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Australian Nursing

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https://www.readbyqxmd.com/read/28444872/saving-costs-through-a-coordinated-care-model-for-patients-with-hepatocellular-cancer
#1
Tsai-Wing Ow, Lucy Ralton, Edmund Tse
BACKGROUND: In keeping with recent trends, patients with hepatocellular cancer have had their care managed by a dedicated Nurse Coordinator at our tertiary Australian hospital since 2010. To date, there is little data to justify the cost-effectiveness of this approach. AIMS: The aim of this study is to quantify the potential cost saved through the employment of a Nurse Coordinator into the management of patients with hepatocellular carcinoma at a single tertiary-level Australian hospital...
April 26, 2017: Internal Medicine Journal
https://www.readbyqxmd.com/read/28438278/complementary-and-alternative-medicine-cam-among-australian-hospital-based-nurses-knowledge-attitude-personal-and-professional-use-reasons-for-use-cam-referrals-and-socio-demographic-predictors-of-cam-users
#2
Seyed Afshin Shorofi, Paul Arbon
OBJECTIVE: This study was intended to examine CAM among Australian hospital-based nurses, identifying their knowledge, attitude, personal and professional use, reasons for use, CAM referrals, and socio-demographic predictors of CAM users. METHODS AND MATERIALS: Nurses holding a qualification in nursing and working in surgical wards were included using a convenience sampling technique. A self-complete questionnaire was developed to achieve the aims of the study. Descriptive and non-parametric statistics were calculated to describe and analyse data...
May 2017: Complementary Therapies in Clinical Practice
https://www.readbyqxmd.com/read/28428731/governing-mobile-technology-use-for-continuing-professional-development-in-the-australian-nursing-profession
#3
Carey Ann Mather, Fred Gale, Elizabeth Anne Cummings
BACKGROUND: The rapid growth in the use of mobile technology in Australia has outpaced its governance, especially in healthcare settings. Whilst some Australian professional bodies and organisations have developed standards and guidelines to direct appropriate use of social media and mobile technology, clear governance arrangements regarding when, where and how to use mobile technology at point of care in nursing are currently lacking. DISCUSSION: This paper analyses how the use of mobile technology by nurses at point of care is governed...
2017: BMC Nursing
https://www.readbyqxmd.com/read/28426909/nursing-and-pharmacy-students-use-of-emotionally-intelligent-behaviours-to-manage-challenging-interpersonal-situations-with-staff-during-clinical-placement-a-qualitative-study
#4
Andrea McCloughen, Kim Foster
AIMS AND OBJECTIVES: To identify challenging interpersonal interactions experienced by nursing and pharmacy students during clinical placement, and strategies used to manage those situations. BACKGROUND: Healthcare students and staff experience elevated stress when exposed to dynamic clinical environments, complex care, and challenging professional relationships. Emotionally intelligent behaviours are associated with appropriate recognition and management of emotions evoked by stressful experiences, and development of effective relationships...
April 20, 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/28423477/something-has-shifted-nursing-students-global-perspective-following-international-clinical-placements
#5
Shelley Gower, Ravani Duggan, Jaya A R Dantas, Duncan Boldy
AIMS: To examine understandings of global health issues among nursing students following participation in an international clinical placement during their pre-registration university education. BACKGROUND: Universities use international clinical placements, especially in developing countries, to develop cultural awareness in students, however little is known about the longer term influences on students' understandings of global nursing. DESIGN: A retrospective cross-sectional design was used, using an exploratory, descriptive qualitative approach...
April 19, 2017: Journal of Advanced Nursing
https://www.readbyqxmd.com/read/28423215/breaking-down-the-stigma-of-mental-health-nursing-qualitative-study-reflecting-opinions-from-western-australian-nurses
#6
Carole A Harrison, Yvonne Hauck, Rebekah Ashby
INTRODUCTION: A lack of understanding surrounding the role of mental health nursing is associated with recruitment and retention challenges. Additional complexities include stigma related to the role, an ageing workforce and dearth of graduates keen to pursue this career. AIM OF STUDY: This qualitative study focused on opinions and experiences of existing mental health nurses to determine what could be done to entice nurses to choose mental health. METHOD: A cross-sectional design involving a brief interview was conducted with 192 Western Australian nurses from one public mental health service...
