NURSE ADMINISTRATOR AS LIASION OFFICER BETWEEN EDUCATION &

CLINICAL SERVICE SECTORS

Sanjay Kumar KulchaniaASSO.PROF.

GNCON,DK

INTRODUCTIO

NWith the changing health care needs and

increasing complex health care requirements,

countries are giving considerable attention to

nursing education.

As a result nursing education has made rapid

qualitative advances, which intern is expected to

improve quality of nursing care as well as

nursing service.

HISTORICAL OVERVIEW OF LINKING

THEORY WITH PRACTICE:

In the early days nursing service and education were inter-oven

Students and role models both in the class room and at the bed side and patients were the beneficiaries

There was a well developed institutionalized linkage between schools and hospitals with systems for joined determination and formal approval of plans, policies and programmers schools of nursing were accountable for practice and likewise, nursing services were accountable for nursing education.

DICHOTOMY BETWEEN

THEORY AND PRACTICE:

Today with the development of separate universities

for nursing, the link between “working together” in

nursing service and education has nearly

disappeared

Over the past three decades, nursing education has

been pulled out of the hospitals almost completely

Teachers lost the opportunity to practice clinical

skills and gave up the responsibility for the quality

of care

The sepraration also created negative attitude

towards the two groups of nurses

CURRENT REALITY:

We have gained what we have aimed for, but we have lost what was good for patients

Nursing students given too little opportunity to develop their skill under the watchful, caring eye of expert practitioner

The educated nursing teachers are not accountable for the quality of nursing service, with little inclination to work co-operatively with physicians and little understanding of what really needs to be researched

On the other hand in the nursing service the practice is not as scientifically based, as it should be

IMPORTANCE OF LIASION BETWEEN

EDUCATION AND CLINICAL SERVICE:

To work together to promote the best possible

quality of nursing care

To enhance the learning climate for nursing

students and staff to ensure good role models of

quality nursing care and good learning

experiences

Close gap between available knowledge and its

application in nursing practice.

Nursing students are adequately and appropriately

prepared to meet the complex and changing

health care needs

COLLABORATIVE MODELS

FOR LIASION:

CLINICAL DEMONSTRATION UNIT: This model aims to

improve the quality of care through the

development of clinical demonstration units.

Such units are based in clinical settings. These

units are referred as nursing development units,

nursing clinical centers, model units and model

wards.

These units may have close links with other

units such as research and education but the

main focus is on developing nursing practice.

COLLABORATION IN INSERVICE/CONTINUING

EDUCATIONAL PROGRAMS MODEL:

Nurse experts providing assistance and guidance

to other care professionals through a process of

consultation and organizing staff developmental

program or actually conducting in service/

continuing educational courses

The nurse experts may also serve as a resource

person or consultant to staff functioning members,

managers or members, managers or

administrators

The aim is to further the education and functioning

of peer professionals there by having an indirect

impact on quality of patient care.

RESEARCHER PRACTITIONER

COLLABORATION MODEL :

The aim is to improve practice through research.

Research and the nurse clinicians share their

expertise

Nurses observation experience and hunches

provide the clinical perceptive and practice

knowledge of the setting while researchers

contribute skills of critical analyses, knowledge of

research methods and extra time and resources

for collecting data

SHARED TEACING AND SERVICE

RESPONSIBILITIES MODEL

The aim is to share responsibility for education

and practice. Joint appointment is the term that

is commonly used describe shared staffing

arrangements designed to promote the concept

of joint endeavor with inherent privileges and

responsibilities

. This may refer to full time teacher who are

involved in or we are responsible for, direct

patient care and full time nursing service staff

who are involved in teaching activity

SUGGESITVE METHODS FOR NURSING ADMINISTRATIONS TO IMPROVE

EXISTING WORKING RELATIONSHIPS BETWEEN NURSING EDUCATON AND

NURSING SERVICES

Develop a formal system of dialogue such as

joint committees for nursing education and

service personnel at all levels.

Arrange joint activities.

Invite for various academic/ social events

Allow interchange of careers between nursing

education and service, where possible.

Give recognition to both nursing services and

nursing education personnel for work in each

others spheres.

Conduct IPR (Interpersonal relationship)

workshops for nursing educators and service

personnel together.

Organize ward conferences, rounds for both the

nursing educators and service personnel.

Have staff conferences at the end of posting and

joint evaluation and assessment.

Encourage nursing tutors to have a dialogue with

ward sisters on learning objectives students and

specify role of each.

Encourage nursing tutors to involve ward staff

in clinical instruction.

Sensitize students to the positions and

responsibilities of team members.

Ensure that candidates for nursing tutor posts

have experience in service setting before

entering nursing education.

Encourage nursing education personnel to

keep up their practice status at all level ( such

as teachers excepting responsibilities for some

of patient care to keep in touch with clinical

work)

Involve senior staff from hospital:

-As guest lecturers.

-On curriculum committees .

-As examiners for students

- In student assessment.

Provide opportunities for academic

training for service staff.

Enables nursing service personnel to

conduct training workshops in clinical

skills with the help from nursing

education.