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Although the nursing profession is a large occupational group and a major part of the National Health Service, surprisingly little is known about the demand for and supply of nurses. Current demographic trends, however, have ensured that a traditional “easy in/easy out” model of recruitment and retention, with high wastage rates during and after training, is being replaced by the idea that nurse education is a valuable and expensive investment and trained nurses must be encouraged to view nursing as a life‐time career. In 1988 there was considerable media interest in shortages of skilled nurses. A number of factors are examined, relevant to assessing whether there are such shortages. In particular, the demand for nurses, manpower and financial aspects of supply, recruitment and retention, and skill mix are considered. Two groups of nurses in which there are said to be shortages are briefly discussed: paediatric intensive care and community mental handicap and mental illness nurses.

The concept of the paper is how the library can be a useful framework for designing nurses' computer skills. The overarching aim of the research is to focus on how the computer skills involved in nurses' increasing access to health informatics can be used to improve nursing practice, consequently leading to better health care delivery. The objectives involved in achieving this aim include: finding out the level of nurses' computer literacy; finding out nurses' quest for electronic information for problem‐based nursing practice; investigating nurses' level of awareness of research‐based nursing practice; and finding out areas of desirability of informatics in nursing practice.

The measuring instrument used was a self‐administered questionnaire to senior nursing cadres in the Teaching Hospitals Complex, Ile‐Ife, Nigeria. There were 230 nurses in these categories, of whom 180 were given questionnaires to fill in. The questionnaire was pre‐tested and validated. A total of 167 copies were returned and found to be usable. Simple percentages and a summation weighted index were used to analyse the data.

The paper provides empirical insight into nurses' computer skills and the library's role. The majority of the respondents did not have knowledge of computers; in the School of Nursing they learned it through various means while practising, while a few could access and retrieve information from the available databases. Some difficulties were expressed, such as workload, lack of skills, location of the library with regard to the hospital, etc. The desirability of the introduction of health informatics to the profession is high.

The study is limited to a teaching hospital and the results may not be generalisable to non‐teaching hospitals, hence the need for further studies.

The impact of health informatics on nurses' computer skills and the library's role will save nurses from routine work, enhance their productivity, and will equip them better for the challenges that information technology presents for health professionals.

This paper fulfils and identifies the need to introduce health informatics to nursing practice in order to improve patient care.

This paper describes how psychosocial interventions (PSI) have been integrated into an undergraduate mental health nursing programme. The first part of the paper provides the broad context of PSI in nurse education and justifies the need to incorporate skills for PSI into the undergraduate nursing curriculum. A variety of educational theories and research are presented, which have informed the development, structure and delivery of the skills programme underpinned by PSI into the undergraduate programme. The successes and limitations of this skills programme are considered in light of the key issues and challenges concerning the integration of PSI skills into undergraduate nursing education.

The lack of critical thinking in new graduates has been a concern to the nursing profession. The purpose of this study was to investigate the effects of an innovative, evidence-based skills fair intervention on nursing students' achievements and perceptions of critical thinking skills development.

The explanatory sequential mixed-methods design was employed for this study.

The findings indicated participants perceived the intervention as a strategy for developing critical thinking.

The study provides educators helpful information in planning their own teaching practice in educating students.

The purpose of this paper is threefold. First, this paper documents an analysis of mentorship models within the profession of nursing from the 1940s onward. From this analysis, the author was able to categorize the evolution of mentorship models within nursing. Second, this paper identifies four specific contemporary challenges within nursing which relate directly to mentorship. Last, this paper attempts to place a nursing student peer mentorship model in context to best understand how it can benefit the profession of nursing and help address the four identified contemporary challenges within nursing.

The theoretical, philosophical, and research roots that have shaped and informed mentorship models in nursing are examined. The strengths and limitations of nursing mentorship models are analyzed in relation to contemporary challenges in nursing education and practice with a focus on undergraduate peer mentorship. This was achieved through a comprehensive literature review that examined mentorship in nursing from approximately 1940 to the present.

Since Nightingale’s time, five specific mentoring models have been created and adapted within the nursing profession. The five mentorship models identified within this paper are most prevalent within current and previous nursing mentorship literature and demonstrate how models within nursing have evolved from those positing a relatively paternalistic relationship to those favoring more collaborative and reciprocal relations between mentor and mentee. Further, it is argued in this paper that a nursing student peer mentorship model can assist in addressing four challenges which currently face the profession of nursing. These four challenges (which are prevalent in nursing literature) are mentoring as a professional responsibility, projected nursing shortages, communication in nursing, and the development of critical thinking skills.

A limitation of this paper includes the fact that, despite the many challenges facing the profession of nursing today, this paper focuses on only four identified challenges. As it is impossible for one paper to address all of the contemporary challenges which face nursing today, as articulated below, this paper addresses four identified challenges because they relate to mentorship, nursing education, and nursing practice.

Providing opportunities for nursing students to participate in a peer mentoring relationship assists future nurses and the profession as a whole by generating tangible benefits. These benefits include an exposure to theories and models of mentorship and skills to help them fulfill their future professional responsibility of mentoring, development of relationships and skills that can increase both nurse and student retention, and improved communication and critical thinking skills. Last, this study can help nursing schools to identify and work with theories and models of mentorship that will improve their ability to stimulate critical thinking among their students.

