ORCID Profile
0000-0002-5140-473X
Current Organisations
National Ageing Research Institute Inc
,
Deakin University
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Publisher: Wiley
Date: 02-2013
DOI: 10.1111/IJN.12032
Abstract: The nursing literature continues to give ongoing attention to university-educated nurses' preparedness for practice in the first year following graduation. This interpretive descriptive study explored the impact of a university-based clinical school of nursing experience on graduate nurses' perceptions of their preparedness for practice. Ten registered nurses who undertook their graduate year programme in the same hospital where they attended the university-based clinical school of nursing were interviewed. The interviews were audio-recorded, transcribed verbatim, and analysed to reveal themes and categories. Thematic data analysis revealed three themes: 'being situated in a clinical school within a hospital', 'the university away from the university' and 'engagement with practice'. The outcome of the experience of being situated in a university-based clinical school of nursing contributed to the participants' sense of being prepared for practice as a graduate nurse.
Publisher: Ovid Technologies (Wolters Kluwer Health)
Date: 09-2010
Publisher: Wiley
Date: 23-09-2016
DOI: 10.1111/JAN.13105
Abstract: To explore the extent to which patient ratings of perceived caring and person-centredness are associated with perceived nursing care quality in an acute hospital s le of inpatients. Self-reported patient experiences have had limited attention in conceptualizations of healthcare quality as described in policy and national standards, as well as in health and nursing care practice. The impact of central nursing concepts such as caring and person-centredness on patient ratings of nursing care quality is largely unknown. A descriptive non-experimental correlational design was used to collect and analyse data from a s le of Australian acute hospital inpatients (n = 210) in December 2012. The study collected self-report patient data through a study survey including demographic data and the Caring Behaviours Inventory, the Person-centred Climate Questionnaire, the SF-36 and the Distress thermometer. Descriptive statistics together with Pearson correlation and hierarchical linear regression were used. Perceived caring behaviours of staff and the person-centredness of wards were significantly associated with nursing care quality as evidenced by Pearson correlations being significant and exceeding the pre-set cut-off of r > 0·5. Staff caring behaviours and ward person-centredness also accounted for more than half of the total variance in perceived nursing care quality as evidenced by the final regression model. Knowledgeable and communicable staff, timeliness of assistance and environmental support stood out as most significantly related to patient perceived nursing care quality. Patient experiences of caring and person-centredness seem to have an influential role in the extent to which patients experience the quality of nursing care. Knowledgeable and communicable staff, timeliness of assistance and environmental support stand out as most significantly related to patient-perceived nursing care quality.
Publisher: Wiley
Date: 31-03-2011
DOI: 10.1111/J.1365-2702.2010.03621.X
Abstract: Aim and objective. To evaluate the impact of a structured learning programme as a component of the clinical practicum in final year bachelor of nursing course on the student’s report of their anxiety and self‐efficacy pre–post programme participation. Background. Student anxiety and low levels of self‐efficacy are known to affect the quality of clinical learning. A three‐day structured learning programme at the commencement of an acute care clinical placement was designed to reduce student anxiety and enhance self‐efficacy. Design. A pre–post test design. Method. Outcome measures: The hospital anxiety and depression scale (The HAD) and the general self‐efficacy scale (GSES‐12) were administered prior to the commencement of the structured learning programme (time one) and at the end of the programme (time two). Results. One hundred and twenty final year students undertaking an acute care clinical placement participated in the programme in three cohorts and completed the questionnaires at time one and 118 at time two. Findings. Students levels of anxiety with The HAD pre–post programme 53 vs. 30% ( p 0·001). Levels of self‐efficacy with the GSES‐12 pre–post programme were 7 vs. 4% ( p 0·001). Conclusions. Participation in the structured learning programme resulted in a statistically significant reduction in student anxiety and increase in self‐efficacy across the three cohort groups. This effect can be achieved with the development of a relatively low cost/low technology structured learning programme that is part of an acute care clinical placement. Relevance to clinical practice. Nurse educators should not assume that students are less anxious about their acute care clinical placements as the semester proceeds. There is a typical correlation between increased anxiety and decreased self‐efficacy which is likely to impact on student learning in the clinical setting. Significant results can be achieved with a relatively low cost and a low technology enabling intervention.
Publisher: Wiley
Date: 11-05-2015
DOI: 10.1111/JOCN.12849
Abstract: This study aimed to evaluate the psychometric performance of the six-item Caring Behaviours Inventory in a s le of Australian acute hospital inpatients. Caring is significant for nursing, and exploring the prevalence of staff-caring behaviours is imperative for high-quality acute care. There is a need for psychometrically sound scales that measures caring in acute care, without imposing extensive respondent burden. A cross-sectional survey design was used to distribute the six-item Caring Behaviours Inventory to an Australian s le of hospital inpatients (n = 210) in December 2012. Psychometric evaluation included item performance, construct validity and internal consistency reliability. The six-item Caring Behaviours Inventory had satisfactory psychometric performance as evidenced by normally distributed scores, a uni-dimensional structure explaining 65% of variance in data, a total Cronbach's α of 0·89 and corrected item-total correlations between 0·51-0·82. The six-item Caring Behaviours Inventory had satisfactory estimates of validity and reliability when tested in an Australian s le of acute hospital inpatients. The tool contributes to the literature by being a brief and nonburdensome alternative with seemingly strong psychometric properties to be used in future measures of caring in nursing. The six-item Caring Behaviours Inventory provides a psychometrically tested fundament for reflective clinical discussions on how nurse behaviours facilitate or impede patient experiences of caring. This can benefit quality development in clinical practice as being in tune with patient experiences and expectations is fundamental to high quality services and patient satisfaction.
