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Rural nursing in australia

Lareen Newman, Niranjan Bidargaddi, Geoffrey Schrader
BACKGROUND: Despite evidence of benefits of telehealth networks in increasing access to, or providing, previously unavailable mental health services, care providers still prefer traditional approaches. For psychiatric assessment, digital technology can offer improvements over analog systems for the technical and, subsequently, the social quality of provider-client interaction. This is in turn expected to support greater provider uptake and enhanced patient benefits. OBJECTIVE: Within the framework of Innovation Diffusion Theory, to study service providers' experiences of an existing regional telehealth network for mental health care practice twelve months after digitisation in order to identify the benefits of digital telehealth over an analog system for mental health care purposes in rural Australia...
October 2016: International Journal of Medical Informatics
Judith Anderson, Brenda Bruce, Meryn Edwards, Maryanne Podham
BACKGROUND: Reports into neglect by nursing staff have included recommendations to develop policies indicating the fundamental standards of care (Garling, 2008 ; Francis, 2013 ). An area health service in a rural setting in Australia moved to develop such a policy. OBJECTIVES: This project was designed to engage nursing staff in a rural health service in the development of a minimum nursing standards policy. METHODS: A participatory action research methodology was used to engage with nursing staff...
August 20, 2016: Contemporary Nurse
Kylie Eddy, Zoe Jordan, Matthew Stephenson
BACKGROUND: Teamwork is seen as an important element of patient care in acute hospital settings. The complexity of the journey of care for patients highlights the need for health professionals to collaborate and communicate clearly with each other. Health organizations in western countries are committed to improving patient safety through education of staff and teamwork education programs have been integral to this focus. There are no current systematic reviews of the experience of health professionals who participate in teamwork education in acute hospital settings...
April 2016: JBI Database of Systematic Reviews and Implementation Reports
Dania Nathanson, Susan Woolfenden, Karen Zwi
In Australia, paediatricians and Child Protection Specialists provide the medical and forensic examinations of child victims of sexual assault. There are workforce challenges in the recruitment and retention of doctors to undertake child sexual assault (CSA) work particularly in remote and rural areas. Pediatric Sexual Assault Nurse Examiner (PSANE) programs have existed in the USA and the UK for many years. Using Rapid Evidence Assessment (REA) methodology, a systematic search of the literature was performed to ascertain what is known about SANE programs, to evaluate the evidence for their effectiveness across a number of domains (accessibility, health and legal outcomes and cost effectiveness) and to inform policy on models of care and elements of best practice which may be appropriate for local implementation in Australia...
September 2016: Child Abuse & Neglect
Robyn P Cant, Joanne E Porter, Simon J Cooper, Kate Roberts, Ian Wilson, Christopher Gartside
OBJECTIVES: This prospective descriptive study aimed to test the validity and feasibility of the Team Emergency Assessment Measure (TEAM™) for assessing real-world medical emergency teams' non-technical skills. Second, the present study aimed to explore the instrument's contribution to practice regarding teamwork and learning outcomes. METHODS: Registered nurses (RNs) and medical staff (n = 104) in two hospital EDs in rural Victoria, Australia, participated...
July 28, 2016: Emergency Medicine Australasia: EMA
Wendy Smyth, David Lindsay, Colin Holmes, Anne Gardner, Kazi Mizanur Rahman
BACKGROUND: Although nurses generally constitute the largest component of the health workforce there is no systematic collection of data about their health status. Similarly, little is known about how nurses manage any long-term condition they may have, which could contribute to their reducing hours of employment or leaving the workforce completely. Such information will become more important against the backdrop of a global shortage of nurses, and ageing of the nursing population. OBJECTIVES: This study aimed to identify the types and impacts of reported long-term conditions, and strategies employed by nurses to manage their conditions...
October 2016: International Journal of Nursing Studies
Danielle Newton, Chris Bayly, Kathleen McNamee, Marie Bismark, Annarella Hardiman, Amy Webster, Louise Keogh
BACKGROUND: The introduction to Australia of modern medical abortion methods, which require less specialist expertise and equipment than the more traditional surgical methods, have brought an as yet unrealised potential to improve access to abortion services. AIMS: To investigate the potential for expanding the role of general practice in the provision of medical abortion in Victoria. MATERIALS AND METHODS: In 2015, in-depth interviews were conducted with 19 experts in abortion service provision in Victoria...
