The rise and fall of public hospitals-based nurse training

Abstract

To evaluate the effectiveness of university-based nurse education compared to vocational training in preparing nurses for the future healthcare landscape.

Background: The shift from apprenticeship-based nurse training to university-based education in the  marked a significant change in the nursing profession. This transition also saw the abandonment of the two-tier structure of registered and enrolled nurses, leading to an all-graduate profession.

Results: While the move to university-based education aimed to enhance nursing education by integrating academic knowledge and technical skills, there are concerns regarding its impact on students and patient care. Students today face financial challenges, limited practice opportunities, and a potential loss of the sense of belonging that was prevalent in hospital-based training programs. Moreover, the academic environment may deter some individuals who cannot afford university fees or struggle to attain a degree. The specialization of courses may also contribute to workforce inflexibility.

Conclusions: The transition to university-based nurse education was a significant change, but its outcomes have raised questions about its effectiveness. This paper advocates for a reevaluation of the apprenticeship model, suggesting a hybrid approach that combines university input with generic training to better prepare nurses for the evolving healthcare needs.