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1.
Tasneem Islam Alison M. Hutchinson Tracey K. Bucknall 《Collegian (Royal College of Nursing, Australia)》2018,25(4):401-407
Background
Nurse managers enact changes to practice based on information collected from the local ward environment with the aid of electronic risk management and incident reporting systems. Despite being key users of electronic risk management and incident reporting systems, little knowledge exists on nurse managers’ use and communication of information derived from these systems.Aim
This qualitative study aimed to explore nurse manager information requirements, risk management practices, and influences on decision-making when interacting with an electronic risk management and incident reporting system.Methods
Focus groups with eight nurse managers were conducted at a teaching hospital in Melbourne, Australia.Findings
Decision-making and information management approaches varied depending on whether the nurse manager investigated a single incident report or viewed summarised incident reports. Thematic and content analysis produced three themes: navigating the system, relying on data, and communication and feedback.Discussion
Nurse managers faced individual and organisational barriers preventing them from using the risk management and incident reporting system to its full potential.Conclusion
The findings from this study will assist nursing and health care administrators in identifying ineffective practice and meeting nurse manager information requirements. 相似文献2.
3.
Simone T. Harvey Jennifer A. Bennett Elizabeth Burmeister Marianne Wyder 《Collegian (Royal College of Nursing, Australia)》2018,25(5):525-531
Background
Perinatal mental illness is prevalent in Australia. Accessible and affordable specialist perinatal mental health services are important in ensuring optimal maternal and infant outcomes, but remain scarce in some areas.Aim
This paper describes the development and evaluation of a community model for perinatal mental health based on the practice principles of: nurse-led; partnership approach; individualised evidenced based treatments and accessible, flexible service delivery.Methods
Data collected prospectively as part of routine care for two years was analysed. Data included Edinburgh Depression Scale, Parent Coping Scale and Health of the Nation Outcome scale scores, rates of attendance, diagnostic codes, nurse practitioner prescribing and the appointment locations.Findings
There was a significant reduction in depressive and anxiety symptoms and for women parenting infants, an increase in their perception of coping with parenting. There were comparatively high rates of attendance once women attended once. Diagnostic codes indicated the service saw the target group with the majority of diagnoses consisting of adjustment disorders, depression and anxiety. The nurse practitioner role enhanced continuity of care for women requiring antidepressant treatment.Discussion
The perinatal nurse-led community model of service has been shown to provide effective specialist perinatal mental health assessment and brief intervention and treatment services.Conclusion
The model offers the potential for replication in other areas where service gaps for perinatal women and families persist and resources remain scarce. 相似文献4.
Joanne Perks Maricris Algoso Kath Peters 《Collegian (Royal College of Nursing, Australia)》2018,25(5):493-499
Background
Cervical cancer is the second most prevalent carcinoma among women. Stringent screening is the most effective strategy of reducing the morbidity and mortality associated with cervical cancer, however barriers to such screening exist. South West Sydney is primarily populated by ethnic minority groups and those with lower socioeconomic status. Thus, women from this area of Sydney represent some of the most disadvantaged women and face many barriers when accessing healthcare, including cervical cancer screening. Previous research has found that gender can influence attitudes and practices regarding women’s health screening. While women’s health nurse practitioners are becoming more involved in preventative healthcare including cervical cancer screening, the experiences of women who access their services have not been explored.Aim
The aim of this study was to determine the demographic characteristics of the women accessing the Liverpool Women’s Health Centre and to explore their experiences of the service.Methods
Demographic data were collected over a one-year period and reflected the diversity of the women who access the WHC in the Liverpool local government area. Ten women who were first time users of the service, aged over the age of 18 years and fluent in English language were then interviewed to explore in-depth their experiences of service.Findings
Study findings illustrated the benefits of providing free women-centred care. In addition to being accessible in terms of location and cost, women conveyed their appreciation for the continuity of care provided. Further, women who accessed the service reported the nurse practitioner provided a professional environment that facilitated the development of trust.Conclusion
Providing a service that is accessible and comforting can increase the participation of vulnerable women in routine cervical cancer screening practices as well as reduce the morbidity and mortality rate of cervical cancer that often results from under-screening. 相似文献5.
