ORCID Profile
0000-0002-4528-4268
Current Organisation
Murdoch University
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Publisher: Graphyonline Publications PVT, Ltd.
Date: 23-07-2015
Publisher: Elsevier BV
Date: 02-2020
DOI: 10.1016/J.IJNURSTU.2019.103474
Abstract: Australia has vast areas of desert, wilderness and offshore islands where nurses provide the majority of health care services. The residents of Australia's remote communities generally have poorer health status than their metropolitan counterparts. Despite recognition of Primary Health Care as a comprehensive model of acute and preventative care well suited to areas of high health and social need, there is little known about how nurses employ the Primary Health Care model in practice. This study described and explained from the perspective of nurses, the actions and interactions involved in the delivery of Primary Health Care in remote communities. This study was conducted from a Constructivist Grounded Theory perspective. The setting was community health centres or Aboriginal Medical Services located in 'remote' or 'very remote' areas. Communities with inpatient health services were excluded. Twenty four Nurse Practitioners, Registered Nurses and nursing academics participated. Participants had worked or were working, in a variety of remote communities across Australia. Length of service ranged from three months to over 15 years nursing in remote areas. Data were collected through 23 telephone interviews and an expert reference group. Theoretical s ling and constant comparative analysis were used to reach theoretical saturation. The core issue participants faced was the inability to provide Primary Health Care. Four conditions impacted on the core issue: understanding the social world of the remote community, availability of resources, clinical knowledge and skill and, shared understanding and support. The process of doing the best you can with what you have, emerged as the way participants dealt with the inability to provide Primary Health Care. The process involved four primary activities: facilitating access to health care, continually learning, seeking understanding, and home-making in a work environment. The outcome of this process was considered to be making compromises to provide Primary Health Care. This study describes the substantive theory: making compromises to provide Primary Health care services in the remote Australian setting. Understanding the process of making compromises could direct employers and educators in their efforts to improve the provision of Primary Health Care in a variety of settings. Increased attention to the education, resources and support of nurses is likely to increase access to safe, quality care for remote communities.
Publisher: Global Science & Technology Forum (GSTF)
Date: 24-07-2017
Publisher: Wiley
Date: 30-06-2022
DOI: 10.1111/AJR.12899
Abstract: Remote area nurses provide primary health care services to isolated communities across Australia. They manage acute health issues, chronic illness, health promotion and emergency responses. This article discusses why their generalist scope of practice should be formally recognised as a specialist nursing practice area. Constructivist grounded theory, using telephone interviews ( n = 24) with registered nurses and nurse practitioners. Primary health care clinics, in communities of 150–1500 residents across Australia. A total of 24 nurses participated in this study. Nurses' perceived their clinical knowledge and skill as insufficient for the advanced, generalist, scope of practice in the remote context, especially when working alone. Experience in other settings was inadequate preparation for working in remote areas. Knowledge and skill developed on the job, with formal learning, such as nurse practitioner studies, extending the in idual nurse's scope of practice to meet the expectations of the role, including health promotion. Remote area nursing requires different knowledge and skills from those found in any other nursing practice setting. This study supports the claim that remote area nursing is a specialist–generalist role and presents a compelling case for further examination of the generalist education and support needs of these nurses. Combined with multidisciplinary collaboration, developing clinical knowledge and skill across the primary health care spectrum increased the availability of health resources and subsequently improved access to care for remote communities. Further research is required to articulate the contemporary scope of practice of remote area nurses to differentiate their role from that of nurse practitioners.
Publisher: SAGE Publications
Date: 2021
DOI: 10.33151/AJP.18.861
Abstract: Promotion from paramedic to manager is common in ambulance services, yet there is limited research concerning paramedics’ experience of this role transition. The purpose of this qualitative study was to explore the experiences of paramedics who have transitioned from clinician to manager. A qualitative approach was used for this study. Through purposive s ling, semi-structured interviews were conducted with paramedics who had made the transition to manager. The participants were asked to describe how they felt and what their experiences were concerning this transition. Thematic analysis was undertaken identifying themes within participant responses. Six key themes emerged during the data analysis. Participants described feelings of isolation on moving from the frontline, a lack of feeling part of the team ‘in green’ however, they also reported that previously being a paramedic in some instances gave credibility in their new manager roles. Challenges reported concerned no formal training before transitioning into the role, and the lack of essential managerial experience. This research provided insight into how paramedics feel and perceive the transition from clinician to management roles. A review of the organisational approach to role transition is of benefit to paramedics. Such a review may help identify what changes could be made in support of paramedics transitioning to management roles. Further research is required across other ambulance services to determine the efficacy of these results in the broader ambulance service environment.
