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Australian Nursing

Colleen Ryan, Pammie Ellem, Leeanne Heaton, Jennifer Mulvogue, Marina Cousins, Linda De George-Walker
Current international research suggests universities providing nursing education should focus on shifting students' attitudes towards valuing clinical learning derived from aged care settings, offering support and education for aged care facility staff supervising nursing students' learning in the aged care setting, and encouraging nursing graduates to consider pursuing careers in gerontology nursing. Against this international backdrop, one Australian School of Nursing designed a structured clinical learning experience to offer final year nursing students an opportunity to further their knowledge and understanding of the complexities of the role of the gerontology registered nurse...
June 15, 2018: Nurse Education in Practice
Roslyn Carmel Giglia, Martyn Symons, Thérèse Shaw
BACKGROUND: In the 2009 National Health and Medical Research Council (NHMRC) Australian Guidelines to Reduce Health Risks from Drinking, a guideline specific to lactating women was included. For the first time the effect of alcohol at this important developmental stage was nationally and internationally acknowledged. AIMS: To determine the degree to which maternal health practitioners adopted an Australian national policy guideline (Guideline 4B) on alcohol and breastfeeding into their everyday health practice and the factors associated with adoption...
June 21, 2018: Australian & New Zealand Journal of Obstetrics & Gynaecology
C Lucas, T Power, C Hayes, C Ferguson
This paper describes a novel model to providing interprofessional education (IPE) and interprofessional collaboration (IPC) within a simulated healthcare environment, in the higher education setting. The RIPE Model (Reflective Interprofessional Education Model) was developed for the purpose of enhancing IPE and IPC, clinical judgement, and decision-making between health professional students (pharmacy and nursing students) at the patient's simulated hospital bedside. A foundation 'unfolding' case utilizing the RIPE model was piloted with first year Master of pharmacy students and postgraduate nursing students at an Australian university and included a pharmacy practitioner acting as a resident medical officer (RMO) for the purpose of the teaching module...
June 2, 2018: Research in Social & Administrative Pharmacy: RSAP
Erin L Symonds, Kalindra Simpson, Michelle Coats, Angela Chaplin, Karen Saxty, Jayne Sandford, Graeme P Young Am, Charles Cock, Robert Fraser, Peter A Bampton
OBJECTIVE: To examine the compliance of colorectal cancer surveillance decisions for individuals at greater risk with current evidence-based guidelines and to determine whether compliance differs between surveillance models. DESIGN: Prospective auditing of compliance of surveillance decisions with evidence-based guidelines (NHMRC) in two decision-making models: nurse coordinator-led decision making in public academic hospitals and physician-led decision making in private non-academic hospitals...
June 18, 2018: Medical Journal of Australia
Nicole Lay Tin Tan, Justin Lindley Hunt, Stella May Gwini
BACKGROUND: Enhanced recovery after surgery programs may improve recovery and reduce duration of hospital stay after joint replacement surgery. However, uptake is incomplete, and the relative importance of program components is unknown. This before-and-after quality improvement study was designed to determine whether adding 'non-surgical' components, to pre-existing 'surgical' components, in an Australian private healthcare setting, would improve patient recovery after total hip replacement...
June 13, 2018: BMC Anesthesiology
J Broom, A Broom, E Kirby
BACKGROUND: Antibiotic optimization is an urgent international issue. Regulatory frameworks, including the requirement to have a functioning antimicrobial stewardship (AMS) programme, are now ubiquitous across the hospital sector nationally and internationally. However, healthcare is ultimately delivered in a diverse range of institutional settings and social contexts. There is emerging evidence that implementation of antibiotic optimization strategies may be inappropriate or even counterproductive to attempts to optimize in atypical healthcare settings...
