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Ohr, Se Ok, Vicki Parker, Sarah Jeong, and Terry Joyce. "Migration of nurses in Australia: where and why?" Australian Journal of Primary Health 16, no. 1 (2010): 17. http://dx.doi.org/10.1071/py09051.
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The Australian health care workforce has benefited from an increasing migration of nurses over the past decades. The nursing profession is the largest single health profession, making up over half of the Australian health care workforce. Migration of nurses into the Australian nursing workforce impacts significantly on the size of the workforce and the capacity to provide health care to the Australian multicultural community. Migration of nurses plays an important role in providing a solution to the ongoing challenges of workforce attraction and retention, hence an understanding of the factors contributing to nurse migration is important. This paper will critically analyse factors reported to impact on migration of nurses to Australia, in particular in relation to: (1) globalisation; (2) Australian society and nursing workforce; and (3) personal reasons. The current and potential implications of nurse migration are not limited to the Australian health care workforce, but also extend to political, socioeconomic and other aspects in Australia.
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Willis, E. M., and L. D. Xiao. "Liminality, the Australian State and Asian Nurse Immigrants." Health, Culture and Society 6, no. 1 (May 19, 2014): 33–46. http://dx.doi.org/10.5195/hcs.2014.118.
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Over the last two decades the flow of Asians to Australia through legitimate immigration programs has accelerated. This is particularly the case for Asian nurses coming from countries that were once subjected to European colonisation. The difficulties encountered by nurses from Asian countries mirror those of earlier waves of migrants. These include navigating the language and differences in cultural mores, values, and beliefs, along with the loneliness that may come from leaving strong family ties at home. While racism has been evident for all earlier waves of migrants, Asians face an additional hurdle linked to the uneasy relationship Australians and the Australian state has with Asia. Australia is geographically in Asia, but culturally Anglo and European. The impact this might have on the working relationships of Asian and Australian born registered nurses is significant given the nature of their work in caring for the sick and elderly. This liminal relationship between the Australian state and Asians provides a theoretical insight into the particular difficulties experienced by Asian nurses and the integration programs that might assist them and their Australian colleagues to develop cohesive working relationships.
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Afzali, Hossein Haji Ali, Jonathan Karnon, Justin Beilby, Jodi Gray, Christine Holton, and David Banham. "Practice nurse involvement in general practice clinical care: policy and funding issues need resolution." Australian Health Review 38, no. 3 (2014): 301. http://dx.doi.org/10.1071/ah13187.
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In Australia, primary care-based funding initiatives have been implemented to encourage general practices to employ practice nurses. The aim of this paper is to discuss limitations of the current funding and policy arrangements in enhancing the clinical role of practice nurses in the management of chronic conditions. This paper draws on the results of a real-world economic evaluation, the Primary Care Services Improvement Project (PCSIP). The PCSIP linked routinely collected clinical and resource use data to undertake a risk-adjusted cost-effectiveness analysis of increased practice nurse involvement in clinical-based activities for the management of diabetes and obesity. The findings of the PCSIP suggested that the active involvement of practice nurses in collaborative clinical-based activities is cost-effective, as well as addressing general practice workforce issues. Although primary healthcare organisations (e.g. Medicare Locals) can play a key role in supporting enhanced practice nurse roles, improvements to practice nurse funding models could further encourage more efficient use of an important resource. What is known about the topic? There is evidence that the increased involvement of practice nurses in clinical-based activities in the management of patients with chronic conditions (e.g. diabetes and obesity) is cost-effective. The Australian Government has implemented financial incentives to encourage general practices to recruit nurses and to expand nursing roles within collaborative models of care. There is currently insufficient engagement of practice nurses in clinical care. What does this paper add? This paper summarises evidence regarding the value of an enhanced practice nurse role in Australian general practice, and discusses refinements to current funding arrangements for practice nurses. What are the implications for practitioners? Delegating clinical role (e.g. patient education and monitoring clinical progress) to practice nurses in the management of patients with chronic conditions can improve clinical outcomes without adversely affecting general practice business models.