Publisher: Springer Science and Business Media LLC
Date: 12-2020
DOI: 10.1186/S12998-020-00351-4
Abstract: Professional associations (PAs) are perceived to promote their professions and support their members. Despite these advantages, about 1 in 3 Australian chiropractors choose not to belong to either of the two PAs. Our study had two objectives: 1) to explore the views of non-member chiropractors about PAs in general 2) seek to understand the motivations of non-member Australian chiropractors about not joining a PA. This qualitative descriptive study utilised in-depth semi-structured interviews with open-ended questions for thematic analysis and was conducted from January to April 2020. Nine participants were interviewed before no new themes were articulated. Participants had to be registered chiropractors who had not been members of a PA for at least three years. Recruitment was through a Facebook advertisement and snowball s ling. Interviews were transcribed and imported into NVivo qualitative analysis software, allowing identification of key concepts surrounding non-membership of chiropractic PAs. Five themes were identified. 1) A tarnished image, suggested the profession has a poor standing in the eyes of the public and other health professionals. 2) Not worth the money, expressed the annual membership dues were not viewed as good value for money. 3) Going it alone / what’s in it for me? indicated there was no direct benefit or anything deemed essential for practice. 4) Two warring factions, reflected not wanting to be seen to be part of the internal conflict between conservative and evidence-based practitioners. 5) Lack of visibility, described no visible presence or strong communication that clearly displayed the advantages of membership. Non-members are looking for PAs to enhance the respectability of the profession in a manner that ultimately results in increased patient volume and the provision of readily accessible day-to-day resources and information. These results can inform the construction of a survey for the broader chiropractic non-membership community to confirm and expand upon these findings and potentially improve PAs.
Publisher: Sciedu Press
Date: 30-06-2016
Publisher: Springer Science and Business Media LLC
Date: 12-09-2019
DOI: 10.1186/S12998-019-0275-6
Abstract: The aim of this study was to report on key informant opinions of Councils on Chiropractic Education (CCE) regarding recent research findings reporting on improving accreditation standards and processes for chiropractic programs (CPs). This qualitative study employed in-depth semi-structured interviews with key experienced personnel from the five CCEs in June and July of 2018. The interviews consisted of open-ended questions on a range of issues surrounding accreditation, graduate competency standards and processes. All interviews were audio-recorded, and transcribed verbatim. The transcripts were analysed to develop codes and themes using thematic analysis techniques assisted by NVivo coding software. The study followed the COREQ guidelines for qualitative studies. Six themes were isolated from the interview transcripts they were: professional differences keep it in the family to focus on outcomes or be prescriptive? more resources please inter-profession integration and CPs making ends meet. Most respondents saw a need for CCEs standards and processes to improve interdisciplinarity while at the same time preserving the ‘uniqueness’ of chiropractic. Additionally, informants viewed CCEs as carrying out their functions with limited resources while simultaneously dealing with vocal disparate interest groups. Diverse views were observed on how CCEs should go about their business of assessing chiropractic programs for accreditation and re-accreditation. An overarching confounder for positive changes in CCE accreditation standards and processes is the inability to clearly define basic and fundamental terms such as ‘chiropractic’ and its resultant scope of practice. This is said to be because of vocal, erse and disparate interest groups within the chiropractic profession. Silence or nebulous definitions negotiated in order to allow a ersity of chiropractic practice to co-exist, appears to have complicated and hindered the activities of CCEs. Recommendations are made including an adoption of an evidence-based approach to accreditation standards and processes and the use of expertise from other health professions. Further, the focus of attention should be moved away from professional interests and toward that of protection of the public and the patient.
Publisher: Springer Science and Business Media LLC
Date: 12-09-2019
DOI: 10.1186/S12998-019-0276-5
Abstract: This is the second article reporting on a study that sought the views of people with extensive experience in Councils on Chiropractic Education (CCEs) on research that has raised concerns about variability in accreditation standards and processes for chiropractic programs (CPs) and chiropractic practice in general. This qualitative study employed in-depth semi-structured interviews that consisted of open-ended questions asking experts about their thoughts and views on a range of issues surrounding accreditation, graduate competency standards and processes. The interviews were audio-recorded, and transcribed verbatim in June and July of 2018. The transcripts were reviewed to develop codes and themes. The study followed the COREQ guidelines for qualitative studies. The interviews revealed that these CCE experts were able to discern positive and negative elements of the accreditation standards and processes. They were, in general, satisfied with CCEs accreditation standards, graduating competencies, and site inspection processes. Most respondents believed that it was not possible to implement an identical set of international accreditation standards because of cultural and jurisdictional differences. This was thought more likely to be achieved if based on the notion of equivalence. Also, they expressed positive views toward an evidence-based CP curriculum and an outcomes-based assessment of student learning. However, they expressed concerns that an evidence-based approach may result in the overlooking of the clinician’s experience. Diverse views were found on the presence of vitalism in CPs. These ranged from thinking vitalism should only be taught in an historical context, it was only a minority who held this view and therefore an insignificant issue. Finally, that CCEs should not regulate these personal beliefs, as this was potentially censorship. The notable absence was that the participants omitted any mention of the implications for patient safety, values and outcomes. Expert opinions lead us to conclude that CCEs should embrace and pursue the widely accepted mainstream healthcare standards of an evidence-based approach and place the interests of the patient above that of the profession. Recommendations are made to this end with the intent of improving CCE standards and processes of accreditation.
