ORCID Profile
0000-0001-7675-9505
Current Organisation
University of Adelaide
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Publisher: Wiley
Date: 17-12-2023
DOI: 10.1111/PHN.13158
Abstract: Previous studies have not fully reported the strength and independency of the correlation of nursing workforce to life expectancy. This study advances that nursing workforce is a major independent contributor to life expectancy at birth (LEB) globally and regionally. A cross‐sectional study was conducted at population level. Ecological data were extracted from the United Nations agencies for 215 populations. Each population is considered a research subject. The correlation between nursing workforce and LEB was analyzed with scatter plots, bivariate correlation, partial correlation, and multiple linear regression analyses, Analysis of Variance post hoc and independent T‐test. Economic affluence, urban lifestyle and obesity were included as the potential confounders in this study. Not applicable Nursing workforce correlated to LEB and this relationship remained regardless of the competition of economic affluence, urbanization, and obesity. Second to economic affluence, nursing workforce showed the greatest influence on LEB. In total, 64.50% of LEB was explained in this study. Nursing workforce was a determinant of regional variations of LEB. Nursing workforce may be a significant contributor to LEB globally and regionally. This contribution was independent of the potential confounding effects of economic affluence, urbanization, and obesity.
Publisher: Wiley
Date: 07-04-2020
DOI: 10.1111/JAN.14357
Publisher: Elsevier BV
Date: 11-2012
DOI: 10.1016/J.NEDT.2012.02.010
Abstract: Clinical placement is a valuable component of nursing education, helping students to authenticate, integrate and develop a range of nursing skills and knowledge. The ersity of nursing curricula throughout the world and the many models of clinical placement make this a difficult subject to research using typical qualitative and quantitative research methodologies. The potential for case study methodology to address the complexity of learning in the clinical environment is significant. This paper argues that Complexity Theory provides an interpretive paradigm that articulates well with case study methodology. This paper also provides an ex le of the development of a theoretical proposition based on pattern matching. Pattern matching is an approach to data analysis that encourages a consideration of predicted patterns with those that are empirically based.
Publisher: Research Square Platform LLC
Date: 18-10-2022
DOI: 10.21203/RS.3.RS-2166336/V1
Abstract: Background This study highlights the contribution of nurses is secondary to physicians to overall population health (indexed with life expectancy at birth, e (0) ). Methods All data were extracted from the World Bank. The potential competing effects of affluence, urbanization and obesity were fully considered when scatter plots, bivariate correlation and partial correlation models were performed to analyse the correlations between e (0) and physician healthcare and nursing healthcare respectively. The Fisher Z-Transformation was conducted for comparing the correlations between e (0) and physician healthcare and nursing healthcare. Multiple linear regression analyses were implemented for modelling that physicians’ contributions to e (0) explain nurses’. Results Physician healthcare correlates to e (0) significantly more strongly than nursing healthcare (z= 2.83, 2.95 and 2.01 in scatterplots, Pearson’s r and nonparametric respectively, p 0.05). Physician healthcare remains significantly correlational to e (0) when nursing healthcare alone was controlled or when the 3 confounders (economic affluence, obesity and urbanization) were controlled (r=0.380, p .001 and r=0.444, p 0.001 respectively). Nursing healthcare was in weak or negligible correlation to e (0) when physician healthcare was controlled in idually or together with the 3 control variables. Linear regression reveals that nursing healthcare was a significant predictor for e (0) when physician healthcare was “not added” for modelling, but this significance became negligible when physician healthcare was “added”. Conclusions Physician healthcare correlated to e (0) extension significantly more than nurses. Statistically, physicians may explain the role of nurses in extending e (0) .
