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1.
Introduction
The Ratu's Model is a nursing model to prevent postpartum depression, is a product of Ratu's dissertation. Depression is one of the common psychological problem experienced by postpartum women. The number is estimated to reach 20% in Indonesia, 15–20% in the Riau Province, and must to be pressed to 1%.Objectives
This study aims to identify the effectiveness of Ratu's Model to prevent postpartum depression.Method
Quasi-experiment research alongside with pre–post test analysis of the control group, number of the respondents was undergone among 54 women pregnant and the spouses in each intervention and control group. Educational intervention was given toward intervention group for 3 times, with 3 times monitoring, and 3 times measurement.Result
A significant correlation between Ratu's Model with lowered postpartum depression incidence.Conclusion
The Ratu's Model is effective lowering the incidence of postpartum depression. 相似文献2.
3.
Objective
To determine factors that influence the nurses’ performance in family nursing care in public health centers in Jambi City.Method
A cross-sectional study was conducted from April to October 2016 using questionnaire with public health nurses as participants. The survey included questions on knowledge, attitude, self-confidence, motivation, personality, and nurses’ performance in family nursing care, and was completed by 114 nurses. Data analyses used for this study were chi-square test and logistic regression.Results
The factors affecting the nurses’ performance in family nursing care were attitudes (p 0.003; 95% CI 1.583–9.823), motivation (p 0.002; 95% CI 1.672–9.972), and personality (p 0.005; 95% CI 1.466–8.830).Conclusions
Need efforts to improve the attitude, motivation, and personality of nurses in providing family nursing care, such as training, supervision, and rewards. 相似文献4.
5.
Nicholas Ralph Coralie Graham Lisa Beccaria Cath Rogers 《Collegian (Royal College of Nursing, Australia)》2019,26(1):140-145
Background
Entrance requirements for undergraduate nursing programs have been under government scrutiny in recent times. To date, no Australia studies have reported nurse academics’ perspectives of entry requirements for Bachelor of Nursing programs.Study aim
The aim of this study is to examine nursing academics’ perceptions of entry requirements for Australian Bachelor of Nursing Programs.Methods
A total of 223 nurse academics responded to questions in an online national survey on pre-requisite subject areas, minimum tertiary entrance scores, English proficiency, and inherent requirements for clinical practice.Findings
English, Maths and Science were seen as important pre-requisite subject areas for students commencing a Bachelor of Nursing Program. Nurse academics believed that increasing the tertiary entrance score and English proficiency, was necessary to increase entrance standards and that a minimum score be consistently applied across universities. There were mixed views as to the disclosure of inherent requirements by students.Conclusion
Nationally, dialogue needs to occur about how universities can apply a consistent approach to ensure that the necessary foundation skills, knowledge and abilities are in place prior to admission into programs. 相似文献6.
Problem
Throughout the world people who are homeless experience high rates of hospitalisation. Nurses who work in hospitals have the potential to improve outcomes for this group. To date, a review of qualitative literature pertaining to hospital-based nursing for people who are homeless has been lacking.Aim
To synthesize findings of contemporary qualitative studies related to hospital-based nursing care for people who are homeless in Organisation for Economic Cooperation and Development (OECD) nations.Design
A systematic database search was conducted in mid-2017 using search terms: homeless*, hospital* and nurs*, combined by the Boolean operator ‘AND’. Inclusion and exclusion criteria that mandated publication year, language, method, quality, participants, and setting were applied. 341 abstracts were screened for relevancy resulting in the final inclusion of 8 qualitative and 2 mixed method studies.Findings
Three overarching themes emerged; (1) Homelessness challenges rigid approaches to hospital-based care (2) Stigma impedes healthcare for people who are homeless (3) Hospitals can provide a platform to address homelessness.Discussion
Delivering flexible, non-stigmatising nursing in a way that empowers people experiencing homelessness challenges hospitals around the globe. Research is needed to explore local approaches and subgroups within the homeless population.Conclusion
Experiences of homelessness vary across nations and between cities necessitating local solutions. Within hospitals, if nurses can provide flexible, non-stigmatising care, they have potential to make a huge difference both the lives of individuals who are homeless and in the wellbeing of society as a whole. 相似文献7.