Publisher: Wiley
Date: 20-04-2018
DOI: 10.1111/JOCN.13785
Abstract: To critically appraise available literature and summarise evidence pertaining to the patient safety knowledge and practices of new graduate registered nurses. Responsibility for patient safety should not be limited to the practice of the bedside nurses, rather the responsibility of all in the healthcare system. Previous research identified lapses in safety across the health care, more specifically with new practitioners. Understanding these gaps and what may be employed to counteract them is vital to ensuring patient safety. A focused review of research literature. The review used key terms and Boolean operators across a 5-year time frame in CINAHL, Medline, psycINFO and Google Scholar for research articles pertaining to the area of enquiry. Eighty-four articles met the inclusion criteria, 39 discarded due to irrelevant material and 45 articles were included in the literature review. This review acknowledges that nursing has different stages of knowledge and practice capabilities. A theory-practice gap for new graduate registered nurses exists, and transition to practice is a key learning period setting new nurses on the path to becoming expert practitioners. Within the literature, there was little to no acknowledgement of patient safety knowledge of the newly registered nurse. Issues raised in the 1970s remain a concern for today's new graduate registered nurses. Research has recognised several factors affecting transition from nursing student to new graduate registered nurse. These factors are leaving new practitioners open to potential errors and risking patient safety. Understanding the knowledge of a new graduate registered nurse upon entering clinical practice may assist in organisations providing appropriate clinical and theoretical support to these nurses during their transition.
Publisher: Wiley
Date: 20-03-2019
DOI: 10.1111/JOCN.14839
Abstract: To explore the transition experiences of newly graduated registered nurses with particular attention to patient safety. New graduate registered nurses' transition is accompanied by a degree of shock which may be in tune with the described theory-practice gap. The limited exposure to clinical settings and experiences leaves these nurses at risk of making errors and not recognising deterioration, prioritising time management and task completion over patient safety and care. Qualitative descriptive approach using semi-structured interviews. Data were collected during 2017-18 from 11 participants consenting to face-to-face or telephone semi-structured interviews. Interviews were transcribed verbatim, and data were analysed using thematic analysis techniques assisted by Nvivo coding software. The study follows the COREQ guidelines for qualitative studies (see Supplementary File 1). Key themes isolated from the interview transcripts were as follows: patient safety and insights time management making a mistake experiential learning and transition. Medication administration was a significant cause of stress that adds to time management anguish. Although the new graduate registered nurses' clinical acumen was improving, they still felt they were moving two steps forward, one step back with regards to their understanding of patient care and safety. Transition shock leaves new graduate registered nurses' focused on time management and task completion over patient safety and holistic care. Encouragement and support needed to foster a safety culture that foster safe practices in our new nurses. Having an understanding of the new graduate registered nurses' experiences and understanding of practice will assist Graduate Nurse Program coordinators, and senior nurses, to plan and provide the relevant information and education during these initial months of transition to help mitigate the risk of errors occurring during this time.
Publisher: Wiley
Date: 04-12-2017
DOI: 10.1111/JOCN.13980
Abstract: To explore the connection between +6 nursing leadership and enhanced patient safety. Critical reports from the Institute of Medicine in 1999 and Francis QC report of 2013 indicate that healthcare organisations, inclusive of nursing leadership, were remiss or inconsistent in fostering a culture of safety. The factors required to foster organisational safety culture include supportive leadership, effective communication, an orientation programme and ongoing training, appropriate staffing, open communication regarding errors, compliance to policy and procedure, and environmental safety and security. As nurses have the highest patient interaction, and leadership is discernible at all levels of nursing, nurse leaders are the nexus to influencing organisational culture towards safer practices. The position of this article was to explore the need to form a nexus between safety culture and leadership for the provision of safe care. Safety is crucial in health care for patient safety and patient outcomes. A culture of safety has been exposed as a major influence on patient safety practices, heavily influenced by leadership behaviours. The relationship between leadership and safety plays a pivotal role in creating positive safety outcomes for patient care. A safe culture is one nurtured by effective leadership. Patient safety is the responsibility of all healthcare workers, from the highest executive to the bedside nurse, thus effective leadership throughout all levels is essential in engaging staff to provide high quality care for the best possible patient outcomes.
Publisher: Elsevier BV
Date: 06-2019
Publisher: Ovid Technologies (Wolters Kluwer Health)
Date: 30-09-2019
Publisher: Elsevier BV
Date: 04-2021
Publisher: Elsevier BV
Date: 04-2010
DOI: 10.1016/J.NEDT.2009.12.007
Abstract: This paper discusses a leadership program implemented in the School of Nursing at Edith Cowan University to develop leadership in fourth semester nursing students enrolled in a three year undergraduate nursing degree to prepare them for the dynamic 'changing world' environment of healthcare. Students were invited to apply to undertake the program in extracurricular time. Nineteen students applied to the program and ten were chosen to participate in the program. The numbers were limited to ten to equal selected industry leader mentors. The leadership program is based on the belief that leadership is a function of knowing oneself, having a vision that is well communicated, building trust among colleagues, and taking effective action to realize one's own potential. It is asserted that within the complexity of health care it is vital that nurses enter the clinical setting with leadership capabilities because graduate nurses must take the lead to act autonomously, make decisions at the point of service, and develop a professional vision that fits with organizational and professional goals Thus, the more practice students have with leadership skills, the more prepared they will be to enter the workforce. The program consists of three components: leadership knowledge, leadership skills and leadership-in-action. The leadership program focuses on the student-participant's ability to be self reflective on personal leadership qualities, critically appraise, and work within a team as well as to take responsibility for ensuring the achievement of team goals as leader. The program is practical and is reliant on the involvement of leader mentors who hold positions of leadership with the health industry in Western Australia. Students completed a pre and post program questionnaire related to abilities and skills in leadership. This paper discusses pre and post evaluation data against program outcomes. The findings demonstrate that participants of the program increased their ability to influence, persuade and motivate others to effectively communicate to team build and work collaboratively to develop problem solving and perseverance skills to overcome obstacles and to serve as agents for positive change.
