The issue of nurse education and training in the context of providing a high-quality service for sick and small babies and their families is a paramount concern. As part of a large-scale study of neonatal nursing in the United Kingdom, data were collected on nurses' educational background, professional qualifications, experience, orientation, appraisal and update. The results reveal a qualification in specialty (QIS) rate for trained nurses of 53% and large variation not directly related to size or type of unit. The proportion of nurses having appraisal interviews (47% in the last year) and professional development plans (19%) was low and a clear gap existed between policy and practice. The implications of the findings are discussed and the need for management training, targeting of neonatal units with low QIS rates, and more flexible education programmes are emphasized.
Debate continues about the appropriateness of clinical experiences targeting aggregates in undergraduate community health nursing education. This paper describes a practical model to teach, through experience, the concepts of aggregate/community-centered practice at the baccalaureate level. As a voluntary alternative to the usual community assessment paper, groups of students worked in partnership with community groups to define health needs and to address one need. Sequential student groups focused the assessment and implemented a plan. The required time for each project varied. One project is described to illustrate the model. While independent community-centered practice is not expected of the B.S.N. graduate, the model described here develops comprehension of the concepts and process of such practice.
Dr. CAMERON, that as infectious diseases hospitals exist mainly for the benefit of the public, no charge should be made by central authorities to persons treated in them unless extra accommodation is desired. Dr. KAY~ (Huddersfield) said that they had succeeded in removing by voluntary efforts 91 per cent. of all infectious cases to the public hospital. A resolution was adopted, asking the Central Council to obtain a legal opinion respecting Clause 35 of the Factory and Workshop Act, the point being whether the Act is inoperative as to bakehouses where there are no persons era. ployed except members of the same family. On the motion of the PRESIDENT, a vote of thanks was accorded to the Mayor of Doncaster for his kindness in allowilag them to meet in the Mansion House. This concluded the business, a paper by Dr. J. Mitchell Wilson~ on "Baths, a Sanitary Necessity," being left over for future consideration.
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