Communities across Australia rely on Registered Nurses (RNs) to provide primary care, acute care and aged care. They are skilled, capable and trusted healthcare practitioners often working in some of the most rural and remote parts of the country.
In March 2023, the Australian Government released the National Rural and Remote Nursing Generalist Framework 2023–2027. The Framework is a world first and describes the unique context of practice and core capabilities for rural and remote Registered Nurses in Australia.
As well as describing skills, capabilities and support needed by RNs, the Framework emphasises the importance of clinical decision-making judgement of the patient’s situation, culturally safe practice, collaboration, and partnerships with clients, families and communities.
The framework is for RNs who work in rural and remote locations across Australia, or are looking to relocate there. One such nurse who relocated is Clinton Archer, with Queensland Health, who was interviewed by Australian Health Journal for this segment.
Other ways the the Framework can be applied include:
- For Registered Nurses, mapping their development of the capabilities with a mentor, to develop from formative to proficient skill levels.
- For Educators and Education Providers, supporting individual skill development or curriculum based on the capabilities.
- Government, Organisations and Employers, using the Framework as a guide to grow and support the development of a skilled rural and remote RN workforce
The Framework was developed by the Office of the National Rural Health Commissioner and Australian Health Journal spoke with National Rural Health Commissioner, Adjunct Professor Ruth Stewart, and Deputy National Rural Health Commissioner – Nursing and Midwifery, Adjunct Professor Shelley Nowlan, on the importance of rural and remote nursing and of the Framework itself.
Important contributions and expertise of the members of the National Rural and Remote Nursing Generalist Framework Steering Committee (Steering Committee) led the Framework through its development and consultation. Steering Committee members represented the following organisations.
- Office of the National Rural Health Commissioner
- Australian Government Department of Health and Aged Care
- Australian and New Zealand Council of Chief Nursing and Midwifery Officers
- Australian College of Nurse Practitioners (ACNP)
- Australian College of Nursing (ACN)
- Australian Nursing and Midwifery Accreditation Council (ANMAC)
- Australian Nursing and Midwifery Federation (ANMF)
- Australian Primary Health Care Nurses Association (APNA)
- Congress of Aboriginal and Torres Strait Islander Nurses and Midwives (CATSINaM)
- Council of Deans of Nursing and Midwifery (CDNM)
- Council of Remote Area Nurses of Australia (CRANAplus)
- James Cook University
- Nursing and Midwifery Board of Australia (NMBA)
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Dr Anjali Jaiprakash, Robobiologist from Queensland University of Technology
Dr Anjali Jaiprakash is a robobiologist working at the intersection of medicine, engineering and design, with a transdisciplinary approach to develop medical devices that translate robotic vision into affordable systems that can be used to improve healthcare outcomes. Anjali has experience in the fields of medical robotics, medical device, orthopaedics, trauma, bone and cartilage biology. She spoke with Anne Dao following her talk “The Robot Doctor Will See you Now” at Australian Healthcare Week 2019.
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Awareness campaigns and HCP Toolkits for thyroid health
In 2021, the Australian Thyroid Foundation released analysis to show, well over 1 million Australian are living with an undiagnosed thyroid disorder, including thyroid cancer, lower IQs, lifelong disability, and a causal or possible contributory factor – in the development of other neurological disorders such as ADHD and autism. Some of the challenges for diagnosis and treatment can be addressed by producing material for health care practitioners during patient presentations.
‘Recent statistics show well over 1 million Australians are living with an undiagnosed thyroid disorder, awareness and testing can prevent unwarranted outcomes for mothers and their babies’ says ATF CEO Beverley Garside OAM
The Australian Thyroid Foundation has lodged a Pre-Budget Submission for the Federal Budget 2024-25 to counter increasing misinformation on social media creating dietary deficiencies such as an increasing number of young women, who are planning pregnancy or already pregnant opting for plant based milks such almond, soy or oat milk coffee as an alternative to standard cow’s milk, which is a source of iodine and alternate milks do not include.
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Dental and oral health care priorities for the elderly
In 2023, there are a number of changes occurring in dental services including the start of a new Senate inquiry and new registered nurses in residential aged care. Yet in the meantime there are gaps and delays in dental and oral health interventions for elderly Australians, unless training is more widely deployed.
Australian Health Journal spoke to Leonie Short, a dental therapist working for Seniors Dental Care Australia on what she considers are dental and oral health priorities for the elderly, based on her work in the aged, home and disability sectors.
