ORCID Profile
0000-0003-3578-2498
Current Organisations
University of Tasmania
,
Charles Sturt University
,
Charles Darwin University
,
Australian Catholic University Aquinas
,
James Cook University
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Publications
Exploring social workers’ personal domains in rural practice
Publisher: SAGE Publications
Date: 21-02-2011
Abstract: • Summary: This article is grounded on Cheers, Darracott, and Lonne’s (2007) framework for conceptualizing the factors that influence rural social care practitioners in their work. Focusing on the ‘personal domain’ we report results of qualitative interviews with 22 social workers who were part of a larger s le of 82 Australian rural social practitioners. As part of the larger study, practitioners were asked how they defined social care, whether they practised it and if so how, factors influencing their practice, and the information bases they used. • Findings: Analysis of the social work interviews identified that the personal domain had considerable influence on their day-to-day practice. Five themes emerged describing the personal domain: ‘life experiences’, ‘beliefs and values’, ‘ideas and theories’, ‘personal relationships’, and ‘personal characteristics’. We call for further research to conceptualize the domain more clearly, identify factors within it, and investigate how they influence practice, with special focus on how social workers’ personal moral-ethical frameworks influence their practice decisions. • Application: Opening space to explore the personal domain challenges social work practitioners and students to critically reflect on how their life experiences, beliefs and values, ideas and theories and personal relationships and characteristics influence their practice. It also provides practitioners, employers, and professional organizations with knowledge they need to help social workers cope with the demands of practice.
Rural nursing and midwifery workforce: Sustaining and growing our future workforce
Publisher: Wiley
Date: 24-09-2009
The decision-making processes adopted by rurally located mandated professionals when child abuse or neglect is suspected
Publisher: Informa UK Limited
Date: 04-2012
DOI: 10.5172/CONU.2012.41.1.58
Abstract: The reporting of suspected child abuse and neglect is a mandated role of medical doctors, nurses, police and teachers in Victoria, Australia. This paper reports on a research study that sought to explicate how mandated professionals working in rural Victorian contexts identify a child/ren at risk and the decisions they make subsequently.
Understanding the Context of Providing HIV Prevention and Treatment in Papua New Guinea
Publisher: SAGE Publications
Date: 15-11-2010
Abstract: The HIV epidemic in Papua New Guinea is now described as a generalized epidemic that is, more than 1% of people aged 15 to 49 years are infected with HIV. The in idual behavior of people is not the single most important factor that places them at risk of infection and drives the spread of the epidemic. Rather, a erse range of factors—biological, sociocultural, and political—makes people vulnerable to infection and dictates their access to care and treatment services. This article examines these biological, sociocultural, and political influences on the HIV epidemic and on prevention and treatment strategies in Papua New Guinea.
ABNORMAL PAP TEST RESULTS AND THE RURALITY FACTOR
Publisher: Wiley
Date: 04-2003
DOI: 10.1046/J.1440-1584.2003.00464.X
Abstract: To review the published socio-cultural determinants that put women in rural areas at greater risk of having an abnormal Pap test result. Literature review. An Australian woman is at increased risk of developing cervical dysplasia if she lives in a rural area, identifies as an Indigenous Australian or is from a non-English speaking country. Being aged over 50 years, increases the risk of cervical cancer but not cervical intra-epithelial neoplasia (CIN) 1, which peaks in the 20-24 year age group. Other connections with cervical dysplasia relate to a woman or her partner's sexual history, her nutritional status and possibly even her personality type. Smoking, social isolation, high negative life change events and having lived a 'troubled' life are all identified in the literature as increasing a woman's risk of having an abnormal Pap test result. Receiving an abnormal Pap test result often leads to feelings of fear, anxiety, guilt, shock, vulnerability, powerlessness, depression, shame and feeling dirty for the woman concerned. Compounding these negative feelings are social, practical and financial difficulties that have to be addressed. It is argued that social and medical models of health must complement each other to improve the well being of rural women experiencing an abnormal Pap result.
Self-management activities in diabetes care: a systematic review
Publisher: CSIRO Publishing
Date: 2013
DOI: 10.1071/AH13060
Abstract: Objective To identify the range of self-management activities people diagnosed with diabetes engage in to manage their disease, the frequency of use, and whether self-management practices change over time. Methods A systematic review of the literature was undertaken. Thirty-two studies identified through electronic databases met the inclusion criteria and were included in the review. Results The study found that people living with diabetes undertake regular self-management activities and that compliance with medication regimes is high. Adherence, however, varied with respect to blood glucose testing, diet, physical activity and foot care. Levels of physical activity were not found to change over time. Evidence suggests that some people with diabetes modify their self-management practices in response to factors such as holidays. Conclusions The review suggests that the majority of people with diabetes self-manage, although there is variation in adherence to key self-management activities. How self-management practices change over time and whether this impacts on health outcomes is an area for future research. What is known about the topic? Self-management is key to diabetes control however, many papers have described adherence as variable. Although there is a growing body of knowledge on adherence to self-management strategies, the question of whether self-management practices change over time has not been explored. What does this paper add? This review found that adherence to medication regimes was highest of all self-management strategies, whereas considerable variation exists for self-monitoring of blood glucose, dietary changes, physical activity and foot care. The findings suggest that adherence varies under special circumstances however, the question of whether self-management practices change over time remains unanswered. What are the implications for practitioners? Continued efforts are necessary to promote awareness of the importance of diabetes self-management and adherence to regular self-care.
What are the information needs of Chinese breast cancer patients receiving chemotherapy?
Publisher: Elsevier BV
Date: 09-2004
Nurses’ Experiences and Perceptions of Hourly Rounding: A Private Australian Catholic Hospital Single Case Study
Publisher: ClinMed International Library
Date: 05-06-2019
Becoming willing to role model. Reciprocity between new graduate nurses and experienced practice nurses in general practice in New Zealand: A constructivist grounded theory
Publisher: Elsevier BV
Date: 06-2013
DOI: 10.1016/J.COLEGN.2012.03.009
Abstract: Graduate nurses in general practice became a feature of New Zealand's health care system in 2008 following an expansion of the New Entrant to Practice Programme. General practice in New Zealand comprises general practitioner business owners who employ nursing and administration staff. Practice nurses are an ageing workforce in New Zealand, it is imperative therefore to attract younger nurses into general practice. This paper reports a section of the findings from a constructivist grounded theory study which examines the use of information by practice nurses in New Zealand. Initially data were collected using the ethnographic technique of observation and field notations in one general practice. Theoretical sensitivity to the value of role models was heightened by this first phase of data collection. A total of eleven practice nurses were interviewed from six general practices. One practice nurse agreed to a second interview five of the interviewees were new graduate nurses and the other six were experienced practice nurses. The grounded theory constructed from this research was reciprocal role modelling which comprises the following three categories, becoming willing, realising potential and becoming a better practitioner. Graduate nurses and experienced practice nurses enter into a relationship of reciprocal role modelling. Becoming willing, the first core category of this grounded theory features three sub-categories: building respectful relationships, proving yourself and discerning decision making which are reported in this paper. Findings from this study may address the reported phenomenon of 'transition shock' of newly graduated nurses in the work place.
Researching with young people as participants: Issues in recruitment
Publisher: Informa UK Limited
Date: 04-2014
Primary maternity care reform: Whose influence is driving the change?
Publisher: Elsevier BV
Date: 10-2012
DOI: 10.1016/J.MIDW.2011.08.004
Abstract: in 2009 the Australian government announced a programme of reform that will change the way maternity services have traditionally been delivered. A shift to a primary maternity care model has occurred despite strong challenges from medicine and a general public that has embraced high technology in all aspects of life including childbirth. a critical analysis was undertaken for the purpose of identifying discourses that have influenced the direction of the Australian maternity care reform agenda. within a critical discourse analysis framework data were collected from state, territory and commonwealth government policy documents, and selected written submissions from national key stakeholder organisations to the National Review of Maternity Services 2008. three discourses influencing the direction of the reform are described, these include the following: 'Australia is one of the safest place to give birth or to be born, but not for everyone' 'maternity care is primarily about mothers and babies, not about the service or the health professionals' and 'government must ensure provision of safe and sustainable maternity services'. the Australian government has strong support for the primary maternity care reform backed by a strong key stakeholder alliance involving consumers, midwives and rural doctors. On the contrary to the position of the key stakeholder alliance, the obstetric position has been unable to provide government with solutions to escalating costs and workforce deficits in the delivery of safe and sustainable maternity services. Consumers, rural doctors, midwives and government all agree on the need to safeguard excellent safety and quality standards whilst at the same time reducing high levels of medical intervention and providing options for care in a reformed maternity service designed to meet the needs of all Australian women.
Mandatory continuing professional education: What is the prognosis?
Publisher: Elsevier BV
Date: 09-2011
DOI: 10.1016/J.COLEGN.2011.03.001
Abstract: Each year registered nurses apply for registration renewal The Nursing and Midwifery Board of Australia stipulate all nurses and midwives are expected to take responsibility and accountability for participating in continuing professional development (CPD) as a declaration that their practice is current, safe and competent. The code of professional conduct and Australian Nursing and Midwifery Council (ANMC) competencies governing registered nurses and midwives, outline the professional and personal responsibility nurses hold in order to maintain clinical competence which may be achieved through continuing nurse education and professional development. As the health care industry shifts focus to keep up with changes in technology, economics, demographics and culture, the nursing profession must respond accordingly. With the implementation of a national registration scheme in Australia, this paper provides a review of the literature relating to mandatory CPD and how CPD may assist nurses to respond to the changing needs of the health care system and its consumers, to ensure the best possible health outcomes. Suggestions of possible avenues of research into the concept of CPD are also offered.
