ORCID Profile
0000-0003-1268-297X
Current Organisations
Flinders University
,
University of Adelaide
Does something not look right? The information on this page has been harvested from data sources that may not be up to date. We continue to work with information providers to improve coverage and quality. To report an issue, use the Feedback Form.
Publisher: Hindawi Limited
Date: 09-08-2019
DOI: 10.1111/JONM.12820
Abstract: This study re-examines the validity of a model of occupational resilience for use by nursing managers, which focused on an in idual differences approach that explained buffering factors against negative outcomes such as burnout for nurses. The International Collaboration of Workforce Resilience model (Rees et al., 2015, Frontiers in Psychology, 6, 73) provided initial evidence of its value as a parsimonious model of resilience, and resilience antecedents and outcomes (e.g., burnout). Whether this model's adequacy was largely s le dependent, or a valid explanation of occupational resilience, has been subsequently un-examined in the literature to date. To address this question, we re-examined the model with a larger and an entirely new s le of student nurses. A s le of nursing students (n = 708, Age The model upheld many of its relationship predictions following further testing. The model was able to explain the in idual differences, antecedents, and burnout-related outcomes, of resilience within a nursing context. The results highlight the importance of skills training to develop mindfulness and self-efficacy among nurses as a means of fostering resilience and positive psychological adjustment.
Publisher: SAGE Publications
Date: 28-03-2019
Publisher: Elsevier BV
Date: 12-2020
Publisher: Hindawi Limited
Date: 21-04-2019
DOI: 10.1111/JONM.12753
Abstract: There is an international policy trend for building government hospitals with greater proportions of single-occupancy rooms. The study aim was to identify advantages and disadvantages for patients and nursing staff of a pending move to 100% single-room hospital, in anticipation of the challenges for nurse managers of a different ward environment. This paper presents these findings, summarizing potential advantages and disadvantages as well as comparison with findings from similar studies in England. Mixed method case study design was undertaken in four wards of a large hospital with multi-bed rooms. Three components of a larger study are reported here: nurse surveys and interviews, patient interviews of their experiences of the current multi-bedroom environment and expectations of new single-room environment. Integration was achieved via data transformation where results of the nursing staff survey and interviews and patient interviews were coded as narrative allowing for quantitative and qualitative data to be merged. Four constructs were derived: physical environment patient safety and comfort staff safety and importance of interaction. There are important factors that inform nurse managers when considering a move to an all single-room design. These factors are important for nurses' and patients' well-being. This study identified for nurse managers key factors that should be considerd when contributing to the design of a 100% single-room hospital. Nurses' voices are critically important to inform the design for a safe and efficient ward environment.
Publisher: SAGE Publications
Date: 07-2019
Abstract: Burnout is a significant problem affecting the nursing workforce and is associated with significant personal suffering and high rates of nurse turnover. Efforts to further understand the variables that explain burnout are needed. The aim of this cross-sectional study was to examine both environmental and in idual factors that may explain burnout among nurses. We recruited 1848 Australian nurses to complete several online questionnaires measuring the practice environment (Practice Environment Scale of the Nursing Work Index), burnout (Professional Quality of Life Scale), trait negative affect ( Spielberger State-Trait Anxiety Inventory form Y2) and resilience (Connor Davidson Resilience Scale). Correlational analysis as well as hierarchical regression was used to determine the relative importance of variables in explaining burnout scores. All of the practice environment scales were significantly related to burnout in the negative direction, and these relationships were above .3 for all except the relationship scale ( r = –.256) and the participation in hospital affairs scale ( r = –.285). Overall, the regression model accounted for 62% of the variance in nurse burnout scores. Trait negative affect, resilience and two aspects of practice environment (Manager sub-scale and Staffing sub-scale) all explained significant variance in burnout scores. The largest contribution came from the two in idual variables (resilience and trait negative affect) that together explained 55% of the variance in burnout scores. Findings suggest that health service administrators should provide nursing staff with education and support to build in idual resilience. Workplaces that attend to staffing and resource issues and have managers who provide high levels of support to their staff appear to be essential strategies to help prevent nurse burnout.
Publisher: Elsevier BV
Date: 04-2020
DOI: 10.1016/J.MIDW.2020.102632
Abstract: A maternity service in Australia recently implemented an 'Enhanced recovery after Elective Caesarean' pathway, which includes antenatal preparation and facilitates an active role in postnatal recovery such as encouraging mobility and early cessation of fasting. The pathway includes next day discharge for women and their babies after elective caesarean section and safely transitions maternity care from hospital to home with community midwifery care. While enhanced recovery has been implemented in a number of surgical procedures to reduce hospital stay and to improve patient outcomes it has only been considered for elective caesarean sections in more recent years. Given this, enhanced recovery is not well established or researched in obstetric contexts. Furthermore, women's experiences with reduced hospital stays post-caesarean, particularly next day discharge, is limited. A qualitative explorative descriptive study of women's experiences with the pathway and the associated early transition home will help to inform clinical practice and the research evidence base. Eleven interviews were conducted with women who had experienced the pathway and next day discharge. Thematic analysis was conducted. Three major themes and twelve sub-themes emerged from the data. Major themes identified were women's general experience of an enhanced recovery pathway, their experiences following arrival at home and support at home. All women interviewed were satisfied with the pathway and home recovery. However, there are a number of aspects of care that are essential to a positive experience. This includes excellent support from social networks, healthcare staff and home midwifery care well managed pain relief and adequate and timely information, including reassurance that they or their baby could remain in hospital if required. This study takes a woman-centred perspective adding to both literature and practice.
Publisher: Informa UK Limited
Date: 09-09-2019
No related grants have been discovered for Lynette Cusack.