitation in Australiarsquo Journal of the Australasian Rehabilitation Nurses Association vol 16 no 1 pp 14-19 lthttpsearchinformitcomaudocumentSummarydn=480975443102792res=IELHEAgt
Robinson S and Griffiths P 2007 Nursing education and regulation International profiles and perspectives lthttpeprintssotonacuk3487721NurseEduProfilespdfgt pp 7-17
Tranter S Westgarth F White G 2011 lsquoThe scope of practice of the haemodialysis Enrolled Nurse in new South Walesrsquo Renal Society of Australasia Journal vol 7 no 1 pp 24-29 lthttpwwwrenalsocietyorgRSAJjournalmar11Tranterpdfgt
United Kingdom Department of Health 2013 The Cavendish Review An Independent Review into Healthcare Assistants and Support Workers in the NHS and social care settings lthttpswwwgovukgovernmentuploadssystemuploadsattachment_datafile236212Cavendish_Reviewpdfgt pp 6
33
By Laurie Bickhoff MACN
Diary of a newly registered nurse
In Australia it is estimated nearly 20 of nurses will leave the profession within their first year of practice (National Nursing and Nurse Education Taskforce [NNNET] 2005) Internationally this figure ranges from between 35 and 60 (Halfer amp Graf 2006) Many have speculated on the reasons for this with high workloads the difficulties of shift work and unrealistic expectations of what nursing entails all given due consideration (Halfer amp Graf 2006) However as I entered my second year of practice I began to wonder what role disillusionment plays in this exodus of newly trained nurses
Disillusionment to me occurs when you feel your passion dwindling when you suddenly find it that little bit harder to get ready for work when you start feeling a sense of dread as you walk onto the ward This wasnrsquot caused by long hours or ever increasing workloads coupled with diminishing resources It wasnrsquot caused by physically demanding duties or the lack of a social life due to shift work It wasnrsquot caused by dealing with things that might not look or smell that great Unfortunately it was caused by the people around me and an almost institutionalised lack of power not only for nurses but more importantly for our patients
I was dismayed and frustrated to hear how many of my colleagues from all health professions referred to patients I was disheartened to see how easily some could dismiss the suffering we see and the heartache I felt I was overwhelmingly saddened to realise not everyone had the same passion for their profession or empathy for those we are charged to care for as I did
This culminated for me towards the end of my first year of practice There wasnrsquot any one big incident more an accumulation of things that were gradually wearing me down I had a worried patient confide in me that they had been too scared to push the call button on the previous shift because of the response they would receive from the nurse I saw patients constantly being made to fit into everyone elsersquos schedules regardless of their requests It seemed everyone was more important than the person we were there to help
I heard patients referred to as lsquocactusrsquo or described in the notes as lsquounsalvageablersquo meaning there was no chance of the patients making meaningful recoveries I wondered is this really how we refer to people Or did we forget they were actual human beings we were talking about
I had other health professionals dismiss me with comments such as nurses ldquojust wipe bums all dayrdquo or roll their eyes at me when I raised my concerns When I dared to challenge or question I was met with comments of ldquoI miss the old new gradsrdquo I felt tired washed out and was beginning to wonder
whether I could stay in this profession without losing myself
Luckily I found some inspiration I listened to a presentation by Drew Dudley a well-known American academic and motivational speaker where he discusses the idea of lsquolollypop momentsrsquo These are small moments when the people we see and work with every day demonstrate leadership They arenrsquot big grand over the top statements They are small gestures which often unknown to the person who did it have an amazing impact on the lives of others I was lucky enough to have some of these lollypop moments just when I needed them These few sparks were all that I needed to reignite my passion for nursing
The first spark came from an RN2 caring for a patient at the end-stage of a number of diseases who had expressed to the nursing staff multiple times her wish to simply be made comfortable as she knew this was the end of her fight Despite this the patient was not only receiving active treatment but was also currently documented for full resuscitation if she deteriorated
The nurse raised the issue with the medical registrar asking him to have a discussion with the patient regarding her wishes and planning end-of-life care The registrar dismissed her saying ldquowell thatrsquos not what the consultant wantsrdquo The nurse wasnrsquot satisfied and responded ldquoitrsquos not their choice itrsquos the patientrsquos decisionrdquo This nurse had the courage to stand her ground and make sure her patientrsquos voice was heard which ultimately led to the patientrsquos wishes being honoured
The next spark came soon after I was working with a nurse who came from a different cultural background to me where it was seen as impolite to question anyone in authority especially if you were female This meant even if a doctor was accidently standing in her way she would prefer to simply wait rather than ask them to move
Then one day we had a patient who deteriorated rapidly and was in a very critical condition This nurse suddenly became one of the best clinical leaders I have witnessed She led the team questioning orders prompting treatments suggesting causes and outlining the options available I soon realised the difference this was about her patient She was going to ensure her patient received the best care and outcome possible When it was about her patient rather than herself she found her voice
There were a number of smaller incidents that soon followed Sparks came from the senior consultant who re-educated her advanced trainee on the importance of listening to the nurses and acting on their concerns Sparks came from our ward social
34
worker who day after day demonstrated his passion for helping and advocating for those with no voice and often no options Sparks came from the medical residents who expressed their gratitude when you picked up a mistake and were heartfelt in their appreciation of the work nurses do
The brightest sparks came from my patients and their relatives It was their ldquothanksrdquo their ldquoyou donrsquot know how much that meansrdquo their ldquoyoursquoll be back tomorrow wonrsquot yourdquo their squeezing of my hand that reminded me why I do what I do I didnrsquot have to search for inspiration I was surrounded by it The trick was to change my focus
Perhaps all nurses are disillusioned at some point during their careers Perhaps it happens multiple times Perhaps it is a rite of passage with those who make it through the other side the
ones with a true passion for nursing who turn around and help a colleague on their journey
As I continue my nursing career I now look for the brightness that I know is always there far outshining the negativity that we have to deal with I stockpile my lsquolollypop momentsrsquo knowing the amazing examples of kindness and leadership I see every day will help me grow and become a better nurse and hopefully I might be able to be a spark for someone else
You can listen to Drew Dudleyrsquos talk at wwwtedcomtalksdrew_dudley_everyday_leadership
Halfer D and Graf E lsquoGraduate Nurse Perceptions of the Work Experiencersquo Nursing Economics June 2006 Vol 24 No 3 pp 150-55
National Nursing and Nurse Education Taskforce 2005 Mythbusters Available online at httpwwwnnnetgovaudownloadsmythbusters_attritionpdf Accessed June 2014
Arts amp Sciences | Business | Education | Health Sciences | Law | Medicine | Nursing amp Midwifery | Philosophy amp Theology | Physiotherapy
Your journey to a meaningful career awaitsThe School of Nursing amp Midwifery offers the following courses
rsaquo Bachelor of Nursing
rsaquo Bachelor of Nursing (Articulation Pathway for EN Diploma)
rsaquo Graduate Certificate (Acute Mental Health Clinical Nursing Nursing and Nursing Leadership amp Management)
rsaquo Graduate Diploma (Acute Mental Health Clinical Nursing Critical Care Nursing Forensic Nursing Midwifery Nursing and Perioperative Nursing)
rsaquo Master of Nursing (Coursework and Research)
Looking to make a difference So are we
Apply direct notredameeduau
ND
1053
| C
RIC
OS
PR
OV
IDE
R C
OD
E 0
1032
F
35
36
Finishing studies and becoming a new graduate is an exciting milestone Itrsquos usually the first time you begin working full time perhaps moving away from home owning your own car and paying bills
Of course itrsquos important to budget ensuring you have enough money for daily expenses as well as being able to stash some money away The easiest way to keep track of your income versus expenses is to set up an everyday account with your salary paid into it and a savings account earning interest on the money yoursquore able to save In addition you might want to get a credit card so that yoursquove got some money for emergencies
Gain fee free banking freedom
With a BankVic Anywhere account you can enjoy unlimited free withdrawals at any ATM in Australia when you deposit $1000 per month1 Plus you can access your money with free unlimited eftpos transactions a Visa Debit card with paywave and a mobile App
Earn bonus interest on your savings
A BankVic Bonus Saver account is a high interest account that rewards you for saving by giving you bonus interest2 when you deposit a minimum of $100 a month and make no withdrawals plus there are no fees Itrsquos a great way to force yourself to save
Enjoy a credit card with no annual fee
A BankVic Visa Silver credit card offers great value with an introductory rate of 699pa3 for the first 6 months and a low ongoing rate plus no annual fee Itrsquos the perfect back up card
Why not call us today Call your dedicated Member Relationship Manager Phoebe Reid on 9268 9297 or via email preidbankviccomau
1 Minimum deposit of $1000 must be received in the account by close of business on the last business day of the month The deposit cannot be an internal transfer or interest earned form other BankVic products 2 Bonus Saver ndash Deposit $100 per calendar month with no withdrawals and yoursquoll be rewarded with bonus interest Bonus interest rate is capped at a maximum balance of $1000000 3 Credit Card interest rates are variable All interest rates are shown are current as at date of print and are subject to change Fees and charges apply Any advice is general before acting on the advice you should consider whether the advice is appropriate for you Before you make any decision to acquire any product or service you should obtain and consider the relevant Product Disclosure Statement available from our website bankviccomau any branch or by calling us on 13 63 73 Police Financial Services Limited ABN 33 087 651 661 AFSL 240923 Australian Credit Licence 240293ndash trading as BankVic 121 Cardigan Street Carlton Victoria 3053 3-15 5243BV
Advertorial
Banking freedom for nurses and midwives
members matter
Let BankVic take care of you while you take care of others
9268 9297preidbankviccomau
Canstar Pty Ltd Authorised Representative 443019 of Canstar Research Pty Limited ABN 29 114 422 909 AFSL 437917 Police Financial Services Limited ABN 33 087 651 661 AFSL 240293 (BankVic) 121 Cardigan Street Carlton Vic 3053 315 5280bv
Contact your dedicated Member Relationship Manager Phoebe Reid
bankviccomau
19
This is general advice only Consider our product disclosure statement before making a decision about First State Super Call us or visit fi rststatesupercomau for copies Becoming a Student Club member is diff erent to being a First State Super member as you do not hold a superannuation account with the Fund or have any interest right or other relationship with First State Super
FSS Trustee Corporation ABN 11 118 202 672 ASFL 293340 is the trustee of the First State Superannuation Scheme (First State Super) ABN 53 226 460 365 EXP_
Mel
b_Ex
po_A
4_03
15
Join our free Student Club and make the most of the support discounts and benefi ts available only to students
Learn to manage your super better and how you can take advantage of our exclusive member benefi ts
Find out why wersquore the super fund with a heart on Saturday 18 April
Visit us at booth 7 in Melbourne
EXP_Melb_Expo_A4_Mar15_ARTWORKindd 1 6032015 414 pm
By Claire Stewart MACN
Diary of a newly registered nurse
Irsquom almost three months into my role as a newly registered nurse and I had my first 40 Prolene moment recently For the uninitiated this can be a panic fuelled moment where a routine procedure ends up resembling the Texas chainsaw massacre Thankfully I was supported by a wonderfully calm surgeon who waited patiently while I painstakingly attempted to load his life saving suture After the surgery I wiped the blood from my glasses and took a moment to reflect on how I had handled the situation In fact Irsquove spent most of the last three months lsquoreflectingrsquo Deafening groans can be heard from many a third year nursing cohort when wersquore asked yet again to lsquocritically reflectrsquo on our practice as student nurses Let me be the first to admithellip It doesnrsquot stop at graduation
I may not use a dedicated framework or even put pen to paper but the skills I learned during my studies have set me up to ensure I gain the most from every learning opportunity by critically reflecting on my performance simply by force of habit During the last three months my learning curve has veered vertical as I transitioned from university study to my role as a
graduate registered nurse in perioperative services Irsquove had to deal with a new environment (donrsquot even get me started on finding your way around a theatre complex) new colleagues adjusting to full time work and managing family commitments learning an entire new skill set working as a scrubscout dealing with policies procedures and my favourite surgeonsrsquo preference
In these first few months itrsquos very easy to fall into the trap of focussing on how much you donrsquot know However practising critical reflection has allowed me to focus on what I do know how far Irsquove come and what I will learn because Irsquom self-aware Whether you are a new nurse like me and feel like yoursquove handed in one too many pieces of written reflection to your facilitator over the last three years or an experienced nurse who practices self-reflection sub-consciously on the drive home ndash embrace it for the wonderful tool that it is and use it to become the kind of nurse you want to work with
Be in demand Be successfulStudy nursing or midwifery at Monash If you want to make a difference in health care with great employment potential the School of Nursing and Midwifery is a great place to start
As a nurse or midwife there are a variety of roles and a number of specialty areas available to you ensuring a constant career of challenges and diversity
To find out more about our undergraduate courses visit us at ACN Expo Melbourne Stand 84 ndash 85
For more information on our courses visit medmonashedunursing
21
Research collaboration students are welcome
A collaborative research study in Queensland is tapping into the enthusiasm and intelligence of nursing students by training and employing third-years as research assistants data collectors and analysts in contract research projects
Researchers from James Cook Universityrsquos (JCU) Centre for Nursing and Midwifery Research (CNMR) the Far North Queensland Medicare Local and the Cairns and Hinterland Hospital and Health Service are trying to determine why emergency department (ED) presentations to Cairns Hospital have been increasing at a greater rate than the national average
To answer this question CNMR researchers recruited 14 nursing and medical students to survey every willing and able person who presented to the ED
Researchers asked participants for information regarding their reasons for coming to the ED They also asked where they would usually go for medical treatment and what physical and psychological factors influenced their decision to choose the ED over other treatment options
In other phases of the project hospital Emergency Department Information System (EDIS) data have been analysed and patient focus groups have been convened Unstinting faith in the local ED has been noted as one of the key reasons that people choose the ED over other health care options
Most people who come to the ED with lsquonon-urgentrsquo conditions do have general practitioners and a large percentage have sought medical advice in the days prior to presenting to the ED Worry anxiety and uncertainty rather than the severity of the medical condition itself however appears to be a significant motivator to come to the ED where people perceive there is a wide range of services professionals and diagnostic tools available
ACN Emerging Nurse Leader Anna Groth MACN a third-year nursing student from JCU has been collecting collating and analysing data
ldquoOften I would ask someone why they had come to the hospital and they would speak about being in pain but if you asked them about whether they came for the pain or because they were anxious about the pain they would say they had come to the hospital because of the anxietyrdquo explained Anna ldquoIt is such a huge difference ndash the motivation ndash coming for the pain or the anxietyrdquo
Anna said the project opened communication lines between people from different organisations including government university health service hospital and the community leading to collaboration and learning for all
By Marnie Hitchins
Benefits for the students included early career exposure to the research process in which they learnt about data collection analysis and research methods The students also had the opportunity to practise communication skills learn about the organisational cultures of universities and hospitals and work alongside health professionals and patients in a research environment
Students commented that because the power dynamics were different from that of clinical experience (they were not seen as health professionals by patients nor as lsquostudent nursesrsquo by health staff members) they gained insights into the hospital environment they might not otherwise have had
Anna said she learned a lot personally the ED research experience has catapulted her into another area of interest in which she can see herself working in the future
ldquoResearch and policy will be a part of my future Irsquove gained a deep interest in the treatment of women since doing this studyrdquo said Anna
ldquoI have become very interested in domestic violence and the way women are treated in the health service and in the society as a whole I was blown away by the struggle that people have with the system in trying to find support They are so lonely I recognised things being in the ED that I would like to research and have already started exploring the issuesrdquo
CNMR Director Associate Professor Jane Mills FACN said the recruitment and inclusion of students in research projects is part of a broader plan within the CNMR to build undergraduate research capacity
Jane said the CNMR also offered internships to undergraduate students to work on research projects alongside experienced scholars academics and researchers
ldquoJCU strongly supports the inclusion of undergraduate students in research studies where they can gain valuable knowledge skills and experience while also making a contribution to building the evidence base about health care issues of importance to people living in the tropicsrdquo said Jane
ldquoItrsquos a win-win situation where experienced researchers benefit from the studentsrsquo enthusiasm and familiarity with contemporary research principles and students increase their awareness of the importance of research to professional practicerdquo
It is clear to all parties involved that the inclusion of nursing students is benefitting the quality of the project as much as it is benefitting studentsrsquo learning and work experiences
22
Launch your nursing career at St Vincentrsquos
St Vincentrsquos Hospital Melbourne (SVHM) is part of St Vincentrsquos Health Australia and is a leading teaching research and tertiary health service which employs more than 5000 staff across 18 sites throughout Melbourne SVHM provides a diverse range of adult clinical services including acute medical and surgical services sub-acutecare medical diagnostics rehabilitation allied health mental health palliative care correctional health and community residential care SVHM is one of Australiarsquosleading Catholic not-for-prot healthcare providersMake the most of your talents Join the team at St Vincentrsquos
Visit us at the ACN Nursing and Health Expo 2015Find out about our 2016 Graduate Nurse Program andhave a chat to our current graduates educators and nursing staff
St Vincentrsquos Open Evening 2015Wednesday 3rd June 4pm-6pmSt Vincentrsquos Ground Floor Aikenhead Building 27 Victoria Parade Fitzroy
Welcome and Overview of the 2016 Graduate Nurse Program at 4pm 430pm amp 5pm
All welcome ndash no RSVP required
All 24 rotational areas on displayTours of inpatient wardsComplimentary food and beverages provided
For further information visit wwwsvhmorgau or phone the Graduate Nurse Hotline 9231 2244
To follow our 2016 recruitment process Like us at SVHM 2016 Graduate Nurse Program
Compassion Justice Integrity Excellence
24
INTERESTED IN STUDYING DEAKIN NURSING AND MIDWIFERYWe are holding information sessions for our undergraduate courses
BURWOOD CAMPUS 221 BURWOOD HIGHWAY BURWOODWednesday 22 July 6ndash8 pmSaturday 25 July 230ndash430 pm
WATERFRONT CAMPUS 1 GHERINGHAP STREET GEELONGWednesday 22 July 6ndash8 pmSaturday 25 July 230ndash430 pm
WARRNAMBOOL CITY CENTRE 165 TIMOR STREET WARRNAMBOOLFriday 24 July 730 pm
raquo To register your attendance at one of the information sessions above please email nursinfodeakineduau to advise which session you plan to attend
For more information about our undergraduate and postgraduate courses please phone 03 9244 6032
Deakin University CRICOS Provider Code 00113B HLH002
deakineduaunursing
Itrsquos never too early to become a leader
How did you become involved in nursing
I started volunteering from age 14 with St John Ambulance Australia in my hometown of Moruya NSW I loved everything about it ndash loved the joy of helping others and I was so intrigued to learn how to respond effectively in emergencies and show true compassion to others I was also fortunate to have had some very down-to-earth and inspiring mentors who encouraged my interest in nursing and after graduation from high school I undertook the University of Wollongongrsquos Bachelor of Nursing degree
I started my first paid nursing related employment in my third year of the degree at a local hospital I have now graduated and am working as a registered nurse (RN) in a local aged care facility learning the ins and outs of multiple comorbidities patient-centred care and compassionate palliative and end-of-life care
What is your nursing specialty
As I still consider myself as a lsquonewbiersquo RN I havenrsquot really discovered a specialty yet though I have interests in aged care mental health cardiology and nursing research So I guess I am intrigued to be involved in one or all of these areas at some point in my career but I am open to any interesting opportunities that may come my way
What do you love most about nursing
This is truly the job that never has a dull day Each day is different and I feel privileged to be so trusted with the lives of my patients and residents in their moments of hardship and need Along with my love of the workings of the human body the evidence-base behind nursing care and continuous educational opportunities I love the lsquoteamrsquo focus of nursing especially when the patient is at the centre of decision making and everything goes to plan
What is your least favourite part of nursing
When everything doesnrsquot go to plan
What brought you to this area of Australia
Irsquom originally from NSW South but I moved to Wollongong for University and have stuck around for the area the people and to continue to work and study here
What are some of the nursing and health issues that are specific to the Sydney SouthIllawarra Region
Two big issues come to mind Firstly many newly graduated RNs within our region have been unable to find employment Secondly local nurses struggle to find the time within their working hours to keep up to date with advances in education
What do you see as the biggest challenge currently facing the nursing profession and how do you think the profession is placed to respond to these challenges
I believe possible health funding cuts and workforce shortages that in-turn affect our ability to provide adequate and safe patient care are two significant challenges facing our profession There are recently graduated RNs who remain jobless yet there are local health districts crying out for nurses but only those with lsquoexperiencersquo with undergraduate nursing experience ignored Looking into alternative transition programs is key to overcoming this challenge
Whatrsquos the biggest misconception about your career choice
I have met some amazingly talented and intelligent nurses in a variety of roles who all make a great difference in the lives of their patients or indirectly through organisations or research The general misconception that irks me isnrsquot so much a misconception more a statement Irsquove heard multiple times ndash ldquoWhy didnrsquot you become a doctor Why are you just a nurserdquo I did not become a nurse because I didnrsquot have the marks to be a doctor and by the time I finish university again with a Research Masters I would have physically been enrolled in university for the same length of time I became a nurse because I found a passion for this role and spending time with people inspires me
Nursing is a holistic role that encompasses so much We are health professionals role models educators support systems and innovators we understand intimately the fragility of life and the human relationships that bring it meaning
Profile Renee Callender MACN
LeadershipACN
Expand your leadership capacity
25
INTERESTED IN STUDYING DEAKIN NURSING AND MIDWIFERYWe are holding information sessions for our undergraduate courses
BURWOOD CAMPUS 221 BURWOOD HIGHWAY BURWOODWednesday 22 July 6ndash8 pmSaturday 25 July 230ndash430 pm
WATERFRONT CAMPUS 1 GHERINGHAP STREET GEELONGWednesday 22 July 6ndash8 pmSaturday 25 July 230ndash430 pm
WARRNAMBOOL CITY CENTRE 165 TIMOR STREET WARRNAMBOOLFriday 24 July 730 pm
raquo To register your attendance at one of the information sessions above please email nursinfodeakineduau to advise which session you plan to attend
For more information about our undergraduate and postgraduate courses please phone 03 9244 6032
Deakin University CRICOS Provider Code 00113B HLH002
deakineduaunursing
WA EXPO PERTH
26
Welcome from the Chief Nurse amp Midwifery OfficerI am so pleased to be welcoming you to the Australian College of Nursingrsquos Western Australian Nursing and Health Expo for 2015
Attending the Expo is an invaluable experience for anyone interested in nursing and midwifery careers It especially helps high school students and their parents or anyone who is wondering which career direction to take
Hospitals and health services from across WA will be there with some of their nurses and midwives in attendance to answer any questions you may have Come and find out from them what itrsquos really like to be a nurse or midwife
There will also be a range of education providers who will be able to talk about the many courses available to get your career started
It is also a great place to come to discuss and find out about graduate job opportunities building your experience career development opportunities financial support to study changing employers or even returning to a career in nursing or midwifery after being away for a while
The decision to become a nurse or a midwife is a wonderful career choice for anyone who wants to be part of a diverse healthcare professional team and have a challenging rewarding and exciting job where you really can make a difference
The future demand for nurses and midwives is going to be high especially as WArsquos new Fiona Stanley Perth Childrenrsquos Busselton and Midland hospitals all start becoming fully operational so we encourage you to attend the Expo to see where nursing and midwifery might take you
I look forward to seeing you on Friday 1 May 2015 at the Perth Convention and Exhibition Centre
Karen Bradley MACN Chief Nurse and Midwifery Officer WA Health
27
Expo informationLocation
The Perth Convention and Exhibition Centre (PCEC) is Western Australiarsquos only dedicated convention and exhibition facility Each year over 500000 people attend one or more of the 600 plus events conducted at PCEC The Expo will be held in Pavillion 1 at PCEC
Doors open 9am ndash 1pm
Entry
Stairs amp Escalators to Level 2
Registration DeskEntry Foyer
Entry
ACN Expo Pavillion 1
28
Seminars
This year the educational seminar series is back again to provide visitors with up to date information and practical skills to pursue or further their career Seminar attendance is free of charge and registration is not required
Time Topic Presented by
915am How to become a nurse or midwife Rebecca Newton WA Nursing and Midwifery Office
950am Applying via GradConnect and other opportunities for graduate nurses and midwives
Regina Browne WA Nursing and Midwifery Office
1025am Unleashing the potential of your staff Lisa Ansbro and Donna Hampshire Chandler Macleod Health
1100am How to become a nurse or midwife Rebecca Newton WA Nursing and Midwifery Office
1135am Applying via GradConnect and other opportunities for graduate nurses and midwives
Regina Browne WA Nursing and Midwifery Office
1210pm Unleashing the potential of your staff Lisa Ansbro and Donna Hampshire Chandler Macleod Health
The lsquoUnleashing the potential of your staffrsquo seminar is proudly supported by
Chandler Macleod is Australasiarsquos leading provider of integrated HR services products and technologies We have more than 55 yearsrsquo experience in human resources and have specialised within the health sector for 10 of these We are ideally positioned to help you meet the growing demands on your business We provide permanent and temporarycontract recruitment for the full range of Health professions including Carers and Support Workers Enrolled Nurses Registered Nurses Facility and Operations Managers Directors Cleaners and Kitchen staff We are able to provide you with experienced caring staff 247 including public holidays
For more information contact Chandler Macleod on (08) 9217 0510 or visit wwwchandlermacleodcomclientshealth-recruitment
29
Floor plan
42 41
39
40
38
36
37
35
43
44
45
46
47
48
Entrance
Seminar area
Cafeacute
7
5
8
6
20
18
19
17
11
9
12
10
16
14
15
13
34 33 32 31 30 29 28
30
Exhibitor listing
Organisation Name Booth Number
AACDS 8
Armadale Health Service 38
Belmore Nurses Bureau 30
Central Institute of Technology 20
Chandler Macleod Health 16
Child amp Adolescent Health Service 42
Curtin University of Technology 19
Defence Force Recruiting 910
Edith Cowan University - School of Nursing and Midwifery
3334
Fiona Stanley Hospital 36
Fremantle Hospital 44
HESTA 5
Hollywood Private Hospital 7
Institute of Health amp Nursing Australia 32
Mediserve Nursing Agency 6
Murdoch University 1112
My Flex Health International 18
Organisation Name Booth Number
Next Step 48
North Metropolitan Mental Health 35
NurseWest 47
Nursing amp Midwifery Board of Australia 29
Osborne Park Hospital 46
Prime Super 17
PampN Bank 15
Rockingham General Hospital 39
Royal Perth Hospital 37
Sir Charles Gairdner Hospital 45
The Bethanie Group Inc 31
The University of Notre Dame 13
WA Country Health Service 40
WA Nursing amp Midwifery Office 43
West Coast Institute of Training 14
Women amp Newborn Health Service 41
Work the World 28
The WA Nursing amp Health Expo is proudly supported by
The WA Nursing and Midwifery Office is very proud to partner once again with the Australian College of Nursing for the 2015 Nursing and Health Expo The nursing and midwifery professions offer an array of interesting and diverse experiences With these highly valued and respected skills relevant anywhere in the world nurses and midwives will always be in demand ndash in hospitals and in a range of other workplaces In WA the future demand for nurses and midwives is going to be high especially as our new Fiona Stanley Perth Childrenrsquos Busselton and Midland hospitals all start becoming fully operational so considering a career in nursing or midwifery is a great idea
wwwnursinghealthwagovau
31
In Australia enrolled nurses (ENs) are a core component of the health care workforce and make an important contribution to Australiarsquos world-class health outcomes ENs work in varied settings across the country from blood services to aged care facilities Increasingly ENs are playing an important role in meeting the growing demand for care
Not all countries have recognised the importance of ENs in the nurse workforce mix Several European countries including France Denmark Italy and Spain have only one category of regulated nurse (HWA 2013 Robinson and Griffiths 2007) The United Kingdom (UK) ceased admitting new ENs to the register in the 1980s The minimum qualification for all UK nurses is now a three-year bachelorrsquos degree As a result the UK relies heavily on unregistered health care assistants rather than second-level nurses (UK Department of Health 2013) Closer to home New Zealand ceased training ENs in 1993 only to recommence in the 2000s (Meek 2009) New Zealandrsquos experiment is an instructive demonstration of the importance of ENs in the health care workforce as the demand for nursing care increases
In Australia we have remained committed to maintaining the EN role Rather than relying on unregistered health care workers Australia has chosen to maintain a large educated and professional EN workforce The skilled work of ENs is recognised to be of paramount importance to the delivery of high quality nursing care Our EN workforce is highly dynamic and continues to evolve within the changing landscape of Australian health care policy and regulation
Enrolled nurse demographics
According to the latest national figures there are 51624 ENs working in Australia The great majority of ENs have completed their pre-registration education in Australia fewer than 5 have been educated overseas (HWA 2013)
The EN workforce has a relatively high average age of 46 years and forty-five per cent of ENs have celebrated their fiftieth birthdays (AIHW 2013) According to Health Workforce Australia the ageing EN workforce could lead to a significant shortfall in the supply of ENs if action is not taken to retain the current cohort of ENs and increase the number of people studying to be the ENs of tomorrow (HWA 2012)
Men make up roughly 10 of the EN workforce While this number is rising gradually it indicates that there is progress to be made in terms of attracting and retaining males within the profession Aboriginal and Torres Strait Islander people are
also underrepresented in the EN workforce only around 800 of Australiarsquos ENs identify as Indigenous Australians (AIHW 2013)
Among the most common work settings for ENs are aged care rehabilitation and disability services In contrast ENs make up fewer than 5 of the critical care nursing workforce and represent only a small proportion of nurses working in education policy and management (AIHW 2013)
These statistics show that there are both challenges and opportunities for Australiarsquos EN workforce Efforts to recruit and retain ENs will need to be enhanced with a particular focus on encouraging men and Aboriginal and Torres Strait Islander people to become ENs At the same time roles in a wider range of clinical areas are becoming available to suitably educated and qualified ENs and there will be more such opportunities in the coming years
A growing role for ENs
The evolving role of the EN is reflected in recent changes to educational requirements for ENs As of 1 July 2014 the Certificate IV in enrolled nursing ceased to be available and the minimum qualification for EN entry to practice will be the Diploma of Nursing The transition to a Diploma recognises the high level of skill ENs contribute to todayrsquos health care teams A nationally consistent approach to EN education is also likely to enhance the mobility of the EN workforce by giving employers confidence in the knowledge and skills of ENs educated in other states
ENs are now undertaking a diverse range of roles One of the earliest areas of role expansion for ENs was medication endorsement Before the move to national registration in 2010 ENs in some states were able to obtain an endorsement in medicines administration and become Endorsed Enrolled Nurses by completing specified education units This endorsement has now been phased out because from 2008 onwards all newly qualified ENs have completed the required medicines administration education Instead the register now identifies ENs who have not completed the required courses (NMBA 2014) This example demonstrates how the EN role has evolved over the years Whereas once only a relatively small number of ENs were educated to administer medicines now all student ENs complete medicines administration units as part of their initial nursing education
The EN role is also expanding in other ways For example ENs are taking on a growing role within haemodialysis units (Tranter et al 2011) The 2008 Australia and New Zealand Dialysis Workforce Survey conducted by the Renal Society of Australia found that there were 188 ENs working in dialysis alongside 2433 registered nurses (RNs) The growing demand for dialysis
The potential of the enrolled nursing workforce
By Rosina Muir and Dr Marlene Eggert MACN
32
services and the shortage of dialysis RNs in some areas represents a clear opportunity for ENs According to a New South Wales study conducted in 2009 the scope of practice of ENs in haemodialysis units may include cannulation (including both native access and buttonhole cannulation) connecting and disconnecting haemodialysis central venous catheters (CVCs) performing CVC dressings giving iron infusions and administering erythropoietin anticoagulants and Lignocaine In addition ENs may also take on a case management or health promotion role for dialysis patients (Bennett et al 2009)
ENs are also moving into extended roles in rehabilitation services A recent study of ENs in an Australian rehabilitation facility found that in addition to assisting patients with activities of daily living ENs may take on roles in coaching and supporting patients to reach their individual goals monitoring the patientrsquos progress and liaising with other members of the multidisciplinary rehabilitation team The study found that many ENs demonstrate an understanding of the philosophy of rehabilitation nursing including goal setting and enabling self-care (Pryor and Buzio 2013)
In rural Australia ENs are taking on a diverse range of roles within the EN scope of practice in order to meet local needs ENs with specialist skills such as infection control or wound care make a significant contribution to some rural health services although their extended scope of practice is not always given appropriate recognition by their RN colleagues (Nankervis et al 2008) Rural health services are increasingly recognising that supporting ENs to take on extended roles and further develop their clinical skills can be a successful model for the delivery of high quality patient care
Recognising the evolving EN scope of practice
In light of the fact that there have been significant changes to EN education regulation and scope over the last decade the NMBA has commissioned Monash University to review the currency of the standards against contemporary enrolled nursing roles The Monash University project has involved a review of the literature as well as a series of focus groups and surveys to gather insights from both RNs and ENs on the education scope of practice and supervision of ENs (Monash University 2013) The project is expected to be completed in 2014 (NMBA 2013)
Our advocacy for ENs
ACNrsquos advocacy priorities are explicitly designed to support both registered and enrolled nurses In 2014 ACN has argued for a range of policies that would have a positive impact on the
retention and flexibility of enrolled nurses For example ACN has proposed a National Transition Framework to support the flexibility and mobility of both the EN and the RN workforces The Framework would be accessible to nurses entering the workforce as well as nurses transitioning from one area of practice to another For example it would support an EN wishing to transition from the aged care sector to a hospital-based role
ACN has also put forward a proposal for a new scholarship program to support newly registered and enrolled nurses to practice in rural services It is essential that rural health service providers are able to attract appropriately educated staff including both ENs and RNs in order to maintain an optimal skill mix The scholarship scheme will allow rural health services to employ newly registered and enrolled nurses as supernumerary team members while providing them with a structured clinical learning program
ACN will continue to provide a voice for ENs in policy discussions and advocate for the role of ENs in health care delivery Australian Institute of Health and Welfare 2013 Nursing and midwifery workforce 2012 lthttpwwwaihwgovauWorkAreaDownloadAssetaspxid=60129545314gt pp 6
Bennett P McNeill L Polaschek N 2009 lsquoThe Australian and New Zealand Dialysis Workforcersquo Renal Society of Australasia Journal vol 5 no3 pp 147-151 lthttpwwwrenalsocietyorgRSAJjournalnov09bennett2pdfgt
Health Workforce Australia 2012 Health Workforce 2025 Doctors Nurses and Midwives vol 1 lthttpwwwhwagovausitesuploadsFinalReport_Volume1_FINAL-20120424pdfgt pp 137-142
Health Workforce Australia 2013 Nurses in Focus lthttpwwwhwagovausitesuploadsNurses-in-Focus-FINALpdfgt
Meek G 2010 Second level nurses a critical examination of their evolving role in New Zealand Healthcare lthttpresearcharchivewintecacnz9621Repository_entry_HLNU902pdfgt pp 3
Monash University 2013 The National Review of the Enrolled Nurse Competency Standards lthttpwwwmedmonashedunursingcompetency-standardsgt
Nankervis K Kenny A Bish M 2008 Enhancing scope of practice for the second level nurse A change process to meet growing demand for rural health services lthttpwwwncbinlmnihgovpubmed18844530gt
Nursing and Midwifery Board of Australia 2013 Communique Meeting of the Nursing and Midwifery Board of Australia 27 February 2013 in the AHPRA Hobart Office TasmanialthttpwwwnursingmidwiferyboardgovauNewsCommuniques-from-Board-meetingsaspxgt
Nursing and Midwifery Board of Australia 2014 Enrolled nurses and medicine administration lt httpwwwnursingmidwiferyboardgovauCodes-Guidelines-StatementsFAQaspxgt
Pryor J Buzio A 2013 lsquoDo ldquotwo typesrdquo of ENs work in rehabilitation in Australiarsquo Journal of the Australasian Rehabilitation Nurses Association vol 16 no 1 pp 14-19 lthttpsearchinformitcomaudocumentSummarydn=480975443102792res=IELHEAgt
Robinson S and Griffiths P 2007 Nursing education and regulation International profiles and perspectives lthttpeprintssotonacuk3487721NurseEduProfilespdfgt pp 7-17
Tranter S Westgarth F White G 2011 lsquoThe scope of practice of the haemodialysis Enrolled Nurse in new South Walesrsquo Renal Society of Australasia Journal vol 7 no 1 pp 24-29 lthttpwwwrenalsocietyorgRSAJjournalmar11Tranterpdfgt
United Kingdom Department of Health 2013 The Cavendish Review An Independent Review into Healthcare Assistants and Support Workers in the NHS and social care settings lthttpswwwgovukgovernmentuploadssystemuploadsattachment_datafile236212Cavendish_Reviewpdfgt pp 6
33
By Laurie Bickhoff MACN
Diary of a newly registered nurse
In Australia it is estimated nearly 20 of nurses will leave the profession within their first year of practice (National Nursing and Nurse Education Taskforce [NNNET] 2005) Internationally this figure ranges from between 35 and 60 (Halfer amp Graf 2006) Many have speculated on the reasons for this with high workloads the difficulties of shift work and unrealistic expectations of what nursing entails all given due consideration (Halfer amp Graf 2006) However as I entered my second year of practice I began to wonder what role disillusionment plays in this exodus of newly trained nurses
Disillusionment to me occurs when you feel your passion dwindling when you suddenly find it that little bit harder to get ready for work when you start feeling a sense of dread as you walk onto the ward This wasnrsquot caused by long hours or ever increasing workloads coupled with diminishing resources It wasnrsquot caused by physically demanding duties or the lack of a social life due to shift work It wasnrsquot caused by dealing with things that might not look or smell that great Unfortunately it was caused by the people around me and an almost institutionalised lack of power not only for nurses but more importantly for our patients
I was dismayed and frustrated to hear how many of my colleagues from all health professions referred to patients I was disheartened to see how easily some could dismiss the suffering we see and the heartache I felt I was overwhelmingly saddened to realise not everyone had the same passion for their profession or empathy for those we are charged to care for as I did
This culminated for me towards the end of my first year of practice There wasnrsquot any one big incident more an accumulation of things that were gradually wearing me down I had a worried patient confide in me that they had been too scared to push the call button on the previous shift because of the response they would receive from the nurse I saw patients constantly being made to fit into everyone elsersquos schedules regardless of their requests It seemed everyone was more important than the person we were there to help
I heard patients referred to as lsquocactusrsquo or described in the notes as lsquounsalvageablersquo meaning there was no chance of the patients making meaningful recoveries I wondered is this really how we refer to people Or did we forget they were actual human beings we were talking about
I had other health professionals dismiss me with comments such as nurses ldquojust wipe bums all dayrdquo or roll their eyes at me when I raised my concerns When I dared to challenge or question I was met with comments of ldquoI miss the old new gradsrdquo I felt tired washed out and was beginning to wonder
whether I could stay in this profession without losing myself
Luckily I found some inspiration I listened to a presentation by Drew Dudley a well-known American academic and motivational speaker where he discusses the idea of lsquolollypop momentsrsquo These are small moments when the people we see and work with every day demonstrate leadership They arenrsquot big grand over the top statements They are small gestures which often unknown to the person who did it have an amazing impact on the lives of others I was lucky enough to have some of these lollypop moments just when I needed them These few sparks were all that I needed to reignite my passion for nursing
The first spark came from an RN2 caring for a patient at the end-stage of a number of diseases who had expressed to the nursing staff multiple times her wish to simply be made comfortable as she knew this was the end of her fight Despite this the patient was not only receiving active treatment but was also currently documented for full resuscitation if she deteriorated
The nurse raised the issue with the medical registrar asking him to have a discussion with the patient regarding her wishes and planning end-of-life care The registrar dismissed her saying ldquowell thatrsquos not what the consultant wantsrdquo The nurse wasnrsquot satisfied and responded ldquoitrsquos not their choice itrsquos the patientrsquos decisionrdquo This nurse had the courage to stand her ground and make sure her patientrsquos voice was heard which ultimately led to the patientrsquos wishes being honoured
The next spark came soon after I was working with a nurse who came from a different cultural background to me where it was seen as impolite to question anyone in authority especially if you were female This meant even if a doctor was accidently standing in her way she would prefer to simply wait rather than ask them to move
Then one day we had a patient who deteriorated rapidly and was in a very critical condition This nurse suddenly became one of the best clinical leaders I have witnessed She led the team questioning orders prompting treatments suggesting causes and outlining the options available I soon realised the difference this was about her patient She was going to ensure her patient received the best care and outcome possible When it was about her patient rather than herself she found her voice
There were a number of smaller incidents that soon followed Sparks came from the senior consultant who re-educated her advanced trainee on the importance of listening to the nurses and acting on their concerns Sparks came from our ward social
34
worker who day after day demonstrated his passion for helping and advocating for those with no voice and often no options Sparks came from the medical residents who expressed their gratitude when you picked up a mistake and were heartfelt in their appreciation of the work nurses do
The brightest sparks came from my patients and their relatives It was their ldquothanksrdquo their ldquoyou donrsquot know how much that meansrdquo their ldquoyoursquoll be back tomorrow wonrsquot yourdquo their squeezing of my hand that reminded me why I do what I do I didnrsquot have to search for inspiration I was surrounded by it The trick was to change my focus
Perhaps all nurses are disillusioned at some point during their careers Perhaps it happens multiple times Perhaps it is a rite of passage with those who make it through the other side the
ones with a true passion for nursing who turn around and help a colleague on their journey
As I continue my nursing career I now look for the brightness that I know is always there far outshining the negativity that we have to deal with I stockpile my lsquolollypop momentsrsquo knowing the amazing examples of kindness and leadership I see every day will help me grow and become a better nurse and hopefully I might be able to be a spark for someone else
You can listen to Drew Dudleyrsquos talk at wwwtedcomtalksdrew_dudley_everyday_leadership
Halfer D and Graf E lsquoGraduate Nurse Perceptions of the Work Experiencersquo Nursing Economics June 2006 Vol 24 No 3 pp 150-55
National Nursing and Nurse Education Taskforce 2005 Mythbusters Available online at httpwwwnnnetgovaudownloadsmythbusters_attritionpdf Accessed June 2014
Arts amp Sciences | Business | Education | Health Sciences | Law | Medicine | Nursing amp Midwifery | Philosophy amp Theology | Physiotherapy
Your journey to a meaningful career awaitsThe School of Nursing amp Midwifery offers the following courses
rsaquo Bachelor of Nursing
rsaquo Bachelor of Nursing (Articulation Pathway for EN Diploma)
rsaquo Graduate Certificate (Acute Mental Health Clinical Nursing Nursing and Nursing Leadership amp Management)
rsaquo Graduate Diploma (Acute Mental Health Clinical Nursing Critical Care Nursing Forensic Nursing Midwifery Nursing and Perioperative Nursing)
rsaquo Master of Nursing (Coursework and Research)
Looking to make a difference So are we
Apply direct notredameeduau
ND
1053
| C
RIC
OS
PR
OV
IDE
R C
OD
E 0
1032
F
35
36
This is general advice only Consider our product disclosure statement before making a decision about First State Super Call us or visit fi rststatesupercomau for copies Becoming a Student Club member is diff erent to being a First State Super member as you do not hold a superannuation account with the Fund or have any interest right or other relationship with First State Super
FSS Trustee Corporation ABN 11 118 202 672 ASFL 293340 is the trustee of the First State Superannuation Scheme (First State Super) ABN 53 226 460 365 EXP_
Mel
b_Ex
po_A
4_03
15
Join our free Student Club and make the most of the support discounts and benefi ts available only to students
Learn to manage your super better and how you can take advantage of our exclusive member benefi ts
Find out why wersquore the super fund with a heart on Saturday 18 April
Visit us at booth 7 in Melbourne
EXP_Melb_Expo_A4_Mar15_ARTWORKindd 1 6032015 414 pm
By Claire Stewart MACN
Diary of a newly registered nurse
Irsquom almost three months into my role as a newly registered nurse and I had my first 40 Prolene moment recently For the uninitiated this can be a panic fuelled moment where a routine procedure ends up resembling the Texas chainsaw massacre Thankfully I was supported by a wonderfully calm surgeon who waited patiently while I painstakingly attempted to load his life saving suture After the surgery I wiped the blood from my glasses and took a moment to reflect on how I had handled the situation In fact Irsquove spent most of the last three months lsquoreflectingrsquo Deafening groans can be heard from many a third year nursing cohort when wersquore asked yet again to lsquocritically reflectrsquo on our practice as student nurses Let me be the first to admithellip It doesnrsquot stop at graduation
I may not use a dedicated framework or even put pen to paper but the skills I learned during my studies have set me up to ensure I gain the most from every learning opportunity by critically reflecting on my performance simply by force of habit During the last three months my learning curve has veered vertical as I transitioned from university study to my role as a
graduate registered nurse in perioperative services Irsquove had to deal with a new environment (donrsquot even get me started on finding your way around a theatre complex) new colleagues adjusting to full time work and managing family commitments learning an entire new skill set working as a scrubscout dealing with policies procedures and my favourite surgeonsrsquo preference
In these first few months itrsquos very easy to fall into the trap of focussing on how much you donrsquot know However practising critical reflection has allowed me to focus on what I do know how far Irsquove come and what I will learn because Irsquom self-aware Whether you are a new nurse like me and feel like yoursquove handed in one too many pieces of written reflection to your facilitator over the last three years or an experienced nurse who practices self-reflection sub-consciously on the drive home ndash embrace it for the wonderful tool that it is and use it to become the kind of nurse you want to work with