Australian rural remote registered nurses' experiences of learning to provide antenatal services in general practice: A pilot study
Publisher: Wiley
Date: 22-07-2010
An action research approach to practice, service and legislative change
Publisher: RCN Publishing Ltd.
Date: 11-2013
DOI: 10.7748/NR2013.11.21.2.8.E330
Abstract: To describe the action research approach taken to engage a multidisciplinary group of health professionals and managers from five rural health services with government officers in redesigning their emergency care services and informing legislative change. The diminishing size of the medical workforce across rural Victoria in Australia captured the Victorian state government's attention when this threatened the sustainability of emergency care services in rural and remote hospitals in 2006. The government funded the collaborative practice model pilot between 2006 and 2008 to develop and test an alternative model of emergency care service in which nurses practised at a more advanced and autonomous level. Data were sourced from a combination of interviews, focus groups and patient records. Qualitative data were analysed using convergent interview and thematic analysis. Quantitative data were analysed using frequencies and cross tabulations. The three critical success factors owing to action research are presented. It provided a politically safe approach to service, policy and legislative change, ensured collaboration permeated the endeavour and helped to shift the focus from a technical to an emancipatory approach to action research. Action research was key to the success achieved by the participants in changing clinical practice, service delivery and the Victorian Drugs Poisons and Controlled Substances Act (1981) to authorise registered nurses to supply medicines. This paper offers an approach that nurses in practice, management and government can take to drive changes at practice, service and legislative levels in advanced nursing practice.
Work and personal well‐being of nurses in Q ueensland: Does rurality make a difference?
Publisher: Wiley
Date: 12-2015
DOI: 10.1111/AJR.12206
Abstract: This study aims to ascertain if differences exist in the perception of the professional practice environment and personal well-being of nurses across different geographical areas in Queensland. This paper was performed on a prospective, self-report cross-sectional on-line survey. The study was conducted among the nurses employed in public and private health care settings: acute hospitals, community health and aged care in Queensland, Australia. Participants of this study were 1608 registered and enrolled nurses and assistants in nursing, current members of the Queensland Nurses Union in 2013 and who provided a workplace postcode. One thousand eight of these participants worked in major cities, while 382 in rural locations and 238 in remote areas. None. Scores of well-being as determined by the following scales: the Depression, Anxiety and Stress Scale, the Professional Quality of Life Scale version 5, the Connor-Davidson Resilience Scale and of the Professional Practice Environment using the Practice Environment Scale - Nursing Work Index Revised. Nurses employed in major cities perceived 'nursing foundations for quality care' more favourably than those from other settings. Remote area nurses had lower levels of secondary traumatic stress than nurses in major cities and rural areas. There was no difference between nurses across their geographical locations for stress, anxiety, depression, compassion satisfaction, burnout, resilience and the four other measures of the Practice Environment Scale. The study findings provide new data suggesting that, with the exception of secondary traumatic stress, the personal well-being of nurses does not differ across geographical settings. Similarly, with the exception of the subscale of 'nursing foundations for quality care' there was no difference in perceptions of the professional practice environment. As secondary traumatic stress is associated with burnout, this finding needs to be investigated further.
The impact of nursing leadership and management on the control of HIV/AIDS: An ethnographic study
Publisher: Informa UK Limited
Date: 10-2012
DOI: 10.5172/CONU.2012.42.2.247
Abstract: This paper reports on an aspect of a larger ethnographic study that sought to investigate the impact of HIV/AIDS on the practice of primary care nurses in Jordan. Nursing leadership and the style of management adopted by senior nursing and medical administrators at the Ministry of Heath were identified as factors impacting on the practice of the nurses and their capacity to raise community awareness and contribute to the prevention and control of HIV/AIDS. The study was undertaken in three rural and three urban primary health care centres (PHCC). Data collection included participant observation, key informant interviews, and document analysis. These data informed the development of descriptive ethnographic accounts that allowed for the subsequent identification of common and ergent themes reflective of factors recognized as influencing the practice of the nurse participants.
Hidden costs associated with the universal application of risk management in maternity care
Publisher: CSIRO Publishing
Date: 2011
DOI: 10.1071/AH10919
Abstract: This paper presents a critical analysis of risk management in maternity care and the hidden costs associated with the practice in healthy women. Issues of quality and safety are driving an increased emphasis by health services on risk management in maternity care. Medical risk in pregnancy is known to benefit 15% or less of all pregnancies. Risk management applied to the remaining 85% of healthy women results in the management of risk in the absence of risk. The health cost to mothers and babies and the economic burden on the overall health system of serious morbidity has been omitted from calculations comparing costs of uncomplicated caesarean birth and uncomplicated vaginal birth. The understanding that elective caesarean birth is cost-neutral when compared to a normal vaginal birth has misled practitioners and contributed to over use of the practice. For the purpose of informing the direction of maternity service policy it is necessary to expose the effect the overuse of medical intervention has on the overall capacity of the healthcare system to absorb the increasing demand for operating theatre resources in the absence of clinical need. What is known about this topic? Australia is experiencing an increase in unexplained caesarean section births in healthy populations of women at a time when risk management is an accepted practice in maternity care irrespective of clinical need. The effect of this increase on health services has been cushioned in the belief that caesarean section is cost neutral when compared with uncomplicated vaginal birth. What does this paper add? This article shows that caesarean section is not cost neutral when compared with uncomplicated vaginal birth. Hidden costs in terms of serious morbidity affecting women’s future health and fertility associated with caesarean delivery in the absence of medical risk need to be calculated into the overall cost burden. Practitioners have been misled in this regard, thereby contributing to overuse of the practice. What are the implications for practitioners? The importance of changing the index measurement of safety and quality of maternity care to include serious morbidity following unexplained caesarean section birth rates and normal births.
Sifting, sorting and saturating data in a grounded theory study of information use by practice nurses: A worked example
Publisher: Wiley
Date: 26-11-2012
DOI: 10.1111/IJN.12007
Abstract: The terminology used to analyse data in a grounded theory study can be confusing. Different grounded theorists use a variety of terms which all have similar meanings. In the following study, we use terms adopted by Charmaz including: initial, focused and axial coding. Initial codes are used to analyse data with an emphasis on identifying gerunds, a verb acting as a noun. If initial codes are relevant to the developing theory, they are grouped with similar codes into categories. Categories become saturated when there are no new codes identified in the data. Axial codes are used to link categories together into a grounded theory process. Memo writing accompanies this data sifting and sorting. The following article explains how one initial code became a category providing a worked ex le of the grounded theory method of constant comparative analysis. The interplay between coding and categorization is facilitated by the constant comparative method.
Closing the gap in Indigenous health inequity – Is it making a difference?
Publisher: Wiley
Date: 03-2018
DOI: 10.1111/INR.12436
Abstract: This paper will review progress towards the identified targets within the Australian government policy document commonly known as 'Closing the Gap' and examine the role of nurses in supporting its implementation. Australia is not alone in seeking to address the health inequity between Indigenous and non-Indigenous people. Globally such health inequities are similar and require interventions supported by governments in conjunction with health and education systems to affect desired change. For this reason, it is timely to undertake a review of progress on the impact of the Closing the Gap initiative. The Australian national partnership agreement and subsequent annual performance reports issued between 2010 and 2017. Targets set within the Australian government national partnership agreement have had a range of success. Those targets not on track require significant long-term investment to ensure their success. Nurses as a large professional group are powerful advocates to speak up and support policy change that affects disempowered social groups. Long-term social change takes time, yet without the commitment of Australian Governments through effective policy and economic support, the inequity in the health of Indigenous people will continue both now and in the future. Nurses, as the largest health professional group, are uniquely placed to support and implement social change at all levels of health care (primary, secondary and tertiary) and to lobby government to amend policy alongside those who are disempowered. Health promotion and education programmes that are led by nurses can make an impact to health disparities within groups who are most at risk.
Seeking knowledge, discovering learning: Uncovering the impetus for baccalaureate nursing studies in Malaysian Borneo
Publisher: Wiley
Date: 06-2009
Grounded theory: a methodological spiral from positivism to postmodernism
Publisher: Wiley
Date: 28-03-2007
DOI: 10.1111/J.1365-2648.2007.04228.X
Abstract: Our aim in this paper is to explain a methodological/methods package devised to incorporate situational and social world mapping with frame analysis, based on a grounded theory study of Australian rural nurses' experiences of mentoring. Situational analysis, as conceived by Adele Clarke, shifts the research methodology of grounded theory from being located within a postpositivist paradigm to a postmodern paradigm. Clarke uses three types of maps during this process: situational, social world and positional, in combination with discourse analysis. During our grounded theory study, the process of concurrent interview data generation and analysis incorporated situational and social world mapping techniques. An outcome of this was our increased awareness of how outside actors influenced participants in their constructions of mentoring. In our attempts to use Clarke's methodological package, however, it became apparent that our constructivist beliefs about human agency could not be reconciled with the postmodern project of discourse analysis. We then turned to the literature on symbolic interactionism and adopted frame analysis as a method to examine the literature on rural nursing and mentoring as secondary form of data. While we found situational and social world mapping very useful, we were less successful in using positional maps. In retrospect, we would argue that collective action framing provides an alternative to analysing such positions in the literature. This is particularly so for researchers who locate themselves within a constructivist paradigm, and who are therefore unwilling to reject the notion of human agency and the ability of in iduals to shape their world in some way. Our ex le of using this package of situational and social worlds mapping with frame analysis is intended to assist other researchers to locate participants more transparently in the social worlds that they negotiate in their everyday practice.
