ORCID Profile
0000-0002-9686-5003
Current Organisations
Deakin University
,
University of New England
,
The University of Newcastle
,
Deakin University Geelong - Waterfront Campus
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In Research Link Australia (RLA), "Research Topics" refer to ANZSRC FOR and SEO codes. These topics are either sourced from ANZSRC FOR and SEO codes listed in researchers' related grants or generated by a large language model (LLM) based on their publications.
Primary Health Care | Aboriginal and Torres Strait Islander Health | Health Promotion | Public Health and Health Services
Aboriginal and Torres Strait Islander Health - Determinants of Health | Expanding Knowledge through Studies of Human Society | Aboriginal and Torres Strait Islander Health - Health Status and Outcomes |
Publisher: Informa UK Limited
Date: 23-05-2014
DOI: 10.3109/01612840.2013.875085
Abstract: The aim of this review was to identify the psychosocial impact of natural disasters on adult (over the age of 18 years) survivors. Databases searched included PsycInfo, CINAHL, Proquest, Ovid SP, Scopus, and Science Direct. The search was limited to articles written in English and published between 2002 and 2012. A total of 1,642 abstracts and articles were obtained during the first search 39 articles were retained. The results indicate that PTSD is the most-studied psychosocial impact after a disaster. Mental health nurses have a significant role to play in supporting survivors and can assist with the development of resilience in community members.
Publisher: Elsevier BV
Date: 2014
DOI: 10.1016/J.NEPR.2013.06.003
Abstract: The use of simulation as a teaching strategy in undergraduate nursing education is gaining increasing credibility and popularity. This article describes a study undertaken to evaluate first-year undergraduate nursing students' level of satisfaction with a new model of teaching clinical skills using unfolding case studies in a high-fidelity simulated clinical setting. The design incorporated a case study design conducted over 4 × 6 h simulation sessions. Participants included 47 first year Bachelor of Nursing Science students, three academic staff and two standardised patients. Findings from the study provide qualitative and quantitative evidence to support a high fidelity simulated model of teaching clinical skills development for first year undergraduate nursing students. High positive scores in all sections of the student survey provide quantitative evidence of student's satisfaction with all elements of the teaching model and qualitative data from interviews supporting this claim. Additionally, analysis of interview data provides qualitative evidence to support the value of the learning experience for students and academics, and students desire to participate more frequently in simulation sessions.
Publisher: Elsevier BV
Date: 06-2017
DOI: 10.1016/J.IJNURSTU.2017.03.006
Abstract: Patient safety is critical to the provision of quality health care and thus is an essential component of nurse education. To describe first, second and third year Australian undergraduate nursing students' confidence in patient safety knowledge acquired in the classroom and clinical settings across the three years of the undergraduate nursing program. A cross-sectional online survey conducted in 2015. Seven Australian universities with c uses across three states (Queensland, New South Wales, South Australia). A total of 1319 Australian undergraduate nursing students. Participants were surveyed using the 31-item Health Professional Education in Patient Safety Survey (H-PEPSS). Descriptive statistics summarised the s le and survey responses. Paired t-tests, ANOVA and generalized-estimating-equations models were used to compare responses across learning settings (classroom and clinical), and year of nursing course. Participants were most confident in their learning of clinical safety skills and least confident in learning about the sociocultural dimensions of working in teams with other health professionals, managing safety risks and understanding human and environmental factors. Only 59% of students felt confident they could approach someone engaging in unsafe practice, 75% of students agreed it was difficult to question the decisions or actions of those with more authority, and 78% were concerned they would face disciplinary action if they made a serious error. One patient safety subscale, Recognising and responding to remove immediate safety risks, was rated significantly higher by third year nursing students than by first and second year students. Two broader aspects of patient safety scales, Consistency in how patient safety issues are dealt with by different preceptors, and System aspects of patient safety are well covered in our program, were rated significantly higher by first year nursing students than by second and third year students. One scale, Understanding that reporting adverse events and close calls can lead to change and can reduce recurrence of events, was rated significantly higher by third year students than first and second year students. In order are to achieve meaningful improvements in patient safety, and create harm free environments for patients, it is crucial that nursing students develop confidence communicating with others to improve patient safety, particularly in the areas of challenging poor practice, and recognising, responding to and disclosing adverse events, including errors and near misses.
Publisher: Elsevier BV
Date: 08-2021
Publisher: Wiley
Date: 21-09-2011
Publisher: Elsevier BV
Date: 09-2015
DOI: 10.1016/J.COLEGN.2014.03.004
Abstract: To examine the psychosocial and environmental distress resulting from the 2010 eruption of the Merapi volcano and explore the experience of living in an environment damaged by a volcanic eruption. Natural disasters cause psychosocial responses in survivors. While volcanic eruptions are an ex le of a natural disaster, little is currently known about the psychosocial impact on survivors. Volcanic eruptions also cause degradation of the environment, which is linked to environmental distress. However, little is currently known of this phenomenon. An explanatory mixed method study. The research will be ided into three phases. The first phase will involve instrument modification, translation and testing. The second phase will involve a survey to a larger s le using the modified and tested questionnaire. The third phase will involve the collection of interviews from a sub set of the same participants as the second phase. Quantitative data will be analyzed to determine the extent of psychosocial and environmental distress experienced by the participants. Qualitative data will be analyzed to explain the variation among the participants. The results of the study will be used to develop strategies to support survivors in the future and to help ameliorate distress.
Publisher: Public Library of Science (PLoS)
Date: 24-06-2015
Publisher: Elsevier BV
Date: 06-2014
DOI: 10.1016/J.COLEGN.2014.03.005
Abstract: Modern communication methods are drastically changing the way people interact with each other. Professions such as nursing need to evolve to remain relevant as social infrastructure changes. In the 1960s, researchers developed a sociotechnical theory that stated workers were more motivated and productive if there was a good balance between the social and technical aspects of their work. Today's technology is blurring the boundaries between the social and the technical thereby transforming human contact and communication into a multi-method process. In Australia, people are adept at utilising social media technology to become more efficient, creative and connected Australian nurses also need to embrace changing technology to capitalise on the professional opportunities offered by social media. This paper imagines a world where nurses integrate social media into assessing, diagnosing, planning, implementing and evaluating care. Discussion draws on a combination of real-world ex les of best-practice and blue-sky thinking to demonstrate that evidence-based care must be combined with the adoption of future-forward technology.
Publisher: Hindawi Limited
Date: 2014
DOI: 10.1155/2014/394237
Abstract: This paper discusses the challenges encountered by researchers while conducting a randomized controlled trial (RCT) testing the efficacy of a healthy lifestyle educational and exercise intervention for people with serious mental illness. RCTs, even though considered the “gold standard” of research designs, are still prone to risks of potential bias and threats to their validity. Based on researcher reflexivity, the combination of reflection and action, during the conduct of the study, this paper outlines a number of challenges faced by the researchers. These included managing the need of participants to tell their story and be heard, reluctance of participants to remain in allocated groups, participant literacy, dual role of the nurse nurse-researcher, and reporting the benefits of nonstatistical results of a quantitative research project. Recommendations for conducting future behaviour intervention studies of this type include the incorporation of a reflexive component for the nurse nurse-researcher, highlighting the importance of taking a reflexive stance in both qualitative and quantitative research designs.
Publisher: Informa UK Limited
Date: 02-08-2020
Publisher: Elsevier BV
Date: 10-2013
DOI: 10.1016/J.RESP.2013.07.013
Abstract: The impact of mechanical ventilation with high V(T)-low PEEP in infant rats with preinjured lungs is unknown. After tracheal instillation of saline or acid, two week old rats were ventilated with V(T) 7 mL/kg and PEEP 5 cm H₂O or V(T) 21 mL/kg and PEEP 1cm H₂O for 4 h. Airway resistance and the coefficient of tissue elastance, measured via low-frequency forced-oscillation technique, and quasi-static pressure-volume curves deteriorated less with high V(T)-low PEEP when compared with low V(T)-high PEEP. IL-6 concentration in bronchoalveolar lavage fluid (BALF) did not differ between all ventilated groups. Moreover, differences in BALF protein concentration and histological lung injury scores were independent of applied ventilation strategies. In contrast to experimental studies with adult rats, short-term mechanical ventilation with high V(T)-low PEEP is not deleterious when compared to low V(T)-high PEEP in both healthy and pre-injured infant rat lungs. Our results call for caution when extrapolating data from adult studies and highlight the need for age-specific animal models.
Publisher: Elsevier BV
Date: 03-2013
DOI: 10.1016/J.COLEGN.2012.03.005
Abstract: This paper explores the concept of 'insider' and 'outsider' and the challenges involved in conducting research when the researches finds themself living the phenomenon under study. Recent literature has been drawn on to explain the context of the 'insider' and 'outsider' in regard to the stance of the researcher. This is followed by an overview of the personal experiences of the author. The advantages and disadvantages of being an insider within the context of the phenomenon of study are discussed along with the challenges and implications for a researcher 'living their PhD research'.
Publisher: Wiley
Date: 07-11-2007
DOI: 10.1111/J.1447-0349.2007.00497.X
Abstract: Drug or substance abuse by adolescents continues to have a major impact on the health and well-being of young people and poses a serious management problem for health workers. While the majority of the problems surrounding adolescent substance abuse rest on the parents, little is actually known about their experiences. This study aimed to describe and construct an interpretation of the lived experiences of parenting an adolescent who abuses illicit substances. A qualitative approach, underpinned by the tenets of phenomenology, was used to conduct in-depth interviews with 18 parents. Thematic analysis revealed eight themes: confronting the lies, deceit, and suspicion struggling to set limits dealing with the consequences living with the blame and the shame trying to keep the child safe grieving the child that was living with the guilt and choosing self-preservation. The results indicate that parents struggle to manage the problem, are left to deal with the consequences of the behaviour with little support, and are constantly looking for answers to the questions raised by the problem.
Publisher: Informa UK Limited
Date: 04-10-2021
Publisher: Wiley
Date: 12-2023
DOI: 10.1111/JAN.15478
Abstract: The study aimed to measure and describe the mental health impact of COVID‐19 on Australian pre‐registration nursing students. The COVID ‐19 pandemic has had a swift and significant impact on nursing students across the globe. The pandemic was the catalyst for the closure of schools and universities across many countries. This necessary measure caused additional stressors for many students, including nursing students, leading to uncertainty and anxiety. There is limited evidence available to identify the mental health impact of COVID‐19 on Australian pre‐registration nursing students currently. A cross‐sectional study was conducted across 12 Australian universities. Using an anonymous, online survey students provided demographic data and self‐reported their stress, anxiety, resilience, coping strategies, mental health and exposure to COVID‐19. Students' stress, anxiety, resilience, coping strategies and mental health were assessed using the Impact of Event Scale‐Revised, the Coronavirus Anxiety Scale, the Brief Resilience Scale, the Brief Cope and the DASS‐21. Descriptive and regression analyses were conducted to investigate whether stress, anxiety, resilience and coping strategies explained variance in mental health impact. Ethical Approval was obtained from the University of New England Human Research Ethics Committee (No: HE20‐188). All participating universities obtained reciprocal approval. Of the 516 students who completed the survey over half ( n = 300, 58.1%) reported mental health concerns and most students ( n = 469, 90.9%) reported being impacted by COVID‐19. Close to half of students ( n = 255, 49.4%) reported signs of post‐traumatic stress disorder. Mental health impact was influenced by students' year level and history of mental health issues, where a history of mental health and a higher year level were both associated with greater mental health impacts. Students experienced considerable disruption to their learning due to COVID‐19 restrictions which exacerbated students' distress and anxiety. Students coped with COVID‐19 through focusing on their problems and using strategies to regulate their emotions and adapt to stressors. The COVID‐19 pandemic has considerably impacted pre‐registration nursing students' mental health. Strategies to support nursing students manage their mental health are vital to assist them through the ongoing pandemic and safeguard the recruitment and retention of the future nursing workforce. This study adds an Australian understanding to the international evidence that indicates student nurses experienced a range of negative psychosocial outcomes during COVID‐19. In this study, we found that students with a pre‐existing mental health issue and final‐year students were most affected. The changes to education in Australian universities related to COVID‐19 has caused distress for many nursing students. Australian nursing academics/educators and health service staff need to take heed of these results as these students prepare for entry into the nursing workforce. The study was designed to explore the impact of COVID‐19 on the mental health of undergraduate nursing students in Australia. Educators from several universities were involved in the design and conduct of the study. However, the study did not include input from the public or the intended participants.
Publisher: SAGE Publications
Date: 21-11-2013
Abstract: West, R., Stewart, L., Foster, K., & Usher, K. (2012). Through a critical lens: Indigenist research and the Dadirri method. Qualitative Health Research, 22(11), 1582-1590. (Original DOI: 10.1177/1049732312457596 ) In the November 2012 issue of Qualitative Health Research, two references were left out of the above article. The references are listed below. Atkinson, J. (2001a). Lifting the blankets: The transgenerational effects of trauma in Indigenous Australia (Doctoral dissertation). Retrieved from eprints.qut.edu.au Atkinson, J. (2001b, October). Different ways of doing research. Paper presented at the Indigenous Voices Ethical Research Practical Outcomes Conference, Yungaburra, Queensland, Australia.
Publisher: SAGE Publications
Date: 26-07-2020
Publisher: MDPI AG
Date: 02-07-2019
Abstract: This study aims to identify the ongoing physical and psychological health vulnerabilities of the readymade garment (RMG) factory workers involved in the Rana Plaza building collapse in 2013, along with their experiences within the current socioeconomic and political contexts of Bangladesh. Seventeen Rana Plaza survivors participated in unstructured, face-to-face, in-depth interviews. Interviews were thematically analyzed using Haddon’s matrix to examine pre-event, event, and post-event injury experiences. The collapse of the Rana Plaza building resulted in significant physical and emotional trauma for those who survived the event. The majority of the participants were forced to attend work on the day of the collapse. Participants reported physical health complaints related to bone injuries/fractures and utation, severe headache, kidney problems, and functional difficulties. In addition to the reported physical health issues, the participants revealed psychological health issues including trauma, depression and suicidal ideation, sleep disorders, anxiety, and sudden anger. Participants described barriers to their potential for re-employment in the RMG sector and outlined their limited access to free healthcare for follow-up treatment. Those who survived the collapse of the Rana Plaza building continue to experience significant adverse physical and emotional outcomes related to the disaster. Yet, they have little recourse to ensure the availability of adequate health care and rehabilitation. Given the international reliance on the Bangladeshi RMG industry, continued pressure to ensure care is provided for these survivors, and to reduce the risk of future disasters, is necessary.
Publisher: Springer Science and Business Media LLC
Date: 15-01-2019
Publisher: Wiley
Date: 27-07-2012
DOI: 10.1111/J.1365-2702.2012.04215.X
Abstract: The purpose of this study was to explore the impact of chronic pain on the partner and family of a person with chronic pain. Chronic pain impacts not only on the in idual but also their partner and/or other family members. Families of people with chronic pain have reported feeling powerless, alienated, emotionally distressed, and isolated. These impacts have affected their relationship with the person with chronic pain. An interpretive qualitative design using in-depth interviews and thematic analysis was undertaken. Purposive s ling and in-depth interviewing were undertaken to develop a rich description of the experience. Findings indicate the impact of chronic pain on the family is extensive, resulting in physical, social, and emotional changes. Four themes were revealed: (1) Family loss, (2) Life changes, (3) Emotional impact of pain, and (4) Future plans. This study reinforces and expands current knowledge regarding the impact of chronic pain on partners and families. Understanding this phenomenon opens opportunities for nurses and other health workers to develop and implement strategies to better support partners/families in the future. Nurses can help reduce the negative impact of pain by including families in assessment, education, referral and treatment processes, and by offering support and education to partners/families.
Publisher: Informa UK Limited
Date: 03-07-2020
Publisher: Informa UK Limited
Date: 12-2013
DOI: 10.5172/CONU.2013.46.1.46
Abstract: Torres Strait Islanders living in the Torres Strait region have the highest prevalence of Type 2 diabetes in Australia more than three times the rate of other Australians. Abdominal obesity and insulin resistance are the main causes for these high rates of the disorder. Further, Aboriginal and Torres Strait Islanders diagnosed with diabetes have poorer glycaemic control and much lower rates of insulin use than non-Indigenous Australians diagnosed with Type 2 diabetes alongside extremely high rates of renal failure and other comorbidities. Interventions have been instigated in order to overcome these issues. Previously a simple recall system managed by local health workers achieved significant improvements in diabetes care, reduced diabetes-related hospitalisations by 40% and led to the implementation of a chronic disease register and recall system throughout the Torres Strait region. Nurses, Indigenous health workers and other health professionals play important roles in ensuring these interventions continue.
Publisher: Wiley
Date: 08-01-2019
DOI: 10.1111/JOCN.14722
Abstract: To provide a review of empirical research investigating how compassion is expressed by nurses and received by patients in hospital settings. Compassion is viewed as an important and fundamental part of a health professional practice. Universally, reports from both media and government agencies have addressed perceived deficits of compassion in healthcare with nurses accused of a lack of compassion. Research into compassion to date has largely focused on the problematic nature of compassion such as burnout, fatigue and other negative personal and work-related outcomes. A systematic literature review of empirical research guided by a meta-ethnographic approach supported the systematic comparison and translation of the included studies. Six online databases were searched from January 2006-December 2016. This review was carried out according to the PRISMA-P reporting guidelines. How compassion in healthcare was defined was extracted alongside findings on how compassion was expressed by nurses and received by patients. Synthesis of the research was completed resulting in new interpretations. Eleven papers met the inclusion criteria and were included in the review. Multiple differing definitions of compassion in healthcare were applied. Nurses embody and enact compassion through behaviours such as spending time with patients and communicating effectively with patients. Patients experience compassion through a sense of togetherness with nurses. Existing research demonstrated dissonance between the expression of compassion by nurses and how compassion is experienced by patients. The themes identified in this review should be considered by health professionals providing patient care. Health providers should acknowledge and account for the time that nurses need with patients to demonstrate compassion in practice. Nursing education relating to the expression of compassion should articulate both the subjectivity and ambiguity of the term and examine the relationship between compassion and suffering.
Publisher: Wiley
Date: 15-06-2021
DOI: 10.1111/INM.12895
Abstract: Recovery is internationally recognized as a concept to improve the well‐being of consumers. Compared with the numerous measures assessing consumer perspectives of recovery, only a few measures have been developed to assess Mental Health Professionals' (MHPs) perspectives of recovery to inform practice. The present study aims to systematically review the literature to identify existing measures designed to assess MHPs' perspectives of recovery and evaluate their psychometric properties, and the methodological considerations of the design and use of these measures. We searched literature across eight electronic databases: MEDLINE, Web of Science, PsycINFO, PsyArticles, CINAHL, Scopus, EMBASE, and Google scholar. We identified 2631 articles across all databases. Of these, 40 articles met the inclusion criteria, which comprised 14 original measures assessing mental health recovery and 26 articles reassessing the psychometric properties of the original 14 measures. Our results suggested that while there are existing measures for assessing MHPs’ perspectives of recovery, only a few of these measures met standard evaluation criteria for psychometric properties. Specifically, the validation of the identified measures is still in its infancy. For ex le, the easiness of applying the measures differs among the studies, and only a few of the measures fully involved consumers in the scale development phase. The implication of the findings for future use and development of recovery measures in mental health practice and research are discussed and recommended.