Be in demand Be successfulStudy nursing or midwifery at Monash If you want to make a difference in health care with great employment potential the School of Nursing and Midwifery is a great place to start
As a nurse or midwife there are a variety of roles and a number of specialty areas available to you ensuring a constant career of challenges and diversity
To find out more about our undergraduate courses visit us at ACN Expo Melbourne Stand 84 ndash 85
For more information on our courses visit medmonashedunursing
21
Research collaboration students are welcome
A collaborative research study in Queensland is tapping into the enthusiasm and intelligence of nursing students by training and employing third-years as research assistants data collectors and analysts in contract research projects
Researchers from James Cook Universityrsquos (JCU) Centre for Nursing and Midwifery Research (CNMR) the Far North Queensland Medicare Local and the Cairns and Hinterland Hospital and Health Service are trying to determine why emergency department (ED) presentations to Cairns Hospital have been increasing at a greater rate than the national average
To answer this question CNMR researchers recruited 14 nursing and medical students to survey every willing and able person who presented to the ED
Researchers asked participants for information regarding their reasons for coming to the ED They also asked where they would usually go for medical treatment and what physical and psychological factors influenced their decision to choose the ED over other treatment options
In other phases of the project hospital Emergency Department Information System (EDIS) data have been analysed and patient focus groups have been convened Unstinting faith in the local ED has been noted as one of the key reasons that people choose the ED over other health care options
Most people who come to the ED with lsquonon-urgentrsquo conditions do have general practitioners and a large percentage have sought medical advice in the days prior to presenting to the ED Worry anxiety and uncertainty rather than the severity of the medical condition itself however appears to be a significant motivator to come to the ED where people perceive there is a wide range of services professionals and diagnostic tools available
ACN Emerging Nurse Leader Anna Groth MACN a third-year nursing student from JCU has been collecting collating and analysing data
ldquoOften I would ask someone why they had come to the hospital and they would speak about being in pain but if you asked them about whether they came for the pain or because they were anxious about the pain they would say they had come to the hospital because of the anxietyrdquo explained Anna ldquoIt is such a huge difference ndash the motivation ndash coming for the pain or the anxietyrdquo
Anna said the project opened communication lines between people from different organisations including government university health service hospital and the community leading to collaboration and learning for all
By Marnie Hitchins
Benefits for the students included early career exposure to the research process in which they learnt about data collection analysis and research methods The students also had the opportunity to practise communication skills learn about the organisational cultures of universities and hospitals and work alongside health professionals and patients in a research environment
Students commented that because the power dynamics were different from that of clinical experience (they were not seen as health professionals by patients nor as lsquostudent nursesrsquo by health staff members) they gained insights into the hospital environment they might not otherwise have had
Anna said she learned a lot personally the ED research experience has catapulted her into another area of interest in which she can see herself working in the future
ldquoResearch and policy will be a part of my future Irsquove gained a deep interest in the treatment of women since doing this studyrdquo said Anna
ldquoI have become very interested in domestic violence and the way women are treated in the health service and in the society as a whole I was blown away by the struggle that people have with the system in trying to find support They are so lonely I recognised things being in the ED that I would like to research and have already started exploring the issuesrdquo
CNMR Director Associate Professor Jane Mills FACN said the recruitment and inclusion of students in research projects is part of a broader plan within the CNMR to build undergraduate research capacity
Jane said the CNMR also offered internships to undergraduate students to work on research projects alongside experienced scholars academics and researchers
ldquoJCU strongly supports the inclusion of undergraduate students in research studies where they can gain valuable knowledge skills and experience while also making a contribution to building the evidence base about health care issues of importance to people living in the tropicsrdquo said Jane
ldquoItrsquos a win-win situation where experienced researchers benefit from the studentsrsquo enthusiasm and familiarity with contemporary research principles and students increase their awareness of the importance of research to professional practicerdquo
It is clear to all parties involved that the inclusion of nursing students is benefitting the quality of the project as much as it is benefitting studentsrsquo learning and work experiences
22
Launch your nursing career at St Vincentrsquos
St Vincentrsquos Hospital Melbourne (SVHM) is part of St Vincentrsquos Health Australia and is a leading teaching research and tertiary health service which employs more than 5000 staff across 18 sites throughout Melbourne SVHM provides a diverse range of adult clinical services including acute medical and surgical services sub-acutecare medical diagnostics rehabilitation allied health mental health palliative care correctional health and community residential care SVHM is one of Australiarsquosleading Catholic not-for-prot healthcare providersMake the most of your talents Join the team at St Vincentrsquos
Visit us at the ACN Nursing and Health Expo 2015Find out about our 2016 Graduate Nurse Program andhave a chat to our current graduates educators and nursing staff
St Vincentrsquos Open Evening 2015Wednesday 3rd June 4pm-6pmSt Vincentrsquos Ground Floor Aikenhead Building 27 Victoria Parade Fitzroy
Welcome and Overview of the 2016 Graduate Nurse Program at 4pm 430pm amp 5pm
All welcome ndash no RSVP required
All 24 rotational areas on displayTours of inpatient wardsComplimentary food and beverages provided
For further information visit wwwsvhmorgau or phone the Graduate Nurse Hotline 9231 2244
To follow our 2016 recruitment process Like us at SVHM 2016 Graduate Nurse Program
Compassion Justice Integrity Excellence
24
INTERESTED IN STUDYING DEAKIN NURSING AND MIDWIFERYWe are holding information sessions for our undergraduate courses
BURWOOD CAMPUS 221 BURWOOD HIGHWAY BURWOODWednesday 22 July 6ndash8 pmSaturday 25 July 230ndash430 pm
WATERFRONT CAMPUS 1 GHERINGHAP STREET GEELONGWednesday 22 July 6ndash8 pmSaturday 25 July 230ndash430 pm
WARRNAMBOOL CITY CENTRE 165 TIMOR STREET WARRNAMBOOLFriday 24 July 730 pm
raquo To register your attendance at one of the information sessions above please email nursinfodeakineduau to advise which session you plan to attend
For more information about our undergraduate and postgraduate courses please phone 03 9244 6032
Deakin University CRICOS Provider Code 00113B HLH002
deakineduaunursing
Itrsquos never too early to become a leader
How did you become involved in nursing
I started volunteering from age 14 with St John Ambulance Australia in my hometown of Moruya NSW I loved everything about it ndash loved the joy of helping others and I was so intrigued to learn how to respond effectively in emergencies and show true compassion to others I was also fortunate to have had some very down-to-earth and inspiring mentors who encouraged my interest in nursing and after graduation from high school I undertook the University of Wollongongrsquos Bachelor of Nursing degree
I started my first paid nursing related employment in my third year of the degree at a local hospital I have now graduated and am working as a registered nurse (RN) in a local aged care facility learning the ins and outs of multiple comorbidities patient-centred care and compassionate palliative and end-of-life care
What is your nursing specialty
As I still consider myself as a lsquonewbiersquo RN I havenrsquot really discovered a specialty yet though I have interests in aged care mental health cardiology and nursing research So I guess I am intrigued to be involved in one or all of these areas at some point in my career but I am open to any interesting opportunities that may come my way
What do you love most about nursing
This is truly the job that never has a dull day Each day is different and I feel privileged to be so trusted with the lives of my patients and residents in their moments of hardship and need Along with my love of the workings of the human body the evidence-base behind nursing care and continuous educational opportunities I love the lsquoteamrsquo focus of nursing especially when the patient is at the centre of decision making and everything goes to plan
What is your least favourite part of nursing
When everything doesnrsquot go to plan
What brought you to this area of Australia
Irsquom originally from NSW South but I moved to Wollongong for University and have stuck around for the area the people and to continue to work and study here
What are some of the nursing and health issues that are specific to the Sydney SouthIllawarra Region
Two big issues come to mind Firstly many newly graduated RNs within our region have been unable to find employment Secondly local nurses struggle to find the time within their working hours to keep up to date with advances in education
What do you see as the biggest challenge currently facing the nursing profession and how do you think the profession is placed to respond to these challenges
I believe possible health funding cuts and workforce shortages that in-turn affect our ability to provide adequate and safe patient care are two significant challenges facing our profession There are recently graduated RNs who remain jobless yet there are local health districts crying out for nurses but only those with lsquoexperiencersquo with undergraduate nursing experience ignored Looking into alternative transition programs is key to overcoming this challenge
Whatrsquos the biggest misconception about your career choice
I have met some amazingly talented and intelligent nurses in a variety of roles who all make a great difference in the lives of their patients or indirectly through organisations or research The general misconception that irks me isnrsquot so much a misconception more a statement Irsquove heard multiple times ndash ldquoWhy didnrsquot you become a doctor Why are you just a nurserdquo I did not become a nurse because I didnrsquot have the marks to be a doctor and by the time I finish university again with a Research Masters I would have physically been enrolled in university for the same length of time I became a nurse because I found a passion for this role and spending time with people inspires me
Nursing is a holistic role that encompasses so much We are health professionals role models educators support systems and innovators we understand intimately the fragility of life and the human relationships that bring it meaning
Profile Renee Callender MACN
LeadershipACN
Expand your leadership capacity
25
INTERESTED IN STUDYING DEAKIN NURSING AND MIDWIFERYWe are holding information sessions for our undergraduate courses
BURWOOD CAMPUS 221 BURWOOD HIGHWAY BURWOODWednesday 22 July 6ndash8 pmSaturday 25 July 230ndash430 pm
WATERFRONT CAMPUS 1 GHERINGHAP STREET GEELONGWednesday 22 July 6ndash8 pmSaturday 25 July 230ndash430 pm
WARRNAMBOOL CITY CENTRE 165 TIMOR STREET WARRNAMBOOLFriday 24 July 730 pm
raquo To register your attendance at one of the information sessions above please email nursinfodeakineduau to advise which session you plan to attend
For more information about our undergraduate and postgraduate courses please phone 03 9244 6032
Deakin University CRICOS Provider Code 00113B HLH002
deakineduaunursing
WA EXPO PERTH
26
Welcome from the Chief Nurse amp Midwifery OfficerI am so pleased to be welcoming you to the Australian College of Nursingrsquos Western Australian Nursing and Health Expo for 2015
Attending the Expo is an invaluable experience for anyone interested in nursing and midwifery careers It especially helps high school students and their parents or anyone who is wondering which career direction to take
Hospitals and health services from across WA will be there with some of their nurses and midwives in attendance to answer any questions you may have Come and find out from them what itrsquos really like to be a nurse or midwife
There will also be a range of education providers who will be able to talk about the many courses available to get your career started
It is also a great place to come to discuss and find out about graduate job opportunities building your experience career development opportunities financial support to study changing employers or even returning to a career in nursing or midwifery after being away for a while
The decision to become a nurse or a midwife is a wonderful career choice for anyone who wants to be part of a diverse healthcare professional team and have a challenging rewarding and exciting job where you really can make a difference
The future demand for nurses and midwives is going to be high especially as WArsquos new Fiona Stanley Perth Childrenrsquos Busselton and Midland hospitals all start becoming fully operational so we encourage you to attend the Expo to see where nursing and midwifery might take you
I look forward to seeing you on Friday 1 May 2015 at the Perth Convention and Exhibition Centre
Karen Bradley MACN Chief Nurse and Midwifery Officer WA Health
27
Expo informationLocation
The Perth Convention and Exhibition Centre (PCEC) is Western Australiarsquos only dedicated convention and exhibition facility Each year over 500000 people attend one or more of the 600 plus events conducted at PCEC The Expo will be held in Pavillion 1 at PCEC
Doors open 9am ndash 1pm
Entry
Stairs amp Escalators to Level 2
Registration DeskEntry Foyer
Entry
ACN Expo Pavillion 1
28
Seminars
This year the educational seminar series is back again to provide visitors with up to date information and practical skills to pursue or further their career Seminar attendance is free of charge and registration is not required
Time Topic Presented by
915am How to become a nurse or midwife Rebecca Newton WA Nursing and Midwifery Office
950am Applying via GradConnect and other opportunities for graduate nurses and midwives
Regina Browne WA Nursing and Midwifery Office
1025am Unleashing the potential of your staff Lisa Ansbro and Donna Hampshire Chandler Macleod Health
1100am How to become a nurse or midwife Rebecca Newton WA Nursing and Midwifery Office
1135am Applying via GradConnect and other opportunities for graduate nurses and midwives
Regina Browne WA Nursing and Midwifery Office
1210pm Unleashing the potential of your staff Lisa Ansbro and Donna Hampshire Chandler Macleod Health
The lsquoUnleashing the potential of your staffrsquo seminar is proudly supported by
Chandler Macleod is Australasiarsquos leading provider of integrated HR services products and technologies We have more than 55 yearsrsquo experience in human resources and have specialised within the health sector for 10 of these We are ideally positioned to help you meet the growing demands on your business We provide permanent and temporarycontract recruitment for the full range of Health professions including Carers and Support Workers Enrolled Nurses Registered Nurses Facility and Operations Managers Directors Cleaners and Kitchen staff We are able to provide you with experienced caring staff 247 including public holidays
For more information contact Chandler Macleod on (08) 9217 0510 or visit wwwchandlermacleodcomclientshealth-recruitment
29
Floor plan
42 41
39
40
38
36
37
35
43
44
45
46
47
48
Entrance
Seminar area
Cafeacute
7
5
8
6
20
18
19
17
11
9
12
10
16
14
15
13
34 33 32 31 30 29 28
30
Exhibitor listing
Organisation Name Booth Number
AACDS 8
Armadale Health Service 38
Belmore Nurses Bureau 30
Central Institute of Technology 20
Chandler Macleod Health 16
Child amp Adolescent Health Service 42
Curtin University of Technology 19
Defence Force Recruiting 910
Edith Cowan University - School of Nursing and Midwifery
3334
Fiona Stanley Hospital 36
Fremantle Hospital 44
HESTA 5
Hollywood Private Hospital 7
Institute of Health amp Nursing Australia 32
Mediserve Nursing Agency 6
Murdoch University 1112
My Flex Health International 18
Organisation Name Booth Number
Next Step 48
North Metropolitan Mental Health 35
NurseWest 47
Nursing amp Midwifery Board of Australia 29
Osborne Park Hospital 46
Prime Super 17
PampN Bank 15
Rockingham General Hospital 39
Royal Perth Hospital 37
Sir Charles Gairdner Hospital 45
The Bethanie Group Inc 31
The University of Notre Dame 13
WA Country Health Service 40
WA Nursing amp Midwifery Office 43
West Coast Institute of Training 14
Women amp Newborn Health Service 41
Work the World 28
The WA Nursing amp Health Expo is proudly supported by
The WA Nursing and Midwifery Office is very proud to partner once again with the Australian College of Nursing for the 2015 Nursing and Health Expo The nursing and midwifery professions offer an array of interesting and diverse experiences With these highly valued and respected skills relevant anywhere in the world nurses and midwives will always be in demand ndash in hospitals and in a range of other workplaces In WA the future demand for nurses and midwives is going to be high especially as our new Fiona Stanley Perth Childrenrsquos Busselton and Midland hospitals all start becoming fully operational so considering a career in nursing or midwifery is a great idea
wwwnursinghealthwagovau
31
In Australia enrolled nurses (ENs) are a core component of the health care workforce and make an important contribution to Australiarsquos world-class health outcomes ENs work in varied settings across the country from blood services to aged care facilities Increasingly ENs are playing an important role in meeting the growing demand for care
Not all countries have recognised the importance of ENs in the nurse workforce mix Several European countries including France Denmark Italy and Spain have only one category of regulated nurse (HWA 2013 Robinson and Griffiths 2007) The United Kingdom (UK) ceased admitting new ENs to the register in the 1980s The minimum qualification for all UK nurses is now a three-year bachelorrsquos degree As a result the UK relies heavily on unregistered health care assistants rather than second-level nurses (UK Department of Health 2013) Closer to home New Zealand ceased training ENs in 1993 only to recommence in the 2000s (Meek 2009) New Zealandrsquos experiment is an instructive demonstration of the importance of ENs in the health care workforce as the demand for nursing care increases
In Australia we have remained committed to maintaining the EN role Rather than relying on unregistered health care workers Australia has chosen to maintain a large educated and professional EN workforce The skilled work of ENs is recognised to be of paramount importance to the delivery of high quality nursing care Our EN workforce is highly dynamic and continues to evolve within the changing landscape of Australian health care policy and regulation
Enrolled nurse demographics
According to the latest national figures there are 51624 ENs working in Australia The great majority of ENs have completed their pre-registration education in Australia fewer than 5 have been educated overseas (HWA 2013)
The EN workforce has a relatively high average age of 46 years and forty-five per cent of ENs have celebrated their fiftieth birthdays (AIHW 2013) According to Health Workforce Australia the ageing EN workforce could lead to a significant shortfall in the supply of ENs if action is not taken to retain the current cohort of ENs and increase the number of people studying to be the ENs of tomorrow (HWA 2012)
Men make up roughly 10 of the EN workforce While this number is rising gradually it indicates that there is progress to be made in terms of attracting and retaining males within the profession Aboriginal and Torres Strait Islander people are
also underrepresented in the EN workforce only around 800 of Australiarsquos ENs identify as Indigenous Australians (AIHW 2013)
Among the most common work settings for ENs are aged care rehabilitation and disability services In contrast ENs make up fewer than 5 of the critical care nursing workforce and represent only a small proportion of nurses working in education policy and management (AIHW 2013)
These statistics show that there are both challenges and opportunities for Australiarsquos EN workforce Efforts to recruit and retain ENs will need to be enhanced with a particular focus on encouraging men and Aboriginal and Torres Strait Islander people to become ENs At the same time roles in a wider range of clinical areas are becoming available to suitably educated and qualified ENs and there will be more such opportunities in the coming years
A growing role for ENs
The evolving role of the EN is reflected in recent changes to educational requirements for ENs As of 1 July 2014 the Certificate IV in enrolled nursing ceased to be available and the minimum qualification for EN entry to practice will be the Diploma of Nursing The transition to a Diploma recognises the high level of skill ENs contribute to todayrsquos health care teams A nationally consistent approach to EN education is also likely to enhance the mobility of the EN workforce by giving employers confidence in the knowledge and skills of ENs educated in other states
ENs are now undertaking a diverse range of roles One of the earliest areas of role expansion for ENs was medication endorsement Before the move to national registration in 2010 ENs in some states were able to obtain an endorsement in medicines administration and become Endorsed Enrolled Nurses by completing specified education units This endorsement has now been phased out because from 2008 onwards all newly qualified ENs have completed the required medicines administration education Instead the register now identifies ENs who have not completed the required courses (NMBA 2014) This example demonstrates how the EN role has evolved over the years Whereas once only a relatively small number of ENs were educated to administer medicines now all student ENs complete medicines administration units as part of their initial nursing education
The EN role is also expanding in other ways For example ENs are taking on a growing role within haemodialysis units (Tranter et al 2011) The 2008 Australia and New Zealand Dialysis Workforce Survey conducted by the Renal Society of Australia found that there were 188 ENs working in dialysis alongside 2433 registered nurses (RNs) The growing demand for dialysis
The potential of the enrolled nursing workforce
By Rosina Muir and Dr Marlene Eggert MACN
32
services and the shortage of dialysis RNs in some areas represents a clear opportunity for ENs According to a New South Wales study conducted in 2009 the scope of practice of ENs in haemodialysis units may include cannulation (including both native access and buttonhole cannulation) connecting and disconnecting haemodialysis central venous catheters (CVCs) performing CVC dressings giving iron infusions and administering erythropoietin anticoagulants and Lignocaine In addition ENs may also take on a case management or health promotion role for dialysis patients (Bennett et al 2009)
ENs are also moving into extended roles in rehabilitation services A recent study of ENs in an Australian rehabilitation facility found that in addition to assisting patients with activities of daily living ENs may take on roles in coaching and supporting patients to reach their individual goals monitoring the patientrsquos progress and liaising with other members of the multidisciplinary rehabilitation team The study found that many ENs demonstrate an understanding of the philosophy of rehabilitation nursing including goal setting and enabling self-care (Pryor and Buzio 2013)
In rural Australia ENs are taking on a diverse range of roles within the EN scope of practice in order to meet local needs ENs with specialist skills such as infection control or wound care make a significant contribution to some rural health services although their extended scope of practice is not always given appropriate recognition by their RN colleagues (Nankervis et al 2008) Rural health services are increasingly recognising that supporting ENs to take on extended roles and further develop their clinical skills can be a successful model for the delivery of high quality patient care
Recognising the evolving EN scope of practice
In light of the fact that there have been significant changes to EN education regulation and scope over the last decade the NMBA has commissioned Monash University to review the currency of the standards against contemporary enrolled nursing roles The Monash University project has involved a review of the literature as well as a series of focus groups and surveys to gather insights from both RNs and ENs on the education scope of practice and supervision of ENs (Monash University 2013) The project is expected to be completed in 2014 (NMBA 2013)
Our advocacy for ENs
ACNrsquos advocacy priorities are explicitly designed to support both registered and enrolled nurses In 2014 ACN has argued for a range of policies that would have a positive impact on the
retention and flexibility of enrolled nurses For example ACN has proposed a National Transition Framework to support the flexibility and mobility of both the EN and the RN workforces The Framework would be accessible to nurses entering the workforce as well as nurses transitioning from one area of practice to another For example it would support an EN wishing to transition from the aged care sector to a hospital-based role
ACN has also put forward a proposal for a new scholarship program to support newly registered and enrolled nurses to practice in rural services It is essential that rural health service providers are able to attract appropriately educated staff including both ENs and RNs in order to maintain an optimal skill mix The scholarship scheme will allow rural health services to employ newly registered and enrolled nurses as supernumerary team members while providing them with a structured clinical learning program
ACN will continue to provide a voice for ENs in policy discussions and advocate for the role of ENs in health care delivery Australian Institute of Health and Welfare 2013 Nursing and midwifery workforce 2012 lthttpwwwaihwgovauWorkAreaDownloadAssetaspxid=60129545314gt pp 6
Bennett P McNeill L Polaschek N 2009 lsquoThe Australian and New Zealand Dialysis Workforcersquo Renal Society of Australasia Journal vol 5 no3 pp 147-151 lthttpwwwrenalsocietyorgRSAJjournalnov09bennett2pdfgt
Health Workforce Australia 2012 Health Workforce 2025 Doctors Nurses and Midwives vol 1 lthttpwwwhwagovausitesuploadsFinalReport_Volume1_FINAL-20120424pdfgt pp 137-142
Health Workforce Australia 2013 Nurses in Focus lthttpwwwhwagovausitesuploadsNurses-in-Focus-FINALpdfgt
Meek G 2010 Second level nurses a critical examination of their evolving role in New Zealand Healthcare lthttpresearcharchivewintecacnz9621Repository_entry_HLNU902pdfgt pp 3
Monash University 2013 The National Review of the Enrolled Nurse Competency Standards lthttpwwwmedmonashedunursingcompetency-standardsgt
Nankervis K Kenny A Bish M 2008 Enhancing scope of practice for the second level nurse A change process to meet growing demand for rural health services lthttpwwwncbinlmnihgovpubmed18844530gt
Nursing and Midwifery Board of Australia 2013 Communique Meeting of the Nursing and Midwifery Board of Australia 27 February 2013 in the AHPRA Hobart Office TasmanialthttpwwwnursingmidwiferyboardgovauNewsCommuniques-from-Board-meetingsaspxgt
Nursing and Midwifery Board of Australia 2014 Enrolled nurses and medicine administration lt httpwwwnursingmidwiferyboardgovauCodes-Guidelines-StatementsFAQaspxgt
Pryor J Buzio A 2013 lsquoDo ldquotwo typesrdquo of ENs work in rehabilitation in Australiarsquo Journal of the Australasian Rehabilitation Nurses Association vol 16 no 1 pp 14-19 lthttpsearchinformitcomaudocumentSummarydn=480975443102792res=IELHEAgt
Robinson S and Griffiths P 2007 Nursing education and regulation International profiles and perspectives lthttpeprintssotonacuk3487721NurseEduProfilespdfgt pp 7-17
Tranter S Westgarth F White G 2011 lsquoThe scope of practice of the haemodialysis Enrolled Nurse in new South Walesrsquo Renal Society of Australasia Journal vol 7 no 1 pp 24-29 lthttpwwwrenalsocietyorgRSAJjournalmar11Tranterpdfgt
United Kingdom Department of Health 2013 The Cavendish Review An Independent Review into Healthcare Assistants and Support Workers in the NHS and social care settings lthttpswwwgovukgovernmentuploadssystemuploadsattachment_datafile236212Cavendish_Reviewpdfgt pp 6
33
By Laurie Bickhoff MACN
Diary of a newly registered nurse
In Australia it is estimated nearly 20 of nurses will leave the profession within their first year of practice (National Nursing and Nurse Education Taskforce [NNNET] 2005) Internationally this figure ranges from between 35 and 60 (Halfer amp Graf 2006) Many have speculated on the reasons for this with high workloads the difficulties of shift work and unrealistic expectations of what nursing entails all given due consideration (Halfer amp Graf 2006) However as I entered my second year of practice I began to wonder what role disillusionment plays in this exodus of newly trained nurses
Disillusionment to me occurs when you feel your passion dwindling when you suddenly find it that little bit harder to get ready for work when you start feeling a sense of dread as you walk onto the ward This wasnrsquot caused by long hours or ever increasing workloads coupled with diminishing resources It wasnrsquot caused by physically demanding duties or the lack of a social life due to shift work It wasnrsquot caused by dealing with things that might not look or smell that great Unfortunately it was caused by the people around me and an almost institutionalised lack of power not only for nurses but more importantly for our patients
I was dismayed and frustrated to hear how many of my colleagues from all health professions referred to patients I was disheartened to see how easily some could dismiss the suffering we see and the heartache I felt I was overwhelmingly saddened to realise not everyone had the same passion for their profession or empathy for those we are charged to care for as I did
This culminated for me towards the end of my first year of practice There wasnrsquot any one big incident more an accumulation of things that were gradually wearing me down I had a worried patient confide in me that they had been too scared to push the call button on the previous shift because of the response they would receive from the nurse I saw patients constantly being made to fit into everyone elsersquos schedules regardless of their requests It seemed everyone was more important than the person we were there to help
I heard patients referred to as lsquocactusrsquo or described in the notes as lsquounsalvageablersquo meaning there was no chance of the patients making meaningful recoveries I wondered is this really how we refer to people Or did we forget they were actual human beings we were talking about
I had other health professionals dismiss me with comments such as nurses ldquojust wipe bums all dayrdquo or roll their eyes at me when I raised my concerns When I dared to challenge or question I was met with comments of ldquoI miss the old new gradsrdquo I felt tired washed out and was beginning to wonder
whether I could stay in this profession without losing myself
Luckily I found some inspiration I listened to a presentation by Drew Dudley a well-known American academic and motivational speaker where he discusses the idea of lsquolollypop momentsrsquo These are small moments when the people we see and work with every day demonstrate leadership They arenrsquot big grand over the top statements They are small gestures which often unknown to the person who did it have an amazing impact on the lives of others I was lucky enough to have some of these lollypop moments just when I needed them These few sparks were all that I needed to reignite my passion for nursing
The first spark came from an RN2 caring for a patient at the end-stage of a number of diseases who had expressed to the nursing staff multiple times her wish to simply be made comfortable as she knew this was the end of her fight Despite this the patient was not only receiving active treatment but was also currently documented for full resuscitation if she deteriorated
The nurse raised the issue with the medical registrar asking him to have a discussion with the patient regarding her wishes and planning end-of-life care The registrar dismissed her saying ldquowell thatrsquos not what the consultant wantsrdquo The nurse wasnrsquot satisfied and responded ldquoitrsquos not their choice itrsquos the patientrsquos decisionrdquo This nurse had the courage to stand her ground and make sure her patientrsquos voice was heard which ultimately led to the patientrsquos wishes being honoured
The next spark came soon after I was working with a nurse who came from a different cultural background to me where it was seen as impolite to question anyone in authority especially if you were female This meant even if a doctor was accidently standing in her way she would prefer to simply wait rather than ask them to move
Then one day we had a patient who deteriorated rapidly and was in a very critical condition This nurse suddenly became one of the best clinical leaders I have witnessed She led the team questioning orders prompting treatments suggesting causes and outlining the options available I soon realised the difference this was about her patient She was going to ensure her patient received the best care and outcome possible When it was about her patient rather than herself she found her voice
There were a number of smaller incidents that soon followed Sparks came from the senior consultant who re-educated her advanced trainee on the importance of listening to the nurses and acting on their concerns Sparks came from our ward social
34
worker who day after day demonstrated his passion for helping and advocating for those with no voice and often no options Sparks came from the medical residents who expressed their gratitude when you picked up a mistake and were heartfelt in their appreciation of the work nurses do
The brightest sparks came from my patients and their relatives It was their ldquothanksrdquo their ldquoyou donrsquot know how much that meansrdquo their ldquoyoursquoll be back tomorrow wonrsquot yourdquo their squeezing of my hand that reminded me why I do what I do I didnrsquot have to search for inspiration I was surrounded by it The trick was to change my focus
Perhaps all nurses are disillusioned at some point during their careers Perhaps it happens multiple times Perhaps it is a rite of passage with those who make it through the other side the
ones with a true passion for nursing who turn around and help a colleague on their journey
As I continue my nursing career I now look for the brightness that I know is always there far outshining the negativity that we have to deal with I stockpile my lsquolollypop momentsrsquo knowing the amazing examples of kindness and leadership I see every day will help me grow and become a better nurse and hopefully I might be able to be a spark for someone else
You can listen to Drew Dudleyrsquos talk at wwwtedcomtalksdrew_dudley_everyday_leadership
Halfer D and Graf E lsquoGraduate Nurse Perceptions of the Work Experiencersquo Nursing Economics June 2006 Vol 24 No 3 pp 150-55
National Nursing and Nurse Education Taskforce 2005 Mythbusters Available online at httpwwwnnnetgovaudownloadsmythbusters_attritionpdf Accessed June 2014
Arts amp Sciences | Business | Education | Health Sciences | Law | Medicine | Nursing amp Midwifery | Philosophy amp Theology | Physiotherapy
Your journey to a meaningful career awaitsThe School of Nursing amp Midwifery offers the following courses
rsaquo Bachelor of Nursing
rsaquo Bachelor of Nursing (Articulation Pathway for EN Diploma)
rsaquo Graduate Certificate (Acute Mental Health Clinical Nursing Nursing and Nursing Leadership amp Management)
rsaquo Graduate Diploma (Acute Mental Health Clinical Nursing Critical Care Nursing Forensic Nursing Midwifery Nursing and Perioperative Nursing)
rsaquo Master of Nursing (Coursework and Research)
Looking to make a difference So are we
Apply direct notredameeduau
ND
1053
| C
RIC
OS
PR
OV
IDE
R C
OD
E 0
1032
F
35
36
By Claire Stewart MACN
Diary of a newly registered nurse
Irsquom almost three months into my role as a newly registered nurse and I had my first 40 Prolene moment recently For the uninitiated this can be a panic fuelled moment where a routine procedure ends up resembling the Texas chainsaw massacre Thankfully I was supported by a wonderfully calm surgeon who waited patiently while I painstakingly attempted to load his life saving suture After the surgery I wiped the blood from my glasses and took a moment to reflect on how I had handled the situation In fact Irsquove spent most of the last three months lsquoreflectingrsquo Deafening groans can be heard from many a third year nursing cohort when wersquore asked yet again to lsquocritically reflectrsquo on our practice as student nurses Let me be the first to admithellip It doesnrsquot stop at graduation
I may not use a dedicated framework or even put pen to paper but the skills I learned during my studies have set me up to ensure I gain the most from every learning opportunity by critically reflecting on my performance simply by force of habit During the last three months my learning curve has veered vertical as I transitioned from university study to my role as a
graduate registered nurse in perioperative services Irsquove had to deal with a new environment (donrsquot even get me started on finding your way around a theatre complex) new colleagues adjusting to full time work and managing family commitments learning an entire new skill set working as a scrubscout dealing with policies procedures and my favourite surgeonsrsquo preference
In these first few months itrsquos very easy to fall into the trap of focussing on how much you donrsquot know However practising critical reflection has allowed me to focus on what I do know how far Irsquove come and what I will learn because Irsquom self-aware Whether you are a new nurse like me and feel like yoursquove handed in one too many pieces of written reflection to your facilitator over the last three years or an experienced nurse who practices self-reflection sub-consciously on the drive home ndash embrace it for the wonderful tool that it is and use it to become the kind of nurse you want to work with
Be in demand Be successfulStudy nursing or midwifery at Monash If you want to make a difference in health care with great employment potential the School of Nursing and Midwifery is a great place to start
As a nurse or midwife there are a variety of roles and a number of specialty areas available to you ensuring a constant career of challenges and diversity
To find out more about our undergraduate courses visit us at ACN Expo Melbourne Stand 84 ndash 85
For more information on our courses visit medmonashedunursing
21
Research collaboration students are welcome
A collaborative research study in Queensland is tapping into the enthusiasm and intelligence of nursing students by training and employing third-years as research assistants data collectors and analysts in contract research projects
Researchers from James Cook Universityrsquos (JCU) Centre for Nursing and Midwifery Research (CNMR) the Far North Queensland Medicare Local and the Cairns and Hinterland Hospital and Health Service are trying to determine why emergency department (ED) presentations to Cairns Hospital have been increasing at a greater rate than the national average
To answer this question CNMR researchers recruited 14 nursing and medical students to survey every willing and able person who presented to the ED
Researchers asked participants for information regarding their reasons for coming to the ED They also asked where they would usually go for medical treatment and what physical and psychological factors influenced their decision to choose the ED over other treatment options
In other phases of the project hospital Emergency Department Information System (EDIS) data have been analysed and patient focus groups have been convened Unstinting faith in the local ED has been noted as one of the key reasons that people choose the ED over other health care options
Most people who come to the ED with lsquonon-urgentrsquo conditions do have general practitioners and a large percentage have sought medical advice in the days prior to presenting to the ED Worry anxiety and uncertainty rather than the severity of the medical condition itself however appears to be a significant motivator to come to the ED where people perceive there is a wide range of services professionals and diagnostic tools available
ACN Emerging Nurse Leader Anna Groth MACN a third-year nursing student from JCU has been collecting collating and analysing data
ldquoOften I would ask someone why they had come to the hospital and they would speak about being in pain but if you asked them about whether they came for the pain or because they were anxious about the pain they would say they had come to the hospital because of the anxietyrdquo explained Anna ldquoIt is such a huge difference ndash the motivation ndash coming for the pain or the anxietyrdquo
Anna said the project opened communication lines between people from different organisations including government university health service hospital and the community leading to collaboration and learning for all
By Marnie Hitchins
Benefits for the students included early career exposure to the research process in which they learnt about data collection analysis and research methods The students also had the opportunity to practise communication skills learn about the organisational cultures of universities and hospitals and work alongside health professionals and patients in a research environment
Students commented that because the power dynamics were different from that of clinical experience (they were not seen as health professionals by patients nor as lsquostudent nursesrsquo by health staff members) they gained insights into the hospital environment they might not otherwise have had
Anna said she learned a lot personally the ED research experience has catapulted her into another area of interest in which she can see herself working in the future
ldquoResearch and policy will be a part of my future Irsquove gained a deep interest in the treatment of women since doing this studyrdquo said Anna
ldquoI have become very interested in domestic violence and the way women are treated in the health service and in the society as a whole I was blown away by the struggle that people have with the system in trying to find support They are so lonely I recognised things being in the ED that I would like to research and have already started exploring the issuesrdquo
CNMR Director Associate Professor Jane Mills FACN said the recruitment and inclusion of students in research projects is part of a broader plan within the CNMR to build undergraduate research capacity
Jane said the CNMR also offered internships to undergraduate students to work on research projects alongside experienced scholars academics and researchers
ldquoJCU strongly supports the inclusion of undergraduate students in research studies where they can gain valuable knowledge skills and experience while also making a contribution to building the evidence base about health care issues of importance to people living in the tropicsrdquo said Jane
ldquoItrsquos a win-win situation where experienced researchers benefit from the studentsrsquo enthusiasm and familiarity with contemporary research principles and students increase their awareness of the importance of research to professional practicerdquo
It is clear to all parties involved that the inclusion of nursing students is benefitting the quality of the project as much as it is benefitting studentsrsquo learning and work experiences
22
Launch your nursing career at St Vincentrsquos
St Vincentrsquos Hospital Melbourne (SVHM) is part of St Vincentrsquos Health Australia and is a leading teaching research and tertiary health service which employs more than 5000 staff across 18 sites throughout Melbourne SVHM provides a diverse range of adult clinical services including acute medical and surgical services sub-acutecare medical diagnostics rehabilitation allied health mental health palliative care correctional health and community residential care SVHM is one of Australiarsquosleading Catholic not-for-prot healthcare providersMake the most of your talents Join the team at St Vincentrsquos
Visit us at the ACN Nursing and Health Expo 2015Find out about our 2016 Graduate Nurse Program andhave a chat to our current graduates educators and nursing staff
St Vincentrsquos Open Evening 2015Wednesday 3rd June 4pm-6pmSt Vincentrsquos Ground Floor Aikenhead Building 27 Victoria Parade Fitzroy
Welcome and Overview of the 2016 Graduate Nurse Program at 4pm 430pm amp 5pm
All welcome ndash no RSVP required
All 24 rotational areas on displayTours of inpatient wardsComplimentary food and beverages provided
For further information visit wwwsvhmorgau or phone the Graduate Nurse Hotline 9231 2244
To follow our 2016 recruitment process Like us at SVHM 2016 Graduate Nurse Program
Compassion Justice Integrity Excellence
24
INTERESTED IN STUDYING DEAKIN NURSING AND MIDWIFERYWe are holding information sessions for our undergraduate courses
BURWOOD CAMPUS 221 BURWOOD HIGHWAY BURWOODWednesday 22 July 6ndash8 pmSaturday 25 July 230ndash430 pm
WATERFRONT CAMPUS 1 GHERINGHAP STREET GEELONGWednesday 22 July 6ndash8 pmSaturday 25 July 230ndash430 pm
WARRNAMBOOL CITY CENTRE 165 TIMOR STREET WARRNAMBOOLFriday 24 July 730 pm
raquo To register your attendance at one of the information sessions above please email nursinfodeakineduau to advise which session you plan to attend
For more information about our undergraduate and postgraduate courses please phone 03 9244 6032
Deakin University CRICOS Provider Code 00113B HLH002
deakineduaunursing
Itrsquos never too early to become a leader
How did you become involved in nursing
I started volunteering from age 14 with St John Ambulance Australia in my hometown of Moruya NSW I loved everything about it ndash loved the joy of helping others and I was so intrigued to learn how to respond effectively in emergencies and show true compassion to others I was also fortunate to have had some very down-to-earth and inspiring mentors who encouraged my interest in nursing and after graduation from high school I undertook the University of Wollongongrsquos Bachelor of Nursing degree
I started my first paid nursing related employment in my third year of the degree at a local hospital I have now graduated and am working as a registered nurse (RN) in a local aged care facility learning the ins and outs of multiple comorbidities patient-centred care and compassionate palliative and end-of-life care
What is your nursing specialty
As I still consider myself as a lsquonewbiersquo RN I havenrsquot really discovered a specialty yet though I have interests in aged care mental health cardiology and nursing research So I guess I am intrigued to be involved in one or all of these areas at some point in my career but I am open to any interesting opportunities that may come my way
What do you love most about nursing
This is truly the job that never has a dull day Each day is different and I feel privileged to be so trusted with the lives of my patients and residents in their moments of hardship and need Along with my love of the workings of the human body the evidence-base behind nursing care and continuous educational opportunities I love the lsquoteamrsquo focus of nursing especially when the patient is at the centre of decision making and everything goes to plan
What is your least favourite part of nursing
When everything doesnrsquot go to plan
What brought you to this area of Australia
Irsquom originally from NSW South but I moved to Wollongong for University and have stuck around for the area the people and to continue to work and study here
What are some of the nursing and health issues that are specific to the Sydney SouthIllawarra Region
Two big issues come to mind Firstly many newly graduated RNs within our region have been unable to find employment Secondly local nurses struggle to find the time within their working hours to keep up to date with advances in education
What do you see as the biggest challenge currently facing the nursing profession and how do you think the profession is placed to respond to these challenges
I believe possible health funding cuts and workforce shortages that in-turn affect our ability to provide adequate and safe patient care are two significant challenges facing our profession There are recently graduated RNs who remain jobless yet there are local health districts crying out for nurses but only those with lsquoexperiencersquo with undergraduate nursing experience ignored Looking into alternative transition programs is key to overcoming this challenge
Whatrsquos the biggest misconception about your career choice
I have met some amazingly talented and intelligent nurses in a variety of roles who all make a great difference in the lives of their patients or indirectly through organisations or research The general misconception that irks me isnrsquot so much a misconception more a statement Irsquove heard multiple times ndash ldquoWhy didnrsquot you become a doctor Why are you just a nurserdquo I did not become a nurse because I didnrsquot have the marks to be a doctor and by the time I finish university again with a Research Masters I would have physically been enrolled in university for the same length of time I became a nurse because I found a passion for this role and spending time with people inspires me
Nursing is a holistic role that encompasses so much We are health professionals role models educators support systems and innovators we understand intimately the fragility of life and the human relationships that bring it meaning
Profile Renee Callender MACN
LeadershipACN
Expand your leadership capacity
25
INTERESTED IN STUDYING DEAKIN NURSING AND MIDWIFERYWe are holding information sessions for our undergraduate courses
BURWOOD CAMPUS 221 BURWOOD HIGHWAY BURWOODWednesday 22 July 6ndash8 pmSaturday 25 July 230ndash430 pm
WATERFRONT CAMPUS 1 GHERINGHAP STREET GEELONGWednesday 22 July 6ndash8 pmSaturday 25 July 230ndash430 pm
WARRNAMBOOL CITY CENTRE 165 TIMOR STREET WARRNAMBOOLFriday 24 July 730 pm
raquo To register your attendance at one of the information sessions above please email nursinfodeakineduau to advise which session you plan to attend
For more information about our undergraduate and postgraduate courses please phone 03 9244 6032
Deakin University CRICOS Provider Code 00113B HLH002
deakineduaunursing
WA EXPO PERTH
26
Welcome from the Chief Nurse amp Midwifery OfficerI am so pleased to be welcoming you to the Australian College of Nursingrsquos Western Australian Nursing and Health Expo for 2015
Attending the Expo is an invaluable experience for anyone interested in nursing and midwifery careers It especially helps high school students and their parents or anyone who is wondering which career direction to take
Hospitals and health services from across WA will be there with some of their nurses and midwives in attendance to answer any questions you may have Come and find out from them what itrsquos really like to be a nurse or midwife
There will also be a range of education providers who will be able to talk about the many courses available to get your career started
It is also a great place to come to discuss and find out about graduate job opportunities building your experience career development opportunities financial support to study changing employers or even returning to a career in nursing or midwifery after being away for a while
The decision to become a nurse or a midwife is a wonderful career choice for anyone who wants to be part of a diverse healthcare professional team and have a challenging rewarding and exciting job where you really can make a difference
The future demand for nurses and midwives is going to be high especially as WArsquos new Fiona Stanley Perth Childrenrsquos Busselton and Midland hospitals all start becoming fully operational so we encourage you to attend the Expo to see where nursing and midwifery might take you
I look forward to seeing you on Friday 1 May 2015 at the Perth Convention and Exhibition Centre
Karen Bradley MACN Chief Nurse and Midwifery Officer WA Health
27
Expo informationLocation
The Perth Convention and Exhibition Centre (PCEC) is Western Australiarsquos only dedicated convention and exhibition facility Each year over 500000 people attend one or more of the 600 plus events conducted at PCEC The Expo will be held in Pavillion 1 at PCEC
Doors open 9am ndash 1pm
Entry
Stairs amp Escalators to Level 2
Registration DeskEntry Foyer
Entry
ACN Expo Pavillion 1
28
Seminars
This year the educational seminar series is back again to provide visitors with up to date information and practical skills to pursue or further their career Seminar attendance is free of charge and registration is not required
Time Topic Presented by
915am How to become a nurse or midwife Rebecca Newton WA Nursing and Midwifery Office
950am Applying via GradConnect and other opportunities for graduate nurses and midwives
Regina Browne WA Nursing and Midwifery Office
1025am Unleashing the potential of your staff Lisa Ansbro and Donna Hampshire Chandler Macleod Health
1100am How to become a nurse or midwife Rebecca Newton WA Nursing and Midwifery Office
1135am Applying via GradConnect and other opportunities for graduate nurses and midwives
Regina Browne WA Nursing and Midwifery Office
1210pm Unleashing the potential of your staff Lisa Ansbro and Donna Hampshire Chandler Macleod Health
The lsquoUnleashing the potential of your staffrsquo seminar is proudly supported by
