'Back to the bedside': graduate level education in critical care.
The need for post registration education for nurses practising at specialty level in critical care environments is widely acknowledged in nursing and educational literature. There is also clear consensus that the ultimate aim of educational preparation and practice development is to improve the delivery of nursing care to patients who are critically ill and provide support for their families. Yet the 'right' approach to educational delivery and evaluation is less clear and stimulates considerable debate amongst nursing educators, care providers, learners and regulatory bodies. The need for critical care nurses to apply advanced knowledge and technical skills to complex and dynamic practice situations necessitates the development of critical thinking and a problem-solving approach to clinical practice that can be fostered through education and experience. This paper explores the relationships within teaching, learning and practice development in critical care nursing and questions the popular assumption that 'post graduate (Master's level) education fits all'. Discussion focuses on the successful development and implementation of graduate level education for critical care nurses in the South Island of New Zealand and how this development is challenging existing approaches to the provision and evaluation of formal critical care education in New Zealand.
Hardcastle
Jane E
JE
Graduate Studies in Nursing, School of Nursing, Christchurch Polytechnic Institute of Technology, City Campus, Madras Street, P.O. Box 540, Christchurch 8015, New Zealand. hardcastlej@cpit.ac.nz
D001291:Attitude of Health Personnel; D002983:Clinical Competence / Q000592:standards; D003422:Critical Care / Q000379:methods*; D004511:Education, Nursing, Graduate / Q000379:methods / Q000592:standards*; D006801:Humans; D007362:Intensive Care Units / Q000458:organization & administration*; D020380:Needs Assessment; D009520:New Zealand; D015402:Nursing Education Research; D009741:Nursing Staff, Hospital / Q000523:psychology / Q000600:supply & distribution; D015397:Program Evaluation; D013041:Specialties, Nursing / Q000193:education; D000078329:Workforce