Publisher: Public Library of Science (PLoS)
Date: 29-09-2023
Publisher: Informa UK Limited
Date: 04-07-2022
Publisher: Elsevier BV
Date: 09-2022
DOI: 10.1016/J.EJIM.2022.06.006
Abstract: Previous cross-sectional studies generally did not fully consider the potential confounding factors associated with physician impact on overall population health. This ecological study controlled for health, demographic and socioeconomic confounders while using total physician density for predicting overall population health globally and regionally. Ecological data were extracted from the United Nations agencies for 215 populations. Considering the competing effects of economic affluence, urban advantages and obesity, correlations between physician density and life expectancy at birth (LEB) were analysed with scatter plots, bivariate correlation, partial correlation and multiple linear regression analyses. Countries are also grouped for exploring the regional correlations between physician density and LEB. Physician density correlates to LEB and this relationship remains regardless of the competition of the in idual confounders, economic affluence, urbanization and obesity, or their combination. Physician density has the greatest influence on LEB, while economic affluence is second. Physician density explains 64.89% of LEB in this study. Together with constant bivariate correlations in country groupings, power correlation without a plateau or U shape in the trendline of the scatterplots, suggests that a shortage of physicians is a worldwide issue. Physician density is a major independent contributor for LEB both globally and with special regard to the developing world. Telehealth may be an alternative to increase physicians' capacity while funding for increasing physician employment is desirable.
Publisher: RCN Publishing Ltd.
Date: 07-2013
DOI: 10.7748/NR2013.07.20.6.6.E332
Abstract: To describe an ex le of qualitative comparative analysis (QCA) in a study about the role of clinical placement, nursing education and patient outcomes. Clinical placement is often considered an essential aspect of nursing education and an invaluable way to prepare students for the reality of nursing. However, many questions about the role of clinical placement remain unanswered, such as duration, style and learning outcomes. QCA is a novel approach to data analysis, which has been used for some time in social science research, and may be useful in tackling such questions. Participants (n= 16) involved in a case study using questionnaire, in-depth interview and document analysis. Few ex les of QCA exist in nursing-related research. Examination of approaches to social sciences and educational research, and the conditions that influence nursing education and clinical placement were conducted via a number of online database searches. The paper presents an ex le of how QCA was used to consider whether there is any causal relationship between certain features of clinical placement, such as duration, level of preparation, level of benefit, and the capacity of recently graduated registered nurses to provide a range of nursing interventions for pneumonia, falls and pressure-area care. Effective and contemporary curriculum design requires examination of the components of clinical placement that influence graduates and their learning, particularly important at a time when access to the clinical placement setting is becoming increasingly difficult. This paper should stimulate nurse researchers to consider the potential for QCA and case study in addressing many of the complex questions that lend themselves to research designs with small numbers of participants. This paper will be of interest to nurse researchers looking for innovative approaches to data analysis and educators responsible for curriculum design and the delivery of clinical placement experience. A greater understanding of the role o f clinical placement experiences inthe education of nurses has direct implications for the provision of better health care.
Publisher: Wiley
Date: 17-09-2023
DOI: 10.1111/INR.12887
Publisher: Wiley
Date: 25-07-2006
DOI: 10.1111/J.1365-2702.2006.01384.X
Abstract: To investigate the lived experience patients have of a tracheostomy tube change. Few interpretive studies have looked at specific nursing interventions in relation to nursing practice. This study has investigated the lived experience of patients from an intensive care unit that have had a tracheostomy tube change. The tracheostomy is a significant intervention for many patients within critical care. Using a phenomenological approach, guided by the insights of Martin Heidegger and Max van Manen, participants were interviewed with their responses being transcribed into a text. This text has been subject to hermeneutic analysis using the theories of Paul Ricoeur. This hermeneutic approach has required using the text (discourse) as the focus of the interpretation. The findings of this study imply that the experience of a tracheostomy tube change is more complex than that of simply a physical sensation. There is a need for participants to prepare themselves psychologically, a process that requires not only the trust of nursing staff but also the assessment by the participant that the nursing staff member has a level of competence to perform the task. The need for maintaining communication and the ability to speak were at times more significant for participants than even the risk of other airway complications. This study has highlighted the potential for further interpretive studies into some of the more specific aspects of caring for patients that have been or are critically ill. The themes revealed will enable the nurse, required to change a tracheostomy tube, to do so with an improved level of empathy and understanding.