July 21, 2016: Australian & New Zealand Journal of Obstetrics & Gynaecology
Karen Missen, Lisa McKenna, Alison Beauchamp, Jo-Ann Larkins
BACKGROUND: Evidence from the literature and anecdotally from clinical settings suggests that newly graduated nurses are not fully prepared to be independent practitioners in healthcare settings. AIMS AND OBJECTIVES: The aim of this study was to explore perceptions of qualified nurses in relation to the practice readiness of newly registered nursing graduates and determine whether these views differ according to specific demographic characteristics, clinical settings, and geographical locations...
October 2016: Nurse Education Today
Sue Kruske, Sue Kildea, Bec Jenkinson, Jennifer Pilcher, Sarah Robin, Margaret Rolfe, Jude Kornelsen, Lesley Barclay
BACKGROUND: Primary Maternity Units (PMUs) offer less expensive and potentially more sustainable maternity care, with comparable or better perinatal outcomes for normal pregnancy and birth than higherlevel units. However, little is known about how these maternity services operate in rural and remote Australia, in regards to location, models of care, service structure, support mechanisms or sustainability. This study aimed to confirm and describe how they operate. DESIGN: a descriptive, cross-sectional study was undertaken, utilising a 35-item survey to explore current provision of maternity care in rural and remote PMUs across Australia...
September 2016: Midwifery
Melanie Harris, Samia R Toukhsati, Christine Connors, Kangaharan Nadarajan, Marcus Ilton, Tricia Nagel, Debra K Moser, Malcolm Battersby
Congestive heart failure (CHF) is an ambulatory health care condition characterized by episodes of decompensation and is usually without cure. It is a leading cause for morbidity and mortality and the lead cause for hospital admissions in older patients in the developed world. The long-term requirement for medical care and pharmaceuticals contributes to significant health care costs. CHF management follows a hierarchy from physician prescription to allied health, predominately nurse-led, delivery of care. Health services are easier to access in urban compared to rural settings...
July 3, 2016: Current Cardiology Reviews
Julie Henderson, Eileen Willis, Lily Xiao, Luisa Toffoli, Claire Verrall
AIM: To understand nurses' perceptions of the impact of the aged care reform on care and services for residents in multi-purpose services (MPS) and residential aged care facilities (RACF) in rural South Australia. METHODS: An interpretative study using semi-structured interviews. Participants comprised registered and enrolled nurses working with aged care residents in rural South Australia. Eleven nurses were interviewed, of these seven worked in MPS and four in RACF...
June 23, 2016: Australasian Journal on Ageing
Catherine Bateman, Katrina Anderson, Michael Bird, Catherine Hungerford
INTRODUCTION: The aim of the present study was to address the challenges faced by staff in an acute rural hospital in Australia when providing person-centred care for patients with dementia and/or delirium. This was done by training volunteers to provide personal support to these patients, then measuring the outcomes of this intervention. METHODS: Volunteers were given training, then allocated patients with dementia/delirium or at risk of delirium. A quasi-experimental pre-post design assessed outcomes of the intervention...
April 2016: Rural and Remote Health
Martin Jones, Mellissa Kruger, Sandra M Walsh
UNLABELLED: WHAT IS KNOWN ON THE SUBJECT?: People diagnosed with schizophrenia or bipolar disorder have a life expectancy 10-15 years less than the general population. In rural and remote Australia, there is a shortage of health care professionals to provide physical health care for people living with a serious mental illness (SMI). A large proportion of the care for people living with a SMI is provided by non-government organizations (NGOs), often employing workers without formal qualifications...
