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Australian Journal of Advanced Nursing: a Quarterly Publication of the Royal Australian Nursing Federation

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https://www.readbyqxmd.com/read/17682415/the-impact-of-surgical-ward-nurses-practising-respiratory-assessment-on-positive-patient-outcomes
#1
REVIEW
Beverley Duff, Glenn Gardiner, Margaret Barnes
OBJECTIVE: A literature review to examine the incorporation of respiratory assessment into everyday surgical nursing practice; possible barriers to this; and the relationship to patient outcomes. PRIMARY ARGUMENT: Escalating demands on intensive care beds have led to highly dependent patients being cared for in general surgical ward areas. This change in patient demographics has meant the knowledge and skills required of registered nurses in these areas has expanded exponentially...
June 2007: Australian Journal of Advanced Nursing: a Quarterly Publication of the Royal Australian Nursing Federation
https://www.readbyqxmd.com/read/17682414/the-importance-of-language-for-nursing-does-it-convey-commonality-of-meaning-and-is-it-important-to-do-so
#2
REVIEW
Sonia Allen, Ysanne Chapman, Margaret O'Connor, Karen Francis
OBJECTIVE: Language is the medium by which communication is both conveyed and received. To understand and communicate meaning it is necessary to examine the theoretical basis of word conceptualisation. The determinants of understanding language however are somewhat elusive and idiosyncratic by nature. This paper will examine briefly the development of language and how language is used in the health care setting, while recognising that nursing is an internationally recognised profession...
June 2007: Australian Journal of Advanced Nursing: a Quarterly Publication of the Royal Australian Nursing Federation
https://www.readbyqxmd.com/read/17682413/the-impact-of-hospital-structure-and-restructuring-on-the-nursing-workforce
#3
REVIEW
Christine Duffield, Mark Kearin, Judy Johnston, Joanna Leonard
OBJECTIVE: Health systems throughout much of the world have been subject to 'reform' in recent years as countries have attempted to contain the rapidly rising costs of health care. Changes to hospital structures (restructuring) have been an important part of these reforms. A significant impact of current approaches to restructuring is the loss of, or changes to, nursing management roles and functions. SETTING: Australian hospitals PRIMARY ARGUMENT: Little evaluation has been undertaken to determine the impact of hospital structure and organisational restructuring on the nursing workforce...
June 2007: Australian Journal of Advanced Nursing: a Quarterly Publication of the Royal Australian Nursing Federation
https://www.readbyqxmd.com/read/17682412/nurses-attitudes-toward-elderly-people-and-knowledge-of-gerontic-care-in-a-mult-purpose-health-service-mphs
#4
Prue Mellor, Daniel Chew, Jennene Greenhill
OBJECTIVE: The purpose of this study was to explore the attitudes of nurses working in a multi-purpose health service (MPHS) toward elderly people and their understanding of gerontic care. As there are no previous studies in this area of nursing it is anticipated that this study will provide the basis for further exploration. DESIGN: A descriptive, non- experimental quantitative research design using a self-report questionnaire was used for this study. SETTING: This study was conducted at a rural MPHS in Northern Queensland, Australia...
June 2007: Australian Journal of Advanced Nursing: a Quarterly Publication of the Royal Australian Nursing Federation
https://www.readbyqxmd.com/read/17682411/patient-advocacy-and-advance-care-planning-in-the-acute-hospital-setting
#5
Marion Seal
OBJECTIVE: The aim of this study was to explain the role of patient advocacy in the Advance Care Planning (ACP-ing) process. Nurses rate prolonging the dying process with inappropriate measures as their most disturbing ethical issue and protecting patients' rights to be of great concern (Johnston et al 2002). Paradoxically ethical codes assume nurses have the autonomy to uphold patients' health-care choices. Advance Directives (AD) designed to improve end-of-life care are poorly taken up and acute hospitals are generally not geared for the few they receive...
