ORCID Profile
0000-0002-9113-5861
Current Organisations
Federation University
,
Swinburne University of Technology
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Publisher: Elsevier BV
Date: 02-2023
Publisher: Wiley
Date: 09-06-2021
DOI: 10.1111/INM.12896
Abstract: The coronavirus global pandemic interrupted teaching at Australian universities. Face‐to‐face teaching was replaced by online delivery. This presented challenges for nursing programmes due to the hands‐on teaching requirements and clinical placements. Questions were raised around students’ resilience and stress in the face of adversity. This study explored undergraduate nursing students’ resilience, challenges experienced, and supports utilized during the pandemic. Convenience s ling recruited students from one nursing programme ( n = 340). Quantitative and qualitative data were collected. The Connor–Davidson Resilience Scale (CD‐RISC‐25) examined resilience scores through non‐parametric analysis. Narrative responses were analysed using inductive thematic analysis. 121 surveys (40.3%) were completed. Most participants were from second year ( n = 77, 63.6%). The difference in median resilience scores among employed participants was statistically significant ( P = 0.029) and higher than the unemployed. The median scores of students working in nursing‐related roles were higher than others. Median resilience score across all year levels was 70 (IQR = 62–80), in the lowest score range. Major themes identified were fear of the virus, isolation, and mental health problems . The coping strategies identified were developing daily routines, staying connected, and establishing self‐help techniques . This research has implications to optimize students’ learning experience, enhance resilience, and promote mental health and well‐being.
Publisher: SAGE Publications
Date: 21-12-2021
DOI: 10.1177/08968608211065871
Abstract: In peritoneal dialysis-related peritonitis (peritonitis), delayed antibiotic therapy is associated with adverse outcomes. Identifying barriers to timely treatment may improve outcomes. To determine the impact of radiological investigations on treatment delay and predictors of hospitalisation and length of stay (LOS). Retrospective review of patients with presumed peritonitis in Western Australia. In 153 episodes of peritonitis, 79 (51.6%) resulted in admission with a median LOS of 3 days (Q1, Q3: 1, 6). In a multivariable model, significant predictors of admission were abnormal exit-site (odds ration (OR) 5.7 95% confidence interval (CI): 1.4, 23.6 p = 0.02), failure to detect a cloudy bag (OR 11.9 95%CI: 3.2, 44.7 p 0.001), female sex (OR 3.3 95% CI: 1.4, 9.7 p = 0.027), radiological imaging within 24 h (OR 8.8 95% CI: 2.2, 34.8 p = 0.002) and contact with ambulant care facility (OR 0.32, 95% CI: 0.11, 0.98 p = 0.04). Imaging within 24 h of presentation occurred in 41 (27%) episodes of peritonitis, mostly plain X-rays (91%), of which 83% were clinically irrelevant. Imaging performed within 24 h of presentation increased the median time to antibiotic treatment (2.9 h (Q1, Q3: 1.6, 6.4) vs 2.0 h (Q1, Q3: 1, 3.8 p = 0.046)). Imaging performed prior to administering antibiotics significantly increased the median time to treatment (4.7 h (Q1, Q3: 2.9, 25) vs 1.5 h (Q1, Q3: 0.75, 2.5 p 0.001)) in those where imaging followed antibiotic treatment. Half of all presentations with peritonitis result in hospital admission. Radiological imaging was associated with an increased risk of hospitalisation, potentially contributes to treatment delay, and was mostly clinically unnecessary. When required, imaging should follow antibiotic therapy.
Publisher: Elsevier BV
Date: 10-2021
No related grants have been discovered for Samira Hamadeh.