Tulay Basak Semra Aciksoz Vesile Unver Ozlem Aslan 《Collegian (Royal College of Nursing, Australia)》2019,26(1):49-54
Background
Standardized patient was useful for knowledge acquirement, communication skills, self-efficacy, learning motivation and clinical skill acquirement in the literature.Aim
The aim of this study was to compare the effects of standardized patient and low-fidelity mannequin use in teaching hygiene care.Methods
This study was conducted as a randomized controlled study. The study was conducted on first-year nursing students in a nursing school in Turkey. The study inclusion criteria were as follows: voluntary acceptance of study participation, and participation in theoretical lectures on hygiene education. Eighty students were recruited for the study population. The students were divided into two groups consisting of 40 students in each group. The intervention group performed the simulation using a standardized patient, and the control group performed the simulation using a low-fidelity mannequin. The same simulation scenarios were used for both groups.Results
The hygiene care performance scores and students’ satisfaction and self-confidence scale and simulation design scale scores of the students in the standardized patient group were significantly higher than in the low-fidelity mannequin group. The students in the standardized patient group also showed less stress-related physical reactions in the actual environment and with an actual patient, experienced less difficulty during practice, felt more adequate, and better transferred the skills they had learned in the laboratory to clinical practice.Conclusion
Simulation with standardized patient is an effective teaching method for improving outcomes hygiene care skills of nursing students. 相似文献8.
9.
Lisa McKenna Pamela Wood Allison Williams Margaret O’Connor Cheryle Moss Debra Griffiths Phillip Della Ruth Endacott Wendy Cross 《Collegian (Royal College of Nursing, Australia)》2019,26(1):80-85
Background
Enrolled Nurses constitute an important part of the Australian health care system. Recently, improvements to education and medication endorsement have initiated expansion to EN scope of practice.Aim
This paper reports on a study conducted to inform development of revised Nursing and Midwifery Board (NMBA) of Australia Enrolled Nurse practice standards that explored with ENs their scope of practice.Design
A qualitative design using focus groups and individual interviews with ENs across Australia. Data were analysed using thematic analysis.Findings
ENs work in diverse practice contexts with differing scope of practice. Confusion existed regarding EN scope of practice as a result of many different types of ENs in practice. Care of unstable patients was seen to be outside the EN scope of practice. They were also often required to supervise the work of nursing assistants and new registered nurses. Lack of career pathway was seen as a limitation to ENs.Conclusions
EN education and scope of practice has evolved significantly, particularly in many practice settings, since the existing standards were developed. Further work is needed to address issues related to EN supervision of new RNs and AINs (Assistants in Nursing), and clarity of EN supervision in specialist clinical areas. 相似文献10.
Michelle Barakat-Johnson Michelle Lai Timothy Wand Kathryn White 《Collegian (Royal College of Nursing, Australia)》2019,26(1):95-102
Background
Hospital-acquired pressure injuries are a quality indicator in healthcare, including nursing care. Successful implementation of interventions to prevent pressure injuries can be impeded by factors beyond the control of nursing staff. Limited research exists on nurses’ experiences of providing pressure injury prevention and management in a hospital setting.Aim
To gain an in-depth understanding of nurses’ experiences concerning pressure injury prevention and management in a hospital setting.Methods
A qualitative study design was employed. The purposive sample consisted of twenty nurses working in units with a high incidence of pressure injuries across a local health district in Sydney, Australia. Participants were interviewed between May and September 2016, either individually or as a group using semi-structured interviews.Findings
Four themes were identified that captured the experiences of nurses providing pressure injury prevention and management in a hospital setting: “managing competing demands in complex clinical settings”; “the importance of knowledge and skill”; “clarifying organisational expectations, purpose and successes”; and “feeling ethically challenged when unable to provide quality patient care”.Discussion
Participants were aware of the importance of pressure injury prevention and management but found it difficult to provide quality care due to competing priorities and challenges faced at both an organisational and patient level.Conclusion
Pressure injury prevention and management is just one aspect of patient care and should not be considered on its own to change existing practice. Participants wanted to implement preventative strategies and provide optimal pressure injury care, however, complexities associated with a hospital setting hindered this process. Hospitals need to put measures in place that support and enable nurses to deliver the quality care required to prevent and manage pressure injuries. 相似文献11.