Publisher: Informa UK Limited
Date: 28-10-2016
DOI: 10.1080/10376178.2016.1246950
Abstract: To explore residential aged care nurses working in interim, rehabilitation and residential aged care perceptions of resilience. Qualitative Portraiture methodology. Inclusion criteria were that all participants were English speaking, registered with the Australian Health Practitioners Registration Authority and had more than five years' experience working in an aged care environment. Three participants were interviewed and employed within a metropolitan interim, rehabilitation and aged care setting. Eight themes were identified: valuing social support leadership, managing 'self' 'paying it forward' passion for the profession focusing on the positive and the taking on of challenge. This paper focuses on the impact of aged care nursing work on nurses and in particular how the nurses remain resilient in their work environment. Resilience can be developed through education and can sustain professional longevity. Workload stress can be alleviated through the provision of resilience training.
Publisher: Springer Science and Business Media LLC
Date: 22-03-2019
DOI: 10.1007/S11695-019-03837-0
Abstract: Bariatric patients regularly present with insufficient dietary fibre intake. Adequate dietary fibre is essential for gut function and laxation. This review aims to assess the effect of bariatric surgery on dietary fibre intake and bowel habits. This review was conducted using the methodology described by Kable et al. (Nurse Educ Today 8:878-886, 2012) for structured literature reviews. Post-surgery, patients consume inadequate dietary fibre when compared to recommendations for healthy populations. Food intolerance to fibre-rich foods, food restriction and discomfort with eating are possible causes. Bowel habit changes are likely to be procedure-specific. Only one study has assessed both dietary fibre intake and bowel habits. Understanding changes in dietary fibre types and bowel habits will be useful to address future dietary interventions.
Publisher: SAGE Publications
Date: 2011
DOI: 10.2304/PLAT.2011.10.2.164
Abstract: Leadership is a practical skill, highly valued by employers but not formally taught in Australian psychology curricula. The Edith Cowan University School of Psychology and Social Science developed a programme aimed at addressing the lack of leadership training in undergraduate psychology students. This 12-month extracurricular programme provided theoretical and practical experience in leadership, and incorporated a formal series of workshops and seminars with three curricular components: leadership knowledge, leadership skills, and leadership in action. Students were then provided with the opportunity to develop and practise their leadership skills by participating in a series of expert-driven seminars, through role-playing, perspective taking, and management of groups. Finally, students worked with local industry leaders to provide strategic leadership in developing and implementing a community project. This paper outlines the components of the programme and a qualitative evaluation of the students' experiences, the development of their leadership capacity, and their participation in respective community projects.
Publisher: Hindawi Limited
Date: 22-11-2018
DOI: 10.1111/JONM.12725
Abstract: To evaluate the experience of change fatigue in frontline nursing staff following large-scale organisational change and determine whether improved teamwork perception scores can mitigate the experience of change fatigue in this population. There is limited published research pertaining to the experience of change fatigue in nursing, despite the rapid rate and volume of change within health care organisations. An online questionnaire was used to survey a cross section of frontline nurses from two distinct cohorts those that transitioned to a new build hospital in an established team (n = 225), and those who transitioned into a newly reconfigured team (n = 521). Frontline nurses who transitioned in an established team reported higher levels of change fatigue following large-scale change, compared with those that commenced in a new, reconfigured team (p = 0.013). There is a small significant negative correlation between perception of teamwork and change fatigue scores. Regardless of team type, high levels of change fatigue are reported by frontline nursing staff following large-scale organisational change. Established teams have a higher perceived level of teamwork in all domains when compared with a new team in the same change conditions. It is unlikely that the perception of teamwork has any real-world impact upon the experience of change fatigue. Change fatigue is a real phenomena experienced by frontline nursing staff during large-scale organisational change conditions. Investing in teamwork training prior to or during large-scale organisational change does not affect the experience of change fatigue.
Publisher: Wiley
Date: 17-06-2019
DOI: 10.1111/INM.12622
Abstract: The population of overseas-born Australians continues to grow including the recent increase of immigrants and refugees from African countries. Due to this increase, healthcare services need to assess if current available services are culturally appropriate for African immigrant inpatients. This qualitative study, with a quality improvement focus, examined current services to identify key service gaps and consider recommendation to improve care of African immigrant mental health inpatients in the hospital from the point of view of staff working within the organisation. What was revealed is that services currently offered to African mental health inpatients were culturally inappropriate. Emerging themes included inadequate interpreter services, lack of cultural awareness staff training, lack of organisation link with other services, unmet spiritual needs, use of staff/families as interpreters, culturally inappropriate information, and lack of or inadequate culturally appropriate policies and framework. Changes to current practices are recommended to provide culturally appropriate mental health care to African inpatients.