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PRUE DEACON. "Australian Nurses at War." Health and History 14, no. 1 (2012): 199. http://dx.doi.org/10.5401/healthhist.14.1.0199.
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DEACON, PRUE. "Australian Nurses at War." Health and History 14, no. 1 (2012): 199–203. http://dx.doi.org/10.1353/hah.2012.0033.
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Clark, Shannon, Rhian Parker, Brenton Prosser, and Rachel Davey. "Aged care nurse practitioners in Australia: evidence for the development of their role." Australian Health Review 37, no. 5 (2013): 594. http://dx.doi.org/10.1071/ah13052.
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Aim To consider evidence surrounding the emerging role of nurse practitioners in Australia with a particular focus on the provision of healthcare to older people. Methods Methods used included keyword, electronic database and bibliographic searches of international literature, as well as review of prominent policy reports in relation to aged care and advanced nursing roles. Results This paper reports on evidence from systematic reviews and international studies that show that nurse practitioners improve healthcare outcomes, particularly for hard to service populations. It also maps out the limited Australian evidence on the impact of nurse practitioners’ care in aged care settings. Conclusions If Australia is to meet the health needs of its ageing population, more evidence on the effectiveness, economic viability and sustainability of models of care, including those utilising nurse practitioners, is required. What is known about the topic? Australia, like many industrialised countries, faces unprecedented challenges in the provision of health services to an ageing population. Attempts to respond to these challenges have resulted in changing models of healthcare and shifting professional boundaries, including the development of advance practice roles for nurses. One such role is that of the nurse practitioner. There is international evidence that nurse practitioners provide high-quality healthcare. Despite being established in the United States for nearly 50 years, nurse practitioners are a relatively recent addition to the Australian health workforce. What does this paper add? This paper positions a current Australian evaluation of nurse practitioners in aged care against the background of the development of the role of nurse practitioners internationally, evidence for the effectiveness of the role, and evidence for nurse practitioners in aged care. Recent legislative changes in Australia now mean that private nurse practitioner roles can be fully implemented and hence evaluated. In the face of the increasing demands of an ageing population, the paper highlights limitations in current Australian evidence for nurse practitioners in aged care and identifies the importance of a national evaluation to begin to address these limitations. What are the implications for practitioners? The success of future healthcare planning and policy depends on implementing effective initiatives to address the needs of older Australians. Mapping the terrain of contemporary evidence for nurse practitioners highlights the need for more research into nurse practitioner roles and their effectiveness across Australia. Understanding the boundaries and limitations to current evidence is relevant for all involved with health service planning and delivery.
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Cass, Sarah, Lauren Ball, and Michael Leveritt. "Australian practice nurses’ perceptions of their role and competency to provide nutrition care to patients living with chronic disease." Australian Journal of Primary Health 20, no. 2 (2014): 203. http://dx.doi.org/10.1071/py12118.
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Nutrition is important in the management of chronic disease, and practice nurses in the Australian primary care setting are increasingly providing nutrition care to patients living with chronic disease. The aim of the present study was to investigate practice nurses’ perceptions of their role and competency to provide nutrition care to patients living with chronic disease in Australia. Twenty practice nurses currently employed in general practice participated in an individual semi-structured telephone interview. Interviews were transcribed verbatim and thematically analysed. Practice nurses perceived themselves to be in a prime position to provide opportunistic nutrition care to patients. Participants perceived that the ideal role of a practice nurse is to advocate for nutrition and provide a basic level of nutrition care to patients; however, the interpretation of the term ‘basic’ varied between participants. Participants perceived that practice nurses are highly trusted and approachable, which they valued as important characteristics for the provision of nutrition care. Barriers to providing nutrition care included time constraints, lack of nutrition knowledge and lack of confidence. Participants were concerned about the availability and accessibility of nutrition education opportunities for practice nurses. The present study has demonstrated that practice nurses perceive themselves as having a significant role in the provision of nutrition care to patients with chronic disease in the Australian primary care setting. Further investigation of strategies to enhance the effectiveness of nutrition care provision by practice nurses is warranted.