April 19, 2017: Journal of Psychiatric and Mental Health Nursing
https://www.readbyqxmd.com/read/28415977/perspectives-of-frailty-and-frailty-screening-protocol-for-a-collaborative-knowledge-translation-approach-and-qualitative-study-of-stakeholder-understandings-and-experiences
#7
Mandy M Archibald, Rachel Ambagtsheer, Justin Beilby, Mellick J Chehade, Tiffany K Gill, Renuka Visvanathan, Alison L Kitson
BACKGROUND: Accompanying the unprecedented growth in the older adult population worldwide is an increase in the prevalence of frailty, an age-related clinical state of increased vulnerability to stressor events. This increased vulnerability results in lower social engagement and quality of life, increased dependency, and higher rates of morbidity, health service utilization and mortality. Early identification of frailty is necessary to guide implementation of interventions to prevent associated functional decline...
April 17, 2017: BMC Geriatrics
https://www.readbyqxmd.com/read/28412666/student-nurses-perceptions-of-clinical-placements-in-australian-prison-health-services-a-mixed-methods-study
#8
Thea F van de Mortel, Judith Needham, Kate Barnewall, Ashleigh Djachenko, Jennifer Patrick
Increasing demands for clinical placements have forced tertiary institutions to look for alternative placements for third year nursing students. While Prison Health Services provide an opportunity for nursing students to engage in care of offender populations with significant chronic illnesses, there has been little evaluation of such placements. Third year undergraduate nurses (18/46) participated in a mixed methods study to provide evidence-based research on students' perceptions of clinical placements in Prison Health Services...
April 11, 2017: Nurse Education in Practice
https://www.readbyqxmd.com/read/28401728/developing-a-guideline-for-structured-content-and-process-in-mental-health-nursing-handover
#9
Darrin Cowan, Scott Brunero, Xiaoou Luo, Dean Bilton, Scott Lamont
The process of handover has received recent attention within Australian health care, as evidence linking patient safety with the quality of handover emerges. Such links between clinical handover and patient safety have been reported elsewhere in the literature, where it is posited that the safe care of patients relies not only on the expertise and judgment of individual clinicians, teamwork, and effective management, but hinges to a large extent on the quality of information transferred from team to team. The present qualitative, descriptive study used participant observations, focus groups, and interviews to investigate the nursing handover in two acute mental health inpatient units in New South Wales, Australia...
April 12, 2017: International Journal of Mental Health Nursing
https://www.readbyqxmd.com/read/28401622/predicting-mortality-in-the-emergency-department-external-validation-and-derivation-of-a-clinical-prediction-tool
#10
Rajat N Moman, Caitlin Loprinzi Brauer, Katherine M Kelsey, Rachel D Havyer, Christine M Lohse, M Fernanda Bellolio
BACKGROUND: he Choosing Wisely campaign has called for better engagement of palliative and hospice care services for patients in the emergency department (ED). PREDICT is a clinical prediction tool that was derived in an Australian ED cohort. It assesses a patient's risk of mortality at one year to select those who would benefit from advanced care planning. Such goals of care discussion can improve patients' ability to communicate what they want out of their healthcare and, in cases of end-of-life, potentially reduce the number of futile interventions...
April 12, 2017: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
https://www.readbyqxmd.com/read/28392247/building-workforce-capacity-to-detect-and-respond-to-child-abuse-and-neglect-cases-a-training-intervention-for-staff-working-in-emergency-settings-in-vietnam
#11
Tara Flemington, Jennifer Fraser
BACKGROUND: Too many children are brought to hospital emergency departments on numerous occasions before they are recognised as victims of child abuse and neglect. For this reason, improving knowledge and response behaviors of emergency staff at all levels is likely to have a significant impact on better outcomes. AIM: An Australian based training programme was the first of its kind to address this issue in a Vietnamese Emergency Department. Titled 'Safe Children Vietnam', the programme aimed to improve knowledge, attitudes and reporting behaviors concerning child abuse in the emergency setting...