June 2007: Australian Journal of Advanced Nursing: a Quarterly Publication of the Royal Australian Nursing Federation
https://www.readbyqxmd.com/read/17682410/a-comparative-study-of-patient-perceived-quality-of-life-pre-and-post-coronary-artery-bypass-graft-surgery
#6
COMPARATIVE STUDY
Alicia Ballan, Geraldine Lee
OBJECTIVE: Traditionally, evaluation of outcome post cardiac surgery has focused on objective measures of cardiovascular status. The emphasis has shifted to examining an individual's quality of life (QoL). However a gap in Australian prospective research assessing QoL from a pre-operative period to the early stage of six weeks post-operatively exists. The aim of this study was to investigate recovery from coronary artery bypass graft surgery (CABGS) on the basis of patient perceived QoL and in particular, physical and mental health...
June 2007: Australian Journal of Advanced Nursing: a Quarterly Publication of the Royal Australian Nursing Federation
https://www.readbyqxmd.com/read/17682409/women-s-perspectives-of-pain-following-day-surgery-in-australia
#7
Mridula Bandyopadhyay, Milica Markovic, Lenore Manderson
OBJECTIVE: To investigate the incidence of pain following discharge from reproductive day surgery. DESIGN: Cross-sectional descriptive study. SETTING: A public hospital for women in Melbourne. SUBJECTS: 315 women participated in phone interviews and 10 in face-to-face interviews. MAIN OUTCOME MEASURE(S): Self-reports of pain were assessed in relation to age, English and non-English speaking background, prior experience of day surgery, type of surgery, time in recovery, information provision prior to surgery, and access to significant others at home...
June 2007: Australian Journal of Advanced Nursing: a Quarterly Publication of the Royal Australian Nursing Federation
https://www.readbyqxmd.com/read/17682408/-i-don-t-want-to-hate-him-forever-understanding-daughter-s-experiences-of-father-absence
#8
Leah East, Debra Jackson, Louise O'Brien
OBJECTIVE: Father absence is associated with negative child and adolescent outcomes, including early sexual activity, teenage pregnancy, behavioural difficulties and life adversity. However there is a lack of literature that explores the lived experiences of daughters who grew up in father absent environments. This study aimed to generate insights into the lived experience of being a girl-child growing up in a father absent environment through the perspectives of daughters who experienced father absence during their childhood and/or adolescent years...
June 2007: Australian Journal of Advanced Nursing: a Quarterly Publication of the Royal Australian Nursing Federation
https://www.readbyqxmd.com/read/17682407/the-development-of-a-tool-to-assess-levels-of-stress-and-burnout
#9
Virginia Skinner, Kingsley Agho, Trish Lee-White, Judy Harris
OBJECTIVE: To pilot test the reliability and validity of a newly developed tool measuring nursing and midwifery staff stress and burnout. DESIGN: Descriptive survey. SETTING: Public hospital, aged care facility and university. SUBJECTS: For the pilot study a total of forty-nine (n = 49) nurses and midwives, selected by convenience sampling, were sent an initial pilot questionnaire. The return rate was seventy per cent initially and the return rate on the second mail out was forty-nine per cent...
June 2007: Australian Journal of Advanced Nursing: a Quarterly Publication of the Royal Australian Nursing Federation
https://www.readbyqxmd.com/read/17682406/development-and-validation-of-a-vein-assessment-tool-vat
#10
Joan Webster, Helen-Louise Morris, Katharine Robinson, Ursula Sanderson
OBJECTIVE: To assess the face validity and the inter-rater reliability of the Vein Assessment Tool (VAT) for classifying veins according to their level of intravenous insertion difficulty. DESIGN: Prospective observational study. PARTICIPANTS: Eight nurses and two radiographers from the Medical Imaging Department and five nurses from the Haematology Day Patient Unit of a large tertiary hospital. INTERVENTION: Assessments of veins in the upper limb were undertaken independently by nurses from two departments of a major tertiary hospital...