June 8, 2018: Journal of Hospital Infection
Laurence Jee Peng Leong, Gregory Brian Crawford
BACKGROUND: With ageing of Australians, the numbers of residential aged care (RAC) residents is rising. This places a spotlight on decisions about appropriate care for this population, including hospitalisation and end-of-life (EOL) care. The aim was to study a sample of RAC residents who attended and died in hospital, to quantify measurable components of EOL care so as to describe the extent of palliative care required. METHODS: A retrospective case-note review of hospital records was conducted in Adelaide, Australia...
June 9, 2018: BMC Palliative Care
Jane Currie, Mary Chiarella, Thomas Buckley
BACKGROUND: To facilitate the expansion of nurse practitioners working in community and primary health settings, legislative changes were enacted in 2010. These led to privately practicing nurse practitioners (PPNPs) being enabled to provide care subsidized through the Australian Government Medicare Benefits Schedule and the Pharmaceutical Benefits Scheme. Little is known about the impact of this legislation on patient access to care in Australia. PURPOSE: To explore how, why and in which contexts PPNP services in Australia impact on patient access to care...
June 2018: Journal of the American Association of Nurse Practitioners
Flora Xuhua He, Bev Turnbull, Marilynne N Kirshbaum, Brian Phillips, Piyanee Klainin-Yobas
OBJECTIVES: This study sought to examine predictors of psychological well-being (PWB) among nursing students at an Australian regional university. The study postulated that: stress would have a negative effect on PWB; internal factors such as self-efficacy, resilience and mindfulness would have a positive effect on PWB and, external factors like social support would have a positive effect on PWB. DESIGN: A cross sectional descriptive predictive model was used to test the study hypotheses...
May 25, 2018: Nurse Education Today
Elisabeth Jacob, Christine Duffield, Darren Jacob
AIM: To develop a critical thinking assessment tool for Australian undergraduate nurses. BACKGROUND: Critical thinking is an important skill but difficult to assess in nursing practice. There are often many responses a nurse can make to a clinical problem or situation. Some responses are more correct than others and these decisions have an impact on a patient's care and safety. Differences in a response can relate to the depth of knowledge, experience and critical thinking ability of the individual nurse...
June 4, 2018: Journal of Advanced Nursing
Cheri Hotu, Marc Rémond, Graeme Maguire, Elif Ekinci, Neale Cohen
OBJECTIVE: To determine the impact of an integrated diabetes service involving specialist outreach and primary health care teams on risk factors for micro- and macrovascular diabetes complications in three remote Indigenous Australian communities over a 12-month period. DESIGN: Quantitative, retrospective evaluation. SETTING: Primary health care clinics in remote Indigenous communities in Australia. PARTICIPANTS: One-hundred-and-twenty-four adults (including 123 Indigenous Australians; 76...
June 4, 2018: Australian Journal of Rural Health
Kuda Muyambi, Ruth McPhail, Kathryn Cronin, Marianne Gillam, Lee Martinez, Shaun Dennis, Daniel Bressington, Richard Gray, Martin Jones
INTRODUCTION: Relatively few psychiatrists live and work in rural South Australia. The rural GP is an essential component of support for people with mental health problems. However, considerable GP maldistribution between rural and metropolitan Australia still exists. Thus, accessing health services, including medication, becomes challenging for rural communities. Extending mental health nurse prescribing could be a strategy to build additional capacity to complement the GPs and psychiatrists who practice in rural South Australia...
June 4, 2018: Australian Journal of Rural Health
Lindon M H Wing, Enayet K Chowdhury, Christopher M Reid, Lawrence J Beilin, Mark A Brown
BACKGROUND: Numerous studies have shown a stronger relationship between ambulatory blood pressure (ABP), particularly night ABP, and cardiovascular events/mortality than for office blood pressure (OBP). A previous clinical trial (Syst-Eur) showed that pretreatment ABP was only a better predictor of outcome than OBP in placebo-treated participants. The current study in treated elderly hypertensives from the Second Australian National Blood Pressure study (ANBP2) examined whether pretreatment ABP was a better predictor of mortality than OBP over long-term (∼11 years) follow-up...