Publisher: Wiley
Date: 17-03-2023
DOI: 10.1002/FSN3.3300
Abstract: Consumption of red meat instead of white meat has typically been associated with cardiovascular diseases (CVDs). Reflecting actual diet patterns, this study explored the role of total meat (red + white) in predicting CVD incidence. Data from 217 countries were extracted from United Nations agencies for the analyses in five steps. Bivariate correlations were applied to examine the relationship between total meat and CVD incidence globally and regionally. Partial correlation was applied to identify that total meat was an independent predictor of CVD incidence while socioeconomic status, obesity, and urbanization were statistically constant. Stepwise linear regression was conducted for selecting the significant predictor of CVD incidence. SPSS 28 and Microsoft Excel were used for correlation analyses. Globally, total meat correlated to CVD incidence strongly and significantly in bivariate correlation models. This relationship remained significant in partial correlation when socioeconomic status, obesity, and urbanization were statistically kept constant. Stepwise multiple regression identified that, second to socioeconomic status, total meat was a significant predictor of CVD incidence. Total meat correlated to CVD incidence in different country groupings. However, the correlations between total meat and CVD incidence were significantly stronger in developing countries than in developed countries. Worldwide, total meat (flesh) consumption correlated to CVD incidence independently, but significantly stronger in developing countries than in developed countries. This correlation is worth exploring further in longitudinal cohort studies.
Publisher: Wiley
Date: 21-11-2008
Publisher: Elsevier BV
Date: 06-2023
Publisher: Elsevier BV
Date: 06-2019
DOI: 10.1016/J.AUEC.2019.04.002
Abstract: Acute abdominal pain is a common reason for presentation to the emergency department. Understanding the role of nurses involved in management of acute abdominal pain is important for improving patient care and outcomes. The aim of this study was to understand the perceptions of emergency nurses in the management of acute abdominal pain. Using a qualitative design, a purposeful s le (n=9) of experienced registered nurses was recruited from the emergency department of a large tertiary public hospital in South Australia. Semi-structured interviews, informed by literature describing the management of acute abdominal pain, were used to identify the perceptions of emergency nurses when caring for patients with acute abdominal pain. Thematic analysis of interviews identified four themes: Centrality of Diagnosis Busyness and Patient Management Systems Issues and Communication Challenges. Of the four themes, the Centrality of Diagnosis was especially important to the nurses' sense of contribution to patient care. Care was also affected by the busyness of the environment, the systems and processes in place to manage patients and communication in the emergency department. The management of patients with acute abdominal pain is influenced by how nurses participate in the diagnostic process. Nurses identified their role in this process and described how this role impacted their delivery of fundamental care. Further studies of the nursing contribution to diagnosis, communication, and the systems that affect care delivery in the emergency department are required.
Publisher: Elsevier BV
Date: 02-2020
Publisher: Ovid Technologies (Wolters Kluwer Health)
Date: 05-2017
DOI: 10.11124/JBISRIR-2016-003028
Abstract: Most healthcare professionals at some time will experience having a significant other admitted to an acute care hospital. The knowledge and understanding that these in iduals possess because of their professional practice can potentially alter this experience. Expectations of staff and other family members (FMs) can potentially increase the burden on these health professionals. All FMs of patients should have their needs and expectations considered however, this review specifically addresses what may be unique for healthcare professionals. To synthesize the qualitative evidence on the experiences of healthcare professionals when their significant others are admitted to an acute care hospital. The current review considered studies reporting the experiences of healthcare professionals, specifically registered nurses (RNs) and physicians. The experiences of RNs and physicians when a significant other is admitted to an acute care facility. Qualitative studies that have examined the phenomenon of interest including, but not limited to, designs such as phenomenology and grounded theory. The search strategy aimed to find both published and unpublished studies with no date restrictions. Only studies published in English were considered for inclusion in this review. Qualitative papers selected for retrieval were assessed using the standardized critical appraisal instrument from the Joanna Briggs Institute Qualitative Assessment and Review Instrument (JBI-QARI). Data were extracted from the seven included papers using the standardized data extraction tool from JBI-QARI. The data were synthesized using the JBI approach to meta-synthesis by meta-aggregation using the JBI-QARI software and methods. Seven studies of moderate quality were included in the review. Forty findings were extracted and aggregated to create 10 categories, from which five synthesized findings were derived: Privileged knowledge Unavoidable dilemmas as a consequence of dual identity Being a protector is imperative Family expectations are inevitable The intense impact of the experience In contrast to “lay” FMs, health professionals possess additional knowledge and understanding that alter their perceptions and expectations, and the expectations others have of them. This knowledge and understanding can be an advantage in navigating a complex health system but may also result in an additional burden such as role conflict.