June 2007: Australian Journal of Advanced Nursing: a Quarterly Publication of the Royal Australian Nursing Federation
https://www.readbyqxmd.com/read/17518168/the-professional-self-concept-of-nurses-a-review-of-the-literature-from-1992-2006
#11
REVIEW
David Arthur, Jacqueline Randle
OBJECTIVE: This paper will discuss some recent concerns about research in the area of the professional self-concept of nurses, and trace the development of the literature on professional self-concept of nurses over the last 14 years. PRIMARY ARGUMENT: Professional self-concept or how nurses feel about themselves as nurses is vital in examining current and future nursing practice and education, as it affects patient care. CONCLUSION: The essence of the paper is the identification of three streams of literature: (1) which has 'emerged from the development of the Professional Self-Concept of Nurses instrument'; (2) literature which fails to consider recent or current research in the area; and (3) 'well-conducted work in the topic area'...
March 2007: Australian Journal of Advanced Nursing: a Quarterly Publication of the Royal Australian Nursing Federation
https://www.readbyqxmd.com/read/17518167/the-use-of-the-term-vulnerability-in-acute-care-why-does-it-differ-and-what-does-it-mean
#12
Andrew Scanlon, Geraldine A Lee
OBJECTIVE: Throughout health care literature, vulnerability is widely accepted as a potential issue for all patients yet the consensus on the meaning of and practical strategies to reduce or manage these 'harmful agents' in the clinical context are rarely offered. Three main themes emerge from the related literature which can be further refined into general terms of; social vulnerability--a person's basic statistical data in relation to their potential for illness; psychological vulnerability--the actual or potential harm to the identity of self and/or other emotional effects such as anxiety or stress caused by the ailment or treatment; and physical vulnerability--which refers to the actual physiological state where an individual is susceptible to further morbidity or mortality...
March 2007: Australian Journal of Advanced Nursing: a Quarterly Publication of the Royal Australian Nursing Federation
https://www.readbyqxmd.com/read/17518166/adolescent-appropriate-care-in-an-adult-hospital-the-use-of-a-youth-care-plan
#13
Tegan Sturrock, Lisa Masterson, Katharine Steinbeck
OBJECTIVE: This paper explores the development of a specific youth care plan which provides a framework for adolescent appropriate care in an adult acute care facility. SETTING: The Sydney South Western Area Health Service (SSWAHS) Youth Consultancy, Royal Prince Alfred Hospital (RPAH), Camperdown, Sydney, Australia. SUBJECTS: Young people aged 12- 24 years who were admitted to the acute hospital setting at RPAH. Approximately 2500 young people are admitted as in-patients to RPAH each year...
March 2007: Australian Journal of Advanced Nursing: a Quarterly Publication of the Royal Australian Nursing Federation
https://www.readbyqxmd.com/read/17518165/burnout-in-nursing
#14
RANDOMIZED CONTROLLED TRIAL
Kent Patrick, Judy F Lavery
OBJECTIVE: Previous research has suggested that organisational change can contribute to stress-related outcomes for workers. Burnout, one such stress-related outcome, has been conceptualised as a multidimensional construct consisting of emotional exhaustion, depersonalisation and reduced personal accomplishment. Many health care organisations have undergone substantial organisational change over the last decade. The purpose of this study was to assess levels of burnout in nurses and to ascertain if there were individual or work characteristics that were associated with this syndrome...
March 2007: Australian Journal of Advanced Nursing: a Quarterly Publication of the Royal Australian Nursing Federation
https://www.readbyqxmd.com/read/17518164/enrolled-nurse-skill-extension-metropolitan-myth-or-rural-reality
#15
Nicole Blay, Judith Donoghue
OBJECTIVE: The objective of this study was to examine whether the position of 'after hours clinical support enrolled nurse' is embracing clinical skill extension in the acute surgical area. DESIGN: Experienced enrolled nurses employed in a supernumerary capacity documented all activities with which they were engaged over a six-month period. SETTING: Six surgical wards within a tertiary referral hospital, Sydney, Australia. SUBJECTS: Enrolled nurses working after hours in an extended support role in a supernumerary capacity...
