Undergraduate pre-registration nursing education in Australia: a longitudinal examination of enrolment and completion numbers with a focus on students from rural and remote campus locations

Introduction: There is much evidence to indicate a shortage of Registered Nurses (RNs) in Australia and to suggest that the shortage may be more pronounced in rural and remote locations. Attracting RNs to work in rural and remote areas may not be as simple as increasing the intake of students into university undergraduate pre-registration nursing courses. There is some evidence indicating that student nurses may be more likely to enter the nursing workforce in rural and remote locations if they have existing associations with rural and remote areas and/or their undergraduate education provides opportunities to undertake supported placements in rural and remote settings. Two important difficulties have been associated with measuring outcomes in relation to rural and remote pre-registration nursing students. One is defining what constitutes a rural or remote location and the other is suspect data on the number of nursing students enrolled in, and completing, nursing courses. The aims of this study were to provide a longitudinal profile of the number of domestic students studying and completing undergraduate pre-registration nursing courses in Australia, with a particular emphasis on identifying those at rural and remote university campuses, and to compare results across States and Territories.
Method: This study presents the combined findings from two investigative reports. Data on undergraduate pre-registration nursing student numbers were collected via electronic survey instruments completed by staff at all Australian educational institutions offering undergraduate pre-registration nursing education programs in 2001 and 2002. Australian domestic students were the focus of this study. Data included the total number of domestic students enrolled in undergraduate pre-registration nursing courses in 2001 and 2002, the number of domestic students who successfully completed courses in 1999, 2000 and 2001, and estimates for the number expected to complete in 2002. Surveys were sent to course coordinators or other staff nominated by heads of divisions of nursing at each institution.
Results: There was a 100% response rate. Twenty-four rural and remote campus locations were identified using an adjusted form of the Rural, Remote and Metropolitan Areas (RRMA) classification system. The Australian Capital Territory and the Northern Territory did not have any rural or remote campus locations. In contrast, undergraduate pre-registration nursing in Tasmania was offered at a rural campus only (for the first 2 years). From 2001 to 2002, there was an increase of just over 5% in the total number of domestic students enrolled in undergraduate pre-registration nursing courses in Australia (2002 total = 22 811 students). Rural and remote location students accounted for slightly more than 25% of these students in 2001, and almost 27% in 2002. The States Victoria, New South Wales and Queensland had the highest percentage of students enrolled at rural and remote campus locations, greater than the Australian average for both years. In contrast, South Australia and Western Australia had less than 11% of students enrolled at rural and remote campus locations for each year. Total undergraduate pre-registration course completions increased by approximately 16% across Australia between 1999 (n = 4868) and 2002 (n = 5667), although for 2002, the figure was projected. Of these total course completions, the percentage of students completing at rural and remote campus locations increased from almost 23% to nearly 28% during the same period. Of the States/Territories with both metropolitan and rural/remote campus locations, only Victoria and Queensland had more than 25% of their total student completions consisting of students enrolled at rural and remote campus locations for each year. In contrast, South Australia and Western Australia had approximately 6% of student completions consisting of students enrolled at rural and remote campus locations in 1999, increasing to approximately 12% projected for 2002.
Conclusion: In this study, the authors attempted to improve the accuracy of data collection in relation to the number of domestic undergraduate pre-registration nursing students in Australia, which is representative of the potentially new Australian domestic RN workforce. There was a trend towards an increasing number of students being enrolled in undergraduate pre-registration nursing courses, and also toward an increasing number of course completions. From the perspective of the rural and remote RN workforce, the percentage of students enrolled and completing courses at rural and remote campus locations was found to be increasing. However, there may be some areas of concern for education and workforce planners in States and Territories that are providing a smaller percentage of their undergraduate pre-registration nursing courses in rural and remote areas. Several study limitations are discussed and suggestions made for future research.

Building registration: training and housing quality

The lack of attention to quality control by house builders has been a contentious issue for more than three decades. In an attempt to improve the quality of housing, various mechanisms have been adopted and discarded by industry-based organizations and government legislation. Now that registration of builders has been achieved (since 1995) the regulating authority, the Building Commission have placed the maintenance of standards from registered builders at the forefront of their priorities. The provision of suitable training and continuing professional development programs is likely to receive greater attention over the next few years. However, a key factor that is often overlooked in the debate on quality of house construction is the use of subcontract labour by both, registered builders and owner builders. The repetitive nature of some activities ensures that tacit knowledge within the subcontract system becomes an integral part of house construction. Research by the authors into defects in housing has provided some interesting analyses from the statistic collected. This paper analyses the incidence of defects over a number of years in a range of functional elements within the house envelope and presents the results. Particular attention is paid to the incidence of defects where the licensed trades are involved compared to the non-licensed trades and elements. This work suggests where housing defects are likely to occur and the authors suggest that appropriate educational resources may be directed to areas where it will be most effective and beneficial. The authors propose a more integrated and inclusive approach.