Shaping public opinion on the issue of childbirth; a critical analysis of articles published in an Australian newspaper
Publisher: Springer Science and Business Media LLC
Date: 28-06-2011
Using overseas registered nurses to fill employment gaps in rural health services: Quick fix or sustainable strategy?
Publisher: Wiley
Date: 07-05-2008
DOI: 10.1111/J.1440-1584.2008.00967.X
Abstract: This study sought to identify and evaluate approaches used to attract internationally trained nurses from traditional and non-traditional countries and incentives employed to retain them in small rural hospitals in Gippsland, Victoria. An exploratory descriptive design. Small rural hospitals in Gippsland, Victoria. Hospital staff responsible for recruitment of nurses and overseas trained nurses from traditional and non-traditional sources (e.g. England, Scotland, India, Zimbabwe, Holland, Singapore, Malaysia). Recruitment of married overseas trained nurses is more sustainable than that of single registered nurses, however, the process of recruitment for the hospital and potential employees is costly. Rural hospitality diffuses some of these expenses by the employing hospitals providing emergency accommodation and necessary furnishings. Cultural differences and dissonance regarding practice create barriers for some of the overseas trained nurses to move towards a more sanguine position. On the positive side, single overseas registered nurses use the opportunity to work in rural Australian hospitals as an effective working holiday that promotes employment in larger, more specialized hospitals. Overall both the registered nurses and the employees believe the experience to be beneficial rather than detrimental.
The evolution of palliative care and the relevance to residential aged care: Understanding the past to inform the future
Publisher: Elsevier BV
Date: 10-2008
DOI: 10.1016/J.COLEGN.2008.09.001
Abstract: Improving the experience of dying in residential aged care units became a significant project of the Australian Government's National Palliative Care Program in 2004. This initiative resulted in an expectation that residential aged care facilities would adopt the recommended palliative approach to underpin service delivery. Recognising palliative care as a specialist area of health care practice is a recent development which has influenced the expectations of community and government. This paper traces the global history of palliative care and how historical factors influenced its development in Australia. This discussion presents an overview of the positioning of dying and death within society, explaining how with the shifting emphasis on care of the dying accordingly has been the focus on palliative care specialists. Care of the dying in residential aged care units has largely been overlooked in the context of specialist involvement. This paper acknowledges dying and death as occurring in residential aged care facilities, illuminating the advantages of adopting a palliative approach and offers recommendations.
A practical example of using theoretical sampling throughout a grounded theory study
Publisher: Emerald
Date: 25-11-2019
Abstract: The purpose of this paper is to discuss the practical use of theoretical s ling as a method for selecting data that provide a richer and deeper understanding of the phenomenon being investigated. Theoretical s ling is a well-known method in grounded theory studies to seek additional data based on concepts developed from initial data analysis. This method involves following where the data have led to expand and refine the evolving theory during the analytical process. However, there is a dearth of information detailing the practical steps needed to undertake theoretical s ling. The authors used the theoretical s ling method in their study in four ways: asking additional interview questions and/or widening the scope of existing interview questions recruiting participants with additional ersity of attributes within the same group and adding a new group of participants and expanding research settings. Theoretical s ling is a valuable and practical method for the purpose of addressing gaps in the data in qualitative research. When using theoretical s ling, it is essential to consider potential strategies for countering challenges that may arise. Practical recommendations are offered on the use of theoretical s ling during data analysis, for the purpose of achieving theoretical integration.
Hermeneutic phenomenology: A methodology of choice for midwives
Publisher: Wiley
Date: 13-05-2013
DOI: 10.1111/IJN.12082
Abstract: Hermeneutic phenomenology has been used widely by researchers to understand lived experiences. This methodology asserts that in idual people are as unique as their life stories. The practice of midwifery is underpinned by a philosophy that values women and the uniqueness of their child-bearing journey. The tenets of hermeneutics phenomenology align with those of contemporary midwifery practice, making it a useful research methodology for providing insights into issues relevant to the profession. The purpose of this paper is to unravel some foundational concepts of hermeneutic phenomenology and recommend it as a methodology of choice for midwives to apply to their application to midwifery-in-action.
The Influence of Trait-Negative Affect and Compassion Satisfaction on Compassion Fatigue in Australian Nurses
Publisher: American Psychological Association (APA)
Date: 2015
DOI: 10.1037/TRA0000050
Abstract: For this study, we examined the nature of the unique relationships trait-negative affect and compassion satisfaction had with compassion fatigue and its components of secondary traumatic stress and burnout in 273 nurses from 1 metropolitan tertiary acute hospital in Western Australia. Participants completed the Professional Quality of Life Scale (Stamm, 2010), Depression Anxiety Stress Scale (Lovibond & Lovibond, 2004), and the State-Trait Anxiety Inventory (Spielberger, Gorsuch, Lushene, Vagg, & Jacobs, 1983). Bivariate correlation and hierarchical regression analyses were performed to examine and investigate 4 hypotheses. The results demonstrate a clear differential pattern of relationships with secondary traumatic stress and burnout for both trait-negative affect and compassion satisfaction. Trait-negative affect was clearly the more important factor in terms of its contribution to overall compassion fatigue and secondary traumatic stress. In contrast, compassion satisfaction's unique protective relationship only related to burnout, and not secondary traumatic stress. The results are therefore consistent with the view that compassion satisfaction may be an important internal resource that protects against burnout, but is not directly influential in protecting against secondary traumatic stress for nurses working in an acute-care hospital environment. With the projected nursing workforce shortages in Australia, it is apparent that a further understanding is warranted of how such personal variables may work as protective and risk factors.
A ustralian C ollege of N ursing R ural N ursing and M idwifery F aculty: A dvocating for greater equity in rural health
Publisher: Wiley
Date: 26-11-2012
Service to the poor: The foundations of community nursing in England, Ireland and New South Wales
Publisher: Wiley
Date: 06-2001
DOI: 10.1046/J.1440-172X.2001.00260.X
Abstract: This paper describes the foundations of community nursing in England, Ireland and New South Wales. It is guided by Foucault's work on power, discourse and knowledge, and argues that the common discourse of poverty coupled with the influence of socially advantaged women in the nineteenth century was the impetus for the development of community nursing in England, Ireland and New South Wales. Throughout the nineteenth century in Great Britain, economic and industrial development, coupled with an unprecedented growth in the population (particularly among the poor) inspired socially advantaged women to extend traditional gender-specific roles to address the needs of the poor. Protestant women in England advanced professional nursing as a career for women and in Ireland and New South Wales Catholic women pioneered professional nursing, targeting the poor as the focus of their practice. These women used prevailing social conditions to enhance their life options within the limits prescribed by social norms.
The HIV/AIDS epidemic in Indonesia: Does primary health care as a prevention and intervention strategy work?
Publisher: Wiley
Date: 25-03-2010
Feminist‐informed participatory action research: A methodology of choice for examining critical nursing issues
Publisher: Wiley
Date: 29-03-2007
Choosing a nursing career
Publisher: Sciedu Press
Date: 18-09-2017
DOI: 10.5430/JHA.V6N5P27
Abstract: Introduction: This paper provides an overview of the impact of government policy in supporting the growth of an Indigenous nursing workforce in New South Wales and Australia.Methods: Publically available nursing workforce performance reports along with current literature were reviewed to provide a perspective on the current situation.Results and discussion: The National partnership agreement on closing the gap in Indigenous health outcomes indicated that to improve Indigenous health outcomes, significant investment is required with particular reference to increasing an Indigenous workforce. As nurses comprise the majority of the health workforce a number of strategies and initiatives have been put in place to support this agreement. Even though there has been commitment through government policy and funding initiatives it is questionable if this is having any real impact on growing an Indigenous nursing workforce.Conclusions: Recruitment strategies that will increase the number of Indigenous nurses within the health workforce requires a multilevel approach. Despite efforts to increase Indigenous nursing workforce numbers, there has been limited impact to any real successful gains since 2008. Building and growing an Indigenous nursing workforce that will support the “Closing the Gap” initiative will require significant continuing effort.
Being Hopeful and Continuing to Move Ahead: Religious Coping in Iranian Chemical Warfare Poisoned Veterans, a Qualitative Study
Publisher: Springer Science and Business Media LLC
Date: 25-04-2009
DOI: 10.1007/S10943-009-9252-Z
Abstract: There is a substantial number of Iranian war veterans, exposed to sulfur mustard, who suffer from serious long term progressive health problems involving their respiratory organs, eyes, and skin. Little is known, however, about these casualties' experiences of living with the consequences of sulfur mustard poisoning. This qualitative study aims to provide greater insight into how war veterans live with the consequences of the poisoning and involved 17 Iranian war veterans who had been poisoned by sulfur mustard during the Iran-Iraq conflict. Each participant was interviewed using a semi-structured interview schedule and the data generated through this process was analyzed using constant comparative data analysis technique. Data analysis resulted in "religious beliefs and practices" as a main category, which included two sub-categories: religious value centered life and religious support. Findings suggest that religious belief assists veterans to accept the impact of poisoning on their lives and adapt their lifestyles accordingly, to participate in religious social activities and feel socially supported, and to be hopeful about the future and live their lives as fully as possible.