Chandler Macleod is Australasiarsquos leading provider of integrated HR services products and technologies We have more than 55 yearsrsquo experience in human resources and have specialised within the health sector for 10 of these We are ideally positioned to help you meet the growing demands on your business We provide permanent and temporarycontract recruitment for the full range of Health professions including Carers and Support Workers Enrolled Nurses Registered Nurses Facility and Operations Managers Directors Cleaners and Kitchen staff We are able to provide you with experienced caring staff 247 including public holidays
For more information contact Chandler Macleod on (08) 9217 0510 or visit wwwchandlermacleodcomclientshealth-recruitment
29
Floor plan
42 41
39
40
38
36
37
35
43
44
45
46
47
48
Entrance
Seminar area
Cafeacute
7
5
8
6
20
18
19
17
11
9
12
10
16
14
15
13
34 33 32 31 30 29 28
30
Exhibitor listing
Organisation Name Booth Number
AACDS 8
Armadale Health Service 38
Belmore Nurses Bureau 30
Central Institute of Technology 20
Chandler Macleod Health 16
Child amp Adolescent Health Service 42
Curtin University of Technology 19
Defence Force Recruiting 910
Edith Cowan University - School of Nursing and Midwifery
3334
Fiona Stanley Hospital 36
Fremantle Hospital 44
HESTA 5
Hollywood Private Hospital 7
Institute of Health amp Nursing Australia 32
Mediserve Nursing Agency 6
Murdoch University 1112
My Flex Health International 18
Organisation Name Booth Number
Next Step 48
North Metropolitan Mental Health 35
NurseWest 47
Nursing amp Midwifery Board of Australia 29
Osborne Park Hospital 46
Prime Super 17
PampN Bank 15
Rockingham General Hospital 39
Royal Perth Hospital 37
Sir Charles Gairdner Hospital 45
The Bethanie Group Inc 31
The University of Notre Dame 13
WA Country Health Service 40
WA Nursing amp Midwifery Office 43
West Coast Institute of Training 14
Women amp Newborn Health Service 41
Work the World 28
The WA Nursing amp Health Expo is proudly supported by
The WA Nursing and Midwifery Office is very proud to partner once again with the Australian College of Nursing for the 2015 Nursing and Health Expo The nursing and midwifery professions offer an array of interesting and diverse experiences With these highly valued and respected skills relevant anywhere in the world nurses and midwives will always be in demand ndash in hospitals and in a range of other workplaces In WA the future demand for nurses and midwives is going to be high especially as our new Fiona Stanley Perth Childrenrsquos Busselton and Midland hospitals all start becoming fully operational so considering a career in nursing or midwifery is a great idea
wwwnursinghealthwagovau
31
In Australia enrolled nurses (ENs) are a core component of the health care workforce and make an important contribution to Australiarsquos world-class health outcomes ENs work in varied settings across the country from blood services to aged care facilities Increasingly ENs are playing an important role in meeting the growing demand for care
Not all countries have recognised the importance of ENs in the nurse workforce mix Several European countries including France Denmark Italy and Spain have only one category of regulated nurse (HWA 2013 Robinson and Griffiths 2007) The United Kingdom (UK) ceased admitting new ENs to the register in the 1980s The minimum qualification for all UK nurses is now a three-year bachelorrsquos degree As a result the UK relies heavily on unregistered health care assistants rather than second-level nurses (UK Department of Health 2013) Closer to home New Zealand ceased training ENs in 1993 only to recommence in the 2000s (Meek 2009) New Zealandrsquos experiment is an instructive demonstration of the importance of ENs in the health care workforce as the demand for nursing care increases
In Australia we have remained committed to maintaining the EN role Rather than relying on unregistered health care workers Australia has chosen to maintain a large educated and professional EN workforce The skilled work of ENs is recognised to be of paramount importance to the delivery of high quality nursing care Our EN workforce is highly dynamic and continues to evolve within the changing landscape of Australian health care policy and regulation
Enrolled nurse demographics
According to the latest national figures there are 51624 ENs working in Australia The great majority of ENs have completed their pre-registration education in Australia fewer than 5 have been educated overseas (HWA 2013)
The EN workforce has a relatively high average age of 46 years and forty-five per cent of ENs have celebrated their fiftieth birthdays (AIHW 2013) According to Health Workforce Australia the ageing EN workforce could lead to a significant shortfall in the supply of ENs if action is not taken to retain the current cohort of ENs and increase the number of people studying to be the ENs of tomorrow (HWA 2012)
Men make up roughly 10 of the EN workforce While this number is rising gradually it indicates that there is progress to be made in terms of attracting and retaining males within the profession Aboriginal and Torres Strait Islander people are
also underrepresented in the EN workforce only around 800 of Australiarsquos ENs identify as Indigenous Australians (AIHW 2013)
Among the most common work settings for ENs are aged care rehabilitation and disability services In contrast ENs make up fewer than 5 of the critical care nursing workforce and represent only a small proportion of nurses working in education policy and management (AIHW 2013)
These statistics show that there are both challenges and opportunities for Australiarsquos EN workforce Efforts to recruit and retain ENs will need to be enhanced with a particular focus on encouraging men and Aboriginal and Torres Strait Islander people to become ENs At the same time roles in a wider range of clinical areas are becoming available to suitably educated and qualified ENs and there will be more such opportunities in the coming years
A growing role for ENs
The evolving role of the EN is reflected in recent changes to educational requirements for ENs As of 1 July 2014 the Certificate IV in enrolled nursing ceased to be available and the minimum qualification for EN entry to practice will be the Diploma of Nursing The transition to a Diploma recognises the high level of skill ENs contribute to todayrsquos health care teams A nationally consistent approach to EN education is also likely to enhance the mobility of the EN workforce by giving employers confidence in the knowledge and skills of ENs educated in other states
ENs are now undertaking a diverse range of roles One of the earliest areas of role expansion for ENs was medication endorsement Before the move to national registration in 2010 ENs in some states were able to obtain an endorsement in medicines administration and become Endorsed Enrolled Nurses by completing specified education units This endorsement has now been phased out because from 2008 onwards all newly qualified ENs have completed the required medicines administration education Instead the register now identifies ENs who have not completed the required courses (NMBA 2014) This example demonstrates how the EN role has evolved over the years Whereas once only a relatively small number of ENs were educated to administer medicines now all student ENs complete medicines administration units as part of their initial nursing education
The EN role is also expanding in other ways For example ENs are taking on a growing role within haemodialysis units (Tranter et al 2011) The 2008 Australia and New Zealand Dialysis Workforce Survey conducted by the Renal Society of Australia found that there were 188 ENs working in dialysis alongside 2433 registered nurses (RNs) The growing demand for dialysis
The potential of the enrolled nursing workforce
By Rosina Muir and Dr Marlene Eggert MACN
32
services and the shortage of dialysis RNs in some areas represents a clear opportunity for ENs According to a New South Wales study conducted in 2009 the scope of practice of ENs in haemodialysis units may include cannulation (including both native access and buttonhole cannulation) connecting and disconnecting haemodialysis central venous catheters (CVCs) performing CVC dressings giving iron infusions and administering erythropoietin anticoagulants and Lignocaine In addition ENs may also take on a case management or health promotion role for dialysis patients (Bennett et al 2009)
ENs are also moving into extended roles in rehabilitation services A recent study of ENs in an Australian rehabilitation facility found that in addition to assisting patients with activities of daily living ENs may take on roles in coaching and supporting patients to reach their individual goals monitoring the patientrsquos progress and liaising with other members of the multidisciplinary rehabilitation team The study found that many ENs demonstrate an understanding of the philosophy of rehabilitation nursing including goal setting and enabling self-care (Pryor and Buzio 2013)
In rural Australia ENs are taking on a diverse range of roles within the EN scope of practice in order to meet local needs ENs with specialist skills such as infection control or wound care make a significant contribution to some rural health services although their extended scope of practice is not always given appropriate recognition by their RN colleagues (Nankervis et al 2008) Rural health services are increasingly recognising that supporting ENs to take on extended roles and further develop their clinical skills can be a successful model for the delivery of high quality patient care
Recognising the evolving EN scope of practice
In light of the fact that there have been significant changes to EN education regulation and scope over the last decade the NMBA has commissioned Monash University to review the currency of the standards against contemporary enrolled nursing roles The Monash University project has involved a review of the literature as well as a series of focus groups and surveys to gather insights from both RNs and ENs on the education scope of practice and supervision of ENs (Monash University 2013) The project is expected to be completed in 2014 (NMBA 2013)
Our advocacy for ENs
ACNrsquos advocacy priorities are explicitly designed to support both registered and enrolled nurses In 2014 ACN has argued for a range of policies that would have a positive impact on the
retention and flexibility of enrolled nurses For example ACN has proposed a National Transition Framework to support the flexibility and mobility of both the EN and the RN workforces The Framework would be accessible to nurses entering the workforce as well as nurses transitioning from one area of practice to another For example it would support an EN wishing to transition from the aged care sector to a hospital-based role
ACN has also put forward a proposal for a new scholarship program to support newly registered and enrolled nurses to practice in rural services It is essential that rural health service providers are able to attract appropriately educated staff including both ENs and RNs in order to maintain an optimal skill mix The scholarship scheme will allow rural health services to employ newly registered and enrolled nurses as supernumerary team members while providing them with a structured clinical learning program
ACN will continue to provide a voice for ENs in policy discussions and advocate for the role of ENs in health care delivery Australian Institute of Health and Welfare 2013 Nursing and midwifery workforce 2012 lthttpwwwaihwgovauWorkAreaDownloadAssetaspxid=60129545314gt pp 6
Bennett P McNeill L Polaschek N 2009 lsquoThe Australian and New Zealand Dialysis Workforcersquo Renal Society of Australasia Journal vol 5 no3 pp 147-151 lthttpwwwrenalsocietyorgRSAJjournalnov09bennett2pdfgt
Health Workforce Australia 2012 Health Workforce 2025 Doctors Nurses and Midwives vol 1 lthttpwwwhwagovausitesuploadsFinalReport_Volume1_FINAL-20120424pdfgt pp 137-142
Health Workforce Australia 2013 Nurses in Focus lthttpwwwhwagovausitesuploadsNurses-in-Focus-FINALpdfgt
Meek G 2010 Second level nurses a critical examination of their evolving role in New Zealand Healthcare lthttpresearcharchivewintecacnz9621Repository_entry_HLNU902pdfgt pp 3
Monash University 2013 The National Review of the Enrolled Nurse Competency Standards lthttpwwwmedmonashedunursingcompetency-standardsgt
Nankervis K Kenny A Bish M 2008 Enhancing scope of practice for the second level nurse A change process to meet growing demand for rural health services lthttpwwwncbinlmnihgovpubmed18844530gt
Nursing and Midwifery Board of Australia 2013 Communique Meeting of the Nursing and Midwifery Board of Australia 27 February 2013 in the AHPRA Hobart Office TasmanialthttpwwwnursingmidwiferyboardgovauNewsCommuniques-from-Board-meetingsaspxgt
Nursing and Midwifery Board of Australia 2014 Enrolled nurses and medicine administration lt httpwwwnursingmidwiferyboardgovauCodes-Guidelines-StatementsFAQaspxgt
Pryor J Buzio A 2013 lsquoDo ldquotwo typesrdquo of ENs work in rehabilitation in Australiarsquo Journal of the Australasian Rehabilitation Nurses Association vol 16 no 1 pp 14-19 lthttpsearchinformitcomaudocumentSummarydn=480975443102792res=IELHEAgt
Robinson S and Griffiths P 2007 Nursing education and regulation International profiles and perspectives lthttpeprintssotonacuk3487721NurseEduProfilespdfgt pp 7-17
Tranter S Westgarth F White G 2011 lsquoThe scope of practice of the haemodialysis Enrolled Nurse in new South Walesrsquo Renal Society of Australasia Journal vol 7 no 1 pp 24-29 lthttpwwwrenalsocietyorgRSAJjournalmar11Tranterpdfgt
United Kingdom Department of Health 2013 The Cavendish Review An Independent Review into Healthcare Assistants and Support Workers in the NHS and social care settings lthttpswwwgovukgovernmentuploadssystemuploadsattachment_datafile236212Cavendish_Reviewpdfgt pp 6
33
By Laurie Bickhoff MACN
Diary of a newly registered nurse
In Australia it is estimated nearly 20 of nurses will leave the profession within their first year of practice (National Nursing and Nurse Education Taskforce [NNNET] 2005) Internationally this figure ranges from between 35 and 60 (Halfer amp Graf 2006) Many have speculated on the reasons for this with high workloads the difficulties of shift work and unrealistic expectations of what nursing entails all given due consideration (Halfer amp Graf 2006) However as I entered my second year of practice I began to wonder what role disillusionment plays in this exodus of newly trained nurses
Disillusionment to me occurs when you feel your passion dwindling when you suddenly find it that little bit harder to get ready for work when you start feeling a sense of dread as you walk onto the ward This wasnrsquot caused by long hours or ever increasing workloads coupled with diminishing resources It wasnrsquot caused by physically demanding duties or the lack of a social life due to shift work It wasnrsquot caused by dealing with things that might not look or smell that great Unfortunately it was caused by the people around me and an almost institutionalised lack of power not only for nurses but more importantly for our patients
I was dismayed and frustrated to hear how many of my colleagues from all health professions referred to patients I was disheartened to see how easily some could dismiss the suffering we see and the heartache I felt I was overwhelmingly saddened to realise not everyone had the same passion for their profession or empathy for those we are charged to care for as I did
This culminated for me towards the end of my first year of practice There wasnrsquot any one big incident more an accumulation of things that were gradually wearing me down I had a worried patient confide in me that they had been too scared to push the call button on the previous shift because of the response they would receive from the nurse I saw patients constantly being made to fit into everyone elsersquos schedules regardless of their requests It seemed everyone was more important than the person we were there to help
I heard patients referred to as lsquocactusrsquo or described in the notes as lsquounsalvageablersquo meaning there was no chance of the patients making meaningful recoveries I wondered is this really how we refer to people Or did we forget they were actual human beings we were talking about
I had other health professionals dismiss me with comments such as nurses ldquojust wipe bums all dayrdquo or roll their eyes at me when I raised my concerns When I dared to challenge or question I was met with comments of ldquoI miss the old new gradsrdquo I felt tired washed out and was beginning to wonder
whether I could stay in this profession without losing myself
Luckily I found some inspiration I listened to a presentation by Drew Dudley a well-known American academic and motivational speaker where he discusses the idea of lsquolollypop momentsrsquo These are small moments when the people we see and work with every day demonstrate leadership They arenrsquot big grand over the top statements They are small gestures which often unknown to the person who did it have an amazing impact on the lives of others I was lucky enough to have some of these lollypop moments just when I needed them These few sparks were all that I needed to reignite my passion for nursing
The first spark came from an RN2 caring for a patient at the end-stage of a number of diseases who had expressed to the nursing staff multiple times her wish to simply be made comfortable as she knew this was the end of her fight Despite this the patient was not only receiving active treatment but was also currently documented for full resuscitation if she deteriorated
The nurse raised the issue with the medical registrar asking him to have a discussion with the patient regarding her wishes and planning end-of-life care The registrar dismissed her saying ldquowell thatrsquos not what the consultant wantsrdquo The nurse wasnrsquot satisfied and responded ldquoitrsquos not their choice itrsquos the patientrsquos decisionrdquo This nurse had the courage to stand her ground and make sure her patientrsquos voice was heard which ultimately led to the patientrsquos wishes being honoured
The next spark came soon after I was working with a nurse who came from a different cultural background to me where it was seen as impolite to question anyone in authority especially if you were female This meant even if a doctor was accidently standing in her way she would prefer to simply wait rather than ask them to move
Then one day we had a patient who deteriorated rapidly and was in a very critical condition This nurse suddenly became one of the best clinical leaders I have witnessed She led the team questioning orders prompting treatments suggesting causes and outlining the options available I soon realised the difference this was about her patient She was going to ensure her patient received the best care and outcome possible When it was about her patient rather than herself she found her voice
There were a number of smaller incidents that soon followed Sparks came from the senior consultant who re-educated her advanced trainee on the importance of listening to the nurses and acting on their concerns Sparks came from our ward social
34
worker who day after day demonstrated his passion for helping and advocating for those with no voice and often no options Sparks came from the medical residents who expressed their gratitude when you picked up a mistake and were heartfelt in their appreciation of the work nurses do
The brightest sparks came from my patients and their relatives It was their ldquothanksrdquo their ldquoyou donrsquot know how much that meansrdquo their ldquoyoursquoll be back tomorrow wonrsquot yourdquo their squeezing of my hand that reminded me why I do what I do I didnrsquot have to search for inspiration I was surrounded by it The trick was to change my focus
Perhaps all nurses are disillusioned at some point during their careers Perhaps it happens multiple times Perhaps it is a rite of passage with those who make it through the other side the
ones with a true passion for nursing who turn around and help a colleague on their journey
As I continue my nursing career I now look for the brightness that I know is always there far outshining the negativity that we have to deal with I stockpile my lsquolollypop momentsrsquo knowing the amazing examples of kindness and leadership I see every day will help me grow and become a better nurse and hopefully I might be able to be a spark for someone else
You can listen to Drew Dudleyrsquos talk at wwwtedcomtalksdrew_dudley_everyday_leadership
Halfer D and Graf E lsquoGraduate Nurse Perceptions of the Work Experiencersquo Nursing Economics June 2006 Vol 24 No 3 pp 150-55
National Nursing and Nurse Education Taskforce 2005 Mythbusters Available online at httpwwwnnnetgovaudownloadsmythbusters_attritionpdf Accessed June 2014
Arts amp Sciences | Business | Education | Health Sciences | Law | Medicine | Nursing amp Midwifery | Philosophy amp Theology | Physiotherapy
Your journey to a meaningful career awaitsThe School of Nursing amp Midwifery offers the following courses
rsaquo Bachelor of Nursing
rsaquo Bachelor of Nursing (Articulation Pathway for EN Diploma)
rsaquo Graduate Certificate (Acute Mental Health Clinical Nursing Nursing and Nursing Leadership amp Management)
rsaquo Graduate Diploma (Acute Mental Health Clinical Nursing Critical Care Nursing Forensic Nursing Midwifery Nursing and Perioperative Nursing)
rsaquo Master of Nursing (Coursework and Research)
Looking to make a difference So are we
Apply direct notredameeduau
ND
1053
| C
RIC
OS
PR
OV
IDE
R C
OD
E 0
1032
F
35
36
Research collaboration students are welcome
A collaborative research study in Queensland is tapping into the enthusiasm and intelligence of nursing students by training and employing third-years as research assistants data collectors and analysts in contract research projects
Researchers from James Cook Universityrsquos (JCU) Centre for Nursing and Midwifery Research (CNMR) the Far North Queensland Medicare Local and the Cairns and Hinterland Hospital and Health Service are trying to determine why emergency department (ED) presentations to Cairns Hospital have been increasing at a greater rate than the national average
To answer this question CNMR researchers recruited 14 nursing and medical students to survey every willing and able person who presented to the ED
Researchers asked participants for information regarding their reasons for coming to the ED They also asked where they would usually go for medical treatment and what physical and psychological factors influenced their decision to choose the ED over other treatment options
In other phases of the project hospital Emergency Department Information System (EDIS) data have been analysed and patient focus groups have been convened Unstinting faith in the local ED has been noted as one of the key reasons that people choose the ED over other health care options
Most people who come to the ED with lsquonon-urgentrsquo conditions do have general practitioners and a large percentage have sought medical advice in the days prior to presenting to the ED Worry anxiety and uncertainty rather than the severity of the medical condition itself however appears to be a significant motivator to come to the ED where people perceive there is a wide range of services professionals and diagnostic tools available
ACN Emerging Nurse Leader Anna Groth MACN a third-year nursing student from JCU has been collecting collating and analysing data
ldquoOften I would ask someone why they had come to the hospital and they would speak about being in pain but if you asked them about whether they came for the pain or because they were anxious about the pain they would say they had come to the hospital because of the anxietyrdquo explained Anna ldquoIt is such a huge difference ndash the motivation ndash coming for the pain or the anxietyrdquo
Anna said the project opened communication lines between people from different organisations including government university health service hospital and the community leading to collaboration and learning for all
By Marnie Hitchins
Benefits for the students included early career exposure to the research process in which they learnt about data collection analysis and research methods The students also had the opportunity to practise communication skills learn about the organisational cultures of universities and hospitals and work alongside health professionals and patients in a research environment
Students commented that because the power dynamics were different from that of clinical experience (they were not seen as health professionals by patients nor as lsquostudent nursesrsquo by health staff members) they gained insights into the hospital environment they might not otherwise have had
Anna said she learned a lot personally the ED research experience has catapulted her into another area of interest in which she can see herself working in the future
ldquoResearch and policy will be a part of my future Irsquove gained a deep interest in the treatment of women since doing this studyrdquo said Anna
ldquoI have become very interested in domestic violence and the way women are treated in the health service and in the society as a whole I was blown away by the struggle that people have with the system in trying to find support They are so lonely I recognised things being in the ED that I would like to research and have already started exploring the issuesrdquo
CNMR Director Associate Professor Jane Mills FACN said the recruitment and inclusion of students in research projects is part of a broader plan within the CNMR to build undergraduate research capacity
Jane said the CNMR also offered internships to undergraduate students to work on research projects alongside experienced scholars academics and researchers
ldquoJCU strongly supports the inclusion of undergraduate students in research studies where they can gain valuable knowledge skills and experience while also making a contribution to building the evidence base about health care issues of importance to people living in the tropicsrdquo said Jane
ldquoItrsquos a win-win situation where experienced researchers benefit from the studentsrsquo enthusiasm and familiarity with contemporary research principles and students increase their awareness of the importance of research to professional practicerdquo
It is clear to all parties involved that the inclusion of nursing students is benefitting the quality of the project as much as it is benefitting studentsrsquo learning and work experiences
22
Launch your nursing career at St Vincentrsquos
St Vincentrsquos Hospital Melbourne (SVHM) is part of St Vincentrsquos Health Australia and is a leading teaching research and tertiary health service which employs more than 5000 staff across 18 sites throughout Melbourne SVHM provides a diverse range of adult clinical services including acute medical and surgical services sub-acutecare medical diagnostics rehabilitation allied health mental health palliative care correctional health and community residential care SVHM is one of Australiarsquosleading Catholic not-for-prot healthcare providersMake the most of your talents Join the team at St Vincentrsquos
Visit us at the ACN Nursing and Health Expo 2015Find out about our 2016 Graduate Nurse Program andhave a chat to our current graduates educators and nursing staff
St Vincentrsquos Open Evening 2015Wednesday 3rd June 4pm-6pmSt Vincentrsquos Ground Floor Aikenhead Building 27 Victoria Parade Fitzroy
Welcome and Overview of the 2016 Graduate Nurse Program at 4pm 430pm amp 5pm
All welcome ndash no RSVP required
All 24 rotational areas on displayTours of inpatient wardsComplimentary food and beverages provided
For further information visit wwwsvhmorgau or phone the Graduate Nurse Hotline 9231 2244
To follow our 2016 recruitment process Like us at SVHM 2016 Graduate Nurse Program
Compassion Justice Integrity Excellence
24
INTERESTED IN STUDYING DEAKIN NURSING AND MIDWIFERYWe are holding information sessions for our undergraduate courses
BURWOOD CAMPUS 221 BURWOOD HIGHWAY BURWOODWednesday 22 July 6ndash8 pmSaturday 25 July 230ndash430 pm
WATERFRONT CAMPUS 1 GHERINGHAP STREET GEELONGWednesday 22 July 6ndash8 pmSaturday 25 July 230ndash430 pm
WARRNAMBOOL CITY CENTRE 165 TIMOR STREET WARRNAMBOOLFriday 24 July 730 pm
raquo To register your attendance at one of the information sessions above please email nursinfodeakineduau to advise which session you plan to attend
For more information about our undergraduate and postgraduate courses please phone 03 9244 6032
Deakin University CRICOS Provider Code 00113B HLH002
deakineduaunursing
Itrsquos never too early to become a leader
How did you become involved in nursing
I started volunteering from age 14 with St John Ambulance Australia in my hometown of Moruya NSW I loved everything about it ndash loved the joy of helping others and I was so intrigued to learn how to respond effectively in emergencies and show true compassion to others I was also fortunate to have had some very down-to-earth and inspiring mentors who encouraged my interest in nursing and after graduation from high school I undertook the University of Wollongongrsquos Bachelor of Nursing degree
I started my first paid nursing related employment in my third year of the degree at a local hospital I have now graduated and am working as a registered nurse (RN) in a local aged care facility learning the ins and outs of multiple comorbidities patient-centred care and compassionate palliative and end-of-life care
What is your nursing specialty
As I still consider myself as a lsquonewbiersquo RN I havenrsquot really discovered a specialty yet though I have interests in aged care mental health cardiology and nursing research So I guess I am intrigued to be involved in one or all of these areas at some point in my career but I am open to any interesting opportunities that may come my way
What do you love most about nursing
This is truly the job that never has a dull day Each day is different and I feel privileged to be so trusted with the lives of my patients and residents in their moments of hardship and need Along with my love of the workings of the human body the evidence-base behind nursing care and continuous educational opportunities I love the lsquoteamrsquo focus of nursing especially when the patient is at the centre of decision making and everything goes to plan
What is your least favourite part of nursing
When everything doesnrsquot go to plan
What brought you to this area of Australia
Irsquom originally from NSW South but I moved to Wollongong for University and have stuck around for the area the people and to continue to work and study here
What are some of the nursing and health issues that are specific to the Sydney SouthIllawarra Region
Two big issues come to mind Firstly many newly graduated RNs within our region have been unable to find employment Secondly local nurses struggle to find the time within their working hours to keep up to date with advances in education
What do you see as the biggest challenge currently facing the nursing profession and how do you think the profession is placed to respond to these challenges
I believe possible health funding cuts and workforce shortages that in-turn affect our ability to provide adequate and safe patient care are two significant challenges facing our profession There are recently graduated RNs who remain jobless yet there are local health districts crying out for nurses but only those with lsquoexperiencersquo with undergraduate nursing experience ignored Looking into alternative transition programs is key to overcoming this challenge
Whatrsquos the biggest misconception about your career choice
I have met some amazingly talented and intelligent nurses in a variety of roles who all make a great difference in the lives of their patients or indirectly through organisations or research The general misconception that irks me isnrsquot so much a misconception more a statement Irsquove heard multiple times ndash ldquoWhy didnrsquot you become a doctor Why are you just a nurserdquo I did not become a nurse because I didnrsquot have the marks to be a doctor and by the time I finish university again with a Research Masters I would have physically been enrolled in university for the same length of time I became a nurse because I found a passion for this role and spending time with people inspires me
Nursing is a holistic role that encompasses so much We are health professionals role models educators support systems and innovators we understand intimately the fragility of life and the human relationships that bring it meaning
Profile Renee Callender MACN
LeadershipACN
Expand your leadership capacity
25
INTERESTED IN STUDYING DEAKIN NURSING AND MIDWIFERYWe are holding information sessions for our undergraduate courses
BURWOOD CAMPUS 221 BURWOOD HIGHWAY BURWOODWednesday 22 July 6ndash8 pmSaturday 25 July 230ndash430 pm
WATERFRONT CAMPUS 1 GHERINGHAP STREET GEELONGWednesday 22 July 6ndash8 pmSaturday 25 July 230ndash430 pm
WARRNAMBOOL CITY CENTRE 165 TIMOR STREET WARRNAMBOOLFriday 24 July 730 pm
raquo To register your attendance at one of the information sessions above please email nursinfodeakineduau to advise which session you plan to attend
For more information about our undergraduate and postgraduate courses please phone 03 9244 6032
Deakin University CRICOS Provider Code 00113B HLH002
deakineduaunursing
WA EXPO PERTH
26
Welcome from the Chief Nurse amp Midwifery OfficerI am so pleased to be welcoming you to the Australian College of Nursingrsquos Western Australian Nursing and Health Expo for 2015
Attending the Expo is an invaluable experience for anyone interested in nursing and midwifery careers It especially helps high school students and their parents or anyone who is wondering which career direction to take
Hospitals and health services from across WA will be there with some of their nurses and midwives in attendance to answer any questions you may have Come and find out from them what itrsquos really like to be a nurse or midwife
There will also be a range of education providers who will be able to talk about the many courses available to get your career started
It is also a great place to come to discuss and find out about graduate job opportunities building your experience career development opportunities financial support to study changing employers or even returning to a career in nursing or midwifery after being away for a while
The decision to become a nurse or a midwife is a wonderful career choice for anyone who wants to be part of a diverse healthcare professional team and have a challenging rewarding and exciting job where you really can make a difference
The future demand for nurses and midwives is going to be high especially as WArsquos new Fiona Stanley Perth Childrenrsquos Busselton and Midland hospitals all start becoming fully operational so we encourage you to attend the Expo to see where nursing and midwifery might take you
I look forward to seeing you on Friday 1 May 2015 at the Perth Convention and Exhibition Centre
Karen Bradley MACN Chief Nurse and Midwifery Officer WA Health
27
Expo informationLocation
The Perth Convention and Exhibition Centre (PCEC) is Western Australiarsquos only dedicated convention and exhibition facility Each year over 500000 people attend one or more of the 600 plus events conducted at PCEC The Expo will be held in Pavillion 1 at PCEC
Doors open 9am ndash 1pm
Entry
Stairs amp Escalators to Level 2
Registration DeskEntry Foyer
Entry
ACN Expo Pavillion 1
28
Seminars
This year the educational seminar series is back again to provide visitors with up to date information and practical skills to pursue or further their career Seminar attendance is free of charge and registration is not required
Time Topic Presented by
915am How to become a nurse or midwife Rebecca Newton WA Nursing and Midwifery Office
950am Applying via GradConnect and other opportunities for graduate nurses and midwives
Regina Browne WA Nursing and Midwifery Office
1025am Unleashing the potential of your staff Lisa Ansbro and Donna Hampshire Chandler Macleod Health
1100am How to become a nurse or midwife Rebecca Newton WA Nursing and Midwifery Office
1135am Applying via GradConnect and other opportunities for graduate nurses and midwives
Regina Browne WA Nursing and Midwifery Office
1210pm Unleashing the potential of your staff Lisa Ansbro and Donna Hampshire Chandler Macleod Health
The lsquoUnleashing the potential of your staffrsquo seminar is proudly supported by
Chandler Macleod is Australasiarsquos leading provider of integrated HR services products and technologies We have more than 55 yearsrsquo experience in human resources and have specialised within the health sector for 10 of these We are ideally positioned to help you meet the growing demands on your business We provide permanent and temporarycontract recruitment for the full range of Health professions including Carers and Support Workers Enrolled Nurses Registered Nurses Facility and Operations Managers Directors Cleaners and Kitchen staff We are able to provide you with experienced caring staff 247 including public holidays
For more information contact Chandler Macleod on (08) 9217 0510 or visit wwwchandlermacleodcomclientshealth-recruitment
29
Floor plan
42 41
39
40
38
36
37
35
43
44
45
46
47
48
Entrance
Seminar area
Cafeacute
7
5
8
6
20
18
19
17
11
9
12
10
16
14
15
13
34 33 32 31 30 29 28
30
Exhibitor listing
Organisation Name Booth Number
AACDS 8
Armadale Health Service 38
Belmore Nurses Bureau 30
Central Institute of Technology 20
Chandler Macleod Health 16
Child amp Adolescent Health Service 42
Curtin University of Technology 19
Defence Force Recruiting 910
Edith Cowan University - School of Nursing and Midwifery
3334
Fiona Stanley Hospital 36
Fremantle Hospital 44
HESTA 5
Hollywood Private Hospital 7
Institute of Health amp Nursing Australia 32
Mediserve Nursing Agency 6
Murdoch University 1112
My Flex Health International 18
Organisation Name Booth Number
Next Step 48
North Metropolitan Mental Health 35
NurseWest 47
Nursing amp Midwifery Board of Australia 29
Osborne Park Hospital 46
Prime Super 17
PampN Bank 15
Rockingham General Hospital 39
Royal Perth Hospital 37
Sir Charles Gairdner Hospital 45
The Bethanie Group Inc 31
The University of Notre Dame 13
WA Country Health Service 40
WA Nursing amp Midwifery Office 43
West Coast Institute of Training 14
Women amp Newborn Health Service 41
Work the World 28
The WA Nursing amp Health Expo is proudly supported by
The WA Nursing and Midwifery Office is very proud to partner once again with the Australian College of Nursing for the 2015 Nursing and Health Expo The nursing and midwifery professions offer an array of interesting and diverse experiences With these highly valued and respected skills relevant anywhere in the world nurses and midwives will always be in demand ndash in hospitals and in a range of other workplaces In WA the future demand for nurses and midwives is going to be high especially as our new Fiona Stanley Perth Childrenrsquos Busselton and Midland hospitals all start becoming fully operational so considering a career in nursing or midwifery is a great idea
wwwnursinghealthwagovau
31
In Australia enrolled nurses (ENs) are a core component of the health care workforce and make an important contribution to Australiarsquos world-class health outcomes ENs work in varied settings across the country from blood services to aged care facilities Increasingly ENs are playing an important role in meeting the growing demand for care
Not all countries have recognised the importance of ENs in the nurse workforce mix Several European countries including France Denmark Italy and Spain have only one category of regulated nurse (HWA 2013 Robinson and Griffiths 2007) The United Kingdom (UK) ceased admitting new ENs to the register in the 1980s The minimum qualification for all UK nurses is now a three-year bachelorrsquos degree As a result the UK relies heavily on unregistered health care assistants rather than second-level nurses (UK Department of Health 2013) Closer to home New Zealand ceased training ENs in 1993 only to recommence in the 2000s (Meek 2009) New Zealandrsquos experiment is an instructive demonstration of the importance of ENs in the health care workforce as the demand for nursing care increases
In Australia we have remained committed to maintaining the EN role Rather than relying on unregistered health care workers Australia has chosen to maintain a large educated and professional EN workforce The skilled work of ENs is recognised to be of paramount importance to the delivery of high quality nursing care Our EN workforce is highly dynamic and continues to evolve within the changing landscape of Australian health care policy and regulation
Enrolled nurse demographics
According to the latest national figures there are 51624 ENs working in Australia The great majority of ENs have completed their pre-registration education in Australia fewer than 5 have been educated overseas (HWA 2013)
The EN workforce has a relatively high average age of 46 years and forty-five per cent of ENs have celebrated their fiftieth birthdays (AIHW 2013) According to Health Workforce Australia the ageing EN workforce could lead to a significant shortfall in the supply of ENs if action is not taken to retain the current cohort of ENs and increase the number of people studying to be the ENs of tomorrow (HWA 2012)
Men make up roughly 10 of the EN workforce While this number is rising gradually it indicates that there is progress to be made in terms of attracting and retaining males within the profession Aboriginal and Torres Strait Islander people are
also underrepresented in the EN workforce only around 800 of Australiarsquos ENs identify as Indigenous Australians (AIHW 2013)
Among the most common work settings for ENs are aged care rehabilitation and disability services In contrast ENs make up fewer than 5 of the critical care nursing workforce and represent only a small proportion of nurses working in education policy and management (AIHW 2013)
These statistics show that there are both challenges and opportunities for Australiarsquos EN workforce Efforts to recruit and retain ENs will need to be enhanced with a particular focus on encouraging men and Aboriginal and Torres Strait Islander people to become ENs At the same time roles in a wider range of clinical areas are becoming available to suitably educated and qualified ENs and there will be more such opportunities in the coming years
A growing role for ENs
The evolving role of the EN is reflected in recent changes to educational requirements for ENs As of 1 July 2014 the Certificate IV in enrolled nursing ceased to be available and the minimum qualification for EN entry to practice will be the Diploma of Nursing The transition to a Diploma recognises the high level of skill ENs contribute to todayrsquos health care teams A nationally consistent approach to EN education is also likely to enhance the mobility of the EN workforce by giving employers confidence in the knowledge and skills of ENs educated in other states
ENs are now undertaking a diverse range of roles One of the earliest areas of role expansion for ENs was medication endorsement Before the move to national registration in 2010 ENs in some states were able to obtain an endorsement in medicines administration and become Endorsed Enrolled Nurses by completing specified education units This endorsement has now been phased out because from 2008 onwards all newly qualified ENs have completed the required medicines administration education Instead the register now identifies ENs who have not completed the required courses (NMBA 2014) This example demonstrates how the EN role has evolved over the years Whereas once only a relatively small number of ENs were educated to administer medicines now all student ENs complete medicines administration units as part of their initial nursing education
The EN role is also expanding in other ways For example ENs are taking on a growing role within haemodialysis units (Tranter et al 2011) The 2008 Australia and New Zealand Dialysis Workforce Survey conducted by the Renal Society of Australia found that there were 188 ENs working in dialysis alongside 2433 registered nurses (RNs) The growing demand for dialysis
The potential of the enrolled nursing workforce
By Rosina Muir and Dr Marlene Eggert MACN
32
services and the shortage of dialysis RNs in some areas represents a clear opportunity for ENs According to a New South Wales study conducted in 2009 the scope of practice of ENs in haemodialysis units may include cannulation (including both native access and buttonhole cannulation) connecting and disconnecting haemodialysis central venous catheters (CVCs) performing CVC dressings giving iron infusions and administering erythropoietin anticoagulants and Lignocaine In addition ENs may also take on a case management or health promotion role for dialysis patients (Bennett et al 2009)
ENs are also moving into extended roles in rehabilitation services A recent study of ENs in an Australian rehabilitation facility found that in addition to assisting patients with activities of daily living ENs may take on roles in coaching and supporting patients to reach their individual goals monitoring the patientrsquos progress and liaising with other members of the multidisciplinary rehabilitation team The study found that many ENs demonstrate an understanding of the philosophy of rehabilitation nursing including goal setting and enabling self-care (Pryor and Buzio 2013)
In rural Australia ENs are taking on a diverse range of roles within the EN scope of practice in order to meet local needs ENs with specialist skills such as infection control or wound care make a significant contribution to some rural health services although their extended scope of practice is not always given appropriate recognition by their RN colleagues (Nankervis et al 2008) Rural health services are increasingly recognising that supporting ENs to take on extended roles and further develop their clinical skills can be a successful model for the delivery of high quality patient care
Recognising the evolving EN scope of practice
In light of the fact that there have been significant changes to EN education regulation and scope over the last decade the NMBA has commissioned Monash University to review the currency of the standards against contemporary enrolled nursing roles The Monash University project has involved a review of the literature as well as a series of focus groups and surveys to gather insights from both RNs and ENs on the education scope of practice and supervision of ENs (Monash University 2013) The project is expected to be completed in 2014 (NMBA 2013)
Our advocacy for ENs
ACNrsquos advocacy priorities are explicitly designed to support both registered and enrolled nurses In 2014 ACN has argued for a range of policies that would have a positive impact on the
retention and flexibility of enrolled nurses For example ACN has proposed a National Transition Framework to support the flexibility and mobility of both the EN and the RN workforces The Framework would be accessible to nurses entering the workforce as well as nurses transitioning from one area of practice to another For example it would support an EN wishing to transition from the aged care sector to a hospital-based role
ACN has also put forward a proposal for a new scholarship program to support newly registered and enrolled nurses to practice in rural services It is essential that rural health service providers are able to attract appropriately educated staff including both ENs and RNs in order to maintain an optimal skill mix The scholarship scheme will allow rural health services to employ newly registered and enrolled nurses as supernumerary team members while providing them with a structured clinical learning program
ACN will continue to provide a voice for ENs in policy discussions and advocate for the role of ENs in health care delivery Australian Institute of Health and Welfare 2013 Nursing and midwifery workforce 2012 lthttpwwwaihwgovauWorkAreaDownloadAssetaspxid=60129545314gt pp 6
Bennett P McNeill L Polaschek N 2009 lsquoThe Australian and New Zealand Dialysis Workforcersquo Renal Society of Australasia Journal vol 5 no3 pp 147-151 lthttpwwwrenalsocietyorgRSAJjournalnov09bennett2pdfgt
Health Workforce Australia 2012 Health Workforce 2025 Doctors Nurses and Midwives vol 1 lthttpwwwhwagovausitesuploadsFinalReport_Volume1_FINAL-20120424pdfgt pp 137-142
Health Workforce Australia 2013 Nurses in Focus lthttpwwwhwagovausitesuploadsNurses-in-Focus-FINALpdfgt
Meek G 2010 Second level nurses a critical examination of their evolving role in New Zealand Healthcare lthttpresearcharchivewintecacnz9621Repository_entry_HLNU902pdfgt pp 3
Monash University 2013 The National Review of the Enrolled Nurse Competency Standards lthttpwwwmedmonashedunursingcompetency-standardsgt
Nankervis K Kenny A Bish M 2008 Enhancing scope of practice for the second level nurse A change process to meet growing demand for rural health services lthttpwwwncbinlmnihgovpubmed18844530gt
Nursing and Midwifery Board of Australia 2013 Communique Meeting of the Nursing and Midwifery Board of Australia 27 February 2013 in the AHPRA Hobart Office TasmanialthttpwwwnursingmidwiferyboardgovauNewsCommuniques-from-Board-meetingsaspxgt
Nursing and Midwifery Board of Australia 2014 Enrolled nurses and medicine administration lt httpwwwnursingmidwiferyboardgovauCodes-Guidelines-StatementsFAQaspxgt
Pryor J Buzio A 2013 lsquoDo ldquotwo typesrdquo of ENs work in rehabilitation in Australiarsquo Journal of the Australasian Rehabilitation Nurses Association vol 16 no 1 pp 14-19 lthttpsearchinformitcomaudocumentSummarydn=480975443102792res=IELHEAgt
Robinson S and Griffiths P 2007 Nursing education and regulation International profiles and perspectives lthttpeprintssotonacuk3487721NurseEduProfilespdfgt pp 7-17
Tranter S Westgarth F White G 2011 lsquoThe scope of practice of the haemodialysis Enrolled Nurse in new South Walesrsquo Renal Society of Australasia Journal vol 7 no 1 pp 24-29 lthttpwwwrenalsocietyorgRSAJjournalmar11Tranterpdfgt
United Kingdom Department of Health 2013 The Cavendish Review An Independent Review into Healthcare Assistants and Support Workers in the NHS and social care settings lthttpswwwgovukgovernmentuploadssystemuploadsattachment_datafile236212Cavendish_Reviewpdfgt pp 6
33
By Laurie Bickhoff MACN
Diary of a newly registered nurse
In Australia it is estimated nearly 20 of nurses will leave the profession within their first year of practice (National Nursing and Nurse Education Taskforce [NNNET] 2005) Internationally this figure ranges from between 35 and 60 (Halfer amp Graf 2006) Many have speculated on the reasons for this with high workloads the difficulties of shift work and unrealistic expectations of what nursing entails all given due consideration (Halfer amp Graf 2006) However as I entered my second year of practice I began to wonder what role disillusionment plays in this exodus of newly trained nurses
Disillusionment to me occurs when you feel your passion dwindling when you suddenly find it that little bit harder to get ready for work when you start feeling a sense of dread as you walk onto the ward This wasnrsquot caused by long hours or ever increasing workloads coupled with diminishing resources It wasnrsquot caused by physically demanding duties or the lack of a social life due to shift work It wasnrsquot caused by dealing with things that might not look or smell that great Unfortunately it was caused by the people around me and an almost institutionalised lack of power not only for nurses but more importantly for our patients
I was dismayed and frustrated to hear how many of my colleagues from all health professions referred to patients I was disheartened to see how easily some could dismiss the suffering we see and the heartache I felt I was overwhelmingly saddened to realise not everyone had the same passion for their profession or empathy for those we are charged to care for as I did
This culminated for me towards the end of my first year of practice There wasnrsquot any one big incident more an accumulation of things that were gradually wearing me down I had a worried patient confide in me that they had been too scared to push the call button on the previous shift because of the response they would receive from the nurse I saw patients constantly being made to fit into everyone elsersquos schedules regardless of their requests It seemed everyone was more important than the person we were there to help
I heard patients referred to as lsquocactusrsquo or described in the notes as lsquounsalvageablersquo meaning there was no chance of the patients making meaningful recoveries I wondered is this really how we refer to people Or did we forget they were actual human beings we were talking about
I had other health professionals dismiss me with comments such as nurses ldquojust wipe bums all dayrdquo or roll their eyes at me when I raised my concerns When I dared to challenge or question I was met with comments of ldquoI miss the old new gradsrdquo I felt tired washed out and was beginning to wonder
whether I could stay in this profession without losing myself
Luckily I found some inspiration I listened to a presentation by Drew Dudley a well-known American academic and motivational speaker where he discusses the idea of lsquolollypop momentsrsquo These are small moments when the people we see and work with every day demonstrate leadership They arenrsquot big grand over the top statements They are small gestures which often unknown to the person who did it have an amazing impact on the lives of others I was lucky enough to have some of these lollypop moments just when I needed them These few sparks were all that I needed to reignite my passion for nursing
The first spark came from an RN2 caring for a patient at the end-stage of a number of diseases who had expressed to the nursing staff multiple times her wish to simply be made comfortable as she knew this was the end of her fight Despite this the patient was not only receiving active treatment but was also currently documented for full resuscitation if she deteriorated
The nurse raised the issue with the medical registrar asking him to have a discussion with the patient regarding her wishes and planning end-of-life care The registrar dismissed her saying ldquowell thatrsquos not what the consultant wantsrdquo The nurse wasnrsquot satisfied and responded ldquoitrsquos not their choice itrsquos the patientrsquos decisionrdquo This nurse had the courage to stand her ground and make sure her patientrsquos voice was heard which ultimately led to the patientrsquos wishes being honoured
The next spark came soon after I was working with a nurse who came from a different cultural background to me where it was seen as impolite to question anyone in authority especially if you were female This meant even if a doctor was accidently standing in her way she would prefer to simply wait rather than ask them to move
