PubMed · 15501113
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Edward M Kwasnik. 2004. Accountability - the fourth "A".. https://doi.org/10.1016/j.jamcollsurg.2004.07.012
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BACKGROUND: Recent European policies emphasise that the training and education of health professionals are a major means of improving mental health services. Little comparative research has been undertaken to ascertain the degree of homogeneity in the training of nurses working in mental health settings across Europe. OBJECTIVE: The aim of this study was to investigate the training of nurses working in mental health settings in a range of European countries. Specifically, information regarding criteria for entry into training, type of qualification awarded and further training opportunities was to be explored. METHODS AND PARTICIPANTS: A specially designed questionnaire was designed to gather data from senior mental health nurses working in the mental health field in a sample of 12 countries from across Europe. RESULTS: Findings disclosed considerable disparity between countries in respect to nurse training, with few countries requiring a specialist nursing qualification to practice in the mental health field. There appears to be little homogeneity in terms of educational provision pre and post-qualification. CONCLUSIONS: More research is needed into how European states deliver nurse training and education, how students are prepared for various practice settings and the effect on outcomes for service users of different models of training.
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This article takes the position that the current shortage of clinical placements may be creating problems, but it can also be seen as an opportunity to reconsider the design of students' clinical experiences and the goals to be attained. It begins with a description of paradoxes in professional education. The following sections examine some of the considerations which need to be incorporated in the development of clinical placements and the way they are incorporated into health care courses. The considerations germane to clinical placement development include social participation in clinical settings, communities of learning, and consumer-centred inter-professional collaboration.