June 2, 2018: Blood Pressure Monitoring
Evelyn Hovenga, Helen Sinnott, Janette Gogler
The need for nurses and midwives to drive the digital transformation of care has been recognised as an important factor in future health care innovation. An Australian Chief Nursing Informatics Officers collaboration is leading the way. They were supported by the three professional organisations who collaboratively developed a National Nursing Informatics position statement. This paper describes the development and use of the elements described in the statement in operationalising Nursing informatics within individual healthcare organisations and for driving national digital transformation initiatives...
2018: Studies in Health Technology and Informatics
Karleen Thornton
This article presents the findings from a phenomenological study that explored the understandings of Australian hospital-based nurse educators' experiences of their role. Purposive sampling resulted in 11 nurse educators from four large metropolitan hospitals within an Australian jurisdiction. The participants were asked how they understand their role and translate that understanding into practice. Thematic analysis identified four themes representative of nurse educators' understanding of their role: Becoming an Educator, Capability Building, Panacea, and Tension...
June 1, 2018: Journal of Continuing Education in Nursing
Carolyn Hullick, Jane Conway, Isabel Higgins, Jacqueline Hewitt, Bernadette Stewart, Sophie Dilworth, John Attia
BACKGROUND: Older people who present to the Emergency Department (ED) experience high rates of prevalent and incident delirium. This study aimed to determine whether an assistant workforce in the ED could effectively conduct screening to inform assessment and care planning for older people as well as enhance supportive care activities for prevention of delirium. METHODS: Using a pre-post design, data was collected before and after the introduction of Older Person Technical Assistants (OPTAs) in the ED...
May 30, 2018: BMC Geriatrics
Nia A Luxton, Ross MacKenzie, Patti Shih
BACKGROUND: Smoking cessation (SC) care in the perioperative period of cardiothoracic surgery is important to reduce surgical risk and help achieve long-term smoking abstinence in patients who continue to smoke. The implementation of clinical guidelines for SC care in the perioperative period has proved challenging, yet little is known of what influences the inter-disciplinary team involved in the cardiothoracic area. This qualitative study explored the views of the clinicians involved in perioperative period of cardiothoracic surgery in Australia on their SC advice and support...
May 8, 2018: Heart, Lung & Circulation
Marta H Woolford, Lyndal Bugeja, Carolina Weller, Marilyn Johnson, Derek Chong, Joseph E Ibrahim
OBJECTIVES: To examine deaths of Australian nursing home (NH) residents following an unexplained absence. METHODS: Population based cross-sectional study was conducted using coronial data from the National Coronial Information System. Participants are residents of accredited NHs if death followed an unexplained absence and was reported to the Coroner between July 1, 2000 and June 30, 2013. Individual, organisational, environmental, and unexplained absence event factors were extracted from coronial records...
May 27, 2018: International Journal of Geriatric Psychiatry
Judy Currey, Debbie Massey, Josh Allen, Daryl Jones
INTRODUCTION: Critical care nurses have been involved in Rapid Response Teams since their inception, particularly in medically led RRTs, known as Medical Emergency Teams. It is assumed that critical care skills are required to escalate care for the deteriorating ward patient. However, evidence to support critical care nurses' involvement in METs is anecdotal. Currently, little is known about the educational requirements for nurses involved in RRT or METs. OBJECTIVES: We aimed to identify and describe what nurses involved in a MET consider the most vital areas of knowledge and skill when delivering care to the deteriorating ward patient...
August 2018: Nurse Education Today
Shwikar Mahmoud Etman Othman, Mary P Steen, Rasika Jayasekara, Julie-Anne Fleet
BACKGROUND: Nutrition and healthy eating behaviors during pregnancy are vitally important for the health of a mother and her developing baby. However, some midwives have reported a lack of evidence-based nutrition knowledge for providing information about healthy eating to women during pregnancy. OBJECTIVE: In this study, the aim is to design and evaluate a healthy eating education program to enhance midwives' knowledge, understanding, and confidence to support pregnant women in South Australia to make healthy eating choices...
May 25, 2018: JMIR Research Protocols
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