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Stacy Leidel works with Curtin university students on clinical placement at Revive Group and Mobile GP. Many nurse practitioners continue working in their previous nursing roles because their employers cannot or choose not to create new roles for them - and there’s never enough funding.
They progressed through the ranks, from registered nurse to the promotional roles of clinical nurse, clinical nurse specialist, or clinical nurse consultant.
It’s now clear, a decade after the first nurse practitioners graduated, that this model is unworkable. Nurse practitioners who practice in subspecialities find it difficult or impossible to move into other specialties; most simply have no option to transfer their employment without starting over at the bottom of the heap.
At the same time, young, hardworking and academically talented nurses are not admitted to university nurse practitioner courses simply because they haven’t reached a certain level on the pay scale (as if their career progression were completely under their control). With this level of frustration and dysfunction among nurse practitioners, students, aspiring nurse practitioners, educators, regulators and employers, it’s hard to defend the status quo. University-based nurse practitioner courses should be centred around a broad knowledge base that would allow nurse practitioners to be primary care providers.
They may undertake further training to specialise, but the primary care door would never close.
Younger nurses should be allowed to choose the nurse practitioner role early in their careers; they shouldn’t be forced to the sidelines based on a subjective hierarchy. And regulatory and accrediting agencies must abandon their emphasis on subjective interpretations of advanced practice. Accreditors should value nurse practitioner courses that provide more clinical hours and rigorous primary care content.
In my role as a lecturer and nurse practitioner course coordinator, I emphasise to students that the role is about meeting the health needs of Australians, not about meeting their needs for career progression or status.
But the current system doesn’t work for nurse practitioners or the people who need their care.


Frontline nurses say their views on nursing policy is often overlooked because policymakers do not recognise the importance of their clinical experience.
Pedorthics (ped-or-thiks) is the health profession that specialises in the assessment and treatment of the foot and lower limb problems using customised footwear,orthotic devices and shoe modifications.
Modification to Birkenstock sandals to correct the alignment of the arch for Plantar Fasciitis and heel pain.
Women’s High Heeled Fashion Shoes modified to prevent pressure & damage to metatarsal bones when applying pressure while standing or walking on the ball of the foot.
Not only are pedorthic techniques used to alleviate foot problems but small modifications can be made to any shoe to help prevent a problem developing. We use a Creative Commons Attribution NoDerivatives licence, so you can republish our articles for free, online or in print. They diagnose and treat health conditions, order and interpret blood and radiology tests, and prescribe medications.
In Australia, they could be too - if only the nurse practitioner career path were less problematic. And newly qualified nurse practitioners struggle to get their employers to value their contribution to health services.
Aside from a small number of remote area nurses who were “grandfathered” into the role when it was in its infancy, the vast majority of nurse practitioners worked their way up a traditional career path. This often decades-long process required the nurse to stay in one area of specialty, and in some cases, in the same ward, for many years. They can be denied endorsement by the Australian Health Practitioner Regulation Agency simply because they can’t meet a subjective definition of “advanced practice”, which is based on their current employment, even after completing a master’s level course. This means that all nurse practitioners would be able to transfer among different jobs, bringing their expertise to meet health needs wherever they may be. Their youth would allow them to provide nurse practitioner-level care for a few decades longer than the original cohort.


What’s the use of having a university course for nurse practitioners, if endorsement depends on the applicant’s current rung on the employment ladder? A qualification exam could also enforce a minimum level of general knowledge and competence required to practice safely as a nurse practitioner.
To do this, they need the support of employers, education providers, accreditors, regulators, and the trailblazing nurse practitioners who came before them. It is not intended as a substitute for medical professional help or advice but is to be used only as an aid in understanding current knowledge about homeopathy and scabies. Scabies® treatment will effectively fight against parasites that burrow in your skin rapidly, safely and effectively. Scabies® solution heals you while treating the root cause of the mite infestation and provides relief. Scabies® homeopathic scabies soap cleanses and protects your skin to prevent future infections.
Scabies is the most recommended FDA-registered, natural and homeopathic scabies treatment that has highest but safest concentration of sulfur to get rid of scabies permanently. When a metatarsal dome support is put into the shoe as shown above, it decreases the pressure and encourages the toes to remain spread correctly when walking to support body weight and posture. Health care professionals should always be consulted for any health problem or medical condition. Scabies Treatment formulas are officially monographed in the "Homeopathic Pharmacopoeia of The United States.



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