Integrating primary and secondary care--continuing education for acute and community nurses

The current emphasis on shorter hospital stays and increased care in the community has led to a greater focus on integration of patient care between primary and secondary health care settings. The module which is discussed in this paper aims to address the knowledge gaps of trained nurses, enabling them to understand current changes in health care in order to enhance their practice. Flexibility in pre-registration education allows for incorporation of this new knowledge as changes occur. A situational analysis approach was used to inform the curriculum, and wide consultation took place with service providers in both hospital and community. The resulting first module addresses care in the community, influences on patient/client's health experience, current social policy and local initiatives in response to legislation, and role of carers. Assessment takes the form of a client profile. To date evaluation of the module has been extremely positive and the curriculum planning team are developing a more practice focused second module which will address skills It is hoped that knowledge gained from both modules will enhance practice and form an initial preparation for secondary care nurses wishing to move into the community.