Professional care workforce: a rapid review of evidence supporting methods of recruitment, retention, safety, and education.

BACKGROUND: Across the care economy there are major shortages in the health and care workforce, as well as high rates of attrition and ill-defined career pathways. The aim of this study was to evaluate current evidence regarding methods to improve care worker recruitment, retention, safety, and education, for the professional care workforce. METHODS: A rapid review of comparative interventions designed to recruit, retain, educate and care for the professional workforce in the following sectors: disability, aged care, health, mental health, family and youth services, and early childhood education and care was conducted. Embase and MEDLINE databases were searched, and studies published between January 2015 and November 2022 were included. We used the Quality Assessment tool for Quantitative Studies and the PEDro tools to evaluate study quality. RESULTS: 5594 articles were initially screened and after applying the inclusion and exclusion criteria, 30 studies were included in the rapid review. Studies most frequently reported on the professional nursing, medical and allied health workforces. Some studies focused on the single domain of care worker education (n = 11) while most focused on multiple domains that combined education with recruitment strategies, retention strategies or a focus on worker safety. Study quality was comparatively low with a median PEDro score of 5/10, and 77% received a weak rating on the Quality Assessment tool for Quantitative Studies. Four new workforce strategies emerged; early career rural recruitment supports rural retention; workload management is essential for workforce well-being; learning must be contextually relevant; and there is a need to differentiate recruitment, retention, and education strategies for different professional health and care workforce categories as needs vary. CONCLUSIONS: Given the critical importance of recruiting and retaining a strong health and care workforce, there is an immediate need to develop a cohesive strategy to address workforce shortfalls. This paper presents initial evidence on different interventions to address this need, and to inform care workforce recruitment and retention. Rapid Review registration PROSPERO 2022 CRD42022371721 Available from: https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42022371721.

[Nursing and the elderly]. / Personnes âgées et soins infirmiers dans le monde.

Nurses have a decisive role to play with regard to the provision of care to populations and in particular the most fragile among them such as the elderly. The guarantors of the quality and the safety of care provided to the elderly, nurses must be at the heart of healthcare policies. An overview of the situation across the world.

Pyroglutamate-Aß 3 and 11 colocalize in amyloid plaques in Alzheimer's disease cerebral cortex with pyroglutamate-Aß 11 forming the central core.

N-terminal truncated amyloid beta (Aß) derivatives, especially the forms having pyroglutamate at the 3 position (AßpE3) or at the 11 position (AßpE11) have become the topic of considerable study. AßpE3 is known to make up a substantial portion of the Aß species in senile plaques while AßpE11 has received less attention. We have generated very specific polyclonal antibodies against both species. Each antibody recognizes only the antigen against which it was generated on Western blots and neither recognizes full length Aß. Both anti-AßpE3 and anti-AßpE11 stain senile plaques specifically in Alzheimer's disease cerebral cortex and colocalize with Aß, as shown by confocal microscopy. In a majority of plaques examined, AßpE11 was observed to be the dominant form in the innermost core. These data suggest that AßpE11 may serve as a generating site for senile plaque formation.

The role of RCNA in promoting transcultural nursing as a discipline of study, research, practice and management in Australia.

Royal College of Nursing, Australia has supported the development and growth of transcultural nursing in Australia for well over a decade. The College's leadership role has been evident on a number of fronts with events, publications and national networking opportunities for nurses who share a passion for furthering the principles and practice of transcultural nursing. This paper traces the journey of transcultural nursing in Australia from the perspective of the College, beginning with its role in forming the Transcultural Nursing Society in the 1990s. Achievements are highlighted, as well as continuing work over the intervening years, demonstrating the involvement and leadership of the College in Australia, in this important area of nursing practice. With increasing complexity in the ethnic profile of Australia's society, it is of ongoing relevance for the College to promote transcultural nursing as a discipline of study, research, practice and management in this country.

Contradictions in the concept of professional culpability.

Increasing recognition of adverse events in health care is wide spread. Implementing improved system arrangements, which prevent adverse events taking place rather than focussing on individual culpability is increasingly being recognised as a more effective preventative strategy. But does such a perspective mean individual health practitioners remain accountable for their practice? This article explores the philosophical, psychological and professional contradictions inherent in attempting to understand where the responsibility for our actions lies and concludes by arguing that while the case for the system approach to adverse event reduction is strong, the notion of individual professional culpability needs to be maintained.

Nursing culpability: a proposal for change in nursing regulation.

Nurses make mistakes. They work in a complex environment which can sometimes be a contributory factor to a mistake being made. At present, Nurses' Boards in Australia have no mandate to investigate the circumstances in which a mistake is made. Their jurisdiction is limited to investigation of the individual nurse. This article sets out the argument for change in nursing legislation to allow for a broadening of the role of Nurses' Boards. It argues that an extension of their jurisdiction explicitly to allow them to investigate inadequacies in the health system would be a constructive development.