Publisher: Elsevier BV
Date: 2019
DOI: 10.1016/J.NEPR.2018.12.003
Abstract: The transition to quality and safety in the new graduate registered nurses' practice remains problematic directly impacting patient outcomes. Effective mentoring during transition serves to enhance experiential learning, allowing the development and establishment of safe, quality nursing practice. Comprehensive understanding of the transition process, including the barriers and effective enablers to transition is the key to effective mentoring. A theoretical framework guided by Duchscher's Stages of Transition Theory and Transition Shock Model and Benner's From novice to expert model can facilitate such understanding. Nurse Theorists play an important part in shaping nurse education and practice and have provided nurse educators and leaders an understanding to shape skill acquisition and the transition process for new graduate registered nurses. The res ultantresearchmodels and theory of these influencial nurses are pertinent to transition of new graduate registered nurses. This paper outlines the theories of Duchscher and Benner and how their research formed the theoretical framework to facilitate the measurement, understanding and improvement of the safety and quality of nursing care and impact the future nursing workforce.
Publisher: Elsevier BV
Date: 03-2016
DOI: 10.1016/J.COLEGN.2014.12.001
Abstract: This study explored why nurses chose to remain in the Western Australian workforce and to develop insights into the role of resilience of nurses and to identify the key characteristics of resilience displayed by these nurses. Nursing is a stressful profession. Prolific quantitative research which measures job stress and resilience has been implemented however, there is a dearth of qualitative studies which hear the personal narratives as to why nurses remain and thrive in a stressful workplace. Vignettes of nursing resilience reveal underlying themes of resilience where personal stories and events are presented as narrative. Portraiture recognises the inherent value of the nurses' stories giving attention to the nature of their resilience. Interpretation illuminates the portraits or verbal canvasses of the told experience, reflecting success and positivity despite disarray in healthcare settings. Eight themes were identified. The portraits highlight a sometimes imperceptible theme of resilience within nursing. Nurses are resilient they rely on the social support of colleagues, family and friends to continue to bear their mantle of responsibility. They take pride in their work and accomplishments and give to others altruistically. They laugh, they love nursing and they keep the needs of their patients, clients, residents or students foremost. This paper describes the hallmarks of resilience demonstrated by nurses. Resilience and its relationship to coping in times of adversity are captured within the portraits presented.
Publisher: Hindawi Limited
Date: 12-2020
DOI: 10.1111/JONM.13214
Publisher: Elsevier BV
Date: 04-2015
DOI: 10.1016/J.RESUSCITATION.2015.01.023
Abstract: Paramedic exposure to out-of-hospital cardiac arrest (OHCA) may be an important factor in skill maintenance and quality of care. We aimed to describe the annual exposure rates of paramedics in the state of Victoria, Australia. We linked data from the Victorian Ambulance Cardiac Arrest Registry (VACAR) and Ambulance Victoria's employment dataset for 2003-2012. Paramedics were 'exposed' to an OHCA if they attended a case where resuscitation was attempted. In idual rates were calculated for average annual exposure (number of OHCA exposures for each paramedic/years employed in study period) and the average number of days between exposures (total paramedic-days in study/total number of exposures in study). Over 10-years, there were 49,116 OHCAs and 5673 paramedics employed. Resuscitation was attempted in 44% of OHCAs. The typical 'exposure' of paramedics was 1.4 (IQR=0.0-3.0) OHCAs per year. Mean annual OHCA exposure declined from 2.8 in 2003 to 2.1 in 2012 (p=0.007). Exposure was significantly less in those: employed part-time (p<0.001) in rural areas (p<0.001) and with lower qualifications (p<0.001). Annual exposure to paediatric and traumatic OHCAs was particularly low. It would take paramedics an average of 163 days to be exposed to an OHCA and up to 12.5 years for paediatric OHCAs, which occur relatively rarely. Exposure of in idual paramedics to resuscitation is low and has decreased over time. This highlights the importance of supplementing paramedic exposure with other methods, such as simulation, to maintain resuscitation skills particularly in those with low exposure and for rare case types.
Publisher: Graphyonline Publications PVT, Ltd.
Date: 11-06-2015
Publisher: Graphyonline Publications PVT, Ltd.
Date: 22-06-2015
Publisher: RCN Publishing Ltd.