Andrew Cashin 《Collegian (Royal College of Nursing, Australia)》2018,25(1):141-146
Background
In 2004 a consensus was reached through a vote of membership of the American Association of Colleges of Nursing to move Nurse Practitioner education from the masters to the doctoral level by 2015.Aim
To determine progress to meet the goal of moving towards doctoral level education for American Nurse Practitioners and identify the associated discourse.Method
A scoping review was undertaken to dertermine the progress towards the goal of the of moving from the Master of Science Nursing to the Doctor of Nursing Practice degree as the point from which Nurse Practitioner certification and licensure can be applied for in the USA, the reported outcomes resulting from the introduction of the Doctor of Nursing Practice and the evolution of the discourse re the design and intent and of the Doctor of Nursing Practice.Findings
There has been ongoing evolution in the vision of the Doctor of Nursing Practice degree since 2004. Whilst there have been challenges, support for continued development and implementation of the Doctor of Nursing Practice is strong.Discussion
These findings are considered with regard to informing potential future directions for Nurse Practitioner education in Australia.Conclusion
It is timely in Australia to consider development of a post endorsement bespoke Professional Doctorate for Nurse Practitioners. To address the issue of course load in Nurse Practitioner Masters Programmes the discipline should work towards being recognized as able to offer an extended masters degree for Nurse Practitioners. Australian Nurse Practitioner faculty should come together as a group to consult on development of Nurse Practitioner education in Australia. 相似文献6.
Angela Christiansen Elisabeth Jacob Di Twigg 《Collegian (Royal College of Nursing, Australia)》2018,25(5):567-571
Background
The need for new graduate nurses to have the capabilities to function effectively in increasingly complex, dynamic and diverse health care settings has energised debate about the need for four year nursing degrees.Questions
What types of four year bachelor degrees are evident globally and what are the key arguments and evidence suggesting a need for four year nursing degrees in Australia?Methods
A scoping of contemporary literature is conducted to identify and discuss the key trends, concerns and evidence that informs the current debate on the appropriate duration of nursing degrees.Findings
A unique combination of emerging health care challenges and shifting health care priorities are fuelling the call to reconsider the duration of nursing degrees in Australia.Discussion
Future nurses will need the capabilities to work effectively across organisational and geographical boundaries, work as partners with a well-informed public, engage with advancing technologies and work autonomously and collaboratively as equals in inter-professional teams.Conclusion
The need for nurse education to produce nurse graduates with key capability for the future, gives credence to a call for a four year nursing degree in Australia. 相似文献7.
Clint Douglas Diana Schmalkuche Debra Nizette Patsy Yates Ann Bonner 《Collegian (Royal College of Nursing, Australia)》2018,25(4):363-370
Background
Nurse-led services are expanding in Australia, yet current information about the scope and nature of these services is lacking. The need for more coordinated service planning and systematic evaluation prompted a scoping study to inform future development.Aim
To provide a comprehensive profile of nurse-led services in the Queensland public health system.Methods
A scoping study of 257 nurse-led services was conducted using an online survey distributed through each Hospital and Health Service in Queensland. Service level data were collected on structure, process and outcome evaluation, as well as enablers and barriers to sustainability of care delivery models.Findings
There is a diverse and growing range of nurse-led services across the state that have evolved to meet the dynamic needs of their communities. Increasingly, registered nurses are rising to the challenge of providing equitable and accessible healthcare in ways that transcend traditional professional or care setting boundaries. The major challenges for sustainability were funding and resource limitations, particularly for developing service capacity to meet growing demands. There were also tensions around the need for ongoing negotiation and review of nurse-led services with medical and administrative stakeholders.Discussion
Findings underscore the need for a modernised regulatory and policy framework to support sustainable nurse-led services and allow nurses to work to their full potential to optimise outcomes for the community.Conclusion
Nurse-led services are the sleeping giant of healthcare reform in Australia. Now is the time for policy and practice changes that will realise the transformative potential of nurse-led care. 相似文献8.
