The rise and fall of university-based nurse training. 2021

Edward Purssell, and Niall McCrae
University of London, 1 Myddleton Street, London EC1V 0HB, UK. Electronic address: edward.purssell@city.ac.uk.

OBJECTIVE To consider the future of nurse education and the merits of a university-based course versus vocational training. BACKGROUND In the 1990s nurse training in the United Kingdom moved from an apprenticeship model to a university-based education. At about the same time, the two-tier structure of registered and enrolled nurses was abandoned, leading to an all-graduate profession. METHODS Opinion paper METHODS: Leave blank. RESULTS Nursing is primarily a humanistic endeavour, requiring interpersonal as well as academic knowledge and technical skills. We argue that the move into universities has not served recruits (and patients) as well as intended. Students today are financially worse off than their predecessors, have fewer practice opportunities, and often lack the sense of belonging that existed when training was hospital-based. The academic environment is a deterrent to some who cannot afford fees or who would struggle to attain a university degree. Branch-specific courses have produced an inflexible workforce. CONCLUSIONS The move from practice to universities was a bold approach, but it has failed. We urge a revised apprenticeship model, with university input and generic training.

UI MeSH Term Description Entries
D004508 Education, Nursing, Baccalaureate A four-year program in nursing education in a college or university leading to a B.S.N. (Bachelor of Science in Nursing). Graduates are eligible for state examination for licensure as RN (Registered Nurse). External Degree Programs, Nursing,Nursing Education, Baccalaureate,Baccalaureate Nursing Education,Baccalaureate Nursing Educations,Education, Baccalaureate Nursing,Educations, Baccalaureate Nursing,Nursing Educations, Baccalaureate
D006113 United Kingdom Country in northwestern Europe including Great Britain and the northern one-sixth of the island of Ireland, located between the North Sea and north Atlantic Ocean. The capital is London. Great Britain,Isle of Man
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000078329 Workforce The number of people working or available for work or service. Human Resources,Labor Supply,Manpower,Staffing,Womanpower,Human Resource,Labor Supplies,Manpowers,Staffings,Supply, Labor,Womanpowers,Workforces
D014495 Universities Educational institutions providing facilities for teaching and research and authorized to grant academic degrees. University

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