Date: 14-01-2015
Abstract: To present an overview of portraiture. Nursing is increasingly embracing more arts-based approaches as research methodologies. Portraiture has an underlying philosophy and process that enables the illumination of real people in real settings through the 'painting' of their stories. It is a complex methodology in which the researcher attempts to illuminate meaning of personal stories and events presented as narrative. Interview data were collected from nine participants from three nursing settings. Nurses were invited to participate in an interview or conversation designed to elicit data to address the research questions the aim was to gain insight into the nurses' common shared meanings and shared contemplations of their feelings about resilience. Criteria for inclusion in this study required that all nurse participants were English speaking, registered with the Nurses and Midwives Board of Western Australia and that each had over five years' experience in the Western Australian healthcare environment. This was to enable reflection on significant and ongoing changes within the workplace as a possible source of resilient behaviours. This is a methodological paper. Portraiture blends aesthetics and empiricism while drawing on features of narrative, case study, phenomenology and ethnography. The portraits stand as in idual vignettes revealing recognisable themes and enabling patterns of experience to emerge from each topic being studied. Each portrait requires the researcher to constantly reflect on the participant's experiences by incorporating ethnographic observations, interview responses, impressionistic records, the interpretation of context, and the researcher's experiences and insights. It is a methodology that concentrates on success and positivity to immerse the reader in carefully painted and perceptive stories of success and positivity in times of adversity. This paper describes some of the hallmarks of the portraiture method, one of which is to portray success and positivity, and points to the relationship this approach may have with contemporary social science and positive psychology research. The illumination of resilience as a strategy to be learned and fostered in nurses in times of adversity has implications for managers and nursing practice. Resilience education engenders a more resilient workforce and has implications for nurses choosing to or being able to stay in nursing during times of stress and adversity.
Publisher: RCN Publishing Ltd.
Date: 21-06-2017
Abstract: Nurses are often asked to think about leadership, particularly in times of rapid change in healthcare, and where questions have been raised about whether leaders and managers have adequate insight into the requirements of care. This article discusses several leadership styles relevant to contemporary healthcare and nursing practice. Nurses who are aware of leadership styles may find this knowledge useful in maintaining a cohesive working environment. Leadership knowledge and skills can be improved through training, where, rather than having to undertake formal leadership roles without adequate preparation, nurses are able to learn, nurture, model and develop effective leadership behaviours, ultimately improving nursing staff retention and enhancing the delivery of safe and effective care.
Publisher: Wiley
Date: 09-07-2012
DOI: 10.1111/J.1365-2648.2012.06079.X
Abstract: This article presents a discussion of generational differences and their impact on the nursing workforce and how this impact affects the work environment. The global nursing workforce represents four generations of nurses. This generational ersity frames attitudes, beliefs, work habits and expectations associated with the role of the nurse in the provision of care and in the way the nurse manages their day-to-day activities. An electronic search of MEDLINE, PubMed and Cinahl databases was performed using the words generational ersity, nurse managers and workforce. The search was limited to 2000-2012. Generational differences present challenges to contemporary nurse managers working in a healthcare environment which is complex and dynamic, in terms of managing nurses who think and behave in a different way because of disparate core personal and generational values, namely, the three Cs of communication, commitment and compensation. An acceptance of generational ersity in the workplace allows a richer scope for practice as the experiences and knowledge of each generation in the nursing environment creates an environment of acceptance and harmony facilitating retention of nurses. Acknowledgement of generational characteristics provides the nurse manager with strategies which focus on mentoring and motivation communication, the increased use of technology and the ethics of nursing, to bridge the gap between generations of nurses and to increase nursing workforce cohesion.
Publisher: SAGE Publications
Date: 18-11-2016
Abstract: The aim of this study was to find out whether registered nurses read research articles, understand them and translate the research to practice. There is a problem with research knowledge translation in the clinical setting. Despite exposure to research, registered nurses often distance themselves from reading nursing research. A point-prevalence survey was conducted on a s le of registered nurses in a peripheral hospital in Western Australia. The survey was distributed to all wards of the hospital ( n = 7). One-hundred and five ( n = 105) registered nurses were eligible to participate. Ninety-five ( n = 95) completed and the survey. The survey consisted of 11 general questions and an open-ended question. The majority of registered nurses in clinical practice found research articles difficult to understand because of research jargon. Most indicated that they sometimes or never understood what they are reading. Almost all nurses revealed that if research articles were in a ‘simpler’ language they would read them more and apply what they had learned. Promoting a common, user-friendly language in a research abstract or summary which is targeted to the registered nurse audience may assist in finding a common knowledge exchange between researchers and nurses and so help bridge the gap between research and practice.
Publisher: Sciedu Press
Date: 24-06-2015
DOI: 10.5430/JNEP.V5N9P72
Publisher: RCN Publishing Ltd.