Facilitators of effective interprofessional collaborative practice for physiotherapy private practitioners: An interpretive descriptive study
Publisher: Elsevier BV
Date: 12-2023
New graduate nurses as knowledge brokers in general practice in New Zealand: a constructivist grounded theory
Publisher: Hindawi Limited
Date: 03-05-2013
DOI: 10.1111/HSC.12031
Abstract: Practice nursing in New Zealand is not well described in the literature. One survey illustrated that most of the New Zealand practice nurses s led did not know of the country's two premier evidence-based health websites. A recent review compared general practice in the UK, New Zealand and Australia and found that whereas there had been significant developments in empowering the practice nurse workforce to run nurse-led clinics in the UK, New Zealand and Australia lagged behind. The aim of this reported constructivist grounded theory study was to investigate practice nurses' use of information. Conducted in Auckland, New Zealand, data were collected through ethnographic techniques in one general practice between September 2009 and January 2010 to enhance theoretical sensitivity to the area of information use. Subsequently, six experienced practice nurses (one twice after moving jobs) and five new graduate nurses from five different general practices were interviewed, using open-ended questions, between January 2010 and August 2011. Concurrent data collection and analysis occurred throughout the study period. The use of memos, the constant comparative method, data categorisation and finally, data abstraction resulted in the final theory of reciprocal role modelling. Experienced practice nurses role modelled clinical skills to new graduate nurses. Unexpectedly, new graduate nurses were unconscious experts at sourcing information and role modelled this skill to experienced practice nurses. Once this attribute was acknowledged by the experienced practice nurse, mutual learning occurred that enabled both groups of nurses to become better practitioners. Graduate nurses of the millennial generation were identified as a resource for experienced practice nurses who belong to the baby boomer generation and generation X.
Husserl and Heidegger: Exploring the disparity
Publisher: Wiley
Date: 19-01-2009
Analysing oral history: A new approach when linking method to methodology
Publisher: Wiley
Date: 10-2009
Scoping the context of programs and services for maintaining wellness of older people in rural areas of I ndonesia
Publisher: Wiley
Date: 26-06-2014
DOI: 10.1111/INR.12105
Abstract: Ageing and problems concerning the aged are an increasing and concerning reality in developing and underdeveloped countries such as Indonesia. Improving service quality is important to promote and maintain wellness of older persons, especially in rural areas. To explore programs and services offered to the elderly in a rural area of Indonesia to support them in promoting and maintaining their wellness. To describe roles and practices of health professionals and teams responsible for delivering services to older people. Action research was used with mixed method data collection (interview and survey). Results demonstrated that activities related to the elderly health programs were limited due to budget and facilities. Practices of health staff for elderly in the community focused on intervention tasks, rather than prevention. Lack of available information on the range of programs and services implemented in Indonesia for the elderly in community settings was a limitation of this study. Programs and services for older people have been implemented in Indonesia. However, these do not yet meet their needs, especially in rural areas. There is a need for greater focus on health promotion and illness prevention. Findings contribute to development of international knowledge in community health nursing, as these issues may not be only relevant to Indonesia. It is timely for governments, including in Indonesia, to evaluate health workforce needs in the community and appropriate educational qualifications for delivering optimal health services for older people.
Sustaining and growing the rural nursing and midwifery workforce: Understanding the issues and isolating directions for the future
Publisher: Elsevier BV
Date: 06-2011
DOI: 10.1016/J.COLEGN.2010.08.003
Abstract: Nurses and midwives represent the largest group of health professionals in the Australian health care system. In rural environments nurses and midwives make up a greater proportion of the health workforce than in urban settings, which makes their role in service provision even more significant. The role and scope of these nurses and midwives' practice is by necessity more generalist than specialist, which results in disciplinary strengths and weaknesses. As generalist health professionals they work in erse settings such as public hospitals, multi-purpose services, community health, aged care and in non-government and private for profit and no-profit organisations including general practices. Their scope of practice covers prevention, intervention and rehabilitation and is lifespan inclusive. Rural nurses and midwives are older than their metropolitan based counterparts, work part-time and traditionally have limited access to professional development often due to ineffective locum relief programs. Workplace inflexibility, access to acceptable housing and partner employment are factors cited as inhibitors to growing this workforces. The future of the rural nursing and midwifery workforce will only be secured if Government invests to a greater degree in both education and training and the development of a nationally agreed remuneration scale that allows for part-time work.
An integrative review of the role of registered nurses in remote and isolated practice
Publisher: CSIRO Publishing
Date: 2010
DOI: 10.1071/AH09743
Abstract: Objective.To examine the role of the registered nurse in remote and isolated areas of Queensland, the Northern Territory, South Australia and Western Australia and to illustrate the impact of the burden of disease on nursing practice. Data sources.A literature search was undertaken using electronic databases and the grey literature (including policy documents, project reports and position descriptions). Data synthesis.The role of the nurse in remote areas is erse, and varies according to the context of practice. Although some states and territories offer formal programs to prepare nurses for the role, it is unclear whether this is routinely provided. The burden of disease is higher in remote Australia, and although nurses work to reduce the burden, the need to provide primary care can be at the expense of primary health care. Conclusions.Whilst the nature of nursing practice is influenced by many factors, considerable agreement exists between states and territories around the role of the registered nurses in remote and isolated communities. The higher burden of disease in remote and isolated areas of Australia impacts on nursing practice, and nurses are uniquely placed to assist in reducing the burden of disease. Greater agreement around what constitutes ‘remote’ is needed. What is known about the topic?Many papers have reported on the difficulties encountered by registered nurses in remote and isolated practice however, there is a dearth of information describing the role of registered nurses in remote or isolated Australian communities. What does this paper add?This review describes the erse role of nurses and their role in addressing the burden of disease in remote and isolated Australia. Comparison between states and territories highlights differences in preparation for the role. What are the implications for practitioners?National agreement is needed around preparation for practice, conditions of work, and what constitutes ‘remote’. Greater utilisation of the nursing workforce in remote and isolated areas would assist in addressing the burden of disease.
Compassion satisfaction, compassion fatigue, anxiety, depression and stress in registered nurses in Australia: Phase 2 results
Publisher: Hindawi Limited
Date: 11-11-2013
DOI: 10.1111/JONM.12168
Abstract: This is the first two-phase Australian study to explore the factors impacting upon compassion satisfaction, compassion fatigue, anxiety, depression and stress and to describe the strategies nurses use to build compassion satisfaction into their working lives. Compassion fatigue has been found to impact on job satisfaction, the quality of patient care and retention within nursing. This study provides new knowledge on the influences of anxiety, stress and depression and how they relate to compassion satisfaction and compassion fatigue. In Phase 2 of the study, 10 nurses from Phase 1 of the study participated in in idual interviews and a focus group. A semi-structured interview schedule guided the conversations with the participants. Data analysis resulted in seven main themes: social networks and support infrastructure and support environment and lifestyle learning leadership stress and suggestions to build psychological wellness in nurses. Findings suggest that a nurse’s capacity to cope is enhanced through strong social and collegial support, infrastructure that supports the provision of quality nursing care and positive affirmation. These concepts are strongly linked to personal resilience. for nursing management These findings support the need for management to develop appropriate interventions to build resilience in nurses.
The struggle for contested boundaries in the move to collaborative care teams in Australian maternity care
Publisher: Elsevier BV
Date: 06-2012
DOI: 10.1016/J.MIDW.2011.04.004
Abstract: the maternity services reforms announced by the Australian government herald a process of major change. The primary maternity care reforms requires maternity care professionals to work collaboratively as equals in contrast to the current system which is characterised by unequal relationships. critical discourse analysis (CDA) using neoliberalism as an interpretive lens was employed to determine the positions of the respective maternity care professionals on the proposed reform and what purpose was served by their representations to the national review of maternity services. a CDA framework informed by Fairclough, linking textual and sociological analysis in a way that foregrounds issues of power and resistance, was undertaken. Data were collected from selected written submissions to the 2008 national review of maternity services representing the position of midwifery, obstetrics, general practitioners including rural doctors and maternity service managers. maternity care professionals yielded several discourses that were specific to the discipline with a number that were shared across disciplines. The rise in consumerism has changed historical positions of influence in maternity services policy. The once powerful obstetric position in determining the direction of policy has come under siege, isolated in the presence of a powerful alliance involving consumers, midwives, sympathetic maternity service managers and some medical professions. The midwifery voice has been heard, a historical first, supported by its presence as a member of the alliance. the struggle for contested boundaries is entering a new phase as maternity care professionals struggle with different perceptions of what multidisciplinary collaboration means in the delivery of primary maternity care.
