This is an exciting and timely book. It describes how nurses are pioneering
complementary therapies within the medical system to give comfort and healing to
their patients. It is 40 years since I graduated from general nursing training at Prince
Henry’s Hospital Melbourne with deep disappointment about the medical model of
1960. Perhaps my greatest concern was that nurses had insufficient opportunity and
resources to give true caring to their patients.
Improving the skills of the clinical and public health workforces as well as the quality of care in the facilities where they work is essential to improving the health status of Indonesians. For this reason, much of the work supported by the USG cuts across the GHI targets, though often in the context of HIV, TB and MCH. In addition, at the heart of the GHI/Indonesia strategy is increased integration across all components of the portfolio.
Nightingale is one of the most famous women of all time. She
was greatly revered in her own lifetime and indeed for some
decades after her death she was a symbol of virtue and feminine
heroism. In recent decades all this has changed, and she has
been attacked from within the nursing profession, by medical doctors,
historians and other academics. Her contribution to the cause of
women has been challenged as well as her own character, relations
with women and even identification as a woman.
Midwife – Often, these practitioners are women with specialized knowledge in prenatal
care, birthing assistance and aftercare. The midwife may employ the use of massage, diets,
medicines and ritual, prayers and/or counselling. Traditional midwifery exists worldwide
and involves a variety of skills, often biophysical, but can also include spiritual and ritual
activity as well.
None of the specialized categories are solely exclusive; rather, they are often
interdependent and some practitioners may hold a number of specialized knowledges.
In Australia and New Zealand, there are three levels of nurse: Enrolled Nurse (EN), Registered
Nurse (RN) and Nurse Practitioner (NP), an RN with advanced education and training. Nursing
and midwifery qualifications are recognized between the two nations under the Trans Tasman
Mutual Recognition Agreement. Nurses and midwives represent around 50% of Australia’s
health workforce, though the availability of clinicians varies greatly in urban and remote areas.
New Zealand has a total nursing workforce of approximately 40,000 practicing nurses and nurse
Significant progress has been made in recent years in increasing the production of health workers and in
producing a multi-purpose nursing cadre that is able to perform both nursing and midwifery tasks.
Availability of data on the public sector health workforce has also improved. A comprehensive HRH
policy and strategy to address priority HRH constraints is in place, although its implementation needs to
improve. Another encouraging development is the recognition of the need for human resource
management and leadership training.