Publisher: Elsevier BV
Date: 04-2023
Publisher: Emerald
Date: 18-03-2019
DOI: 10.1108/JHOM-02-2018-0037
Abstract: Globally, acute abdominal pain (AAP) is one of the most common reasons for emergency admissions, yet little is known about how this patient group experiences the delivery of fundamental care across the acute care delivery chain. The purpose of this paper is to describe how patients with AAP experienced fundamental care across their acute care presentation, and to explicate the health professional behaviours, reported by patients, that contributed to their positive experiences. A qualitative descriptive study, using repeated reflective interviews, was analysed thematically ( n =10 patients). Two themes were identified: developing genuine, caring relationships with health professionals and being informed about one’s care. Patients reported that health professionals established genuine professional–patient relationships despite the busy care environment but perceived this environment as impeding information-provision. Patients were typically accepting of a lack of information, whereas poor professional–patient relationships were seen as inexcusable. To provide positive fundamental care experiences for patients with AAP, health professionals should establish caring relationships with patients, such as by using humour, being attentive, and acknowledging patients’ physical pain and emotional distress and should inform patients about their care, including allowing patients to ask questions and taking time to answer those questions. This is the first Australian study to explore the experiences of patients with AAP across the acute care delivery chain, using a novel method of repeated interviews, and to demonstrate how fundamental care can be delivered, in clinical practice, to ensure positive patient experiences.
Publisher: Wiley
Date: 04-02-2019
DOI: 10.1111/JEP.13103
Abstract: Patients with acute abdominal pain are a common presentation in hospital emergency departments however, international studies have demonstrated that hospitals often lack clinical protocols to guide care. This study aimed to investigate whether Australian hospital emergency departments have acute abdominal pain clinical protocols, identify hospital-level predictors of the presence of these clinical protocols, and assess the quality of protocols. A survey was sent to all Australian hospitals with emergency departments, collecting data on hospital characteristics and the presence of acute abdominal pain clinical protocols. Participating hospitals (n = 73, 26% response rate) were also asked to provide a copy of these protocols. The quality of these protocols was assessed using Appraisal of Guidelines for REsearch & Evaluation (AGREE) II. Slightly more than half (n = 40) of the hospitals surveyed had acute abdominal pain clinical protocols, while 16 had a general pain protocol. In binomial logistic regression, two independent variables were related to the presence of a protocol, geographic region (P = 0.008) and advanced practice nurses/nurse practitioners' presence on staff (P = 0.024). The mean score for the overall quality assessment of these protocols was 4.2 on a seven-point Likert scale in terms of the six domains of quality, "Clarity of presentation" and "Scope and purpose" were highest. The overall quality of clinical protocols increased with remoteness, χ There is a documented standard for pain management of acute abdominal pain in about three quarters of participating Australian emergency departments. The use and quality of clinical protocols is influenced by the physical location of hospitals and staff and skill mix of clinicians.