April 6, 2017: International Emergency Nursing
https://www.readbyqxmd.com/read/28389609/mortality-reduction-for-fever-hyperglycemia-and-swallowing-nurse-initiated-stroke-intervention-qasc-trial-quality-in-acute-stroke-care-follow-up
#12
Sandy Middleton, Kelly Coughlan, George Mnatzaganian, Nancy Low Choy, Simeon Dale, Asmara Jammali-Blasi, Chris Levi, Jeremy M Grimshaw, Jeanette Ward, Dominique A Cadilhac, Patrick McElduff, Janet E Hiller, Catherine D'Este
BACKGROUND AND PURPOSE: Implementation of nurse-initiated protocols to manage fever, hyperglycemia, and swallowing dysfunction decreased death and disability 90 days poststroke in the QASC trial (Quality in Acute Stroke Care) conducted in 19 Australian acute stroke units (2005-2010). We now examine long-term all-cause mortality. METHODS: Mortality was ascertained using Australia's National Death Index. Cox proportional hazards regression compared time to death adjusting for correlation within stroke units using the cluster sandwich (Huber-White estimator) method...
April 7, 2017: Stroke; a Journal of Cerebral Circulation
https://www.readbyqxmd.com/read/28383748/introduction-of-undergraduate-nursing-students-to-an-objective-structured-clinical-examination
#13
Renee Brighton, Maria Mackay, Roy A Brown, Carley Jans, Carolyn Antoniou
BACKGROUND: The Objective Structured Clinical Examination (OSCE) is used increasingly in nursing education. The purpose of this article is to report on the qualitative evaluation of the first implementation of a medication administration OSCE within an Australian school of nursing. METHOD: A two-stage data gathering strategy was undertaken. The first stage was to survey participants' pre-OSCE and the second stage involved surveying the same participants' immediately post-OSCE...
April 1, 2017: Journal of Nursing Education
https://www.readbyqxmd.com/read/28377092/interdisciplinary-medication-decision-making-by-pharmacists-in-pediatric-hospital-settings-an-ethnographic-study
#14
Ellie Rosenfeld, Sharon Kinney, Carlye Weiner, Fiona Newall, Allison Williams, Noel Cranswick, Ian Wong, Narelle Borrott, Elizabeth Manias
OBJECTIVE: Children are particularly vulnerable to experiencing medication incidents in hospitals. Making sound medication decisions is therefore of paramount importance. Prior research has principally described pharmacists' role in reducing medication errors. There is a dearth of information about pharmacists' interactions with pediatric hospital staff across disciplines in resolving medication issues. The aim of this study was to examine interdisciplinary medication decision making by pharmacists in pediatric hospital settings...
March 22, 2017: Research in Social & Administrative Pharmacy: RSAP
https://www.readbyqxmd.com/read/28375938/-being-in-the-know-nurses-perspectives-on-the-role-of-end-of-shift-verbal-handover
#15
Antoinette David, Eleanor Holroyd, Mervyn Jackson, Sonja Cleary
AIM: To explore and qualitatively review 'end-of-shift' verbal communication practices and processes; and to further develop a core theoretical construction of nurses' perspectives on handover in contemporary Australian clinical settings. METHOD: The following study will report the results from phase 1 of a two-phase study examining the Australian nurse's perspective of verbal handover. The data were gathered over a 2-month period in 2013 for phase 1 of the study...
