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Reframing Nurse Education in Rural Australia: Implications for Advancing Longitudinal Integrated Placements.

Debra Jones1,2, Giti Haddadan1,2, Moira Dunsmore2

  • 1University Department of Rural Health, Broken Hill, The University of Sydney, Broken Hill, NSW, Australia.

The Australian Journal of Rural Health
|April 8, 2025
PubMed
Summary

Longitudinal integrated placements in rural Australia provide final-year nursing students with comprehensive care experiences and foster connections. This approach enhances understanding of complex rural health issues, addressing critical workforce shortages.

Keywords:
clinical placementlongitudinal integrated placementsnurse educationnursing workforcerural curriculum

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Area of Science:

  • Rural Health
  • Nursing Education
  • Clinical Placements

Background:

  • Short-duration nursing placements often result in fragmented care experiences.
  • There is a need to enhance the rural nursing workforce to address critical shortages in Australia.

Purpose of the Study:

  • To explore the experiences of final-year pre-registration nursing students undertaking a longitudinal integrated placement in rural Australia.

Main Methods:

  • Descriptive qualitative study design.
  • Semi-structured individual interviews with 13 final-year nursing students.
  • Reflexive thematic analysis of interview transcripts.

Main Results:

  • Three themes emerged: Experiencing comprehensive care, Making connections, and Engaging with complexity.
  • Students gained exposure to comprehensive care, mitigating fragmented experiences.
  • Placements facilitated connections with peers, healthcare teams, and rural communities.

Conclusions:

  • Longitudinal integrated placements are crucial for developing competent rural nurses.
  • Findings emphasize the need to reframe national nursing workforce policy and clinical education.
  • Scalable, rurally embedded longitudinal integrated placements are essential for the future rural nursing workforce.