Publisher: Wiley
Date: 06-2009
Publisher: Wiley
Date: 11-06-2023
DOI: 10.1111/INM.13184
Abstract: This paper emerged from discussions between the authors about our shared and different perspectives of climate change and its impact on the social, emotional, physical, spiritual and cultural wellbeing of Aboriginal Peoples and mental health services in a rural region, heavily impacted in recent years by bushfires and floods. Here we discuss, from the lead authors personal perspective as a Gamilaraay Woman, the experience of Solastalgia as a critical impact of climate change on wellbeing. Specifically, we discuss the relationship of a connection to country from a Gamilaraay, first person perspective through a series of diary entries from the lead author. Authors are researchers from different cultural backgrounds, connected through a medical research futures fund research project, to promote resilience within Aboriginal communities and the health services sector in the New England, North West region. The lead author has cultural connections to some of the communities we work with and our work is informed by these connections. While this paper was written to express an Aboriginal perspective on climate change and wellbeing, it reflects our shared perspectives of how disasters such as bushfires impact the wellbeing of Aboriginal peoples. We also explore the connection between the impact of localised, recurring natural disasters and the increasing demands on mental health services in regional and rural areas and discuss what this means with Aboriginal and non‐Indigenous mental health nurses and researchers working in regional and rural areas where access to mental health services often poses considerable challenges. From our perspective, mental health research and nursing play an important role in walking alongside Aboriginal Peoples as we explore, respond and create resilience to the ever‐present influence that climate change is having on our lives, communities, country and workplaces.
Publisher: Informa UK Limited
Date: 09-12-2016
DOI: 10.1080/01612840.2016.1251516
Abstract: Globally, addiction to "ICE" (crystal meth hetamine) is increasing and presents emergency health care services personnel with a number of challenges. This paper reports the first of two major themes arising from a qualitative study investigating health professionals' experiences' managing people presenting to the Emergency Department (ED) after taking "ICE." The theme "Caring for people who use 'ICE' when presenting to EDs" comprises five subthemes. These are: (a) expecting the unexpected: "they're just off their heads" (b) complexity of care: "underlying trauma and emotional dysregulation"
Publisher: Wiley
Date: 02-11-2012
DOI: 10.1111/J.1365-2702.2012.04336.X
Abstract: To develop and validate a scale to measure the burden experienced by community health volunteers. Research demonstrates the burden experienced by informal carers is substantial. There is no available information about the burden placed on community health volunteers, nor is there a scale developed for the purpose of measuring their burden. An instrument development and psychometric analysis study was undertaken. Exploratory principal component factor analysis was applied to investigate the internal structure of the new scale. The initial item pool derived from literature review and experts resulted in 44 items linked to volunteer burden. The final scale includes 20 items with a content validity index of 0·86 and Cronbach's alpha for test (0·82) and retest (0·77). The reliability coefficient of the test-retest results was 0·63 [95%-confidence interval = (0·44, 0·77)]. Principal component analysis identified five underlying factors: Factor 1 items are related to personal and family matters factor 2 items are related to administrative issues factor 3 items concern the community support factor 4 items are related to organisational matters and factor 5 items concern issues of adequate health promotion delivery. The 20 item instrument designed to measure the burden on community health volunteers in Taiwan showed good internal consistency, content validity and construct validity. The findings infer that the scale may be an effective measure of the burden experienced by community health volunteers. Further testing of this scale within other countries that make use of community health volunteers is required to confirm the results. As volunteers play an important role in supporting the work of community health nurses, the new scale provides a means for nurses to assess volunteers' level of burden and develop interventions as required.
Publisher: Informa UK Limited
Date: 2010
DOI: 10.5172/CONU.2011.37.1.039
Abstract: In 2009, a nursing education model was locally designed and delivered to support the interest of a group of Aboriginal community members living in a rural and remote town in Queensland, specifically to prepare for entry into further nursing education. Named 'Tjirtamai' by the traditional owners of the area, the program was offered in recognition of the challenges faced by Aboriginal people when they enter nursing education courses and as a way to increase the local number of Aboriginal nurses. This program, while funded by the Government, had unprecedented support and involvement from both the local Aboriginal and wider community. The model offered multiple exit points, assistance with financial and other known challenges for Aboriginal and Torres Strait Islander students, and included contextualised literacy and numeracy. Of the 38 Aboriginal students who enrolled in the course, 26 students completed. Of those students, 18 have since enrolled in a bachelor degree in nursing while another 4 enrolled in a diploma of nursing. This paper provides an overview of the course and its outcomes.
Publisher: Wiley
Date: 13-05-2010
Publisher: Mark Allen Group
Date: 02-03-2019
Abstract: Paramedics occupy an ever-increasing role within healthcare and the development of this role should be informed by the voice of patients. This systematic literature review seeks to explore patient experience during a paramedic intervention. Using a ‘state of the art’ review style, a systematic search was conducted of the literature published between 2006 and 2018. Following PRISMA guidelines, a total of seven articles meeting the inclusion criteria were identified. A definition of experience which incorporates several dimensions was used to frame the search. Three themes were identified, with the available literature focusing mainly on satisfaction. Satisfaction is improved through certainty and clarity of the progression through treatment and is high among patients of paramedics. Our understanding of patient experience in paramedic interventions is largely limited to an understanding of satisfaction. While this may provide some useful insights, other facets such as the lived experience and physiologic aspects are underrepresented in the current evidence base.
Publisher: Informa UK Limited
Date: 09-2000
DOI: 10.5172/CONU.2000.9.3-4.220
Abstract: In research, there is no perfection: no perfect method, no perfect s le, and no perfect data analyses tool. Coming to this understanding helps the researcher identify the inadequacies of their preferred method. This paper discusses the criticisms of the oral history method, drawing reference to its challenges and difficulties in relation to its use in nursing research. Oral history has the advantage over more traditional historical approaches in that the narrators can interpret events, personalities and relationships within the interview that are not accessible from written sources. The oral history interview may also provide a forum for unveiling documents and photographs, which might not have been otherwise discovered. Nonetheless, oral history, like most methodologies, is not flawless. This paper discusses the limitations of oral history and suggests ways in which a nurse can use oral history to provide an account of aspects of nursing history.
Publisher: Wiley
Date: 14-03-2017
DOI: 10.1111/INM.12326
Publisher: Informa UK Limited
Date: 2007
Publisher: Informa UK Limited
Date: 12-2010
Publisher: Informa UK Limited
Date: 04-05-2015
DOI: 10.3109/01612840.2015.1017627
Abstract: Intelligent, robust and courageous nursing leadership is essential in all areas of nursing, including mental health. However, in the nursing leadership literature, the theoretical discourse regarding how leaders recognise the need for action and make the choice to act with moral purpose is currently limited. Little has been written about the cognitions, capabilities and contextual factors that enable leader courage. In particular, the interplay between leader values and actions that are characterised as good or moral remains underexplored in the nursing leadership literature. In this article, through a discursive literature synthesis we seek to distill a more detailed understanding of leader moral courage specifically, what factors contribute to leaders' ability to act with moral courage, what factors impede such action, and what factors do leaders need to foster within themselves and others to enable action that is driven by moral courage. From the analysis, we distilled a multi-level framework that identifies a range of in idual characteristics and capabilities, and enabling contextual factors that underpin leader moral courage. The framework suggests leader moral courage is more complex than often posited in theories of leadership, as it comprises elements that shape moral thought and conduct. Given the complexity and challenges of nursing work, the framework for moral action derived from our analysis provides insight and suggestions for strengthening in idual and group capacity to assist nurse leaders and mental health nurses to act with integrity and courage.
Publisher: Springer Science and Business Media LLC
Date: 06-01-2022
Publisher: SAGE Publications
Date: 2006
Abstract: In this article, the authors provide an account of Carspecken's (1996) five-stage approach to “doing” critical ethnography, or what he has termed critical qualitative research (CQR). They provide the reader with an overview of the concepts presented in Carspecken's book Critical Ethnography in Educational Research and describe how they applied several of his ideas within a research project that explored renal nurses' decision making using a critical ethnographic approach. They briefly describe the five stages of CQR and incorporate within the article an ex le of how they applied the stages. They propose this approach as a useful method for nursing and other health-related research.
Publisher: SAGE Publications
Date: 18-08-2009
Abstract: The migration of doctors from developing countries threatens the health status of the populations left behind. This qualitative study was conducted to explore why an unexpected number of Fiji specialist trainees left the public sector, often to migrate, using a lens of professional satisfaction. Forty seven Fiji doctors, including 36 of 66 who undertook specialist training in Fiji, were interviewed about the factors that led to their own professional satisfaction and dissatisfaction. Three major components of professional satisfaction emerged: professional growth, service, and recognition, with considerable overlap between categories. The aspects of professional dissatisfaction were more varied but could be categorized as the absence or blocking of the elements of professional satisfaction. From the interviews, a professional satisfaction model was developed featuring the three overlapping central elements of satisfaction on a background of an enabling health system. This model might have implications for health systems seeking to retain their workers.
Publisher: Wiley
Date: 29-05-2013
DOI: 10.1111/IJN.12095
Abstract: The aim of this study was to explore the motivations of student nurses enrolled in nursing courses across a variety of Pacific Island countries. The image of nursing, the desire to help others, family and friends in the profession, personal experience, security, travel opportunities and flexibility have all been identified as motivators for people to enter nursing. To date, what motivates students in Pacific Island countries to enrol in a nursing course has not been investigated. An exploratory qualitative approach using focus group interviews with 152 nursing students was undertaken. Data were analysed using thematic content analysis, revealing four themes: (i) helping others (ii) 'making a difference for my people' (iii) following in the footsteps of others and (iv) financial and professional gain. In a time of health and nursing workforce shortages, developing a deeper understanding of what drives people can be used to improve recruitment strategies in the future.
Publisher: Wiley
Date: 09-2006
Publisher: OMICS Publishing Group
Date: 2016
Publisher: Informa UK Limited
Date: 12-2013
DOI: 10.5172/CONU.2013.46.1.123
Abstract: Indigenous nurses have the potential to improve access to health services for Indigenous people by ensuring that services are culturally safe and respectful of Indigenous peoples' needs. Therefore, developing a well-educated Indigenous nursing workforce is one way to improve the poor health outcomes of Indigenous Australians. A mixed methods study was undertaken to determine the current rates of enrollment, progression and completion of Indigenous nursing students in Australia and to explore student and staff perceptions of barriers to completion and strategies for success. The results indicate that the national average completion rates are 36.3% for Indigenous nursing students and 64.6% for non-Indigenous nursing students - an average difference of 28.3%. Indigenous nursing students and academics identified barriers to completion, which were similar to those identified in previous research. Success strategies, however, revealed the importance of in idual student characteristics academics' knowledge, awareness, and understanding relationships, connections, and partnerships institutional structures, systems, and processes and, family and community knowledge, awareness, and understanding. This paper offers an overview of the integration and interpretation process that makes up the final phase of a mixed methods study.
Publisher: Wiley
Date: 24-11-2016
DOI: 10.1111/JOCN.13534
Abstract: The aim of this study was to gauge whether, and to what extent, population flow occurred as a result of the implementation of alcohol management plans in Indigenous communities. Alcohol management plans involving carriage limits and dry places were introduced into 15 Queensland Indigenous communities between 2002-2004. Controls on alcohol availability were further tightened between 2008-2010, seeing the closure of eight mainly remote community taverns/canteens. A retrospective observational study was undertaken using data from the Queensland Injury Surveillance Unit. Population flow was measured by changing patterns of alcohol-related injuries in a mining region near dry Indigenous communities following the introduction of alcohol management plans and a control mining region distant from Indigenous communities with alcohol management plans. Data were analysed using descriptive and inferential statistics. Logistic regression was used for the comparison of the characteristics between the emergency department presentations. The rates of alcohol-related injury presentations per 1000 opulation were calculated and age-standardised to the Australian population. Between the five-year periods 2003-2007 and 2008-2012, alcohol-related injury presentations to the Mount Isa emergency department trebled from an age-adjusted average annual rate of 9·5/1000 in the region's population to 27·1/1000 population. In the control region, alcohol-related emergency department injury presentations did not increase to the same degree with age-adjusted average annual rates of 1·42/1000 and 2·21/1000, respectively. The 10-year pattern of emergency department presentations for alcohol-related injuries increased significantly in the Mount Isa region compared with the control region. Further research should investigate the impacts of population flow related to Indigenous community alcohol management plans. Although initiatives such as alcohol management plans have been implemented to reduce alcohol use and related consequences in Indigenous communities, there needs to be a greater consideration of the impact of these policies in nearby towns in the future.
Publisher: JMIR Publications Inc.
Date: 10-2021
DOI: 10.2196/29025
Abstract: Measuring public response during COVID-19 is an important way of ensuring the suitability and effectiveness of epidemic response efforts. An analysis of social media provides an approximation of public sentiment during an emergency like the current pandemic. The measures introduced across the globe to help curtail the spread of the coronavirus have led to the development of a situation labeled as a “perfect storm,” triggering a wave of domestic violence. As people use social media to communicate their experiences, analyzing public discourse and sentiment on social platforms offers a way to understand concerns and issues related to domestic violence during the COVID-19 pandemic. This study was based on an analysis of public discourse and sentiment related to domestic violence during the stay-at-home periods of the COVID-19 pandemic in Australia in 2020. It aimed to understand the more personal self-reported experiences, emotions, and reactions toward domestic violence that were not always classified or collected by official public bodies during the pandemic. We searched social media and news posts in Australia using key terms related to domestic violence and COVID-19 during 2020 via digital analytics tools to determine sentiments related to domestic violence during this period. The study showed that the use of sentiment and discourse analysis to assess social media data is useful in measuring the public expression of feelings and sharing of resources in relation to the otherwise personal experience of domestic violence. There were a total of 63,800 posts across social media and news media. Within these posts, our analysis found that domestic violence was mentioned an average of 179 times a day. There were 30,100 tweets, 31,700 news reports, 1500 blog posts, 548 forum posts, and 7 comments (posted on news and blog websites). Negative or neutral sentiment centered on the sharp rise in domestic violence during different lockdown periods of the 2020 pandemic, and neutral and positive sentiments centered on praise for efforts that raised awareness of domestic violence as well as the positive actions of domestic violence charities and support groups in their c aigns. There were calls for a positive and proactive handling (rather than a mishandling) of the pandemic, and results indicated a high level of public discontent related to the rising rates of domestic violence and the lack of services during the pandemic. This study provided a timely understanding of public sentiment related to domestic violence during the COVID-19 lockdown periods in Australia using social media analysis. Social media represents an important avenue for the dissemination of information posts can be widely dispersed and easily accessed by a range of different communities who are often difficult to reach. An improved understanding of these issues is important for future policy direction. Heightened awareness of this could help agencies tailor and target messaging to maximize impact.
Publisher: Wiley
Date: 11-10-2010
DOI: 10.1111/J.1365-2702.2010.03285.X
Abstract: Aim. This article is a report of a study to identify the ways nursing leaders and managers in a developing country have an impact on patient safety. Background. The attempt to address the problem of patient safety in health care is a global issue. Literature addressing the significant impact that nursing leadership has on patient safety is extensive and focuses almost exclusively on the developed world. Design. A critical ethnography was conducted with senior registered nursing leaders and managers throughout the Fiji Islands, specifically those in the Head Office of the Fiji Ministry of Health and the most senior nurse in a hospital or community health service. Method. Semi‐structured interviews were conducted with senior nursing leaders and managers in Fiji. Thematic analysis of the interviews was undertaken from a critical theory perspective, with reference to the macro socio‐political system of the Fiji Ministry of Health. Results. Four interrelated issues regarding the nursing leaders and managers’ impact on patient safety emerged from the study. Empowerment of nursing leaders and managers, an increased focus on the patient, the necessity to explore conditions for front‐line nurses and the direct relationship between improved nursing conditions and increased patient safety mirrored literature from developed countries. Conclusion. The findings have significant implications for developing countries and it is crucial that support for patient safety in developing countries become a focus for the international nursing community. Relevance to clinical practice. Nursing leaders and managers’ increased focus on their own place in the hierarchy of the health care system and on nursing conditions as these affect patient safety could decrease adverse patient outcomes. The findings could assist the global nursing community to better support developing countries in pursuing a patient safety agenda.
Publisher: Wiley
Date: 05-08-2015
DOI: 10.1111/NHS.12211
Abstract: Healthcare workers who have received disaster preparedness education are more likely to report a greater understanding of disaster preparedness. However, research indicates that current nursing curricula do not adequately prepare nurses to respond to disasters. This is the first study to assess Asia-Pacific nurses' perceptions about their level of disaster knowledge, skills, and preparedness. A cross-sectional survey was conducted with 757 hospital and community nurses in seven Asia-Pacific countries. Data were collected using the modified Disaster Preparedness Evaluation Tool. Participants were found to have overall low-to-moderate levels of disaster knowledge, skills and preparedness, wherein important gaps were identified. A majority of the variance in disaster preparedness scores was located at the level of the in idual respondent, not linked to countries or institutions. Multilevel random effects modelling identified disaster experience and education as significant factors of positive perceptions of disaster knowledge, skills, and management. The first step toward disaster preparedness is to ensure frontline health workers are able to respond effectively to disaster events. The outcomes of this study have important policy and education implications.
Publisher: Elsevier BV
Date: 2006
DOI: 10.1016/S1322-7696(08)60534-X
Abstract: The aim of this paper is to describe a strategy--a partnership between a clinician manager and nurse academic--developed for the purpose of utilizing clinical governance literature to enhance management practice. The partnership is an initiative that has been implemented to fill a growing need for more collaboration between the tertiary health education and health industry sectors. The paper provides a brief overview of clinical governance and evidence-based management, and describes the partnership between the clinician manager and nurse academic. For the purposes of this paper 'clinician manager' refers to a health professional who also has an extensive management role in a health care organization. The benefits of this partnership in terms of the application of clinical governance literature to improved management decision making and practice concern the ability of clinician managers to have access to the most up-to-date research findings in terms of good clinical governance, and to be able to apply them in their management practice. Information about clinical governance, linked with evidence-based management and the application of clinical governance literature in the management of a health service is also provided. The authors argue that this is a useful initiative which could be adopted by health care managers and academics--with the aim of enhancing evidence-based management policy and decision making.
Publisher: Informa UK Limited
Date: 18-05-2023
Publisher: Wiley
Date: 08-10-2020
DOI: 10.1111/INM.12798
Publisher: Wiley
Date: 19-10-2020
DOI: 10.1111/INM.12792
Publisher: Wiley
Date: 24-09-2020
DOI: 10.1111/INM.12793
Publisher: Wiley
Date: 14-11-2019
DOI: 10.1111/INM.12673
Publisher: BMJ
Date: 09-2021
DOI: 10.1136/BMJOPEN-2020-047404
Abstract: Chronic conditions impact Indigenous Peoples of Australia at a much higher rate than non-Indigenous Australians. Attendance at the Medicare Benefits Scheme (MBS) supported Indigenous health checks are crucial to improve prevention and management of chronic health conditions. However, in conjunction with lifestyle and environmental factors, attendance rates at primary healthcare services for screening and treatment have fallen in Australia during the COVID-19 pandemic. This study aims to explore the influence of the COVID-19 pandemic on preventive health behaviours of Indigenous Australians and the associated barriers to, and enablers of, engagement with health services to formulate a targeted intervention strategy. A concurrent mixed-methods study (comprising quantitative and qualitative data collection methods) will be employed. Descriptive analysis of MBS data about the characteristics of Indigenous Peoples of Australia claiming health assessment services will be performed. Generalised estimating equation regression models will be used to examine the use of health assessment services over time. Qualitative interviews informed by Indigenous research methods will be conducted. Interviews will investigate barriers to, and enablers of, engagement with health services. Thematic approach guided by the principles of indigenist praxis, storytelling and collaborative research will be used to analyse the interview data. The project commenced in July 2020 and will be completed by July 2022. The project received ethics approval from the Aboriginal Health and Medical Research Council of New South Wales and the University of New England Human Research Ethics Committee. Findings will be disseminated via peer-reviewed journal articles, conferences, government and relevant stakeholder reports, and infographics.