Reflective thought in memos to demonstrate advanced nursing practice in New Zealand
Publisher: Informa UK Limited
Date: 02-2012
National review of maternity services 2008: women influencing change
Publisher: Springer Science and Business Media LLC
Date: 16-07-2011
Taming the rescuer: The therapeutic nature of qualitative research interviews
Publisher: Wiley
Date: 15-11-0002
Victorian rural emergency care—a case for advancing nursing practice
Publisher: Wiley
Date: 24-05-2012
Compassion satisfaction, compassion fatigue, anxiety, depression and stress in registered nurses in Australia: study 1 results
Publisher: Hindawi Limited
Date: 11-2013
DOI: 10.1111/JONM.12160
Abstract: To explore compassion fatigue and compassion satisfaction with the potential contributing factors of anxiety, depression and stress. To date, no studies have connected the quality of work-life with other contributing and co-existing factors such as depression, anxiety and stress. A self-report exploratory cross sectional survey of 132 nurses working in a tertiary hospital. The reflective assessment risk profile model provides an excellent framework for examining the relationships between the professional quality of work factors and contributing factors within the established risk profiles. The results show a definite pattern of risk progression for the six factors examined for each risk profile. Additionally, burnout and secondary traumatic stress were significantly related to higher anxiety and depression levels. Higher anxiety levels were correlated with nurses who were younger, worked full-time and without a postgraduate qualification. Twenty percent had elevated levels of compassion fatigue: 7.6% having a very distressed profile. At-risk nurses' stress and depression scores were significantly higher than nurses with higher compassion satisfaction scores. The employed nurse workforce would benefit from a psychosocial capacity building intervention that reduces a nurse's risk profile, thus enhancing retention.
Allied health professionals’ perceptions of interprofessional collaboration in primary health care: an integrative review
Publisher: Informa UK Limited
Date: 16-04-2020
Association for Australian rural nurses: current events and future challenges
Publisher: Wiley
Date: 12-2004
Exploring Heideggerian hermeneutic phenomenology: A perfect fit for midwifery research
Publisher: Elsevier BV
Date: 12-2013
DOI: 10.1016/J.WOMBI.2013.06.003
Abstract: Heideggerian hermeneutic phenomenology has been used widely to understand the meaning of lived experiences in health research. For midwifery scholars this approach enables deep understanding of women's and midwives' lived experiences of specific phenomena. However, for beginning researchers this is not a methodology for the faint hearted. It requires a period of deep immersion to come to terms with at times impenetrable language and perplexing concepts. This paper aims to assist midwives to untangle and examine some of the choices they face when they first come to terms with an understanding of this methodology and highlights the methodology's capacity to reveal midwifery authenticity and holistic practice. The illumination of a selection of various concepts underpinning hermeneutic phenomenology will inform midwives considering this methodology as suitable framework for exploring contemporary midwifery phenomena.
Triage, treat and transfer: reconceptualising a rural practice model*
Publisher: Wiley
Date: 13-05-2010
DOI: 10.1111/J.1365-2702.2009.03073.X
Abstract: Aim. This article argues that the current model of emergency practice in rural Victorian hospitals, which relies heavily on visiting medical officers, needs to be reconceptualised if emergency services are to be supplied to rural communities. Background. Medical workforce shortages are manifesting in Victoria as a reduction in emergency care services from rural hospitals. The suggested alternative model of emergency care involves advancing nursing practice to enable a redistribution of clinical capacity across the health care team. Clinicians will need to work collaboratively and continuously negotiate their roles to meet the patient’s and the clinical team’s needs. Design. Systematic review. Methods. This article is based on a review of the Victorian and Australian literature on the subject of Victorian health services and policy, emergency care, collaboration, communication and rural nurse scope of practice and roles. Emergency care activity was drawn from data held in the Victorian Emergency Management Dataset and personal communications between one of the authors and hospital executives in a small selection of rural hospitals in Victoria. Results. The evidence reviewed suggests that the current emergency practice profile of rural hospitals in Victoria does not reflect the reconceptualised model of rural emergency practice. Instead, only a small proportion of non‐urgent presentations is managed by nurses without medical support, and the data suggest that metropolitan nurses are more likely to manage without medical support than rural nurses. Conclusion. Reconceptualising rural emergency care in Victoria will require significantly greater investment in rural nurses’ knowledge and skills to enable them to operate confidently at a more advanced level. Clinical teams that deliver emergency service in rural hospitals will be expected increasingly to work collaboratively and interprofessionally. Relevance to clinical practice. This article offers some directions for advancing nursing practice and strategies for improving interprofessional collaboration in the delivery of rural emergency care.
Baccalaureate nursing studies: voyaging towards discovery
Publisher: Wiley
Date: 22-08-2006
Critical discourse analysis: Understanding change in maternity services
Publisher: Wiley
Date: 18-01-2012
Treatment Content in Child and Adolescent Mental Health Services: Development of the Treatment Recording Sheet
Publisher: Springer Science and Business Media LLC
Date: 05-08-2008
DOI: 10.1007/S10488-008-0184-9
Abstract: This paper presents a clinician self-report measure developed to record the specific components of treatment used with adolescents attending a Child and Adolescent Mental Health Service (CAMHS). Using action research methodology, 18 clinicians attended up to five facilitated discussion groups during 2006 to discuss the planned implementation of a clinical trial. The clinicians helped adapt a checklist for recording treatment strategies applied in CAMHS with adolescents. The sessions were audio-taped and transcribed for thematic analysis. The final treatment recording checklist is presented. The clinicians reported the instrument was helpful for recording the content of their interventions and understanding their colleagues practice.
How nurses address the burden of disease in remote or isolated areas in Queensland
Publisher: Wiley
Date: 20-09-2010
Private Sector Training for Consultation Liaison Psychiatry – How Could it be Funded?
Publisher: SAGE Publications
Date: 2008
Adopting a constructivist approach to grounded theory: Implications for research design
Publisher: Wiley
Date: 10-01-2006
Ageing in Indonesia – Health Status and Challenges for the Future
Publisher: Springer Science and Business Media LLC
Date: 14-09-2012
Definitions of Suicide and Self‐Harm Behavior in an Australian Aboriginal Community
Publisher: Wiley
Date: 04-2009
DOI: 10.1521/SULI.2009.39.2.182
Abstract: In this small qualitative grounded theory study (21 interviews and focus groups with a total of 26 participants) investigating the understandings of and attitudes toward suicide and self-harm of Aboriginal peoples in a coastal region of New South Wales, Australia, we found that cultural factors particular to these communities influence the way such behavior is defined in an Aboriginal context. A continuation of certain "traditional" cultural forms of self-harm behavior was evident in participant definitions, notably the practice of female hair cutting, also described as a mourning ritual, which appears to serve as a marker both to the in idual and others.
Australian rural maternity services: Creating a future or putting the last nail in the coffin
Publisher: Wiley
Date: 23-09-2012
Addressing service deficits for the physically disabled in New Zealand: An action research study
Publisher: Wiley
Date: 08-2009
Using an emic and etic ethnographic technique in a grounded theory study of information use by practice nurses in New Zealand
Publisher: SAGE Publications
Date: 25-05-2012
Abstract: This paper draws lessons from the use of an emic–etic ethnographical technique in a grounded theory study of how New Zealand practice nurses use information. The technique was used to heighten theoretical sensitivity in this study. As a nurse practitioner, I (the lead author) could not step out of my emic perspective to provide an etic perspective of my own general practice. From my emic embodied subjectivity I constructed my work environment to fit with best practice. Conversely, in four other general practices, my lack of personal connection protected an etic sense of disembodiment. New insights into mental models guiding the emic and etic roles of ethnography are suggested. Emic and etic perspectives, along with embodied and disembodied feelings, are not binary opposites but rather sit along a philosophical continuum. Their position on this continuum depends on the role and relationships of the researcher(s) in the social and cultural context of the area of inquiry.
How people living with diabetes in Indonesia learn about their disease: A grounded theory study
Publisher: Public Library of Science (PLoS)
Date: 22-02-2019
Preparing for a Clinical Trial in a Rural Child and Adolescent Mental Health Service
Publisher: SAGE Publications
Date: 12-2008
The role of Government policy in supporting nurse‐led care in general practice in the United Kingdom, New Zealand and Australia: an adapted realist review
Publisher: Wiley
Date: 09-11-2011
DOI: 10.1111/J.1365-2648.2011.05870.X
Abstract: This article is a report on a review that examined the role of Government policy in primary care and its association with nurse-led care in the United Kingdom, New Zealand and Australia between 1998 and 2009. The United Kingdom, New Zealand and Australia share a similar model of first point access to the healthcare system via general practitioners. General practice is synonymous with the term primary care. DATA OURCES: Medline, CINAHL, EMBASE, Scopus, PsychInfo, Google, Department of Health, England (United Kingdom), Ministry of Health, New Zealand, Department of Health and Ageing, Australia. Searches of electronic databases from 1998 to December 2009 and hand searches of identified leads and key journals. Historical papers accessed to describe the genesis of practice nursing and historical Government policy documents prior to 1998, were examined. A modified realist review was used to synthesize research and policy documents relating to government policies pertaining to nurse-led care. In addition, a systematic review was used to identify literature that described practice nurse-led care. Results. Nurse-led primary care services are well described in the United Kingdom with a total of 45 studies meeting the inclusion criteria for the second review. There are no published studies from New Zealand, and only two from Australia describing nurse-led primary care. New Zealand and Australia lag behind the United Kingdom in practice nurse development. Implementation of clinical governance was fundamental to the development of nurse-led care in the UK.
Walking the void: Being a rural PhD candidate
Publisher: Wiley
Date: 10-2006
Research an exciting journey and a career statement: a means to an end, putting rurality on the nursing research agenda
Publisher: Wiley
Date: 12-2004
DOI: 10.1111/J.1440-1854.2004.00629.X
Abstract: Two issues were of importance to nurses in rural areas considering postgraduate studies. The first was the need for part-time study and what this entails. The second was a request that there be no research component within the postgraduate courses they identified. It is this second issue that I wish to address. I was a nonbeliever in the merit of research studies being integrated into nursing specialist programs. Following a long career in rural clinical nursing and management I have come full circle and now acknowledge the need to understand the role to base practice evidence that is generated through empirical research.
