Faculty of Education - Theses
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ItemClinical congruence : where graduate nurse clinical reality meets organisational clinical requirements( 2004)In the mid 1980s, education associated with the requirement for registration as a Nurse in the State of Victoria moved from a hospital-based system into the university setting. This move brought with it many and varied requirements for change within the health care setting. The students of nursing were now no longer a part of the workforce, they were transient visitors in the patient care setting with very specific clinical requirements to be met; and they were there for less time! This research project is not about whether this change in preparation should have occurred. It is well accepted amongst the profession that this was necessary to raise the status of the nursing professional. We now have registered nurses with a primary degree in nursing or health science. The question here however, is what clinical capacities do the newly graduates and registered nurses have when they enter the clinical workforce, and what clinical capacities are required by the health care institutions that are employing them. Have these institutions an accurate and realistic knowledge of the clinical capacities of the newly graduated registered nurses they employ? This research concentrated on the self-perceived and reported clinical capacities of newly graduated registered nurses as they entered the clinical environment and the clinical capacities required by the clinical areas that employed them. Clinical congruence was then measured between these two sources. The findings demonstrated that in a supported environment, where graduates can expect and receive clinical support and mentorship, clinical congruence:is likely to be achieved. However, in an environment where clinical skills are required to be undertaken at an unsupervised level, there were a significant number of distinct clinical skills for which the graduates report unpreparedness. Graduates and Nurse Managers alike agreed that increased clinical experience during the undergraduate preparation time is optimal, but the universities indicated that the fiscal and chronological constraints of a three-year degree program, in an environment where there is a cost incurred for the clinical experience, is difficult to achieve. This research demonstrates, in a tangible way, the need for a supported Graduate Transition Program to facilitate the consolidation and / or achievement of clinical competency for the graduates as they enter the workforce. This support will assist in ensuring the maintenance of a dynamic nursing workforce into the 21st century to meet the needs of the Victorian community at a time when it is most vulnerable during the period of ill health.
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ItemSupporting teacher learning through professional learning teams( 2004)The Professional Learning Team (PLT) is a relatively new concept that has appeared on the educational horizon in the past decade. Indeed they have drifted to the foreground as the impact of PLTs within schools has gained momentum with the emergence of major systemic projects. This research examines this impact in the light of one such project, the Early Numeracy Research Project (ENRP), and the way that teachers learn in a collegial environment. In analysing the data, I have attended statewide and cluster meetings, interviewed individual teachers and focus groups of PLTs in three schools that were part of the ENRP. I have identified seven aspects that emerged as integral to the work and sustainability of PLTs. These emergent themes are interdependent and each one provides an insight and link to the central theme of teacher learning. Teachers are challenged to change when they are engaged in new ways of teacher practice. Projects that are clearly defined and are linked to system and school goals provide a framework for this change and learning to be generated. Professional learning requires scaffolding that is braced together by communal reflection, sound professional and personal relationships and internal and external support. Leadership that is distributed throughout the membership and is supportive ensures that facets of PLTs can cohere together and maintain a sustainable future. The findings in my research demonstrate that teachers are receptive to the inception and maintenance of PLTs in their schools. However, I raise other possibilities in my conclusions that take PLTs beyond their initial purpose and scope within systemic projects. The evidence is irrefutable that�PLTs provide opportunities for teachers to learn in a safe and collegial atmosphere and that the outcomes of this teacher learning impacts favourably on students.