Publisher: Hindawi Limited
Date: 23-05-2016
DOI: 10.1111/JONM.12396
Abstract: To analyse influential policies that inform practice related to pressure injury management in Australia, England, Hong Kong, New Zealand, Scotland and the United States of America. Pressure injuries are associated with significant harm to patients, and carry economic consequences for the health sector. Internationally, preventing and managing pressure injuries is a key nursing activity and quality indicator. Comparative review and synthesis of pressure injury policies that inform practice. The predominant focus of policy is on patient risk assessment, compliance with documentation and pressure relief. Financial penalty for institutions is emerging as a strategy where pressure injuries occur. Comparisons of prevalence rates are h ered by the lack of consensus on data collection and reporting. To date there has been little evaluation of policy implementation and implemented policy strategies, associated guidelines remain founded upon expert opinion and low-level evidence. The pressure injury policy agenda has fostered a discourse of attention to incidents, compliance and penalty (sanctions). Prevention and intervention strategies are informed by technical and biomedical interpretations of patient risk and harm, with little attention given to the nature or design of nursing work. Considerable challenges remain if this policy agenda is successfully to eliminate pressure injury as a source of patient harm.
Publisher: Springer Science and Business Media LLC
Date: 15-04-2023
DOI: 10.1007/S11069-023-05964-5
Abstract: Despite the increased risk of disasters in the Bangladesh, there is a dearth of research about women’s physical and mental health vulnerability following disasters. This study aimed to explore the physical and mental health status and associated risk factors of women in recurrent disaster-affected areas of Bangladesh. Participants ( N = 408) were recruited using systematic random s ling from two purposively selected disaster-prone areas (Upazilas of Sagata and Sarankhola) , using a structured questionnaire conducted in person. Physical and mental health status was assessed using the health Short Form 12 (SF-12) measure that is comprised of both physical health (PCS-12) and mental health (MCS-12) subscales. Of the 408 participants, the mean scores on PCS-12 and MCS-12 subscales were 43.85 ± 28.04 and 37.70 ± 27.29, respectively, which were strongly correlated, r = .71, p .001. Overall, 65.9% and 63.0% of total participants scored below the validated cut-off of PCS-12 and MCS-12 subscales which indicates both poor physical and mental health. The results indicated that physical and mental health were significantly poorer for the participants who witnessed casualties, lost family members or relatives, were relocated to shelters and sacrificed food during disasters. Moreover, poorer mental health scores were identified among participants who were physically injured and/or consulted a medical practitioner during or after the disaster. Accurate health knowledge is crucial for adequate and effective disaster preparation to decrease the health impacts on women in disaster-prone areas of Bangladesh. Research in this area is needed, and strategies to improve the public health status of women are warranted.
Publisher: Wiley
Date: 13-10-2020
DOI: 10.1111/INM.12790
Publisher: Informa UK Limited
Date: 08-12-2017
DOI: 10.1080/01612840.2016.1248255
Abstract: Weight gain is a serious health concern. People with mental illnesses are at increased risk of weight gain. The primary treatment is lifestyle changes such as increasing physical activity and dietary changes. This qualitative study explored the experience of people with schizophrenia who participated in a healthy lifestyle program. Four themes were identified. The findings indicate that benefits of the program were more than physical health improvements and included regular access to a health professional, gaining social relationships, and a sense of belonging. Future recommendations include retaining a group structure in lifestyle interventions to facilitate these additional benefits.
Publisher: Elsevier BV
Date: 09-2011
Publisher: Elsevier BV
Date: 03-2014
DOI: 10.1016/J.COLEGN.2012.12.006
Abstract: To investigate whether self care behaviours, medical outcomes and quality of life of Taiwanese elderly with Type 2 diabetes mellitus (DM) can be improved by delivery of an educational health care package. DM is a major health problem in developed and developing countries, with older adults constituting about half of the diabetic population. Type 2 DM is the most rapidly increasing chronic disease in Taiwan. During 2005 and 2006, Taiwanese elderly with Type 2 DM (n = 500) were randomly allocated to either an intervention or control group. Data collection using validated instruments occurred at baseline and 6 months follow-up. Main outcome measures were blood glucose levels and diabetic complications. At baseline, 88.4% participants in the control and 78.8% in the experimental group had a blood glucose level above normal range (p = 0.076) respective results at 6 months were 92.4% for the control group and 60.4% for the experimental group (p < 0.001). The multivariate adjusted result showed that the intervention group was 11.1 times less likely to have blood glucose levels above normal (p = 0.002) at 6 months follow-up compared to the control group. Occurrence of complications was significantly fewer in the intervention group at baseline and at 6 month follow-up compared to the control group (baseline: 42.0% versus 82.1%, p = 0.003 6 month follow-up: 48.4% versus 87.0% p = 0.006). Although overall occurrence of complications remained unchanged, the educational health care package specifically developed for Taiwanese elderly with Type 2 DM improved blood glucose levels.
Publisher: Elsevier BV
Date: 06-2021
Publisher: Oxford University Press (OUP)
Date: 15-07-2015
DOI: 10.1093/NTR/NTV018
Abstract: Smoking prevalence among Indigenous Australians nationally (45%) is more than double that of other Australians but ranges up to 82% in remote communities, causing significant health disparities. This paper examines trends in peer-reviewed research outputs related to Indigenous Australian tobacco control over the past decade and describes their research translation potential and alignment with national and jurisdictional policy priorities. Systematic searches of electronic databases were conducted: Medline, CINAHL, Cochrane Systematic Reviews, PsychInfo, and Australian HealthInfoNET for English-language peer-reviewed publications (2004-2013) primarily focusing on Indigenous Australian tobacco use. Publications were categorized by types, topics, and geographic location. Following established procedures, "reviews" and "commentaries" were distinguished from "original research," the latter further classified as "measurement," "descriptive," or "intervention" studies. Research translation categories used were: "synthesis," "dissemination," "exchange," and "application." The majority of 78 publications meeting selection criteria focused on cessation treatment (28%), monitoring and prevalence (24%) and passive smoking (13%). "Original research" was mostly "descriptive/epidemiologic" (81%) with few "intervention" studies (9%). Many studies were in remote communities. Components of research translation were identified in 50% of the publications with little evidence of dissemination strategies. Remote community populations are an area of great need. However, generally it is disappointing that since 2004, few intervention studies are available to guide efforts to reduce tobacco-related health disparities. Stronger and more immediate alignment of policy with research that contributes to the evidence-base is required together with more systematic use of research dissemination translation strategies to better match evidence with priorities which may develop rapidly over time.
Publisher: Elsevier BV
Date: 06-2020
Publisher: Wiley
Date: 22-05-2021
DOI: 10.1111/JOCN.15863
Abstract: To examine what was known about disaster preparedness in residential care and to consider this in the light of the current COVID‐19 pandemic. Care homes provide long‐term care to vulnerable, frail older people, as well as to young people with profound disabilities. The COVID‐19 pandemic has shown that the residential care sector has been seriously affected in many parts of the world and has exposed major flaws and vulnerabilities in infection control and other processes that have resulted in considerable loss of life of residents of these facilities. Discursive paper informed by a systematic literature. Review was carried out in line with PRISMA reporting guidelines. The review protocol was registered with PROSPERO on 2020 [CRD42020211847]. The review identified six papers meeting inclusion criteria across care residential facilities in different countries. Several prevention and mitigation strategies were identified to manage and reduce the spread and severity of viral respiratory infection pandemics. These strategies include isolation, restriction of movement, personal protective and hygienic measures, health education and information sharing, monitoring and coordination, and screening and treatment. Preparedness strategies identified were contingency planning such as reporting/communication, leadership, human resource, insurance, occupational health and resource availability. The prevention/mitigation and preparedness strategies helped to achieve decline in disease severity, reduced prevalence, reduced spread of the disease, improved readiness criteria, resource usefulness and increased intervention acceptability. This paper presents a conceptual framework exploring the interconnectedness of preparedness and prevention/ mitigation strategies and associated outcomes. We discuss areas of concern in the context of workforce employment patterns in the sector. Concerns related to the unintended consequences of strategies placed on aged care facilities, which may worsen mental health outcomes for residents, are discussed. Persons in residential care settings are at greater risk of infection during a pandemic, and therefore, strict measures to protect their safety are warranted. However, they are also a group who already experience social isolation and so any measures involving restrictions to visiting and social interaction, particularly over the longer term, must be accompanied by strategies to mitigate potential loneliness and mental health sequelae arising from long‐term pandemic restrictions. Though there was evidence of activity in preparedness for disasters within the residential care sector, various contextual factors affecting the sector were clearly not adequately considered or addressed in pre‐pandemic disaster planning, particularly in the areas of staff movements between care homes and the length of time that social isolation and restriction measures would need to be in place. Future pandemic planning should consider the nature of the workforce model in the care home sector, and factor in strategies to better support the mobile and highly casualised workforce.
Publisher: SAGE Publications
Date: 14-10-2009
Abstract: In 2008 the final report of the Mental Health Nurse Education Taskforce was released. This paper presents the findings of the report’s survey into the mental health content of generic pre-registration nursing curricula in Australia. A questionnaire was sent to all nursing schools providing pre-registration curricula. Results indicate curricula contained a wide range of mental health theory and clinical hours. While the majority of universities incorporated most of the 20 key topics recommended by the Mental Health Nurse Education Taskforce in their courses, few addressed issues such as Indigenous mental health. There was considerable competition for placements between universities, and concern about the quality of some placements. Nurse academics with formal qualifications in mental health and specialist clinical mental health nurses were mainly involved in teaching theory. Specialist mental health clinicians and clinical educators were the key groups engaged in students’ clinical education, and preceptorship was the most common form of clinical supervision. Consumers and carers had limited involvement in the development or provision of mental health content of pre-registration curricula. Greater attention is needed to increasing the mental health content in pre-registration curricula. Furthermore, initiatives should be developed to increase access to clinical placements and reduce competition for places between universities.
Publisher: Wiley
Date: 12-11-2013
DOI: 10.1111/JPM.12019
Abstract: This interpretive qualitative study aimed to describe and construct the meaning of the experience of living with the weight gain associated with second-generation antipsychotics. A qualitative study that incorporated the tenets of phenomenology and utilized in-depth interviews was conducted with eight mental health consumers. Thematic analysis resulted in three themes: Grappling with the weight Living with the consequences of being overweight and Experiencing negative emotions about the weight gain. The findings indicate that consumers struggle to manage the insatiable appetite and the related weight gain associated with second-generation antipsychotic medication, as well as the numerous associated physical and emotional issues. Adherence with prescribed second-generation antipsychotic medication was also affected and a number of the participants indicated they had ceased or considered ceasing their medication because of the weight gain associated with the drugs.
Publisher: Elsevier BV
Date: 04-2022
Publisher: SAGE Publications
Date: 2020
Abstract: This article presents findings from a grounded theory study, which investigated interactions between health professionals and consumers. The authors used Corbin and Strauss’s evolved version of grounded theory, which is underpinned by symbolic interactionism. The study s le included 23 consumers and nine health professionals. Data collection methods included demographic questionnaires, interviews, consumer diaries, digital storytelling, observations, and field notes. Data analysis was conducted using essential grounded theory methods. The resultant grounded theory consists of five categories: (a) Unexpected entrance, (b) Learning a new role, (c) Establishing a presence, (d) Confronting the dichotomy of “us and them,” and (e) Tailored care. Findings suggest that despite consumers and health professionals’ roles, consumers are outsiders in the social world of health care. Progress toward empowered consumers who are in control of their health and health care is slow and care that is truly consumer-centered is still the exception not the rule.
Publisher: Informa UK Limited
Date: 10-05-2022
DOI: 10.1080/09638237.2022.2069713
Abstract: The recovery approach involves providing a holistic and integrated service that is centered on and adapts to the aspirations and needs of consumers, who are seen as the expert on their health and well-being. Evidence is needed to address the current ambiguities related to the concept of recovery and its application. A scoping review was conducted to identify papers describing theories, models, and frameworks of recovery to delineate the central domains of recovery. Three literature search strategies were used: electronic database searching hand-searching of key journals and a reference list review of included papers. Inclusion criteria outlined theories, models and frameworks developed to support consumers' recovery and those supporting mental health professionals (MHPs) to deliver recovery-oriented services. Twelve studies (eleven articles and one book) were included in the review. The dimensions of recovery were synthesized into a framework named the Consolidated Framework for Recovery-oriented Services (CFRS). There are three domains within the framework: mechanisms/strategies recovery as an internal process and recovery as an external process. Each of these domains, as well as their relationships, are discussed. The CFRS can be used by practitioners, researchers, funders, and collaborative members to conceptualize, implement, and evaluate recovery-oriented services.
Publisher: Wiley
Date: 22-06-2022
DOI: 10.1111/INM.13035
Abstract: The aim of this study was to investigate coping styles, posttraumatic stress, and mental health symptoms among a s le of community members affected by 2019–20 Australian bushfires. Using a convenience s ling approach, an online survey was used to assess a range of coping strategies, posttraumatic stress and symptoms of depression, anxiety, and stress among the affected community members of Black Summer bushfires. The results revealed that study participants reported moderate symptoms of depression and stress, and severe levels of anxiety. Additionally, participants reported use of both approach and avoidance coping strategies following the bushfire event as well as experiencing symptoms of posttraumatic stress, such as having intrusive thoughts and symptoms of avoidance and hyperarousal. Despite the durability of many in iduals, others remain affected by the event and there is evidence there may be longer term mental health consequences of the bushfires for some people. Given these findings, it is imperative that mental health services be readily available for people in the bushfire‐affected areas. Mental health nurses have an important role to play in supporting in iduals affected by disasters. Awareness of the short‐ and long‐term impacts of disasters on the mental health of people is paramount for mental health nurses.
Publisher: Wiley
Date: 10-2001
DOI: 10.1046/J.1365-2850.2001.00407.X
Abstract: PRN psychotropic medications (medications given with the aim of changing the patient's mental state on an 'as needed' basis) are frequently prescribed and administered in mental health facilities. Their administration is largely an autonomous nursing role. However, little research has explored this important area of nursing practice in any detail and therefore the use of this intervention by mental health nurses is not fully understood. A descriptive project was undertaken to explore the factors involved in the administration of PRN psychotropic medications. It utilized a retrospective chart audit, conducted at one regional and one urban setting in Queensland, Australia. The results indicate a lack of clarity surrounding psychotropic PRN medication administration practices, confusion surrounding decision-making processes related to this intervention, and poor documentation practices. The study found a high incidence of PRN psychotropic medication administration when compared to similar studies, and an excessive reliance on the use of typical antipsychotics over benzodiazepines. This practice is not supported by contemporary literature. As a result of our findings, we recommend further studies in areas of related importance, in order to increase our understanding of the complexities surrounding this important nursing intervention, and an investigation into documentation practices in inpatient mental health settings.
Publisher: Wiley
Date: 28-08-2023
DOI: 10.1111/JAN.15838
Publisher: Hindawi Limited
Date: 18-05-2016
DOI: 10.1111/JONM.12386
Abstract: The aim of the study was to explore the prevalence of burnout and job satisfaction among Saudi national critical care nurses. Burnout is caused by a number of factors, including personal, organisational and professional issues. Previous literature reports a strong relationship between burnout and job satisfaction among critical care nurses. Little is known about this phenomenon among Saudi national critical care nurses. A convenience s le of 150 Saudi national critical care nurses from three hospitals in Hail, Saudi Arabia were included in a cross-sectional survey. Saudi national critical care registered nurses reported moderate to high levels of burnout in the areas of emotional exhaustion and depersonalisation. Participants also reported a feeling of ambivalence and dissatisfaction with their jobs but were satisfied with the nature of their work. Saudi national critical care nurses experience moderate to high levels of burnout and low levels of job satisfaction. Burnout is a predictor of job satisfaction for Saudi national critical care nurses. These results provide clear evidence of the need for nurse managers and policy makers to devise strategies to help nurses better cope with a stressful work environment, thereby also improving job satisfaction among Saudi national critical care nurses.
Publisher: Informa UK Limited
Date: 04-05-2015
DOI: 10.3109/01612840.2015.1017062
Abstract: Disasters occur internationally and are nondiscriminatory. The loss resulting from the destruction associated with disasters leads to the development of various levels of psychological trauma in survivors. Health teams provide assistance to survivors before, during and after disasters, and mental health nurses make an important contribution to these teams. However, the leadership role of mental health nurses in disaster situations has not been extensively explored in the literature. This article discusses aspects of mental health nursing leadership in preparation for, response to and recovery from disasters. In particular, recommendations are made to enhance the leadership of mental health nurses in the context of disasters.
Publisher: SAGE Publications
Date: 12-12-2022
Publisher: Wiley
Date: 27-08-2001
DOI: 10.1046/J.1365-2648.2001.01870.X
Abstract: To provide a synthesis of the experience of nursing in the Vietnam War. War and nursing are linked unequivocally. As battles have raged over the centuries, nurses have attended the ill and wounded soldiers, nursing them back to health or into death and the study of this phenomenon forms a significant part of Australia's nursing history. However, a review of the Australian scholarly nursing and military history literature revealed that the experiences of Australian nurses in the Vietnam War has not been widely published. In an attempt to redress this gap in Australian nursing and military history, the aim of this study was to analyse the nature of the nursing work in the Vietnam War, and to increase awareness and understanding of the experience of nurses in the war within the nursing profession. Using oral history interviews, this study investigated the nature of nursing work as experienced by 17 Australian Army nurses who served in the Australian Military Hospital in Vung Tau between 1967 and 1971. The vast majority of the nursing sisters sent to Vietnam knew little about the type of work or the environment into which they were entering and were, therefore, clinically unprepared. It appeared that, by virtue of their being a nurse, it was an expectation that the nurses would adapt to the nature of their work in the war zone. However, this study also revealed that, although the nurses adapted professionally, their memories of their experiences have affected many personally. This paper will increase current knowledge significantly regarding the phenomenon of nursing in the Vietnam War, enabling a greater understanding of the experience.