Publisher: Wiley
Date: 06-1997
DOI: 10.1111/J.1440-172X.1997.TB00084.X
Abstract: The purpose of this study was to provide a beginning exploration of the way in which registered general nurses perceived the concept of patient advocacy. A qualitative approach was taken using the techniques of the grounded theory method. A volunteer s le of eight registered nurses working in an adult acute care ward of a major metropolitan hospital were interviewed using an semi-structured format. Areas explored during the interviews included personal definitions of patient advocacy, elements of the advocate role, and the rationale for the nurse acting as patient advocate. Data analysis commenced during the data collection phase, where initial interviews were transcribed, coded and beginning categories were identified. The findings indicate that for the participants, advocacy is based on respect for the person, and acknowledgement of human rights. The quality of the relationship between the nurse and the patient appears to be the basis for the advocate role. Three initial categories emerged that describe the major elements of the participant's conceptualization of patient advocacy. These are, informing, supporting and representing.
Publisher: Informa UK Limited
Date: 07-2006
DOI: 10.5172/CONU.2006.22.1.120
Abstract: There is evidence in the literature that exercise improves the health and well-being of frail older people. Little is known however of the relationship between exercise, mobility and functional independence in a frail elderly acute care hospital in-patient population. The aim of this study is to examine the effect of two extra walks per day on the mobility, independence and exercise self-efficacy of a population of elderly medical unit in-patients in an acute regional public hospital. Fifty-five subjects were recruited from the population of three medical units over a five-month period. The subjects were then allocated into a control (non-intervention) and an intervention group. The control group received the standard assistance to walk as part of their normal care. Participants in the intervention group were taken, twice a day, seven days a week by the unit nursing staff, for extra assisted walking to their comfortable limit. Mobility was measured by distance able to be walked. Independence was measured by the Barthel scale, and exercise self-efficacy by the self-efficacy exercise scale. All of the participants were assessed using these measures on admission and again at seven days. The results indicate that a walking program can increase an older person's mobility and independence which gives support to the implementation of extra walking as a worthwhile nursing intervention in this group of elderly medical unit inpatients.
Publisher: Elsevier BV
Date: 11-2016
Publisher: Elsevier BV
Date: 2016
DOI: 10.1016/J.NEDT.2015.09.008
Abstract: There is evidence that nursing students experience stress and anxiety and a reduction in self-efficacy when undertaking clinical placements. Previous reports have identified that a structured three-day program within the Bachelor of Nursing (BN) clinical practicum reduces the students self-report of anxiety and increases self-efficacy. However, it is unreported whether these improved outcomes are sustained for the duration of the clinical placement. The aim of this study was to evaluate the duration of the effect of a three-day structured learning program within the clinical placement on final year Bachelor of Nursing student's report of anxiety and self-efficacy pre- and post-program participation in this intervention and following completion of the clinical practicum. A repeated measures design. University-based Clinical School of Nursing, acute care clinical practicum. Final year Bachelor of Nursing students. The intervention comprised the three-day program on starting the clinical practicum. A questionnaire included the anxiety subscale of The Hospital Anxiety & Depression Scale (The HAD) and the General Self-Efficacy Scale (GSES-12). The questionnaire was completed on day one (time one), upon completion of the three-day program (time two) and upon completion of placement on day 18 (time three). The questionnaire response rate varied over time. There was a statistically significant effect in reducing anxiety over time: F(1.73,74.46)=25.20, p<0.001 and increasing self-efficacy over time F(1.32,41.04)=7.72, p<0.004. This is the first report that we are aware of that has measured final year Bachelor of Nursing student's report of both anxiety and self-efficacy over repeated measures of time. Students continue to benefit from a structured learning program and the benefit of the intervention is sustained for the clinical placement duration.
Publisher: Wiley
Date: 06-2003
DOI: 10.1046/J.1365-2648.2003.02664.X
Abstract: The role of informal spousal caregivers has increased as the population ages, levels of disability in society increase, and governments seek to restrain expenditure on the provision of institutional health care. Care giving has attracted a vast body of research, largely directed at caregiver burden. Incontinence, however, has been relatively unexplored, despite being a common problem faced by caregivers, and being recognised as a major caregiver burden and predictor of institutional placement. This study began to explore the impact of care recipient incontinence on major care providers, that is, their spouses. A qualitative approach based on the grounded theory method was used. Eight home-based caregivers of spouses with incontinence were interviewed. Data analysis revealed a number of categories, grouped under three major themes: underpinnings, processes and consequences. The underpinnings were lifelong love and friendship, and acceptance the processes were problem-solving and constant watchfulness. The consequences were role change, financial cost, decreased intimacy, emotional responses, sleeping issues and social isolation. The research highlighted the interconnectedness of factors in the experiences of carers, reinforcing the need for holistic assessment beyond a focus on the "continence issue" alone. Nevertheless, simple interventions could make substantial differences. A framework is proposed which may guide nursing assessment.
Publisher: Elsevier BV
Date: 11-2003
Publisher: Elsevier BV
Date: 02-2020
No related grants have been discovered for Elizabeth Watt.