April 3, 2017: International Journal of Evidence-based Healthcare
https://www.readbyqxmd.com/read/28373067/collective-action-for-the-development-of-national-standards-for-midwifery-education-in-australia
#16
Nicky Leap, Pat Brodie, Sally K Tracy
This article describes a sequence of events that led to the development of national standards for the accreditation of Australian midwifery education programmes for initial registration. This process occurred within a climate of polarised opinions about the value of the introduction of three-year degree programmes for midwives who are not nurses (known as the BMid in Australia) and concerns about the invisibility of midwifery within nursing regulation, education, policy and nomenclature. Concerted efforts to develop standards to inform the introduction of BMid programmes through a process of collective action are described...
March 31, 2017: Women and Birth: Journal of the Australian College of Midwives
https://www.readbyqxmd.com/read/28364581/self-reported-confidence-in-patient-safety-knowledge-among-australian-undergraduate-nursing-students-a-multi-site-cross-sectional-survey-study
#17
Kim Usher, Cindy Woods, Glenda Parmenter, Marie Hutchinson, Judy Mannix, Tamara Power, Wendy Chaboyer, Sharon Latimer, Jane Mills, Lesley Siegloff, Debra Jackson
BACKGROUND: Patient safety is critical to the provision of quality health care and thus is an essential component of nurse education. OBJECTIVE: To describe first, second and third year Australian undergraduate nursing students' confidence in patient safety knowledge acquired in the classroom and clinical settings across the three years of the undergraduate nursing program. DESIGN: A cross-sectional online survey conducted in 2015. SETTING: Seven Australian universities with campuses across three states (Queensland, New South Wales, South Australia)...
March 25, 2017: International Journal of Nursing Studies
https://www.readbyqxmd.com/read/28363326/can-a-complex-online-intervention-improve-cancer-nurses-pain-screening-and-assessment-practices-results-from-a-multicenter-pre-post-test-pilot-study
#18
Jane L Phillips, Nicole Heneka, Louise Hickman, Lawrence Lam, Tim Shaw
Unrelieved cancer pain has an adverse impact on quality of life. While routine screening and assessment forms the basis of effective cancer pain management, it is often poorly done, thus contributing to the burden of unrelieved cancer pain. The aim of this study was to test the impact of an online, complex, evidence-based educational intervention on cancer nurses' pain assessment capabilities and adherence to cancer pain screening and assessment guidelines. Specialist inpatient cancer nurses in five Australian acute care settings participated in an intervention combining an online spaced learning cancer pain assessment module with audit and feedback of pain assessment practices...
April 2017: Pain Management Nursing: Official Journal of the American Society of Pain Management Nurses
https://www.readbyqxmd.com/read/28362644/using-clinically-accessible-tools-to-measure-sound-levels-and-sleep-disruption-in-the-icu-a-prospective-multicenter-observational-study
#19
Edward Litton, Rosalind Elliott, Kelly Thompson, Nicola Watts, Ian Seppelt, Steven A R Webb
OBJECTIVES: To use clinically accessible tools to determine unit-level and individual patient factors associated with sound levels and sleep disruption in a range of representative ICUs. DESIGN: A cross-sectional, observational study. SETTING: Australian and New Zealand ICUs. PATIENTS: All patients 16 years or over occupying an ICU bed on one of two Point Prevalence study days in 2015. INTERVENTIONS: Ambient sound was measured for 1 minute using an application downloaded to a personal mobile device...
March 30, 2017: Critical Care Medicine
https://www.readbyqxmd.com/read/28355578/self-perception-of-readiness-for-clinical-practice-a-survey-of-accelerated-masters-program-graduate-registered-nurses
#20
Andrew Cantlay, Jennifer Salamanca, Cherie Golaw, Daniel Wolf, Carly Maas, Patricia Nicholson
Accelerated nursing programs are gaining momentum as a means of career transition into the nursing profession for mature age learners in an attempt to meet future healthcare workforce demands in Australia. With a gap in the literature on readiness for practice of graduates from accelerated nursing programs at the Masters level the purpose of this study was to evaluate the effectiveness of the program based on graduates' preparedness for practice and graduate outcomes. Using a descriptive, exploratory design an online survey was used to explore the perception of graduate nurses' readiness for clinical practice...
March 18, 2017: Nurse Education in Practice
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