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Hong Kong healthcare and hospitals
OpinionLetters

LettersGo beyond cash: empower Hong Kong nurses to offer specialty support in primary health care

  • Relief measures like the Specialty Nurse Allowance are welcome but short-sighted
  • Specialisation in nursing is a global trend. Hong Kong may learn from the experiences of the US and other developed nations, where nurse practitioners can provide high quality primary care and help reduce overall health care costs

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Nurses and other medical staff at a public hospital receive flowers from the Hong Kong Community Foundation on International Women’s Day. Four hospitals with the most coronavirus cases received 2,000 flowers in all, as a mark of appreciation to medical professionals fighting the outbreak. Photo: Handout
Letters
In recognising the expertise and contribution of specialty nurses in Hong Kong, the Hospital Authority recently announced a monthly allowance of HK$2,000 (US$258) for eligible registered nurses with recognised specialty qualifications serving in relevant clinical service areas in both the general and psychiatry streams.
We welcome this relief measure. The allowance will definitely address some of the frustrations of being overworked and underpaid. However, is that enough to support the professional development of specialty nurses? Can this measure effectively enhance the professionalisation and specialisation of nursing to support health care reform and sustainable health care development in the city?

To become a specialty nurse, one has to be extensively trained and well-educated on a par with international standards. Offering HK$2,000 per month to those who have completed a specialty nursing programme is less effective than creating career development opportunities for such nurses in Hong Kong. So far, a plan for reforming career pathways for specialty nurses in line with international practices, to address the city’s dynamic social and health care needs, has yet to be established.

Nurse consultants can be empowered to take up nurse practitioner roles if the related education programme, accreditation mechanism and practice framework are available

In view of today’s increasingly complex health care environment, relief measures such as the Specialty Nurse Allowance are rather short-sighted. We need a long-term plan for the professional and career development of specialty nurses, in which education is of prime importance.

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For specialty nursing education, Hong Kong may learn from the experiences of the United States and other developed countries, where nurse practitioners have proven effective in providing high quality primary care and reducing overall health care costs.

Nurse consultants in Hong Kong can be empowered to take up nurse practitioner roles if the related education programme, accreditation mechanism and practice framework are available. The Chinese University of Hong Kong has taken the initiative to incorporate nurse practitioner components into its Doctor of Nursing curriculum, but a more systematic approach to develop nurse practitioners needs the collaborative effort of the government, the profession and the education sector.

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With specialisation in nursing a global trend, nurses with higher education degrees and specialty qualifications will become the norm in the near future. Hong Kong should keep pace with the times.

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