Publisher: Wiley
Date: 09-06-2019
DOI: 10.1111/INM.12618
Abstract: This study explores the patterns and features of meth hetamine-related presentations to emergency departments (EDs) in Queensland. Despite an overall decrease in the use of meth hetamine in Australian, an increase in the use of the crystalized form of meth hetamine has been noted over recent years. A descriptive observational study was utilized to analyse emergency department (ED) injury surveillance data sourced from Queensland Injury Surveillance Unit (QISU) from 2005 to 2017. Data were analysed for presentations related to stimulants (n = 564) with meth hetamine (n = 250) included as a subcategory. Descriptive statistics were used to identify patterns and features of presentations related to meth hetamines. The relationship between demographic variables, service type variables, and drug type was assessed using chi-square and z-tests. Results included the following: 84.4% of meth hetamine-related presentations were allocated a triage score of 1, 2, or 3 14.8% of all meth hetamine-related presentations required police involvement 18% were brought in by ambulance and 15.6% exhibited behaviour that was either, agitated, aggressive, or violent in nature. Meth hetamine-related presentations more frequently required police or ambulance services and more often included aggression or agitation. Meth hetamine-related presentations to ED have a high acuity and often require other emergency resources (police and ambulance). There is a need to develop policy for managing aggressive and agitated people presenting to EDs as a result of meth hetamine use and to further explore the experience of personnel (police and ambulance) managing persons under the influence of meth hetamine.
Publisher: MDPI AG
Date: 11-06-2021
Abstract: The Rana Plaza building collapse occurred on 24 April 2013 in Savar, near the capital city of Bangladesh, killing more than 1130 garment workers and injured about 2500, mostly females. Those who survived face ongoing challenges, including socio-cultural constraints, economic hardship, post-traumatic stress disorders (PTSD), depression, and critical health issues, which may lead to suicidal ideation and death. The aim of this article is to explore why and how female garment workers who survived the Rana Plaza collapse are now at risk of suicide thoughts and behaviours, and suicide death. Unstructured face-to-face interviews were held from April to July 2018 with 11 female garment workers who survived the Rana Plaza building collapse. Interviews continued until data saturation was reached. The interviews were tape-recorded and transcribed verbatim while simultaneously being translated into English from Bengali/Bangla. Transcripts were coded and thematically analysed. The study found that all participants were living with multiple risk factors of suicidal ideation (including low socio-economic status, poverty, social stigma, psychological distress, and trauma) which the participants directly linked to the collapse of the Rana Plaza building. Our analysis uses the three-step theory of suicide (3ST, Klonsky & May, 2015) to understand female Rana Plaza survivors’ suicide risk. Female survivors’ overall vulnerability requires urgent attention while taking the socio-cultural setting of Bangladesh into account. In addition, a lifelong caring system (combining financial security and free healthcare) needs to be initiated to accommodate the female survivors with mainstream society to avoid possible future suicides. They require long-term social and economic security and psychological support.
Publisher: SAGE Publications
Date: 31-08-2012
Abstract: Indigenous scholars have addressed the problematic nature of research by adopting methodologies that fit well with their communities and that relate effectively and culturally with how knowledge is shared to give indigenous people a voice. In this article we discuss Dadirri, an indigenous research method and way of life, as a vital research framework, connecting it to other relevant political and critical methodologies such as Freire’s transformative education process and Habermas’ theory of communicative action. In doing so, we illustrate how this methodology provides a significant framework for indigenous researchers undertaking liberatory studies that promote change.
Publisher: Springer Science and Business Media LLC
Date: 21-05-2013
Publisher: Informa UK Limited
Date: 2014
DOI: 10.3402/QHW.V9.19821
Publisher: American Academy of Sleep Medicine (AASM)
Date: 15-11-2015
DOI: 10.5664/JCSM.5182
Publisher: Wiley
Date: 07-05-2020
DOI: 10.1111/JOCN.15295
Publisher: Wiley
Date: 02-1999
DOI: 10.1046/J.1365-2648.1999.00914.X
Abstract: This Australian study, a replication of Canadian research by Dibert & Goldenberg, was undertaken to explore the relationship between preceptors' perceptions of benefits, rewards and support, and their commitment to the preceptor role. A convenience s le of 134 nurse preceptors involved in an undergraduate nursing course were invited to complete a four-part questionnaire consisting of the Preceptor's Perception of Benefits and Rewards Scale, the Preceptor's Perception of Support Scale, the Commitment to the Preceptor Role Scale, and demographic details. The results, in the main, parallel those of the original research, with differences reflecting the distinct nature and the more recent use of preceptorship in Australia. The results indicate a clear commitment to the preceptor role and a perception that both material and non-material benefits are derived from acting in the role. Additionally, support from the institution and coworkers was considered vital for participation in the role. This not only has implications for nursing educators, administrators and potential preceptors, but also for those being preceptored.
Publisher: Elsevier BV
Date: 06-2017
Publisher: Informa UK Limited
Date: 02-2011
DOI: 10.5172/CONU.2011.37.2.160
Abstract: This paper reports a study aimed at exploring the nursing practices associated with the administration of pro re nata (PRN) postoperative analgesia to children, and at gaining a preliminary understanding of the decisions that nurses make about this important intervention. Nurses are responsible for assessing and administering the appropriate medication at the appropriate time to the child in pain. There was scant published research about the administration of postoperative PRN analgesia to children, or about the decision-making processes inherent in this aspect of clinical nursing care. A sequential mixed methods explanatory study with two data collection phases - quantitative followed by qualitative - was conducted. Nurses used multiple strategies to ascertain children's need for postoperative PRN analgesia, including reference to pain assessment tools, focussing on the behavioural cues of children, involving parents and children, and drawing upon personal and professional backgrounds and experience. Evaluation of the effectiveness of PRN postoperative analgesia was poorly communicated. Decision-making associated with the selection and administration of appropriate analgesia to children is complex. Inservice education should be developed and offered to nurses working with children postoperatively to ensure the appropriate use of PRN pain relief. Documentation surrounding this task is poor and needs to be addressed as a matter of urgency to ensure quality patient outcomes.
Publisher: Wiley
Date: 05-05-2010
Publisher: RCN Publishing Ltd.
Date: 29-04-2019
Publisher: Informa UK Limited
Date: 18-05-2020
Publisher: Wiley
Date: 05-2009
DOI: 10.1111/J.1365-2648.2008.04957.X
Abstract: This paper is a report of a study exploring the medical and nursing decision-making process associated with the prescription and administration of 'as needed' psychotropic medication. The administration of 'as needed' psychotropic medications is a relatively autonomous component of a nurse's role, allowing for the capacity to administer psychotropic medications rapidly in acute situations or at the request of a patient. From the research evidence available to date, it is very difficult to determine how doctors and nurses make decisions about the prescription and administration of 'as needed' psychotropic medications. A qualitative exploratory-descriptive study was undertaken to explore nurses and doctors decision-making surrounding the administration of pro re nata or 'as needed' psychotropic medications. Nineteen medical and nursing staff from three mental healthcare sites (acute, secure and rehabilitation) in Australia participated in semi-structured interviews in 2006. Thematic content analysis of the transcripts was conducted independently by two members of the research team and then merged to form the final themes. Four themes were identified in the data: decision-making processes factors which influenced the administration and prescription of 'as needed' medication in idual protocols and improving practice. In-service education should be developed for mental health nurses on psychotropic medications and 'as needed' medications, and on the appropriate use of 'as needed' medications as a behaviour management strategy. Further, an extensive review of 'as needed' medication prescription and administration compared to best practice guidelines is needed.
Publisher: Wiley
Date: 20-12-2017
DOI: 10.1111/INM.12290
Publisher: Cambridge University Press (CUP)
Date: 05-04-2021
DOI: 10.1017/DMP.2020.484
Abstract: The current study was conducted to assess disaster preparedness of hospitals in the Eastern region of Saudi Arabia. A descriptive cross-sectional study of all hospitals in the Eastern Region of KSA was conducted between July 2017 and July 2018. The included hospitals were selected using convenience s ling. The questionnaire was distributed together with an official letter providing information about the aim and objectives of the study as well as ethical issues guiding their participation in the exercise. All the included hospitals had a disaster plan that was completely accessible by all staff members. About 70% of the included hospitals established an educational program on disaster preparedness once per year. Assessment of hospital disaster preparedness was conducted using disaster drills in 62 (n= 98%) of the hospitals. However, only 9.5% of the hospitals had post-disaster recovery assistance programs like counseling and support services. Most hospitals involved in this study had sufficient resources for disaster management however, the overall effectiveness of hospitals’ disaster preparedness was slight to moderate. Some recommendations to improve hospitals’ disaster preparedness should be proposed, including improved staff training and testing, better communications and safety procedures, and adoption of a holistic approach for disaster management.
Publisher: Mark Allen Group
Date: 02-09-2019
DOI: 10.12968/JOWC.2019.28.9.576
Abstract: To determine if meaningful patient characteristics pertaining to pressure ulcers (PU) can be derived from routinely collected community health data. A retrospective cohort analysis of records was carried out. To provide a detailed dataset on PU for the community of interest, demographic, general medical and PU data were extracted from mandatory incident reports and audit of electronic and paper medical records. This study is reported in accordance with the RECORD Guidelines from the Equator Network. Adult patients were enrolled from a district nursing service in the target region (n=1085) during 2015. The target region was based on a geographical region bounded by a single postcode district (target region) consisting of 62,000 people of whom approximately 50,000 were adults, 3000 of whom were aged years. The total number of recorded PUs was n=137 in 103 in iduals. Data from mandatory incident reports was obtainable for nearly all variables. Electronic and paper medical records were less reliable due to missing data. Detailed characteristics of community-dwelling PU patients can be derived from routinely collected data, and provides various forms and levels of information which could feed into different projects. The use of mandatory reporting fields increases the level of reporting and reduces missing data. Data enriched with information from electronic and paper records could inform the addition of variables to mandatory forms to improve characterisation of community dwellers with PUs.
Publisher: Wiley
Date: 06-05-2020
DOI: 10.1111/JOCN.15290
Publisher: Elsevier BV
Date: 12-2013
Publisher: SAGE Publications
Date: 10-07-2020
Abstract: In this qualitative narrative study, we critically reflected upon mothering experiences of health professionals with adult children with schizophrenia. Thirteen participants from Australia, Canada, Scotland, and the United States were interviewed. The thematic analysis of the interviews resulted in one overarching theme—mothering in the context of uncertainty: unbalancing and rebalancing as mothers, and three major themes: disrupted mothering, reconfigured mothering, and resolute mothering. The findings suggested participants experienced difficulties in separating their professional role from their maternal responsibilities. The mothers gained expertise by using their dual knowledge to advocate for and support their children’s mental health. The mothers’ dual roles had a positive impact on their relatedness to others within their professional practice. Health care organizations might benefit from the expertise of health professionals with dual roles in the development of support, care, treatment, and delivery of services for people and their family members who live with schizophrenia.
Publisher: American Society for Microbiology
Date: 12-2015
DOI: 10.1128/JVI.01937-15
Abstract: To resolve the evolutionary history of rabbit hemorrhagic disease virus (RHDV), we performed a genomic analysis of the viral stocks imported and released as a biocontrol measure in Australia, as well as a global phylogenetic analysis. Importantly, conflicts were identified between the sequences determined here and those previously published that may have affected evolutionary rate estimates. By removing likely erroneous sequences, we show that RHDV emerged only shortly before its initial description in China.
Publisher: Saudi Medical Journal
Date: 09-2019
Publisher: Elsevier BV
Date: 12-2016
DOI: 10.1016/J.COLEGN.2016.08.001
Abstract: Australian Aboriginal and Torres Strait Islander people have higher rates of morbidity and mortality thanother Australians. One proposed strategy to improve this situation is to increase the participation ofAboriginal and Torres Strait Islander people, including Aboriginal and Torres Strait Islander nurses, inthe health workforce. Although the numbers of Aboriginal and Torres Strait Islander students under-taking tertiary nursing courses have increased, completion rates have not kept pace. The study aimedto describe Aboriginal and Torres Strait Islander nursing students’ experiences of enablers for successfulcourse completion and to develop a narrative of student experience. A qualitative study using a strengths-based approach with a narrative analysis of semi-structured interview data was conducted across fourschools of Nursing in Queensland, Australia. Eight final-year Aboriginal and Torres Strait Islander nursingstudents volunteered to participate in the study. A collective story with the overarching plotline Creatingwalking tracks to success was developed. Six threads of experience emerged: Making a difference, Valu-ing Indigeneity, Healing strength of connections, Resisting racism, Embracing support, and perseveringtowards completion. Key success factors included resilient attributes, building supportive connectionsand having positive expectations of the future, along with sustained institutional support from Aboriginaland Torres Strait Islander nurse academics and clinicians. Development of tailored resilience-buildingtraining for Aboriginal and Torres Strait Islander nursing students and appointment of Aboriginal andTorres Strait Islander academics in Schools of Nursing that include such students may facilitate futuresuccessful completions in other programs.
Publisher: Wiley
Date: 27-08-2022
DOI: 10.1111/INM.13058
Publisher: RCN Publishing Ltd.
Date: 22-11-2012
DOI: 10.7748/NR2012.11.20.2.6.C9435
Abstract: To test the psychometric properties of the Family Impact of Pain Scale (FIPS) using a s le of families resident in North Queensland. While pain has a significant effect on the in idual, the entire family can be affected when a member of the family has chronic pain. FIPS is the only tool designed to measure the effect of pain on the family. It was originally developed in the UK using a s le of people with dental pain, so to test the psychometric properties of the tool with Australians with chronic pain was essential. DATA SOURCES Participants (n = 67) completed a survey consisting of four tools: FIPS, the Connor Davidson Resilience Scale (CD-RISC), the Medical Outcomes Study Short Form 36 (SF-36) and the Medical Outcomes Study Social Support Survey (MOS SSS). Psychometric characteristics of FIPS were consistent with previous studies, indicating that the tool can be used reliably to measure the impact of chronic pain on the family in Australia. The FIPS is a reliable tool for predicting the impact of chronic pain on the family and for use with an Australian population. The validation of a tool such as FIPS in an Australian population adds to the current body of knowledge and extends the use of the tool. Such validation supports its reliability and stability across populations and provides Australian healthcare workers with a valid tool to measure the impact of pain on the family.
Publisher: SAGE Publications
Date: 2014
Abstract: Translation can be a problem area for researchers conducting qualitative studies in languages other than English who intend to publish the results in an English-language journal. Analyzing the data is also complex when the research team consists of people from different language backgrounds. Translation must be considered as an issue in its own right to maintain the integrity of the research, especially in a grounded theory study. In this article, we offer guidelines for the process of translation for data analysis in a grounded theory study in which the research was conducted in a language other than English (Indonesian). We make recommendations about procedures to choose when, who, and how to translate data. The translation procedure is ided into four steps which are as follows: translation in the process of coding, translation in the process of team discussion, translation in the process of advanced coding, and ensuring the accuracy of translation.
Publisher: Elsevier BV
Date: 2015
DOI: 10.1016/J.NEPR.2014.03.006
Abstract: Nurses are often first line responders in a large scale emergency or disaster. This paper reports an evaluative study of a tailored research capacity building course for nurse delegates from the Asia Pacific Emergency and Disaster Nursing Network (APEDNN). Twenty-three participant delegates from 19 countries attended a three-week course that included learning and teaching about the critique and conduct of research. An outcome of the course was the collaborative design of a study now being implemented in a number of countries with the aim of investigating nurses' preparedness for disaster response. Formal mentoring relationships have also been established between more and less experienced peers and facilitators to provide support in implementing this collaborative study. Overall, participant delegates rated the planning, implementation and content of the course highly. Recommendations from this study include funding a mix of face-to-face and distance mentoring and writing for publication workshops to ensure the sustainability of outcomes from a research capacity building course such as the one described.
Publisher: Springer Publishing Company
Date: 2013
DOI: 10.1891/0730-0832.32.4.235
Abstract: Purpose: The primary aim of the study was to evaluate whether the application of a plastic wrap immediately after birth is more effective than the standard care of temperature management for improving admission temperatures to the neonatal intensive care unit (NICU) in infants weeks gestation. Design: A randomized controlled trial was conducted. Infants in the intervention group were transferred to a prewarmed radiant heater immediately after birth and encased in NeoWrap from the neck down without being dried. The infant’s head was dried with a prewarmed towel and a hat added. The control group received usual care for the unit the infant was transferred to the prewarmed radiant warmer and dried, and warm towels and a hat are then applied. S le: A total of 92 infants were analyzed: 49 in the control group and 43 in the intervention group 48 (52.2 percent) were weeks gestation, and 44 (47.8 percent) were weeks gestation. The infants’ temperatures were assessed for two hours following admission. Main Outcome Variable: The application of a plastic wrap and hat significantly increased NICU admission temperature in infants weeks gestation. Results: Of the 92 infants, 43 (51.2 percent weeks and 48.8 percent weeks) were randomized to the experimental group and 49 (53.1 percent weeks and 46.9 percent weeks) to the control group. The mean first temperature was 36.15°C ( SD = 0.85) for intervention and 35.81°C ( SD = 0.91) for control infants ( p =.074) whereas the respective admission temperatures were 36.26°C ( SD = 0.68 n = 42) and 35.79°C ( SD = 0.77 n = 44 p =.004). The mean temperature of the infants rose steadily from the time of birth to two hours follow-up in both the intervention (36.15°–37.03°C SD = 0.49 n = 40) and control groups (35.81°–36.75°C SD = 0.70 n = 47 p .001, respectively).
Publisher: Informa UK Limited
Date: 2011
DOI: 10.5172/CONU.2011.37.1.102
Abstract: While research has been seen to perpetuate rather than improve the ongoing health disadvantage of Indigenous Australians, more recently we have witnessed a transformation in the way research is undertaken with Indigenous people. A more collaborative and inclusive approach has made research more appropriate to the needs of Indigenous people and more Indigenous people undertaking higher degree research study. Insights about research with Indigenous people are provided by four Indigenous students undertaking research in health and nursing who discuss 'closing the gap', cultural care, and the current situation surrounding access to and experiences in the health service in Australia for Indigenous people.
Publisher: Elsevier BV
Date: 07-2012
DOI: 10.1016/J.NEDT.2011.07.002
Abstract: Nursing education is undergoing radical change worldwide. There is criticism surrounding the content of education and the delivery. As a result, traditional methods of teaching and learning have been replaced by strategies that place greater emphasis on active learner interaction, critical thinking, and decision-making. Assisting pre-registration nurses to become competent and confident in clinical practice requires immersion in practice with sufficient support and coaching based on real life scenarios. Simulation via an unfolding case study approach is one way to provide interactive learning experiences where students acquire new skills that advance their clinical judgment with the aim of becoming safe, competent practitioners. Lessons learned from implementing an unfolding case study are discussed in this paper.
Publisher: Informa UK Limited
Date: 27-06-2019
Publisher: Wiley
Date: 07-2021
DOI: 10.1111/INM.12876
Abstract: Disasters including public health crises like the COVID‐19 pandemic are known to increase instances of family violence against women, children, and other erse populations. This paper discusses and provides evidence of disaster‐related vulnerability of and violence towards specific groups of people. We argue that the COVID‐19 pandemic presents the ‘perfect storm’ for family violence, where a set of rare circumstances combine, resulting in a significant aggravation of the resulting event. Given the mental health implications of family violence, mental health professionals need to be aware of this issue during the pandemic and ready to assist with the development of strategies to overcome the situation where possible. To provide protection and prevent violence, there is a need to include at‐risk groups in disaster response and community planning. Such a plan could involve gender and disaster working groups at the local community, state, and national levels.