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Gray, Jodi, Elizabeth A. Hoon, Hossein Haji Ali Afzali, Catherine Spooner, Mark F. Harris, and Jonathan Karnon. "Is the Counterweight Program a feasible and acceptable option for structured weight management delivered by practice nurses in Australia? A mixed-methods study." Australian Journal of Primary Health 23, no. 4 (2017): 348. http://dx.doi.org/10.1071/py16105.
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Nurse-led weight management programs, like the Counterweight Program in the United Kingdom, may offer a way for Australian general practices to provide weight management support to adults who are overweight or obese. During Counterweight, nurses provide patients with six fortnightly education sessions and three follow-up sessions to support weight maintenance. This study examined the feasibility, acceptability and perceived value of the Counterweight Program in the Australian primary care setting using a mixed-methods approach. Six practice nurses, from three general practices, were trained and subsidised to deliver the program. Of the 65 patients enrolled, 75% (n=49) completed the six education sessions. General practitioners and practice nurses reported that the training and resource materials were useful, the program fitted into general practices with minimal disruption and the additional workload was manageable. Patients reported that the program created a sense of accountability and provided a safe space to learn about weight management. Overall, Counterweight was perceived as feasible, acceptable and valuable by Australian practice staff and patients. The key challenge for future implementation will be identifying adequate and sustainable funding. An application to publically fund Counterweight under the Medicare Benefits Schedule would require stronger evidence of effectiveness and cost-effectiveness in Australia.
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Boak, Jennifer, Irene Blackberry, and Tshepo Rasekaba. "Improving Detection of Client Complexity in the Community (Impact): A Study Protocol of a Pragmatic Randomized Controlled Trial." Methods and Protocols 4, no. 4 (October 6, 2021): 70. http://dx.doi.org/10.3390/mps4040070.
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Background: Community-dwelling older clients are becoming increasingly complex. Detecting this complexity in clinical practice is limited, with greater reliance on community nurses’ clinical judgment and skills. The lack of a consistent approach to complexity impacts the level of care and support for older clients to remain in their homes for longer. Objective: To examine the effectiveness of the Patient Complexity Instrument (PCI) in addition to nurses’ clinical judgment to enhance detection of complexity, and subsequent older clients’ resource allocation compared to usual nursing assessment. Design: A pragmatic randomized controlled trial will be conducted within a community nursing service in regional Victoria, Australia. Clients 65 years and over referred to the service who are eligible for Commonwealth Home Support Programme (CHSP) funding will be randomized into Control group: usual nursing assessment or Intervention group: usual nursing assessment plus the PCI. Nurse participants are Registered Nurses currently employed in the community nursing service. Results: This study will explore whether introducing the PCI in a community nursing service enhances detection of complexity and client care resource allocation compared to nurses’ clinical judgment based on usual nursing assessment. Conclusion: This protocol outlines the study to enhance the detection of complexity by nurses delivering care for community-dwelling older people in the regional Australian context. The findings will inform the use of a standardized tool to detect complexity among community-dwelling older Australians.
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Griffiths, N., C. Galea, and K. Psaila. "Australian Neonatal Nurses' Perceptions of Neurodevelopmental Care." Developmental Observer 12, no. 1 (September 20, 2019): 6. http://dx.doi.org/10.14434/do.v12i1.27836.
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The value of supporting neurodevelopmental outcomes by reduc-ing stress and noxious stimuli in the NICU has been established in the literature over the past 20 years. Developmental care and its application in the clinical setting is reported as inconsistent, yet there is no literature exploring neonatal nurses’ perceptions of developmental care and its application within the Australian context. We undertook this survey to gauge the current practices across Australia as part of a planning exercise for future neu-rodevelopmental care (NDC) training and implementation of NIDCAP.