Sharon James Elizabeth Halcomb Jane Desborough Susan McInnes 《Collegian (Royal College of Nursing, Australia)》2019,26(1):183-193
Background
The growth of the general practice nursing workforce, has created opportunities to enhance activities aimed at lifestyle change to optimise health and reduce risk. While health status and risk levels are amenable to behaviour change, a number of complex interrelated factors influence the general practice nurses’ (GPN) role, often resulting in the underutilisation of nurses. This can limit their capacity to respond to patients’ needs, including communication regarding lifestyle risk factors and their chronic health conditions. Understanding GPNs’ views on lifestyle risk communication and factors influencing this can inform improvement in chronic disease management and effectiveness of lifestyle risk communication by GPNs.Aim
To review the literature examining the experiences and perspectives of GPNs regarding communication with patients about lifestyle risk factors.Method
An integrative literature review was conducted using the methods of Whittemore and Knafl (2005). CINAHL, Scopus, MEDLINE, Cochrane Library and Joanna Briggs Institute of Systematic Reviews were searched for articles published in English from January 2006–October 2016. Peer-reviewed papers reporting primary research which focussed on GPNs’ perceptions, attitudes, experiences and/or perspectives of lifestyle risk communication with adults were included. Included papers were assessed for methodological quality and findings extracted for thematic analysis.Results
Fifteen articles were included, yielding four themes; GPNs’ views of the nurse-patient relationship, motivational interviewing (MI), barriers to practice, and role parameters. Data revealed GPNs’ needs relating to role clarity, maintenance of therapeutic relationships, as well as organisational, government policy and technique support.Conclusion
GPNs are increasingly managing and coordinating care for people with, or at risk of, chronic disease. Lifestyle risk counselling effectively supports chronic disease management and lifestyle risk reduction. This review synthesises GPNs’ current experiences and perspectives of lifestyle risk communication, as well as highlighting additional research needs. 相似文献12.
13.
Objective
The present study aimed to identify e-leader preferences among nurses based on several attributes namely: style, trait, and characteristics.Method
Conjoint analysis via card sort was employed to capture the responses of 174 purposively selected nurses in the Philippines with prior interaction with a virtual nursing leader. Ten (10) orthogonal combination cards grounded from literature reviews were used as study tools. Data was collected online for about two months and was analyzed using SPSS version 21.Results
The study surfaces that transformational leadership (0.237), authentic and artistic leadership (0.167) and physique (0.201) attributes were the most preferred style, trait and characteristics, respectively.Conclusion
The study promotes prior notions that leaders, even at virtual spaces, are being acknowledged as an essential figure in leader-subordinate interaction. 相似文献14.
Rebecca J. Leon Jaimie H. Tredoux Suzanne M. Foster 《Collegian (Royal College of Nursing, Australia)》2019,26(1):158-164
Background
Despite the investment in education and training, a Health Service in Australia continues to experience a shortage of enrolled nurses.Aim
The aim of this study was to understand the investment education and training have on the retention of enrolled nurses in the Health Service.Methods
An explanatory sequential mixed methods design was used. The study was divided into three phases: 1. Separate surveys to enrolled nurses and stakeholders (nursing managers and educators); 2. Focus groups for enrolled nurses and stakeholders; 3. Analysis of recruitment and retention data from the graduating Diploma of Nursing cohorts.Results
Phase 1 and 2 identified that enrolled nurses participated in education and training for self-satisfaction and personal interest. A professional development pathway was identified as something that would retain enrolled nurses. Inconsistent standards and confusion in their scope of practice, together with a lack of respect for the enrolled nurse, contributed to them leaving. Phase 3 identified poor recruitment processes for the graduating Diploma of Nursing cohorts negatively impacted on their retention.Discussion
Retention of enrolled nurses was influenced by inconsistent standards of practice, confusion in their scope of practice, and a lack of career progression. Phase 3 demonstrated that changes made to the recruitment process resulted in improved retention.Conclusion
Limited opportunities for professional development, confusion in their scope of practice and feelings of being undervalued influenced the retention of enrolled nurses. The results also indicated a well-structured recruitment program favourably impacted on retention. 相似文献15.