Publisher: Cambridge University Press (CUP)
Date: 11-02-2019
DOI: 10.1017/DMP.2018.138
Abstract: Disasters occur rarely but have significant adverse consequences when they do. Recent statistics suggest that millions of lives and billions of US dollars have been lost in the last decade due to disaster events globally. It is crucial that hospitals are well prepared for disasters to minimize their effects. This integrative review study evaluates the preparedness level of hospitals in the Middle East for disasters using the Preferred Reporting Items for Systematic and Meta-Analyses (PRISMA) guidelines. The key terms include disaster preparedness OR disaster management OR emergency response AND Middle East AND hospitals . The study reviews articles published between January 2005 and December 2015, which focused on the hospitals’ preparedness for disasters in the Middle East nations. Based on their meeting 5 eligibility criteria, 19 articles were included in the review. Twelve of the articles focused on both natural and man-made disasters, whereas 6 of them were based on mass casualty events and 1 on earthquake. Thirteen of the reviewed articles ranked the level of preparedness of hospitals for disasters to be generally “very poor,” “poor,” or “moderate,” whereas 6 reported that hospitals were “well” or “very well prepared” for disasters. Factors affecting preparedness level were identified as a lack of contingency plans and insufficient availability of resources, among others. ( Disaster Med Public Health Preparedness . 2019 :806–816).
Publisher: Springer Science and Business Media LLC
Date: 19-06-2018
Publisher: SAGE Publications
Date: 09-2007
Abstract: Nursing leaders are attempting to provide effective support for staff as well as optimal client care in the most challenging of times for the health care industry globally. Regardless of where leaders practice, their health care setting will have its own socially constructed way of getting the work done. In this article the authors suggest Carspecken's critical methodology, particularly his use of the pragmatic horizon, as a useful method to assist leaders in recognizing their own behaviors as a first step to providing leadership that is more emancipatory. The aim of this reflection and resulting action is increasing leadership effectiveness to improve health care outcomes.
Publisher: JMIR Publications Inc.
Date: 23-03-2021
Abstract: easuring public response during COVID-19 is an important way of ensuring the suitability and effectiveness of epidemic response efforts. An analysis of social media provides an approximation of public sentiment during an emergency like the current pandemic. The measures introduced across the globe to help curtail the spread of the coronavirus have led to the development of a situation labeled as a “perfect storm,” triggering a wave of domestic violence. As people use social media to communicate their experiences, analyzing public discourse and sentiment on social platforms offers a way to understand concerns and issues related to domestic violence during the COVID-19 pandemic. his study was based on an analysis of public discourse and sentiment related to domestic violence during the stay-at-home periods of the COVID-19 pandemic in Australia in 2020. It aimed to understand the more personal self-reported experiences, emotions, and reactions toward domestic violence that were not always classified or collected by official public bodies during the pandemic. e searched social media and news posts in Australia using key terms related to domestic violence and COVID-19 during 2020 via digital analytics tools to determine sentiments related to domestic violence during this period. he study showed that the use of sentiment and discourse analysis to assess social media data is useful in measuring the public expression of feelings and sharing of resources in relation to the otherwise personal experience of domestic violence. There were a total of 63,800 posts across social media and news media. Within these posts, our analysis found that domestic violence was mentioned an average of 179 times a day. There were 30,100 tweets, 31,700 news reports, 1500 blog posts, 548 forum posts, and 7 comments (posted on news and blog websites). Negative or neutral sentiment centered on the sharp rise in domestic violence during different lockdown periods of the 2020 pandemic, and neutral and positive sentiments centered on praise for efforts that raised awareness of domestic violence as well as the positive actions of domestic violence charities and support groups in their c aigns. There were calls for a positive and proactive handling (rather than a mishandling) of the pandemic, and results indicated a high level of public discontent related to the rising rates of domestic violence and the lack of services during the pandemic. his study provided a timely understanding of public sentiment related to domestic violence during the COVID-19 lockdown periods in Australia using social media analysis. Social media represents an important avenue for the dissemination of information posts can be widely dispersed and easily accessed by a range of different communities who are often difficult to reach. An improved understanding of these issues is important for future policy direction. Heightened awareness of this could help agencies tailor and target messaging to maximize impact.
Publisher: Wiley
Date: 14-09-2013
DOI: 10.1111/JAN.12012
Publisher: Wiley
Date: 26-04-2020
DOI: 10.1111/INM.12708
Publisher: Wiley
Date: 12-03-2020
DOI: 10.1111/INM.12704
Publisher: Elsevier BV
Date: 07-2010
DOI: 10.1016/J.NEDT.2009.08.002
Abstract: Concerns have been expressed about inadequate mental health content in generic pre-registration nursing curricula in Australia. These have led to claims new graduates are inadequately prepared to care for patients with mental health issues. The Mental Health Nurse Education Taskforce set up for the purpose of the project by the Australian Health Ministers' Advisory Council, carried out a national exploration of mental health content in pre-registration nursing curricula in order to develop a framework for including mental health in future pre-registration courses. This paper summarises the Taskforce's report, and presents a critical commentary on several aspects, of the Taskforce's report. The project comprised a literature review, a national survey, national consultations, and advice from an Expert Reference Group. The report sets out a framework, which included the core values underpinning learning and teaching, learning outcomes, learning and teaching principles, and benchmarks for inclusion of mental health content in curricula. It recommended that a national approach needed to be taken to accreditation of curricula. This, together with greater collaboration between universities and clinical agencies, and the adoption of innovative strategies to secure clinical places, will help ensure a consistent adoption of the framework in each state and territory.
Publisher: Wiley
Date: 23-03-2017
DOI: 10.1111/DAR.12533
Publisher: Australian College of Perioperative Nurses
Date: 06-2019
Publisher: Wiley
Date: 11-2022
DOI: 10.1111/JAN.15089
Abstract: To explore how compassion is received by patients in a hospital setting and how compassion is expressed by health professionals in a hospital setting. Compassion is important to health professionals and patients. Perceived deficits in compassion in healthcare have led increasing concerns about the quality of care for patients. To better understand compassionate practice in a hospital setting we used narrative inquiry to explore the expression of compassion by health professionals and the experience of receiving compassion by patients. Narrative Inquiry. Reported in line with Consolidated Criteria for Reporting Qualitative Research (COREQ). Qualitative interviews were conducted with 24 patients and health professionals in Australia. Data were collected between August 2018 and August 2019. Narrative analysis processes were used to develop a thematic framework. Compassionate practice is presented as an overarching theme and comprises of three themes: (1) Amalgamation of various knowledges and skills (2) Delivery of meaningful actions which alleviate suffering and (3) Meeting in idual needs and prevention of further preventable suffering. The expression of compassion by health professionals involved the fusion of many skills and knowledges. Patients received compassion through the actions of the health professional which alleviated their suffering. Compassionate practice is both important, and complex. Presence, skilled and purposeful action and the alleviation of suffering are essential to the expression and receipt of compassion in the hospital setting. Findings from this study contribute to the growing body of literature on compassionate practice in health settings, specifically in how it is expressed and received in a hospital setting. The complexity of compassion is explained for health professionals. Compassion was shown to be embedded in the caring moments between health professionals and patients. This paper explains the different elements that comprise compassion which can guide health professional practice. The importance of seemingly small acts has a big impact on patients, families and health professionals. There is a need for greater stakeholder value and recognition of this aspect of practice.
Publisher: CSIRO Publishing
Date: 2011
DOI: 10.1071/HE11468
Abstract: Through an ongoing project, we have been reviewing the literature addressing school planning for climate change related ecological disruptions and disasters, particularly for the special needs of children with disabilities. We have also examined related state education department policies from across Australia. Our preliminary results suggest scant attention has been paid either by researchers or educational policy makers to the needs of children with disabilities and their caregivers in response to climate change induced disaster scenarios. Here, we advocate for better preparedness among institutions serving children with disabilities to support their health in the context of climate change, and describe how health promotion principles can be brought to bear on this issue.
Publisher: Cambridge University Press (CUP)
Date: 06-2014
DOI: 10.1017/DMP.2014.45
Abstract: The Mt Merapi volcanic eruption in October 2010 claimed more than 386 lives, injured thousands of survivors, and devastated the surrounding environment. No instrument was available in Indonesia to assess the psychosocial impact on survivors of environmental degradation caused by such natural disasters. We developed, translated, and tested an Indonesian version of the Environmental Distress Scale (EDS) for use as a tool to reliably measure environmental distress related to environmental damage in Indonesia. The EDS, a prospective translation and psychometric study, was modified for use in a volcano disaster setting in Indonesia translated into Indonesian and pilot tested to determine meaning and cultural appropriateness. A test-retest study with 80 survivors of the 2010 Mt Merapi volcanic eruption measured the reliability of the tool. The Indonesian version of the EDS (I-EDS) captured the content of the original EDS with appropriate adaptations for cultural differences of Indonesian natural disaster survivors. The I-EDS can be considered a reliable tool for assessing the psychosocial impact of environmental degradation from natural disasters such as volcanic eruptions, which might be useful for Indonesian researchers. ( Disaster Med Public Health Preparedness . 2014 :1–10)
Publisher: Wiley
Date: 28-05-2015
DOI: 10.1111/INM.12149
Publisher: The Royal Society
Date: 07-03-2022
Abstract: Oceania is a key region for studying human dispersals, adaptations and interactions with other hominin populations. Although archaeological evidence now reveals occupation of the region by approximately 65–45 000 years ago, its human fossil record, which has the best potential to provide direct insights into ecological adaptations and population relationships, has remained much more elusive. Here, we apply radiocarbon dating and stable isotope approaches to the earliest human remains so far excavated on the islands of Near and Remote Oceania to explore the chronology and diets of the first preserved human in iduals to step across these Pacific frontiers. We demonstrate that the oldest human (or indeed hominin) fossil outside of the mainland New Guinea-Aru area dates to approximately 11 800 years ago. Furthermore, although these early sea-faring populations have been associated with a specialized coastal adaptation, we show that Late Pleistocene–Holocene humans living on islands in the Bismarck Archipelago and in Vanuatu display a persistent reliance on interior tropical forest resources. We argue that local tropical habitats, rather than purely coasts or, later, arriving domesticates, should be emphasized in discussions of human diets and cultural practices from the onset of our species' arrival in this part of the world. This article is part of the theme issue ‘Tropical forests in the deep human past’.
Publisher: Springer Science and Business Media LLC
Date: 21-05-2014
Publisher: Springer Science and Business Media LLC
Date: 12-2012
Publisher: Informa UK Limited
Date: 04-2009
Abstract: Despite the high demand for skilled care of mental health consumers, many countries experience difficulty attracting and maintaining a sufficiently educated and trained mental health workforce, including nurses. In developing countries such as Fiji, nurses are the primary providers of mental healthcare, yet often do so with minimal specialist education and training. In this paper, we discuss the development and implementation of the first mental health nursing postgraduate program in Fiji. We also raise critical issues in building successful educational partnerships between developed and developing countries, including those of capacity-building, managing organizational change, and achieving sustainability. In doing so, our aim is that our experiences may be helpful to others seeking to work together in similar ways.
Publisher: Cambridge University Press (CUP)
Date: 27-03-2013
DOI: 10.1017/S1049023X13000204
Abstract: Tropical cyclone (TC) Yasi, thought to be the largest and most severe cyclone to cross the Queensland coast since 1918, made landfall on the southern tropical coast near Mission Beach and continued to track westward across Northern Queensland on February 3, 2011. The warning and response model (WRM) suggests that situational factors, personal characteristics, and social contextual variables influence the degree of threat perceived and protective actions taken. The aim of this study was to examine preparation for this impending natural disaster by residents of the affected regions, and to identify the residents’ resource losses and symptoms of psychological distress following TC Yasi. A cross-sectional survey was conducted 6-12 months after the cyclone using an adapted tool designed to measure preparedness, loss and psychosocial distress. Four hundred and thirty-three responses were received. Statistical analysis was conducted using Statistical Package for the Social Sciences (SPSS). Categorical characteristics were described using s le size and percentages. Almost all respondents perceived the cyclone warning as serious or very serious, and more than a third started preparing for the cyclone at least three days before it reached landfall. Overall, 115 (26.7%) respondents reported moderate and 59 (13.7%) reported major property damage 72 (17.1%) reported a moderate and 49 (11.6%) reported a major change in their feeling of whether they have control over their life 55 (13.1%) reported a major change in their motivation of getting things done and 33 (7.9%) reported a major change in their perception of feeling valuable to others. Overall, 142 (34.1%) documented at least one of five symptoms of acute distress. The findings document the experiences of Australians who have lived through tropical cyclone Yasi. The results support the WRM theory which proposes that people with previous experience take threatened disasters seriously. Usher K , Buettner P , West C , Millis J , Woods C , Mason M , Boon H , Chamberlain-Salaun J . Preparedness for and impact of tropical cyclone Yasi in North Queensland, Australia . Prehosp Disaster Med . 2013 28 ( 3 ): 1 - 7 .
Publisher: Wiley
Date: 21-05-2015
DOI: 10.1111/NHS.12152
Abstract: The Mount Merapi volcanic eruption in October 2010 was one of Indonesia's largest and most recent natural disasters. A cross-sectional study was undertaken to measure the psychosocial impact of the eruption on survivors in two locations in Yogyakarta, Java, Indonesia. The Impact of Event Scale Revised was used to assess participants' symptoms of post-traumatic stress disorder. Post-Traumatic Stress Disorder responses and demographic characteristics were compared in both locations by conducting bivariate analysis using Mann-Whitney and t tests. The relative contributions of demographic variables and psychosocial impact were examined using multiple linear regression analyses. Two years after the eruption, survivors from the area closest to the eruption had significantly higher Impact of Event Scale Revised scores than those in the comparison area. In particular, females, adults between the ages of 18 and 59, and people who owned their own home experienced the highest levels of psychosocial impact. Nurses and other health professionals need to be aware of the impact of natural disasters on survivors and develop interventions to help people adjust to the psychosocial impact of these events.
Publisher: Wiley
Date: 28-12-2018
DOI: 10.1111/NHS.12396
Abstract: An observational study was conducted to examine the use of sun protective hats, clothing, and sunglasses of people attending an outdoor entertainment event in an area of high-to-extreme ultraviolet radiation in New South Wales, Australia. Armidale is unique, as it is a highly-elevated area, almost 1000 m above sea level, and temperatures are often mild with very high-to-extreme levels of ultraviolet radiation. Four trained data collectors observed attendees as they entered the event, and recorded their use of sun protective hats, clothing, and sunglasses. While more than half of the attendees wore sun protective hats, only 14% wore sun protective clothing. Broad-brimmed hats were considered sun protective, while sun protective clothing was defined by shirts with at least three-quarter-length sleeves. Females were more likely to wear both a sun protective hat and clothing than males, and children were less protected than adults. Legislative changes are required to ensure that organizers of outdoor events have a legal responsibility to provide a safe environment for attendees, including strategies to help reduce ultraviolet radiation exposure.
Publisher: eLife Sciences Publications, Ltd
Date: 16-01-2015
DOI: 10.7554/ELIFE.05055
Abstract: A complex interplay of viral, host, and ecological factors shapes the spatio-temporal incidence and evolution of human influenza viruses. Although considerable attention has been paid to influenza A viruses, a lack of equivalent data means that an integrated evolutionary and epidemiological framework has until now not been available for influenza B viruses, despite their significant disease burden. Through the analysis of over 900 full genomes from an epidemiological collection of more than 26,000 strains from Australia and New Zealand, we reveal fundamental differences in the phylodynamics of the two co-circulating lineages of influenza B virus (Victoria and Yamagata), showing that their in idual dynamics are determined by a complex relationship between virus transmission, age of infection, and receptor binding preference. In sum, this work identifies new factors that are important determinants of influenza B evolution and epidemiology.
Publisher: Cambridge University Press (CUP)
Date: 17-01-2014
DOI: 10.1017/S1049023X13009266
Abstract: Forced separation from one's home may trigger emotional distress. People who remain in their homes may experience emotional distress due to living in a severely damaged environment. These people experience a type of ‘homesickness’ similar to nostalgia because the land around them no longer resembles the home they knew and loved. What they lack is solace or comfort from their home they long for the home environment to be the way it was before. “Solastalgia” is a term created to describe feelings which arise in people when an environment changes so much that it negatively affects an in idual's quality of life. Such changed environments may include drought-stricken areas and open-cut mines. The aim of this article is to describe how solastalgia, originally conceptualized as the result of man-made environmental change, can be similarly applied to the survivors of natural disasters. Using volcanic eruptions as a case ex le, the authors argue that people who experience a natural disaster are likely to suffer from solastalgia for a number of reasons, which may include the loss of housing, livestock and farmland, and the ongoing danger of living in a disaster-prone area. These losses and fears challenge people's established sense of place and identity and can lead to feelings of helplessness and depression. Warsini S , Mills J , Usher K . Solastalgia: living with the environmental damage caused by natural disasters . Prehosp Disaster Med . 2014 : 29 ( 1 ) 1 - 4 .
Publisher: Springer Science and Business Media LLC
Date: 11-07-2015
DOI: 10.1007/S10393-015-1037-0
Abstract: The mental health of people in rural communities is influenced by the robustness of the mental health ecosystem within each community. Theoretical approaches such as social ecology and social capital are useful when applied to the practical context of promoting environmental conditions which maximise mental health helping capital to enhance resilience and reduce vulnerably as a buffer for mental illness. This paper explores the ecological conditions that affect the mental health and illness of people in rural communities. It proposes a new mental health social ecology framework that makes full use of the locally available unique social capital that is sufficiently flexible to facilitate mental health helping capital best suited to mental health service delivery for rural people in an Australian context.
Publisher: Springer International Publishing
Date: 2022
Publisher: Informa UK Limited
Date: 25-04-2014
Publisher: Wiley
Date: 12-05-2011
DOI: 10.1111/J.1447-0349.2011.00747.X
Abstract: Weight gain and obesity has reached epidemic proportions, with the prevalence of metabolic syndrome (MetS) reaching 20-25% of the global population. MetS is a cluster of metabolic abnormalities, including weight gain, associated with an increased risk of cardiovascular disease, diabetes, and stroke. While in iduals in the general population are at risk of physical conditions, such as MetS, people with mental illness are at even higher risk. The increased incidence of MetS for people with serious mental illness has been linked to the use of second-generation antipsychotic medication. This paper describes the content, structure, and development of 'Passport 4 Life', a healthy lifestyle intervention to maintain weight and prevent further weight gain for people with serious mental illness. While there are a number of diet and lifestyle programmes available for the general population, Passport 4 Life was specifically designed as an intervention to address the needs of people with serious mental illness taking second-generation antipsychotics. Passport 4 Life comprises 12 weekly group sessions that include the concepts and spirit of motivational interviewing, nutrition, and exercise education, combined with weekly exercise activity.
Publisher: Wiley
Date: 20-09-2016
DOI: 10.1111/INM.12252
Publisher: Wiley
Date: 11-0001
DOI: 10.1111/INR.12153
Abstract: The mentally ill are vulnerable to human rights violations, particularly in Indonesia, where shackling is widespread. The aim of this study was to understand the provision of mental health care in Indonesia, thereby identifying ways to improve care and better support carers. Grounded theory methods were used. Study participants included health professionals, non-health professionals and in iduals living with a mental disorder who were well at the time (n = 49). Data were collected through interviews conducted in 2011 and 2012. The core category of this grounded theory is 'connecting care' a term coined by the authors to describe a model of care that involves health professionals and non-health professionals, such as family members. Four main factors influence care-providers' decision-making: competence, willingness, available resources and compliance with institutional policy. Health professionals are influenced most strongly by institutional policy when deciding whether to accept or shift responsibility to provide care. Non-health professionals base their decisions largely on personal circumstances. Jointly-made decisions can be matched or unmatched. Unmatched decisions can result in forced provision of care, increasing risks of human rights violations. Generalization of this grounded theory is difficult as the research was conducted in two provinces of Indonesia. Institutional policy was important in the process of connecting care for the mentally ill in Indonesia and needs to be underpinned by legislation to protect human rights. Strengthening mental health legislation in Indonesia will allow nurses to connect care more effectively.