March 2007: Australian Journal of Advanced Nursing: a Quarterly Publication of the Royal Australian Nursing Federation
https://www.readbyqxmd.com/read/17518163/the-educational-needs-of-nurses-working-in-australian-general-practices
#16
Tessa Pascoe, Ronelle Hutchinson, Elizabeth Foley, Ian Watts, Lyndall Whitecross, Teri Snowdon
OBJECTIVE: To describe the educational needs of nurses working in general medical practice in Australia. DESIGN: Survey research combining qualitative and quantitative data collected via telephone interview. SUBJECTS: 222 enrolled (RN Division 2 in Victoria) and registered nurses (RN Division 1 in Victoria) working in general practice in rural and urban areas of Australia. RESULTS: Nurses identified a number of educational areas of high importance including communication skills (94...
March 2007: Australian Journal of Advanced Nursing: a Quarterly Publication of the Royal Australian Nursing Federation
https://www.readbyqxmd.com/read/17518162/educational-intervention-for-patients-with-automatic-implantable-cardioverter-defibrillators
#17
RANDOMIZED CONTROLLED TRIAL
Sarah Edelman, Jim Lemon, Ann Kirkness
OBJECTIVE: The aim of this pilot study was to evaluate the feasibility of a brief educational intervention administered two weeks after Automatic Implantable Cardioverter Defibrillator (AICD) implantation on subsequent levels of anxiety, depression, stress and hostility. DESIGN: A randomised controlled design was used. SUBJECTS AND SETTING: Twenty-two patients hospitalised for implantation of an AICD were recruited for the study. Thirteen patients were randomised to attend the intervention and nine to the standard care control group...
March 2007: Australian Journal of Advanced Nursing: a Quarterly Publication of the Royal Australian Nursing Federation
https://www.readbyqxmd.com/read/17518161/critical-care-nurses-knowledge-in-preventing-nosocomial-pneumonia
#18
Kim Lam Soh, Jane Koziol-Mclain, Jan Wilson, Kim Geok Soh
OBJECTIVE: The purpose of this study was to identify knowledge deficits concerning nosocomial pneumonia (NP) prevention among critical care nurses. The study also determined whether NP knowledge was associated with nurse characteristics. DESIGN: A survey design using a mailed self-administered questionnaire. SETTING: New Zealand critical care nurses were identified through the Nursing Council of New Zealand. SUBJECTS: 134 critical care nurses...
March 2007: Australian Journal of Advanced Nursing: a Quarterly Publication of the Royal Australian Nursing Federation
https://www.readbyqxmd.com/read/17518160/acceptability-of-antenatal-screening-for-depression-in-routine-antenatal-care
#19
Bronwyn Leigh, Jeannette Milgrom
OBJECTIVE: The Edinburgh Postnatal Depression Scale (EPDS) is generally recognised as a valid, reliable, cost-effective and simple tool to implement within routine care, however there is controversy regarding the acceptability of screening for depression. This paper aims to examine how acceptable women find (1) completing a battery of questionnaires, including the EPDS and (2) receiving feedback from midwives regarding the significance of their EPDS score when being screened for depression as part of routine antenatal care...
March 2007: Australian Journal of Advanced Nursing: a Quarterly Publication of the Royal Australian Nursing Federation
https://www.readbyqxmd.com/read/17518159/screening-for-chlamydia-trachomatis-barriers-for-homeless-young-people
#20
Dorothy Henning, Ryan Alice, Lena Sanci, Trisha Dunning
OBJECTIVE: The study explored homeless young people's knowledge and attitudes of Chlamydia trachomatis (Chlamydia) and its screening. DESIGN: Semi-structured interviews using focus groups. SETTING: An inner city clinic for homeless young people. SUBJECTS: Homeless young people aged 16 -26 years. OUTCOMES: Perceptions of Chlamydia and its screening. RESULTS: 19 males and 6 females aged 16-26 years participated...
March 2007: Australian Journal of Advanced Nursing: a Quarterly Publication of the Royal Australian Nursing Federation
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