Objective
This study aims to explore the experience of test re-takers in taking the Indonesian Nursing Competency Examination (INCE) located in Nursing Program of Hang Tuah Institute of Health Science, Pekanbaru.Method
This qualitative study used a phenomenology approach. There were 5 re-takers who failed to pass the INCE as the participants in this study taken by purposive sampling. Data were collected by in-depth-interview and were analyzed with Colaizzi method.Result
This study found that the re-takers experienced some psychological responses every time they took the INCE; they prepared for the next INCE, had obstacles in the INCE process, tried to answer all questions, and had hopes related to the INCE organizers.Conclusion
It is recommended that the nursing program of Hang Tuah Pekanbaru Institute of Health Science provides several preparations for nursing students to face the INCE, such as joining the government schedule of INCE try-outs and making additional try-out programs for the students. 相似文献16.
Kirsteen Fleming Yan Cheng Jessica Botfield Mariana Sousa Deborah Bateson 《Collegian (Royal College of Nursing, Australia)》2019,26(1):28-32
Background
Intrauterine devices are highly effective in preventing pregnancy; however uptake remains low in Australia. Extending provision to registered nurses with the required knowledge and skills to undertake IUD insertions may increase utilisation.Aim
This qualitative study explored the attitudes of nurses and medical officers in regards to extending nurses scope of practice to include intrauterine device insertion in the context of reproductive and sexual health care.Methods
Semi-structured interviews were conducted with ten nurses prior to, and four following, intrauterine device insertion training, and post-training surveys were completed by the six medical officers who provided mentoring and supervision during training. Thematic analysis was undertaken for interview and survey responses.Findings
Three key themes were identified: 1) perceived benefits and value, 2) perceived barriers and challenges, and 3) factors contributing to successful implementation. Nurses reported the addition of intrauterine device insertions was a positive expansion of their scope of practice, and that it would improve clients’ access to this contraceptive method. All interviewees identified the usefulness of ongoing support for nurses through mentoring relationships. Medical officers were positive and supportive of the expansion of scope.Discussion and conclusion
Inclusion of intrauterine device insertions in registered nurses scope of practice appears feasible and well-received by registered nurses and medical officers, suggesting nurses are well-placed to provide intrauterine device insertions in Australia. Research into service delivery models will be useful to support national credentialing standards and promote inclusion of intrauterine device insertion to nurse scope of practice. 相似文献17.
Adrienne P. Hudson Amy J. Spooner Natasha Booth Robyn A. Penny Louisa G. Gordon Tai-Rae Downer Patsy Yates Robyn Henderson Natalie Bradford Aaron Conway Christopher O’Donnell Alanna Geary Raymond J. Chan 《Collegian (Royal College of Nursing, Australia)》2019,26(1):110-117
Background
Nurse navigator roles aim to assist patients and their carers with navigating the healthcare system and accessing services to enable them to take a more active role in their own health care.Aim
The aim of this study was to explore patients’ and carers’ experiences of receiving care from a nurse navigator.Methods
This was a qualitative study involving semi-structured interviews with 12 patients (adults and children) and 13 carers receiving care from a nurse navigator in Queensland, Australia. Thematic analysis was conducted.Findings
The nurse navigator was a central contact person for patients and carers within the complex healthcare system. They were described as approachable, available and knowledgeable about the medical condition and the healthcare system, enabling patients to take a more active role in their own healthcare. The navigators played a pivotal role in navigating the seemingly insurmountable obstacles of accessing advice, services, equipment and appointments in a seamless way. However, further work is required to ensure that patients and carers are connected with a nurse navigator earlier in their healthcare journey.Discussion
The nurse navigators’ understanding of the complex healthcare system coupled with their global overview of patients and carers provided the participants with a sense of direction, options and more control over their own healthcare trajectory.Conclusions
The nurse navigator role has the ability to improve the care experience of patients and carers of varying ages and with varying medical conditions as explored in this study. 相似文献18.