9.
Jane Currie Mary Chiarella Thomas Buckley 《Collegian (Royal College of Nursing, Australia)》2019,26(1):8-15
Background
Nurse practitioners (NPs) have been practising in Australia since 2001, predominantly in the public sector. To facilitate the expansion of NPs working in community and primary health care settings, legislative changes in 2010 led to privately practising NPs (PPNPs) being eligible to provide care subsidised through the Medicare Benefits Schedule (MBS) and the Pharmaceutical Benefits Scheme (PBS). To date, there has been little evaluation of PPNP services in Australia. Reported in this paper is the process through which national survey data enabled the refinement and development of theories on PPNP services in Australia.Aim
To describe the development and refinement of theories to answer the research question how, why and in which contexts PPNP services impact on patient access to care.Methods
The first part of a realist evaluation of privately practising nurse practitioner (PPNP) services in Australia has been conducted. A literature review and a national survey (n = 73) of PPNPs was undertaken to develop and refine preliminary realist theories and hypotheses.Findings
The theories developed relate to three broad aspects of PPNP practice activities: reimbursement, collaborative arrangements and scope of practice. National survey results support the preliminary theory that the current structure of the NP MBS items heavily influenced PPNPs’ reasoning processes in the design and delivery of patient services. Survey data also supports the theory that medical practitioners’ level of understanding of PPNPs’ roles and of collaborative arrangement legislation influences how they engage with PPNPs and the concomitant service outcomes.Conclusions
The national survey data confirmed the significance of theories about reimbursement, collaborative arrangements and scope of practice and how these have impacted on how PPNPs provide patient access to services. 相似文献10.
Tamsin H.T. Thomas Jacqueline G. Bloomfield Christopher J. Gordon Christina Aggar 《Collegian (Royal College of Nursing, Australia)》2018,25(2):201-208
Background
In Australia, there is an increasing demand for registered nurses in primary health care. Registered nurses graduating from university typically enter the workforce via supported transition to professional practice programs in acute-care hospital settings. A prospective strategy to create a sustainable primary health care workforce is to develop comparable transition programs in primary health care settings, such as general practice. We developed, implemented, and evaluated Australia’s first transition to professional practice in primary care program.Aim
To explore the experiences and perceptions of graduate registered nurses and practice nurses participating in a novel transition to professional practice in primary care program.Methods
Thematic analysis of semi-structured interviews with graduate registered nurses (n = 4) and their preceptors (practice nurses, n = 5) on completion of the program.Findings
Three themes emerged from the graduate registered nurse interviews: opportunities for education and clinical development, job satisfaction, and career progression opportunities. Graduate registered nurses were satisfied with the available learning opportunities, indicated a career in primary health care could be potentially rewarding, and anticipated moderate career progression opportunities within general practice. Preceptor themes included program positivity and early career opportunities. The preceptors were positive about the program and believed it supported the graduate registered nurses to become confident and competent. However, both the graduate registered nurses and preceptors perceived an acute-care hospital transition to professional practice program was necessary to gain adequate nursing skills, even if they intended to have a future career in primary health care. Furthermore, they appeared to believe that a career in general practice is more appropriate for “older nurses”.Discussion
These beliefs may be a barrier for transition to professional practice in primary care programs to develop and support a sustainable primary health care workforce.Conclusions
Improved primary health care transition programs, policy, and educational strategies are required. 相似文献11.