Then one day we had a patient who deteriorated rapidly and was in a very critical condition This nurse suddenly became one of the best clinical leaders I have witnessed She led the team questioning orders prompting treatments suggesting causes and outlining the options available I soon realised the difference this was about her patient She was going to ensure her patient received the best care and outcome possible When it was about her patient rather than herself she found her voice
There were a number of smaller incidents that soon followed Sparks came from the senior consultant who re-educated her advanced trainee on the importance of listening to the nurses and acting on their concerns Sparks came from our ward social
34
worker who day after day demonstrated his passion for helping and advocating for those with no voice and often no options Sparks came from the medical residents who expressed their gratitude when you picked up a mistake and were heartfelt in their appreciation of the work nurses do
The brightest sparks came from my patients and their relatives It was their ldquothanksrdquo their ldquoyou donrsquot know how much that meansrdquo their ldquoyoursquoll be back tomorrow wonrsquot yourdquo their squeezing of my hand that reminded me why I do what I do I didnrsquot have to search for inspiration I was surrounded by it The trick was to change my focus
Perhaps all nurses are disillusioned at some point during their careers Perhaps it happens multiple times Perhaps it is a rite of passage with those who make it through the other side the
ones with a true passion for nursing who turn around and help a colleague on their journey
As I continue my nursing career I now look for the brightness that I know is always there far outshining the negativity that we have to deal with I stockpile my lsquolollypop momentsrsquo knowing the amazing examples of kindness and leadership I see every day will help me grow and become a better nurse and hopefully I might be able to be a spark for someone else
You can listen to Drew Dudleyrsquos talk at wwwtedcomtalksdrew_dudley_everyday_leadership
Halfer D and Graf E lsquoGraduate Nurse Perceptions of the Work Experiencersquo Nursing Economics June 2006 Vol 24 No 3 pp 150-55
National Nursing and Nurse Education Taskforce 2005 Mythbusters Available online at httpwwwnnnetgovaudownloadsmythbusters_attritionpdf Accessed June 2014
Arts amp Sciences | Business | Education | Health Sciences | Law | Medicine | Nursing amp Midwifery | Philosophy amp Theology | Physiotherapy
Your journey to a meaningful career awaitsThe School of Nursing amp Midwifery offers the following courses
rsaquo Bachelor of Nursing
rsaquo Bachelor of Nursing (Articulation Pathway for EN Diploma)
rsaquo Graduate Certificate (Acute Mental Health Clinical Nursing Nursing and Nursing Leadership amp Management)
rsaquo Graduate Diploma (Acute Mental Health Clinical Nursing Critical Care Nursing Forensic Nursing Midwifery Nursing and Perioperative Nursing)
rsaquo Master of Nursing (Coursework and Research)
Looking to make a difference So are we
Apply direct notredameeduau
ND
1053
| C
RIC
OS
PR
OV
IDE
R C
OD
E 0
1032
F
35
36
Launch your nursing career at St Vincentrsquos
St Vincentrsquos Hospital Melbourne (SVHM) is part of St Vincentrsquos Health Australia and is a leading teaching research and tertiary health service which employs more than 5000 staff across 18 sites throughout Melbourne SVHM provides a diverse range of adult clinical services including acute medical and surgical services sub-acutecare medical diagnostics rehabilitation allied health mental health palliative care correctional health and community residential care SVHM is one of Australiarsquosleading Catholic not-for-prot healthcare providersMake the most of your talents Join the team at St Vincentrsquos
Visit us at the ACN Nursing and Health Expo 2015Find out about our 2016 Graduate Nurse Program andhave a chat to our current graduates educators and nursing staff
St Vincentrsquos Open Evening 2015Wednesday 3rd June 4pm-6pmSt Vincentrsquos Ground Floor Aikenhead Building 27 Victoria Parade Fitzroy
Welcome and Overview of the 2016 Graduate Nurse Program at 4pm 430pm amp 5pm
All welcome ndash no RSVP required
All 24 rotational areas on displayTours of inpatient wardsComplimentary food and beverages provided
For further information visit wwwsvhmorgau or phone the Graduate Nurse Hotline 9231 2244
To follow our 2016 recruitment process Like us at SVHM 2016 Graduate Nurse Program
Compassion Justice Integrity Excellence
24
INTERESTED IN STUDYING DEAKIN NURSING AND MIDWIFERYWe are holding information sessions for our undergraduate courses
BURWOOD CAMPUS 221 BURWOOD HIGHWAY BURWOODWednesday 22 July 6ndash8 pmSaturday 25 July 230ndash430 pm
WATERFRONT CAMPUS 1 GHERINGHAP STREET GEELONGWednesday 22 July 6ndash8 pmSaturday 25 July 230ndash430 pm
WARRNAMBOOL CITY CENTRE 165 TIMOR STREET WARRNAMBOOLFriday 24 July 730 pm
raquo To register your attendance at one of the information sessions above please email nursinfodeakineduau to advise which session you plan to attend
For more information about our undergraduate and postgraduate courses please phone 03 9244 6032
Deakin University CRICOS Provider Code 00113B HLH002
deakineduaunursing
Itrsquos never too early to become a leader
How did you become involved in nursing
I started volunteering from age 14 with St John Ambulance Australia in my hometown of Moruya NSW I loved everything about it ndash loved the joy of helping others and I was so intrigued to learn how to respond effectively in emergencies and show true compassion to others I was also fortunate to have had some very down-to-earth and inspiring mentors who encouraged my interest in nursing and after graduation from high school I undertook the University of Wollongongrsquos Bachelor of Nursing degree
I started my first paid nursing related employment in my third year of the degree at a local hospital I have now graduated and am working as a registered nurse (RN) in a local aged care facility learning the ins and outs of multiple comorbidities patient-centred care and compassionate palliative and end-of-life care
What is your nursing specialty
As I still consider myself as a lsquonewbiersquo RN I havenrsquot really discovered a specialty yet though I have interests in aged care mental health cardiology and nursing research So I guess I am intrigued to be involved in one or all of these areas at some point in my career but I am open to any interesting opportunities that may come my way
What do you love most about nursing
This is truly the job that never has a dull day Each day is different and I feel privileged to be so trusted with the lives of my patients and residents in their moments of hardship and need Along with my love of the workings of the human body the evidence-base behind nursing care and continuous educational opportunities I love the lsquoteamrsquo focus of nursing especially when the patient is at the centre of decision making and everything goes to plan
What is your least favourite part of nursing
When everything doesnrsquot go to plan
What brought you to this area of Australia
Irsquom originally from NSW South but I moved to Wollongong for University and have stuck around for the area the people and to continue to work and study here
What are some of the nursing and health issues that are specific to the Sydney SouthIllawarra Region
Two big issues come to mind Firstly many newly graduated RNs within our region have been unable to find employment Secondly local nurses struggle to find the time within their working hours to keep up to date with advances in education
What do you see as the biggest challenge currently facing the nursing profession and how do you think the profession is placed to respond to these challenges
I believe possible health funding cuts and workforce shortages that in-turn affect our ability to provide adequate and safe patient care are two significant challenges facing our profession There are recently graduated RNs who remain jobless yet there are local health districts crying out for nurses but only those with lsquoexperiencersquo with undergraduate nursing experience ignored Looking into alternative transition programs is key to overcoming this challenge
Whatrsquos the biggest misconception about your career choice
I have met some amazingly talented and intelligent nurses in a variety of roles who all make a great difference in the lives of their patients or indirectly through organisations or research The general misconception that irks me isnrsquot so much a misconception more a statement Irsquove heard multiple times ndash ldquoWhy didnrsquot you become a doctor Why are you just a nurserdquo I did not become a nurse because I didnrsquot have the marks to be a doctor and by the time I finish university again with a Research Masters I would have physically been enrolled in university for the same length of time I became a nurse because I found a passion for this role and spending time with people inspires me
Nursing is a holistic role that encompasses so much We are health professionals role models educators support systems and innovators we understand intimately the fragility of life and the human relationships that bring it meaning
Profile Renee Callender MACN
LeadershipACN
Expand your leadership capacity
25
INTERESTED IN STUDYING DEAKIN NURSING AND MIDWIFERYWe are holding information sessions for our undergraduate courses
BURWOOD CAMPUS 221 BURWOOD HIGHWAY BURWOODWednesday 22 July 6ndash8 pmSaturday 25 July 230ndash430 pm
WATERFRONT CAMPUS 1 GHERINGHAP STREET GEELONGWednesday 22 July 6ndash8 pmSaturday 25 July 230ndash430 pm
WARRNAMBOOL CITY CENTRE 165 TIMOR STREET WARRNAMBOOLFriday 24 July 730 pm
raquo To register your attendance at one of the information sessions above please email nursinfodeakineduau to advise which session you plan to attend
For more information about our undergraduate and postgraduate courses please phone 03 9244 6032
Deakin University CRICOS Provider Code 00113B HLH002
deakineduaunursing
WA EXPO PERTH
26
Welcome from the Chief Nurse amp Midwifery OfficerI am so pleased to be welcoming you to the Australian College of Nursingrsquos Western Australian Nursing and Health Expo for 2015
Attending the Expo is an invaluable experience for anyone interested in nursing and midwifery careers It especially helps high school students and their parents or anyone who is wondering which career direction to take
Hospitals and health services from across WA will be there with some of their nurses and midwives in attendance to answer any questions you may have Come and find out from them what itrsquos really like to be a nurse or midwife
There will also be a range of education providers who will be able to talk about the many courses available to get your career started
It is also a great place to come to discuss and find out about graduate job opportunities building your experience career development opportunities financial support to study changing employers or even returning to a career in nursing or midwifery after being away for a while
The decision to become a nurse or a midwife is a wonderful career choice for anyone who wants to be part of a diverse healthcare professional team and have a challenging rewarding and exciting job where you really can make a difference
The future demand for nurses and midwives is going to be high especially as WArsquos new Fiona Stanley Perth Childrenrsquos Busselton and Midland hospitals all start becoming fully operational so we encourage you to attend the Expo to see where nursing and midwifery might take you
I look forward to seeing you on Friday 1 May 2015 at the Perth Convention and Exhibition Centre
Karen Bradley MACN Chief Nurse and Midwifery Officer WA Health
27
Expo informationLocation
The Perth Convention and Exhibition Centre (PCEC) is Western Australiarsquos only dedicated convention and exhibition facility Each year over 500000 people attend one or more of the 600 plus events conducted at PCEC The Expo will be held in Pavillion 1 at PCEC
Doors open 9am ndash 1pm
Entry
Stairs amp Escalators to Level 2
Registration DeskEntry Foyer
Entry
ACN Expo Pavillion 1
28
Seminars
This year the educational seminar series is back again to provide visitors with up to date information and practical skills to pursue or further their career Seminar attendance is free of charge and registration is not required
Time Topic Presented by
915am How to become a nurse or midwife Rebecca Newton WA Nursing and Midwifery Office
950am Applying via GradConnect and other opportunities for graduate nurses and midwives
Regina Browne WA Nursing and Midwifery Office
1025am Unleashing the potential of your staff Lisa Ansbro and Donna Hampshire Chandler Macleod Health
1100am How to become a nurse or midwife Rebecca Newton WA Nursing and Midwifery Office
1135am Applying via GradConnect and other opportunities for graduate nurses and midwives
Regina Browne WA Nursing and Midwifery Office
1210pm Unleashing the potential of your staff Lisa Ansbro and Donna Hampshire Chandler Macleod Health
The lsquoUnleashing the potential of your staffrsquo seminar is proudly supported by
Chandler Macleod is Australasiarsquos leading provider of integrated HR services products and technologies We have more than 55 yearsrsquo experience in human resources and have specialised within the health sector for 10 of these We are ideally positioned to help you meet the growing demands on your business We provide permanent and temporarycontract recruitment for the full range of Health professions including Carers and Support Workers Enrolled Nurses Registered Nurses Facility and Operations Managers Directors Cleaners and Kitchen staff We are able to provide you with experienced caring staff 247 including public holidays
For more information contact Chandler Macleod on (08) 9217 0510 or visit wwwchandlermacleodcomclientshealth-recruitment
29
Floor plan
42 41
39
40
38
36
37
35
43
44
45
46
47
48
Entrance
Seminar area
Cafeacute
7
5
8
6
20
18
19
17
11
9
12
10
16
14
15
13
34 33 32 31 30 29 28
30
Exhibitor listing
Organisation Name Booth Number
AACDS 8
Armadale Health Service 38
Belmore Nurses Bureau 30
Central Institute of Technology 20
Chandler Macleod Health 16
Child amp Adolescent Health Service 42
Curtin University of Technology 19
Defence Force Recruiting 910
Edith Cowan University - School of Nursing and Midwifery
3334
Fiona Stanley Hospital 36
Fremantle Hospital 44
HESTA 5
Hollywood Private Hospital 7
Institute of Health amp Nursing Australia 32
Mediserve Nursing Agency 6
Murdoch University 1112
My Flex Health International 18
Organisation Name Booth Number
Next Step 48
North Metropolitan Mental Health 35
NurseWest 47
Nursing amp Midwifery Board of Australia 29
Osborne Park Hospital 46
Prime Super 17
PampN Bank 15
Rockingham General Hospital 39
Royal Perth Hospital 37
Sir Charles Gairdner Hospital 45
The Bethanie Group Inc 31
The University of Notre Dame 13
WA Country Health Service 40
WA Nursing amp Midwifery Office 43
West Coast Institute of Training 14
Women amp Newborn Health Service 41
Work the World 28
The WA Nursing amp Health Expo is proudly supported by
The WA Nursing and Midwifery Office is very proud to partner once again with the Australian College of Nursing for the 2015 Nursing and Health Expo The nursing and midwifery professions offer an array of interesting and diverse experiences With these highly valued and respected skills relevant anywhere in the world nurses and midwives will always be in demand ndash in hospitals and in a range of other workplaces In WA the future demand for nurses and midwives is going to be high especially as our new Fiona Stanley Perth Childrenrsquos Busselton and Midland hospitals all start becoming fully operational so considering a career in nursing or midwifery is a great idea
wwwnursinghealthwagovau
31
In Australia enrolled nurses (ENs) are a core component of the health care workforce and make an important contribution to Australiarsquos world-class health outcomes ENs work in varied settings across the country from blood services to aged care facilities Increasingly ENs are playing an important role in meeting the growing demand for care
Not all countries have recognised the importance of ENs in the nurse workforce mix Several European countries including France Denmark Italy and Spain have only one category of regulated nurse (HWA 2013 Robinson and Griffiths 2007) The United Kingdom (UK) ceased admitting new ENs to the register in the 1980s The minimum qualification for all UK nurses is now a three-year bachelorrsquos degree As a result the UK relies heavily on unregistered health care assistants rather than second-level nurses (UK Department of Health 2013) Closer to home New Zealand ceased training ENs in 1993 only to recommence in the 2000s (Meek 2009) New Zealandrsquos experiment is an instructive demonstration of the importance of ENs in the health care workforce as the demand for nursing care increases
In Australia we have remained committed to maintaining the EN role Rather than relying on unregistered health care workers Australia has chosen to maintain a large educated and professional EN workforce The skilled work of ENs is recognised to be of paramount importance to the delivery of high quality nursing care Our EN workforce is highly dynamic and continues to evolve within the changing landscape of Australian health care policy and regulation
Enrolled nurse demographics
According to the latest national figures there are 51624 ENs working in Australia The great majority of ENs have completed their pre-registration education in Australia fewer than 5 have been educated overseas (HWA 2013)
The EN workforce has a relatively high average age of 46 years and forty-five per cent of ENs have celebrated their fiftieth birthdays (AIHW 2013) According to Health Workforce Australia the ageing EN workforce could lead to a significant shortfall in the supply of ENs if action is not taken to retain the current cohort of ENs and increase the number of people studying to be the ENs of tomorrow (HWA 2012)
Men make up roughly 10 of the EN workforce While this number is rising gradually it indicates that there is progress to be made in terms of attracting and retaining males within the profession Aboriginal and Torres Strait Islander people are
also underrepresented in the EN workforce only around 800 of Australiarsquos ENs identify as Indigenous Australians (AIHW 2013)
Among the most common work settings for ENs are aged care rehabilitation and disability services In contrast ENs make up fewer than 5 of the critical care nursing workforce and represent only a small proportion of nurses working in education policy and management (AIHW 2013)
These statistics show that there are both challenges and opportunities for Australiarsquos EN workforce Efforts to recruit and retain ENs will need to be enhanced with a particular focus on encouraging men and Aboriginal and Torres Strait Islander people to become ENs At the same time roles in a wider range of clinical areas are becoming available to suitably educated and qualified ENs and there will be more such opportunities in the coming years
A growing role for ENs
The evolving role of the EN is reflected in recent changes to educational requirements for ENs As of 1 July 2014 the Certificate IV in enrolled nursing ceased to be available and the minimum qualification for EN entry to practice will be the Diploma of Nursing The transition to a Diploma recognises the high level of skill ENs contribute to todayrsquos health care teams A nationally consistent approach to EN education is also likely to enhance the mobility of the EN workforce by giving employers confidence in the knowledge and skills of ENs educated in other states
ENs are now undertaking a diverse range of roles One of the earliest areas of role expansion for ENs was medication endorsement Before the move to national registration in 2010 ENs in some states were able to obtain an endorsement in medicines administration and become Endorsed Enrolled Nurses by completing specified education units This endorsement has now been phased out because from 2008 onwards all newly qualified ENs have completed the required medicines administration education Instead the register now identifies ENs who have not completed the required courses (NMBA 2014) This example demonstrates how the EN role has evolved over the years Whereas once only a relatively small number of ENs were educated to administer medicines now all student ENs complete medicines administration units as part of their initial nursing education
The EN role is also expanding in other ways For example ENs are taking on a growing role within haemodialysis units (Tranter et al 2011) The 2008 Australia and New Zealand Dialysis Workforce Survey conducted by the Renal Society of Australia found that there were 188 ENs working in dialysis alongside 2433 registered nurses (RNs) The growing demand for dialysis
The potential of the enrolled nursing workforce
By Rosina Muir and Dr Marlene Eggert MACN
32
services and the shortage of dialysis RNs in some areas represents a clear opportunity for ENs According to a New South Wales study conducted in 2009 the scope of practice of ENs in haemodialysis units may include cannulation (including both native access and buttonhole cannulation) connecting and disconnecting haemodialysis central venous catheters (CVCs) performing CVC dressings giving iron infusions and administering erythropoietin anticoagulants and Lignocaine In addition ENs may also take on a case management or health promotion role for dialysis patients (Bennett et al 2009)
ENs are also moving into extended roles in rehabilitation services A recent study of ENs in an Australian rehabilitation facility found that in addition to assisting patients with activities of daily living ENs may take on roles in coaching and supporting patients to reach their individual goals monitoring the patientrsquos progress and liaising with other members of the multidisciplinary rehabilitation team The study found that many ENs demonstrate an understanding of the philosophy of rehabilitation nursing including goal setting and enabling self-care (Pryor and Buzio 2013)
In rural Australia ENs are taking on a diverse range of roles within the EN scope of practice in order to meet local needs ENs with specialist skills such as infection control or wound care make a significant contribution to some rural health services although their extended scope of practice is not always given appropriate recognition by their RN colleagues (Nankervis et al 2008) Rural health services are increasingly recognising that supporting ENs to take on extended roles and further develop their clinical skills can be a successful model for the delivery of high quality patient care
Recognising the evolving EN scope of practice
In light of the fact that there have been significant changes to EN education regulation and scope over the last decade the NMBA has commissioned Monash University to review the currency of the standards against contemporary enrolled nursing roles The Monash University project has involved a review of the literature as well as a series of focus groups and surveys to gather insights from both RNs and ENs on the education scope of practice and supervision of ENs (Monash University 2013) The project is expected to be completed in 2014 (NMBA 2013)
Our advocacy for ENs
ACNrsquos advocacy priorities are explicitly designed to support both registered and enrolled nurses In 2014 ACN has argued for a range of policies that would have a positive impact on the
retention and flexibility of enrolled nurses For example ACN has proposed a National Transition Framework to support the flexibility and mobility of both the EN and the RN workforces The Framework would be accessible to nurses entering the workforce as well as nurses transitioning from one area of practice to another For example it would support an EN wishing to transition from the aged care sector to a hospital-based role
ACN has also put forward a proposal for a new scholarship program to support newly registered and enrolled nurses to practice in rural services It is essential that rural health service providers are able to attract appropriately educated staff including both ENs and RNs in order to maintain an optimal skill mix The scholarship scheme will allow rural health services to employ newly registered and enrolled nurses as supernumerary team members while providing them with a structured clinical learning program
ACN will continue to provide a voice for ENs in policy discussions and advocate for the role of ENs in health care delivery Australian Institute of Health and Welfare 2013 Nursing and midwifery workforce 2012 lthttpwwwaihwgovauWorkAreaDownloadAssetaspxid=60129545314gt pp 6
Bennett P McNeill L Polaschek N 2009 lsquoThe Australian and New Zealand Dialysis Workforcersquo Renal Society of Australasia Journal vol 5 no3 pp 147-151 lthttpwwwrenalsocietyorgRSAJjournalnov09bennett2pdfgt
Health Workforce Australia 2012 Health Workforce 2025 Doctors Nurses and Midwives vol 1 lthttpwwwhwagovausitesuploadsFinalReport_Volume1_FINAL-20120424pdfgt pp 137-142
Health Workforce Australia 2013 Nurses in Focus lthttpwwwhwagovausitesuploadsNurses-in-Focus-FINALpdfgt
Meek G 2010 Second level nurses a critical examination of their evolving role in New Zealand Healthcare lthttpresearcharchivewintecacnz9621Repository_entry_HLNU902pdfgt pp 3
Monash University 2013 The National Review of the Enrolled Nurse Competency Standards lthttpwwwmedmonashedunursingcompetency-standardsgt
Nankervis K Kenny A Bish M 2008 Enhancing scope of practice for the second level nurse A change process to meet growing demand for rural health services lthttpwwwncbinlmnihgovpubmed18844530gt
Nursing and Midwifery Board of Australia 2013 Communique Meeting of the Nursing and Midwifery Board of Australia 27 February 2013 in the AHPRA Hobart Office TasmanialthttpwwwnursingmidwiferyboardgovauNewsCommuniques-from-Board-meetingsaspxgt
Nursing and Midwifery Board of Australia 2014 Enrolled nurses and medicine administration lt httpwwwnursingmidwiferyboardgovauCodes-Guidelines-StatementsFAQaspxgt
Pryor J Buzio A 2013 lsquoDo ldquotwo typesrdquo of ENs work in rehabilitation in Australiarsquo Journal of the Australasian Rehabilitation Nurses Association vol 16 no 1 pp 14-19 lthttpsearchinformitcomaudocumentSummarydn=480975443102792res=IELHEAgt
Robinson S and Griffiths P 2007 Nursing education and regulation International profiles and perspectives lthttpeprintssotonacuk3487721NurseEduProfilespdfgt pp 7-17
Tranter S Westgarth F White G 2011 lsquoThe scope of practice of the haemodialysis Enrolled Nurse in new South Walesrsquo Renal Society of Australasia Journal vol 7 no 1 pp 24-29 lthttpwwwrenalsocietyorgRSAJjournalmar11Tranterpdfgt
United Kingdom Department of Health 2013 The Cavendish Review An Independent Review into Healthcare Assistants and Support Workers in the NHS and social care settings lthttpswwwgovukgovernmentuploadssystemuploadsattachment_datafile236212Cavendish_Reviewpdfgt pp 6
33
By Laurie Bickhoff MACN
Diary of a newly registered nurse
In Australia it is estimated nearly 20 of nurses will leave the profession within their first year of practice (National Nursing and Nurse Education Taskforce [NNNET] 2005) Internationally this figure ranges from between 35 and 60 (Halfer amp Graf 2006) Many have speculated on the reasons for this with high workloads the difficulties of shift work and unrealistic expectations of what nursing entails all given due consideration (Halfer amp Graf 2006) However as I entered my second year of practice I began to wonder what role disillusionment plays in this exodus of newly trained nurses
Disillusionment to me occurs when you feel your passion dwindling when you suddenly find it that little bit harder to get ready for work when you start feeling a sense of dread as you walk onto the ward This wasnrsquot caused by long hours or ever increasing workloads coupled with diminishing resources It wasnrsquot caused by physically demanding duties or the lack of a social life due to shift work It wasnrsquot caused by dealing with things that might not look or smell that great Unfortunately it was caused by the people around me and an almost institutionalised lack of power not only for nurses but more importantly for our patients
I was dismayed and frustrated to hear how many of my colleagues from all health professions referred to patients I was disheartened to see how easily some could dismiss the suffering we see and the heartache I felt I was overwhelmingly saddened to realise not everyone had the same passion for their profession or empathy for those we are charged to care for as I did
This culminated for me towards the end of my first year of practice There wasnrsquot any one big incident more an accumulation of things that were gradually wearing me down I had a worried patient confide in me that they had been too scared to push the call button on the previous shift because of the response they would receive from the nurse I saw patients constantly being made to fit into everyone elsersquos schedules regardless of their requests It seemed everyone was more important than the person we were there to help
I heard patients referred to as lsquocactusrsquo or described in the notes as lsquounsalvageablersquo meaning there was no chance of the patients making meaningful recoveries I wondered is this really how we refer to people Or did we forget they were actual human beings we were talking about
I had other health professionals dismiss me with comments such as nurses ldquojust wipe bums all dayrdquo or roll their eyes at me when I raised my concerns When I dared to challenge or question I was met with comments of ldquoI miss the old new gradsrdquo I felt tired washed out and was beginning to wonder
whether I could stay in this profession without losing myself
Luckily I found some inspiration I listened to a presentation by Drew Dudley a well-known American academic and motivational speaker where he discusses the idea of lsquolollypop momentsrsquo These are small moments when the people we see and work with every day demonstrate leadership They arenrsquot big grand over the top statements They are small gestures which often unknown to the person who did it have an amazing impact on the lives of others I was lucky enough to have some of these lollypop moments just when I needed them These few sparks were all that I needed to reignite my passion for nursing
The first spark came from an RN2 caring for a patient at the end-stage of a number of diseases who had expressed to the nursing staff multiple times her wish to simply be made comfortable as she knew this was the end of her fight Despite this the patient was not only receiving active treatment but was also currently documented for full resuscitation if she deteriorated
The nurse raised the issue with the medical registrar asking him to have a discussion with the patient regarding her wishes and planning end-of-life care The registrar dismissed her saying ldquowell thatrsquos not what the consultant wantsrdquo The nurse wasnrsquot satisfied and responded ldquoitrsquos not their choice itrsquos the patientrsquos decisionrdquo This nurse had the courage to stand her ground and make sure her patientrsquos voice was heard which ultimately led to the patientrsquos wishes being honoured
The next spark came soon after I was working with a nurse who came from a different cultural background to me where it was seen as impolite to question anyone in authority especially if you were female This meant even if a doctor was accidently standing in her way she would prefer to simply wait rather than ask them to move
Then one day we had a patient who deteriorated rapidly and was in a very critical condition This nurse suddenly became one of the best clinical leaders I have witnessed She led the team questioning orders prompting treatments suggesting causes and outlining the options available I soon realised the difference this was about her patient She was going to ensure her patient received the best care and outcome possible When it was about her patient rather than herself she found her voice
There were a number of smaller incidents that soon followed Sparks came from the senior consultant who re-educated her advanced trainee on the importance of listening to the nurses and acting on their concerns Sparks came from our ward social
34
worker who day after day demonstrated his passion for helping and advocating for those with no voice and often no options Sparks came from the medical residents who expressed their gratitude when you picked up a mistake and were heartfelt in their appreciation of the work nurses do
The brightest sparks came from my patients and their relatives It was their ldquothanksrdquo their ldquoyou donrsquot know how much that meansrdquo their ldquoyoursquoll be back tomorrow wonrsquot yourdquo their squeezing of my hand that reminded me why I do what I do I didnrsquot have to search for inspiration I was surrounded by it The trick was to change my focus
Perhaps all nurses are disillusioned at some point during their careers Perhaps it happens multiple times Perhaps it is a rite of passage with those who make it through the other side the
ones with a true passion for nursing who turn around and help a colleague on their journey
As I continue my nursing career I now look for the brightness that I know is always there far outshining the negativity that we have to deal with I stockpile my lsquolollypop momentsrsquo knowing the amazing examples of kindness and leadership I see every day will help me grow and become a better nurse and hopefully I might be able to be a spark for someone else
You can listen to Drew Dudleyrsquos talk at wwwtedcomtalksdrew_dudley_everyday_leadership
Halfer D and Graf E lsquoGraduate Nurse Perceptions of the Work Experiencersquo Nursing Economics June 2006 Vol 24 No 3 pp 150-55
National Nursing and Nurse Education Taskforce 2005 Mythbusters Available online at httpwwwnnnetgovaudownloadsmythbusters_attritionpdf Accessed June 2014
Arts amp Sciences | Business | Education | Health Sciences | Law | Medicine | Nursing amp Midwifery | Philosophy amp Theology | Physiotherapy
Your journey to a meaningful career awaitsThe School of Nursing amp Midwifery offers the following courses
rsaquo Bachelor of Nursing
rsaquo Bachelor of Nursing (Articulation Pathway for EN Diploma)
rsaquo Graduate Certificate (Acute Mental Health Clinical Nursing Nursing and Nursing Leadership amp Management)
rsaquo Graduate Diploma (Acute Mental Health Clinical Nursing Critical Care Nursing Forensic Nursing Midwifery Nursing and Perioperative Nursing)
rsaquo Master of Nursing (Coursework and Research)
Looking to make a difference So are we
Apply direct notredameeduau
ND
1053
| C
RIC
OS
PR
OV
IDE
R C
OD
E 0
1032
F
35
36
24
INTERESTED IN STUDYING DEAKIN NURSING AND MIDWIFERYWe are holding information sessions for our undergraduate courses
BURWOOD CAMPUS 221 BURWOOD HIGHWAY BURWOODWednesday 22 July 6ndash8 pmSaturday 25 July 230ndash430 pm
WATERFRONT CAMPUS 1 GHERINGHAP STREET GEELONGWednesday 22 July 6ndash8 pmSaturday 25 July 230ndash430 pm
WARRNAMBOOL CITY CENTRE 165 TIMOR STREET WARRNAMBOOLFriday 24 July 730 pm
raquo To register your attendance at one of the information sessions above please email nursinfodeakineduau to advise which session you plan to attend
For more information about our undergraduate and postgraduate courses please phone 03 9244 6032
Deakin University CRICOS Provider Code 00113B HLH002
deakineduaunursing
Itrsquos never too early to become a leader
How did you become involved in nursing
I started volunteering from age 14 with St John Ambulance Australia in my hometown of Moruya NSW I loved everything about it ndash loved the joy of helping others and I was so intrigued to learn how to respond effectively in emergencies and show true compassion to others I was also fortunate to have had some very down-to-earth and inspiring mentors who encouraged my interest in nursing and after graduation from high school I undertook the University of Wollongongrsquos Bachelor of Nursing degree
I started my first paid nursing related employment in my third year of the degree at a local hospital I have now graduated and am working as a registered nurse (RN) in a local aged care facility learning the ins and outs of multiple comorbidities patient-centred care and compassionate palliative and end-of-life care
What is your nursing specialty
As I still consider myself as a lsquonewbiersquo RN I havenrsquot really discovered a specialty yet though I have interests in aged care mental health cardiology and nursing research So I guess I am intrigued to be involved in one or all of these areas at some point in my career but I am open to any interesting opportunities that may come my way
What do you love most about nursing
This is truly the job that never has a dull day Each day is different and I feel privileged to be so trusted with the lives of my patients and residents in their moments of hardship and need Along with my love of the workings of the human body the evidence-base behind nursing care and continuous educational opportunities I love the lsquoteamrsquo focus of nursing especially when the patient is at the centre of decision making and everything goes to plan
What is your least favourite part of nursing
When everything doesnrsquot go to plan
What brought you to this area of Australia
Irsquom originally from NSW South but I moved to Wollongong for University and have stuck around for the area the people and to continue to work and study here
What are some of the nursing and health issues that are specific to the Sydney SouthIllawarra Region
Two big issues come to mind Firstly many newly graduated RNs within our region have been unable to find employment Secondly local nurses struggle to find the time within their working hours to keep up to date with advances in education
What do you see as the biggest challenge currently facing the nursing profession and how do you think the profession is placed to respond to these challenges
I believe possible health funding cuts and workforce shortages that in-turn affect our ability to provide adequate and safe patient care are two significant challenges facing our profession There are recently graduated RNs who remain jobless yet there are local health districts crying out for nurses but only those with lsquoexperiencersquo with undergraduate nursing experience ignored Looking into alternative transition programs is key to overcoming this challenge
Whatrsquos the biggest misconception about your career choice
I have met some amazingly talented and intelligent nurses in a variety of roles who all make a great difference in the lives of their patients or indirectly through organisations or research The general misconception that irks me isnrsquot so much a misconception more a statement Irsquove heard multiple times ndash ldquoWhy didnrsquot you become a doctor Why are you just a nurserdquo I did not become a nurse because I didnrsquot have the marks to be a doctor and by the time I finish university again with a Research Masters I would have physically been enrolled in university for the same length of time I became a nurse because I found a passion for this role and spending time with people inspires me
Nursing is a holistic role that encompasses so much We are health professionals role models educators support systems and innovators we understand intimately the fragility of life and the human relationships that bring it meaning
Profile Renee Callender MACN
LeadershipACN
Expand your leadership capacity
25
INTERESTED IN STUDYING DEAKIN NURSING AND MIDWIFERYWe are holding information sessions for our undergraduate courses
BURWOOD CAMPUS 221 BURWOOD HIGHWAY BURWOODWednesday 22 July 6ndash8 pmSaturday 25 July 230ndash430 pm
WATERFRONT CAMPUS 1 GHERINGHAP STREET GEELONGWednesday 22 July 6ndash8 pmSaturday 25 July 230ndash430 pm
WARRNAMBOOL CITY CENTRE 165 TIMOR STREET WARRNAMBOOLFriday 24 July 730 pm
raquo To register your attendance at one of the information sessions above please email nursinfodeakineduau to advise which session you plan to attend
For more information about our undergraduate and postgraduate courses please phone 03 9244 6032
Deakin University CRICOS Provider Code 00113B HLH002
deakineduaunursing
WA EXPO PERTH
26
Welcome from the Chief Nurse amp Midwifery OfficerI am so pleased to be welcoming you to the Australian College of Nursingrsquos Western Australian Nursing and Health Expo for 2015
Attending the Expo is an invaluable experience for anyone interested in nursing and midwifery careers It especially helps high school students and their parents or anyone who is wondering which career direction to take
Hospitals and health services from across WA will be there with some of their nurses and midwives in attendance to answer any questions you may have Come and find out from them what itrsquos really like to be a nurse or midwife
There will also be a range of education providers who will be able to talk about the many courses available to get your career started
It is also a great place to come to discuss and find out about graduate job opportunities building your experience career development opportunities financial support to study changing employers or even returning to a career in nursing or midwifery after being away for a while
The decision to become a nurse or a midwife is a wonderful career choice for anyone who wants to be part of a diverse healthcare professional team and have a challenging rewarding and exciting job where you really can make a difference
The future demand for nurses and midwives is going to be high especially as WArsquos new Fiona Stanley Perth Childrenrsquos Busselton and Midland hospitals all start becoming fully operational so we encourage you to attend the Expo to see where nursing and midwifery might take you
I look forward to seeing you on Friday 1 May 2015 at the Perth Convention and Exhibition Centre
Karen Bradley MACN Chief Nurse and Midwifery Officer WA Health
27
Expo informationLocation
The Perth Convention and Exhibition Centre (PCEC) is Western Australiarsquos only dedicated convention and exhibition facility Each year over 500000 people attend one or more of the 600 plus events conducted at PCEC The Expo will be held in Pavillion 1 at PCEC
Doors open 9am ndash 1pm
Entry
Stairs amp Escalators to Level 2
Registration DeskEntry Foyer
Entry
ACN Expo Pavillion 1
28
Seminars
This year the educational seminar series is back again to provide visitors with up to date information and practical skills to pursue or further their career Seminar attendance is free of charge and registration is not required
Time Topic Presented by
915am How to become a nurse or midwife Rebecca Newton WA Nursing and Midwifery Office
950am Applying via GradConnect and other opportunities for graduate nurses and midwives
Regina Browne WA Nursing and Midwifery Office
1025am Unleashing the potential of your staff Lisa Ansbro and Donna Hampshire Chandler Macleod Health
1100am How to become a nurse or midwife Rebecca Newton WA Nursing and Midwifery Office
1135am Applying via GradConnect and other opportunities for graduate nurses and midwives
Regina Browne WA Nursing and Midwifery Office
1210pm Unleashing the potential of your staff Lisa Ansbro and Donna Hampshire Chandler Macleod Health
The lsquoUnleashing the potential of your staffrsquo seminar is proudly supported by
Chandler Macleod is Australasiarsquos leading provider of integrated HR services products and technologies We have more than 55 yearsrsquo experience in human resources and have specialised within the health sector for 10 of these We are ideally positioned to help you meet the growing demands on your business We provide permanent and temporarycontract recruitment for the full range of Health professions including Carers and Support Workers Enrolled Nurses Registered Nurses Facility and Operations Managers Directors Cleaners and Kitchen staff We are able to provide you with experienced caring staff 247 including public holidays
For more information contact Chandler Macleod on (08) 9217 0510 or visit wwwchandlermacleodcomclientshealth-recruitment
29
Floor plan
42 41
39
40
38
36
37
35
43
44
45
46
47
48
Entrance
Seminar area
Cafeacute
7
5
8
6
20
18
19
17
11
9
12
10
16
14
15
13
34 33 32 31 30 29 28
30
Exhibitor listing
Organisation Name Booth Number
AACDS 8
Armadale Health Service 38
Belmore Nurses Bureau 30
Central Institute of Technology 20
Chandler Macleod Health 16
Child amp Adolescent Health Service 42
Curtin University of Technology 19
Defence Force Recruiting 910
Edith Cowan University - School of Nursing and Midwifery
3334
Fiona Stanley Hospital 36
Fremantle Hospital 44
HESTA 5
Hollywood Private Hospital 7
Institute of Health amp Nursing Australia 32
Mediserve Nursing Agency 6
Murdoch University 1112
My Flex Health International 18
Organisation Name Booth Number
Next Step 48
North Metropolitan Mental Health 35
NurseWest 47
Nursing amp Midwifery Board of Australia 29
Osborne Park Hospital 46
Prime Super 17
PampN Bank 15
Rockingham General Hospital 39
Royal Perth Hospital 37
Sir Charles Gairdner Hospital 45
The Bethanie Group Inc 31
The University of Notre Dame 13
WA Country Health Service 40
WA Nursing amp Midwifery Office 43
West Coast Institute of Training 14
Women amp Newborn Health Service 41
Work the World 28
The WA Nursing amp Health Expo is proudly supported by
The WA Nursing and Midwifery Office is very proud to partner once again with the Australian College of Nursing for the 2015 Nursing and Health Expo The nursing and midwifery professions offer an array of interesting and diverse experiences With these highly valued and respected skills relevant anywhere in the world nurses and midwives will always be in demand ndash in hospitals and in a range of other workplaces In WA the future demand for nurses and midwives is going to be high especially as our new Fiona Stanley Perth Childrenrsquos Busselton and Midland hospitals all start becoming fully operational so considering a career in nursing or midwifery is a great idea
wwwnursinghealthwagovau
31
In Australia enrolled nurses (ENs) are a core component of the health care workforce and make an important contribution to Australiarsquos world-class health outcomes ENs work in varied settings across the country from blood services to aged care facilities Increasingly ENs are playing an important role in meeting the growing demand for care
Not all countries have recognised the importance of ENs in the nurse workforce mix Several European countries including France Denmark Italy and Spain have only one category of regulated nurse (HWA 2013 Robinson and Griffiths 2007) The United Kingdom (UK) ceased admitting new ENs to the register in the 1980s The minimum qualification for all UK nurses is now a three-year bachelorrsquos degree As a result the UK relies heavily on unregistered health care assistants rather than second-level nurses (UK Department of Health 2013) Closer to home New Zealand ceased training ENs in 1993 only to recommence in the 2000s (Meek 2009) New Zealandrsquos experiment is an instructive demonstration of the importance of ENs in the health care workforce as the demand for nursing care increases
In Australia we have remained committed to maintaining the EN role Rather than relying on unregistered health care workers Australia has chosen to maintain a large educated and professional EN workforce The skilled work of ENs is recognised to be of paramount importance to the delivery of high quality nursing care Our EN workforce is highly dynamic and continues to evolve within the changing landscape of Australian health care policy and regulation
Enrolled nurse demographics
According to the latest national figures there are 51624 ENs working in Australia The great majority of ENs have completed their pre-registration education in Australia fewer than 5 have been educated overseas (HWA 2013)
The EN workforce has a relatively high average age of 46 years and forty-five per cent of ENs have celebrated their fiftieth birthdays (AIHW 2013) According to Health Workforce Australia the ageing EN workforce could lead to a significant shortfall in the supply of ENs if action is not taken to retain the current cohort of ENs and increase the number of people studying to be the ENs of tomorrow (HWA 2012)
Men make up roughly 10 of the EN workforce While this number is rising gradually it indicates that there is progress to be made in terms of attracting and retaining males within the profession Aboriginal and Torres Strait Islander people are
also underrepresented in the EN workforce only around 800 of Australiarsquos ENs identify as Indigenous Australians (AIHW 2013)
Among the most common work settings for ENs are aged care rehabilitation and disability services In contrast ENs make up fewer than 5 of the critical care nursing workforce and represent only a small proportion of nurses working in education policy and management (AIHW 2013)
These statistics show that there are both challenges and opportunities for Australiarsquos EN workforce Efforts to recruit and retain ENs will need to be enhanced with a particular focus on encouraging men and Aboriginal and Torres Strait Islander people to become ENs At the same time roles in a wider range of clinical areas are becoming available to suitably educated and qualified ENs and there will be more such opportunities in the coming years
A growing role for ENs
The evolving role of the EN is reflected in recent changes to educational requirements for ENs As of 1 July 2014 the Certificate IV in enrolled nursing ceased to be available and the minimum qualification for EN entry to practice will be the Diploma of Nursing The transition to a Diploma recognises the high level of skill ENs contribute to todayrsquos health care teams A nationally consistent approach to EN education is also likely to enhance the mobility of the EN workforce by giving employers confidence in the knowledge and skills of ENs educated in other states
ENs are now undertaking a diverse range of roles One of the earliest areas of role expansion for ENs was medication endorsement Before the move to national registration in 2010 ENs in some states were able to obtain an endorsement in medicines administration and become Endorsed Enrolled Nurses by completing specified education units This endorsement has now been phased out because from 2008 onwards all newly qualified ENs have completed the required medicines administration education Instead the register now identifies ENs who have not completed the required courses (NMBA 2014) This example demonstrates how the EN role has evolved over the years Whereas once only a relatively small number of ENs were educated to administer medicines now all student ENs complete medicines administration units as part of their initial nursing education
The EN role is also expanding in other ways For example ENs are taking on a growing role within haemodialysis units (Tranter et al 2011) The 2008 Australia and New Zealand Dialysis Workforce Survey conducted by the Renal Society of Australia found that there were 188 ENs working in dialysis alongside 2433 registered nurses (RNs) The growing demand for dialysis
The potential of the enrolled nursing workforce
By Rosina Muir and Dr Marlene Eggert MACN
32
services and the shortage of dialysis RNs in some areas represents a clear opportunity for ENs According to a New South Wales study conducted in 2009 the scope of practice of ENs in haemodialysis units may include cannulation (including both native access and buttonhole cannulation) connecting and disconnecting haemodialysis central venous catheters (CVCs) performing CVC dressings giving iron infusions and administering erythropoietin anticoagulants and Lignocaine In addition ENs may also take on a case management or health promotion role for dialysis patients (Bennett et al 2009)
ENs are also moving into extended roles in rehabilitation services A recent study of ENs in an Australian rehabilitation facility found that in addition to assisting patients with activities of daily living ENs may take on roles in coaching and supporting patients to reach their individual goals monitoring the patientrsquos progress and liaising with other members of the multidisciplinary rehabilitation team The study found that many ENs demonstrate an understanding of the philosophy of rehabilitation nursing including goal setting and enabling self-care (Pryor and Buzio 2013)
In rural Australia ENs are taking on a diverse range of roles within the EN scope of practice in order to meet local needs ENs with specialist skills such as infection control or wound care make a significant contribution to some rural health services although their extended scope of practice is not always given appropriate recognition by their RN colleagues (Nankervis et al 2008) Rural health services are increasingly recognising that supporting ENs to take on extended roles and further develop their clinical skills can be a successful model for the delivery of high quality patient care
Recognising the evolving EN scope of practice
In light of the fact that there have been significant changes to EN education regulation and scope over the last decade the NMBA has commissioned Monash University to review the currency of the standards against contemporary enrolled nursing roles The Monash University project has involved a review of the literature as well as a series of focus groups and surveys to gather insights from both RNs and ENs on the education scope of practice and supervision of ENs (Monash University 2013) The project is expected to be completed in 2014 (NMBA 2013)
Our advocacy for ENs
ACNrsquos advocacy priorities are explicitly designed to support both registered and enrolled nurses In 2014 ACN has argued for a range of policies that would have a positive impact on the
retention and flexibility of enrolled nurses For example ACN has proposed a National Transition Framework to support the flexibility and mobility of both the EN and the RN workforces The Framework would be accessible to nurses entering the workforce as well as nurses transitioning from one area of practice to another For example it would support an EN wishing to transition from the aged care sector to a hospital-based role
ACN has also put forward a proposal for a new scholarship program to support newly registered and enrolled nurses to practice in rural services It is essential that rural health service providers are able to attract appropriately educated staff including both ENs and RNs in order to maintain an optimal skill mix The scholarship scheme will allow rural health services to employ newly registered and enrolled nurses as supernumerary team members while providing them with a structured clinical learning program