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Campbell, Maggie. "Inappropriate message for Australian nurses." Collegian 8, no. 4 (January 2001): 5. http://dx.doi.org/10.1016/s1322-7696(08)60026-8.
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Mitchell, Marion, Benjamin Mackie, Leanne M. Aitken, and Loretta C. McKinnon. "Evaluation of an Australian nursing partnership to improve disaster response capacity." Disaster Prevention and Management 23, no. 5 (October 28, 2014): 524–32. http://dx.doi.org/10.1108/dpm-04-2014-0069.
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Purpose – The purpose of this paper is to evaluate a partnership with specialized nurses from geographically disparate hospitals to provide critical support in national disasters. Design/methodology/approach – The Australian Government established the National Critical Care Trauma Response Centre (NCCTRC) within Royal Darwin Hospital (RDH). A partnership with the Princess Alexandra Hospital (PAH) occurred to support RDH during national disasters. PAH nurses undertook two-week rotations to RDH in readiness for deployment. PAH, NCCTRC and RDH nurses’ perceptions of the efficacy of the nurse rotations were explored in surveys and focus groups. Findings – PAH nurses felt they were well equipped for practice in RDH and the partnership developed professional reciprocity with the PAH nurses feeling respected, valued and part of the RDH team. This finding of adequate preparation and effective integration was consistent with the perceptions of senior staff from the participating organizations. Originality/value – This unique partnership created a well-prepared team to provide support in a national disaster.
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McConnell, Edwina A., Jan Fletcher, and Jutta H. Nissen. "Medical Device Education among Australian Registered Nurses: A Comparison of Agency and Hospital Nurses." International Journal of Technology Assessment in Health Care 11, no. 3 (1995): 585–94. http://dx.doi.org/10.1017/s0266462300008746.
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AbstractA cross-sectional survey was used to compare the medical device education of 142 agency- and 443 hospital-employed Australian registered nurses. The two groups differed significantly on descriptive characteristics and on what they had learned about medical devices. Potential negative aspects of device use were nurse stress and patient harm, with a significantly larger proportion of hospital nurses indicating their use of any medical device had made them feel stress. Fear of harming the patient and being unsure of how to use the device caused stress in the majority of nurses. The incidence of patient harm was approximately 10% for each group.
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Coyle, Meaghan, Mohammad A. Al-Motlaq, Jane Mills, Karen Francis, and Melanie Birks. "An integrative review of the role of registered nurses in remote and isolated practice." Australian Health Review 34, no. 2 (2010): 239. http://dx.doi.org/10.1071/ah09743.
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Objective.To examine the role of the registered nurse in remote and isolated areas of Queensland, the Northern Territory, South Australia and Western Australia; and to illustrate the impact of the burden of disease on nursing practice. Data sources.A literature search was undertaken using electronic databases and the grey literature (including policy documents, project reports and position descriptions). Data synthesis.The role of the nurse in remote areas is diverse, and varies according to the context of practice. Although some states and territories offer formal programs to prepare nurses for the role, it is unclear whether this is routinely provided. The burden of disease is higher in remote Australia, and although nurses work to reduce the burden, the need to provide primary care can be at the expense of primary health care. Conclusions.Whilst the nature of nursing practice is influenced by many factors, considerable agreement exists between states and territories around the role of the registered nurses in remote and isolated communities. The higher burden of disease in remote and isolated areas of Australia impacts on nursing practice, and nurses are uniquely placed to assist in reducing the burden of disease. Greater agreement around what constitutes ‘remote’ is needed. What is known about the topic?Many papers have reported on the difficulties encountered by registered nurses in remote and isolated practice; however, there is a dearth of information describing the role of registered nurses in remote or isolated Australian communities. What does this paper add?This review describes the diverse role of nurses and their role in addressing the burden of disease in remote and isolated Australia. Comparison between states and territories highlights differences in preparation for the role. What are the implications for practitioners?National agreement is needed around preparation for practice, conditions of work, and what constitutes ‘remote’. Greater utilisation of the nursing workforce in remote and isolated areas would assist in addressing the burden of disease.