Matthew D. Ankers Christopher A. Barton Yvonne K. Parry 《Collegian (Royal College of Nursing, Australia)》2018,25(3):319-325
Aim
To explore the experiences of graduate nurses enrolled in a transition program, to gain insight into what graduates experienced as beneficial, as barriers and to seek meaning to the phenomena of transition as experienced within a transition program.Background
A graduate nurse’s transition to professional practice is a time of high emotion where graduates leave the familiar grounds of university for the unknown of professional practice. Numerous studies, spanning many decades, have investigated issues regarding transition leading to the development of transition programs to aid the recognised burden.Method
The researchers used principles of hermeneutic phenomenology to explore the language used in semi-structured interviews of seven graduate nurses undertaking a Transition to Professional Practice Program in an Australian metropolitan hospital to investigate the lived experiences of transition within a transition program.Results
Thematic analysis of transcribed interviews revealed that transition from student to professional is a time of many new demands that causes shock and can lead to negative emotions. However, many constructive responses and positive emotions were also present. These responses included positive feelings in the care of patients and of support received by graduates from dedicated educators linked to the transition program and by senior nurses on the ward.Conclusion
Transition to practice is an important stage in the career of a Registered Nurse and the transition issues related by graduate nurses in this study corresponded with issues raised in similar transition literature suggesting that continued work is required. However, the benefits of dedicated staff in aiding transition as expressed by the participants of this study is a positive affirmation of the advantages of graduates being enrolled in a transition program. 相似文献12.
Objective
This study aimed to identify the association between stereotyping and professional intercollaborative practice.Method
This study used a cross-sectional analytical study involving physicians, nurses, pharmacists, and dietitians in a hospital in Jakarta, Indonesia, who were selected using the stratified random sampling method. Data was collected using the Student Stereotypes Rating Questionnaire (SSRQ) and the Assessment of Interprofessional Team Collaboration Scale (AITCS). The stereotyping level was analyzed based on a nine-point SSRQ, while interprofessional collaborative practice was scored based on partnership/shared decision-making, cooperation, and coordination.Results
Stereotyping was shown to significantly correlate with interprofessional collaborative practice as measured by the SSRQ and AITCS.Conclusions
Poor interprofessional collaborative practice in subscale partnership/decision-making was dominant. Also, low-rating stereotyping was shown to be dominant with poor interprofessional collaborative practice.Recommendation
The research recommends that health care providers improve partnership/ decision-making skills for better interprofessional collaboration. For further research, it's recommended to explore another barrier of interprofessional collaborative practice. 相似文献13.
14.
Background
Transition to specialty practice programs were developed to support, educate and facilitate recruitment and retention of nurses in specialised areas of practice. The intensive care nursing transition to specialty practice program in this study was implemented in 2000. To date, in Australia there are no published studies which focus on intensive care nursing transition to specialty practice programs.Objectives
The study aimed to explore the effects of an intensive care nursing transition to specialty practice program offered in two intensive care units in a single Australian health service.Methods
A cross-sectional survey design was used. Quantitative data were collected from nurses who participated in the transition to specialty practice program from 2005 to 2015 using an anonymous online survey. Summary statistics and Chi-square tests were used to analyse the data.Results
The response rate was 51.8% (n = 86). Most of the transition to specialty practice program participants had medical nursing experience (n = 35, 40.7%) or surgical nursing experience (n = 35, 40.7%) prior to enrolling into the program. More than half (n = 46, 53.5%) of the participants had worked in the intensive care units for more than two years post program. The majority of the participants (n = 60, 69.8%) undertook post graduate education after the transition to specialty practice program.Conclusion
Significant numbers of experienced nurses undertook transition to specialty practice program into intensive care and majority of the participants reported positive results of the program. 相似文献15.
Objective
The objective of this study was to identify the impact of implementing community health nurse assistance for high-risk pregnant women on utilization of health services.Method
The study was quasi experimental with a control group design. The sample included high-risk pregnant women in 10 community health centers in Indonesia who were selected by consecutive sampling. The total sample included 66 women in both the intervention and the control groups. The high-risk pregnant women in the intervention group received nurses’ assistance during the third trimester and until giving birth. Before and after the intervention, the knowledge, attitudes, and behavior of the women were measured.Results
The average scores for the knowledge, attitudes, and behavior of women in the intervention group increased. Differences were found in health care utilization between the two groups. All women in the intervention group received antenatal care during the third trimester more than once and were assisted by skilled health personnel during childbirth, while in the control group 10.6% of respondents were assisted by a paraji shaman (traditional birth attendant). All women in the intervention group accepted family planning, and the contraceptive choice varied.Conclusions
The assistance of community health nurses improves the knowledge, attitudes, and behavior of high-risk pregnant women and positively impacts the rate of health care utilization. 相似文献16.