Date: 21-03-2018
Publisher: Brighthall
Date: 07-10-2004
DOI: 10.7899/JCE-18-3
Abstract: This study examined the association between anxiety and temporomandibular disorder (TMD) in Australian chiropractic students, particularly its effect on quality of life. Chiropractic students (n = 185) completed online surveys, including the Oral Health Impact Profile for TMDs (OHIP-TMD) and the Patient-Reported Outcomes Measurement Information System (PROMIS) questionnaire. The OHIP-TMD psychometric properties were assessed using principal component analysis. Linear regression models were used to examine demographic predictors for anxiety and TMD. A general linear model assessed the association between anxiety and the psychosocial and function scales identified through analysis of the OHIP-TMD questionnaire. The mean value for the OHIP-TMD and PROMIS was 1.3 (SD = 0.7) and 9.5 (SD = 4.1), respectively. Women reported significantly lower quality of life (QoL) related to TMD symptoms (p = 0.006) and that QoL related to TMD symptoms increased significantly as students progressed through the course (p = .025). Lower levels of anxiety were significantly associated with male gender (p = .000), employment (p = .008), higher program levels (p = .003), and having children (p = .005). General linear model analysis revealed that increased anxiety was significantly associated with higher levels of oral physical function impairment (p = .003) and elevated psychosocial distress (p = .0001). Anxiety was significantly associated with psychosocial distress and oral physical function impairment in university chiropractic students. In addition to impacting on oral health-related QoL, anxiety also affects students' engagement with learning and academic performance. It would therefore be beneficial to implement strategies that mitigate students' anxiety levels.
Publisher: Hindawi Limited
Date: 22-07-2019
DOI: 10.1111/JONM.12819
Abstract: To explore new graduate registered nurses' knowledge and attitudes concerning medical error and patient safety, during their first 6 months of professional practice. New graduate registered nurses demonstrate basic skills and levels of performance due to limited exposure and experience in actual situations. There is a concern held for their clinical reasoning skills required to recognize patient deterioration, posing a threat to patient safety. An online questionnaire was used to survey new graduate registered nurses at three time points during graduate nurse programmes between August 2016 and February 2018. A decrease in self-reported knowledge and attitudes regarding medical errors was noted over the three time points. These results indicate initial confidence in theoretical knowledge and attitudes upon completion of undergraduate education, and prior to commencing professional practice. Results suggest that a theory practice gap persists with respect to medical error for transitioning new nurses. New nurses lack confidence around compromised patient safety situations and a knowledge gap around actions related to medical error. Nurse managers and educators should be made aware of this gap to implement strategies to decrease risk during novice nurse transition.
Publisher: Elsevier BV
Date: 12-2021
Publisher: Global Science & Technology Forum (GSTF)
Date: 24-07-2017
Publisher: RCN Publishing Ltd.
Date: 18-05-2016
Abstract: Online communities are new sites for undertaking research, with their textual interactions providing a rich source of data in real time. 'Ethnonetnography' is a research methodology based on ethnography that can be used in these online communities. In this study, the researcher and a specialist breast care nurse (SBCN) were immersed in the online community, adding to patients' breast cancer care and providing a nursing research component to the community. To examine Kozinets' ( 2010 ) framework for ethnonetnography and how it may be varied for use in a purpose-built, disease-specific, online support community. The online community provided an area where members could communicate with each other. Kozinets' ( 2010 ) framework was varied in that the research was carried out in a purpose-built community opf which an SBCN was a member who could provide support and advice. The application of the ethnonetnographic methodology has wide implications for clinical nursing practice and research. Ethnonetnography can be used to study disease-specific communities in a focused manner and can provide immediate benefits through the inclusion of an expert nurse and contemporaneous application of research findings to patient care. With ethical permission and the permission of online community members, nurse researchers can enter already established online communities. Ethnonetnography is ideally suited to nursing research as it provides the immediacy of evidence-based interaction with an expert nurse. These real-time responses improve support for those experiencing a critical life event.
Publisher: Elsevier BV
Date: 02-2020
DOI: 10.1016/J.ICCN.2019.102763
Abstract: Open visitation in adult intensive care units report benefits such as reduced frequency and duration of deliriums, improved patient and family satisfaction, and reduced anxiety and depression of family members. 'Being close' is one of the most basic and important needs of family members of critically ill patients. Open visitation provides an increased opportunity of being at the bedside with the patient, however, it is not universally embraced by adult intensive care units worldwide. To critically appraise the literature concerning open visitation in adult intensive care units. A structured literature review. This review was guided by the methodology by Kable et al. (2012). Sixteen articles are included in the review. Despite the documented benefits, several challenges exist which hinder broad application of open visitation in adult intensive care units. This review acknowledged challenges faced in adopting an open visiting policy in adult intensive care units such as negative staff perceptions and attitudes patient protection family and cultural consideration, as well as organisational challenges. The lack of a clear and consistent definition of open visitation is problematic, and strategies are urgently needed to support staff to provide holistic patient- and family-centred care.
Publisher: Springer Publishing Company
Date: 02-2015
DOI: 10.20467/1091-5710.19.1.33
Abstract: The presence and active participation of a specialist breast care nurse, as both a member and employed health professional in an online support community, can have positive effects on the knowledge, understanding, and supportive care of online community members who have been diagnosed with breast cancer and their supporters. The nurse in this instance is a SBCN however, other specialist nurses could undertake a similar role within other disease-specific support websites.