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Tuckett, Anthony, Tim Henwood, John L. Oliffe, Tracy L. Kolbe-Alexander, and Jae Rin Kim. "A Comparative Study of Australian and New Zealand Male and Female Nurses’ Health." American Journal of Men's Health 10, no. 6 (July 8, 2016): 450–58. http://dx.doi.org/10.1177/1557988314567222.
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The aim of this research was to compare the health and lifestyle behaviors between male and female nursing professionals. Biological, workplace, and lifestyle factors as well as health behaviors and outcomes are reported as different between male and female nurses. Although male nurses show distinct health-related patterns and experience health disparities at work, few studies have investigated health differences by sex in a large cohort group of nursing professionals. This observation study of Australian and New Zealand nurses and midwives drew data from an eCohort survey. A cohort of 342 females was generated by SPSS randomization (total N=3625), to compare against 342 participating males. Measures for comparison include health markers and behaviors, cognitive well-being, workplace and leisure-time vitality, and functional capacity. Findings suggest that male nurses had a higher BMI, sat for longer, slept for less time, and were more likely to be a smoker than their female nurse counterparts. Men were more likely to report restrictions in bending, bathing, and dressing. In relation to disease, male nurses reported greater rates of respiratory disease and cardiovascular disease, including a three times greater incidence of myocardial infarction, and were more likely to have metabolic problems. In contrast, however, male nurses were more likely to report feeling calm and peaceful with less worries about their health. Important for nurse workforce administrators concerned about the well-being of their staff, the current study reveals significant sex differences and supports the need for gender-sensitive approaches to aid the well-being of male nurses.
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Green, Janet, Philip Darbyshire, Anne Adams, and Debra Jackson. "It’s agony for us as well." Nursing Ethics 23, no. 2 (December 8, 2014): 176–90. http://dx.doi.org/10.1177/0969733014558968.
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Background: Improved techniques and life sustaining technology in the neonatal intensive care unit have resulted in an increased probability of survival for extremely premature babies. The by-product of the aggressive treatment is iatrogenic pain, and this infliction of pain can be a cause of suffering and distress for both baby and nurse. Research question: The research sought to explore the caregiving dilemmas of neonatal nurses when caring for extremely premature babies. This article aims to explore the issues arising for neonatal nurses when they inflict iatrogenic pain on the most vulnerable of human beings – babies ≤24 weeks gestation. Participants: Data were collected via a questionnaire to Australian neonatal nurses and semi-structured interviews with 24 neonatal nurses in New South Wales, Australia. Ethical consideration: Ethical processes and procedures set out by the ethics committee have been adhered to by the researchers. Findings: A qualitative approach was used to analyse the data. The theme ‘inflicting pain’ comprised three sub-themes: ‘when caring and torture are the same thing’, ‘why are we doing this!’ and ‘comfort for baby and nurse’. The results show that the neonatal nurses were passionate about the need for appropriate pain relief for extremely premature babies. Conclusion: The neonatal nurses experienced a profound sense of distress manifested as existential suffering when they inflicted pain on extremely premature babies. Inflicting pain rather than relieving it can leave the nurses questioning their role as compassionate healthcare professionals.
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Schmied, Virginia, Cathrine Fowler, Chris Rossiter, Caroline Homer, Sue Kruske, and The CHoRUS team. "Nature and frequency of services provided by child and family health nurses in Australia: results of a national survey." Australian Health Review 38, no. 2 (2014): 177. http://dx.doi.org/10.1071/ah13195.