Objective
To investigate factors affecting the development of nursing competency based on a review of the literature.Method
A systematic review was utilized. The articles were taken from the databases of Pro-Quest, ScienceDirect, SpringerLink, and Scopus. They were retrieved using the following keywords: nursing competence, nurse competencies and clinical competence. Twenty-one papers were selected.Results
Competence development is a continuous process of improving knowledge, attitudes and skills, and is influenced by a myriad of factors. Six factors were identified that affected the development of nursing competence in our systematic review: (1) work experience, (2) type of nursing environment, (3) educational level achieved, (4) adherence to professionalism, (5) critical thinking, and (6) personal factors. Work experience and education were shown to significantly influence the development of competency of nurses.Conclusions
Nurse managers need to support staffing competence through ongoing education, mentoring-preceptorship training, and case-reflection-discussion teaching programs. 相似文献17.
18.
Toby Raeburn Carol Liston Jarrad Hickmott Michelle Cleary 《Collegian (Royal College of Nursing, Australia)》2018,25(3):347-353
Background
Historical accounts of Australia’s early colonial lunatic asylums often neglect to mention the asylum that operated in Liverpool, NSW between 1826 and 1839.Aim
To find and explore the earliest available evidence of the mental health care provided within Liverpool lunatic asylum.Methods
A literature search was followed by manual searches of primary sources held by the State Records Authority of New South Wales, the State Library of NSW, Liverpool Library and Liverpool Regional Museum. International records available through Ancestry.com were also accessed.Findings
Contrary to previous historical accounts, Liverpool lunatic asylum was located within the parsonage of St Luke’s Church in Liverpool. This building was better suited to mental health care than the disused military barracks previously home to the patients of Australia’s first asylum at Castle Hill.Discussion
Despite the substantial challenges of delivering mental health care in the early colony of NSW, the lunatic asylum at Liverpool retained long term staff who worked there throughout the 13 years of its operation. Payment of wages to a nurse within the Liverpool lunatic asylum indicates a shift in approach to nursing in colonial mental health care that makes an important contribution to the historical identity of nursing in Australia.Conclusion
Clarifying historical information using primary sources that illuminate care within Liverpool lunatic asylum is important because history has the potential to inform and contextualise modern approaches to health care. 相似文献19.
Linden Johnson Karen-Leigh Edward Jo-Ann Giandinoto 《Collegian (Royal College of Nursing, Australia)》2018,25(3):355-361
Background
Care planning is an essential part of nursing practice. Formulating nursing care plans within the framework of standardised nursing language warrants further examination.Aim
The aim of this systematic review was examine the available literature related to nursing documentation and care plans, in relation to the impacts of using standardised nursing language.Methods
The electronic databases of Medline and Cumulative Index to Nursing and Allied Health Literature were searched using predetermined search strategy. A narrative synthesis was undertaken.Findings
Of the 198 articles identified 21 articles were included in the review.Discussion
The examination of the available evidence suggests that a global and Australian difference in use of standardised nursing language in nursing care planning and documentation, including research related to nursing documentation exists.Conclusion
There are major benefits for systematically integrating nursing classification systems and standardised nursing language. Standardised nursing language is essential for the successful integration of nursing documentation into contemporary healthcare where electronic health care records will be the norm. 相似文献20.
Fiona Bogossian Simon Cooper Michelle Kelly Tracy Levett-Jones Lisa McKenna Julia Slark Philippa Seaton 《Collegian (Royal College of Nursing, Australia)》2018,25(3):327-334