Registered nurses as members of interprofessional primary health care teams in remote or isolated areas of Queensland: Collaboration, communication and partnerships in practice
Publisher: Informa UK Limited
Date: 07-2010
DOI: 10.3109/13561821003624630
Abstract: Nurses represent the largest occupational group of health care professionals in Australia. The ratio of nurses to population is relatively consistent, unlike other health care professional groups (including medical doctors and allied health staff) whose numbers decline as population density and distance from metropolitan areas increases. Nurses working in areas where other health care professionals are limited or absent have expanded scopes of practice with their work being more generalist than specialist. The role of nurses in remote and isolated areas of Queensland, Australia was the focus of a commissioned multi-case research project. Findings reported in this paper relate to the position of registered nurses as part of an interprofessional team. These findings indicated that, in some instances, local health care teams were limited to a single nurse and Indigenous health care worker/s, while in others the teams were more erse. In all cases collegial support was available either locally or via telecommunication technology. Understanding the role of each team member, having useful strategies to enhance communication and work collaboratively were identified as essential criteria for "good practice".
Does Interpersonal Psychotherapy improve clinical care for adolescents with depression attending a rural child and adolescent mental health service? Study protocol for a cluster randomised feasibility
Publisher: Springer Science and Business Media LLC
Date: 04-10-2007
Playing the game: A grounded theory of the integration of international nurses
Publisher: Elsevier BV
Date: 08-2019
The study of nursing documentation complexities
Publisher: Wiley
Date: 12-2006
What Influences Malaysian Nurses to Participate in Continuing Professional Education Activities?
Publisher: Elsevier BV
Date: 03-2011
Enhancing computer literacy and information retrieval skills: A rural and remote nursing and midwifery workforce study
Publisher: Elsevier BV
Date: 09-2015
DOI: 10.1016/J.COLEGN.2014.02.003
Abstract: Nurses and midwives collectively, represent the largest workforce category in rural and remote areas of Australia. Maintaining currency of practice and attaining annual licensure with the Australian Health Practitioners Regulatory Authority (AHPRA) present challenges for in idual nurses and midwives and for their health service managers. Engagement with information and communication technologies, in order for geographically isolated clinicians to access ongoing education and training, is considered a useful strategy to address such challenges. This paper presents a pre- and post-test study design. It examines the impact of an online continuing professional development (CPD) program on Australian rural nurses and midwives. The aims of the program were to increase basic skill acquisition in the utilisation of common computer software, the use of the Internet and the enhancement of email communication. Findings from the study demonstrate that participants who complete a relevant CPD program gain confidence in the use of information and communication technologies. Further, increased confidence leads to increased access to contemporary, reliable and important health care information on the Internet, in addition to clinicians adopting email as a regular method of communication. Health care employers commonly assume employees are skilled users of information and communication technologies. However, findings from this study contradict such assumptions. It is argued in the recommendations that health care employees should be given regular access to CPD programs designed to introduce them to information and communication technologies. Developing knowledge and skills in this area has the potential to improve staff productivity, raise health care standards and improve patient outcomes.
Peeling the onion: understanding others’ lived experience
Publisher: Informa UK Limited
Date: 04-05-2015
DOI: 10.1080/10376178.2015.1067571
Abstract: Society and some healthcare professionals often marginalise pregnant women who take illicit substances. Midwives who care for these women are often viewed as working on the edge of society. This research aimed to examine the lived experiences of midwives who care for pregnant women who take illicit drugs. A phenomenological study informed by Heidegger, Gadamer and Merleau-Ponty was chosen to frame these lived experiences. Using face-to-face interviews, data were collected from 12 midwives making a difference, establishing partnerships and letting go and refining practice. Lived experiences are unique and can be difficult, intangible and couched in metaphor and difficult to grasp. This paper aims to discuss lived experience and suggests that like an onion, several layers have to be peeled away before meaning can be exposed each cover reveals another layer beneath that is different from before and different from the next. The study provides exemplars that explain lived experiences.
Mentoring matters: Developing rural nurses knowledge and skills
Publisher: Elsevier BV
Date: 2006
DOI: 10.1016/S1322-7696(08)60530-2
Abstract: Mentoring, the alliance of two people with varying degrees of experience in order to create opportunities for support and learning, is being encouraged as a response to current workforce issues in Australian rural nursing. The nursing profession is beginning to recognise the benefits of mentorship in providing psychosocial support and role acquisition skills to novice practitioners. These outcomes are valuable for enhancing the recruitment and retention of staff. The Mentor Development and Support Project of The Association for Australian Rural Nurses (AARN), established in 2003, was a strategy for increasing mentoring in the rural nursing workforce. This project aimed to develop the capacity of rural nurses to mentor effectively, as well as provide support for them for the duration of the mentoring partnership. This article reports on aspects of the AARN project. It includes a discussion of the need for planned mentor development opportunities and provides the rationale for the curriculum content of project workshops. It also includes evaluated outcomes for participants in the project.
Discourses associated with nursing aged people who are dying in the Australian context: a review of the literature
Publisher: Wiley
Date: 22-08-2008
DOI: 10.1111/J.1466-7657.2008.00628.X
Abstract: To examine the discourses associated with nursing care of aged people who are dying in the Australian context. The discourses associated with nursing aged people who are dying are not universally understood, and there is confusion regarding the meaning of terminology used to describe specific nursing practices in the aged care setting in Australia. A literature search was undertaken to identify nursing practices and the discourses associated with nursing aged people who are dying in the Australian context. Words used in the literature to describe practices related to nursing care of the dying were distilled, and a search of the Cummulative Index to Nursing and Allied Health Literature (CINAHL) database using this vocabulary was undertaken to explicate the meanings associated with specific terminology. The review of literature highlighted a plethora of nursing practices related to caring for people who are aged and dying. Hospice care, palliative care, terminal care, end-of-life care and a palliative approach are terms used to describe specific practices associated with nursing people who are dying. These terms have distinct meanings however, they are often used interchangeably in aged care settings adding to confusion and the potential for compromised nursing practice standards. Understanding the terminology associated with nursing practice provided to people who are aged and dying allows the profession to engage in dialogue that is universally understood. Dialogue allows for rigorous debate, research and ultimately the evolution of nursing practice, improved outcomes for this group and the avoidance of unnecessary legal challenge to in idual and institutional practice standards. The terminology associated with the provision of care to the aged who are dying is reflective of the broader healthcare discourse focused on dying and death. Shared agreement about this terminology will avoid unnecessary litigation resulting from misunderstanding of the discourses that describe and define practice and enhance health outcomes for the aged dying and their families and/or significant others.
Access to, interest in and attitude toward e-learning for continuous education among Malaysian nurses
Publisher: Elsevier BV
Date: 2016
DOI: 10.1016/J.NEDT.2015.09.011
Abstract: Continuous nursing education (CNE) courses delivered through e-learning is believed to be an effective mode of learning for nurses. Implementation of e-learning modules requires pre-assessment of infrastructure and learners' characteristics. Understanding the learners' needs and their perspectives would facilitate effective e-learning delivery by addressing the underlying issues and providing necessary support to learners. The aim of this study was to examine access to computer and Internet facilities, interest in and preferences regarding e-learning, and attitudes toward e-learning among nurses in Peninsular Malaysia. The study utilized a cross-sectional descriptive survey. Government hospitals and community clinics in four main regions of Peninsular Malaysia. A total of 300 registered nurses. Data were collected using questionnaires, which consisted of demographic and background items and questions on access to computer and Internet facilities, interest and preferences in e-learning, and attitudes toward e-learning. Descriptive analysis and a chi-squared test were used to identify associations between variables. Most Malaysian nurses had access to a personal or home computer (85.3%, n=256) and computer access at work (85.3%, n=256). The majority had Internet access at home (84%, n=252) and at work (71.8%, n=215) however, average hours of weekly computer use were low. Most nurses (83%, n=249) did not have an e-learning experience but were interested in e-learning activities. Most nurses displayed positive attitudes toward e-learning. Average weekly computer use and interest in e-learning were positively associated with attitudes toward e-learning. Study findings suggest that organizational support is needed to promote accessibility of information and communications technology (ICT) facilities for Malaysian nurses to motivate their involvement in e-learning.
Women and Nursing in Malaysia
Publisher: SAGE Publications
Date: 27-10-2008
Abstract: Since the emergence of nursing as a distinct discipline, its status has mirrored that of women in society in general. As a predominantly female profession, nursing has been subject to oppressive forces that have affected women at various stages of history. Despite improvements in the standing of both women and nursing during the past century, nursing has still failed to achieve its full potential. In Malaysia, sociocultural factors combine to further limit the development of the profession. This article explores how such factors merge with the oppression of nursing globally to influence the status of nursing in Malaysia.
Breaching the Wall
Publisher: SAGE Publications
Date: 04-2007
Abstract: The interview as a data collection tool is an essential component of qualitative research. Many nurses are familiar with the process of interviewing through its use in the practice environment however, in-depth interviewing for the purpose of research is a unique process. The ability to conduct an effective in-depth interview requires skill in the use of specific techniques, in particular when interviewing people from other cultures. A number of factors specific to the researcher, the participant, and the research context can affect the interview procedure. As global margins diminish, nurse researchers will increasingly find themselves working with people from ethnic groups that are different from the dominant culture. This article discusses strategies to improve the interview process in such circumstances. Techniques to enhance the process, along with avoidable potential pitfalls, will be illustrated using an ex le of conducting research with participants from the culturally erse environment of Malaysian Borneo.