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Objective Australia has a system of universal child and family health (CFH) nursing services providing primary health services from birth to school entry. Herein, we report on the findings of the first national survey of CFH nurses, including the ages and circumstances of children and families seen by CFH nurses and the nature and frequency of the services provided by these nurses across Australia. Methods A national survey of CFH nurses was conducted. Results In all, 1098 CFH nurses responded to the survey. Over 60% were engaged in delivering primary prevention services from a universal platform. Overall, 82.8% reported that their service made first contact with families within 2 weeks of birth, usually in the home (80.7%). The proportion of respondents providing regular support to families decreased as the child aged. Services were primarily health centre based, although 25% reported providing services in other locations (parks, preschools).The timing and location of first contact, the frequency of ongoing services and the composition of families seen by nurses varied across Australian jurisdictions. Nurses identified time constraints as the key barrier to the delivery of comprehensive services. Conclusions CFH nurses play an important role in supporting families across Australia. The impact of differences in the CFH nursing provision across Australia requires further investigation. What is known about the topic? Countries that offer universal well child health services demonstrate better child health and developmental outcomes than countries that do not. Australian jurisdictions offer free, universal child and family health (CFH) nursing services from birth to school entry. What does this paper add? This paper provides nation-wide data on the nature of work undertaken by CFH nurses offering universal care. Across Australia, there are differences in the timing and location of first contact, the frequency of ongoing services and the range of families seen by nurses. What are the implications for practitioners? The impact for families of the variation in CFH nursing services offered across Australia is not known. Further research is required to investigate the outcomes of the service provision variations identified in the present study.
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Mills, Jane, Jennifer Chamberlain-Salaun, Renee Henry, Jenny Sando, and Glynda Summers. "Nurses in Australian acute care settings: experiences with and outcomes of e-health. An integrative review." INTERNATIONAL JOURNAL OF MANAGEMENT & INFORMATION TECHNOLOGY 3, no. 1 (January 23, 2013): 01–08. http://dx.doi.org/10.24297/ijmit.v3i1.1384.
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The World Health Organization (WHO) defines e-health as the use of information and communication technology for health [1]. The use of e-health, including electronic medical records (EMR), is a growing trend. This integrative review of the literature examines nurses experiences of e-health in Australian acute care settings. A search of the literature identified 21 papers for inclusion in this review. Two discernable themes in the literature are apparent. Research to date largely focuses on nurses experiences of e-health, including its usefulness in their work. Findings indicate that nurses attitudes to e-health and computer usage are positive, however there are indications that nurses currently using e-health in practice are often dissatisfied with the implementation of new e-health systems in their workplace and that there are a number of barriers to its successful implementation. Secondly, a discernable gap in the literature regarding the impact of e-health, and in particular EMRs, on nursing outcomes is identified with research to date limited to findings related to nursing documentation and multi-disciplinary discharge planning. Future research that considers nurse experiences in implementing e-health and applies focused strategies across a range of health settings, both in Australia and around the world, can influence successful adoption and implementation of e-health.
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Grimes, Andrea, Christopher Rouen, and Caryn West. "Measuring Student Nurses’ Preparedness and Resilience for a Disaster Setting." Prehospital and Disaster Medicine 34, s1 (May 2019): s148. http://dx.doi.org/10.1017/s1049023x19003315.
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Introduction:Nurses have long been utilized in disaster response and recovery and they possess broad skill sets, which are critical in times of crisis. However, studies show that more than 80% of nurses who volunteered in disasters settings have no disaster education.Aim:This project explored the disaster knowledge, preparedness, and resilience of 2nd and 3rd-year undergraduate student nurses in a Bachelor of Nursing Science program in a regional university to garner support for the introduction of dedicated disaster nursing education, which is currently absent from Australian undergraduate nursing curricula. Whilst disaster management processes in Australia are robust and Australian health care systems have explicit plans in place, the same cannot be said for all countries and health care systems. Australian trained nurses are highly valued and actively sought in the global health workforce market. In a world marked by increasing change and instability, the lack of dedicated disaster education and skills in the largest health workforce increases the overall vulnerability.Methods:Data were collected using the Disaster Preparedness Evaluation Tool, the Connor-Davidson Resilience Scale, simple demographics, and a previous disaster experience questionnaire.Results:The results highlight important gaps in current practice and vulnerabilities in the current disaster management framework. Local students scored higher results in preparedness and resilience.Discussion:Student nurses are an underutilized resource in disaster preparation and by response teams around the world. With a global intent of shared responsibility and increased resilience in individuals and communities before, during, and after disaster events, dedicated capacity building of nursing staff has the potential to address key factors and simultaneously utilize an underappreciated demographic of student nurses. To the best of the author’s knowledge, this project is the first to explore disaster knowledge, preparedness, and resilience in undergraduate student nurses using validated disaster preparedness and resilience tools in Australia.