A survey of rural nurses and post registration tertiary education

Explores the participation in tertiary education by registered nurses in a rural city. The impact of tertiary education for nurses who are already registered has been poorly investigated in Australia. The main barriers to future study included family commitments, financial concern, lack of available time and a belief that tertiary study lacked relevance,

3D sparse feature model using short baseline stereo and multiple view registration

This paper outlines a methodology to generate a distinctive object representation offline, using short-baseline stereo fundamentals to triangulate highly descriptive object features in multiple pairs of stereo images. A group of sparse 2.5D perspective views are built and the multiple views are then fused into a single sparse 3D model using a common 3D shape registration technique. Having prior knowledge, such as the proposed sparse feature model, is useful when detecting an object and estimating its pose for real-time systems like augmented reality.

The evolution of national level historic district registration and conservation in China: the Beijing Yandaixiejie and Beijing Guozijian districts in Beijing, China

From the 1980s, Chinese experts from some mainland universities, such as Tongji Universtiy in Shanghai and Tsinghua University in Beijing, commenced research into heritage management and historic architectural conservation in China. With the announcement of the First and Second Lists of 10 Chinese Historic and Cultural Districts in 2009 and 2010, the conservation of historic districts was generally received and elevated in agreements from state-level government to local level governments. This paper considers literature about international and Chinese regulations and presents the evolution of historic district conservation in China. The paper explores the effective and ineffective results of the “Selection Contest of Chinese Top 10 Historic and Cultural Districts” in two cases selected from the First and Second Lists of 10 Chinese Historical and Cultural Districts during upon recent research and investigations. In each example, the paper provides a detailed examination of public awareness and their evaluation of conservation effectiveness through questionnaires.

National nursing registration in Australia : a way forward for nurse practitioner endorsement

Purpose : The move to national registration of health professionals and the creation of the Nursing and Midwifery Board of Australia (NMBA) provides both challenges and opportunities for the regulation of nurse practitioners (NPs) in Australia.

Data sources : National and state health policy documents, accessible on the Internet, concerning the regulation and endorsement processes for NPs in Australia were examined.

Conclusions : The similarities between two of the previous jurisdictional NP endorsement processes in New South Wales and Victoria provide a common ground on which to build a robust national system. However, there are also key differences between these two states. These differences were mainly in the evidence required to assess competency of NP applicants and the authority to prescribe medications. All Victorian NP applicants were required to complete an approved medication subject at a master's level.

Implications for practice : A consistent endorsement process that delivers NPs of the highest standard and allows for efficient use of their skills and expertise is vital. This needs to be performed with the aim of providing high-quality care in a regulatory environment that protects the public and clearly articulates the level of competence expected of all NPs.

Estimating fatality rates in occupational light vehicle users using vehicle registration and crash data

Objective: To estimate occupational light vehicle (OLV) fatality numbers using vehicle registration and crash data and compare these with previous estimates based on workers' compensation data. Method: New South Wales (NSW) Roads and Traffic Authority (RTA) vehicle registration and crash data were obtained for 2004. NSW is the only Australian jurisdiction with mandatory work-use registration, which was used as a proxy for work-relatedness. OLV fatality rates based on registration data as the denominator were calculated and comparisons made with published 2003/04 fatalities based on workers' compensation data. Results: Thirty-four NSW RTA OLV-user fatalities were identified, a rate of 4.5 deaths per 100,000 organisationally registered OLV, whereas the Australian Safety and Compensation Council (ASCC), reported 28 OLV deaths Australia-wide. Conclusions: More OLV user fatalities were identified from vehicle registration-based data than those based on workers' compensation estimates and the data are likely to provide an improved estimate of fatalities specific to OLV use. Implications: OLV-use is an important cause of traumatic fatalities that would be better identified through the use of vehicle-registration data, which provides a stronger evidence base from which to develop policy responses.