ACN will continue to provide a voice for ENs in policy discussions and advocate for the role of ENs in health care delivery Australian Institute of Health and Welfare 2013 Nursing and midwifery workforce 2012 lthttpwwwaihwgovauWorkAreaDownloadAssetaspxid=60129545314gt pp 6
Bennett P McNeill L Polaschek N 2009 lsquoThe Australian and New Zealand Dialysis Workforcersquo Renal Society of Australasia Journal vol 5 no3 pp 147-151 lthttpwwwrenalsocietyorgRSAJjournalnov09bennett2pdfgt
Health Workforce Australia 2012 Health Workforce 2025 Doctors Nurses and Midwives vol 1 lthttpwwwhwagovausitesuploadsFinalReport_Volume1_FINAL-20120424pdfgt pp 137-142
Health Workforce Australia 2013 Nurses in Focus lthttpwwwhwagovausitesuploadsNurses-in-Focus-FINALpdfgt
Meek G 2010 Second level nurses a critical examination of their evolving role in New Zealand Healthcare lthttpresearcharchivewintecacnz9621Repository_entry_HLNU902pdfgt pp 3
Monash University 2013 The National Review of the Enrolled Nurse Competency Standards lthttpwwwmedmonashedunursingcompetency-standardsgt
Nankervis K Kenny A Bish M 2008 Enhancing scope of practice for the second level nurse A change process to meet growing demand for rural health services lthttpwwwncbinlmnihgovpubmed18844530gt
Nursing and Midwifery Board of Australia 2013 Communique Meeting of the Nursing and Midwifery Board of Australia 27 February 2013 in the AHPRA Hobart Office TasmanialthttpwwwnursingmidwiferyboardgovauNewsCommuniques-from-Board-meetingsaspxgt
Nursing and Midwifery Board of Australia 2014 Enrolled nurses and medicine administration lt httpwwwnursingmidwiferyboardgovauCodes-Guidelines-StatementsFAQaspxgt
Pryor J Buzio A 2013 lsquoDo ldquotwo typesrdquo of ENs work in rehabilitation in Australiarsquo Journal of the Australasian Rehabilitation Nurses Association vol 16 no 1 pp 14-19 lthttpsearchinformitcomaudocumentSummarydn=480975443102792res=IELHEAgt
Robinson S and Griffiths P 2007 Nursing education and regulation International profiles and perspectives lthttpeprintssotonacuk3487721NurseEduProfilespdfgt pp 7-17
Tranter S Westgarth F White G 2011 lsquoThe scope of practice of the haemodialysis Enrolled Nurse in new South Walesrsquo Renal Society of Australasia Journal vol 7 no 1 pp 24-29 lthttpwwwrenalsocietyorgRSAJjournalmar11Tranterpdfgt
United Kingdom Department of Health 2013 The Cavendish Review An Independent Review into Healthcare Assistants and Support Workers in the NHS and social care settings lthttpswwwgovukgovernmentuploadssystemuploadsattachment_datafile236212Cavendish_Reviewpdfgt pp 6
33
By Laurie Bickhoff MACN
Diary of a newly registered nurse
In Australia it is estimated nearly 20 of nurses will leave the profession within their first year of practice (National Nursing and Nurse Education Taskforce [NNNET] 2005) Internationally this figure ranges from between 35 and 60 (Halfer amp Graf 2006) Many have speculated on the reasons for this with high workloads the difficulties of shift work and unrealistic expectations of what nursing entails all given due consideration (Halfer amp Graf 2006) However as I entered my second year of practice I began to wonder what role disillusionment plays in this exodus of newly trained nurses
Disillusionment to me occurs when you feel your passion dwindling when you suddenly find it that little bit harder to get ready for work when you start feeling a sense of dread as you walk onto the ward This wasnrsquot caused by long hours or ever increasing workloads coupled with diminishing resources It wasnrsquot caused by physically demanding duties or the lack of a social life due to shift work It wasnrsquot caused by dealing with things that might not look or smell that great Unfortunately it was caused by the people around me and an almost institutionalised lack of power not only for nurses but more importantly for our patients
I was dismayed and frustrated to hear how many of my colleagues from all health professions referred to patients I was disheartened to see how easily some could dismiss the suffering we see and the heartache I felt I was overwhelmingly saddened to realise not everyone had the same passion for their profession or empathy for those we are charged to care for as I did
This culminated for me towards the end of my first year of practice There wasnrsquot any one big incident more an accumulation of things that were gradually wearing me down I had a worried patient confide in me that they had been too scared to push the call button on the previous shift because of the response they would receive from the nurse I saw patients constantly being made to fit into everyone elsersquos schedules regardless of their requests It seemed everyone was more important than the person we were there to help
I heard patients referred to as lsquocactusrsquo or described in the notes as lsquounsalvageablersquo meaning there was no chance of the patients making meaningful recoveries I wondered is this really how we refer to people Or did we forget they were actual human beings we were talking about
I had other health professionals dismiss me with comments such as nurses ldquojust wipe bums all dayrdquo or roll their eyes at me when I raised my concerns When I dared to challenge or question I was met with comments of ldquoI miss the old new gradsrdquo I felt tired washed out and was beginning to wonder
whether I could stay in this profession without losing myself
Luckily I found some inspiration I listened to a presentation by Drew Dudley a well-known American academic and motivational speaker where he discusses the idea of lsquolollypop momentsrsquo These are small moments when the people we see and work with every day demonstrate leadership They arenrsquot big grand over the top statements They are small gestures which often unknown to the person who did it have an amazing impact on the lives of others I was lucky enough to have some of these lollypop moments just when I needed them These few sparks were all that I needed to reignite my passion for nursing
The first spark came from an RN2 caring for a patient at the end-stage of a number of diseases who had expressed to the nursing staff multiple times her wish to simply be made comfortable as she knew this was the end of her fight Despite this the patient was not only receiving active treatment but was also currently documented for full resuscitation if she deteriorated
The nurse raised the issue with the medical registrar asking him to have a discussion with the patient regarding her wishes and planning end-of-life care The registrar dismissed her saying ldquowell thatrsquos not what the consultant wantsrdquo The nurse wasnrsquot satisfied and responded ldquoitrsquos not their choice itrsquos the patientrsquos decisionrdquo This nurse had the courage to stand her ground and make sure her patientrsquos voice was heard which ultimately led to the patientrsquos wishes being honoured
The next spark came soon after I was working with a nurse who came from a different cultural background to me where it was seen as impolite to question anyone in authority especially if you were female This meant even if a doctor was accidently standing in her way she would prefer to simply wait rather than ask them to move
Then one day we had a patient who deteriorated rapidly and was in a very critical condition This nurse suddenly became one of the best clinical leaders I have witnessed She led the team questioning orders prompting treatments suggesting causes and outlining the options available I soon realised the difference this was about her patient She was going to ensure her patient received the best care and outcome possible When it was about her patient rather than herself she found her voice
There were a number of smaller incidents that soon followed Sparks came from the senior consultant who re-educated her advanced trainee on the importance of listening to the nurses and acting on their concerns Sparks came from our ward social
34
worker who day after day demonstrated his passion for helping and advocating for those with no voice and often no options Sparks came from the medical residents who expressed their gratitude when you picked up a mistake and were heartfelt in their appreciation of the work nurses do
The brightest sparks came from my patients and their relatives It was their ldquothanksrdquo their ldquoyou donrsquot know how much that meansrdquo their ldquoyoursquoll be back tomorrow wonrsquot yourdquo their squeezing of my hand that reminded me why I do what I do I didnrsquot have to search for inspiration I was surrounded by it The trick was to change my focus
Perhaps all nurses are disillusioned at some point during their careers Perhaps it happens multiple times Perhaps it is a rite of passage with those who make it through the other side the
ones with a true passion for nursing who turn around and help a colleague on their journey
As I continue my nursing career I now look for the brightness that I know is always there far outshining the negativity that we have to deal with I stockpile my lsquolollypop momentsrsquo knowing the amazing examples of kindness and leadership I see every day will help me grow and become a better nurse and hopefully I might be able to be a spark for someone else
You can listen to Drew Dudleyrsquos talk at wwwtedcomtalksdrew_dudley_everyday_leadership
Halfer D and Graf E lsquoGraduate Nurse Perceptions of the Work Experiencersquo Nursing Economics June 2006 Vol 24 No 3 pp 150-55
National Nursing and Nurse Education Taskforce 2005 Mythbusters Available online at httpwwwnnnetgovaudownloadsmythbusters_attritionpdf Accessed June 2014
Arts amp Sciences | Business | Education | Health Sciences | Law | Medicine | Nursing amp Midwifery | Philosophy amp Theology | Physiotherapy
Your journey to a meaningful career awaitsThe School of Nursing amp Midwifery offers the following courses
rsaquo Bachelor of Nursing
rsaquo Bachelor of Nursing (Articulation Pathway for EN Diploma)
rsaquo Graduate Certificate (Acute Mental Health Clinical Nursing Nursing and Nursing Leadership amp Management)
rsaquo Graduate Diploma (Acute Mental Health Clinical Nursing Critical Care Nursing Forensic Nursing Midwifery Nursing and Perioperative Nursing)
rsaquo Master of Nursing (Coursework and Research)
Looking to make a difference So are we
Apply direct notredameeduau
ND
1053
| C
RIC
OS
PR
OV
IDE
R C
OD
E 0
1032
F
35
36
Itrsquos never too early to become a leader
How did you become involved in nursing
I started volunteering from age 14 with St John Ambulance Australia in my hometown of Moruya NSW I loved everything about it ndash loved the joy of helping others and I was so intrigued to learn how to respond effectively in emergencies and show true compassion to others I was also fortunate to have had some very down-to-earth and inspiring mentors who encouraged my interest in nursing and after graduation from high school I undertook the University of Wollongongrsquos Bachelor of Nursing degree
I started my first paid nursing related employment in my third year of the degree at a local hospital I have now graduated and am working as a registered nurse (RN) in a local aged care facility learning the ins and outs of multiple comorbidities patient-centred care and compassionate palliative and end-of-life care
What is your nursing specialty
As I still consider myself as a lsquonewbiersquo RN I havenrsquot really discovered a specialty yet though I have interests in aged care mental health cardiology and nursing research So I guess I am intrigued to be involved in one or all of these areas at some point in my career but I am open to any interesting opportunities that may come my way
What do you love most about nursing
This is truly the job that never has a dull day Each day is different and I feel privileged to be so trusted with the lives of my patients and residents in their moments of hardship and need Along with my love of the workings of the human body the evidence-base behind nursing care and continuous educational opportunities I love the lsquoteamrsquo focus of nursing especially when the patient is at the centre of decision making and everything goes to plan
What is your least favourite part of nursing
When everything doesnrsquot go to plan
What brought you to this area of Australia
Irsquom originally from NSW South but I moved to Wollongong for University and have stuck around for the area the people and to continue to work and study here
What are some of the nursing and health issues that are specific to the Sydney SouthIllawarra Region
Two big issues come to mind Firstly many newly graduated RNs within our region have been unable to find employment Secondly local nurses struggle to find the time within their working hours to keep up to date with advances in education
What do you see as the biggest challenge currently facing the nursing profession and how do you think the profession is placed to respond to these challenges
I believe possible health funding cuts and workforce shortages that in-turn affect our ability to provide adequate and safe patient care are two significant challenges facing our profession There are recently graduated RNs who remain jobless yet there are local health districts crying out for nurses but only those with lsquoexperiencersquo with undergraduate nursing experience ignored Looking into alternative transition programs is key to overcoming this challenge
Whatrsquos the biggest misconception about your career choice
I have met some amazingly talented and intelligent nurses in a variety of roles who all make a great difference in the lives of their patients or indirectly through organisations or research The general misconception that irks me isnrsquot so much a misconception more a statement Irsquove heard multiple times ndash ldquoWhy didnrsquot you become a doctor Why are you just a nurserdquo I did not become a nurse because I didnrsquot have the marks to be a doctor and by the time I finish university again with a Research Masters I would have physically been enrolled in university for the same length of time I became a nurse because I found a passion for this role and spending time with people inspires me
Nursing is a holistic role that encompasses so much We are health professionals role models educators support systems and innovators we understand intimately the fragility of life and the human relationships that bring it meaning
Profile Renee Callender MACN
LeadershipACN
Expand your leadership capacity
25
INTERESTED IN STUDYING DEAKIN NURSING AND MIDWIFERYWe are holding information sessions for our undergraduate courses
BURWOOD CAMPUS 221 BURWOOD HIGHWAY BURWOODWednesday 22 July 6ndash8 pmSaturday 25 July 230ndash430 pm
WATERFRONT CAMPUS 1 GHERINGHAP STREET GEELONGWednesday 22 July 6ndash8 pmSaturday 25 July 230ndash430 pm
WARRNAMBOOL CITY CENTRE 165 TIMOR STREET WARRNAMBOOLFriday 24 July 730 pm
raquo To register your attendance at one of the information sessions above please email nursinfodeakineduau to advise which session you plan to attend
For more information about our undergraduate and postgraduate courses please phone 03 9244 6032
Deakin University CRICOS Provider Code 00113B HLH002
deakineduaunursing
WA EXPO PERTH
26
Welcome from the Chief Nurse amp Midwifery OfficerI am so pleased to be welcoming you to the Australian College of Nursingrsquos Western Australian Nursing and Health Expo for 2015
Attending the Expo is an invaluable experience for anyone interested in nursing and midwifery careers It especially helps high school students and their parents or anyone who is wondering which career direction to take
Hospitals and health services from across WA will be there with some of their nurses and midwives in attendance to answer any questions you may have Come and find out from them what itrsquos really like to be a nurse or midwife
There will also be a range of education providers who will be able to talk about the many courses available to get your career started
It is also a great place to come to discuss and find out about graduate job opportunities building your experience career development opportunities financial support to study changing employers or even returning to a career in nursing or midwifery after being away for a while
The decision to become a nurse or a midwife is a wonderful career choice for anyone who wants to be part of a diverse healthcare professional team and have a challenging rewarding and exciting job where you really can make a difference
The future demand for nurses and midwives is going to be high especially as WArsquos new Fiona Stanley Perth Childrenrsquos Busselton and Midland hospitals all start becoming fully operational so we encourage you to attend the Expo to see where nursing and midwifery might take you
I look forward to seeing you on Friday 1 May 2015 at the Perth Convention and Exhibition Centre
Karen Bradley MACN Chief Nurse and Midwifery Officer WA Health
27
Expo informationLocation
The Perth Convention and Exhibition Centre (PCEC) is Western Australiarsquos only dedicated convention and exhibition facility Each year over 500000 people attend one or more of the 600 plus events conducted at PCEC The Expo will be held in Pavillion 1 at PCEC
Doors open 9am ndash 1pm
Entry
Stairs amp Escalators to Level 2
Registration DeskEntry Foyer
Entry
ACN Expo Pavillion 1
28
Seminars
This year the educational seminar series is back again to provide visitors with up to date information and practical skills to pursue or further their career Seminar attendance is free of charge and registration is not required
Time Topic Presented by
915am How to become a nurse or midwife Rebecca Newton WA Nursing and Midwifery Office
950am Applying via GradConnect and other opportunities for graduate nurses and midwives
Regina Browne WA Nursing and Midwifery Office
1025am Unleashing the potential of your staff Lisa Ansbro and Donna Hampshire Chandler Macleod Health
1100am How to become a nurse or midwife Rebecca Newton WA Nursing and Midwifery Office
1135am Applying via GradConnect and other opportunities for graduate nurses and midwives
Regina Browne WA Nursing and Midwifery Office
1210pm Unleashing the potential of your staff Lisa Ansbro and Donna Hampshire Chandler Macleod Health
The lsquoUnleashing the potential of your staffrsquo seminar is proudly supported by
Chandler Macleod is Australasiarsquos leading provider of integrated HR services products and technologies We have more than 55 yearsrsquo experience in human resources and have specialised within the health sector for 10 of these We are ideally positioned to help you meet the growing demands on your business We provide permanent and temporarycontract recruitment for the full range of Health professions including Carers and Support Workers Enrolled Nurses Registered Nurses Facility and Operations Managers Directors Cleaners and Kitchen staff We are able to provide you with experienced caring staff 247 including public holidays
For more information contact Chandler Macleod on (08) 9217 0510 or visit wwwchandlermacleodcomclientshealth-recruitment
29
Floor plan
42 41
39
40
38
36
37
35
43
44
45
46
47
48
Entrance
Seminar area
Cafeacute
7
5
8
6
20
18
19
17
11
9
12
10
16
14
15
13
34 33 32 31 30 29 28
30
Exhibitor listing
Organisation Name Booth Number
AACDS 8
Armadale Health Service 38
Belmore Nurses Bureau 30
Central Institute of Technology 20
Chandler Macleod Health 16
Child amp Adolescent Health Service 42
Curtin University of Technology 19
Defence Force Recruiting 910
Edith Cowan University - School of Nursing and Midwifery
3334
Fiona Stanley Hospital 36
Fremantle Hospital 44
HESTA 5
Hollywood Private Hospital 7
Institute of Health amp Nursing Australia 32
Mediserve Nursing Agency 6
Murdoch University 1112
My Flex Health International 18
Organisation Name Booth Number
Next Step 48
North Metropolitan Mental Health 35
NurseWest 47
Nursing amp Midwifery Board of Australia 29
Osborne Park Hospital 46
Prime Super 17
PampN Bank 15
Rockingham General Hospital 39
Royal Perth Hospital 37
Sir Charles Gairdner Hospital 45
The Bethanie Group Inc 31
The University of Notre Dame 13
WA Country Health Service 40
WA Nursing amp Midwifery Office 43
West Coast Institute of Training 14
Women amp Newborn Health Service 41
Work the World 28
The WA Nursing amp Health Expo is proudly supported by
The WA Nursing and Midwifery Office is very proud to partner once again with the Australian College of Nursing for the 2015 Nursing and Health Expo The nursing and midwifery professions offer an array of interesting and diverse experiences With these highly valued and respected skills relevant anywhere in the world nurses and midwives will always be in demand ndash in hospitals and in a range of other workplaces In WA the future demand for nurses and midwives is going to be high especially as our new Fiona Stanley Perth Childrenrsquos Busselton and Midland hospitals all start becoming fully operational so considering a career in nursing or midwifery is a great idea
wwwnursinghealthwagovau
31
In Australia enrolled nurses (ENs) are a core component of the health care workforce and make an important contribution to Australiarsquos world-class health outcomes ENs work in varied settings across the country from blood services to aged care facilities Increasingly ENs are playing an important role in meeting the growing demand for care
Not all countries have recognised the importance of ENs in the nurse workforce mix Several European countries including France Denmark Italy and Spain have only one category of regulated nurse (HWA 2013 Robinson and Griffiths 2007) The United Kingdom (UK) ceased admitting new ENs to the register in the 1980s The minimum qualification for all UK nurses is now a three-year bachelorrsquos degree As a result the UK relies heavily on unregistered health care assistants rather than second-level nurses (UK Department of Health 2013) Closer to home New Zealand ceased training ENs in 1993 only to recommence in the 2000s (Meek 2009) New Zealandrsquos experiment is an instructive demonstration of the importance of ENs in the health care workforce as the demand for nursing care increases
In Australia we have remained committed to maintaining the EN role Rather than relying on unregistered health care workers Australia has chosen to maintain a large educated and professional EN workforce The skilled work of ENs is recognised to be of paramount importance to the delivery of high quality nursing care Our EN workforce is highly dynamic and continues to evolve within the changing landscape of Australian health care policy and regulation
Enrolled nurse demographics
According to the latest national figures there are 51624 ENs working in Australia The great majority of ENs have completed their pre-registration education in Australia fewer than 5 have been educated overseas (HWA 2013)
The EN workforce has a relatively high average age of 46 years and forty-five per cent of ENs have celebrated their fiftieth birthdays (AIHW 2013) According to Health Workforce Australia the ageing EN workforce could lead to a significant shortfall in the supply of ENs if action is not taken to retain the current cohort of ENs and increase the number of people studying to be the ENs of tomorrow (HWA 2012)
Men make up roughly 10 of the EN workforce While this number is rising gradually it indicates that there is progress to be made in terms of attracting and retaining males within the profession Aboriginal and Torres Strait Islander people are
also underrepresented in the EN workforce only around 800 of Australiarsquos ENs identify as Indigenous Australians (AIHW 2013)
Among the most common work settings for ENs are aged care rehabilitation and disability services In contrast ENs make up fewer than 5 of the critical care nursing workforce and represent only a small proportion of nurses working in education policy and management (AIHW 2013)
These statistics show that there are both challenges and opportunities for Australiarsquos EN workforce Efforts to recruit and retain ENs will need to be enhanced with a particular focus on encouraging men and Aboriginal and Torres Strait Islander people to become ENs At the same time roles in a wider range of clinical areas are becoming available to suitably educated and qualified ENs and there will be more such opportunities in the coming years
A growing role for ENs
The evolving role of the EN is reflected in recent changes to educational requirements for ENs As of 1 July 2014 the Certificate IV in enrolled nursing ceased to be available and the minimum qualification for EN entry to practice will be the Diploma of Nursing The transition to a Diploma recognises the high level of skill ENs contribute to todayrsquos health care teams A nationally consistent approach to EN education is also likely to enhance the mobility of the EN workforce by giving employers confidence in the knowledge and skills of ENs educated in other states
ENs are now undertaking a diverse range of roles One of the earliest areas of role expansion for ENs was medication endorsement Before the move to national registration in 2010 ENs in some states were able to obtain an endorsement in medicines administration and become Endorsed Enrolled Nurses by completing specified education units This endorsement has now been phased out because from 2008 onwards all newly qualified ENs have completed the required medicines administration education Instead the register now identifies ENs who have not completed the required courses (NMBA 2014) This example demonstrates how the EN role has evolved over the years Whereas once only a relatively small number of ENs were educated to administer medicines now all student ENs complete medicines administration units as part of their initial nursing education
The EN role is also expanding in other ways For example ENs are taking on a growing role within haemodialysis units (Tranter et al 2011) The 2008 Australia and New Zealand Dialysis Workforce Survey conducted by the Renal Society of Australia found that there were 188 ENs working in dialysis alongside 2433 registered nurses (RNs) The growing demand for dialysis
The potential of the enrolled nursing workforce
By Rosina Muir and Dr Marlene Eggert MACN
32
services and the shortage of dialysis RNs in some areas represents a clear opportunity for ENs According to a New South Wales study conducted in 2009 the scope of practice of ENs in haemodialysis units may include cannulation (including both native access and buttonhole cannulation) connecting and disconnecting haemodialysis central venous catheters (CVCs) performing CVC dressings giving iron infusions and administering erythropoietin anticoagulants and Lignocaine In addition ENs may also take on a case management or health promotion role for dialysis patients (Bennett et al 2009)
ENs are also moving into extended roles in rehabilitation services A recent study of ENs in an Australian rehabilitation facility found that in addition to assisting patients with activities of daily living ENs may take on roles in coaching and supporting patients to reach their individual goals monitoring the patientrsquos progress and liaising with other members of the multidisciplinary rehabilitation team The study found that many ENs demonstrate an understanding of the philosophy of rehabilitation nursing including goal setting and enabling self-care (Pryor and Buzio 2013)
In rural Australia ENs are taking on a diverse range of roles within the EN scope of practice in order to meet local needs ENs with specialist skills such as infection control or wound care make a significant contribution to some rural health services although their extended scope of practice is not always given appropriate recognition by their RN colleagues (Nankervis et al 2008) Rural health services are increasingly recognising that supporting ENs to take on extended roles and further develop their clinical skills can be a successful model for the delivery of high quality patient care
Recognising the evolving EN scope of practice
In light of the fact that there have been significant changes to EN education regulation and scope over the last decade the NMBA has commissioned Monash University to review the currency of the standards against contemporary enrolled nursing roles The Monash University project has involved a review of the literature as well as a series of focus groups and surveys to gather insights from both RNs and ENs on the education scope of practice and supervision of ENs (Monash University 2013) The project is expected to be completed in 2014 (NMBA 2013)
Our advocacy for ENs
ACNrsquos advocacy priorities are explicitly designed to support both registered and enrolled nurses In 2014 ACN has argued for a range of policies that would have a positive impact on the
retention and flexibility of enrolled nurses For example ACN has proposed a National Transition Framework to support the flexibility and mobility of both the EN and the RN workforces The Framework would be accessible to nurses entering the workforce as well as nurses transitioning from one area of practice to another For example it would support an EN wishing to transition from the aged care sector to a hospital-based role
ACN has also put forward a proposal for a new scholarship program to support newly registered and enrolled nurses to practice in rural services It is essential that rural health service providers are able to attract appropriately educated staff including both ENs and RNs in order to maintain an optimal skill mix The scholarship scheme will allow rural health services to employ newly registered and enrolled nurses as supernumerary team members while providing them with a structured clinical learning program
ACN will continue to provide a voice for ENs in policy discussions and advocate for the role of ENs in health care delivery Australian Institute of Health and Welfare 2013 Nursing and midwifery workforce 2012 lthttpwwwaihwgovauWorkAreaDownloadAssetaspxid=60129545314gt pp 6
Bennett P McNeill L Polaschek N 2009 lsquoThe Australian and New Zealand Dialysis Workforcersquo Renal Society of Australasia Journal vol 5 no3 pp 147-151 lthttpwwwrenalsocietyorgRSAJjournalnov09bennett2pdfgt
Health Workforce Australia 2012 Health Workforce 2025 Doctors Nurses and Midwives vol 1 lthttpwwwhwagovausitesuploadsFinalReport_Volume1_FINAL-20120424pdfgt pp 137-142
Health Workforce Australia 2013 Nurses in Focus lthttpwwwhwagovausitesuploadsNurses-in-Focus-FINALpdfgt
Meek G 2010 Second level nurses a critical examination of their evolving role in New Zealand Healthcare lthttpresearcharchivewintecacnz9621Repository_entry_HLNU902pdfgt pp 3
Monash University 2013 The National Review of the Enrolled Nurse Competency Standards lthttpwwwmedmonashedunursingcompetency-standardsgt
Nankervis K Kenny A Bish M 2008 Enhancing scope of practice for the second level nurse A change process to meet growing demand for rural health services lthttpwwwncbinlmnihgovpubmed18844530gt
Nursing and Midwifery Board of Australia 2013 Communique Meeting of the Nursing and Midwifery Board of Australia 27 February 2013 in the AHPRA Hobart Office TasmanialthttpwwwnursingmidwiferyboardgovauNewsCommuniques-from-Board-meetingsaspxgt
Nursing and Midwifery Board of Australia 2014 Enrolled nurses and medicine administration lt httpwwwnursingmidwiferyboardgovauCodes-Guidelines-StatementsFAQaspxgt
Pryor J Buzio A 2013 lsquoDo ldquotwo typesrdquo of ENs work in rehabilitation in Australiarsquo Journal of the Australasian Rehabilitation Nurses Association vol 16 no 1 pp 14-19 lthttpsearchinformitcomaudocumentSummarydn=480975443102792res=IELHEAgt
Robinson S and Griffiths P 2007 Nursing education and regulation International profiles and perspectives lthttpeprintssotonacuk3487721NurseEduProfilespdfgt pp 7-17
Tranter S Westgarth F White G 2011 lsquoThe scope of practice of the haemodialysis Enrolled Nurse in new South Walesrsquo Renal Society of Australasia Journal vol 7 no 1 pp 24-29 lthttpwwwrenalsocietyorgRSAJjournalmar11Tranterpdfgt
United Kingdom Department of Health 2013 The Cavendish Review An Independent Review into Healthcare Assistants and Support Workers in the NHS and social care settings lthttpswwwgovukgovernmentuploadssystemuploadsattachment_datafile236212Cavendish_Reviewpdfgt pp 6
33
By Laurie Bickhoff MACN
Diary of a newly registered nurse
In Australia it is estimated nearly 20 of nurses will leave the profession within their first year of practice (National Nursing and Nurse Education Taskforce [NNNET] 2005) Internationally this figure ranges from between 35 and 60 (Halfer amp Graf 2006) Many have speculated on the reasons for this with high workloads the difficulties of shift work and unrealistic expectations of what nursing entails all given due consideration (Halfer amp Graf 2006) However as I entered my second year of practice I began to wonder what role disillusionment plays in this exodus of newly trained nurses
Disillusionment to me occurs when you feel your passion dwindling when you suddenly find it that little bit harder to get ready for work when you start feeling a sense of dread as you walk onto the ward This wasnrsquot caused by long hours or ever increasing workloads coupled with diminishing resources It wasnrsquot caused by physically demanding duties or the lack of a social life due to shift work It wasnrsquot caused by dealing with things that might not look or smell that great Unfortunately it was caused by the people around me and an almost institutionalised lack of power not only for nurses but more importantly for our patients
I was dismayed and frustrated to hear how many of my colleagues from all health professions referred to patients I was disheartened to see how easily some could dismiss the suffering we see and the heartache I felt I was overwhelmingly saddened to realise not everyone had the same passion for their profession or empathy for those we are charged to care for as I did
This culminated for me towards the end of my first year of practice There wasnrsquot any one big incident more an accumulation of things that were gradually wearing me down I had a worried patient confide in me that they had been too scared to push the call button on the previous shift because of the response they would receive from the nurse I saw patients constantly being made to fit into everyone elsersquos schedules regardless of their requests It seemed everyone was more important than the person we were there to help
I heard patients referred to as lsquocactusrsquo or described in the notes as lsquounsalvageablersquo meaning there was no chance of the patients making meaningful recoveries I wondered is this really how we refer to people Or did we forget they were actual human beings we were talking about
I had other health professionals dismiss me with comments such as nurses ldquojust wipe bums all dayrdquo or roll their eyes at me when I raised my concerns When I dared to challenge or question I was met with comments of ldquoI miss the old new gradsrdquo I felt tired washed out and was beginning to wonder
whether I could stay in this profession without losing myself
Luckily I found some inspiration I listened to a presentation by Drew Dudley a well-known American academic and motivational speaker where he discusses the idea of lsquolollypop momentsrsquo These are small moments when the people we see and work with every day demonstrate leadership They arenrsquot big grand over the top statements They are small gestures which often unknown to the person who did it have an amazing impact on the lives of others I was lucky enough to have some of these lollypop moments just when I needed them These few sparks were all that I needed to reignite my passion for nursing
The first spark came from an RN2 caring for a patient at the end-stage of a number of diseases who had expressed to the nursing staff multiple times her wish to simply be made comfortable as she knew this was the end of her fight Despite this the patient was not only receiving active treatment but was also currently documented for full resuscitation if she deteriorated
The nurse raised the issue with the medical registrar asking him to have a discussion with the patient regarding her wishes and planning end-of-life care The registrar dismissed her saying ldquowell thatrsquos not what the consultant wantsrdquo The nurse wasnrsquot satisfied and responded ldquoitrsquos not their choice itrsquos the patientrsquos decisionrdquo This nurse had the courage to stand her ground and make sure her patientrsquos voice was heard which ultimately led to the patientrsquos wishes being honoured
The next spark came soon after I was working with a nurse who came from a different cultural background to me where it was seen as impolite to question anyone in authority especially if you were female This meant even if a doctor was accidently standing in her way she would prefer to simply wait rather than ask them to move
Then one day we had a patient who deteriorated rapidly and was in a very critical condition This nurse suddenly became one of the best clinical leaders I have witnessed She led the team questioning orders prompting treatments suggesting causes and outlining the options available I soon realised the difference this was about her patient She was going to ensure her patient received the best care and outcome possible When it was about her patient rather than herself she found her voice
There were a number of smaller incidents that soon followed Sparks came from the senior consultant who re-educated her advanced trainee on the importance of listening to the nurses and acting on their concerns Sparks came from our ward social
34
worker who day after day demonstrated his passion for helping and advocating for those with no voice and often no options Sparks came from the medical residents who expressed their gratitude when you picked up a mistake and were heartfelt in their appreciation of the work nurses do
The brightest sparks came from my patients and their relatives It was their ldquothanksrdquo their ldquoyou donrsquot know how much that meansrdquo their ldquoyoursquoll be back tomorrow wonrsquot yourdquo their squeezing of my hand that reminded me why I do what I do I didnrsquot have to search for inspiration I was surrounded by it The trick was to change my focus
Perhaps all nurses are disillusioned at some point during their careers Perhaps it happens multiple times Perhaps it is a rite of passage with those who make it through the other side the
ones with a true passion for nursing who turn around and help a colleague on their journey
As I continue my nursing career I now look for the brightness that I know is always there far outshining the negativity that we have to deal with I stockpile my lsquolollypop momentsrsquo knowing the amazing examples of kindness and leadership I see every day will help me grow and become a better nurse and hopefully I might be able to be a spark for someone else
You can listen to Drew Dudleyrsquos talk at wwwtedcomtalksdrew_dudley_everyday_leadership
Halfer D and Graf E lsquoGraduate Nurse Perceptions of the Work Experiencersquo Nursing Economics June 2006 Vol 24 No 3 pp 150-55
National Nursing and Nurse Education Taskforce 2005 Mythbusters Available online at httpwwwnnnetgovaudownloadsmythbusters_attritionpdf Accessed June 2014
Arts amp Sciences | Business | Education | Health Sciences | Law | Medicine | Nursing amp Midwifery | Philosophy amp Theology | Physiotherapy
Your journey to a meaningful career awaitsThe School of Nursing amp Midwifery offers the following courses
rsaquo Bachelor of Nursing
rsaquo Bachelor of Nursing (Articulation Pathway for EN Diploma)
rsaquo Graduate Certificate (Acute Mental Health Clinical Nursing Nursing and Nursing Leadership amp Management)
rsaquo Graduate Diploma (Acute Mental Health Clinical Nursing Critical Care Nursing Forensic Nursing Midwifery Nursing and Perioperative Nursing)
rsaquo Master of Nursing (Coursework and Research)
Looking to make a difference So are we
Apply direct notredameeduau
ND
1053
| C
RIC
OS
PR
OV
IDE
R C
OD
E 0
1032
F
35
36
WA EXPO PERTH
26
Welcome from the Chief Nurse amp Midwifery OfficerI am so pleased to be welcoming you to the Australian College of Nursingrsquos Western Australian Nursing and Health Expo for 2015
Attending the Expo is an invaluable experience for anyone interested in nursing and midwifery careers It especially helps high school students and their parents or anyone who is wondering which career direction to take
Hospitals and health services from across WA will be there with some of their nurses and midwives in attendance to answer any questions you may have Come and find out from them what itrsquos really like to be a nurse or midwife
There will also be a range of education providers who will be able to talk about the many courses available to get your career started
It is also a great place to come to discuss and find out about graduate job opportunities building your experience career development opportunities financial support to study changing employers or even returning to a career in nursing or midwifery after being away for a while
The decision to become a nurse or a midwife is a wonderful career choice for anyone who wants to be part of a diverse healthcare professional team and have a challenging rewarding and exciting job where you really can make a difference
The future demand for nurses and midwives is going to be high especially as WArsquos new Fiona Stanley Perth Childrenrsquos Busselton and Midland hospitals all start becoming fully operational so we encourage you to attend the Expo to see where nursing and midwifery might take you
I look forward to seeing you on Friday 1 May 2015 at the Perth Convention and Exhibition Centre
Karen Bradley MACN Chief Nurse and Midwifery Officer WA Health
27
Expo informationLocation
The Perth Convention and Exhibition Centre (PCEC) is Western Australiarsquos only dedicated convention and exhibition facility Each year over 500000 people attend one or more of the 600 plus events conducted at PCEC The Expo will be held in Pavillion 1 at PCEC
Doors open 9am ndash 1pm
Entry
Stairs amp Escalators to Level 2
Registration DeskEntry Foyer
Entry
ACN Expo Pavillion 1
28
Seminars
This year the educational seminar series is back again to provide visitors with up to date information and practical skills to pursue or further their career Seminar attendance is free of charge and registration is not required
Time Topic Presented by
915am How to become a nurse or midwife Rebecca Newton WA Nursing and Midwifery Office
950am Applying via GradConnect and other opportunities for graduate nurses and midwives
Regina Browne WA Nursing and Midwifery Office
1025am Unleashing the potential of your staff Lisa Ansbro and Donna Hampshire Chandler Macleod Health
1100am How to become a nurse or midwife Rebecca Newton WA Nursing and Midwifery Office
1135am Applying via GradConnect and other opportunities for graduate nurses and midwives
Regina Browne WA Nursing and Midwifery Office
1210pm Unleashing the potential of your staff Lisa Ansbro and Donna Hampshire Chandler Macleod Health
The lsquoUnleashing the potential of your staffrsquo seminar is proudly supported by
Chandler Macleod is Australasiarsquos leading provider of integrated HR services products and technologies We have more than 55 yearsrsquo experience in human resources and have specialised within the health sector for 10 of these We are ideally positioned to help you meet the growing demands on your business We provide permanent and temporarycontract recruitment for the full range of Health professions including Carers and Support Workers Enrolled Nurses Registered Nurses Facility and Operations Managers Directors Cleaners and Kitchen staff We are able to provide you with experienced caring staff 247 including public holidays
For more information contact Chandler Macleod on (08) 9217 0510 or visit wwwchandlermacleodcomclientshealth-recruitment
29
Floor plan
42 41
39
40
38
36
37
35
43
44
45
46
47
48
Entrance
Seminar area
Cafeacute
7
5
8
6
20
18
19
17
11
9
12
10
16
14
15
13
34 33 32 31 30 29 28
30
Exhibitor listing
Organisation Name Booth Number
AACDS 8
Armadale Health Service 38
Belmore Nurses Bureau 30
Central Institute of Technology 20
Chandler Macleod Health 16
Child amp Adolescent Health Service 42
Curtin University of Technology 19
Defence Force Recruiting 910
Edith Cowan University - School of Nursing and Midwifery
3334
Fiona Stanley Hospital 36
Fremantle Hospital 44
HESTA 5
Hollywood Private Hospital 7
Institute of Health amp Nursing Australia 32
Mediserve Nursing Agency 6
Murdoch University 1112
My Flex Health International 18
Organisation Name Booth Number
Next Step 48
North Metropolitan Mental Health 35
NurseWest 47
Nursing amp Midwifery Board of Australia 29
Osborne Park Hospital 46
Prime Super 17
PampN Bank 15
Rockingham General Hospital 39
Royal Perth Hospital 37
Sir Charles Gairdner Hospital 45
The Bethanie Group Inc 31
The University of Notre Dame 13
WA Country Health Service 40
WA Nursing amp Midwifery Office 43
West Coast Institute of Training 14
Women amp Newborn Health Service 41
Work the World 28
The WA Nursing amp Health Expo is proudly supported by
The WA Nursing and Midwifery Office is very proud to partner once again with the Australian College of Nursing for the 2015 Nursing and Health Expo The nursing and midwifery professions offer an array of interesting and diverse experiences With these highly valued and respected skills relevant anywhere in the world nurses and midwives will always be in demand ndash in hospitals and in a range of other workplaces In WA the future demand for nurses and midwives is going to be high especially as our new Fiona Stanley Perth Childrenrsquos Busselton and Midland hospitals all start becoming fully operational so considering a career in nursing or midwifery is a great idea
wwwnursinghealthwagovau
31
In Australia enrolled nurses (ENs) are a core component of the health care workforce and make an important contribution to Australiarsquos world-class health outcomes ENs work in varied settings across the country from blood services to aged care facilities Increasingly ENs are playing an important role in meeting the growing demand for care
Not all countries have recognised the importance of ENs in the nurse workforce mix Several European countries including France Denmark Italy and Spain have only one category of regulated nurse (HWA 2013 Robinson and Griffiths 2007) The United Kingdom (UK) ceased admitting new ENs to the register in the 1980s The minimum qualification for all UK nurses is now a three-year bachelorrsquos degree As a result the UK relies heavily on unregistered health care assistants rather than second-level nurses (UK Department of Health 2013) Closer to home New Zealand ceased training ENs in 1993 only to recommence in the 2000s (Meek 2009) New Zealandrsquos experiment is an instructive demonstration of the importance of ENs in the health care workforce as the demand for nursing care increases
In Australia we have remained committed to maintaining the EN role Rather than relying on unregistered health care workers Australia has chosen to maintain a large educated and professional EN workforce The skilled work of ENs is recognised to be of paramount importance to the delivery of high quality nursing care Our EN workforce is highly dynamic and continues to evolve within the changing landscape of Australian health care policy and regulation
Enrolled nurse demographics
According to the latest national figures there are 51624 ENs working in Australia The great majority of ENs have completed their pre-registration education in Australia fewer than 5 have been educated overseas (HWA 2013)
The EN workforce has a relatively high average age of 46 years and forty-five per cent of ENs have celebrated their fiftieth birthdays (AIHW 2013) According to Health Workforce Australia the ageing EN workforce could lead to a significant shortfall in the supply of ENs if action is not taken to retain the current cohort of ENs and increase the number of people studying to be the ENs of tomorrow (HWA 2012)
Men make up roughly 10 of the EN workforce While this number is rising gradually it indicates that there is progress to be made in terms of attracting and retaining males within the profession Aboriginal and Torres Strait Islander people are
also underrepresented in the EN workforce only around 800 of Australiarsquos ENs identify as Indigenous Australians (AIHW 2013)
Among the most common work settings for ENs are aged care rehabilitation and disability services In contrast ENs make up fewer than 5 of the critical care nursing workforce and represent only a small proportion of nurses working in education policy and management (AIHW 2013)
These statistics show that there are both challenges and opportunities for Australiarsquos EN workforce Efforts to recruit and retain ENs will need to be enhanced with a particular focus on encouraging men and Aboriginal and Torres Strait Islander people to become ENs At the same time roles in a wider range of clinical areas are becoming available to suitably educated and qualified ENs and there will be more such opportunities in the coming years
A growing role for ENs
The evolving role of the EN is reflected in recent changes to educational requirements for ENs As of 1 July 2014 the Certificate IV in enrolled nursing ceased to be available and the minimum qualification for EN entry to practice will be the Diploma of Nursing The transition to a Diploma recognises the high level of skill ENs contribute to todayrsquos health care teams A nationally consistent approach to EN education is also likely to enhance the mobility of the EN workforce by giving employers confidence in the knowledge and skills of ENs educated in other states
ENs are now undertaking a diverse range of roles One of the earliest areas of role expansion for ENs was medication endorsement Before the move to national registration in 2010 ENs in some states were able to obtain an endorsement in medicines administration and become Endorsed Enrolled Nurses by completing specified education units This endorsement has now been phased out because from 2008 onwards all newly qualified ENs have completed the required medicines administration education Instead the register now identifies ENs who have not completed the required courses (NMBA 2014) This example demonstrates how the EN role has evolved over the years Whereas once only a relatively small number of ENs were educated to administer medicines now all student ENs complete medicines administration units as part of their initial nursing education
The EN role is also expanding in other ways For example ENs are taking on a growing role within haemodialysis units (Tranter et al 2011) The 2008 Australia and New Zealand Dialysis Workforce Survey conducted by the Renal Society of Australia found that there were 188 ENs working in dialysis alongside 2433 registered nurses (RNs) The growing demand for dialysis
The potential of the enrolled nursing workforce
By Rosina Muir and Dr Marlene Eggert MACN
32
services and the shortage of dialysis RNs in some areas represents a clear opportunity for ENs According to a New South Wales study conducted in 2009 the scope of practice of ENs in haemodialysis units may include cannulation (including both native access and buttonhole cannulation) connecting and disconnecting haemodialysis central venous catheters (CVCs) performing CVC dressings giving iron infusions and administering erythropoietin anticoagulants and Lignocaine In addition ENs may also take on a case management or health promotion role for dialysis patients (Bennett et al 2009)
ENs are also moving into extended roles in rehabilitation services A recent study of ENs in an Australian rehabilitation facility found that in addition to assisting patients with activities of daily living ENs may take on roles in coaching and supporting patients to reach their individual goals monitoring the patientrsquos progress and liaising with other members of the multidisciplinary rehabilitation team The study found that many ENs demonstrate an understanding of the philosophy of rehabilitation nursing including goal setting and enabling self-care (Pryor and Buzio 2013)
In rural Australia ENs are taking on a diverse range of roles within the EN scope of practice in order to meet local needs ENs with specialist skills such as infection control or wound care make a significant contribution to some rural health services although their extended scope of practice is not always given appropriate recognition by their RN colleagues (Nankervis et al 2008) Rural health services are increasingly recognising that supporting ENs to take on extended roles and further develop their clinical skills can be a successful model for the delivery of high quality patient care
Recognising the evolving EN scope of practice
In light of the fact that there have been significant changes to EN education regulation and scope over the last decade the NMBA has commissioned Monash University to review the currency of the standards against contemporary enrolled nursing roles The Monash University project has involved a review of the literature as well as a series of focus groups and surveys to gather insights from both RNs and ENs on the education scope of practice and supervision of ENs (Monash University 2013) The project is expected to be completed in 2014 (NMBA 2013)
Our advocacy for ENs
ACNrsquos advocacy priorities are explicitly designed to support both registered and enrolled nurses In 2014 ACN has argued for a range of policies that would have a positive impact on the
retention and flexibility of enrolled nurses For example ACN has proposed a National Transition Framework to support the flexibility and mobility of both the EN and the RN workforces The Framework would be accessible to nurses entering the workforce as well as nurses transitioning from one area of practice to another For example it would support an EN wishing to transition from the aged care sector to a hospital-based role
ACN has also put forward a proposal for a new scholarship program to support newly registered and enrolled nurses to practice in rural services It is essential that rural health service providers are able to attract appropriately educated staff including both ENs and RNs in order to maintain an optimal skill mix The scholarship scheme will allow rural health services to employ newly registered and enrolled nurses as supernumerary team members while providing them with a structured clinical learning program
ACN will continue to provide a voice for ENs in policy discussions and advocate for the role of ENs in health care delivery Australian Institute of Health and Welfare 2013 Nursing and midwifery workforce 2012 lthttpwwwaihwgovauWorkAreaDownloadAssetaspxid=60129545314gt pp 6
Bennett P McNeill L Polaschek N 2009 lsquoThe Australian and New Zealand Dialysis Workforcersquo Renal Society of Australasia Journal vol 5 no3 pp 147-151 lthttpwwwrenalsocietyorgRSAJjournalnov09bennett2pdfgt
Health Workforce Australia 2012 Health Workforce 2025 Doctors Nurses and Midwives vol 1 lthttpwwwhwagovausitesuploadsFinalReport_Volume1_FINAL-20120424pdfgt pp 137-142
Health Workforce Australia 2013 Nurses in Focus lthttpwwwhwagovausitesuploadsNurses-in-Focus-FINALpdfgt