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Tanida, Noritoshi, Atsushi Asai, Motoki Ohnishi, Shizuko K. Nagata, Tsuguya Fukui, Yasuji Yamazaki, and Helga Kuhse. "Voluntary Active Euthanasia and the Nurse: a comparison of Japanese and Australian nurses." Nursing Ethics 9, no. 3 (May 2002): 313–22. http://dx.doi.org/10.1191/0969733002ne513oa.
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Although euthanasia has been a pressing ethical and public issue, empirical data are lacking in Japan. We aimed to explore Japanese nurses’ attitudes to patients’ requests for euthanasia and to estimate the proportion of nurses who have taken active steps to hasten death. A postal survey was conducted between October and December 1999 among all nurse members of the Japanese Association of Palliative Medicine, using a self-administered questionnaire based on the one used in a previous survey with Australian nurses in 1991. The response rate was 68%. A total of 53% of the respondents had been asked by patients to hasten their death, but none had taken active steps to bring about death. Only 23% regarded voluntary active euthanasia as something ethically right and 14% would practice it if it were legal. A comparison with empirical data from the previous Australian study suggests a significantly more conservative attitude among Japanese nurses.
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Chaboyer, Wendy, Di Chamberlain, Karena Hewson-Conroy, Bernadette Grealy, Tania Elderkin, Maureen Brittin, Catherine McCutcheon, Paula Longbottom, and Lukman Thalib. "CNE Article: Safety Culture In Australian Intensive Care Units: Establishing A Baseline For Quality Improvement." American Journal of Critical Care 22, no. 2 (March 1, 2013): 93–102. http://dx.doi.org/10.4037/ajcc2013722.
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Background Workplace safety culture is a crucial ingredient in patients’ outcomes and is increasingly being explored as a guide for quality improvement efforts. Objectives To establish a baseline understanding of the safety culture in Australian intensive care units. Methods In a nationwide study of physicians and nurses in 10 Australian intensive care units, the Safety Attitudes Questionnaire intensive care unit version was used to measure safety culture. Descriptive statistics were used to summarize the mean scores for the 6 subscales of the questionnaire, and generalized-estimation-equations models were used to test the hypotheses that safety culture differed between physicians and nurses and between nurse leaders and bedside nurses. Results A total of 672 responses (50.6% response rate) were received: 513 (76.3%) from nurses, 89 (13.2%) from physicians, and 70 (10.4%) from respondents who did not specify their professional group. Ratings were highest for teamwork climate and lowest for perceptions of hospital management and working conditions. Four subscales, job satisfaction, teamwork climate, safety climate, and working conditions, were rated significantly higher by physicians than by nurses. Two subscales, working conditions and perceptions of hospital management, were rated significantly lower by nurse leaders than by bedside nurses. Conclusions Measuring the baseline safety culture of an intensive care unit allows leaders to implement targeted strategies to improve specific dimensions of safety culture. These strategies ultimately may improve the working conditions of staff and the care that patients receive. (American Journal of Critical Care. 2013;22:93–103)
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Amos, L., and K. Ernst. "Metastatic Breast Care E-Learning Modules." Journal of Global Oncology 4, Supplement 2 (October 1, 2018): 160s. http://dx.doi.org/10.1200/jgo.18.49900.