Publisher: Wiley
Date: 22-08-2016
DOI: 10.1111/JOCN.13472
Abstract: This study aimed to establish the scale of alcohol-related injuries originating in the home. Despite recent media and public attention on alcohol-related injuries occurring at licensed venues, many occur in other locations including the home. A retrospective observational study. Emergency department surveillance data sourced from the Queensland Injury Surveillance Unit were interrogated for alcohol-related emergency department presentations from 2003-2012 (n = 12,296). Descriptive analysis was undertaken to assess alcohol involvement in injury, and analysis of variance was used to determine the differences among group means and their associated presentations. The relationship between demographic variables and injury location was assessed using p value of <0·05 as statistically significant. Of all injuries that were positively identified as being alcohol related, 41·07% occurred at the 'other' location, 36·14% 'at home', 13·00% on the street and 9·78% at licensed premises. Of these, males (n = 2635 59%) represented a higher proportion than females (n = 1807 41%). Of injuries identified as domestic violence by spouse or partner (n = 510), 59·5% occurred 'at home'. This is the first study to investigate alcohol-related injuries occurring at home. The home accounts for a greater proportion of injuries than the frequently assessed licensed premises location. Further research is required to validate these findings in a wider setting. A public health c aign is required to minimise harm associated with alcohol-related injuries in the home, and nurses are positioned to inform health policy makers around this issue. Furthermore, emergency department nurses are in a unique position to provide brief interventions around safe alcohol consumption and injury prevention.
Publisher: Elsevier BV
Date: 12-2009
Publisher: Elsevier BV
Date: 07-2018
DOI: 10.1016/J.NEDT.2018.04.013
Abstract: Patient safety is a core principle of health professional practice and as such requires significant attention within undergraduate curricula. However, patient safety practice is complex requiring a broad range of skills and behaviours including the application of sound clinical knowledge within a range of health care contexts and cultures. There is very little research that explores how this is taught within Australian nursing curricula. To examine how Australian nursing curricula address patient safety identify where and how patient safety learning occurs and describe who is responsible for facilitating this learning. A cross-sectional study. Eighteen universities across seven Australian States and Territories. The s le consisted of 18 nursing course coordinators or those responsible for the inclusion of patient safety content within a Bachelor of Nursing course at Australian universities. An online survey was conducted to evaluate the patient safety content included and teaching methods used in Australian pre-registration nursing curricula. Approaches to teaching patient safety vary considerably between universities where patient safety tended to be integrated within undergraduate nursing course subjects rather than explicitly taught in separate, stand-alone subjects. Three-quarters of the surveyed staff believed patient safety was currently being adequately covered in their undergraduate nursing curricula. Although there is consensus in relation to the importance of patient safety across universities, and similarity in views about what knowledge, skills and attitudes should be taught, there were differences in: the amount of time allocated, who was responsible for the teaching and learning, and in which setting the learning occurred and was assessed. There was little indication of the existence of a systematic approach to learning patient safety, with most participants reporting emphasis on learning applied to infection control and medication safety.
Publisher: Elsevier BV
Date: 05-2011
Publisher: Elsevier BV
Date: 12-2015
DOI: 10.1016/J.COLEGN.2014.05.003
Abstract: Tertiary nurse education programmes aim to produce novice nurses able to meet the Nursing and Midwifery Board of Australia competency standards for registration. On the other hand, employers expect graduate nurses to not only be competent and able to function safely and independently but also to be ready to "hit the ground running" in relation to providing clinical care. The study aimed to explore the perceptions of third-year nursing students enrolled in their final semester with regard to their preparedness for practice. Following their last clinical placement, all third-year nursing students at a regional northern Australian university were emailed a link to an online version of the Casey-Fink Readiness for Practice Survey tool and invited to participate in the study. A total of 113 questionnaires were completed from the s le of 235, giving a response rate of 48%. The majority of students reported feeling prepared for practice and felt that simulation experiences were helpful in attaining this state. Confidence in caring for multiple patients was inversely associated with age indicating higher levels of confidence in younger nursing students. Expanded placements, increased use of simulation for clinical skills practice, smaller clinical skills class sizes and modern equipment were identified as areas for improvement to facilitate and enhance students' levels of confidence and readiness for practice. Students in this study highly valued clinical placements as a method of increasing their levels of perceived preparedness to practice independently after graduation. Caring for multiple patients involves a high level of complexity and a learning curve is indicated in which confidence and competence is likely to grow with experience.
Publisher: Informa UK Limited
Date: 03-2013
DOI: 10.2147/JMDH.S40676
Publisher: Informa UK Limited
Date: 08-2010
DOI: 10.5172/CONU.2010.36.1-2.121
Abstract: The provision of a well trained and culturally safe health workforce is critical to the alleviation of health inequities for Australian Indigenous peoples. Educating and graduating significant numbers of Indigenous registered nurses is one way the 'Close the Gap' initiative succeeds. Indigenous nurses bring a set of unique skills, knowledge and understanding to health service delivery. Their contribution has the potential to enhance future outcomes for Indigenous people by improving access to health services, ensure services are culturally appropriate and respectful, and assist non-Indigenous nurses to deliver culturally appropriate care. This paper discusses the background to the current numbers of Indigenous undergraduate nursing students enrolled in and completing tertiary nursing courses, with a focus on Queensland nursing programs. A range of identified barriers impede Indigenous nursing students' successful completion of their studies. We propose recommendations for education, research and employment to help overcome these problems, and ensure greater Indigenous participation in the nursing workforce.
Publisher: RCN Publishing Ltd.
Date: 06-11-2019
Publisher: Wiley
Date: 15-04-2016
DOI: 10.1111/JOCN.13145
Publisher: Wiley
Date: 12-07-2013
DOI: 10.1111/JOCN.12297
Abstract: To identify the evidence base related to discharge planning in the context of acute and community mental healthcare service provision to ascertain the need for future research. Discharge planning is an important activity when preparing consumers to transition from hospital to home. The efficiency of discharge planning for consumers living with a mental health issue can influence both the number of future readmissions to acute-care facilities and their quality of life at home. An integrative review of the peer-reviewed literature. This review uses specific search terms and a 21-year time frame to search two key nursing databases CINAHL (Cinahl Information Systems, Glendale, CA, USA) and PSYCHINFO (American Psychological Association, Washington, DC, USA) for research reports investigating the substantive area of enquiry. Hand searches of reference lists and author searches were also conducted. Nineteen peer-reviewed journal articles met the inclusion criteria for this review. Research findings about discharge planning for people living with a mental health issue identify the importance of communication between health professionals, consumers and their families to maximise the effectiveness of this process. The complexity of consumer's healthcare needs influences the discharge planning process and impacts on aftercare compliance and readmission rates. There is a limited amount of research findings relating to differences between health professionals and families' perceptions of the level of information required for effective discharge planning, and the appropriate level of involvement of in iduals living with a mental health issue in their own discharge planning. Results from this integrative review will inform future research related to this topic. Discharge planning for consumers living with a mental health issue involves many stakeholders who have different expectations regarding the type of information required and the necessary level of involvement of people living with a mental health issue in this process. Comprehensive discharge planning can result in reduced readmissions to both acute and community mental health services. Understanding the impact of effective communication on the outcomes of discharge planning is an important step in promoting success.
Publisher: Virginia Tech Libraries
Date: 27-05-2021
Publisher: Wiley
Date: 10-04-2020
DOI: 10.1111/INM.12726
Publisher: Cambridge University Press (CUP)
Date: 2023
DOI: 10.1017/DMP.2023.1
Abstract: The objective of this study was to describe and compare almost all the components of disaster preparedness between private and government hospitals in the Eastern Province of the Kingdom of Saudi Arabia, using the World Health Organization’s (WHO) checklist. We assessed and compared the disaster preparedness between government and private hospitals in Province, using the 10-key component WHO checklist in a descriptive cross-sectional study. Of 72 hospitals in the region, 63 responded to the survey. All 63 hospitals had an HDP plan and reported having a multidisciplinary HDP committee. In all responding hospitals, HDP was acceptable in most indicators of preparedness however, some hospitals to some extent fell short of preparedness in surge capacity, equipment and logistic services, and post-disaster recovery. Government and private hospitals were generally comparable in disaster preparedness. However, government hospitals were more likely to have HDP plans that cover WHO’s “all-hazard” approach, both internal and external disasters, compared to private hospitals. HDP was acceptable, however, preparedness in surge capacity, equipment and logistic services, and post-disaster recovery fell short. Government and private hospitals were comparable in preparedness with regards to all indicators except surge capacity, post-disaster recovery, and availability of some equipment.
Publisher: Wiley
Date: 06-11-2006
DOI: 10.1111/J.1365-2850.2006.01026.X
Abstract: The introduction of second-generation antipsychotic drugs for the treatment of schizophrenia has provided significant benefits for clients experiencing this disorder. While they have been found effective in reducing psychotic symptoms, there is evidence that these drugs are also linked with a group of side effects commonly known as the metabolic syndrome. Mental health nurses are well positioned to prevent, detect and/or manage the development of this problematic constellation of symptoms. Guidelines for practice can be useful in prevention and management of the syndrome and enhance nursing care of clients who are taking second-generation antipsychotics.
Publisher: Elsevier BV
Date: 03-2011
DOI: 10.1016/J.COLEGN.2010.08.004
Abstract: This paper presents a critical appraisal of the potential of family resilience as a new model of care for chronic pain. For nurses, this model offers new strategies for working with families where a member experiences chronic pain. Chronic pain is characterised by one or more of the following: pain that lasts more than six months, from a non-life-threatening cause and/or which is not responsive to available treatment. Chronic pain has the potential to be longstanding and difficult to treat and may result in negative outcomes for in iduals and their families. However, a family resilience model of care moves the nurse from a traditional deficit base or problem-focused model of care to one which addresses the in idual's and family's strengths. Strengths based models of care such as family resilience offer a fresh approach within Australia's developing agenda of primary health care. A family resilience or strengths based model of chronic pain has the potential to facilitate transformation and growth within families that will enable them to be more resourceful when facing immediate and long-term challenges. Further research into the effectiveness of this approach to nursing care is required to develop specific implementation strategies for working with families experiencing chronic health conditions such as chronic pain.
Publisher: Springer Science and Business Media LLC
Date: 12-02-2009
Abstract: Specialist training was established in the late 1990s at the Fiji School of Medicine. Losses of graduates to overseas migration and to the local private sector prompted us to explore the reasons for these losses from the Fiji public workforce. Data were collected on the whereabouts and highest educational attainments of the 66 Fiji doctors who had undertaken specialist training to at least the diploma level between 1997 and 2004. Semistructured interviews focusing on career decisions were carried out with 36 of these doctors, who were purposively s led to include overseas migrants, temporary overseas trainees, local private practitioners and public sector doctors. 120 doctors undertook specialist training to at least the diploma level between 1997 and 2004 66 of the graduates were Fiji citizens or permanent residents 54 originated from other countries in the region. Among Fiji graduates, 42 completed a diploma and 24 had either completed (21) or were enrolled (3) in a master's programme. Thirty-two (48.5%) were working in the public sectors, four (6.0%) were temporarily training overseas, 30.3% had migrated overseas and the remainder were mostly in local private practice. Indo-Fijian ethnicity and non-completion of full specialist training were associated with lower retention in the public sectors, while gender had little impact. Decisions to leave the public sectors were complex, with concerns about political instability and family welfare predominating for overseas migrants, while working conditions not conducive to family life or frustrations with career progression predominated for local private practitioners. Doctors remaining in the public sectors reported many satisfying aspects to their work despite frustrations, though 40% had seriously considered resigning from the public service and 60% were unhappy with their career progression. Overall, this study provides some support for the view that local or regional postgraduate training may increase retention of doctors. Attention to career pathways and other sources of frustration, in addition to encouragement to complete training, should increase the likelihood of such programmes' reaching their full potentials.
Publisher: Wiley
Date: 30-06-2019
DOI: 10.1111/INM.12600
Publisher: Japan Society for Occupational Health
Date: 2022
Publisher: Frontiers Media SA
Date: 24-05-2023
DOI: 10.3389/FCOMM.2023.1180406
Abstract: Factors that negatively impact women's disaster experiences include poor disaster preparedness, lack of access to a safe place, displacement worries, distance from shelters, risk of abuse in shelters, poverty, and low cultural position of women in rural Bangladesh. This study aimed to give voice to women who experienced gender-based vulnerabilities during natural disasters. The research was conducted with women in the two disaster-prone areas utilizing a qualitative approach. Women, aged 18 years or above, who were permanent residents of the selected disaster-prone areas and have experienced one or more disasters, were invited to participate in the study. Twenty-four women volunteered to participate. Data were collected through semi-structured in-depth interview recordings containing questions on sociodemographic characteristics and open-ended questions to assess gender-based vulnerabilities during disasters data were analyzed using thematic analysis techniques. One main theme and six sub-themes emerged from the analysis. Women were often in the middle of making life choices between the risk of being abused and death in disasters. Shelters lacked privacy, heightened the risk of abuse, and women faced social stigma if displaced from their homes during a disaster. The women also experienced health risks because of inadequate hygiene and poor living arrangements such as a lack of adequate shelters, toilet facilities, and secure gender-segregated living arrangements if relocation was essential during a disaster. Findings from this study provide guidance to policymakers and disaster aid organizations on disaster preparedness and post-disaster facilities to address the socio-cultural needs of rural women in disaster-prone areas of Bangladesh.
Publisher: Springer Publishing Company
Date: 2013
DOI: 10.1891/0730-0832.32.1.16
Abstract: The maintenance of a constant body temperature is important to all humans but even more so for newborn babies (neonates), especially those born pre-term. Because accurate measurement of body temperature is an important component of thermoregulation management in the neonate, a review of the literature was undertaken to determine the most appropriate method and site of temperature measurement in both the preterm and term neonate. The available evidence indicates that the axilla remains the most common place for temperature measurement.
Publisher: Oxford University Press (OUP)
Date: 31-07-2021
Abstract: This paper describes the potential impact of the coronavirus disease 2019 (COVID-19) pandemic on the readymade garment (RMG) workers of Bangladesh. It articulates the RMG workers’ existing vulnerability during the COVID-19 pandemic based on currently available evidence and personal conversations/communications with RMG workers. COVID-19 has already impacted RMG workers’ health (both physical and mental health status) and wellbeing, and resulted in loss of employment. We argue that the COVID-19 pandemic will have long-lasting effects on the garment workers, especially related to their health issues, financial hardship and inability to pay for essentials such as food, and future employment opportunities. The stakeholders (such as the international retailers/brands, Bangladesh Garment Manufacturers and Exporters Association, Government of Bangladesh) responsible for the global supply chain RMG factories should reconsider the health and overall wellbeing needs of the RMG workers during the ongoing COVID-19 pandemic.
Publisher: Elsevier BV
Date: 2020
DOI: 10.1016/J.NEPR.2019.102691
Abstract: This paper examines pre-registration nursing students' perceptions of the practice of intentional rounding and perceived benefits for nurses and patients. Intentional rounding was developed to ensure nursing staff regularly check on patients to ensure that all care needs are met. It has been linked to a reduction in falls and call bell use, and an increase in patient safety. No previous studies have examined pre-registration nursing students' role in the practice of intentional rounding during clinical placements nor the perceptions of rounding practices, important from a future workforce perspective. A cross-sectional multisite study was undertaken, and pre-registration nursing students completed the Nurses' Perceptions of Patient Rounding Scale between August 2017- June 2018, distributed using online education platforms and email. Strobe reporting guidelines were used to report findings. Participants perceived positive benefits in intentional rounding for nurses and patients. Mixed opinions surrounded the sufficiency of education received around the intervention. Previous nursing experience was linked to opposing opinions of intentional rounding, depending on education levels. Participants had a positive perception of intentional rounding practices overall. Education surrounding intentional rounding needs to be consistent, and introduced before students are expected to actively participate in the practice of rounding on clinical placement.
Publisher: Informa UK Limited
Date: 05-2008
Publisher: Wiley
Date: 09-02-2021
DOI: 10.1111/JAN.14766
Publisher: Wiley
Date: 07-09-2023
DOI: 10.1111/JAN.15856
Publisher: Wiley
Date: 15-09-2015
DOI: 10.1111/JOCN.12968
Publisher: Wiley
Date: 18-05-2020
DOI: 10.1111/JOCN.15314
Publisher: Wiley
Date: 12-03-2020
DOI: 10.1111/INM.12712
Publisher: Wiley
Date: 02-2013
DOI: 10.1111/IJN.12024
Abstract: In Taiwan, volunteers of each Community Health Promotion Development Centres help to diffuse healthy lifestyle education and complement the paid workforce, especially community nurses. An interpretive, descriptive qualitative design, using focus groups, was conducted to explore the burden experienced by community health volunteers in Taiwan. The data were analyzed inductively, and emergent themes were explored. The majority of participants were female between 50 and 59 years old with an average of 4.5 years experience as a volunteer. Thematic analysis resulted in four themes: preparation and scope of practice, lack of support for the role, work overload and expectations of the role. Volunteers in Taiwan do not always have the necessary skills to care for their clientele because of an inadequate programme of orientation, lack of continuing education and support for the role, role overload and expectations placed upon them by the clients and others.
Publisher: Springer Science and Business Media LLC
Date: 02-08-2014
DOI: 10.1007/S11325-014-1032-7
Abstract: Obstructive sleep apnoea is recognised as a common but under-diagnosed health issue. Currently, there is very little published data relating to the burden and impact of obstructive sleep apnoea among indigenous populations. The purpose of this review was to investigate the prevalence, impact, risk factors and treatment of obstructive sleep apnoea in indigenous populations in high-income countries. An integrative review was conducted on 25 English language studies and reports that investigated obstructive sleep apnoea among indigenous populations in high-income countries. Studies that did not focus on indigenous populations in the results or discussion were excluded. Eligible studies were identified by searching PubMed, Web of Science and Google Scholar databases and reference lists of eligible studies. Publication dates range from 1998 to 2012. Synthesis of studies indicates the prevalence of obstructive sleep apnoea is higher and severity is greater in indigenous populations compared with non-indigenous populations. Comparable risk factors for obstructive sleep apnoea were identified in indigenous and non-indigenous populations, with only three studies identifying ethnicity as an independent risk factor. Indigenous populations in high-income countries are subject to an overall greater prevalence of obstructive sleep apnoea that is also more severe. A higher prevalence of obesity, alcohol and tobacco use and comorbid medical conditions associated with low socioeconomic status rather than indigenous status per se appears to explain this disparity.
