4.5 Review

The community nurse in Australia. Who are they? A rapid systematic review

期刊

JOURNAL OF NURSING MANAGEMENT
卷 30, 期 1, 页码 154-168

出版社

WILEY
DOI: 10.1111/jonm.13493

关键词

community health; nursing; primary health care; public health; workforce

资金

  1. South Western Sydney Local Health District
  2. Western Sydney University

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This study examined the profile of community nurses in Australia, revealing issues such as inadequate workforce planning, inconsistent data definitions, and lack of understanding of specific aspects of community nursing work. It suggests a global urgent need for nurse managers to focus recruitment on the community sector to maintain quality and ensure sustainability of the nursing workforce.
Aim: This study aimed to profile the community nurse in Australia. Background: The need for nurses in the community health care sector is increasing in response to shorter hospital stays, an aging population and chronic disease. The increase in demand has not been followed by appropriate workforce planning, leading to structural issues and lack of qualified nursing workforce in the community sector. Evaluation: MEDLINE and ProQuest Public Health and grey literature were searched for records published between 2010 and 2020 relative to the profile of the community nurse in Australia. Twenty-five records (21 publications, 2 databases and 2 reports) were included in the review. Abstracted data followed the principles of workforce planning and included demographics, qualifications and roles. Key Issues: Inconsistent definitions, self-reported data and a focus on practice nurses have contributed to data irregularities. Little is known about the specific aspects of community nursing work. Conclusion: A lack of concrete data has overshadowed a community nursing workforce crisis with implications for patients' health and safety across the lifespan. Implications for Nursing Management: There is urgent need for nurse managers globally to refocus nursing recruitment to the community sector to maintain quality and ensure sustainability of the nursing workforce.

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