Publisher: Hindawi Limited
Date: 03-02-2015
DOI: 10.1111/JONM.12279
Abstract: This paper acknowledges the relationship between resilience and the new managerialism of contemporary nursing. Qualitative portraiture methodology. The new managerialism in hospital settings results in a rapidly increasing turnover of acutely ill or comorbid patients, which directly relates to retention and quality service. In education settings, the management imperative to recruit more students into the profession combined with financial cutbacks leads to similar tensions. In aged care the trend equates care directly with funding, with the same effect. Yet despite this, many registered nurses remain working. Portraiture explored 'why' nurses remain in workplaces often described as awful. The resilience of nurses is seen through their stories and reframed to highlight resilience as a form of resistance to the new managerialism inherent in contemporary healthcare. This paper describes some of the hallmarks of new managerialism where workforce pressures force practices that do not value the 'human resource'. The quotes from the field give insight into the nurse's world view and have implications for managers, educators and employers, as well as for consumers of nursing care.
Publisher: Elsevier BV
Date: 02-2020
Publisher: Wiley
Date: 15-05-2018
DOI: 10.1111/INM.12475
Abstract: Medication errors remain a commonly reported clinical incident in health care as highlighted by the World Health Organization's focus to reduce medication-related harm. This retrospective quantitative analysis examined medication errors reported by staff using an electronic Clinical Incident Management System (CIMS) during a 3-year period from April 2014 to April 2017 at a metropolitan mental health ward in Western Australia. The aim of the project was to identify types of medication errors and the context in which they occur and to consider recourse so that medication errors can be reduced. Data were retrieved from the Clinical Incident Management System database and concerned medication incidents from categorized tiers within the system. Areas requiring improvement were identified, and the quality of the documented data captured in the database was reviewed for themes pertaining to medication errors. Content analysis provided insight into the following issues: (i) frequency of problem, (ii) when the problem was detected, and (iii) characteristics of the error (classification of drug/s, where the error occurred, what time the error occurred, what day of the week it occurred, and patient outcome). Data were compared to the state-wide results published in the Your Safety in Our Hands (2016) report. Results indicated several areas upon which quality improvement activities could be focused. These include the following: structural changes changes to policy and practice changes to in idual responsibilities improving workplace culture to counteract underreporting of medication errors and improvement in safety and quality administration of medications within a mental health setting.
Publisher: Hindawi Limited
Date: 06-08-2018
DOI: 10.1111/JONM.12654
Abstract: To explore absenteeism trends and absenteeism management from the perspective of nurse unit managers. Unscheduled absenteeism among nurses appears to be a multi-factorial phenomenon and is a source of concern due to the effect absenteeism has on the daily management of human resources, ultimately affecting delivery of safe care. Identifying absenteeism trends among nurses may inform the development of targeted strategies to minimize unscheduled absenteeism. A mixed-methods approach was used with the quantitative phase retrospectively reviewing and analysing nurse absenteeism data, whilst the qualitative phase involved semi-structured interviews with nurse unit managers, exploring their perceptions pertaining to the absenteeism trends. Data analysis revealed that absenteeism in hospitals follows various trends, amongst them seasonal, daily, and demographic trends. A heavy workload, which takes its toll on the nurses' physical and mental health, also contributes to nurse absenteeism. This study reveals absenteeism trends from nurse managers' perspectives, with authentication from official statistics. Any prescriptive measures for absenteeism should take into account absenteeism trend analysis and the work environment. An analysis of absenteeism trends will assist management in initiating tailor-made intervention measures.
Publisher: Elsevier BV
Date: 03-2020
DOI: 10.1016/J.EXPLORE.2019.08.005
Abstract: To critically appraise available literature on interventions to increase resilience in physicians. The increasing rate of burnout in physicians has sparked interest in interventions that increase their resilience. Research on improving resilience among health professionals is still in its infancy, yet understanding what interventions are effective in counteracting burnout is vital to ensuring a resilient medical workforce. A focused review of research literature. The review used key terms and Boolean operators across a five-year time frame in PsycINFO, MEDLINE, CINAHL and Google Scholar for relevant articles. Ten articles are included in the structured literature review. Interventions were tested in eight of the 10 studies, with mindfulness a common theme. Results for effectiveness of training programs were mixed, with some studies reporting significant improvements in resilience and others not. Some group, online and coaching interventions were found to be effective in increasing resilience. The percentage of physicians participating in these studies varied, and results regarding physicians were not always reported separately. This review examined a range of interventions, with varying measures of effectiveness. Common limitations in the reviewed studies included self-selection bias, lack of a control group, and uncertainty over whether changes could be attributed to the intervention. The findings presented were not limited to physicians, but included a broader range of health professionals. It is not possible to generalize the results of these studies to physicians. Further research is needed to refine interventions and pinpoint precisely what increases resilience in physicians.
Publisher: Springer Publishing Company
Date: 02-2012
DOI: 10.20467/1091-5710.16.1.7
Abstract: The aim of this study was to explore the dimensions of caring in the telenursing environment. A literature search was performed to identify the body of research related to telenursing and caring using the CINHAL, MEDLINE, and PsychINFO databases. Results indicated that caring is essential to the nurse-patient/relationship. The telenursing setting adds a dimension to care due to the non-visibility of those in the telenursing relationship context. An understanding of caring in the telephone triage environment has synthesized traditionally learned and modelled caring practices into this nursing specialty.
Publisher: Hindawi Limited
Date: 02-11-2020
DOI: 10.1111/JONM.13183
No related grants have been discovered for Vicki Cope.