Publisher: Saudi Medical Journal
Date: 11-2019
Publisher: Informa UK Limited
Date: 02-01-2016
Publisher: Elsevier BV
Date: 2009
Publisher: Wiley
Date: 08-2015
DOI: 10.1111/INM.12155
Publisher: Elsevier BV
Date: 02-2013
Publisher: Wiley
Date: 08-03-2011
DOI: 10.1111/JOCN.16081
Abstract: This study aimed to understand the lived experience of rural mothers caring for a child with a chronic health condition and to understand their perspectives on the support, services and resources they identify as necessary to effectively manage caregiving. Maternal caregivers in rural areas experience difficulty accessing specialist health care for their child and can also experience geographical and social isolation. Understanding the factors that enable these maternal caregivers to overcome the challenges and adversities faced is crucial to help nurses identify and facilitate avenues for support and resources. This study employed a phenomenological design. The study is reported in line with Consolidated criteria for reporting qualitative research guidelines (COREQ). Semi‐structured interviews were conducted with 17 maternal caregivers in rural New South Wales, Australia, who had at least one child with a chronic health condition aged between 2–18 years. Data were collected from March to June 2018. Thematic analysis was used to develop a thematic framework. This paper reports on one of the major themes identified in this research, specifically maternal resilience. Participants demonstrated maternal resilience by creating meaningful social connections, cultivating networks, developing problem‐solving skills, enhancing their self‐efficacy and finding a sense of purpose through hope and optimism. These strategies provide nurses insight into how some rural women overcome adversities associated with their maternal labour required in caring for a child with a chronic health condition. This study found that participants overcame the challenges related to their caregiving work, emerging as resilient caregivers. Understanding maternal resilience assists nurses to provide the services rural mothers in Australia need to care for their child with a CHC. Findings from this study provide insight into the experiences of rural maternal caregivers of children with a chronic health condition and identify the strategies they adopt to overcome caregiver challenges. Understanding these strategies allows nurses to improve care and support for rural mothers using a strength‐based approach to build maternal resilience.
Publisher: Wiley
Date: 15-09-2015
DOI: 10.1111/JOCN.12996
Abstract: To assess changes in perceptions of confidence and preparedness for practice of preregistration nursing students before and after the introduction of a capstone subject, and factors associated with perceptions of preparedness. Preregistration nursing student 'readiness' or 'preparedness' for practice has been highlighted in the literature in recent years, along with employer concerns that university graduate nurses are not work ready. Few studies have examined Australian preregistration nursing students' perceptions of preparedness for clinical practice following their final clinical placement or assessed whether preregistration student nurses' perceptions of preparedness change as the result of undertaking a capstone subject. A capstone subject was introduced at a regional northern Australian university in 2013. Perceptions of preparedness were assessed in two different cohorts of final year nursing students one of which undertook a capstone subject. Two separate cohorts of third year nursing students were surveyed regarding their perceptions of preparedness for practice at the conclusion of their final 240 hour clinical placement. The 2012 cohort did not experience a capstone subject, whereas the 2013 cohort were the first nursing students to experience the new capstone subject. Both cohorts were uncomfortable performing invasive procedures and reported low levels of confidence in the area of professional identity. An overall trend of decreasing confidence as patient assignment size increased was observed for both cohorts, and higher confidence was associated with previous health care experience. Perceptions of preparedness for practice did not increase significantly following the introduction of a capstone subject. Although Australian undergraduate nursing student report feeling prepared for practice there are areas of knowledge, skills and patient care in which confidence is low. The results of this study highlight the importance of experience in building confidence and competence. This study highlights that while final year nursing students report feeling prepared for practice there are areas where additional support can be provided. It is recommended that nurse educators and health care facilities tailor their programs to provide support focused on the areas highlighted by this study.
Publisher: SAGE Publications
Date: 16-01-2020
Abstract: Introduction: This article outlines the processes used to meaningfully and authentically engage Australian Aboriginal communities in Northern New South Wales, Australia, to develop culturally appropriate stroke health resources. Methodology: Participatory action research using the research topic yarning framework is a collaborative, culturally safe way to uncover vital information and concepts. There were two stages in the participatory action research project: community engagement and evaluation of the processes involved in developing the localised, culturally appropriate health resources. Results: Establishing relationships built on trust, mutual sharing of knowledge, and bringing together the wider community, enabled the health message to be embedded within the community, ensuring the message was culturally appropriate and sustainable. Discussion: The stroke education resource is a tangible outcome and a major achievement however, the process of authentic engagement to achieve the final product was the ultimate accomplishment.
Publisher: Wiley
Date: 19-12-2015
DOI: 10.1111/JOCN.12750
Publisher: Elsevier BV
Date: 12-2012
DOI: 10.1016/J.COLEGN.2012.04.007
Abstract: Nursing leaders function in an environment of increasing demands coupled with decreasing resources. This paper explores the landscape of nursing leadership from a critical theory perspective, particularly Habermas's theory of communicative action. We not only deconstruct contemporary nursing leadership, discussing the potential negative consequences for those who fulfil roles of both 'nurse' and 'leader', but also offer possibilities for a more positive future.
Publisher: Wiley
Date: 04-1994
DOI: 10.1111/J.1365-2648.1994.TB01138.X
Abstract: The incorporation of clinical practice into nursing faculty role expectations has triggered much debate. Despite the urge for the incorporation of practice into faculty roles, past research has demonstrated that the majority of faculties do not in fact include clinical practice. Reasons given for the failure of nurse academics to practise include lack of time, the failure of academia to value the practice, and the failure to include the practice as criteria for tenure and promotion. For faculty practice to occur it has been argued that clinical practice needs to be more a matter of in idual intent: adaptable, and creative. Clinical c s provide potential opportunities for clinical practice for faculties. These c s, it is argued, offer the possibility of clinical teaching, promotion of collegial relationships between faculty and health care agencies, development of positive faculty-student relationships, and a valuable research site. For this reason, it is argued that clinical c s be considered a viable venue for faculty practice.
Publisher: Elsevier BV
Date: 08-2018
Publisher: Wiley
Date: 27-09-2017
DOI: 10.1111/INM.12345
Abstract: The crystalline form of meth hetamine, commonly known as crystal meth (crystal meth hetamine) or ICE, is a highly-addictive and powerful stimulant. Users of crystal meth often require emergency care, and are associated with a substantial burden of care by emergency care providers. The aim of the present qualitative study was to explore health professionals' experiences of providing care for patients affected by ICE who presented to the emergency department (ED). Nine semistructured interviews were conducted. The major theme, 'staying safe', was revealed, in which participants described their experiences of being exposed to potentially unsafe situations, and their responses to challenging behaviours, including aggression. The findings highlight the need for ED staff to understand the nature of ICE use and its adverse impact on the mental and physical health of users. Furthermore, it is clear that establishing and maintaining safety in the emergency care setting is of utmost importance, and should be a priority for health-care managers.
Publisher: SAGE Publications
Date: 21-06-2020
Abstract: Introduction: Indigenous Peoples are experiencing the ongoing effects of colonization. This phenomenon, historical trauma (HT), helps to address the current ill-health disparity. Aim of this scoping review was to identify sources of evidence available to understand the impact of HT on Indigenous young peoples. Method: A scoping review was conducted on available evidence-based literature. Article quality was assessed using validated quality appraisal tools. Synthesis was conducted with predefined levels of impact. Results: Consistent with the literature, the themes and levels of impact were interrelated. Despite this, studies predominately reported a singular focus with limited discussion of protective factors. Discussion: HT continues to have a profound impact on Indigenous young peoples across Canada, Australia, New Zealand, and the United States. Protective factors for HT were evident within Indigenous research designs. Future research should ensure a multilevel focus to explore intergenerational strength and how this influences culturally congruent health care.
Publisher: Informa UK Limited
Date: 09-07-2020
Publisher: Wiley
Date: 20-05-2016
DOI: 10.1111/INM.12222
Publisher: Elsevier BV
Date: 06-2014
DOI: 10.1016/J.COLEGN.2014.02.004
Abstract: Increased bandwidth, broadband network availability and improved functionality have enhanced the accessibility and attractiveness of social media. The use of the Internet by higher education students has markedly increased. Social media are already used widely across the health sector but little is currently known of the use of social media by health profession students in Australia. A cross-sectional study was undertaken to explore health profession students' use of social media and their media preferences for sourcing information. An electronic survey was made available to health profession students at ten participating universities across most Australian states and territories. Respondents were 637 first year students and 451 final year students. The results for first and final year health profession students indicate that online media is the preferred source of information with only 20% of students nominating traditional peer-reviewed journals as a preferred information source. In addition, the results indicate that Facebook usage was high among all students while use of other types of social media such as Twitter remains comparatively low. As health profession students engage regularly with social media, and this use is likely to grow rather than diminish, educational institutions are challenged to consider the use of social media as a validated platform for learning and teaching.
Publisher: Wiley
Date: 29-03-2023
DOI: 10.1111/JOCN.16308
Abstract: The continued use of a deficit discourse when researching Aboriginal and Torres Strait Islander Peoples of Australia is problematic. Understanding and challenging the researchers position and the power of the words they use is important. It will ensure we do not persist in framing Aboriginal and Torres Strait Islander People as a problem to be solved. Indigenist review of the evidence of Aboriginal young people's health and well‐being. This review was conducted using an Indigenist approach to identify texts which lified the voices of Aboriginal young people of Australia and presents a narrative summary of their accounts. This review is reported in line with the PRISMA‐ScR reporting guidelines. Culture and connection are critical components of Aboriginal young people's health and well‐being. Aboriginal young people describe feeling of powerlessness to influence health and well‐being of their community, and they understood the risks they and their communities faced. Young people identified the importance of connection to culture, community and Elders as crucial to their social and emotional well‐being. By harnessing an Indigenous analysis, we were able to reveal a strong counter narrative of strength and resilience within their historical, social, and political contexts through the storied accounts of Aboriginal young people. Most of the currently available evidence about Aboriginal health and well‐being is immersed in deficit discourse. Literature reviews being the foundation of research and informing nursing practice, we call for a purposeful shift towards the adoption of an Indigenist strength‐based approach which emphasises the strength and resilience of Aboriginal young people.
Publisher: SAGE Publications
Date: 07-2013
Abstract: This article focuses on Corbin and Strauss’ evolved version of grounded theory. In the third edition of their seminal text, Basics of Qualitative Research: Techniques and Procedures for Developing Grounded Theory, the authors present 16 assumptions that underpin their conception of grounded theory methodology. The assumptions stem from a symbolic interactionism perspective of social life, including the themes of meaning, action and interaction, self and perspectives. As research design incorporates both methodology and methods, the authors aim to expose the linkages between the 16 assumptions and essential grounded theory methods, highlighting the application of the latter in light of the former. Analyzing the links between symbolic interactionism and essential grounded theory methods provides novice researchers and researchers new to grounded theory with a foundation from which to design an evolved grounded theory research study.
Publisher: Wiley
Date: 05-03-2008
DOI: 10.1111/J.1365-2702.2006.01870.X
Abstract: The purpose of the study was to explore the meaning(s) that emergency department nurses ascribe to acts of violence from patients, their family and friends and what impact these meaning(s) have upon how they respond to such acts. Violence in the health sector is of international concern. In high acuity areas such as emergency departments, nurses have an increased risk of violence. The literature further suggests that violence towards nurses in emergency departments is under-reported. This study was undertaken in 2005, at a regional Australian Emergency Department with 20 consenting registered nurses. Using an instrumental case study design, both qualitative and quantitative data were generated. Qualitative data were collected using participant observation, semi-structured interviews, informal field interviews and researcher journaling. Quantitative data of violent events were generated using a structured observational guide. Textual data were analysed thematically and numeric data were analysed using frequency counts. Mixed methods and concurrent data analysis contributed to the rigour of this study. Emergency department nurses made judgments about the meaning of violent events according to three factors: (i) perceived personalization of the violence (ii) presence of mitigating factors and (iii) the reason for the presentation. The meanings that were ascribed to in idual acts of violence informed the responses that nurses initiated. CONCLUSIONS The findings show that violence towards emergency department nurses is interpreted in a more systematic and complex way than the current definitions of violence make possible. The meanings given to violence were contextually constructed and these ascribed meaning(s) and judgments informed the actions that the nurses took in response to both the act of violence and the agent of violence. Relevance to clinical practice. Understanding the meaning(s) of violence towards nurses contributes to the discussions surrounding why nurses under-report violence. Further, these findings bring insights into how nurses can and do, handle violence in the workplace.
Publisher: RCN Publishing Ltd.
Date: 07-09-2018
Publisher: Wiley
Date: 25-03-2018
DOI: 10.1111/INM.12458
Publisher: Wiley
Date: 02-2019
DOI: 10.1111/INM.12579
Abstract: Adverse childhood experiences are strongly associated with the development of mental health disorders during the life span. When mental health issues are not effectively dealt with during the adolescent period, young people can become long-term consumers in the mental health system. A widely accepted method of intervention is the provision of mentoring. More recently, young people have been fulfilling the role of mentor to their peers and mentoring has played a large role in supporting young people who are considered at-risk of not achieving the expected psychosocial, educational, and/or developmental goals. What is not known is why young people, previously identified as being at-risk, are motivated to mentor their at-risk peers. The study aim was to examine what motivates previously recognized at-risk young people to provide mentoring to their at-risk peers. Participants were twelve previously recognized at-risk young people recruited through a formal peer-to-peer mentoring programme. Semi-structured interviews were conducted, and the data analysed through narrative inquiry and reported in accordance with the consolidated criteria for reporting qualitative research guidelines (COREQ). Results indicate that young people are motivated by their own lived experiences of trauma(s) to provide at-risk peer mentoring. The experience of mentoring afforded opportunities to rewrite in idual personal journeys of trauma through mentoring their at-risk peers, thus constructing a more positive self-identity. Outcomes of developing positive peer relationships and prosocial behaviours could significantly assist mental health clinicians in providing more acceptable care to clients in an age group known to be reluctant to accept traditional mental health intervention.
Publisher: Elsevier BV
Date: 12-2019
DOI: 10.1016/J.AUEC.2019.07.004
Abstract: The use of crystal meth hetamine is a growing problem in Australia. Meth hetamine users can suffer adverse physical health effects, psychotic symptoms and meth hetamine-related aggressive behaviour. The increasing use and related harms of crystal meth hetamine is presenting serious problems for frontline emergency responders. A population-based retrospective analysis was undertaken of data collected by Ambulance Victoria describing crystal meth hetaminerelated events attended by ambulance across Victoria over six financial years from 2011/12 to 2016/17. Meth hetamine-related events attended by Victoria Ambulance paramedics significantly increased from 2011/12 to 2016/17, particularly in regional Victoria. The most frequent age group requiring ambulance attendance is 25-39 years. The proportion of events requiring police coattendance significantly increased, as did transportation to emergency department/hospital. The substantial increases in meth hetamine-related events attended by ambulance indicate the need for increased resources and support for paramedics, particularly in regional/rural areas. The large increase among young people aged 15-24 years indicates a need for policy action on prevention, harm reduction and expanded treatment services to reduce health problems and meth hetamine-related harms.
Publisher: Wiley
Date: 03-03-2011
DOI: 10.1111/J.1365-2702.2010.03494.X
Abstract: Aim and objectives. The research literature was reviewed with the aim of answering the question ‘is irritability an underappreciated side effect of interferon and ribavirin treatment for hepatitis C’. Background. The majority of information regarding interferon treatment identifies depression as the main psychological side effect. However, clinical observation and patient reports suggest that irritability, not depression, is the predominant side effect. Design. The literature review included research and discussion papers. Data bases were searched using the keywords interferon and hepatitis C in combination with one of the following: side effects, depression, mood alteration/change, irritability, anger, impulse control, psychiatric side effects or neuropsychiatric side effects. Results. The review revealed a gap in the literature regarding interferon‐related irritability. Whereas depression was well researched and described, irritability was afforded little research time. However, where irritability was assessed, it was found to occur to a significant degree. Issues identified were difficulty defining and categorising irritability lack of irritability‐specific assessment tools and failure of depression rating scales to adequately discern irritable mood and the confounding effect of physiological side effects on mood alteration. Relevance to clinical practice. Underappreciation and underrecognition of irritability have implications for clinical practice. Good research is the foundation for evidence‐based practice therefore, the possibility exists that, based on current research evidence, patients may not be receiving a standard care that adequately addresses the entirety of the side effect spectrum. Conclusion. Irritability is an underappreciated psychological side effect of interferon therapy. Although irritability is recognised as a side effect of interferon, there is considerable discordance between clinical observation, patient reports and research evidence as reported in the literature.
Publisher: Wiley
Date: 19-02-2016
DOI: 10.1111/INM.12212
Abstract: Mount Merapi in Indonesia is the most active volcano in the world with its 4-6-year eruption cycle. The mountain and surrounding areas are populated by hundreds of thousands of people who live near the volcano despite the danger posed to their wellbeing. The aim of this study was to explore the lived experience of people who survived the most recent eruption of Mount Merapi, which took place in 2010. Investigators conducted interviews with 20 participants to generate textual data that were coded and themed. Three themes linked to the phenomenological existential experience (temporality and relationality) of living through a volcanic eruption emerged from the data. These themes were: connectivity, disconnection and reconnection. Results indicate that the close relationship in iduals have with Mount Merapi and others in their neighbourhood outweighs the risk of living in the shadow of an active volcano. This is the first study to analyze the phenomenological existential elements of living through a volcanic eruption.
Publisher: Informa UK Limited
Date: 2003
Publisher: Wiley
Date: 20-07-2017
DOI: 10.1071/HE15118
Publisher: Wiley
Date: 06-2018
DOI: 10.1111/JOCN.14360
Abstract: To identify and review the literature on rural mothers' experiences in caring for a child with a chronic health condition. Families living with a child who has a chronic health condition experience many challenges these are often lified for families living in rural areas, where issues such as the distance from services add further challenges the family must manage. Like many children, rural children with chronic health conditions are primarily cared for by their mothers. The additional strain of geography creates its own unique experiences for mothers who need to access the high-quality care that their child requires. Integrative literature review using the Equator PRISMA guidelines. A search of databases Cochrane, CINAHL, Ovid, PubMed, ProQuest Health and Medicine, Informit and Scopus for studies published between 2005-2016 using an integrative review approach. A total of 1,484 studies were identified with an additional six studies found through snowballing. The search resulted in seven studies being meeting the inclusion criteria after using the Critical Appraisal Skills Programme. Data from the seven articles were analysed, and the mothers' experiences were synthesised into five themes: "struggling for resources," "barriers in accessing services," "strain of decision-making," "mother's physical and emotional breakdown" and "the daily management of family activities". These five themes formed the basis of this article. The findings indicate that mothers from rural areas face additional barriers related to their rurality, including transportation difficulties, socioeconomic status and social isolation, and are challenged by limited access to specialty medical services, educators and allied health professionals. The literature review outcome will assist in informing nursing practice through identifying and allocating resources to reduce these barriers rural mother experience will assist in enabling the child to reach their full developmental potential. There is a need for health professionals to understand the challenges and barriers rural mothers face in accessing services. Nurses can assist rural mothers to navigate and access the appropriate services in order to reduce health inequity, increase accessibility to services and reduce rural disadvantage for their child. Nurses and health professionals are in an ideal position to develop future models of care that optimise health outcomes and enable equity and access to services for rural children with chronic conditions similar to those experienced by their urban counterparts.