Meek G 2010 Second level nurses a critical examination of their evolving role in New Zealand Healthcare lthttpresearcharchivewintecacnz9621Repository_entry_HLNU902pdfgt pp 3
Monash University 2013 The National Review of the Enrolled Nurse Competency Standards lthttpwwwmedmonashedunursingcompetency-standardsgt
Nankervis K Kenny A Bish M 2008 Enhancing scope of practice for the second level nurse A change process to meet growing demand for rural health services lthttpwwwncbinlmnihgovpubmed18844530gt
Nursing and Midwifery Board of Australia 2013 Communique Meeting of the Nursing and Midwifery Board of Australia 27 February 2013 in the AHPRA Hobart Office TasmanialthttpwwwnursingmidwiferyboardgovauNewsCommuniques-from-Board-meetingsaspxgt
Nursing and Midwifery Board of Australia 2014 Enrolled nurses and medicine administration lt httpwwwnursingmidwiferyboardgovauCodes-Guidelines-StatementsFAQaspxgt
Pryor J Buzio A 2013 lsquoDo ldquotwo typesrdquo of ENs work in rehabilitation in Australiarsquo Journal of the Australasian Rehabilitation Nurses Association vol 16 no 1 pp 14-19 lthttpsearchinformitcomaudocumentSummarydn=480975443102792res=IELHEAgt
Robinson S and Griffiths P 2007 Nursing education and regulation International profiles and perspectives lthttpeprintssotonacuk3487721NurseEduProfilespdfgt pp 7-17
Tranter S Westgarth F White G 2011 lsquoThe scope of practice of the haemodialysis Enrolled Nurse in new South Walesrsquo Renal Society of Australasia Journal vol 7 no 1 pp 24-29 lthttpwwwrenalsocietyorgRSAJjournalmar11Tranterpdfgt
United Kingdom Department of Health 2013 The Cavendish Review An Independent Review into Healthcare Assistants and Support Workers in the NHS and social care settings lthttpswwwgovukgovernmentuploadssystemuploadsattachment_datafile236212Cavendish_Reviewpdfgt pp 6
33
By Laurie Bickhoff MACN
Diary of a newly registered nurse
In Australia it is estimated nearly 20 of nurses will leave the profession within their first year of practice (National Nursing and Nurse Education Taskforce [NNNET] 2005) Internationally this figure ranges from between 35 and 60 (Halfer amp Graf 2006) Many have speculated on the reasons for this with high workloads the difficulties of shift work and unrealistic expectations of what nursing entails all given due consideration (Halfer amp Graf 2006) However as I entered my second year of practice I began to wonder what role disillusionment plays in this exodus of newly trained nurses
Disillusionment to me occurs when you feel your passion dwindling when you suddenly find it that little bit harder to get ready for work when you start feeling a sense of dread as you walk onto the ward This wasnrsquot caused by long hours or ever increasing workloads coupled with diminishing resources It wasnrsquot caused by physically demanding duties or the lack of a social life due to shift work It wasnrsquot caused by dealing with things that might not look or smell that great Unfortunately it was caused by the people around me and an almost institutionalised lack of power not only for nurses but more importantly for our patients
I was dismayed and frustrated to hear how many of my colleagues from all health professions referred to patients I was disheartened to see how easily some could dismiss the suffering we see and the heartache I felt I was overwhelmingly saddened to realise not everyone had the same passion for their profession or empathy for those we are charged to care for as I did
This culminated for me towards the end of my first year of practice There wasnrsquot any one big incident more an accumulation of things that were gradually wearing me down I had a worried patient confide in me that they had been too scared to push the call button on the previous shift because of the response they would receive from the nurse I saw patients constantly being made to fit into everyone elsersquos schedules regardless of their requests It seemed everyone was more important than the person we were there to help
I heard patients referred to as lsquocactusrsquo or described in the notes as lsquounsalvageablersquo meaning there was no chance of the patients making meaningful recoveries I wondered is this really how we refer to people Or did we forget they were actual human beings we were talking about
I had other health professionals dismiss me with comments such as nurses ldquojust wipe bums all dayrdquo or roll their eyes at me when I raised my concerns When I dared to challenge or question I was met with comments of ldquoI miss the old new gradsrdquo I felt tired washed out and was beginning to wonder
whether I could stay in this profession without losing myself
Luckily I found some inspiration I listened to a presentation by Drew Dudley a well-known American academic and motivational speaker where he discusses the idea of lsquolollypop momentsrsquo These are small moments when the people we see and work with every day demonstrate leadership They arenrsquot big grand over the top statements They are small gestures which often unknown to the person who did it have an amazing impact on the lives of others I was lucky enough to have some of these lollypop moments just when I needed them These few sparks were all that I needed to reignite my passion for nursing
The first spark came from an RN2 caring for a patient at the end-stage of a number of diseases who had expressed to the nursing staff multiple times her wish to simply be made comfortable as she knew this was the end of her fight Despite this the patient was not only receiving active treatment but was also currently documented for full resuscitation if she deteriorated
The nurse raised the issue with the medical registrar asking him to have a discussion with the patient regarding her wishes and planning end-of-life care The registrar dismissed her saying ldquowell thatrsquos not what the consultant wantsrdquo The nurse wasnrsquot satisfied and responded ldquoitrsquos not their choice itrsquos the patientrsquos decisionrdquo This nurse had the courage to stand her ground and make sure her patientrsquos voice was heard which ultimately led to the patientrsquos wishes being honoured
The next spark came soon after I was working with a nurse who came from a different cultural background to me where it was seen as impolite to question anyone in authority especially if you were female This meant even if a doctor was accidently standing in her way she would prefer to simply wait rather than ask them to move
Then one day we had a patient who deteriorated rapidly and was in a very critical condition This nurse suddenly became one of the best clinical leaders I have witnessed She led the team questioning orders prompting treatments suggesting causes and outlining the options available I soon realised the difference this was about her patient She was going to ensure her patient received the best care and outcome possible When it was about her patient rather than herself she found her voice
There were a number of smaller incidents that soon followed Sparks came from the senior consultant who re-educated her advanced trainee on the importance of listening to the nurses and acting on their concerns Sparks came from our ward social
34
worker who day after day demonstrated his passion for helping and advocating for those with no voice and often no options Sparks came from the medical residents who expressed their gratitude when you picked up a mistake and were heartfelt in their appreciation of the work nurses do
The brightest sparks came from my patients and their relatives It was their ldquothanksrdquo their ldquoyou donrsquot know how much that meansrdquo their ldquoyoursquoll be back tomorrow wonrsquot yourdquo their squeezing of my hand that reminded me why I do what I do I didnrsquot have to search for inspiration I was surrounded by it The trick was to change my focus
Perhaps all nurses are disillusioned at some point during their careers Perhaps it happens multiple times Perhaps it is a rite of passage with those who make it through the other side the
ones with a true passion for nursing who turn around and help a colleague on their journey
As I continue my nursing career I now look for the brightness that I know is always there far outshining the negativity that we have to deal with I stockpile my lsquolollypop momentsrsquo knowing the amazing examples of kindness and leadership I see every day will help me grow and become a better nurse and hopefully I might be able to be a spark for someone else
You can listen to Drew Dudleyrsquos talk at wwwtedcomtalksdrew_dudley_everyday_leadership
Halfer D and Graf E lsquoGraduate Nurse Perceptions of the Work Experiencersquo Nursing Economics June 2006 Vol 24 No 3 pp 150-55
National Nursing and Nurse Education Taskforce 2005 Mythbusters Available online at httpwwwnnnetgovaudownloadsmythbusters_attritionpdf Accessed June 2014
Arts amp Sciences | Business | Education | Health Sciences | Law | Medicine | Nursing amp Midwifery | Philosophy amp Theology | Physiotherapy
Your journey to a meaningful career awaitsThe School of Nursing amp Midwifery offers the following courses
rsaquo Bachelor of Nursing
rsaquo Bachelor of Nursing (Articulation Pathway for EN Diploma)
rsaquo Graduate Certificate (Acute Mental Health Clinical Nursing Nursing and Nursing Leadership amp Management)
rsaquo Graduate Diploma (Acute Mental Health Clinical Nursing Critical Care Nursing Forensic Nursing Midwifery Nursing and Perioperative Nursing)
rsaquo Master of Nursing (Coursework and Research)
Looking to make a difference So are we
Apply direct notredameeduau
ND
1053
| C
RIC
OS
PR
OV
IDE
R C
OD
E 0
1032
F
35
36
Welcome from the Chief Nurse amp Midwifery OfficerI am so pleased to be welcoming you to the Australian College of Nursingrsquos Western Australian Nursing and Health Expo for 2015
Attending the Expo is an invaluable experience for anyone interested in nursing and midwifery careers It especially helps high school students and their parents or anyone who is wondering which career direction to take
Hospitals and health services from across WA will be there with some of their nurses and midwives in attendance to answer any questions you may have Come and find out from them what itrsquos really like to be a nurse or midwife
There will also be a range of education providers who will be able to talk about the many courses available to get your career started
It is also a great place to come to discuss and find out about graduate job opportunities building your experience career development opportunities financial support to study changing employers or even returning to a career in nursing or midwifery after being away for a while
The decision to become a nurse or a midwife is a wonderful career choice for anyone who wants to be part of a diverse healthcare professional team and have a challenging rewarding and exciting job where you really can make a difference
The future demand for nurses and midwives is going to be high especially as WArsquos new Fiona Stanley Perth Childrenrsquos Busselton and Midland hospitals all start becoming fully operational so we encourage you to attend the Expo to see where nursing and midwifery might take you
I look forward to seeing you on Friday 1 May 2015 at the Perth Convention and Exhibition Centre
Karen Bradley MACN Chief Nurse and Midwifery Officer WA Health
27
Expo informationLocation
The Perth Convention and Exhibition Centre (PCEC) is Western Australiarsquos only dedicated convention and exhibition facility Each year over 500000 people attend one or more of the 600 plus events conducted at PCEC The Expo will be held in Pavillion 1 at PCEC
Doors open 9am ndash 1pm
Entry
Stairs amp Escalators to Level 2
Registration DeskEntry Foyer
Entry
ACN Expo Pavillion 1
28
Seminars
This year the educational seminar series is back again to provide visitors with up to date information and practical skills to pursue or further their career Seminar attendance is free of charge and registration is not required
Time Topic Presented by
915am How to become a nurse or midwife Rebecca Newton WA Nursing and Midwifery Office
950am Applying via GradConnect and other opportunities for graduate nurses and midwives
Regina Browne WA Nursing and Midwifery Office
1025am Unleashing the potential of your staff Lisa Ansbro and Donna Hampshire Chandler Macleod Health
1100am How to become a nurse or midwife Rebecca Newton WA Nursing and Midwifery Office
1135am Applying via GradConnect and other opportunities for graduate nurses and midwives
Regina Browne WA Nursing and Midwifery Office
1210pm Unleashing the potential of your staff Lisa Ansbro and Donna Hampshire Chandler Macleod Health
The lsquoUnleashing the potential of your staffrsquo seminar is proudly supported by
Chandler Macleod is Australasiarsquos leading provider of integrated HR services products and technologies We have more than 55 yearsrsquo experience in human resources and have specialised within the health sector for 10 of these We are ideally positioned to help you meet the growing demands on your business We provide permanent and temporarycontract recruitment for the full range of Health professions including Carers and Support Workers Enrolled Nurses Registered Nurses Facility and Operations Managers Directors Cleaners and Kitchen staff We are able to provide you with experienced caring staff 247 including public holidays
For more information contact Chandler Macleod on (08) 9217 0510 or visit wwwchandlermacleodcomclientshealth-recruitment
29
Floor plan
42 41
39
40
38
36
37
35
43
44
45
46
47
48
Entrance
Seminar area
Cafeacute
7
5
8
6
20
18
19
17
11
9
12
10
16
14
15
13
34 33 32 31 30 29 28
30
Exhibitor listing
Organisation Name Booth Number
AACDS 8
Armadale Health Service 38
Belmore Nurses Bureau 30
Central Institute of Technology 20
Chandler Macleod Health 16
Child amp Adolescent Health Service 42
Curtin University of Technology 19
Defence Force Recruiting 910
Edith Cowan University - School of Nursing and Midwifery
3334
Fiona Stanley Hospital 36
Fremantle Hospital 44
HESTA 5
Hollywood Private Hospital 7
Institute of Health amp Nursing Australia 32
Mediserve Nursing Agency 6
Murdoch University 1112
My Flex Health International 18
Organisation Name Booth Number
Next Step 48
North Metropolitan Mental Health 35
NurseWest 47
Nursing amp Midwifery Board of Australia 29
Osborne Park Hospital 46
Prime Super 17
PampN Bank 15
Rockingham General Hospital 39
Royal Perth Hospital 37
Sir Charles Gairdner Hospital 45
The Bethanie Group Inc 31
The University of Notre Dame 13
WA Country Health Service 40
WA Nursing amp Midwifery Office 43
West Coast Institute of Training 14
Women amp Newborn Health Service 41
Work the World 28
The WA Nursing amp Health Expo is proudly supported by
The WA Nursing and Midwifery Office is very proud to partner once again with the Australian College of Nursing for the 2015 Nursing and Health Expo The nursing and midwifery professions offer an array of interesting and diverse experiences With these highly valued and respected skills relevant anywhere in the world nurses and midwives will always be in demand ndash in hospitals and in a range of other workplaces In WA the future demand for nurses and midwives is going to be high especially as our new Fiona Stanley Perth Childrenrsquos Busselton and Midland hospitals all start becoming fully operational so considering a career in nursing or midwifery is a great idea
wwwnursinghealthwagovau
31
In Australia enrolled nurses (ENs) are a core component of the health care workforce and make an important contribution to Australiarsquos world-class health outcomes ENs work in varied settings across the country from blood services to aged care facilities Increasingly ENs are playing an important role in meeting the growing demand for care
Not all countries have recognised the importance of ENs in the nurse workforce mix Several European countries including France Denmark Italy and Spain have only one category of regulated nurse (HWA 2013 Robinson and Griffiths 2007) The United Kingdom (UK) ceased admitting new ENs to the register in the 1980s The minimum qualification for all UK nurses is now a three-year bachelorrsquos degree As a result the UK relies heavily on unregistered health care assistants rather than second-level nurses (UK Department of Health 2013) Closer to home New Zealand ceased training ENs in 1993 only to recommence in the 2000s (Meek 2009) New Zealandrsquos experiment is an instructive demonstration of the importance of ENs in the health care workforce as the demand for nursing care increases
In Australia we have remained committed to maintaining the EN role Rather than relying on unregistered health care workers Australia has chosen to maintain a large educated and professional EN workforce The skilled work of ENs is recognised to be of paramount importance to the delivery of high quality nursing care Our EN workforce is highly dynamic and continues to evolve within the changing landscape of Australian health care policy and regulation
Enrolled nurse demographics
According to the latest national figures there are 51624 ENs working in Australia The great majority of ENs have completed their pre-registration education in Australia fewer than 5 have been educated overseas (HWA 2013)
The EN workforce has a relatively high average age of 46 years and forty-five per cent of ENs have celebrated their fiftieth birthdays (AIHW 2013) According to Health Workforce Australia the ageing EN workforce could lead to a significant shortfall in the supply of ENs if action is not taken to retain the current cohort of ENs and increase the number of people studying to be the ENs of tomorrow (HWA 2012)
Men make up roughly 10 of the EN workforce While this number is rising gradually it indicates that there is progress to be made in terms of attracting and retaining males within the profession Aboriginal and Torres Strait Islander people are
also underrepresented in the EN workforce only around 800 of Australiarsquos ENs identify as Indigenous Australians (AIHW 2013)
Among the most common work settings for ENs are aged care rehabilitation and disability services In contrast ENs make up fewer than 5 of the critical care nursing workforce and represent only a small proportion of nurses working in education policy and management (AIHW 2013)
These statistics show that there are both challenges and opportunities for Australiarsquos EN workforce Efforts to recruit and retain ENs will need to be enhanced with a particular focus on encouraging men and Aboriginal and Torres Strait Islander people to become ENs At the same time roles in a wider range of clinical areas are becoming available to suitably educated and qualified ENs and there will be more such opportunities in the coming years
A growing role for ENs
The evolving role of the EN is reflected in recent changes to educational requirements for ENs As of 1 July 2014 the Certificate IV in enrolled nursing ceased to be available and the minimum qualification for EN entry to practice will be the Diploma of Nursing The transition to a Diploma recognises the high level of skill ENs contribute to todayrsquos health care teams A nationally consistent approach to EN education is also likely to enhance the mobility of the EN workforce by giving employers confidence in the knowledge and skills of ENs educated in other states
ENs are now undertaking a diverse range of roles One of the earliest areas of role expansion for ENs was medication endorsement Before the move to national registration in 2010 ENs in some states were able to obtain an endorsement in medicines administration and become Endorsed Enrolled Nurses by completing specified education units This endorsement has now been phased out because from 2008 onwards all newly qualified ENs have completed the required medicines administration education Instead the register now identifies ENs who have not completed the required courses (NMBA 2014) This example demonstrates how the EN role has evolved over the years Whereas once only a relatively small number of ENs were educated to administer medicines now all student ENs complete medicines administration units as part of their initial nursing education
The EN role is also expanding in other ways For example ENs are taking on a growing role within haemodialysis units (Tranter et al 2011) The 2008 Australia and New Zealand Dialysis Workforce Survey conducted by the Renal Society of Australia found that there were 188 ENs working in dialysis alongside 2433 registered nurses (RNs) The growing demand for dialysis
The potential of the enrolled nursing workforce
By Rosina Muir and Dr Marlene Eggert MACN
32
services and the shortage of dialysis RNs in some areas represents a clear opportunity for ENs According to a New South Wales study conducted in 2009 the scope of practice of ENs in haemodialysis units may include cannulation (including both native access and buttonhole cannulation) connecting and disconnecting haemodialysis central venous catheters (CVCs) performing CVC dressings giving iron infusions and administering erythropoietin anticoagulants and Lignocaine In addition ENs may also take on a case management or health promotion role for dialysis patients (Bennett et al 2009)
ENs are also moving into extended roles in rehabilitation services A recent study of ENs in an Australian rehabilitation facility found that in addition to assisting patients with activities of daily living ENs may take on roles in coaching and supporting patients to reach their individual goals monitoring the patientrsquos progress and liaising with other members of the multidisciplinary rehabilitation team The study found that many ENs demonstrate an understanding of the philosophy of rehabilitation nursing including goal setting and enabling self-care (Pryor and Buzio 2013)
In rural Australia ENs are taking on a diverse range of roles within the EN scope of practice in order to meet local needs ENs with specialist skills such as infection control or wound care make a significant contribution to some rural health services although their extended scope of practice is not always given appropriate recognition by their RN colleagues (Nankervis et al 2008) Rural health services are increasingly recognising that supporting ENs to take on extended roles and further develop their clinical skills can be a successful model for the delivery of high quality patient care
Recognising the evolving EN scope of practice
In light of the fact that there have been significant changes to EN education regulation and scope over the last decade the NMBA has commissioned Monash University to review the currency of the standards against contemporary enrolled nursing roles The Monash University project has involved a review of the literature as well as a series of focus groups and surveys to gather insights from both RNs and ENs on the education scope of practice and supervision of ENs (Monash University 2013) The project is expected to be completed in 2014 (NMBA 2013)
Our advocacy for ENs
ACNrsquos advocacy priorities are explicitly designed to support both registered and enrolled nurses In 2014 ACN has argued for a range of policies that would have a positive impact on the
retention and flexibility of enrolled nurses For example ACN has proposed a National Transition Framework to support the flexibility and mobility of both the EN and the RN workforces The Framework would be accessible to nurses entering the workforce as well as nurses transitioning from one area of practice to another For example it would support an EN wishing to transition from the aged care sector to a hospital-based role
ACN has also put forward a proposal for a new scholarship program to support newly registered and enrolled nurses to practice in rural services It is essential that rural health service providers are able to attract appropriately educated staff including both ENs and RNs in order to maintain an optimal skill mix The scholarship scheme will allow rural health services to employ newly registered and enrolled nurses as supernumerary team members while providing them with a structured clinical learning program
ACN will continue to provide a voice for ENs in policy discussions and advocate for the role of ENs in health care delivery Australian Institute of Health and Welfare 2013 Nursing and midwifery workforce 2012 lthttpwwwaihwgovauWorkAreaDownloadAssetaspxid=60129545314gt pp 6
Bennett P McNeill L Polaschek N 2009 lsquoThe Australian and New Zealand Dialysis Workforcersquo Renal Society of Australasia Journal vol 5 no3 pp 147-151 lthttpwwwrenalsocietyorgRSAJjournalnov09bennett2pdfgt
Health Workforce Australia 2012 Health Workforce 2025 Doctors Nurses and Midwives vol 1 lthttpwwwhwagovausitesuploadsFinalReport_Volume1_FINAL-20120424pdfgt pp 137-142
Health Workforce Australia 2013 Nurses in Focus lthttpwwwhwagovausitesuploadsNurses-in-Focus-FINALpdfgt
Meek G 2010 Second level nurses a critical examination of their evolving role in New Zealand Healthcare lthttpresearcharchivewintecacnz9621Repository_entry_HLNU902pdfgt pp 3
Monash University 2013 The National Review of the Enrolled Nurse Competency Standards lthttpwwwmedmonashedunursingcompetency-standardsgt
Nankervis K Kenny A Bish M 2008 Enhancing scope of practice for the second level nurse A change process to meet growing demand for rural health services lthttpwwwncbinlmnihgovpubmed18844530gt
Nursing and Midwifery Board of Australia 2013 Communique Meeting of the Nursing and Midwifery Board of Australia 27 February 2013 in the AHPRA Hobart Office TasmanialthttpwwwnursingmidwiferyboardgovauNewsCommuniques-from-Board-meetingsaspxgt
Nursing and Midwifery Board of Australia 2014 Enrolled nurses and medicine administration lt httpwwwnursingmidwiferyboardgovauCodes-Guidelines-StatementsFAQaspxgt
Pryor J Buzio A 2013 lsquoDo ldquotwo typesrdquo of ENs work in rehabilitation in Australiarsquo Journal of the Australasian Rehabilitation Nurses Association vol 16 no 1 pp 14-19 lthttpsearchinformitcomaudocumentSummarydn=480975443102792res=IELHEAgt
Robinson S and Griffiths P 2007 Nursing education and regulation International profiles and perspectives lthttpeprintssotonacuk3487721NurseEduProfilespdfgt pp 7-17
Tranter S Westgarth F White G 2011 lsquoThe scope of practice of the haemodialysis Enrolled Nurse in new South Walesrsquo Renal Society of Australasia Journal vol 7 no 1 pp 24-29 lthttpwwwrenalsocietyorgRSAJjournalmar11Tranterpdfgt
United Kingdom Department of Health 2013 The Cavendish Review An Independent Review into Healthcare Assistants and Support Workers in the NHS and social care settings lthttpswwwgovukgovernmentuploadssystemuploadsattachment_datafile236212Cavendish_Reviewpdfgt pp 6
33
By Laurie Bickhoff MACN
Diary of a newly registered nurse
In Australia it is estimated nearly 20 of nurses will leave the profession within their first year of practice (National Nursing and Nurse Education Taskforce [NNNET] 2005) Internationally this figure ranges from between 35 and 60 (Halfer amp Graf 2006) Many have speculated on the reasons for this with high workloads the difficulties of shift work and unrealistic expectations of what nursing entails all given due consideration (Halfer amp Graf 2006) However as I entered my second year of practice I began to wonder what role disillusionment plays in this exodus of newly trained nurses
Disillusionment to me occurs when you feel your passion dwindling when you suddenly find it that little bit harder to get ready for work when you start feeling a sense of dread as you walk onto the ward This wasnrsquot caused by long hours or ever increasing workloads coupled with diminishing resources It wasnrsquot caused by physically demanding duties or the lack of a social life due to shift work It wasnrsquot caused by dealing with things that might not look or smell that great Unfortunately it was caused by the people around me and an almost institutionalised lack of power not only for nurses but more importantly for our patients
I was dismayed and frustrated to hear how many of my colleagues from all health professions referred to patients I was disheartened to see how easily some could dismiss the suffering we see and the heartache I felt I was overwhelmingly saddened to realise not everyone had the same passion for their profession or empathy for those we are charged to care for as I did
This culminated for me towards the end of my first year of practice There wasnrsquot any one big incident more an accumulation of things that were gradually wearing me down I had a worried patient confide in me that they had been too scared to push the call button on the previous shift because of the response they would receive from the nurse I saw patients constantly being made to fit into everyone elsersquos schedules regardless of their requests It seemed everyone was more important than the person we were there to help
I heard patients referred to as lsquocactusrsquo or described in the notes as lsquounsalvageablersquo meaning there was no chance of the patients making meaningful recoveries I wondered is this really how we refer to people Or did we forget they were actual human beings we were talking about
I had other health professionals dismiss me with comments such as nurses ldquojust wipe bums all dayrdquo or roll their eyes at me when I raised my concerns When I dared to challenge or question I was met with comments of ldquoI miss the old new gradsrdquo I felt tired washed out and was beginning to wonder
whether I could stay in this profession without losing myself
Luckily I found some inspiration I listened to a presentation by Drew Dudley a well-known American academic and motivational speaker where he discusses the idea of lsquolollypop momentsrsquo These are small moments when the people we see and work with every day demonstrate leadership They arenrsquot big grand over the top statements They are small gestures which often unknown to the person who did it have an amazing impact on the lives of others I was lucky enough to have some of these lollypop moments just when I needed them These few sparks were all that I needed to reignite my passion for nursing
The first spark came from an RN2 caring for a patient at the end-stage of a number of diseases who had expressed to the nursing staff multiple times her wish to simply be made comfortable as she knew this was the end of her fight Despite this the patient was not only receiving active treatment but was also currently documented for full resuscitation if she deteriorated
The nurse raised the issue with the medical registrar asking him to have a discussion with the patient regarding her wishes and planning end-of-life care The registrar dismissed her saying ldquowell thatrsquos not what the consultant wantsrdquo The nurse wasnrsquot satisfied and responded ldquoitrsquos not their choice itrsquos the patientrsquos decisionrdquo This nurse had the courage to stand her ground and make sure her patientrsquos voice was heard which ultimately led to the patientrsquos wishes being honoured
The next spark came soon after I was working with a nurse who came from a different cultural background to me where it was seen as impolite to question anyone in authority especially if you were female This meant even if a doctor was accidently standing in her way she would prefer to simply wait rather than ask them to move
Then one day we had a patient who deteriorated rapidly and was in a very critical condition This nurse suddenly became one of the best clinical leaders I have witnessed She led the team questioning orders prompting treatments suggesting causes and outlining the options available I soon realised the difference this was about her patient She was going to ensure her patient received the best care and outcome possible When it was about her patient rather than herself she found her voice
There were a number of smaller incidents that soon followed Sparks came from the senior consultant who re-educated her advanced trainee on the importance of listening to the nurses and acting on their concerns Sparks came from our ward social
34
worker who day after day demonstrated his passion for helping and advocating for those with no voice and often no options Sparks came from the medical residents who expressed their gratitude when you picked up a mistake and were heartfelt in their appreciation of the work nurses do
The brightest sparks came from my patients and their relatives It was their ldquothanksrdquo their ldquoyou donrsquot know how much that meansrdquo their ldquoyoursquoll be back tomorrow wonrsquot yourdquo their squeezing of my hand that reminded me why I do what I do I didnrsquot have to search for inspiration I was surrounded by it The trick was to change my focus
Perhaps all nurses are disillusioned at some point during their careers Perhaps it happens multiple times Perhaps it is a rite of passage with those who make it through the other side the
ones with a true passion for nursing who turn around and help a colleague on their journey
As I continue my nursing career I now look for the brightness that I know is always there far outshining the negativity that we have to deal with I stockpile my lsquolollypop momentsrsquo knowing the amazing examples of kindness and leadership I see every day will help me grow and become a better nurse and hopefully I might be able to be a spark for someone else
You can listen to Drew Dudleyrsquos talk at wwwtedcomtalksdrew_dudley_everyday_leadership
Halfer D and Graf E lsquoGraduate Nurse Perceptions of the Work Experiencersquo Nursing Economics June 2006 Vol 24 No 3 pp 150-55
National Nursing and Nurse Education Taskforce 2005 Mythbusters Available online at httpwwwnnnetgovaudownloadsmythbusters_attritionpdf Accessed June 2014
Arts amp Sciences | Business | Education | Health Sciences | Law | Medicine | Nursing amp Midwifery | Philosophy amp Theology | Physiotherapy
Your journey to a meaningful career awaitsThe School of Nursing amp Midwifery offers the following courses
rsaquo Bachelor of Nursing
rsaquo Bachelor of Nursing (Articulation Pathway for EN Diploma)
rsaquo Graduate Certificate (Acute Mental Health Clinical Nursing Nursing and Nursing Leadership amp Management)
rsaquo Graduate Diploma (Acute Mental Health Clinical Nursing Critical Care Nursing Forensic Nursing Midwifery Nursing and Perioperative Nursing)
rsaquo Master of Nursing (Coursework and Research)
Looking to make a difference So are we
Apply direct notredameeduau
ND
1053
| C
RIC
OS
PR
OV
IDE
R C
OD
E 0
1032
F
35
36
Expo informationLocation
The Perth Convention and Exhibition Centre (PCEC) is Western Australiarsquos only dedicated convention and exhibition facility Each year over 500000 people attend one or more of the 600 plus events conducted at PCEC The Expo will be held in Pavillion 1 at PCEC
Doors open 9am ndash 1pm
Entry
Stairs amp Escalators to Level 2
Registration DeskEntry Foyer
Entry
ACN Expo Pavillion 1
28
Seminars
This year the educational seminar series is back again to provide visitors with up to date information and practical skills to pursue or further their career Seminar attendance is free of charge and registration is not required
Time Topic Presented by
915am How to become a nurse or midwife Rebecca Newton WA Nursing and Midwifery Office
950am Applying via GradConnect and other opportunities for graduate nurses and midwives
Regina Browne WA Nursing and Midwifery Office
1025am Unleashing the potential of your staff Lisa Ansbro and Donna Hampshire Chandler Macleod Health
1100am How to become a nurse or midwife Rebecca Newton WA Nursing and Midwifery Office
1135am Applying via GradConnect and other opportunities for graduate nurses and midwives
Regina Browne WA Nursing and Midwifery Office
1210pm Unleashing the potential of your staff Lisa Ansbro and Donna Hampshire Chandler Macleod Health
The lsquoUnleashing the potential of your staffrsquo seminar is proudly supported by
Chandler Macleod is Australasiarsquos leading provider of integrated HR services products and technologies We have more than 55 yearsrsquo experience in human resources and have specialised within the health sector for 10 of these We are ideally positioned to help you meet the growing demands on your business We provide permanent and temporarycontract recruitment for the full range of Health professions including Carers and Support Workers Enrolled Nurses Registered Nurses Facility and Operations Managers Directors Cleaners and Kitchen staff We are able to provide you with experienced caring staff 247 including public holidays
For more information contact Chandler Macleod on (08) 9217 0510 or visit wwwchandlermacleodcomclientshealth-recruitment
29
Floor plan
42 41
39
40
38
36
37
35
43
44
45
46
47
48
Entrance
Seminar area
Cafeacute
7
5
8
6
20
18
19
17
11
9
12
10
16
14
15
13
34 33 32 31 30 29 28
30
Exhibitor listing
Organisation Name Booth Number
AACDS 8
Armadale Health Service 38
Belmore Nurses Bureau 30
Central Institute of Technology 20
Chandler Macleod Health 16
Child amp Adolescent Health Service 42
Curtin University of Technology 19
Defence Force Recruiting 910
Edith Cowan University - School of Nursing and Midwifery
3334
Fiona Stanley Hospital 36
Fremantle Hospital 44
HESTA 5
Hollywood Private Hospital 7
Institute of Health amp Nursing Australia 32
Mediserve Nursing Agency 6
Murdoch University 1112
My Flex Health International 18
Organisation Name Booth Number
Next Step 48
North Metropolitan Mental Health 35
NurseWest 47
Nursing amp Midwifery Board of Australia 29
Osborne Park Hospital 46
Prime Super 17
PampN Bank 15
Rockingham General Hospital 39
Royal Perth Hospital 37
Sir Charles Gairdner Hospital 45
The Bethanie Group Inc 31
The University of Notre Dame 13
WA Country Health Service 40
WA Nursing amp Midwifery Office 43
West Coast Institute of Training 14
Women amp Newborn Health Service 41
Work the World 28
The WA Nursing amp Health Expo is proudly supported by
The WA Nursing and Midwifery Office is very proud to partner once again with the Australian College of Nursing for the 2015 Nursing and Health Expo The nursing and midwifery professions offer an array of interesting and diverse experiences With these highly valued and respected skills relevant anywhere in the world nurses and midwives will always be in demand ndash in hospitals and in a range of other workplaces In WA the future demand for nurses and midwives is going to be high especially as our new Fiona Stanley Perth Childrenrsquos Busselton and Midland hospitals all start becoming fully operational so considering a career in nursing or midwifery is a great idea
wwwnursinghealthwagovau
31
In Australia enrolled nurses (ENs) are a core component of the health care workforce and make an important contribution to Australiarsquos world-class health outcomes ENs work in varied settings across the country from blood services to aged care facilities Increasingly ENs are playing an important role in meeting the growing demand for care
Not all countries have recognised the importance of ENs in the nurse workforce mix Several European countries including France Denmark Italy and Spain have only one category of regulated nurse (HWA 2013 Robinson and Griffiths 2007) The United Kingdom (UK) ceased admitting new ENs to the register in the 1980s The minimum qualification for all UK nurses is now a three-year bachelorrsquos degree As a result the UK relies heavily on unregistered health care assistants rather than second-level nurses (UK Department of Health 2013) Closer to home New Zealand ceased training ENs in 1993 only to recommence in the 2000s (Meek 2009) New Zealandrsquos experiment is an instructive demonstration of the importance of ENs in the health care workforce as the demand for nursing care increases
In Australia we have remained committed to maintaining the EN role Rather than relying on unregistered health care workers Australia has chosen to maintain a large educated and professional EN workforce The skilled work of ENs is recognised to be of paramount importance to the delivery of high quality nursing care Our EN workforce is highly dynamic and continues to evolve within the changing landscape of Australian health care policy and regulation
Enrolled nurse demographics
According to the latest national figures there are 51624 ENs working in Australia The great majority of ENs have completed their pre-registration education in Australia fewer than 5 have been educated overseas (HWA 2013)
The EN workforce has a relatively high average age of 46 years and forty-five per cent of ENs have celebrated their fiftieth birthdays (AIHW 2013) According to Health Workforce Australia the ageing EN workforce could lead to a significant shortfall in the supply of ENs if action is not taken to retain the current cohort of ENs and increase the number of people studying to be the ENs of tomorrow (HWA 2012)
Men make up roughly 10 of the EN workforce While this number is rising gradually it indicates that there is progress to be made in terms of attracting and retaining males within the profession Aboriginal and Torres Strait Islander people are
also underrepresented in the EN workforce only around 800 of Australiarsquos ENs identify as Indigenous Australians (AIHW 2013)
Among the most common work settings for ENs are aged care rehabilitation and disability services In contrast ENs make up fewer than 5 of the critical care nursing workforce and represent only a small proportion of nurses working in education policy and management (AIHW 2013)
These statistics show that there are both challenges and opportunities for Australiarsquos EN workforce Efforts to recruit and retain ENs will need to be enhanced with a particular focus on encouraging men and Aboriginal and Torres Strait Islander people to become ENs At the same time roles in a wider range of clinical areas are becoming available to suitably educated and qualified ENs and there will be more such opportunities in the coming years
A growing role for ENs
The evolving role of the EN is reflected in recent changes to educational requirements for ENs As of 1 July 2014 the Certificate IV in enrolled nursing ceased to be available and the minimum qualification for EN entry to practice will be the Diploma of Nursing The transition to a Diploma recognises the high level of skill ENs contribute to todayrsquos health care teams A nationally consistent approach to EN education is also likely to enhance the mobility of the EN workforce by giving employers confidence in the knowledge and skills of ENs educated in other states
ENs are now undertaking a diverse range of roles One of the earliest areas of role expansion for ENs was medication endorsement Before the move to national registration in 2010 ENs in some states were able to obtain an endorsement in medicines administration and become Endorsed Enrolled Nurses by completing specified education units This endorsement has now been phased out because from 2008 onwards all newly qualified ENs have completed the required medicines administration education Instead the register now identifies ENs who have not completed the required courses (NMBA 2014) This example demonstrates how the EN role has evolved over the years Whereas once only a relatively small number of ENs were educated to administer medicines now all student ENs complete medicines administration units as part of their initial nursing education
The EN role is also expanding in other ways For example ENs are taking on a growing role within haemodialysis units (Tranter et al 2011) The 2008 Australia and New Zealand Dialysis Workforce Survey conducted by the Renal Society of Australia found that there were 188 ENs working in dialysis alongside 2433 registered nurses (RNs) The growing demand for dialysis
The potential of the enrolled nursing workforce
By Rosina Muir and Dr Marlene Eggert MACN
32
services and the shortage of dialysis RNs in some areas represents a clear opportunity for ENs According to a New South Wales study conducted in 2009 the scope of practice of ENs in haemodialysis units may include cannulation (including both native access and buttonhole cannulation) connecting and disconnecting haemodialysis central venous catheters (CVCs) performing CVC dressings giving iron infusions and administering erythropoietin anticoagulants and Lignocaine In addition ENs may also take on a case management or health promotion role for dialysis patients (Bennett et al 2009)
ENs are also moving into extended roles in rehabilitation services A recent study of ENs in an Australian rehabilitation facility found that in addition to assisting patients with activities of daily living ENs may take on roles in coaching and supporting patients to reach their individual goals monitoring the patientrsquos progress and liaising with other members of the multidisciplinary rehabilitation team The study found that many ENs demonstrate an understanding of the philosophy of rehabilitation nursing including goal setting and enabling self-care (Pryor and Buzio 2013)
In rural Australia ENs are taking on a diverse range of roles within the EN scope of practice in order to meet local needs ENs with specialist skills such as infection control or wound care make a significant contribution to some rural health services although their extended scope of practice is not always given appropriate recognition by their RN colleagues (Nankervis et al 2008) Rural health services are increasingly recognising that supporting ENs to take on extended roles and further develop their clinical skills can be a successful model for the delivery of high quality patient care
Recognising the evolving EN scope of practice
In light of the fact that there have been significant changes to EN education regulation and scope over the last decade the NMBA has commissioned Monash University to review the currency of the standards against contemporary enrolled nursing roles The Monash University project has involved a review of the literature as well as a series of focus groups and surveys to gather insights from both RNs and ENs on the education scope of practice and supervision of ENs (Monash University 2013) The project is expected to be completed in 2014 (NMBA 2013)
Our advocacy for ENs
ACNrsquos advocacy priorities are explicitly designed to support both registered and enrolled nurses In 2014 ACN has argued for a range of policies that would have a positive impact on the
retention and flexibility of enrolled nurses For example ACN has proposed a National Transition Framework to support the flexibility and mobility of both the EN and the RN workforces The Framework would be accessible to nurses entering the workforce as well as nurses transitioning from one area of practice to another For example it would support an EN wishing to transition from the aged care sector to a hospital-based role
ACN has also put forward a proposal for a new scholarship program to support newly registered and enrolled nurses to practice in rural services It is essential that rural health service providers are able to attract appropriately educated staff including both ENs and RNs in order to maintain an optimal skill mix The scholarship scheme will allow rural health services to employ newly registered and enrolled nurses as supernumerary team members while providing them with a structured clinical learning program
ACN will continue to provide a voice for ENs in policy discussions and advocate for the role of ENs in health care delivery Australian Institute of Health and Welfare 2013 Nursing and midwifery workforce 2012 lthttpwwwaihwgovauWorkAreaDownloadAssetaspxid=60129545314gt pp 6
Bennett P McNeill L Polaschek N 2009 lsquoThe Australian and New Zealand Dialysis Workforcersquo Renal Society of Australasia Journal vol 5 no3 pp 147-151 lthttpwwwrenalsocietyorgRSAJjournalnov09bennett2pdfgt
Health Workforce Australia 2012 Health Workforce 2025 Doctors Nurses and Midwives vol 1 lthttpwwwhwagovausitesuploadsFinalReport_Volume1_FINAL-20120424pdfgt pp 137-142
Health Workforce Australia 2013 Nurses in Focus lthttpwwwhwagovausitesuploadsNurses-in-Focus-FINALpdfgt
Meek G 2010 Second level nurses a critical examination of their evolving role in New Zealand Healthcare lthttpresearcharchivewintecacnz9621Repository_entry_HLNU902pdfgt pp 3
Monash University 2013 The National Review of the Enrolled Nurse Competency Standards lthttpwwwmedmonashedunursingcompetency-standardsgt
Nankervis K Kenny A Bish M 2008 Enhancing scope of practice for the second level nurse A change process to meet growing demand for rural health services lthttpwwwncbinlmnihgovpubmed18844530gt
Nursing and Midwifery Board of Australia 2013 Communique Meeting of the Nursing and Midwifery Board of Australia 27 February 2013 in the AHPRA Hobart Office TasmanialthttpwwwnursingmidwiferyboardgovauNewsCommuniques-from-Board-meetingsaspxgt
Nursing and Midwifery Board of Australia 2014 Enrolled nurses and medicine administration lt httpwwwnursingmidwiferyboardgovauCodes-Guidelines-StatementsFAQaspxgt
Pryor J Buzio A 2013 lsquoDo ldquotwo typesrdquo of ENs work in rehabilitation in Australiarsquo Journal of the Australasian Rehabilitation Nurses Association vol 16 no 1 pp 14-19 lthttpsearchinformitcomaudocumentSummarydn=480975443102792res=IELHEAgt
Robinson S and Griffiths P 2007 Nursing education and regulation International profiles and perspectives lthttpeprintssotonacuk3487721NurseEduProfilespdfgt pp 7-17
Tranter S Westgarth F White G 2011 lsquoThe scope of practice of the haemodialysis Enrolled Nurse in new South Walesrsquo Renal Society of Australasia Journal vol 7 no 1 pp 24-29 lthttpwwwrenalsocietyorgRSAJjournalmar11Tranterpdfgt
United Kingdom Department of Health 2013 The Cavendish Review An Independent Review into Healthcare Assistants and Support Workers in the NHS and social care settings lthttpswwwgovukgovernmentuploadssystemuploadsattachment_datafile236212Cavendish_Reviewpdfgt pp 6
33
By Laurie Bickhoff MACN
Diary of a newly registered nurse
In Australia it is estimated nearly 20 of nurses will leave the profession within their first year of practice (National Nursing and Nurse Education Taskforce [NNNET] 2005) Internationally this figure ranges from between 35 and 60 (Halfer amp Graf 2006) Many have speculated on the reasons for this with high workloads the difficulties of shift work and unrealistic expectations of what nursing entails all given due consideration (Halfer amp Graf 2006) However as I entered my second year of practice I began to wonder what role disillusionment plays in this exodus of newly trained nurses
Disillusionment to me occurs when you feel your passion dwindling when you suddenly find it that little bit harder to get ready for work when you start feeling a sense of dread as you walk onto the ward This wasnrsquot caused by long hours or ever increasing workloads coupled with diminishing resources It wasnrsquot caused by physically demanding duties or the lack of a social life due to shift work It wasnrsquot caused by dealing with things that might not look or smell that great Unfortunately it was caused by the people around me and an almost institutionalised lack of power not only for nurses but more importantly for our patients
I was dismayed and frustrated to hear how many of my colleagues from all health professions referred to patients I was disheartened to see how easily some could dismiss the suffering we see and the heartache I felt I was overwhelmingly saddened to realise not everyone had the same passion for their profession or empathy for those we are charged to care for as I did
This culminated for me towards the end of my first year of practice There wasnrsquot any one big incident more an accumulation of things that were gradually wearing me down I had a worried patient confide in me that they had been too scared to push the call button on the previous shift because of the response they would receive from the nurse I saw patients constantly being made to fit into everyone elsersquos schedules regardless of their requests It seemed everyone was more important than the person we were there to help
I heard patients referred to as lsquocactusrsquo or described in the notes as lsquounsalvageablersquo meaning there was no chance of the patients making meaningful recoveries I wondered is this really how we refer to people Or did we forget they were actual human beings we were talking about
I had other health professionals dismiss me with comments such as nurses ldquojust wipe bums all dayrdquo or roll their eyes at me when I raised my concerns When I dared to challenge or question I was met with comments of ldquoI miss the old new gradsrdquo I felt tired washed out and was beginning to wonder
whether I could stay in this profession without losing myself
Luckily I found some inspiration I listened to a presentation by Drew Dudley a well-known American academic and motivational speaker where he discusses the idea of lsquolollypop momentsrsquo These are small moments when the people we see and work with every day demonstrate leadership They arenrsquot big grand over the top statements They are small gestures which often unknown to the person who did it have an amazing impact on the lives of others I was lucky enough to have some of these lollypop moments just when I needed them These few sparks were all that I needed to reignite my passion for nursing
The first spark came from an RN2 caring for a patient at the end-stage of a number of diseases who had expressed to the nursing staff multiple times her wish to simply be made comfortable as she knew this was the end of her fight Despite this the patient was not only receiving active treatment but was also currently documented for full resuscitation if she deteriorated
The nurse raised the issue with the medical registrar asking him to have a discussion with the patient regarding her wishes and planning end-of-life care The registrar dismissed her saying ldquowell thatrsquos not what the consultant wantsrdquo The nurse wasnrsquot satisfied and responded ldquoitrsquos not their choice itrsquos the patientrsquos decisionrdquo This nurse had the courage to stand her ground and make sure her patientrsquos voice was heard which ultimately led to the patientrsquos wishes being honoured
The next spark came soon after I was working with a nurse who came from a different cultural background to me where it was seen as impolite to question anyone in authority especially if you were female This meant even if a doctor was accidently standing in her way she would prefer to simply wait rather than ask them to move
Then one day we had a patient who deteriorated rapidly and was in a very critical condition This nurse suddenly became one of the best clinical leaders I have witnessed She led the team questioning orders prompting treatments suggesting causes and outlining the options available I soon realised the difference this was about her patient She was going to ensure her patient received the best care and outcome possible When it was about her patient rather than herself she found her voice
There were a number of smaller incidents that soon followed Sparks came from the senior consultant who re-educated her advanced trainee on the importance of listening to the nurses and acting on their concerns Sparks came from our ward social