Innovative model of maternity care supporting vulnerable rural populations
Publisher: Wiley
Date: 29-11-2005
The implications of isolation for remote industrial health workers
Publisher: Rural and Remote Health
Date: 13-05-2019
DOI: 10.22605/RRH5001
Memoing in qualitative research
Publisher: SAGE Publications
Date: 2008
Abstract: This paper explores memoing in the context of qualitative research methodologies. The functions of memos in the research process are discussed and a number of techniques for employing memo writing to enhance the research experience and outcomes are examined. Memoing is often discussed in the literature as a technique employed in grounded theory research, yet there is limited exploration of the value of memo writing in qualitative methodologies generally. Memoing serves to assist the researcher in making conceptual leaps from raw data to those abstractions that explain research phenomena in the context in which it is examined. Memos can be effectively employed by both the novice and experienced researcher as a procedural and analytical strategy throughout the research process. Data exploration is enhanced, continuity of conception and contemplation is enabled and communication is facilitated through the use of memoing. While guidelines exist to aid in the production and use of memos, memoing remains a flexible strategy wherein the process of construction and nature of content is determined by the preferences and abilities of the researcher and the aims and focus of the specific research study.
Midwives experiences of establishing partnerships: Working with pregnant women who use illicit drugs
Publisher: Elsevier BV
Date: 10-2014
DOI: 10.1016/J.MIDW.2013.06.020
Abstract: To present the interpreted experiences of midwives who choose to work with pregnant women who also use illicit drugs. Twelve (n=12) Australian midwives were interviewed. Each interview was audio-taped, de-identified and transcribed. The interviews were analysed using a systematic, thematic analysis approach informed by Heideggarian hermeneutic phenomenology. Three themes identified from the data that encapsulate the experience were establishing partnerships, making a difference, and letting go and redefining practice. The interpretations of establishing partnerships which includes engagement, genuine regard and compassion, with a subtheme courting the system are presented in this paper. The midwives' experiences were both positive and negative, as they were rewarded and challenged by the needs of women who use illicit drugs and the systems in which they worked. The midwives in this study found that establishing partnerships was essential to their work. They appraised their experience of working with pregnant women who used illicit drugs and found strategies that attempted to meet the needs of the women, the system and themselves. The participants revealed that to support women and families who use illicit drugs in their community, partnerships must be based on deep respect and trust. Significant components engagement, genuine regard and compassion that are central to midwifery partnerships require revisiting to address the needs of this vulnerable population of women.
Strengthening nursing and midwifery capacity in rural New South Wales, Australia
Publisher: Elsevier BV
Date: 12-2016
DOI: 10.1016/J.COLEGN.2016.08.006
Abstract: A small rural health service and two university schools of nursing joined forces to establish a rural clinical school to advance clinical education and research. The collaboration, while in its infancy, has given rise to outcomes that strength the capacity of nursing and midwifery services in the community.
Contributing to a culture of learning: A Mentor Development and Support Project for Australian rural nurses
Publisher: Wiley
Date: 15-11-2007
The influence of HIV/AIDS on the practice of primary care nurses in Jordan: Rhetoric and reality
Publisher: Wiley
Date: 16-08-2005
A thousand words paint a picture: The use of storyline in grounded theory research
Publisher: SAGE Publications
Date: 12-08-2009
Abstract: Abstract This paper explores the use of storyline in grounded theory research and potentially other research methodologies that seek to explain phenomena. Storyline as a research strategy has had limited discussion in the literature. Although stories have been used as both a source of data and a means of reporting research findings, the use of storyline is underutilised and undeveloped as a method of constructing and conveying grounded theory. Construction of a theory that is grounded in the data and not influenced by external concepts is possible through the use of storyline. In presenting grounded theory in the form of a storyline, the nurse researcher is able to explain and describe the theoretical contribution in the context of nursing knowledge. Theoretical precedence, variation, limited gaps, the use of evidence and appropriate style are characteristics of an effective storyline. As both a means and an end in itself, storyline enhances the development, presentation and comprehension of the outcomes of grounded theory research in nursing.
Letting go and moving on: A grounded theory analysis of disengaging from university and becoming a registered nurse
Publisher: Elsevier BV
Date: 10-2008
DOI: 10.1016/J.NEDT.2008.05.006
Abstract: This study describes the third phase of a constructivist grounded theory titled becoming a registered nurse. The study identifies that mature-aged students experience three phases in their university journey. These phases or subcategories are called taking the first step, keeping going and, finally letting go and moving forward. In this article mature students' experiences of letting go and moving forward are explicated. Data gathered through semi-structured interviews and focus groups with mature students from two rural university c uses in Australia are used to illustrate this construct. Grounded theory methods of concurrent data generation and analysis, coding, developing categories and memoing were used. It was found that mature students experienced anxiety as they transitioned out of university and into employment. Despite reports of a nursing crisis in rural Australia some students were unable to find employment in their local rural areas. These students allege that it is not the nursing shortage but rather a shortage of money to pay more nurses that is the real issue. Furthermore mature students did not have a sense of termination of their university studies as there was no formal recognition that they had completed at the time, rather the formal recognition, university graduation, occurred some months after completion.
Qualitative Research in the Health Sciences
Publisher: Routledge
Date: 26-06-2013
Live my work: rural nurses and their multiple perspectives of self
Publisher: Wiley
Date: 22-08-2007
DOI: 10.1111/J.1365-2648.2007.04350.X
Abstract: This paper is a report of a study to explore rural nurses' experiences of mentoring. Mentoring has recently been proposed by governments, advocates and academics as a solution to the problem for retaining rural nurses in the Australian workforce. Action in the form of mentor development workshops has changed the way that some rural nurses now construct supportive relationships as mentoring. A grounded theory design was used with nine rural nurses. Eleven semi-structured interviews were conducted in various states of Australia during 2004-2005. Situational analysis mapping techniques and frame analysis were used in combination with concurrent data generation and analysis and theoretical s ling. Experienced rural nurses cultivate novices through supportive mentoring relationships. The impetus for such relationships comes from their own histories of living and working in the same community, and this was termed 'live my work'. Rural nurses use multiple perspectives of self in order to manage their interactions with others in their roles as community members, consumers of healthcare services and nurses. Personal strategies adapted to local context constitute the skills that experienced rural nurses pass-on to neophyte rural nurses through mentoring, while at the same time protecting them through troubleshooting and translating local cultural norms. Living and working in the same community creates a set of complex challenges for novice rural nurses that are better faced with a mentor in place. Thus, mentoring has become an integral part of experienced rural nurses' practice to promote staff retention.
Getting to know a stranger—rural nurses’ experiences of mentoring: A grounded theory
Publisher: Elsevier BV
Date: 04-2008
DOI: 10.1016/J.IJNURSTU.2006.12.003
Abstract: Mentoring is often proposed as a solution to the problem of successfully recruiting and retaining nursing staff. The aim of this constructivist grounded theory study was to explore Australian rural nurses' experiences of mentoring. The research design used was reflexive in nature resulting in a substantive, constructivist grounded theory study. A national advertising c aign and snowball s ling were used to recruit nine participants from across Australia. Participants were rural nurses who had experience in mentoring others. Standard grounded theory methods of theoretical s ling, concurrent data collection and analysis using open, axial and theoretical coding and a story line technique to develop the core category and category saturation were used. To cultivate the reflexivity required of a constructivist study, we also incorporated reflective memoing, situational analysis mapping techniques and frame analysis. Data was generated through eleven interviews, email dialogue and shared situational mapping. Cultivating and growing new or novice rural nurses using supportive relationships such as mentoring was found to be an existing, integral part of experienced rural nurses' practice, motivated by living and working in the same communities. Getting to know a stranger is the first part of the process of cultivating and growing another. New or novice rural nurses gain the attention of experienced rural nurses through showing potential or experiencing a critical incidence. The problem of retaining nurses is a global issue. Experienced nurses engaged in clinical practice have the potential to cultivate and grow new or novice nurses-many already do so. Recognising this role and providing opportunities for development will help grow a positive, supportive work environment that nurtures the experienced nurses of tomorrow.
The challenges experienced by Iranian war veterans living with chemical warfare poisoning: a descriptive, exploratory study
Publisher: Wiley
Date: 13-05-2010
DOI: 10.1111/J.1471-6712.2009.00719.X
Abstract: This exploratory, descriptive study investigates the experiences of Iranian war veterans living with chronic disease acquired as a result of chemical warfare. Sulphur mustard (SM) is considered one of the most important agents of chemical warfare and was widely used during the Iran-Iraq conflict in 1980-1988. There are approximately 100 000 Iranian SM casualties who suffer from serious long-term progressive health problems involving their respiratory organs, eyes and skin. Seventeen male Iranian war veterans aged between 30 and 59 years and four victims' family members participated in the study. Data was generated during in idual in-depth interviews that used open-ended questions. Grounded theory techniques, including the constant comparative method of concurrent data generation and analysis, were employed in the analysis of data. Preliminary results indicate two main thematic categories: social isolation and physical disability. It is argued that a lack of knowledge about the outcomes of SM poisoning, physical restrictions and difficulty in adjusting socially decreases war veterans' functional capacity and levels of independence.