Marie Bodak Helena Harrison David Lindsay Colin Holmes 《Collegian (Royal College of Nursing, Australia)》2019,26(1):212-221
Background
The last two decades has seen a dramatic increase in sessional staff teaching into undergraduate nursing programmes in Australia. These staff undertake positions as subject coordinator, lecturer, tutor, clinical laboratory leader or clinical facilitator. Their experiences are mixed, with reports highlighting dissatisfaction with employment and preparation processes, and a sense of disconnectedness from academic staff and the organization. These factors may negatively impact the quality of teaching and learning.Aim
This review aimed to explore the following question: What are the experiences and requirements of sessional staff teaching in undergraduate nursing programmes in Australia?Methods
A search was conducted of CINAHL, Medline and Scopus databases, resulting in a final dataset of eight papers, which were appraised using the CASP framework and then thematically analysed.Findings
Three themes emerged from the appraised literature: 1. Who is the sessional staff member? 2. Misplaced perceptions of roles. 3. The impact of sessional staff teaching on the quality of learning.Discussion
Sessional staff are vital members of teaching teams in undergraduate nursing programmes. Student experiences are enhanced when sessional staff are supported in their roles. Clarifying sessional staff’s goals and responsibilities, providing resources and strengthening their workplace inclusion will improve sessional staff’s experiences of teaching, and educational outcomes for students.Conclusion
Tenured and sessional staff have differing perceptions of each other’s roles. Ensuring job satisfaction and quality learning opportunities for students depend upon such understandings. Further exploration of the capabilities required to fulfil the roles being undertaken by sessional teachers in nursing programmes is needed. 相似文献19.
Amy J. Spooner Natasha Booth Tai-Rae Downer Louisa Gordon Adrienne P. Hudson Natalie K. Bradford Chris O’Donnell Alanna Geary Robyn Henderson Cherie Franks Aaron Conway Patsy Yates Raymond J. Chan 《Collegian (Royal College of Nursing, Australia)》2019,26(1):103-109
Background
Effective coordination and integration of care between health care providers is critical to manage complex, chronic medical conditions.Aim
Describe the advanced practice profile and activities of nurse navigators who provide a service for patients with chronic health conditions.Design
An observational study was conducted in four health services, in Queensland, Australia.Methods
In part one, nurse navigators completed a survey incorporating the Advanced Practice Role Delineation tool. In part two, nurse navigators completed a work activity diary, capturing the time spent performing daily activities, modes of communication and referral sources.Findings
Twenty-three and 18 nurse navigators participated in the survey and diary, respectively. Participants were experienced nurses, working full-time. Participants reported spending a great extent of time performing direct comprehensive care, support of systems and education in surveys. The diaries captured a mean of 20 working days per participant, a total of 5,748 work activities. including care of 615 patients. The majority of nurse navigator activities were performed within the direct comprehensive care domain. Communication predominantly occurred with patients, families, hospital health professionals either in person, at a healthcare facility or via phone.Discussion
Our research identified three focus areas of nurse navigator activities: direct comprehensive care, support of systems and education. Further work is required to extend the nurse navigators’ unique contribution to research and publication and professional leadership.Conclusions
This study established baseline knowledge regarding advanced practice profiles and work activities of nurse navigators, which can be utilised to improve current processes and future enhancement of the role. 相似文献20.