AEJNE Volume 2 Number 1
June 1996

Editorial

Reflections while clearing out the filing cabinet

I'm not sure if it goes with the turf, but I have a history of accumulating paper. Specifically paper with information that I once thought invaluable to me and my teaching. The downside to such a past is that the paper will not of its own free will leave. And so it came to be that I found myself re-examining and saying goodbye to a filing cabinet draw full of material that was 10 to 15 years old. Outdated and irrelevant mostly. Yet amongst such archives can riches be found.

So it was that some old assignments from my undergraduate days caught my eye. They were about power and control in the curriculum process; about the things that (then) constrained educational choices at both the macro (curriculum development) and the micro (instructional planning) levels. In reading these again I reflected on what has changed. When those essays were written nursing was still a hospitable based certificate program. In this state the curriculum was dictated by external registering bodies. The medical view of "illth" was clearly supreme.

Now, nursing is a preregistration bachelor level program throughout Australia. There is greater variation in the emphasis across curriculums. Yet it seemed to me that perhaps nurses do not yet have the program they want. Despite the alleged "freedom" of Universities nursing curriculums still must be approved by registering bodies who dictate what "outcomes / domains" they expect to be demonstrated. Financial constraints determine both the length of the pre-registration programs and the parameters of clinical programs. Nursing remains discriminated against when other health professional programs are compared. The immediate demands of "service needs" may be diluted to some extent, but tension continues within the profession as to what a graduate "should be able to do".

The medical dominance of our programs may have been lessened, but power and control is not yet ours.

Peter Cleasby

PS. Special thanks to my co-editor John Stevens for his support and efforts for this edition.

Volume 2 - No. 1

© 1997 Peter Cleasby | School of Nursing and Health Administration | pcleasby@csu.edu.au | ISSN