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Nursing applications remain high, as Andrews promises $5k bonus

By Melissa Cunningham and Adam Carey
Read more of our Victoria’s Agenda coverage on the health system.See all 17 stories.

Victorian universities have already received more than 33,000 applications to study nursing next year, mostly from year 12 students, in a sign that interest in the profession continues to grow despite the COVID-19 pandemic stretching nurses unlike ever before.

The latest application figures from the Victorian Tertiary Admissions Centre reveal universities had received a total of 33,060 applications for nursing by last Friday, more than one month before VCE results will be known, and almost two months before most university offers will be made.

Nursing remains a popular choice for tertiary study among Victorian year 12 students.

Nursing remains a popular choice for tertiary study among Victorian year 12 students.Credit: Justin McManus

The fresh figures come as Premier Daniel Andrews vowed graduate nurses and midwives who entered Victoria’s struggling public system over the next year would receive a $5000 sign-on bonus if the Andrews government was re-elected on November 26.

“You’ll receive a $5000 sign-on bonus to say thank you for choosing public patients in public hospitals,” Andrews said on Wednesday morning.

The premier also announced a $150 million package to boost nurse-to-patient ratios in acute units, as well as midwifery ratios on night shift, and the trial of a new neonatal support nurse in maternity wards, which have been hit by severe shortages.

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While the announcement has been welcomed by medical groups and unions, some warn not enough is being done to retain existing nursing staff, as hospitals continue to grapple with a severe workforce crisis following a mass exodus of experienced healthcare workers.

Australian College of Critical Care Nurses Victorian president Rose Jaspers said mandating ratios would make a “massive difference” in improving the workload of intensive care nurses, who were often short-staffed during shifts and managing more than one seriously ill patient at a time. The ratios would mandate one patient per nurse in ICU.

Jaspers said hospitals continued to “haemorrhage” nurses and severe shortages had left staff struggling to fill rosters.

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That was a sentiment shared by the Australian College of Nursing’s national director of professional practice, Linda Davidson, who welcomed the $5000 payment for new nurses, but warned “it doesn’t help the nurses already in the system who have been through a horrific couple of years”.

Instead, Davidson said the governments should be focusing on support and professional development for nurses already in the system.

The extent of the nurse shortage in Victoria is difficult to quantify. Many remain on the books, but have cut back their hours dramatically because of  burnout from the pandemic. Others have left the hospital system altogether and are working in other parts of the health sector.

Australian Nursing Federation state secretary Lisa Fitzpatrick said the proposed ratios would allow more workers to take up flexible hours and address major concerns such as the number of midwives working overnight.

Opposition Leader Matthew Guy was asked on Wednesday if he would match the government’s commitments, and said the Coalition had its own plan to fix the healthcare system and staff shortages.

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“We’ve got our own health commitments, our commitments are clear, the commitments that are achievable, they are affordable,” Guy said.

“The government is making health announcements two weeks before a state election. They’ve had eight years to do all these things.”

Deakin University has received the highest number of nursing applications with 8217, followed by Monash with 5177, La Trobe with 5025 and the Australian Catholic University with 4490.

The figures are comparable to last year’s applications data at this time of the year, which indicates that although nursing remains one of the most popular fields of study, the offer of a free degree has not yet triggered a spike in interest.

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In August, the Andrews government promised to subsidise the HECS debt of more than 10,000 nursing and midwifery students. The pledge, limited to new domestic students, was to pay students $9000 while studying and a further $7500 if they work in Victorian public health services for two years.

Fees for nursing had already been cut by 45 per cent last year in an effort to attract more school-leavers into nursing, to a maximum student contribution of $3985 a year.

Universities cannot simply increase the number of nursing places they offer in response to demand, but must demonstrate to the Australian Nursing & Midwifery Board that enrolled students will be able to complete mandatory work placements as part of their studies.

Last year, the board introduced an exemption to the rule for students who could not complete their full allotment of placement hours due to COVID-19. The exemption is due for review at the end of 2022.

La Trobe University had recorded a 4 per cent increase in nursing applications at its Melbourne campus and a 12 per cent increase at regional campuses.

“This is the second highest demand for nursing courses via VTAC for nursing since 2015,” a university spokesperson said.

“We welcome any initiative to increase interest in nursing and each year the university seeks to enrol students up to its accredited capacity.”

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Original URL: https://www.smh.com.au/link/follow-20170101-p5bwtm