This paper fills a gap in the literature by providing an analysis of the theoretical, philosophical, and research roots that have shaped and informed mentorship models in nursing from the 1940s onward. This analysis suggests that student peer mentorship may be the most effective model to address these four challenges in nursing: mentoring as a professional responsibility, projected nursing shortages, communication in nursing, and the development of critical thinking skills. This paper has the potential to make a timely contribution to the global debate regarding mentoring across the healthcare professions.

The issue of workforce planning in nursing is explored. The problem of nurse shortages and how this might be met are addressed. The concept of skill mix in nursing is discussed and the ramifications clarified. It is noted that the most effective means of dealing with workforce planning is not by applying complex systems designed by others but by involving the staff themselves in solving the problem. The importance of making nursing staff feel valued is stressed. A case study outlining the development of quality cycles in an elderly persons′ unit is described.

This paper aims to explain how and why the philosophical changes to the pre-registration nursing standards by the UK’s Nursing and Midwifery Council (NMC) have resulted in a paradigm shift for mental health nursing.

This paper critically examines the changes to nursing education standards and offers an analysis of the problems associated with the shift towards a generic nursing syllabus.

The said shift prioritises physical health intervention, skills, procedures and tasks over the uniqueness of mental health nursing.

This paper argues that mental health nursing skills and qualities such as connection, genuine advocacy and therapeutic-use-of-self have been undervalued and under-represented by the new education standards.

This paper calls on the profession and service users to join the discourse and inform future mental health nursing identity. Ultimately, this paper calls on the NMC to reconsider the underpinning principles of the education standards and allot due consideration to the specific needs of the mental health nursing profession.

A Psychiatric Intensive Care Unit (PICU) and or High Dependency Unit (HDU) is a locked, intensive treatment facility available to people experiencing acute psychiatric distress. For many people who access public mental health services in Australia, the PICU/HDU is the primary point of admission, and should represent and facilitate timely assessment and an optimum treatment plan under a recovery framework. Nurses are the largest health discipline working in this specialty area of care. The paper aims to discuss these issues.

A qualitative study aimed to investigate the skills, experience, and practice, of nurses working in the PICU/HDU in relation to a recovery model of care. Identifying how nurses provide care in the PICU/HDU will inform a clinical practice guideline to further support this specialty area of care. Four focus groups were facilitated with 52 registered nurses attending.

The nurse participants identified specific skills under four distinct themes; Storytelling, Treatment and recovery, Taking responsibility, and Safeguarding. The skills highlight the expertise and clinical standard required to support a recovery model of care in the PICU.

The research findings highlight urgency for a National PICU/HDU clinical practice guideline.

A PICU/HDU practice guideline will promote the standard of nursing care required in the PICU/HDU. The PICU/HDU needs to be recognised as a patient centred, therapeutic opportunity as opposed to a restrictive and custodial clinical area.

Providing transparency of practice in the PICU/HDU and educating nurses to this specialty area of care will improve client outcome and recovery.

Very few studies have explored the skills, experience, and practice, of nurses working in the PICU/HDU in relation to a recovery model of care. A dearth of research exists on what is required to work in this specialty area of care.

The purpose of this paper is to provide an empirical basis for considering in-service training, tenure prolongation and continuing education as methods for enhancing nursing performance.

A self-reported questionnaire was used to collect data from 532 nurses, who were selected using the simple random sampling method from ten hospitals in Accra North, Ghana. Confirmatory factor analysis (CFA) was used to test the study’s hypotheses.

The resulting model is of good fit at 5 per cent significance level (χ²=1.492, p=0.222), with in-service training found to be the ultimate method for enhancing nursing performance. The fitted CFA model also shows that in-service training is positively associated with education and tenure at 1 per cent significance level (p<0.001). The overall evidence suggests that training, continuing formal education and tenure prolongation are methods for improving nursing performance.

Apart from its contribution to the literature, this study applies validated primary data to empirically identify key methods for enhancing nursing performance.

Recent New Zealand reports have identified the nursing workforce for its potential to make a significant contribution to increased productivity in health services. The purpose of this paper is to review critically the recent and current labour approaches to improve nursing productivity in New Zealand, in a context of international research and experience.

An examination of government documents regarding productivity, and a review of New Zealand and international literature and research on nursing productivity and its measurement form the basis of the paper.

It is found that productivity improvement strategies are influenced by theories of labour economics and scientific management that conceptualise a nurse as a labour unit and a cost to the organisation. Nursing productivity rose significantly with the health reforms of the 1990s that reduced nursing input costs but impacts on patient safety and nurses were negative. Current approaches to increasing nursing productivity, including the “productive ward” and reconfiguration of nursing teams, also draw on manufacturing innovations. Emerging thinking considers productivity in the context of the work environment and changing professional roles, and proposes reconceptualising the nurse as an intellectual asset to knowledge‐intensive health organisations.

Strategies that take a systems approach to nursing productivity, that view nursing as a capital asset, that focus on the interface between nurse and working environment and measure patient and nurse outcomes are advocated.

The paper shows that reframing nursing productivity brings into focus management strategies to raise productivity while protecting nursing and patient outcomes.