June 2016: Journal of Psychiatric and Mental Health Nursing
Kerryn Husk, Rebecca Lovell, Chris Cooper, Will Stahl-Timmins, Ruth Garside
BACKGROUND: There is growing research and policy interest in the potential for using the natural environment to enhance human health and well-being. This resource may be underused as a health promotion tool to address the increasing burden of common health problems such as increased chronic diseases and mental health concerns. Outdoor environmental enhancement and conservation activities (EECA) (for instance unpaid litter picking, tree planting or path maintenance) offer opportunities for physical activity alongside greater connectedness with local environments, enhanced social connections within communities and improved self-esteem through activities that improve the locality which may, in turn, further improve well-being...
2016: Cochrane Database of Systematic Reviews
Rosemary McKenzie, Michelle Williamson, Rebecca Roberts
BACKGROUND: The 'after hours GP helpline' was added to the existing 24-hour nurse triage and advice lines in Australia in July 2011. Its objective is to improve access to GP advice in the after-hours period. OBJECTIVE: The objective of this study was to describe the user profile of an after-hours primary care helpline during its first two years of operation, including age, gender, location and relative socioeconomic advantage of users. METHODS: The study undertook a retrospective review and descriptive analysis of the use and user characteristics during a two-year period in 2011-13...
May 2016: Australian Family Physician
Kaye Knight, Amanda Kenny, Ruth Endacott
AIMS AND OBJECTIVES: To redefine the practice of rural nurses and describe a model that conceptualises the capabilities and characteristics required in the rural environment. BACKGROUND: The way in which the practice of rural nurses has been conceptualised is problematic. Definitions of rural nursing have been identified primarily through the functional context of rural health service delivery. The expert generalist term has provided a foundation theory for rural nurses with understandings informed by the scope of practice needed to meet service delivery requirements...
June 2016: Journal of Clinical Nursing
Catherine Hungerford, Brenton Prosser, Rachel Davey, Shannon Clark
INTRODUCTION: The Nurse Practitioner - Aged Care Models of Practice Initiative supported the roll-out of a range of nurse practitioner (NP) models of practice, across Australia. One of these models was a community-based clinic-located practice, situated in a remote tourist destination where there is no resident general practitioner. Services were delivered by a NP to the local population as well as the many seasonal tourists passing through the region. These seasonal tourists included a growing number of older people, many of whom had chronic health conditions such as hypertension, diabetes and cardiac disease...
April 2016: Rural and Remote Health
Melissa Stanley, Linda Worrall-Carter, Muhammad Aziz Rahman, Samantha McEvedy, Robyn Langham
AIMS AND OBJECTIVES: To assess a dialysis nurse practitioner (NP) model of care by examining satisfaction, quality of life (QOL) and clinical outcomes of haemodialysis patients and explore experiences of dialysis nurses. DESIGN: Mixed methods. METHODS: Database analyses of dialysis indices amongst a sample (n = 45) of haemodialysis patients; a survey (n = 27) examining patient experience, satisfaction and QOL; and in-depth interviews with a sample (n = 10) of nurses...
October 2015: Contemporary Nurse
Alyssa C Milton, Barbara Mullan, Caroline Hunt
PURPOSE: Communication of a mental health diagnosis can be a difficult process and is a poorly understood area of service provision. The aim of this qualitative study was to examine clinicians' perceptions of barriers and helpful strategies to discussing information about a mental health condition. METHOD: Qualitative interviews with 19 Australian clinicians (general practitioners, mental health nurses, psychiatrists, and psychologists) working in several settings (community, hospital inpatient, outpatient, accident and emergency) and locations (urban, suburban and rural) were conducted and analysed thematically...
May 2016: Social Psychiatry and Psychiatric Epidemiology
Patricia Knight, Andrew Bonney, Grigorijs Teuss, Michelle Guppy, Danielle Lafferre, Judy Mullan, Stephen Barnett
BACKGROUND: The use of telehealth technology to enable real-time consultations between patients and specialist services (to whom travel may be an impediment to the patient's care) has recently been encouraged in Australia through financial incentives. However, the uptake has been both fragmented and inconsistent. The potential benefits for patients include access to a broader range of specialist referral services, cost and time saving, and more rapid access to specialist services and a continuum of care through the triangulation of interaction between patient, primary health care providers (general practitioners and nurses), and specialists...
2016: Journal of Medical Internet Research
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