34
worker who day after day demonstrated his passion for helping and advocating for those with no voice and often no options Sparks came from the medical residents who expressed their gratitude when you picked up a mistake and were heartfelt in their appreciation of the work nurses do
The brightest sparks came from my patients and their relatives It was their ldquothanksrdquo their ldquoyou donrsquot know how much that meansrdquo their ldquoyoursquoll be back tomorrow wonrsquot yourdquo their squeezing of my hand that reminded me why I do what I do I didnrsquot have to search for inspiration I was surrounded by it The trick was to change my focus
Perhaps all nurses are disillusioned at some point during their careers Perhaps it happens multiple times Perhaps it is a rite of passage with those who make it through the other side the
ones with a true passion for nursing who turn around and help a colleague on their journey
As I continue my nursing career I now look for the brightness that I know is always there far outshining the negativity that we have to deal with I stockpile my lsquolollypop momentsrsquo knowing the amazing examples of kindness and leadership I see every day will help me grow and become a better nurse and hopefully I might be able to be a spark for someone else
You can listen to Drew Dudleyrsquos talk at wwwtedcomtalksdrew_dudley_everyday_leadership
Halfer D and Graf E lsquoGraduate Nurse Perceptions of the Work Experiencersquo Nursing Economics June 2006 Vol 24 No 3 pp 150-55
National Nursing and Nurse Education Taskforce 2005 Mythbusters Available online at httpwwwnnnetgovaudownloadsmythbusters_attritionpdf Accessed June 2014
Arts amp Sciences | Business | Education | Health Sciences | Law | Medicine | Nursing amp Midwifery | Philosophy amp Theology | Physiotherapy
Your journey to a meaningful career awaitsThe School of Nursing amp Midwifery offers the following courses
rsaquo Bachelor of Nursing
rsaquo Bachelor of Nursing (Articulation Pathway for EN Diploma)
rsaquo Graduate Certificate (Acute Mental Health Clinical Nursing Nursing and Nursing Leadership amp Management)
rsaquo Graduate Diploma (Acute Mental Health Clinical Nursing Critical Care Nursing Forensic Nursing Midwifery Nursing and Perioperative Nursing)
rsaquo Master of Nursing (Coursework and Research)
Looking to make a difference So are we
Apply direct notredameeduau
ND
1053
| C
RIC
OS
PR
OV
IDE
R C
OD
E 0
1032
F
35
36
Seminars
This year the educational seminar series is back again to provide visitors with up to date information and practical skills to pursue or further their career Seminar attendance is free of charge and registration is not required
Time Topic Presented by
915am How to become a nurse or midwife Rebecca Newton WA Nursing and Midwifery Office
950am Applying via GradConnect and other opportunities for graduate nurses and midwives
Regina Browne WA Nursing and Midwifery Office
1025am Unleashing the potential of your staff Lisa Ansbro and Donna Hampshire Chandler Macleod Health
1100am How to become a nurse or midwife Rebecca Newton WA Nursing and Midwifery Office
1135am Applying via GradConnect and other opportunities for graduate nurses and midwives
Regina Browne WA Nursing and Midwifery Office
1210pm Unleashing the potential of your staff Lisa Ansbro and Donna Hampshire Chandler Macleod Health
The lsquoUnleashing the potential of your staffrsquo seminar is proudly supported by
Chandler Macleod is Australasiarsquos leading provider of integrated HR services products and technologies We have more than 55 yearsrsquo experience in human resources and have specialised within the health sector for 10 of these We are ideally positioned to help you meet the growing demands on your business We provide permanent and temporarycontract recruitment for the full range of Health professions including Carers and Support Workers Enrolled Nurses Registered Nurses Facility and Operations Managers Directors Cleaners and Kitchen staff We are able to provide you with experienced caring staff 247 including public holidays
For more information contact Chandler Macleod on (08) 9217 0510 or visit wwwchandlermacleodcomclientshealth-recruitment
29
Floor plan
42 41
39
40
38
36
37
35
43
44
45
46
47
48
Entrance
Seminar area
Cafeacute
7
5
8
6
20
18
19
17
11
9
12
10
16
14
15
13
34 33 32 31 30 29 28
30
Exhibitor listing
Organisation Name Booth Number
AACDS 8
Armadale Health Service 38
Belmore Nurses Bureau 30
Central Institute of Technology 20
Chandler Macleod Health 16
Child amp Adolescent Health Service 42
Curtin University of Technology 19
Defence Force Recruiting 910
Edith Cowan University - School of Nursing and Midwifery
3334
Fiona Stanley Hospital 36
Fremantle Hospital 44
HESTA 5
Hollywood Private Hospital 7
Institute of Health amp Nursing Australia 32
Mediserve Nursing Agency 6
Murdoch University 1112
My Flex Health International 18
Organisation Name Booth Number
Next Step 48
North Metropolitan Mental Health 35
NurseWest 47
Nursing amp Midwifery Board of Australia 29
Osborne Park Hospital 46
Prime Super 17
PampN Bank 15
Rockingham General Hospital 39
Royal Perth Hospital 37
Sir Charles Gairdner Hospital 45
The Bethanie Group Inc 31
The University of Notre Dame 13
WA Country Health Service 40
WA Nursing amp Midwifery Office 43
West Coast Institute of Training 14
Women amp Newborn Health Service 41
Work the World 28
The WA Nursing amp Health Expo is proudly supported by
The WA Nursing and Midwifery Office is very proud to partner once again with the Australian College of Nursing for the 2015 Nursing and Health Expo The nursing and midwifery professions offer an array of interesting and diverse experiences With these highly valued and respected skills relevant anywhere in the world nurses and midwives will always be in demand ndash in hospitals and in a range of other workplaces In WA the future demand for nurses and midwives is going to be high especially as our new Fiona Stanley Perth Childrenrsquos Busselton and Midland hospitals all start becoming fully operational so considering a career in nursing or midwifery is a great idea
wwwnursinghealthwagovau
31
In Australia enrolled nurses (ENs) are a core component of the health care workforce and make an important contribution to Australiarsquos world-class health outcomes ENs work in varied settings across the country from blood services to aged care facilities Increasingly ENs are playing an important role in meeting the growing demand for care
Not all countries have recognised the importance of ENs in the nurse workforce mix Several European countries including France Denmark Italy and Spain have only one category of regulated nurse (HWA 2013 Robinson and Griffiths 2007) The United Kingdom (UK) ceased admitting new ENs to the register in the 1980s The minimum qualification for all UK nurses is now a three-year bachelorrsquos degree As a result the UK relies heavily on unregistered health care assistants rather than second-level nurses (UK Department of Health 2013) Closer to home New Zealand ceased training ENs in 1993 only to recommence in the 2000s (Meek 2009) New Zealandrsquos experiment is an instructive demonstration of the importance of ENs in the health care workforce as the demand for nursing care increases
In Australia we have remained committed to maintaining the EN role Rather than relying on unregistered health care workers Australia has chosen to maintain a large educated and professional EN workforce The skilled work of ENs is recognised to be of paramount importance to the delivery of high quality nursing care Our EN workforce is highly dynamic and continues to evolve within the changing landscape of Australian health care policy and regulation
Enrolled nurse demographics
According to the latest national figures there are 51624 ENs working in Australia The great majority of ENs have completed their pre-registration education in Australia fewer than 5 have been educated overseas (HWA 2013)
The EN workforce has a relatively high average age of 46 years and forty-five per cent of ENs have celebrated their fiftieth birthdays (AIHW 2013) According to Health Workforce Australia the ageing EN workforce could lead to a significant shortfall in the supply of ENs if action is not taken to retain the current cohort of ENs and increase the number of people studying to be the ENs of tomorrow (HWA 2012)
Men make up roughly 10 of the EN workforce While this number is rising gradually it indicates that there is progress to be made in terms of attracting and retaining males within the profession Aboriginal and Torres Strait Islander people are
also underrepresented in the EN workforce only around 800 of Australiarsquos ENs identify as Indigenous Australians (AIHW 2013)
Among the most common work settings for ENs are aged care rehabilitation and disability services In contrast ENs make up fewer than 5 of the critical care nursing workforce and represent only a small proportion of nurses working in education policy and management (AIHW 2013)
These statistics show that there are both challenges and opportunities for Australiarsquos EN workforce Efforts to recruit and retain ENs will need to be enhanced with a particular focus on encouraging men and Aboriginal and Torres Strait Islander people to become ENs At the same time roles in a wider range of clinical areas are becoming available to suitably educated and qualified ENs and there will be more such opportunities in the coming years
A growing role for ENs
The evolving role of the EN is reflected in recent changes to educational requirements for ENs As of 1 July 2014 the Certificate IV in enrolled nursing ceased to be available and the minimum qualification for EN entry to practice will be the Diploma of Nursing The transition to a Diploma recognises the high level of skill ENs contribute to todayrsquos health care teams A nationally consistent approach to EN education is also likely to enhance the mobility of the EN workforce by giving employers confidence in the knowledge and skills of ENs educated in other states
ENs are now undertaking a diverse range of roles One of the earliest areas of role expansion for ENs was medication endorsement Before the move to national registration in 2010 ENs in some states were able to obtain an endorsement in medicines administration and become Endorsed Enrolled Nurses by completing specified education units This endorsement has now been phased out because from 2008 onwards all newly qualified ENs have completed the required medicines administration education Instead the register now identifies ENs who have not completed the required courses (NMBA 2014) This example demonstrates how the EN role has evolved over the years Whereas once only a relatively small number of ENs were educated to administer medicines now all student ENs complete medicines administration units as part of their initial nursing education
The EN role is also expanding in other ways For example ENs are taking on a growing role within haemodialysis units (Tranter et al 2011) The 2008 Australia and New Zealand Dialysis Workforce Survey conducted by the Renal Society of Australia found that there were 188 ENs working in dialysis alongside 2433 registered nurses (RNs) The growing demand for dialysis
The potential of the enrolled nursing workforce
By Rosina Muir and Dr Marlene Eggert MACN
32
services and the shortage of dialysis RNs in some areas represents a clear opportunity for ENs According to a New South Wales study conducted in 2009 the scope of practice of ENs in haemodialysis units may include cannulation (including both native access and buttonhole cannulation) connecting and disconnecting haemodialysis central venous catheters (CVCs) performing CVC dressings giving iron infusions and administering erythropoietin anticoagulants and Lignocaine In addition ENs may also take on a case management or health promotion role for dialysis patients (Bennett et al 2009)
ENs are also moving into extended roles in rehabilitation services A recent study of ENs in an Australian rehabilitation facility found that in addition to assisting patients with activities of daily living ENs may take on roles in coaching and supporting patients to reach their individual goals monitoring the patientrsquos progress and liaising with other members of the multidisciplinary rehabilitation team The study found that many ENs demonstrate an understanding of the philosophy of rehabilitation nursing including goal setting and enabling self-care (Pryor and Buzio 2013)
In rural Australia ENs are taking on a diverse range of roles within the EN scope of practice in order to meet local needs ENs with specialist skills such as infection control or wound care make a significant contribution to some rural health services although their extended scope of practice is not always given appropriate recognition by their RN colleagues (Nankervis et al 2008) Rural health services are increasingly recognising that supporting ENs to take on extended roles and further develop their clinical skills can be a successful model for the delivery of high quality patient care
Recognising the evolving EN scope of practice
In light of the fact that there have been significant changes to EN education regulation and scope over the last decade the NMBA has commissioned Monash University to review the currency of the standards against contemporary enrolled nursing roles The Monash University project has involved a review of the literature as well as a series of focus groups and surveys to gather insights from both RNs and ENs on the education scope of practice and supervision of ENs (Monash University 2013) The project is expected to be completed in 2014 (NMBA 2013)
Our advocacy for ENs
ACNrsquos advocacy priorities are explicitly designed to support both registered and enrolled nurses In 2014 ACN has argued for a range of policies that would have a positive impact on the
retention and flexibility of enrolled nurses For example ACN has proposed a National Transition Framework to support the flexibility and mobility of both the EN and the RN workforces The Framework would be accessible to nurses entering the workforce as well as nurses transitioning from one area of practice to another For example it would support an EN wishing to transition from the aged care sector to a hospital-based role
ACN has also put forward a proposal for a new scholarship program to support newly registered and enrolled nurses to practice in rural services It is essential that rural health service providers are able to attract appropriately educated staff including both ENs and RNs in order to maintain an optimal skill mix The scholarship scheme will allow rural health services to employ newly registered and enrolled nurses as supernumerary team members while providing them with a structured clinical learning program
ACN will continue to provide a voice for ENs in policy discussions and advocate for the role of ENs in health care delivery Australian Institute of Health and Welfare 2013 Nursing and midwifery workforce 2012 lthttpwwwaihwgovauWorkAreaDownloadAssetaspxid=60129545314gt pp 6
Bennett P McNeill L Polaschek N 2009 lsquoThe Australian and New Zealand Dialysis Workforcersquo Renal Society of Australasia Journal vol 5 no3 pp 147-151 lthttpwwwrenalsocietyorgRSAJjournalnov09bennett2pdfgt
Health Workforce Australia 2012 Health Workforce 2025 Doctors Nurses and Midwives vol 1 lthttpwwwhwagovausitesuploadsFinalReport_Volume1_FINAL-20120424pdfgt pp 137-142
Health Workforce Australia 2013 Nurses in Focus lthttpwwwhwagovausitesuploadsNurses-in-Focus-FINALpdfgt
Meek G 2010 Second level nurses a critical examination of their evolving role in New Zealand Healthcare lthttpresearcharchivewintecacnz9621Repository_entry_HLNU902pdfgt pp 3
Monash University 2013 The National Review of the Enrolled Nurse Competency Standards lthttpwwwmedmonashedunursingcompetency-standardsgt
Nankervis K Kenny A Bish M 2008 Enhancing scope of practice for the second level nurse A change process to meet growing demand for rural health services lthttpwwwncbinlmnihgovpubmed18844530gt
Nursing and Midwifery Board of Australia 2013 Communique Meeting of the Nursing and Midwifery Board of Australia 27 February 2013 in the AHPRA Hobart Office TasmanialthttpwwwnursingmidwiferyboardgovauNewsCommuniques-from-Board-meetingsaspxgt
Nursing and Midwifery Board of Australia 2014 Enrolled nurses and medicine administration lt httpwwwnursingmidwiferyboardgovauCodes-Guidelines-StatementsFAQaspxgt
Pryor J Buzio A 2013 lsquoDo ldquotwo typesrdquo of ENs work in rehabilitation in Australiarsquo Journal of the Australasian Rehabilitation Nurses Association vol 16 no 1 pp 14-19 lthttpsearchinformitcomaudocumentSummarydn=480975443102792res=IELHEAgt
Robinson S and Griffiths P 2007 Nursing education and regulation International profiles and perspectives lthttpeprintssotonacuk3487721NurseEduProfilespdfgt pp 7-17
Tranter S Westgarth F White G 2011 lsquoThe scope of practice of the haemodialysis Enrolled Nurse in new South Walesrsquo Renal Society of Australasia Journal vol 7 no 1 pp 24-29 lthttpwwwrenalsocietyorgRSAJjournalmar11Tranterpdfgt
United Kingdom Department of Health 2013 The Cavendish Review An Independent Review into Healthcare Assistants and Support Workers in the NHS and social care settings lthttpswwwgovukgovernmentuploadssystemuploadsattachment_datafile236212Cavendish_Reviewpdfgt pp 6
33
By Laurie Bickhoff MACN
Diary of a newly registered nurse
In Australia it is estimated nearly 20 of nurses will leave the profession within their first year of practice (National Nursing and Nurse Education Taskforce [NNNET] 2005) Internationally this figure ranges from between 35 and 60 (Halfer amp Graf 2006) Many have speculated on the reasons for this with high workloads the difficulties of shift work and unrealistic expectations of what nursing entails all given due consideration (Halfer amp Graf 2006) However as I entered my second year of practice I began to wonder what role disillusionment plays in this exodus of newly trained nurses
Disillusionment to me occurs when you feel your passion dwindling when you suddenly find it that little bit harder to get ready for work when you start feeling a sense of dread as you walk onto the ward This wasnrsquot caused by long hours or ever increasing workloads coupled with diminishing resources It wasnrsquot caused by physically demanding duties or the lack of a social life due to shift work It wasnrsquot caused by dealing with things that might not look or smell that great Unfortunately it was caused by the people around me and an almost institutionalised lack of power not only for nurses but more importantly for our patients
I was dismayed and frustrated to hear how many of my colleagues from all health professions referred to patients I was disheartened to see how easily some could dismiss the suffering we see and the heartache I felt I was overwhelmingly saddened to realise not everyone had the same passion for their profession or empathy for those we are charged to care for as I did
This culminated for me towards the end of my first year of practice There wasnrsquot any one big incident more an accumulation of things that were gradually wearing me down I had a worried patient confide in me that they had been too scared to push the call button on the previous shift because of the response they would receive from the nurse I saw patients constantly being made to fit into everyone elsersquos schedules regardless of their requests It seemed everyone was more important than the person we were there to help
I heard patients referred to as lsquocactusrsquo or described in the notes as lsquounsalvageablersquo meaning there was no chance of the patients making meaningful recoveries I wondered is this really how we refer to people Or did we forget they were actual human beings we were talking about
I had other health professionals dismiss me with comments such as nurses ldquojust wipe bums all dayrdquo or roll their eyes at me when I raised my concerns When I dared to challenge or question I was met with comments of ldquoI miss the old new gradsrdquo I felt tired washed out and was beginning to wonder
whether I could stay in this profession without losing myself
Luckily I found some inspiration I listened to a presentation by Drew Dudley a well-known American academic and motivational speaker where he discusses the idea of lsquolollypop momentsrsquo These are small moments when the people we see and work with every day demonstrate leadership They arenrsquot big grand over the top statements They are small gestures which often unknown to the person who did it have an amazing impact on the lives of others I was lucky enough to have some of these lollypop moments just when I needed them These few sparks were all that I needed to reignite my passion for nursing
The first spark came from an RN2 caring for a patient at the end-stage of a number of diseases who had expressed to the nursing staff multiple times her wish to simply be made comfortable as she knew this was the end of her fight Despite this the patient was not only receiving active treatment but was also currently documented for full resuscitation if she deteriorated
The nurse raised the issue with the medical registrar asking him to have a discussion with the patient regarding her wishes and planning end-of-life care The registrar dismissed her saying ldquowell thatrsquos not what the consultant wantsrdquo The nurse wasnrsquot satisfied and responded ldquoitrsquos not their choice itrsquos the patientrsquos decisionrdquo This nurse had the courage to stand her ground and make sure her patientrsquos voice was heard which ultimately led to the patientrsquos wishes being honoured
The next spark came soon after I was working with a nurse who came from a different cultural background to me where it was seen as impolite to question anyone in authority especially if you were female This meant even if a doctor was accidently standing in her way she would prefer to simply wait rather than ask them to move
Then one day we had a patient who deteriorated rapidly and was in a very critical condition This nurse suddenly became one of the best clinical leaders I have witnessed She led the team questioning orders prompting treatments suggesting causes and outlining the options available I soon realised the difference this was about her patient She was going to ensure her patient received the best care and outcome possible When it was about her patient rather than herself she found her voice
There were a number of smaller incidents that soon followed Sparks came from the senior consultant who re-educated her advanced trainee on the importance of listening to the nurses and acting on their concerns Sparks came from our ward social
34
worker who day after day demonstrated his passion for helping and advocating for those with no voice and often no options Sparks came from the medical residents who expressed their gratitude when you picked up a mistake and were heartfelt in their appreciation of the work nurses do
The brightest sparks came from my patients and their relatives It was their ldquothanksrdquo their ldquoyou donrsquot know how much that meansrdquo their ldquoyoursquoll be back tomorrow wonrsquot yourdquo their squeezing of my hand that reminded me why I do what I do I didnrsquot have to search for inspiration I was surrounded by it The trick was to change my focus
Perhaps all nurses are disillusioned at some point during their careers Perhaps it happens multiple times Perhaps it is a rite of passage with those who make it through the other side the
ones with a true passion for nursing who turn around and help a colleague on their journey
As I continue my nursing career I now look for the brightness that I know is always there far outshining the negativity that we have to deal with I stockpile my lsquolollypop momentsrsquo knowing the amazing examples of kindness and leadership I see every day will help me grow and become a better nurse and hopefully I might be able to be a spark for someone else
You can listen to Drew Dudleyrsquos talk at wwwtedcomtalksdrew_dudley_everyday_leadership
Halfer D and Graf E lsquoGraduate Nurse Perceptions of the Work Experiencersquo Nursing Economics June 2006 Vol 24 No 3 pp 150-55
National Nursing and Nurse Education Taskforce 2005 Mythbusters Available online at httpwwwnnnetgovaudownloadsmythbusters_attritionpdf Accessed June 2014
Arts amp Sciences | Business | Education | Health Sciences | Law | Medicine | Nursing amp Midwifery | Philosophy amp Theology | Physiotherapy
Your journey to a meaningful career awaitsThe School of Nursing amp Midwifery offers the following courses
rsaquo Bachelor of Nursing
rsaquo Bachelor of Nursing (Articulation Pathway for EN Diploma)
rsaquo Graduate Certificate (Acute Mental Health Clinical Nursing Nursing and Nursing Leadership amp Management)
rsaquo Graduate Diploma (Acute Mental Health Clinical Nursing Critical Care Nursing Forensic Nursing Midwifery Nursing and Perioperative Nursing)
rsaquo Master of Nursing (Coursework and Research)
Looking to make a difference So are we
Apply direct notredameeduau
ND
1053
| C
RIC
OS
PR
OV
IDE
R C
OD
E 0
1032
F
35
36
Floor plan
42 41
39
40
38
36
37
35
43
44
45
46
47
48
Entrance
Seminar area
Cafeacute
7
5
8
6
20
18
19
17
11
9
12
10
16
14
15
13
34 33 32 31 30 29 28
30
Exhibitor listing
Organisation Name Booth Number
AACDS 8
Armadale Health Service 38
Belmore Nurses Bureau 30
Central Institute of Technology 20
Chandler Macleod Health 16
Child amp Adolescent Health Service 42
Curtin University of Technology 19
Defence Force Recruiting 910
Edith Cowan University - School of Nursing and Midwifery
3334
Fiona Stanley Hospital 36
Fremantle Hospital 44
HESTA 5
Hollywood Private Hospital 7
Institute of Health amp Nursing Australia 32
Mediserve Nursing Agency 6
Murdoch University 1112
My Flex Health International 18
Organisation Name Booth Number
Next Step 48
North Metropolitan Mental Health 35
NurseWest 47
Nursing amp Midwifery Board of Australia 29
Osborne Park Hospital 46
Prime Super 17
PampN Bank 15
Rockingham General Hospital 39
Royal Perth Hospital 37
Sir Charles Gairdner Hospital 45
The Bethanie Group Inc 31
The University of Notre Dame 13
WA Country Health Service 40
WA Nursing amp Midwifery Office 43
West Coast Institute of Training 14
Women amp Newborn Health Service 41
Work the World 28
The WA Nursing amp Health Expo is proudly supported by
The WA Nursing and Midwifery Office is very proud to partner once again with the Australian College of Nursing for the 2015 Nursing and Health Expo The nursing and midwifery professions offer an array of interesting and diverse experiences With these highly valued and respected skills relevant anywhere in the world nurses and midwives will always be in demand ndash in hospitals and in a range of other workplaces In WA the future demand for nurses and midwives is going to be high especially as our new Fiona Stanley Perth Childrenrsquos Busselton and Midland hospitals all start becoming fully operational so considering a career in nursing or midwifery is a great idea
wwwnursinghealthwagovau
31
In Australia enrolled nurses (ENs) are a core component of the health care workforce and make an important contribution to Australiarsquos world-class health outcomes ENs work in varied settings across the country from blood services to aged care facilities Increasingly ENs are playing an important role in meeting the growing demand for care
Not all countries have recognised the importance of ENs in the nurse workforce mix Several European countries including France Denmark Italy and Spain have only one category of regulated nurse (HWA 2013 Robinson and Griffiths 2007) The United Kingdom (UK) ceased admitting new ENs to the register in the 1980s The minimum qualification for all UK nurses is now a three-year bachelorrsquos degree As a result the UK relies heavily on unregistered health care assistants rather than second-level nurses (UK Department of Health 2013) Closer to home New Zealand ceased training ENs in 1993 only to recommence in the 2000s (Meek 2009) New Zealandrsquos experiment is an instructive demonstration of the importance of ENs in the health care workforce as the demand for nursing care increases
In Australia we have remained committed to maintaining the EN role Rather than relying on unregistered health care workers Australia has chosen to maintain a large educated and professional EN workforce The skilled work of ENs is recognised to be of paramount importance to the delivery of high quality nursing care Our EN workforce is highly dynamic and continues to evolve within the changing landscape of Australian health care policy and regulation
Enrolled nurse demographics
According to the latest national figures there are 51624 ENs working in Australia The great majority of ENs have completed their pre-registration education in Australia fewer than 5 have been educated overseas (HWA 2013)
The EN workforce has a relatively high average age of 46 years and forty-five per cent of ENs have celebrated their fiftieth birthdays (AIHW 2013) According to Health Workforce Australia the ageing EN workforce could lead to a significant shortfall in the supply of ENs if action is not taken to retain the current cohort of ENs and increase the number of people studying to be the ENs of tomorrow (HWA 2012)
Men make up roughly 10 of the EN workforce While this number is rising gradually it indicates that there is progress to be made in terms of attracting and retaining males within the profession Aboriginal and Torres Strait Islander people are
also underrepresented in the EN workforce only around 800 of Australiarsquos ENs identify as Indigenous Australians (AIHW 2013)
Among the most common work settings for ENs are aged care rehabilitation and disability services In contrast ENs make up fewer than 5 of the critical care nursing workforce and represent only a small proportion of nurses working in education policy and management (AIHW 2013)
These statistics show that there are both challenges and opportunities for Australiarsquos EN workforce Efforts to recruit and retain ENs will need to be enhanced with a particular focus on encouraging men and Aboriginal and Torres Strait Islander people to become ENs At the same time roles in a wider range of clinical areas are becoming available to suitably educated and qualified ENs and there will be more such opportunities in the coming years
A growing role for ENs
The evolving role of the EN is reflected in recent changes to educational requirements for ENs As of 1 July 2014 the Certificate IV in enrolled nursing ceased to be available and the minimum qualification for EN entry to practice will be the Diploma of Nursing The transition to a Diploma recognises the high level of skill ENs contribute to todayrsquos health care teams A nationally consistent approach to EN education is also likely to enhance the mobility of the EN workforce by giving employers confidence in the knowledge and skills of ENs educated in other states
ENs are now undertaking a diverse range of roles One of the earliest areas of role expansion for ENs was medication endorsement Before the move to national registration in 2010 ENs in some states were able to obtain an endorsement in medicines administration and become Endorsed Enrolled Nurses by completing specified education units This endorsement has now been phased out because from 2008 onwards all newly qualified ENs have completed the required medicines administration education Instead the register now identifies ENs who have not completed the required courses (NMBA 2014) This example demonstrates how the EN role has evolved over the years Whereas once only a relatively small number of ENs were educated to administer medicines now all student ENs complete medicines administration units as part of their initial nursing education
The EN role is also expanding in other ways For example ENs are taking on a growing role within haemodialysis units (Tranter et al 2011) The 2008 Australia and New Zealand Dialysis Workforce Survey conducted by the Renal Society of Australia found that there were 188 ENs working in dialysis alongside 2433 registered nurses (RNs) The growing demand for dialysis
The potential of the enrolled nursing workforce
By Rosina Muir and Dr Marlene Eggert MACN
32
services and the shortage of dialysis RNs in some areas represents a clear opportunity for ENs According to a New South Wales study conducted in 2009 the scope of practice of ENs in haemodialysis units may include cannulation (including both native access and buttonhole cannulation) connecting and disconnecting haemodialysis central venous catheters (CVCs) performing CVC dressings giving iron infusions and administering erythropoietin anticoagulants and Lignocaine In addition ENs may also take on a case management or health promotion role for dialysis patients (Bennett et al 2009)
ENs are also moving into extended roles in rehabilitation services A recent study of ENs in an Australian rehabilitation facility found that in addition to assisting patients with activities of daily living ENs may take on roles in coaching and supporting patients to reach their individual goals monitoring the patientrsquos progress and liaising with other members of the multidisciplinary rehabilitation team The study found that many ENs demonstrate an understanding of the philosophy of rehabilitation nursing including goal setting and enabling self-care (Pryor and Buzio 2013)
In rural Australia ENs are taking on a diverse range of roles within the EN scope of practice in order to meet local needs ENs with specialist skills such as infection control or wound care make a significant contribution to some rural health services although their extended scope of practice is not always given appropriate recognition by their RN colleagues (Nankervis et al 2008) Rural health services are increasingly recognising that supporting ENs to take on extended roles and further develop their clinical skills can be a successful model for the delivery of high quality patient care
Recognising the evolving EN scope of practice
In light of the fact that there have been significant changes to EN education regulation and scope over the last decade the NMBA has commissioned Monash University to review the currency of the standards against contemporary enrolled nursing roles The Monash University project has involved a review of the literature as well as a series of focus groups and surveys to gather insights from both RNs and ENs on the education scope of practice and supervision of ENs (Monash University 2013) The project is expected to be completed in 2014 (NMBA 2013)
Our advocacy for ENs
ACNrsquos advocacy priorities are explicitly designed to support both registered and enrolled nurses In 2014 ACN has argued for a range of policies that would have a positive impact on the
retention and flexibility of enrolled nurses For example ACN has proposed a National Transition Framework to support the flexibility and mobility of both the EN and the RN workforces The Framework would be accessible to nurses entering the workforce as well as nurses transitioning from one area of practice to another For example it would support an EN wishing to transition from the aged care sector to a hospital-based role
ACN has also put forward a proposal for a new scholarship program to support newly registered and enrolled nurses to practice in rural services It is essential that rural health service providers are able to attract appropriately educated staff including both ENs and RNs in order to maintain an optimal skill mix The scholarship scheme will allow rural health services to employ newly registered and enrolled nurses as supernumerary team members while providing them with a structured clinical learning program
ACN will continue to provide a voice for ENs in policy discussions and advocate for the role of ENs in health care delivery Australian Institute of Health and Welfare 2013 Nursing and midwifery workforce 2012 lthttpwwwaihwgovauWorkAreaDownloadAssetaspxid=60129545314gt pp 6
Bennett P McNeill L Polaschek N 2009 lsquoThe Australian and New Zealand Dialysis Workforcersquo Renal Society of Australasia Journal vol 5 no3 pp 147-151 lthttpwwwrenalsocietyorgRSAJjournalnov09bennett2pdfgt
Health Workforce Australia 2012 Health Workforce 2025 Doctors Nurses and Midwives vol 1 lthttpwwwhwagovausitesuploadsFinalReport_Volume1_FINAL-20120424pdfgt pp 137-142
Health Workforce Australia 2013 Nurses in Focus lthttpwwwhwagovausitesuploadsNurses-in-Focus-FINALpdfgt
Meek G 2010 Second level nurses a critical examination of their evolving role in New Zealand Healthcare lthttpresearcharchivewintecacnz9621Repository_entry_HLNU902pdfgt pp 3
Monash University 2013 The National Review of the Enrolled Nurse Competency Standards lthttpwwwmedmonashedunursingcompetency-standardsgt
Nankervis K Kenny A Bish M 2008 Enhancing scope of practice for the second level nurse A change process to meet growing demand for rural health services lthttpwwwncbinlmnihgovpubmed18844530gt
Nursing and Midwifery Board of Australia 2013 Communique Meeting of the Nursing and Midwifery Board of Australia 27 February 2013 in the AHPRA Hobart Office TasmanialthttpwwwnursingmidwiferyboardgovauNewsCommuniques-from-Board-meetingsaspxgt
Nursing and Midwifery Board of Australia 2014 Enrolled nurses and medicine administration lt httpwwwnursingmidwiferyboardgovauCodes-Guidelines-StatementsFAQaspxgt
Pryor J Buzio A 2013 lsquoDo ldquotwo typesrdquo of ENs work in rehabilitation in Australiarsquo Journal of the Australasian Rehabilitation Nurses Association vol 16 no 1 pp 14-19 lthttpsearchinformitcomaudocumentSummarydn=480975443102792res=IELHEAgt
Robinson S and Griffiths P 2007 Nursing education and regulation International profiles and perspectives lthttpeprintssotonacuk3487721NurseEduProfilespdfgt pp 7-17
Tranter S Westgarth F White G 2011 lsquoThe scope of practice of the haemodialysis Enrolled Nurse in new South Walesrsquo Renal Society of Australasia Journal vol 7 no 1 pp 24-29 lthttpwwwrenalsocietyorgRSAJjournalmar11Tranterpdfgt
United Kingdom Department of Health 2013 The Cavendish Review An Independent Review into Healthcare Assistants and Support Workers in the NHS and social care settings lthttpswwwgovukgovernmentuploadssystemuploadsattachment_datafile236212Cavendish_Reviewpdfgt pp 6
33
By Laurie Bickhoff MACN
Diary of a newly registered nurse
In Australia it is estimated nearly 20 of nurses will leave the profession within their first year of practice (National Nursing and Nurse Education Taskforce [NNNET] 2005) Internationally this figure ranges from between 35 and 60 (Halfer amp Graf 2006) Many have speculated on the reasons for this with high workloads the difficulties of shift work and unrealistic expectations of what nursing entails all given due consideration (Halfer amp Graf 2006) However as I entered my second year of practice I began to wonder what role disillusionment plays in this exodus of newly trained nurses
Disillusionment to me occurs when you feel your passion dwindling when you suddenly find it that little bit harder to get ready for work when you start feeling a sense of dread as you walk onto the ward This wasnrsquot caused by long hours or ever increasing workloads coupled with diminishing resources It wasnrsquot caused by physically demanding duties or the lack of a social life due to shift work It wasnrsquot caused by dealing with things that might not look or smell that great Unfortunately it was caused by the people around me and an almost institutionalised lack of power not only for nurses but more importantly for our patients
I was dismayed and frustrated to hear how many of my colleagues from all health professions referred to patients I was disheartened to see how easily some could dismiss the suffering we see and the heartache I felt I was overwhelmingly saddened to realise not everyone had the same passion for their profession or empathy for those we are charged to care for as I did
This culminated for me towards the end of my first year of practice There wasnrsquot any one big incident more an accumulation of things that were gradually wearing me down I had a worried patient confide in me that they had been too scared to push the call button on the previous shift because of the response they would receive from the nurse I saw patients constantly being made to fit into everyone elsersquos schedules regardless of their requests It seemed everyone was more important than the person we were there to help
I heard patients referred to as lsquocactusrsquo or described in the notes as lsquounsalvageablersquo meaning there was no chance of the patients making meaningful recoveries I wondered is this really how we refer to people Or did we forget they were actual human beings we were talking about
I had other health professionals dismiss me with comments such as nurses ldquojust wipe bums all dayrdquo or roll their eyes at me when I raised my concerns When I dared to challenge or question I was met with comments of ldquoI miss the old new gradsrdquo I felt tired washed out and was beginning to wonder
whether I could stay in this profession without losing myself
Luckily I found some inspiration I listened to a presentation by Drew Dudley a well-known American academic and motivational speaker where he discusses the idea of lsquolollypop momentsrsquo These are small moments when the people we see and work with every day demonstrate leadership They arenrsquot big grand over the top statements They are small gestures which often unknown to the person who did it have an amazing impact on the lives of others I was lucky enough to have some of these lollypop moments just when I needed them These few sparks were all that I needed to reignite my passion for nursing
The first spark came from an RN2 caring for a patient at the end-stage of a number of diseases who had expressed to the nursing staff multiple times her wish to simply be made comfortable as she knew this was the end of her fight Despite this the patient was not only receiving active treatment but was also currently documented for full resuscitation if she deteriorated
The nurse raised the issue with the medical registrar asking him to have a discussion with the patient regarding her wishes and planning end-of-life care The registrar dismissed her saying ldquowell thatrsquos not what the consultant wantsrdquo The nurse wasnrsquot satisfied and responded ldquoitrsquos not their choice itrsquos the patientrsquos decisionrdquo This nurse had the courage to stand her ground and make sure her patientrsquos voice was heard which ultimately led to the patientrsquos wishes being honoured
The next spark came soon after I was working with a nurse who came from a different cultural background to me where it was seen as impolite to question anyone in authority especially if you were female This meant even if a doctor was accidently standing in her way she would prefer to simply wait rather than ask them to move
Then one day we had a patient who deteriorated rapidly and was in a very critical condition This nurse suddenly became one of the best clinical leaders I have witnessed She led the team questioning orders prompting treatments suggesting causes and outlining the options available I soon realised the difference this was about her patient She was going to ensure her patient received the best care and outcome possible When it was about her patient rather than herself she found her voice
There were a number of smaller incidents that soon followed Sparks came from the senior consultant who re-educated her advanced trainee on the importance of listening to the nurses and acting on their concerns Sparks came from our ward social
34
worker who day after day demonstrated his passion for helping and advocating for those with no voice and often no options Sparks came from the medical residents who expressed their gratitude when you picked up a mistake and were heartfelt in their appreciation of the work nurses do
The brightest sparks came from my patients and their relatives It was their ldquothanksrdquo their ldquoyou donrsquot know how much that meansrdquo their ldquoyoursquoll be back tomorrow wonrsquot yourdquo their squeezing of my hand that reminded me why I do what I do I didnrsquot have to search for inspiration I was surrounded by it The trick was to change my focus
Perhaps all nurses are disillusioned at some point during their careers Perhaps it happens multiple times Perhaps it is a rite of passage with those who make it through the other side the
ones with a true passion for nursing who turn around and help a colleague on their journey
As I continue my nursing career I now look for the brightness that I know is always there far outshining the negativity that we have to deal with I stockpile my lsquolollypop momentsrsquo knowing the amazing examples of kindness and leadership I see every day will help me grow and become a better nurse and hopefully I might be able to be a spark for someone else
You can listen to Drew Dudleyrsquos talk at wwwtedcomtalksdrew_dudley_everyday_leadership
Halfer D and Graf E lsquoGraduate Nurse Perceptions of the Work Experiencersquo Nursing Economics June 2006 Vol 24 No 3 pp 150-55
National Nursing and Nurse Education Taskforce 2005 Mythbusters Available online at httpwwwnnnetgovaudownloadsmythbusters_attritionpdf Accessed June 2014
Arts amp Sciences | Business | Education | Health Sciences | Law | Medicine | Nursing amp Midwifery | Philosophy amp Theology | Physiotherapy
Your journey to a meaningful career awaitsThe School of Nursing amp Midwifery offers the following courses
rsaquo Bachelor of Nursing
rsaquo Bachelor of Nursing (Articulation Pathway for EN Diploma)
rsaquo Graduate Certificate (Acute Mental Health Clinical Nursing Nursing and Nursing Leadership amp Management)
rsaquo Graduate Diploma (Acute Mental Health Clinical Nursing Critical Care Nursing Forensic Nursing Midwifery Nursing and Perioperative Nursing)
rsaquo Master of Nursing (Coursework and Research)
Looking to make a difference So are we
Apply direct notredameeduau
ND
1053
| C
RIC
OS
PR
OV
IDE
R C
OD
E 0
1032
F
35
36
Exhibitor listing
Organisation Name Booth Number
AACDS 8
Armadale Health Service 38
Belmore Nurses Bureau 30
Central Institute of Technology 20
Chandler Macleod Health 16
Child amp Adolescent Health Service 42
Curtin University of Technology 19
Defence Force Recruiting 910
Edith Cowan University - School of Nursing and Midwifery
3334
Fiona Stanley Hospital 36
Fremantle Hospital 44
HESTA 5
Hollywood Private Hospital 7
Institute of Health amp Nursing Australia 32
Mediserve Nursing Agency 6
Murdoch University 1112
My Flex Health International 18
Organisation Name Booth Number
Next Step 48
North Metropolitan Mental Health 35
NurseWest 47
Nursing amp Midwifery Board of Australia 29
Osborne Park Hospital 46
Prime Super 17
PampN Bank 15
Rockingham General Hospital 39
Royal Perth Hospital 37
Sir Charles Gairdner Hospital 45
The Bethanie Group Inc 31
The University of Notre Dame 13
WA Country Health Service 40
WA Nursing amp Midwifery Office 43
West Coast Institute of Training 14
Women amp Newborn Health Service 41
Work the World 28
The WA Nursing amp Health Expo is proudly supported by
The WA Nursing and Midwifery Office is very proud to partner once again with the Australian College of Nursing for the 2015 Nursing and Health Expo The nursing and midwifery professions offer an array of interesting and diverse experiences With these highly valued and respected skills relevant anywhere in the world nurses and midwives will always be in demand ndash in hospitals and in a range of other workplaces In WA the future demand for nurses and midwives is going to be high especially as our new Fiona Stanley Perth Childrenrsquos Busselton and Midland hospitals all start becoming fully operational so considering a career in nursing or midwifery is a great idea
wwwnursinghealthwagovau
31
In Australia enrolled nurses (ENs) are a core component of the health care workforce and make an important contribution to Australiarsquos world-class health outcomes ENs work in varied settings across the country from blood services to aged care facilities Increasingly ENs are playing an important role in meeting the growing demand for care
Not all countries have recognised the importance of ENs in the nurse workforce mix Several European countries including France Denmark Italy and Spain have only one category of regulated nurse (HWA 2013 Robinson and Griffiths 2007) The United Kingdom (UK) ceased admitting new ENs to the register in the 1980s The minimum qualification for all UK nurses is now a three-year bachelorrsquos degree As a result the UK relies heavily on unregistered health care assistants rather than second-level nurses (UK Department of Health 2013) Closer to home New Zealand ceased training ENs in 1993 only to recommence in the 2000s (Meek 2009) New Zealandrsquos experiment is an instructive demonstration of the importance of ENs in the health care workforce as the demand for nursing care increases
In Australia we have remained committed to maintaining the EN role Rather than relying on unregistered health care workers Australia has chosen to maintain a large educated and professional EN workforce The skilled work of ENs is recognised to be of paramount importance to the delivery of high quality nursing care Our EN workforce is highly dynamic and continues to evolve within the changing landscape of Australian health care policy and regulation
Enrolled nurse demographics
According to the latest national figures there are 51624 ENs working in Australia The great majority of ENs have completed their pre-registration education in Australia fewer than 5 have been educated overseas (HWA 2013)
The EN workforce has a relatively high average age of 46 years and forty-five per cent of ENs have celebrated their fiftieth birthdays (AIHW 2013) According to Health Workforce Australia the ageing EN workforce could lead to a significant shortfall in the supply of ENs if action is not taken to retain the current cohort of ENs and increase the number of people studying to be the ENs of tomorrow (HWA 2012)
Men make up roughly 10 of the EN workforce While this number is rising gradually it indicates that there is progress to be made in terms of attracting and retaining males within the profession Aboriginal and Torres Strait Islander people are
also underrepresented in the EN workforce only around 800 of Australiarsquos ENs identify as Indigenous Australians (AIHW 2013)
Among the most common work settings for ENs are aged care rehabilitation and disability services In contrast ENs make up fewer than 5 of the critical care nursing workforce and represent only a small proportion of nurses working in education policy and management (AIHW 2013)
These statistics show that there are both challenges and opportunities for Australiarsquos EN workforce Efforts to recruit and retain ENs will need to be enhanced with a particular focus on encouraging men and Aboriginal and Torres Strait Islander people to become ENs At the same time roles in a wider range of clinical areas are becoming available to suitably educated and qualified ENs and there will be more such opportunities in the coming years
A growing role for ENs
The evolving role of the EN is reflected in recent changes to educational requirements for ENs As of 1 July 2014 the Certificate IV in enrolled nursing ceased to be available and the minimum qualification for EN entry to practice will be the Diploma of Nursing The transition to a Diploma recognises the high level of skill ENs contribute to todayrsquos health care teams A nationally consistent approach to EN education is also likely to enhance the mobility of the EN workforce by giving employers confidence in the knowledge and skills of ENs educated in other states
ENs are now undertaking a diverse range of roles One of the earliest areas of role expansion for ENs was medication endorsement Before the move to national registration in 2010 ENs in some states were able to obtain an endorsement in medicines administration and become Endorsed Enrolled Nurses by completing specified education units This endorsement has now been phased out because from 2008 onwards all newly qualified ENs have completed the required medicines administration education Instead the register now identifies ENs who have not completed the required courses (NMBA 2014) This example demonstrates how the EN role has evolved over the years Whereas once only a relatively small number of ENs were educated to administer medicines now all student ENs complete medicines administration units as part of their initial nursing education
The EN role is also expanding in other ways For example ENs are taking on a growing role within haemodialysis units (Tranter et al 2011) The 2008 Australia and New Zealand Dialysis Workforce Survey conducted by the Renal Society of Australia found that there were 188 ENs working in dialysis alongside 2433 registered nurses (RNs) The growing demand for dialysis
The potential of the enrolled nursing workforce
By Rosina Muir and Dr Marlene Eggert MACN
32
services and the shortage of dialysis RNs in some areas represents a clear opportunity for ENs According to a New South Wales study conducted in 2009 the scope of practice of ENs in haemodialysis units may include cannulation (including both native access and buttonhole cannulation) connecting and disconnecting haemodialysis central venous catheters (CVCs) performing CVC dressings giving iron infusions and administering erythropoietin anticoagulants and Lignocaine In addition ENs may also take on a case management or health promotion role for dialysis patients (Bennett et al 2009)
ENs are also moving into extended roles in rehabilitation services A recent study of ENs in an Australian rehabilitation facility found that in addition to assisting patients with activities of daily living ENs may take on roles in coaching and supporting patients to reach their individual goals monitoring the patientrsquos progress and liaising with other members of the multidisciplinary rehabilitation team The study found that many ENs demonstrate an understanding of the philosophy of rehabilitation nursing including goal setting and enabling self-care (Pryor and Buzio 2013)
In rural Australia ENs are taking on a diverse range of roles within the EN scope of practice in order to meet local needs ENs with specialist skills such as infection control or wound care make a significant contribution to some rural health services although their extended scope of practice is not always given appropriate recognition by their RN colleagues (Nankervis et al 2008) Rural health services are increasingly recognising that supporting ENs to take on extended roles and further develop their clinical skills can be a successful model for the delivery of high quality patient care
Recognising the evolving EN scope of practice