Publisher: Elsevier BV
Date: 07-2018
DOI: 10.1016/J.NEPR.2018.04.008
Abstract: International evidence suggests nursing is not providing fundamental care consistently or adequately, resulting in poor outcomes for patients and healthcare systems. One possible reason for this inadequate care delivery is nursing education, with fundamental care often implicit or invisible in nursing curricula. To understand how best to teach fundamental care to pre-registration (pre-licensure) students, we developed and piloted a six-week intervention that incorporated into the first-year curriculum a more explicit focus on fundamental care. A conceptual fundamental care framework was used to guide students' learning, and clinical skills sessions were structured to reinforce the framework's conceptual understanding and enable students to practice delivering fundamental care in an integrated manner. The intervention's impact was explored via a pre-post survey and focus groups. The survey demonstrated that the intervention did not affect students' ability to identify patients' fundamental care needs however, focus groups showed the intervention assisted students in understanding the complexity of fundamental care and its importance to patients' experiences. The pilot provides preliminary evidence on the importance of embedding fundamental care into nursing curricula early and explicitly, and emphasising the integrated nature of such care, particularly through structured debriefs, consistent terminology, and opportunities for students to experience care as a patient.
Publisher: Wiley
Date: 02-06-2023
DOI: 10.1111/JOCN.16760
Abstract: To explore the perceptions of nursing students regarding the treatment of men in nursing during their clinical placement. Negative placement experiences of men who are nursing students is a risk factor for student attrition. Hence, exploring gender disparity in treatment during placement from both men and women studying nursing will contribute to improving student experience and reducing attrition. Survey capturing both quantitative and qualitative data. Nursing students were surveyed between July and September 2021 across 16 Schools of Nursing in Australia. In addition to the Clinical Learning Environment Inventory (CLEI‐19), an open‐ended question explored if men received different treatment during clinical placement. Those who expressed difference in treatment of men were less satisfied with their clinical learning experience ( p .001). Of the 486 (39.6%) who responded to the open‐ended question, 152 (31%) indicated a difference in the treatment of men, reporting that men received: (a) better (39%) (b) different, not exclusively better or worse (19%) and (c) worse (42%) treatment from either the clinical facilitator or ward staff. While both men and women perceived gender differences in the treatment of men during placement, men were more likely to report worse treatment. Despite the advances achieved in recruiting men in nursing, negative experiences during clinical placement are characterised by stereotypes, prejudice and discrimination, adversely impact retention. Nurse educators need to recognise specific support students require during placement regardless of gender. Our findings reinforce the adverse impacts of inequitable treatment on both men and women nursing students on learning, clinical performance, morale and ultimately on retention in the nursing workforce. Addressing gender stereotyping and discrimination in the undergraduate nursing program is an important step in promoting ersity and inclusivity in the nursing workforce.
Publisher: Springer Science and Business Media LLC
Date: 25-07-2023
DOI: 10.1038/S41598-023-38945-6
Abstract: This study highlights that the contribution of nursing is secondary to physicians in overall population health (indexed with life expectancy at birth, e (0) ). Scatter plots, bivariate correlation and partial correlation models were performed to analyse the correlations between e (0) and physician healthcare and nursing healthcare respectively. Affluence, urbanization and obesity were incorporated as the potential confounders. The Fisher’s r-to-z transformation was conducted for comparing the correlations. Multiple linear regression analyses were implemented for modelling that physicians’ contributions to e (0) explain nurses’. Nursing healthcare correlated to e (0) significantly less strongly than physician healthcare in simple regressions. Nursing healthcare was in weak or negligible correlation to e (0) when physician healthcare was controlled in idually or together with the three confounders. Physician healthcare remains significantly correlational to e (0) when nursing healthcare alone was controlled or when the three confounders were controlled. Linear regression revealed that nursing healthcare was a significant predictor for e (0) when physician healthcare was “not added” for modelling, but this predicting role became negligible when physician healthcare was “added”. Our study findings suggested that nurses still work under the direction of physicians due to lack of autonomy. Without correction, health services will continue to transmit the invisibility of nursing healthcare from one generation of nurses to another.