International sex offender registration laws : research and evaluation issues based on a review of current scientific literature

In many jurisdictions, anyone convicted of a sexual offense is required to register with police, often for life. Nine different countries have now implemented sex offender registries in an attempt to protect the public from the perceived threat posed by sexual offenders. Yet such laws have been criticized as being overly inclusive, tying up limited law enforcement resources to track many offenders who pose little risk of sexual reoffending. This paper considers the available research evidence relevant to the effectiveness of such laws for the deterrence of sexual offending and the investigation of sex crimes. It is concluded that significant gaps persist in our knowledge of whether existing laws effectively reduce sexual offending or reoffending and that large-scale, well-designed studies of the impact of sex offender registration on rates of offending, the collateral consequences to offenders and their families, and the costs of such laws are needed.

Efficient and accurate set-based registration of time-separated aerial images

This paper addresses the task of time-separated aerial image registration. The ability to solve this problem accurately and reliably is important for a variety of subsequent image understanding applications. The principal challenge lies in the extent and nature of transient appearance variation that a land area can undergo, such as that caused by the change under illumination conditions, seasonal variations, or the occlusion by non-persistent objects (people, cars). Our work introduces several major novelties (i) unlike previous work on aerial image registration, we approach the problem using a set-based paradigm; (ii) we show how image space local, pair-wise constraints can be used to enforce a globally good registration using a constraints graph structure; (iii) we show how a simple holistic representation derived from raw aerial images can be used as a basic building block of the constraints graph in a manner which achieves both high registration accuracy and speed; (iv) lastly, we introduce a new and, to the best of our knowledge, the only data corpus suitable for the evaluation of set-based aerial image registration algorithms. Using this data set, we demonstrate (i) that the proposed method outperforms the state-of-the-art for pair-wise registration already, achieving greater accuracy and reliability, while at the same time reducing the computational cost of the task and (ii) that the increase in the number of available images in a set consistently reduces the average registration error, with a major difference already for a single additional image.

Evaluating a standardised clinical assessment tool for pre-registration midwifery students: a cross-sectional survey of midwifery students and midwives in Australia

Abstract
Background: Assessment of clinical competence is a core component of midwifery education. Clinical assessment tools have been developed to help increase consistency and overcome subjectivity of assessment.
Aim: The study had two main aims. The first was to explore midwifery students and educators/clinical midwives’ views and experiences of a common clinical assessment tool used for all preregistration midwifery programmes in Victoria and the University of South Australia. The Second was to assess the need for changes to the tool to align with developments in clinical practice and evidence-based care.
Methods: A cross-sectional, web-based survey including Likert-type scales and open-ended questions was utilised.
Setting: Students enrolled in all four entry pathways to midwifery at seven Victorian and one South Australian University and educators/clinical midwives across both states.
Findings: One hundred and ninety-one midwifery students’ and 86 educators/clinical midwives responded.
Overall, students and educators/clinical midwives were positive about the Clinical Assessment Tool with over 90% reporting that it covered the necessary midwifery skills. Students and educators/clinical midwives reported high levels of satisfaction with the content of the learning tools. Only 4% of educators/clinical midwives and 6% of students rated the Clinical Assessment Tool as poor overall. Changes to some learning tools were necessary in order to reflect recent practice and evidence.
Key conclusions and implications for practice: A common clinical assessment tool for evaluating midwifery students’ clinical practice may facilitate the provision of consistent, reliable and objective assessment of student skills and competency.

Groupwise registration of aerial images

This paper addresses the task of time separated aerial image registration. The ability to solve this problem accurately and reliably is important for a variety of subsequent image understanding applications. The principal challenge lies in the extent and nature of transient appearance variation that a land area can undergo, such as that caused by the change in illumination conditions, seasonal variations, or the occlusion by non-persistent objects (people, cars). Our work introduces several novelties: (i) unlike all previous work on aerial image registration, we approach the problem using a set-based paradigm; (ii) we show how local, pairwise constraints can be used to enforce a globally good registration using a constraints graph structure; (iii) we show how a simple holistic representation derived from raw aerial images can be used as a basic building block of the constraints graph in a manner which achieves both high registration accuracy and speed. We demonstrate: (i) that the proposed method outperforms the state-of-the-art for pair-wise registration already, achieving greater accuracy and reliability, while at the same time reducing the computational cost of the task; and (ii) that the increase in the number of available images in a set consistently reduces the average registration error.