Publisher: Cambridge University Press (CUP)
Date: 25-09-2012
DOI: 10.1017/S1049023X12001392
Abstract: The need to manage psychological symptoms after disasters can result in an increase in the prescription of psychotropic drugs, including antidepressants and anxiolytics. Therefore, an increase in the prescription of antidepressants and anxiolytics could be an indicator of general psychological distress in the community. The purpose of this study was to determine if there was a change in the rate of prescription of antidepressant and anxiolytic drugs following Cyclone Yasi. A quantitative evaluation of new prescriptions of antidepressants and anxiolytics was conducted. The total number of new prescriptions for these drugs was calculated for the period six months after the cyclone and compared with the same six month period in the preceding year. Two control drugs were also included to rule out changes in the general rate of drug prescription in the affected communities. After Cyclone Yasi, there was an increase in the prescription of antidepressant drugs across all age and gender groups in the affected communities except for males 14-54 years of age. The prescription of anxiolytic drugs decreased immediately after the cyclone, but increased by the end of the six-month post-cyclone period. Control drug prescription did not change. There was a quantifiable increase in the prescription of antidepressant drugs following Cyclone Yasi that may indicate an increase in psychosocial distress in the community. Usher K , Brown LH , Buettner P , Glass B , Boon H , West C , Grasso J , Chamberlain-Salaun J , Woods C . Rate of prescription of antidepressant and anxiolytic drugs after Cyclone Yasi in North Queensland . Prehosp Disaster Med . 2012 27 ( 6 ):1-5 .
Publisher: Wiley
Date: 17-12-2009
DOI: 10.1111/J.1365-2702.2009.03034.X
Abstract: Aim. This manuscript presents both demographic and descriptive data related to a distressing clinical condition known as Irukandji syndrome. Chart audit and observation data were collected to explore trends in patient characteristics and to review the current practices surrounding the management of the syndrome by advanced practice ED nurses. Background. Irukandji syndrome, a known health emergency in northern Australia, causes severe symptoms such as muscle pains, nausea and vomiting, headache and chest pain causing clinical challenges for emergency nurses. Little is written about this condition from a nursing perspective. Design. A mixed methods case study approach. Methods. Data were collected by observation and chart audit from 186 patients diagnosed with Irukandji syndrome between 2001–2007. Results. Of the 186 patients, 44·1% were local residents and 58·6% were men. Median age of the patients was 27 years (range 16–77). There was a time trend with a greater number of stings occurring out at the Great Barrier Reef than at mainland beaches ( p 0·001). Important results were found regarding waiting times for pain management and intuitive rather than documented assessment practices of advanced practice nursing staff. Conclusion. Irukandji syndrome causes severe emotional distress and acute pain, however, people continue to swim in marine sting environments and fail to make use of available protective clothing such as body suits. Local residents continue to be stung regardless of the educational information available suggesting a review of the current public education c aign is required. Relevance to clinical practice. Nurses failed to document assessment processes limiting adequately the ability to assess trends in the patient’s condition effectively and treat symptoms efficiently. It is, therefore, timely to review the critical role that assessment plays in clinical care.
Publisher: American Academy of Sleep Medicine (AASM)
Date: 15-07-2014
DOI: 10.5664/JCSM.3868
Publisher: Elsevier BV
Date: 08-2005
DOI: 10.1016/J.NEDT.2005.04.003
Abstract: As the most numerous and geographically dispersed professional group, registered nurses in Australia work with Aboriginal and Torres Strait Islander health workers and other members of the multidisciplinary team in a variety of practice contexts to provide health care to Indigenous and non-Indigenous people. Despite the introduction of a variety of recruitment and proactive support strategies by employers, universities and State and Commonwealth governments, few Indigenous people in Australia enrol in, and graduate from, entry level higher education courses in the health professions. The reasons for this are complex and, as yet, not well understood or described however, it is clear that the well-documented execrable health status of Indigenous Australians demands a response from universities, which are largely responsible for the education of health professionals. An innovative model of registered nurse education in the Torres Strait region of Australia is reported in this paper. A satellite c us established by James Cook University (JCU) on Thursday Island delivers the undergraduate nursing course by mixed mode, supplemented by specific strategies designed to improve Indigenous student recruitment and retention and thus increase the likelihood of graduation. The course and the strategies implemented are discussed in this paper.
Publisher: Wiley
Date: 25-04-2015
DOI: 10.1111/JPM.12194
Abstract: The purpose of this research was to translate and to test an Indonesian version of the Impact of Event Scale-Revised (I-IES-R) as a measurement of psychological distress following a natural disaster. S le of 30 Mt. Merapi residents participated in pilot testing and 110 survivors completed the test-retest of the I-IES-R. Exploratory factor analysis was used to determine construct validity, and Cronbach's alpha was used to assess reliability. The results of the translational phase of the study indicated that the Indonesian version of the IES-R captures the content of the original tool with appropriate adaptation for cultural differences. The Indonesian IES-R revealed a Cronbach's alpha of 0.90 for test and 0.92 for retest for the total score. In addition, the Cronbach alpha for subscales intrusion, avoidance and hyper arousal in the initial scale testing were 0.85, 0.75, and 0.74, respectively, and for the retest 0.88, 0.79, and 0.82, respectively. The reliability coefficient of the test-retest results was 0.75 [95% confidence interval = (0.64, 0.83)], and exploratory factor analysis identified three underlying factors: intrusion, avoidance, and hyper arousal. The I-IES-R can be considered a useful screening tool that can be used by mental health nurses to assess the psychological impact of natural disasters on survivors in Indonesia.
Publisher: Springer Science and Business Media LLC
Date: 24-04-2014
DOI: 10.1007/S10393-014-0937-8
Abstract: The eruption of Indonesia's Mount Merapi volcano in 2010 caused extensive environmental degradation. Settlements and hundreds of hectares of farmlands were buried under volcanic ash. Until now, there has been no research on the psychosocial impact of living in an environment damaged by a volcanic eruption. We studied and compared the psychosocial impact of environmental damage on volcano survivors from two subdistricts-Cangkringan and Pakem. Cangkringan survivors affected by the 2010 eruption continue to live in a damaged environment. The Pakem subdistrict was damaged by eruptions of Mt Merapi in the 1990s but there is no recent damage to their environment. The Indonesian-Environmental Distress Scale (I-EDS), a translated revision of the original Environmental Distress Scale (EDS), was used to collect data. Exploratory statistical methods and multivariate linear regression analyses were performed to examine the relative contributions of demographic variables on the psychosocial impact of living in an environment damaged by volcanic eruption. A total of 348 survivors of the Mt Merapi eruption participated in the survey. The mean I-EDS score for Cangkringan district was 15.8 (SD 1.6 range 11.8-19.8) compared to 14.6 (SD 1.3 range 11.8-18.3) for Pakem district (P < 0.001). This result was confirmed by multiple linear regression analysis showing further that older respondents (P < 0.001), unemployed and retired respondents (P = 0.007), and respondents with no formal school education (P = 0.037) had lower I-EDS scores compared to the respective reference groups. Survivors of the Mt Merapi eruption who continue to live in the environment damaged by the 2010 volcanic eruption experience environmental distress. Relevant interventions should target those from low sosioeconomic groups to deal with the distress.
Publisher: Wiley
Date: 22-06-2020
DOI: 10.1111/JOCN.15365
Publisher: Wiley
Date: 17-09-2021
DOI: 10.1111/JOCN.15488
Publisher: Wiley
Date: 29-08-2021
DOI: 10.1111/INM.12927
Publisher: Wiley
Date: 21-06-2019
DOI: 10.1111/JOCN.14951
Abstract: To explore the quantitative and qualitative literature on the impact of nurse-led postdischarge telephone follow-up (TFU) call interventions on patient outcomes. Adverse patient outcomes such as postdischarge problems, premature contact with health systems, inability to self-manage conditions and hospital readmissions all have an impact on the health and well-being, and satisfaction of patients as well as a financial impact on healthcare systems. A mixed-study systematic review. A systematic search of CINAHL, Ebsco, PubMed, Quest and Cinch-Health databases was undertaken using the key terms "nurs*," "nurse-led," "nurse initiated," "discharge," "hospital," "telephone," "follow-up" and "telephone follow-up" to identify relevant original peer-reviewed studies published between 2010-2016. Ten articles were selected for inclusion. The selected papers were critically appraised. A sequential explanatory approach with a convergent synthesis was used to report findings following PRISMA guidelines. The findings demonstrate that nurse-led TFU interventions have the potential to improve patient outcomes. The studies suggest patient satisfaction with TFU is one of the strongest positive outcomes from the interventions. However, the results do not support improvement in patient readmission or mortality. Of the 10 studies reviewed, only two were methodologically strong limiting the conclusions that can be drawn from the current research on this topic. Telephone follow-up interventions improve patient satisfaction and have the potential to meet patient information and communication needs, improve self-management and follow-up appointment attendance and reduce postdischarge problems. Further research is required to explore patients' perceptions of the most useful content of TFU calls, the efficacy of TFU calls and nurses' perceptions and experiences of conducting TFU interventions. When conducted by a nurse, these interventions have the potential to enhance postdischarge care to patients and meet care needs. Patients perceive TFU as acceptable and are satisfied with this form of postdischarge care.
Publisher: Wiley
Date: 04-2015
DOI: 10.1111/INM.12127
Publisher: Wiley
Date: 08-2008
Publisher: Wiley
Date: 10-11-2005
DOI: 10.1111/J.1365-2850.2005.00903.X
Abstract: Antipsychotic drugs and pregnant or breastfeeding women: the issues for mental health nurses Mental illness can affect up to 10% of pregnant women, and women with a pre-existing psychiatric condition are more likely to experience a relapse of symptoms during pregnancy. Antipsychotic drugs are an important part of the treatment of psychotic illnesses however, their safety with pregnant or breastfeeding women has not been fully established. Given that these drugs will be ordered for pregnant or breastfeeding women diagnosed with a psychosis or with a pre-existing psychiatric condition, it is imperative that mental health nurses and others administering the drugs, or caring for those taking the drugs, be aware of their consequences. A review of the available evidence, albeit at times contradictory, is presented along with a discussion of the implications for mental health nurses. Recommendations for consideration when administering or counselling women regarding the use of antipsychotic drugs in pregnancy or when breastfeeding, are also included.
Publisher: Elsevier BV
Date: 02-2014
Publisher: Elsevier BV
Date: 05-2018
DOI: 10.1016/J.IJNURSTU.2018.01.015
Abstract: The aim of this study was to assess student nurses' knowledge of and attitudes towards pressure injury prevention evidence-based guidelines. Pressure injuries are a substantial problem in many healthcare settings causing major harm to patients, and generating major economic costs for health service providers. Nurses have a crucial role in the prevention of pressure injuries across all health care settings. A multi-centered, cross-sectional study was conducted using a paper-based questionnaire with undergraduate nursing students enrolled in seven universities with c uses across five Australian states (Queensland, New South Wales, Western Australia, Victoria and Tasmania). Data were collected from nursing students using two validated instruments (Pressure Ulcer Knowledge Assessment Instrument and Attitude Toward Pressure Ulcer Prevention Instrument), to measure students' pressure injury prevention knowledge and attitudes. Students reported relatively low pressure injury prevention knowledge scores (51%), and high attitude scores (78%). Critical issues in this study were nursing students' lack of knowledge about preventative strategies to reduce the amount and duration of pressure/shear, and lower confidence in their capability to prevent pressure injury. Level of education and exposure to working in a greater number of different clinical units were significantly related to pressure injury prevention knowledge and attitude scores. The study findings highlight the need to implement a comprehensive approach to increasing Australian nursing students' pressure injury prevention and management knowledge, as well as ensuring that these students have adequate experiences in clinical units, with a high focus on pressure injury prevention to raise their personal capability.
Publisher: Springer Science and Business Media LLC
Date: 04-06-2019
Publisher: Elsevier BV
Date: 2005
DOI: 10.1016/S1322-7696(08)60498-9
Abstract: It has been recognised internationally that increasing the number of Indigenous people working as health professionals is linked to the improved health status of Indigenous people. When comparing Australian Indigenous and non-Indigenous populations, Indigenous people continue to have poorer health standards and are much less likely to be involved in employment in health professions than other Australians. In 2000, the Indigenous Nurse Education Working Group (INEWG) was formed by government with the mandate to work collaboratively with universities and important professional nursing bodies across the nation in an attempt to increase the number of Indigenous registered nurses and to prepare nursing graduates with better understanding of, and skills to assist with, Indigenous health issues. This paper describes the work of the INEWG from 2000 to mid-2003 firstly in developing and implementing strategies aimed at increasing the recruitment and retention of Indigenous people into undergraduate nursing programs and secondly by helping university schools of nursing increase faculty and student understanding of Indigenous culture, history and health issues through educational processes. Lastly, it summarises the INEWG's 2002 recommendations to achieve a higher rate of Indigenous participation in nursing. The results of research into the success of these recommendations will be the subject of a later paper.
Publisher: Wiley
Date: 06-2006
Publisher: Wiley
Date: 22-06-2015
DOI: 10.1111/JOCN.12882
Abstract: The aim of this research was to understand new ways that young rural people with mental health problems could be helped at an early point in their mental health decline. Rural nurses represent skilled mental health helping capital in their local communities, yet this important mental health helping resource, or helping capital, is both under-recognised and under-used in providing early mental health help in rural communities. In recent years international momentum has gathered in support of a paradigm change to reform the delivery of youth mental health services so that they align more closely to the developmental and social needs of young people with mental health problems. A mixed methods case study design was used to explore the early mental health care needs of young rural people. A cross-sectional survey was conducted and data were analysed with descriptive techniques. In-depth interviews were conducted and the transcribed data were analysed using thematic techniques. The results of this study demonstrate that in general rural people are willing to seek mental health care, and that rural nurses are well suited to provide initial care to young people. Non-traditional venues such as community, school and justice settings are ideal places where more convenient first conversations about mental health with young people and their families, and rural nurses should be deployed to these settings. Rural nurses are able to contribute important initial engagement interventions that enhance the early mental health care for young people when it is needed.
Publisher: Wiley
Date: 08-03-2011
DOI: 10.1111/J.1447-0349.2010.00735.X
Abstract: The Australian Mental Health Nurse Education Taskforce conducted a national examination of mental health content of preregistration nursing curricula in order to develop a framework for including mental health in future curricula. This paper presents the qualitative findings from national consultations about the framework. Content analysis of data was undertaken, and the findings show four key themes. First, the mental health content of curricula should be increased second, overall mental health nursing leadership should be strengthened third, mental health consumer participation should be increased in all aspects of curricula and finally, a repository should be established for mental health teaching resources.
Publisher: Informa UK Limited
Date: 26-05-2022
Publisher: Informa UK Limited
Date: 03-03-2020
Publisher: Wiley
Date: 10-2012
DOI: 10.1111/J.1365-2702.2012.04271.X
Abstract: To measure and explore between 2007-2010 measure and explore the nature of family resilience in the context of families with a member with chronic pain. Chronic pain impacts on the entire family. The literature suggests that it is possible to strengthen resilience in in iduals with chronic conditions, but little is known about the impact of chronic pain on family resilience. A explanatory sequential mixed method study was undertaken. In the initial quantitative phase, assessment measures were administered using the Connor-Davidson Resilience Scale, Family Impact of Pain Scale, Medical Outcomes Study Short Form 36 and Medical Outcomes Study Social Support Survey. Data were collected and analysed from 31 family cases (n = 67 participants). In the second, qualitative phase, follow-up semi-structured interviews were undertaken with 10 families to help explain the quantitative results. The impact of pain on the family was high overall, but the perceived impact was greater for the person with pain. Resilience scores were above average for both the person with pain and other family members. However, the person with pain scored lower on the resilience scale than other members of the family. The families scored high for social support overall, while the person with pain perceived they had greater support than their family members. Identifying the strengths or resilient properties inherent in families and using those strengths in the planning and implementation of care, especially of chronic conditions such as chronic pain, is pivotal to quality health outcomes. It is important that nurses and healthcare professionals include family members when planning and delivering care for persons with chronic pain. Identification of strengths within families can help tailor nursing interventions to meet family needs.
Publisher: Wiley
Date: 08-03-2012
DOI: 10.1111/J.1365-2702.2011.04005.X
Abstract: Aim. The purpose of this study was to explore the meaning of resilience, or adaptation in the face of adversity, to people living with chronic pain. Background. Little research on the usefulness of resilience, strength‐based approach to health care has been undertaken to date in the area of pain yet this approach has recently been proposed as a new model for chronic pain management. However, the meaning of resilience to people with chronic pain remains unknown. Design. An interpretive qualitative design using in‐depth interviews and phenomenological type analysis was undertaken. Methods. Purposive s ling and in‐depth interviewing were undertaken to develop a rich description of the experience. Results. The findings from this study revealed that while living with chronic pain is generally a negative experience, the participants also told positive stories around the following themes: (i) Recognising in idual strength (ii) Looking for the positives in life (iii) Accepting the pain and (iv) Learning to accept help. Conclusion. Chronic pain influences all aspects of life. Resilient in iduals with chronic pain recognise the value of remaining positive, accepting help and learning to live with the pain. Relevance to clinical practice. It is important for health professionals to recognise the role of supporting positive attributes in people living with chronic pain as a way of enhancing resilience.
Publisher: Research Publishing Services
Date: 2014
Publisher: Wiley
Date: 15-05-2006
DOI: 10.1111/J.1440-1800.2006.00309.X
Abstract: Case study as a teaching and research tool has an extensive history in health and social sciences. Despite its suitability for many of the research questions that face nurses, nurses have not fully embraced case study as a comprehensive approach for research. The vagaries of the real-life clinical setting can confound methodologically purist researchers. Case study provides a milieu in which nurse researchers can respond to these vagaries and move towards a paradigmatic openness. In this paper, we argue that case study offers, as yet, under-explored and under-utilised potential as a bridge across the traditional research paradigms. We argue that case study has broad research application and epistemological, ontological and methodological flexibility. When used as a research approach, case study is both the process and end product of research. It provides a delineated boundary for inquiry, and a structural process within which any methods appropriate to investigating a research area can be applied.
Publisher: Informa UK Limited
Date: 04-03-2021
Publisher: Wiley
Date: 19-04-2019
DOI: 10.1111/INM.12597
Publisher: Elsevier BV
Date: 11-2020
Publisher: Wiley
Date: 06-08-2023
DOI: 10.1111/INM.13200
Publisher: Springer Science and Business Media LLC
Date: 28-07-2012
Publisher: Elsevier BV
Date: 12-2010
DOI: 10.1016/J.COLEGN.2010.09.004
Abstract: While the full impact of climate change is uncertain, it has been widely documented to be responsible for the extreme weather conditions which are experienced in many places around the world. High temperatures during summer are the expected norm for the population living in Adelaide South Australia (SA) and if temperatures reach and remain in the upper thirties centigrade they can be expected to meet the Australian Government Bureau of Meteorology definition of a "heatwave". A number of studies have shown that there is a direct link between the increase in mortality and morbidity among emergency department (ED) patient presentations and periods of extreme heat. Heatwave conditions affect in iduals with particular health problems such as cardiovascular, renal or mental health which results in an increase in the patient presentations to the emergency department (ED). This paper describes the findings from the initial phase of a long-term research project investigating the effects of heatwave exposure on particular health conditions with respect to patient presentations (ICD-10 categories) to ED's in metropolitan Adelaide, South Australia. The initial results from one public hospital during two heatwave periods experienced in 2009 are presented in this paper. The heat wave events were compared to non-heat wave periods before and after each heat wave. Demographic information as well as diagnostic descriptors are also presented.
Start Date: 2017
End Date: 07-2022
Amount: $371,000.00
Funder: Australian Research Council
View Funded Activity