Publisher: Walter de Gruyter GmbH
Date: 2021
Abstract: The aim of this study was to compare expatriate and Saudi nursing staff’s perceptions of factors that influence their role as preceptors of nursing students. Descriptive comparative study using a self-administered survey was completed by a convenience s le of eligible nurses (n=285). It was conducted in five different hospitals within the Ministry of Health in the Kingdom of Saudi Arabia. Most preceptors were expatriate nurses (70.5%), while Saudi preceptors represented only 29.5%. The findings show that there is a difference between Saudi and expatriate nurses in their perception of the role, that cultural factors influence the role of expatriate preceptors and that organisational factors influence both groups. Expatriate preceptors felt that there were cultural obstacles that hindered their role. These findings will contribute to the development of a more contemporary and culturally sensitive preceptorship model.
Publisher: Ovid Technologies (Wolters Kluwer Health)
Date: 05-2016
Publisher: SLACK, Inc.
Date: 06-2023
DOI: 10.3928/00220124-20230511-07
Abstract: Graduate nurses are known to experience transition shock when they enter the workforce. Graduate nurse programs are designed to alleviate aspects of transition shock. Best practice in development and delivery of transition programs is currently limited in the literature, and there are few ex les focusing on curriculum design that can be adapted by health services to develop and support new nurses. An inquiry-based learning approach was used as the underlying andragogy to frame a contemporary transition curriculum to support graduate nurses. Inquiry-based learning can be used to support graduate nurses to improve critical thinking, confidence, and job satisfaction during the most challenging years of their professional lives. [ J Contin Educ Nurs. 2023 (6):268–274.]
Publisher: Wiley
Date: 23-10-2018
DOI: 10.1111/JOCN.14082
Abstract: To evaluate whether a set of oral health resources designed for workforce training was relevant for students undertaking an entry-level nursing or aged care qualification. Oral health is one of the most neglected aspects of nursing care experienced by older people. Despite efforts to improve aged care worker oral health knowledge and skills, one-off training and rapid staff turnover have hindered the success of workplace programmes. Inadequate oral health content in entry-level nursing and aged care qualifications has perpetuated this. Kirkpatrick's training and evaluation model was used to evaluate the resources developed by a project called Building Better Oral Health Communities. Students used them as prescribed study materials and completed pre- and postintervention questionnaires. Educators were interviewed to obtain their feedback. Quantitative data were analysed using descriptive and inferential statistics. Qualitative data were collated according to relevance to learning, presentation style and interest. Evaluation showed high levels of student and educator satisfaction. Student learning outcomes demonstrated consistently positive attitudes and significant self-reported improvements in oral health knowledge and skills. Irrespective of course type, students gained similar levels of oral health knowledge and skills following use of the resources. Nurses and care workers must be able to provide consistent standards of oral health care as a fundamental part of caring for patients. Validated as an effective learning and teaching package, it is recommended that these resources be used to strengthen the oral health content of entry-level nursing and aged care qualifications. Building the oral health capacity of nurses and care workers is one way of reversing oral health neglect and improving the quality of care provided to older people.
Publisher: SLACK, Inc.
Date: 07-2020
DOI: 10.3928/01484834-20200617-11
Abstract: The affective domain describes learning associated with feelings, values, and emotions. Although this domain was first described in the late 1960s, a significant emphasis on skills and knowledge still remains. This prominence is evident despite global concerns about standards of practice and the place for empathy and care in nursing education. The emergence of newer technologies, such as 360° video, provides an opportunity to revisit the design and delivery of affective learning. Using the taxonomy of the affective domain, a 360° video viewed through a virtual reality headset was developed to give nursing and medical students insight on the patient experience and an orientation to the operating room. Careful planning and consideration of how the affective domain can inform design of learning and teaching materials resulted in an engaging and informative learning experience. Being aware of how each level of the domain informs the next is essential to develop effective affective teaching plans. Affective learning traditionally has been difficult to deliver and assess. Technology such as 360° video provides an engaging, reproducible, and consistent platform for delivering a domain of education. [ J Nurs Educ . 2020 (7):409–412.]
No related grants have been discovered for Frank Donnelly.