Invisible partners: The Royal Australian Army Nursing Corps pathway to the Malayan Emergency
Publisher: Wiley
Date: 15-11-2007
Do dummies make good teachers? A paradigm shift for clinical educators
Publisher: Elsevier BV
Date: 09-2016
Surveying health professionals' satisfaction with the Integrated Management of Adult and Adolescent Illness Chronic HIV Care training programme: The Papua New Guinea experience
Publisher: Wiley
Date: 26-11-2009
Future-Proofing Nursing Education
Publisher: SAGE Publications
Date: 11-11-2014
The problem of workforce for the social world of Australian rural nurses: a collective action frame analysis
Publisher: Hindawi Limited
Date: 10-2007
DOI: 10.1111/J.1365-2934.2006.00738.X
Abstract: Globally, nursing workforce shortages are a hot topic for discussion among politicians, academics and clinicians. This paper uses collective action framing to analyse the literature about the problem of workforce for Australian rural nurses. As part of a larger constructivist grounded theory study, we utilize collective action framing to bridge social world mapping and the literature. Data sources included journal databases, newspapers, newsletters and websites. We limited the years searched from 2000 to 2005. This analytical heuristic categorizes text into three main categories: diagnoses of a problem, postulations of solutions and actions to motivate change. Having mapped the social world of Australian rural nurses as comprising four groups of collective actors - community, advocates, academics and government - we trace the texts that they have produced with a focus on mentoring as a potential solution to the problem of workforce. Mentoring entered the literature about the problem of workforce for Australian rural nurses because of a combination of political and academic will. These collective groups are now changing how they are framing the problem of workforce to focus instead on the globalization of nursing workforce shortages, which is resulting in diminished support for mentoring activities in clinical practice.
Strategies to support the growth and evolution of nursing and midwifery education in Tasmania
Publisher: Bond University
Date: 25-10-2021
DOI: 10.53300/001C.29661
Abstract: There is a prediction of significant nursing workforce shortfalls across Australia. Tasmania, as an island state of Australia, is more sensitive to such a shortage due to the existing challenges associated with pre-service and postgraduate nurse education, training, recruitment and retention. This paper describes strategies adopted by the School of Nursing (SoN), University of Tasmania to ensure the preparation and sustainability of the registered nurse workforce that is pivotal for state-wide healthcare. Due to lower levels of educational attainment amongst Tasmanian school leavers, the SoN has developed alternative pathway programs that offer entry for students who do not meet standardised entry. Staged progression to pedagogically sound online teaching platforms, pre-requisite limitations and uncoupling subject contents are strategies that have been incorporated in new undergraduate curriculum. The SoN’s postgraduate program includes a suite of 24 specialisations including a post-registration midwifery specialisation and students have the flexible option to exit the program at a graduate certificate, graduate diploma or finish at a master’s level. Partnerships with local industry, nursing associations, healthcare consumers, other health disciplines and students ensure that the SoN is responsive to sector needs and regulatory authority requirements to graduate qualified registered nurses serving in highly-demanding healthcare environments.
Nursing and the nursing workplace in Q ueensland, 2001–2010: What the nurses think
Publisher: Wiley
Date: 13-09-2013
DOI: 10.1111/IJN.12182
Abstract: The purpose of the study was to inform policy for reform in nursing. A survey mailed to members of the Queensland Nurses' Union four times between 2001 and 2010 elicited views on their employment and working conditions, professional development and career opportunities. Results across years and sectors of nursing consistently showed dissatisfaction in many aspects of employment, particularly by nurses working in aged care. However, views on staffing numbers, skill mix, workload, work stress, pay and staff morale all showed significant improvements over the decade. For ex le in 2001, 48.8% of nurses believed that their pay was poor, whereas in 2010, this had reduced to 35.2%. Furthermore, there was a significant rise throughout the decade in the opinion of the value of nursing as a good career. In light of the need to address nurse workforce shortages, the trends are encouraging however, more improvements are required in order to support recruitment and retention.
The contribution of individual psychological resilience in determining the professional quality of life of Australian nurses
Publisher: Frontiers Media SA
Date: 21-10-2015
Walking With another: rural nurses' experiences of mentoring
Publisher: SAGE Publications
Date: 2008
Abstract: The aim of this constructivist grounded theory study was to explore rural nurses' experiences of mentoring. Mentoring is often proposed as a solution to the problem of nursing workforce shortages. The global problem of workforce for nurses can be defined using the parameters of recruitment and retention rates, `problems' with which result in staff shortages, particularly of experienced nurses. Constructivist grounded theory has its foundations in relativism and an appreciation of the multiple truths and realities of subjectivism. Seven Australian rural nurses were interviewed. To ensure data saturation of particular categories and the fit of tentative theoretical conceptualisations, two participants were interviewed twice with no new codes identified from the subsequent interviews. Cultivating and growing new or novice rural nurses was the core category which conceptualised a two-part process consisting of getting to know a stranger and walking with another. Supportive relationships such as mentoring were found to be an existing, integral part of experienced rural nurses' practice — initiated by living and working in the same community. In this grounded theory, cultivating and growing is conceptualised as the core category. A two-part process was identified — getting to know a stranger and walking with another. This paper examines one of these subcategories, walking with another, relating the ways in which experienced rural nurses walk with another by firstly keeping things in perspective for new or novice rural nurses, and secondly using a particular form of language called nurse chat. For experienced rural nurses, mentoring in this way delivers a number of different outcomes with various nurses. Because it is a part of the experienced rural nurse's practice on an ongoing basis, in idual mentoring relationships do not provide an end in relation to this nurse's experiences of mentoring, rather they are part of an ongoing experience. Creating supportive environments that include developing relationships such as mentoring is a potential solution to local staffing needs that does not require intensive resources. Experienced nurses engaged in clinical practice have the potential to cultivate and grow new or novice nurses — many already do so. Recognising their role and providing support as well as development opportunities will bring about a cycle of mentoring within the workplace.
Dancing with data: An example of acquiring theoretical sensitivity in a grounded theory study
Publisher: Wiley
Date: 24-05-2012
Review of small rural health services in Victoria: how does the nursing‐medical division of labour affect access to emergency care?
Publisher: Wiley
Date: 06-2008
DOI: 10.1111/J.1365-2702.2007.02087.X
Abstract: This paper is based on a review of the Australian and International literature relating to the nursing-medical ision of labour. It also explores how the ision of labour affects patient access to emergency care in small rural health services in Victoria, Australia. The paper describes the future Australian health workforce and the implications for rural Victoria. The concept of ision of labour and how it relates to nursing and medicine is critically reviewed. Two forms of ision of labour emerge - traditional and negotiated ision of labour. Key themes are drawn from the literature that describes the impact of a traditional form of ision of labour in a rural context. This paper is based on a review of the Australian and international literature, including grey literature, on the subject of rural emergency services, professional boundaries and roles, ision of labour, professional relationships and power and the Australian health workforce. In Australia, the contracting workforce means that traditional isions of labour between health professionals cannot be sustained without reducing access to emergency care in rural Victoria. A traditional ision of labour results in rural health services that are vulnerable to slight shifts in the medical workforce, unsafe services and recruitment and retention problems. A negotiated form of ision of labour provides a practical alternative. A ision of labour that is negotiated between doctors and nurses and supported by a legal and clinical governance framework, is needed to support rural emergency services. The published evidence suggests that this situation currently does not exist in Victoria. Strategies are offered for creating and supporting a negotiated ision of labour. This paper offers some strategies for establishing a negotiated ision of labour between doctors and nurses in rural emergency care.
Queensland nursing staffs' perceptions of the preparation for practice of registered and enrolled nurses
Publisher: Elsevier BV
Date: 10-2012
DOI: 10.1016/J.NEDT.2012.11.023
Abstract: In Australia, unlike other countries, programmes which lead to registration as a registered or enrolled nurse (called "entry to practice" programmes) are carried out solely in the tertiary sector. In Australian nursing and the wider community, there continues to be a debate over the place of preparation and the "work readiness" of graduates. Despite several opinion papers on the preparation of registered nurses, there is a dearth of published research on the perceptions of the clinical nursing workforce on the suitability of the current preparation for practice models. Data were collected from approximately 3000 nurses in Queensland, Australia in 2007 and 2010. The aim of these studies was to ascertain issues around nursing work. This paper reports on qualitative data that were collected as part of that larger survey. Specifically this paper provides the thematic analysis of one open-ended question: "what are the five key issues and strategies that you see could improve nursing and nursing work?" as it was apparent when we undertook thematic analysis of this question that there was a major theme around the preparation of nurses for the nursing workforce. We therefore carried out a more detailed thematic analysis around this major theme. The major sub-themes that we identified from comments on the preparation of the nursing workforce were: perceptions of lack of clinical exposure and the need to increase the amount of clinical hours the design of the curriculum, the place of preparation (solely within industry or a great focus on industry), financial consideration (students to be paid for their work) and in 2007 only, the need for students to have better time management. The findings suggest that a majority of respondents believed there should be changes to the entry to practice preparation for nurses. The major focus of these comments was the perception of insufficient clinical experience and inappropriate curriculum content. Thus, graduates are not "work ready". The attitude of clinical nurses, who work closely with student nurses, influences the workplace experience of student nurses. It is apparent from the statements of respondents in this study, that there is a need for stronger industry/academic partnerships, particularly around the design and implementation of the entry-to-practice curriculum.
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