In light of the fact that there have been significant changes to EN education regulation and scope over the last decade the NMBA has commissioned Monash University to review the currency of the standards against contemporary enrolled nursing roles The Monash University project has involved a review of the literature as well as a series of focus groups and surveys to gather insights from both RNs and ENs on the education scope of practice and supervision of ENs (Monash University 2013) The project is expected to be completed in 2014 (NMBA 2013)
Our advocacy for ENs
ACNrsquos advocacy priorities are explicitly designed to support both registered and enrolled nurses In 2014 ACN has argued for a range of policies that would have a positive impact on the
retention and flexibility of enrolled nurses For example ACN has proposed a National Transition Framework to support the flexibility and mobility of both the EN and the RN workforces The Framework would be accessible to nurses entering the workforce as well as nurses transitioning from one area of practice to another For example it would support an EN wishing to transition from the aged care sector to a hospital-based role
ACN has also put forward a proposal for a new scholarship program to support newly registered and enrolled nurses to practice in rural services It is essential that rural health service providers are able to attract appropriately educated staff including both ENs and RNs in order to maintain an optimal skill mix The scholarship scheme will allow rural health services to employ newly registered and enrolled nurses as supernumerary team members while providing them with a structured clinical learning program
ACN will continue to provide a voice for ENs in policy discussions and advocate for the role of ENs in health care delivery Australian Institute of Health and Welfare 2013 Nursing and midwifery workforce 2012 lthttpwwwaihwgovauWorkAreaDownloadAssetaspxid=60129545314gt pp 6
Bennett P McNeill L Polaschek N 2009 lsquoThe Australian and New Zealand Dialysis Workforcersquo Renal Society of Australasia Journal vol 5 no3 pp 147-151 lthttpwwwrenalsocietyorgRSAJjournalnov09bennett2pdfgt
Health Workforce Australia 2012 Health Workforce 2025 Doctors Nurses and Midwives vol 1 lthttpwwwhwagovausitesuploadsFinalReport_Volume1_FINAL-20120424pdfgt pp 137-142
Health Workforce Australia 2013 Nurses in Focus lthttpwwwhwagovausitesuploadsNurses-in-Focus-FINALpdfgt
Meek G 2010 Second level nurses a critical examination of their evolving role in New Zealand Healthcare lthttpresearcharchivewintecacnz9621Repository_entry_HLNU902pdfgt pp 3
Monash University 2013 The National Review of the Enrolled Nurse Competency Standards lthttpwwwmedmonashedunursingcompetency-standardsgt
Nankervis K Kenny A Bish M 2008 Enhancing scope of practice for the second level nurse A change process to meet growing demand for rural health services lthttpwwwncbinlmnihgovpubmed18844530gt
Nursing and Midwifery Board of Australia 2013 Communique Meeting of the Nursing and Midwifery Board of Australia 27 February 2013 in the AHPRA Hobart Office TasmanialthttpwwwnursingmidwiferyboardgovauNewsCommuniques-from-Board-meetingsaspxgt
Nursing and Midwifery Board of Australia 2014 Enrolled nurses and medicine administration lt httpwwwnursingmidwiferyboardgovauCodes-Guidelines-StatementsFAQaspxgt
Pryor J Buzio A 2013 lsquoDo ldquotwo typesrdquo of ENs work in rehabilitation in Australiarsquo Journal of the Australasian Rehabilitation Nurses Association vol 16 no 1 pp 14-19 lthttpsearchinformitcomaudocumentSummarydn=480975443102792res=IELHEAgt
Robinson S and Griffiths P 2007 Nursing education and regulation International profiles and perspectives lthttpeprintssotonacuk3487721NurseEduProfilespdfgt pp 7-17
Tranter S Westgarth F White G 2011 lsquoThe scope of practice of the haemodialysis Enrolled Nurse in new South Walesrsquo Renal Society of Australasia Journal vol 7 no 1 pp 24-29 lthttpwwwrenalsocietyorgRSAJjournalmar11Tranterpdfgt
United Kingdom Department of Health 2013 The Cavendish Review An Independent Review into Healthcare Assistants and Support Workers in the NHS and social care settings lthttpswwwgovukgovernmentuploadssystemuploadsattachment_datafile236212Cavendish_Reviewpdfgt pp 6
33
By Laurie Bickhoff MACN
Diary of a newly registered nurse
In Australia it is estimated nearly 20 of nurses will leave the profession within their first year of practice (National Nursing and Nurse Education Taskforce [NNNET] 2005) Internationally this figure ranges from between 35 and 60 (Halfer amp Graf 2006) Many have speculated on the reasons for this with high workloads the difficulties of shift work and unrealistic expectations of what nursing entails all given due consideration (Halfer amp Graf 2006) However as I entered my second year of practice I began to wonder what role disillusionment plays in this exodus of newly trained nurses
Disillusionment to me occurs when you feel your passion dwindling when you suddenly find it that little bit harder to get ready for work when you start feeling a sense of dread as you walk onto the ward This wasnrsquot caused by long hours or ever increasing workloads coupled with diminishing resources It wasnrsquot caused by physically demanding duties or the lack of a social life due to shift work It wasnrsquot caused by dealing with things that might not look or smell that great Unfortunately it was caused by the people around me and an almost institutionalised lack of power not only for nurses but more importantly for our patients
I was dismayed and frustrated to hear how many of my colleagues from all health professions referred to patients I was disheartened to see how easily some could dismiss the suffering we see and the heartache I felt I was overwhelmingly saddened to realise not everyone had the same passion for their profession or empathy for those we are charged to care for as I did
This culminated for me towards the end of my first year of practice There wasnrsquot any one big incident more an accumulation of things that were gradually wearing me down I had a worried patient confide in me that they had been too scared to push the call button on the previous shift because of the response they would receive from the nurse I saw patients constantly being made to fit into everyone elsersquos schedules regardless of their requests It seemed everyone was more important than the person we were there to help
I heard patients referred to as lsquocactusrsquo or described in the notes as lsquounsalvageablersquo meaning there was no chance of the patients making meaningful recoveries I wondered is this really how we refer to people Or did we forget they were actual human beings we were talking about
I had other health professionals dismiss me with comments such as nurses ldquojust wipe bums all dayrdquo or roll their eyes at me when I raised my concerns When I dared to challenge or question I was met with comments of ldquoI miss the old new gradsrdquo I felt tired washed out and was beginning to wonder
whether I could stay in this profession without losing myself
Luckily I found some inspiration I listened to a presentation by Drew Dudley a well-known American academic and motivational speaker where he discusses the idea of lsquolollypop momentsrsquo These are small moments when the people we see and work with every day demonstrate leadership They arenrsquot big grand over the top statements They are small gestures which often unknown to the person who did it have an amazing impact on the lives of others I was lucky enough to have some of these lollypop moments just when I needed them These few sparks were all that I needed to reignite my passion for nursing
The first spark came from an RN2 caring for a patient at the end-stage of a number of diseases who had expressed to the nursing staff multiple times her wish to simply be made comfortable as she knew this was the end of her fight Despite this the patient was not only receiving active treatment but was also currently documented for full resuscitation if she deteriorated
The nurse raised the issue with the medical registrar asking him to have a discussion with the patient regarding her wishes and planning end-of-life care The registrar dismissed her saying ldquowell thatrsquos not what the consultant wantsrdquo The nurse wasnrsquot satisfied and responded ldquoitrsquos not their choice itrsquos the patientrsquos decisionrdquo This nurse had the courage to stand her ground and make sure her patientrsquos voice was heard which ultimately led to the patientrsquos wishes being honoured
The next spark came soon after I was working with a nurse who came from a different cultural background to me where it was seen as impolite to question anyone in authority especially if you were female This meant even if a doctor was accidently standing in her way she would prefer to simply wait rather than ask them to move
Then one day we had a patient who deteriorated rapidly and was in a very critical condition This nurse suddenly became one of the best clinical leaders I have witnessed She led the team questioning orders prompting treatments suggesting causes and outlining the options available I soon realised the difference this was about her patient She was going to ensure her patient received the best care and outcome possible When it was about her patient rather than herself she found her voice
There were a number of smaller incidents that soon followed Sparks came from the senior consultant who re-educated her advanced trainee on the importance of listening to the nurses and acting on their concerns Sparks came from our ward social
34
worker who day after day demonstrated his passion for helping and advocating for those with no voice and often no options Sparks came from the medical residents who expressed their gratitude when you picked up a mistake and were heartfelt in their appreciation of the work nurses do
The brightest sparks came from my patients and their relatives It was their ldquothanksrdquo their ldquoyou donrsquot know how much that meansrdquo their ldquoyoursquoll be back tomorrow wonrsquot yourdquo their squeezing of my hand that reminded me why I do what I do I didnrsquot have to search for inspiration I was surrounded by it The trick was to change my focus
Perhaps all nurses are disillusioned at some point during their careers Perhaps it happens multiple times Perhaps it is a rite of passage with those who make it through the other side the
ones with a true passion for nursing who turn around and help a colleague on their journey
As I continue my nursing career I now look for the brightness that I know is always there far outshining the negativity that we have to deal with I stockpile my lsquolollypop momentsrsquo knowing the amazing examples of kindness and leadership I see every day will help me grow and become a better nurse and hopefully I might be able to be a spark for someone else
You can listen to Drew Dudleyrsquos talk at wwwtedcomtalksdrew_dudley_everyday_leadership
Halfer D and Graf E lsquoGraduate Nurse Perceptions of the Work Experiencersquo Nursing Economics June 2006 Vol 24 No 3 pp 150-55
National Nursing and Nurse Education Taskforce 2005 Mythbusters Available online at httpwwwnnnetgovaudownloadsmythbusters_attritionpdf Accessed June 2014
Arts amp Sciences | Business | Education | Health Sciences | Law | Medicine | Nursing amp Midwifery | Philosophy amp Theology | Physiotherapy
Your journey to a meaningful career awaitsThe School of Nursing amp Midwifery offers the following courses
rsaquo Bachelor of Nursing
rsaquo Bachelor of Nursing (Articulation Pathway for EN Diploma)
rsaquo Graduate Certificate (Acute Mental Health Clinical Nursing Nursing and Nursing Leadership amp Management)
rsaquo Graduate Diploma (Acute Mental Health Clinical Nursing Critical Care Nursing Forensic Nursing Midwifery Nursing and Perioperative Nursing)
rsaquo Master of Nursing (Coursework and Research)
Looking to make a difference So are we
Apply direct notredameeduau
ND
1053
| C
RIC
OS
PR
OV
IDE
R C
OD
E 0
1032
F
35
36
In Australia enrolled nurses (ENs) are a core component of the health care workforce and make an important contribution to Australiarsquos world-class health outcomes ENs work in varied settings across the country from blood services to aged care facilities Increasingly ENs are playing an important role in meeting the growing demand for care
Not all countries have recognised the importance of ENs in the nurse workforce mix Several European countries including France Denmark Italy and Spain have only one category of regulated nurse (HWA 2013 Robinson and Griffiths 2007) The United Kingdom (UK) ceased admitting new ENs to the register in the 1980s The minimum qualification for all UK nurses is now a three-year bachelorrsquos degree As a result the UK relies heavily on unregistered health care assistants rather than second-level nurses (UK Department of Health 2013) Closer to home New Zealand ceased training ENs in 1993 only to recommence in the 2000s (Meek 2009) New Zealandrsquos experiment is an instructive demonstration of the importance of ENs in the health care workforce as the demand for nursing care increases
In Australia we have remained committed to maintaining the EN role Rather than relying on unregistered health care workers Australia has chosen to maintain a large educated and professional EN workforce The skilled work of ENs is recognised to be of paramount importance to the delivery of high quality nursing care Our EN workforce is highly dynamic and continues to evolve within the changing landscape of Australian health care policy and regulation
Enrolled nurse demographics
According to the latest national figures there are 51624 ENs working in Australia The great majority of ENs have completed their pre-registration education in Australia fewer than 5 have been educated overseas (HWA 2013)
The EN workforce has a relatively high average age of 46 years and forty-five per cent of ENs have celebrated their fiftieth birthdays (AIHW 2013) According to Health Workforce Australia the ageing EN workforce could lead to a significant shortfall in the supply of ENs if action is not taken to retain the current cohort of ENs and increase the number of people studying to be the ENs of tomorrow (HWA 2012)
Men make up roughly 10 of the EN workforce While this number is rising gradually it indicates that there is progress to be made in terms of attracting and retaining males within the profession Aboriginal and Torres Strait Islander people are
also underrepresented in the EN workforce only around 800 of Australiarsquos ENs identify as Indigenous Australians (AIHW 2013)
Among the most common work settings for ENs are aged care rehabilitation and disability services In contrast ENs make up fewer than 5 of the critical care nursing workforce and represent only a small proportion of nurses working in education policy and management (AIHW 2013)
These statistics show that there are both challenges and opportunities for Australiarsquos EN workforce Efforts to recruit and retain ENs will need to be enhanced with a particular focus on encouraging men and Aboriginal and Torres Strait Islander people to become ENs At the same time roles in a wider range of clinical areas are becoming available to suitably educated and qualified ENs and there will be more such opportunities in the coming years
A growing role for ENs
The evolving role of the EN is reflected in recent changes to educational requirements for ENs As of 1 July 2014 the Certificate IV in enrolled nursing ceased to be available and the minimum qualification for EN entry to practice will be the Diploma of Nursing The transition to a Diploma recognises the high level of skill ENs contribute to todayrsquos health care teams A nationally consistent approach to EN education is also likely to enhance the mobility of the EN workforce by giving employers confidence in the knowledge and skills of ENs educated in other states
ENs are now undertaking a diverse range of roles One of the earliest areas of role expansion for ENs was medication endorsement Before the move to national registration in 2010 ENs in some states were able to obtain an endorsement in medicines administration and become Endorsed Enrolled Nurses by completing specified education units This endorsement has now been phased out because from 2008 onwards all newly qualified ENs have completed the required medicines administration education Instead the register now identifies ENs who have not completed the required courses (NMBA 2014) This example demonstrates how the EN role has evolved over the years Whereas once only a relatively small number of ENs were educated to administer medicines now all student ENs complete medicines administration units as part of their initial nursing education
The EN role is also expanding in other ways For example ENs are taking on a growing role within haemodialysis units (Tranter et al 2011) The 2008 Australia and New Zealand Dialysis Workforce Survey conducted by the Renal Society of Australia found that there were 188 ENs working in dialysis alongside 2433 registered nurses (RNs) The growing demand for dialysis
The potential of the enrolled nursing workforce
By Rosina Muir and Dr Marlene Eggert MACN
32
services and the shortage of dialysis RNs in some areas represents a clear opportunity for ENs According to a New South Wales study conducted in 2009 the scope of practice of ENs in haemodialysis units may include cannulation (including both native access and buttonhole cannulation) connecting and disconnecting haemodialysis central venous catheters (CVCs) performing CVC dressings giving iron infusions and administering erythropoietin anticoagulants and Lignocaine In addition ENs may also take on a case management or health promotion role for dialysis patients (Bennett et al 2009)
ENs are also moving into extended roles in rehabilitation services A recent study of ENs in an Australian rehabilitation facility found that in addition to assisting patients with activities of daily living ENs may take on roles in coaching and supporting patients to reach their individual goals monitoring the patientrsquos progress and liaising with other members of the multidisciplinary rehabilitation team The study found that many ENs demonstrate an understanding of the philosophy of rehabilitation nursing including goal setting and enabling self-care (Pryor and Buzio 2013)
In rural Australia ENs are taking on a diverse range of roles within the EN scope of practice in order to meet local needs ENs with specialist skills such as infection control or wound care make a significant contribution to some rural health services although their extended scope of practice is not always given appropriate recognition by their RN colleagues (Nankervis et al 2008) Rural health services are increasingly recognising that supporting ENs to take on extended roles and further develop their clinical skills can be a successful model for the delivery of high quality patient care
Recognising the evolving EN scope of practice
In light of the fact that there have been significant changes to EN education regulation and scope over the last decade the NMBA has commissioned Monash University to review the currency of the standards against contemporary enrolled nursing roles The Monash University project has involved a review of the literature as well as a series of focus groups and surveys to gather insights from both RNs and ENs on the education scope of practice and supervision of ENs (Monash University 2013) The project is expected to be completed in 2014 (NMBA 2013)
Our advocacy for ENs
ACNrsquos advocacy priorities are explicitly designed to support both registered and enrolled nurses In 2014 ACN has argued for a range of policies that would have a positive impact on the
retention and flexibility of enrolled nurses For example ACN has proposed a National Transition Framework to support the flexibility and mobility of both the EN and the RN workforces The Framework would be accessible to nurses entering the workforce as well as nurses transitioning from one area of practice to another For example it would support an EN wishing to transition from the aged care sector to a hospital-based role
ACN has also put forward a proposal for a new scholarship program to support newly registered and enrolled nurses to practice in rural services It is essential that rural health service providers are able to attract appropriately educated staff including both ENs and RNs in order to maintain an optimal skill mix The scholarship scheme will allow rural health services to employ newly registered and enrolled nurses as supernumerary team members while providing them with a structured clinical learning program
ACN will continue to provide a voice for ENs in policy discussions and advocate for the role of ENs in health care delivery Australian Institute of Health and Welfare 2013 Nursing and midwifery workforce 2012 lthttpwwwaihwgovauWorkAreaDownloadAssetaspxid=60129545314gt pp 6
Bennett P McNeill L Polaschek N 2009 lsquoThe Australian and New Zealand Dialysis Workforcersquo Renal Society of Australasia Journal vol 5 no3 pp 147-151 lthttpwwwrenalsocietyorgRSAJjournalnov09bennett2pdfgt
Health Workforce Australia 2012 Health Workforce 2025 Doctors Nurses and Midwives vol 1 lthttpwwwhwagovausitesuploadsFinalReport_Volume1_FINAL-20120424pdfgt pp 137-142
Health Workforce Australia 2013 Nurses in Focus lthttpwwwhwagovausitesuploadsNurses-in-Focus-FINALpdfgt
Meek G 2010 Second level nurses a critical examination of their evolving role in New Zealand Healthcare lthttpresearcharchivewintecacnz9621Repository_entry_HLNU902pdfgt pp 3
Monash University 2013 The National Review of the Enrolled Nurse Competency Standards lthttpwwwmedmonashedunursingcompetency-standardsgt
Nankervis K Kenny A Bish M 2008 Enhancing scope of practice for the second level nurse A change process to meet growing demand for rural health services lthttpwwwncbinlmnihgovpubmed18844530gt
Nursing and Midwifery Board of Australia 2013 Communique Meeting of the Nursing and Midwifery Board of Australia 27 February 2013 in the AHPRA Hobart Office TasmanialthttpwwwnursingmidwiferyboardgovauNewsCommuniques-from-Board-meetingsaspxgt
Nursing and Midwifery Board of Australia 2014 Enrolled nurses and medicine administration lt httpwwwnursingmidwiferyboardgovauCodes-Guidelines-StatementsFAQaspxgt
Pryor J Buzio A 2013 lsquoDo ldquotwo typesrdquo of ENs work in rehabilitation in Australiarsquo Journal of the Australasian Rehabilitation Nurses Association vol 16 no 1 pp 14-19 lthttpsearchinformitcomaudocumentSummarydn=480975443102792res=IELHEAgt
Robinson S and Griffiths P 2007 Nursing education and regulation International profiles and perspectives lthttpeprintssotonacuk3487721NurseEduProfilespdfgt pp 7-17
Tranter S Westgarth F White G 2011 lsquoThe scope of practice of the haemodialysis Enrolled Nurse in new South Walesrsquo Renal Society of Australasia Journal vol 7 no 1 pp 24-29 lthttpwwwrenalsocietyorgRSAJjournalmar11Tranterpdfgt
United Kingdom Department of Health 2013 The Cavendish Review An Independent Review into Healthcare Assistants and Support Workers in the NHS and social care settings lthttpswwwgovukgovernmentuploadssystemuploadsattachment_datafile236212Cavendish_Reviewpdfgt pp 6
33
By Laurie Bickhoff MACN
Diary of a newly registered nurse
In Australia it is estimated nearly 20 of nurses will leave the profession within their first year of practice (National Nursing and Nurse Education Taskforce [NNNET] 2005) Internationally this figure ranges from between 35 and 60 (Halfer amp Graf 2006) Many have speculated on the reasons for this with high workloads the difficulties of shift work and unrealistic expectations of what nursing entails all given due consideration (Halfer amp Graf 2006) However as I entered my second year of practice I began to wonder what role disillusionment plays in this exodus of newly trained nurses
Disillusionment to me occurs when you feel your passion dwindling when you suddenly find it that little bit harder to get ready for work when you start feeling a sense of dread as you walk onto the ward This wasnrsquot caused by long hours or ever increasing workloads coupled with diminishing resources It wasnrsquot caused by physically demanding duties or the lack of a social life due to shift work It wasnrsquot caused by dealing with things that might not look or smell that great Unfortunately it was caused by the people around me and an almost institutionalised lack of power not only for nurses but more importantly for our patients
I was dismayed and frustrated to hear how many of my colleagues from all health professions referred to patients I was disheartened to see how easily some could dismiss the suffering we see and the heartache I felt I was overwhelmingly saddened to realise not everyone had the same passion for their profession or empathy for those we are charged to care for as I did
This culminated for me towards the end of my first year of practice There wasnrsquot any one big incident more an accumulation of things that were gradually wearing me down I had a worried patient confide in me that they had been too scared to push the call button on the previous shift because of the response they would receive from the nurse I saw patients constantly being made to fit into everyone elsersquos schedules regardless of their requests It seemed everyone was more important than the person we were there to help
I heard patients referred to as lsquocactusrsquo or described in the notes as lsquounsalvageablersquo meaning there was no chance of the patients making meaningful recoveries I wondered is this really how we refer to people Or did we forget they were actual human beings we were talking about
I had other health professionals dismiss me with comments such as nurses ldquojust wipe bums all dayrdquo or roll their eyes at me when I raised my concerns When I dared to challenge or question I was met with comments of ldquoI miss the old new gradsrdquo I felt tired washed out and was beginning to wonder
whether I could stay in this profession without losing myself
Luckily I found some inspiration I listened to a presentation by Drew Dudley a well-known American academic and motivational speaker where he discusses the idea of lsquolollypop momentsrsquo These are small moments when the people we see and work with every day demonstrate leadership They arenrsquot big grand over the top statements They are small gestures which often unknown to the person who did it have an amazing impact on the lives of others I was lucky enough to have some of these lollypop moments just when I needed them These few sparks were all that I needed to reignite my passion for nursing
The first spark came from an RN2 caring for a patient at the end-stage of a number of diseases who had expressed to the nursing staff multiple times her wish to simply be made comfortable as she knew this was the end of her fight Despite this the patient was not only receiving active treatment but was also currently documented for full resuscitation if she deteriorated
The nurse raised the issue with the medical registrar asking him to have a discussion with the patient regarding her wishes and planning end-of-life care The registrar dismissed her saying ldquowell thatrsquos not what the consultant wantsrdquo The nurse wasnrsquot satisfied and responded ldquoitrsquos not their choice itrsquos the patientrsquos decisionrdquo This nurse had the courage to stand her ground and make sure her patientrsquos voice was heard which ultimately led to the patientrsquos wishes being honoured
The next spark came soon after I was working with a nurse who came from a different cultural background to me where it was seen as impolite to question anyone in authority especially if you were female This meant even if a doctor was accidently standing in her way she would prefer to simply wait rather than ask them to move
Then one day we had a patient who deteriorated rapidly and was in a very critical condition This nurse suddenly became one of the best clinical leaders I have witnessed She led the team questioning orders prompting treatments suggesting causes and outlining the options available I soon realised the difference this was about her patient She was going to ensure her patient received the best care and outcome possible When it was about her patient rather than herself she found her voice
There were a number of smaller incidents that soon followed Sparks came from the senior consultant who re-educated her advanced trainee on the importance of listening to the nurses and acting on their concerns Sparks came from our ward social
34
worker who day after day demonstrated his passion for helping and advocating for those with no voice and often no options Sparks came from the medical residents who expressed their gratitude when you picked up a mistake and were heartfelt in their appreciation of the work nurses do
The brightest sparks came from my patients and their relatives It was their ldquothanksrdquo their ldquoyou donrsquot know how much that meansrdquo their ldquoyoursquoll be back tomorrow wonrsquot yourdquo their squeezing of my hand that reminded me why I do what I do I didnrsquot have to search for inspiration I was surrounded by it The trick was to change my focus
Perhaps all nurses are disillusioned at some point during their careers Perhaps it happens multiple times Perhaps it is a rite of passage with those who make it through the other side the
ones with a true passion for nursing who turn around and help a colleague on their journey
As I continue my nursing career I now look for the brightness that I know is always there far outshining the negativity that we have to deal with I stockpile my lsquolollypop momentsrsquo knowing the amazing examples of kindness and leadership I see every day will help me grow and become a better nurse and hopefully I might be able to be a spark for someone else
You can listen to Drew Dudleyrsquos talk at wwwtedcomtalksdrew_dudley_everyday_leadership
Halfer D and Graf E lsquoGraduate Nurse Perceptions of the Work Experiencersquo Nursing Economics June 2006 Vol 24 No 3 pp 150-55
National Nursing and Nurse Education Taskforce 2005 Mythbusters Available online at httpwwwnnnetgovaudownloadsmythbusters_attritionpdf Accessed June 2014
Arts amp Sciences | Business | Education | Health Sciences | Law | Medicine | Nursing amp Midwifery | Philosophy amp Theology | Physiotherapy
Your journey to a meaningful career awaitsThe School of Nursing amp Midwifery offers the following courses
rsaquo Bachelor of Nursing
rsaquo Bachelor of Nursing (Articulation Pathway for EN Diploma)
rsaquo Graduate Certificate (Acute Mental Health Clinical Nursing Nursing and Nursing Leadership amp Management)
rsaquo Graduate Diploma (Acute Mental Health Clinical Nursing Critical Care Nursing Forensic Nursing Midwifery Nursing and Perioperative Nursing)
rsaquo Master of Nursing (Coursework and Research)
Looking to make a difference So are we
Apply direct notredameeduau
ND
1053
| C
RIC
OS
PR
OV
IDE
R C
OD
E 0
1032
F
35
36
services and the shortage of dialysis RNs in some areas represents a clear opportunity for ENs According to a New South Wales study conducted in 2009 the scope of practice of ENs in haemodialysis units may include cannulation (including both native access and buttonhole cannulation) connecting and disconnecting haemodialysis central venous catheters (CVCs) performing CVC dressings giving iron infusions and administering erythropoietin anticoagulants and Lignocaine In addition ENs may also take on a case management or health promotion role for dialysis patients (Bennett et al 2009)
ENs are also moving into extended roles in rehabilitation services A recent study of ENs in an Australian rehabilitation facility found that in addition to assisting patients with activities of daily living ENs may take on roles in coaching and supporting patients to reach their individual goals monitoring the patientrsquos progress and liaising with other members of the multidisciplinary rehabilitation team The study found that many ENs demonstrate an understanding of the philosophy of rehabilitation nursing including goal setting and enabling self-care (Pryor and Buzio 2013)
In rural Australia ENs are taking on a diverse range of roles within the EN scope of practice in order to meet local needs ENs with specialist skills such as infection control or wound care make a significant contribution to some rural health services although their extended scope of practice is not always given appropriate recognition by their RN colleagues (Nankervis et al 2008) Rural health services are increasingly recognising that supporting ENs to take on extended roles and further develop their clinical skills can be a successful model for the delivery of high quality patient care
Recognising the evolving EN scope of practice
In light of the fact that there have been significant changes to EN education regulation and scope over the last decade the NMBA has commissioned Monash University to review the currency of the standards against contemporary enrolled nursing roles The Monash University project has involved a review of the literature as well as a series of focus groups and surveys to gather insights from both RNs and ENs on the education scope of practice and supervision of ENs (Monash University 2013) The project is expected to be completed in 2014 (NMBA 2013)
Our advocacy for ENs
ACNrsquos advocacy priorities are explicitly designed to support both registered and enrolled nurses In 2014 ACN has argued for a range of policies that would have a positive impact on the
retention and flexibility of enrolled nurses For example ACN has proposed a National Transition Framework to support the flexibility and mobility of both the EN and the RN workforces The Framework would be accessible to nurses entering the workforce as well as nurses transitioning from one area of practice to another For example it would support an EN wishing to transition from the aged care sector to a hospital-based role
ACN has also put forward a proposal for a new scholarship program to support newly registered and enrolled nurses to practice in rural services It is essential that rural health service providers are able to attract appropriately educated staff including both ENs and RNs in order to maintain an optimal skill mix The scholarship scheme will allow rural health services to employ newly registered and enrolled nurses as supernumerary team members while providing them with a structured clinical learning program
ACN will continue to provide a voice for ENs in policy discussions and advocate for the role of ENs in health care delivery Australian Institute of Health and Welfare 2013 Nursing and midwifery workforce 2012 lthttpwwwaihwgovauWorkAreaDownloadAssetaspxid=60129545314gt pp 6
Bennett P McNeill L Polaschek N 2009 lsquoThe Australian and New Zealand Dialysis Workforcersquo Renal Society of Australasia Journal vol 5 no3 pp 147-151 lthttpwwwrenalsocietyorgRSAJjournalnov09bennett2pdfgt
Health Workforce Australia 2012 Health Workforce 2025 Doctors Nurses and Midwives vol 1 lthttpwwwhwagovausitesuploadsFinalReport_Volume1_FINAL-20120424pdfgt pp 137-142
Health Workforce Australia 2013 Nurses in Focus lthttpwwwhwagovausitesuploadsNurses-in-Focus-FINALpdfgt
Meek G 2010 Second level nurses a critical examination of their evolving role in New Zealand Healthcare lthttpresearcharchivewintecacnz9621Repository_entry_HLNU902pdfgt pp 3
Monash University 2013 The National Review of the Enrolled Nurse Competency Standards lthttpwwwmedmonashedunursingcompetency-standardsgt
Nankervis K Kenny A Bish M 2008 Enhancing scope of practice for the second level nurse A change process to meet growing demand for rural health services lthttpwwwncbinlmnihgovpubmed18844530gt
Nursing and Midwifery Board of Australia 2013 Communique Meeting of the Nursing and Midwifery Board of Australia 27 February 2013 in the AHPRA Hobart Office TasmanialthttpwwwnursingmidwiferyboardgovauNewsCommuniques-from-Board-meetingsaspxgt
Nursing and Midwifery Board of Australia 2014 Enrolled nurses and medicine administration lt httpwwwnursingmidwiferyboardgovauCodes-Guidelines-StatementsFAQaspxgt
Pryor J Buzio A 2013 lsquoDo ldquotwo typesrdquo of ENs work in rehabilitation in Australiarsquo Journal of the Australasian Rehabilitation Nurses Association vol 16 no 1 pp 14-19 lthttpsearchinformitcomaudocumentSummarydn=480975443102792res=IELHEAgt
Robinson S and Griffiths P 2007 Nursing education and regulation International profiles and perspectives lthttpeprintssotonacuk3487721NurseEduProfilespdfgt pp 7-17
Tranter S Westgarth F White G 2011 lsquoThe scope of practice of the haemodialysis Enrolled Nurse in new South Walesrsquo Renal Society of Australasia Journal vol 7 no 1 pp 24-29 lthttpwwwrenalsocietyorgRSAJjournalmar11Tranterpdfgt
United Kingdom Department of Health 2013 The Cavendish Review An Independent Review into Healthcare Assistants and Support Workers in the NHS and social care settings lthttpswwwgovukgovernmentuploadssystemuploadsattachment_datafile236212Cavendish_Reviewpdfgt pp 6
33
By Laurie Bickhoff MACN
Diary of a newly registered nurse
In Australia it is estimated nearly 20 of nurses will leave the profession within their first year of practice (National Nursing and Nurse Education Taskforce [NNNET] 2005) Internationally this figure ranges from between 35 and 60 (Halfer amp Graf 2006) Many have speculated on the reasons for this with high workloads the difficulties of shift work and unrealistic expectations of what nursing entails all given due consideration (Halfer amp Graf 2006) However as I entered my second year of practice I began to wonder what role disillusionment plays in this exodus of newly trained nurses
Disillusionment to me occurs when you feel your passion dwindling when you suddenly find it that little bit harder to get ready for work when you start feeling a sense of dread as you walk onto the ward This wasnrsquot caused by long hours or ever increasing workloads coupled with diminishing resources It wasnrsquot caused by physically demanding duties or the lack of a social life due to shift work It wasnrsquot caused by dealing with things that might not look or smell that great Unfortunately it was caused by the people around me and an almost institutionalised lack of power not only for nurses but more importantly for our patients
I was dismayed and frustrated to hear how many of my colleagues from all health professions referred to patients I was disheartened to see how easily some could dismiss the suffering we see and the heartache I felt I was overwhelmingly saddened to realise not everyone had the same passion for their profession or empathy for those we are charged to care for as I did
This culminated for me towards the end of my first year of practice There wasnrsquot any one big incident more an accumulation of things that were gradually wearing me down I had a worried patient confide in me that they had been too scared to push the call button on the previous shift because of the response they would receive from the nurse I saw patients constantly being made to fit into everyone elsersquos schedules regardless of their requests It seemed everyone was more important than the person we were there to help
I heard patients referred to as lsquocactusrsquo or described in the notes as lsquounsalvageablersquo meaning there was no chance of the patients making meaningful recoveries I wondered is this really how we refer to people Or did we forget they were actual human beings we were talking about
I had other health professionals dismiss me with comments such as nurses ldquojust wipe bums all dayrdquo or roll their eyes at me when I raised my concerns When I dared to challenge or question I was met with comments of ldquoI miss the old new gradsrdquo I felt tired washed out and was beginning to wonder
whether I could stay in this profession without losing myself
Luckily I found some inspiration I listened to a presentation by Drew Dudley a well-known American academic and motivational speaker where he discusses the idea of lsquolollypop momentsrsquo These are small moments when the people we see and work with every day demonstrate leadership They arenrsquot big grand over the top statements They are small gestures which often unknown to the person who did it have an amazing impact on the lives of others I was lucky enough to have some of these lollypop moments just when I needed them These few sparks were all that I needed to reignite my passion for nursing
The first spark came from an RN2 caring for a patient at the end-stage of a number of diseases who had expressed to the nursing staff multiple times her wish to simply be made comfortable as she knew this was the end of her fight Despite this the patient was not only receiving active treatment but was also currently documented for full resuscitation if she deteriorated
The nurse raised the issue with the medical registrar asking him to have a discussion with the patient regarding her wishes and planning end-of-life care The registrar dismissed her saying ldquowell thatrsquos not what the consultant wantsrdquo The nurse wasnrsquot satisfied and responded ldquoitrsquos not their choice itrsquos the patientrsquos decisionrdquo This nurse had the courage to stand her ground and make sure her patientrsquos voice was heard which ultimately led to the patientrsquos wishes being honoured
The next spark came soon after I was working with a nurse who came from a different cultural background to me where it was seen as impolite to question anyone in authority especially if you were female This meant even if a doctor was accidently standing in her way she would prefer to simply wait rather than ask them to move
Then one day we had a patient who deteriorated rapidly and was in a very critical condition This nurse suddenly became one of the best clinical leaders I have witnessed She led the team questioning orders prompting treatments suggesting causes and outlining the options available I soon realised the difference this was about her patient She was going to ensure her patient received the best care and outcome possible When it was about her patient rather than herself she found her voice
There were a number of smaller incidents that soon followed Sparks came from the senior consultant who re-educated her advanced trainee on the importance of listening to the nurses and acting on their concerns Sparks came from our ward social
34
worker who day after day demonstrated his passion for helping and advocating for those with no voice and often no options Sparks came from the medical residents who expressed their gratitude when you picked up a mistake and were heartfelt in their appreciation of the work nurses do
The brightest sparks came from my patients and their relatives It was their ldquothanksrdquo their ldquoyou donrsquot know how much that meansrdquo their ldquoyoursquoll be back tomorrow wonrsquot yourdquo their squeezing of my hand that reminded me why I do what I do I didnrsquot have to search for inspiration I was surrounded by it The trick was to change my focus
Perhaps all nurses are disillusioned at some point during their careers Perhaps it happens multiple times Perhaps it is a rite of passage with those who make it through the other side the
ones with a true passion for nursing who turn around and help a colleague on their journey
As I continue my nursing career I now look for the brightness that I know is always there far outshining the negativity that we have to deal with I stockpile my lsquolollypop momentsrsquo knowing the amazing examples of kindness and leadership I see every day will help me grow and become a better nurse and hopefully I might be able to be a spark for someone else
You can listen to Drew Dudleyrsquos talk at wwwtedcomtalksdrew_dudley_everyday_leadership
Halfer D and Graf E lsquoGraduate Nurse Perceptions of the Work Experiencersquo Nursing Economics June 2006 Vol 24 No 3 pp 150-55
National Nursing and Nurse Education Taskforce 2005 Mythbusters Available online at httpwwwnnnetgovaudownloadsmythbusters_attritionpdf Accessed June 2014
Arts amp Sciences | Business | Education | Health Sciences | Law | Medicine | Nursing amp Midwifery | Philosophy amp Theology | Physiotherapy
Your journey to a meaningful career awaitsThe School of Nursing amp Midwifery offers the following courses
rsaquo Bachelor of Nursing
rsaquo Bachelor of Nursing (Articulation Pathway for EN Diploma)
rsaquo Graduate Certificate (Acute Mental Health Clinical Nursing Nursing and Nursing Leadership amp Management)
rsaquo Graduate Diploma (Acute Mental Health Clinical Nursing Critical Care Nursing Forensic Nursing Midwifery Nursing and Perioperative Nursing)
rsaquo Master of Nursing (Coursework and Research)
Looking to make a difference So are we
Apply direct notredameeduau
ND
1053
| C
RIC
OS
PR
OV
IDE
R C
OD
E 0
1032
F
35
36
By Laurie Bickhoff MACN
Diary of a newly registered nurse
In Australia it is estimated nearly 20 of nurses will leave the profession within their first year of practice (National Nursing and Nurse Education Taskforce [NNNET] 2005) Internationally this figure ranges from between 35 and 60 (Halfer amp Graf 2006) Many have speculated on the reasons for this with high workloads the difficulties of shift work and unrealistic expectations of what nursing entails all given due consideration (Halfer amp Graf 2006) However as I entered my second year of practice I began to wonder what role disillusionment plays in this exodus of newly trained nurses
Disillusionment to me occurs when you feel your passion dwindling when you suddenly find it that little bit harder to get ready for work when you start feeling a sense of dread as you walk onto the ward This wasnrsquot caused by long hours or ever increasing workloads coupled with diminishing resources It wasnrsquot caused by physically demanding duties or the lack of a social life due to shift work It wasnrsquot caused by dealing with things that might not look or smell that great Unfortunately it was caused by the people around me and an almost institutionalised lack of power not only for nurses but more importantly for our patients
I was dismayed and frustrated to hear how many of my colleagues from all health professions referred to patients I was disheartened to see how easily some could dismiss the suffering we see and the heartache I felt I was overwhelmingly saddened to realise not everyone had the same passion for their profession or empathy for those we are charged to care for as I did
This culminated for me towards the end of my first year of practice There wasnrsquot any one big incident more an accumulation of things that were gradually wearing me down I had a worried patient confide in me that they had been too scared to push the call button on the previous shift because of the response they would receive from the nurse I saw patients constantly being made to fit into everyone elsersquos schedules regardless of their requests It seemed everyone was more important than the person we were there to help
I heard patients referred to as lsquocactusrsquo or described in the notes as lsquounsalvageablersquo meaning there was no chance of the patients making meaningful recoveries I wondered is this really how we refer to people Or did we forget they were actual human beings we were talking about
I had other health professionals dismiss me with comments such as nurses ldquojust wipe bums all dayrdquo or roll their eyes at me when I raised my concerns When I dared to challenge or question I was met with comments of ldquoI miss the old new gradsrdquo I felt tired washed out and was beginning to wonder
whether I could stay in this profession without losing myself
Luckily I found some inspiration I listened to a presentation by Drew Dudley a well-known American academic and motivational speaker where he discusses the idea of lsquolollypop momentsrsquo These are small moments when the people we see and work with every day demonstrate leadership They arenrsquot big grand over the top statements They are small gestures which often unknown to the person who did it have an amazing impact on the lives of others I was lucky enough to have some of these lollypop moments just when I needed them These few sparks were all that I needed to reignite my passion for nursing
The first spark came from an RN2 caring for a patient at the end-stage of a number of diseases who had expressed to the nursing staff multiple times her wish to simply be made comfortable as she knew this was the end of her fight Despite this the patient was not only receiving active treatment but was also currently documented for full resuscitation if she deteriorated
The nurse raised the issue with the medical registrar asking him to have a discussion with the patient regarding her wishes and planning end-of-life care The registrar dismissed her saying ldquowell thatrsquos not what the consultant wantsrdquo The nurse wasnrsquot satisfied and responded ldquoitrsquos not their choice itrsquos the patientrsquos decisionrdquo This nurse had the courage to stand her ground and make sure her patientrsquos voice was heard which ultimately led to the patientrsquos wishes being honoured
The next spark came soon after I was working with a nurse who came from a different cultural background to me where it was seen as impolite to question anyone in authority especially if you were female This meant even if a doctor was accidently standing in her way she would prefer to simply wait rather than ask them to move
Then one day we had a patient who deteriorated rapidly and was in a very critical condition This nurse suddenly became one of the best clinical leaders I have witnessed She led the team questioning orders prompting treatments suggesting causes and outlining the options available I soon realised the difference this was about her patient She was going to ensure her patient received the best care and outcome possible When it was about her patient rather than herself she found her voice
There were a number of smaller incidents that soon followed Sparks came from the senior consultant who re-educated her advanced trainee on the importance of listening to the nurses and acting on their concerns Sparks came from our ward social
34
worker who day after day demonstrated his passion for helping and advocating for those with no voice and often no options Sparks came from the medical residents who expressed their gratitude when you picked up a mistake and were heartfelt in their appreciation of the work nurses do
The brightest sparks came from my patients and their relatives It was their ldquothanksrdquo their ldquoyou donrsquot know how much that meansrdquo their ldquoyoursquoll be back tomorrow wonrsquot yourdquo their squeezing of my hand that reminded me why I do what I do I didnrsquot have to search for inspiration I was surrounded by it The trick was to change my focus
Perhaps all nurses are disillusioned at some point during their careers Perhaps it happens multiple times Perhaps it is a rite of passage with those who make it through the other side the
ones with a true passion for nursing who turn around and help a colleague on their journey
As I continue my nursing career I now look for the brightness that I know is always there far outshining the negativity that we have to deal with I stockpile my lsquolollypop momentsrsquo knowing the amazing examples of kindness and leadership I see every day will help me grow and become a better nurse and hopefully I might be able to be a spark for someone else
You can listen to Drew Dudleyrsquos talk at wwwtedcomtalksdrew_dudley_everyday_leadership
Halfer D and Graf E lsquoGraduate Nurse Perceptions of the Work Experiencersquo Nursing Economics June 2006 Vol 24 No 3 pp 150-55
National Nursing and Nurse Education Taskforce 2005 Mythbusters Available online at httpwwwnnnetgovaudownloadsmythbusters_attritionpdf Accessed June 2014
Arts amp Sciences | Business | Education | Health Sciences | Law | Medicine | Nursing amp Midwifery | Philosophy amp Theology | Physiotherapy
Your journey to a meaningful career awaitsThe School of Nursing amp Midwifery offers the following courses
rsaquo Bachelor of Nursing
rsaquo Bachelor of Nursing (Articulation Pathway for EN Diploma)
rsaquo Graduate Certificate (Acute Mental Health Clinical Nursing Nursing and Nursing Leadership amp Management)
rsaquo Graduate Diploma (Acute Mental Health Clinical Nursing Critical Care Nursing Forensic Nursing Midwifery Nursing and Perioperative Nursing)
rsaquo Master of Nursing (Coursework and Research)
Looking to make a difference So are we
Apply direct notredameeduau
ND
1053
| C
RIC
OS
PR
OV
IDE
R C
OD
E 0
1032
F
35
36
worker who day after day demonstrated his passion for helping and advocating for those with no voice and often no options Sparks came from the medical residents who expressed their gratitude when you picked up a mistake and were heartfelt in their appreciation of the work nurses do
The brightest sparks came from my patients and their relatives It was their ldquothanksrdquo their ldquoyou donrsquot know how much that meansrdquo their ldquoyoursquoll be back tomorrow wonrsquot yourdquo their squeezing of my hand that reminded me why I do what I do I didnrsquot have to search for inspiration I was surrounded by it The trick was to change my focus
Perhaps all nurses are disillusioned at some point during their careers Perhaps it happens multiple times Perhaps it is a rite of passage with those who make it through the other side the
ones with a true passion for nursing who turn around and help a colleague on their journey
As I continue my nursing career I now look for the brightness that I know is always there far outshining the negativity that we have to deal with I stockpile my lsquolollypop momentsrsquo knowing the amazing examples of kindness and leadership I see every day will help me grow and become a better nurse and hopefully I might be able to be a spark for someone else
You can listen to Drew Dudleyrsquos talk at wwwtedcomtalksdrew_dudley_everyday_leadership
Halfer D and Graf E lsquoGraduate Nurse Perceptions of the Work Experiencersquo Nursing Economics June 2006 Vol 24 No 3 pp 150-55
National Nursing and Nurse Education Taskforce 2005 Mythbusters Available online at httpwwwnnnetgovaudownloadsmythbusters_attritionpdf Accessed June 2014
Arts amp Sciences | Business | Education | Health Sciences | Law | Medicine | Nursing amp Midwifery | Philosophy amp Theology | Physiotherapy
Your journey to a meaningful career awaitsThe School of Nursing amp Midwifery offers the following courses
rsaquo Bachelor of Nursing
rsaquo Bachelor of Nursing (Articulation Pathway for EN Diploma)
rsaquo Graduate Certificate (Acute Mental Health Clinical Nursing Nursing and Nursing Leadership amp Management)
rsaquo Graduate Diploma (Acute Mental Health Clinical Nursing Critical Care Nursing Forensic Nursing Midwifery Nursing and Perioperative Nursing)
rsaquo Master of Nursing (Coursework and Research)
Looking to make a difference So are we
Apply direct notredameeduau
ND
1053
| C
RIC
OS
PR
OV
IDE
R C
OD
E 0
1032
F
35
36
36