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Background and context: The McGrath Foundation has created an e-Learning course to upskill breast care nurses in current metastatic breast cancer practice. The e-Learning course has supported better specialist knowledge and helped close the gap in metastatic cancer support services across Australia. Aim: The project aimed to deliver specialist training to breast care nurses on current trends in care and treatment of individuals with metastatic breast cancer, via an e-Learning platform to enable a cost effective delivery across Australia to 119 nurses. Strategy/Tactics: Key learning outcomes were developed to ensure specific information could be delivered via an online platform. Industry experts, clinicians and experienced breast care nurses/nurse practitioners were consulted to develop the content and an outline of what would be delivered. An experienced online content development company was also engaged to ensure that the content would be presented in an engaging way. Program/Policy process: The metastatic e-Learning course was available for McGrath Breast Care Nurses in June 2017 and accredited for professional development hours by the Australian College of Nursing to contribute to registration under the Nursing and Midwifery Board of Australia. Certificates of completion are given to all participants who successfully complete the course once they achieve competency in all areas of assessment. Outcomes: The e-Learning course has had reach across all areas of the country and allowed easy dissemination of information on current trends in metastatic breast cancer to nurses. This is seen to have great reach with almost all McGrath Breast Care Nurses also caring for a proportion of patients with metastatic disease. Additional qualitative and quantitative analysis will be available during the presentation after analysis is completed. What was learned: Some key learnings from this project have been the scalability of e-Learning as a technology enabled professional development solution. The need for good design to enable engagement with content was consistent theme during feedback sessions. As well as using competency based testing to enable participants to gain professional development in a technology enabled platform has reduced nurse down time.
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Louise, Gibson, and Norris Kimberley. "Psychological wellbeing and mental health outcomes in Australian Nurses and Midwives." Archives of Nursing Practice and Care 8, no. 1 (September 6, 2022): 017–27. http://dx.doi.org/10.17352/2581-4265.000061.
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Aim: To examine the intrapersonal and organizational factors that contribute to pathogenic and salutogenic psychological outcomes in Australian nurses and midwives. Design: The conceptual framework Factors associated with Salutogenic and Pathogenic Outcomes in Australian Midwives and Nurses was used as a guide for this exploratory, cross-sectional study. Method: Participants were recruited from public, private, and community settings throughout Australia. Six hundred and fifteen participants completed an online survey assessing job satisfaction, professional quality of life, ways of coping, resilience, psychological distress, and the impact of the worldwide coronavirus pandemic on psychological health and well-being. Results: Analyses showed that workplace environmental factors were strong predictors of Secondary Traumatic Stress, and Burnout. Results also showed that workplace factors and adaptive coping were predictive of the salutogenic outcomes of compassion satisfaction and resilience. Conclusion: Adopting a salutogenic approach, focused on maximizing individual and organizational contributors to psychological health and wellbeing, provides a new way for organizations to develop strategies to decrease adverse psychological outcomes, promote well-being and better equip nurses and midwives to cope with the challenges of the healthcare environment. Impact: The findings will be of interest to Chief Nurses, Midwifery Officers, healthcare organizations, and universities to target workplace, individual and interpersonal factors that promote health and wellbeing amongst nurses and midwives.
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Madison, Jeanne, and Richard Gates. "Australian registered nurses and sex-based harassment in the healthcare industry." Australian Health Review 19, no. 3 (1996): 14. http://dx.doi.org/10.1071/ah960014.
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This paper discusses sex-based harassment in the nursing profession in Australia. Thepaper generates industry-specific hypotheses which may provide insights into sex-basedharassment in the Australian context. A good understanding of sex-based harassmentin health care is essential for reducing and eliminating the problem and its toxicsequelae.
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Edirippulige, Sisira. "Australian nurses' perceptions of e-health." Journal of Telemedicine and Telecare 11, no. 5 (July 1, 2005): 266–68. http://dx.doi.org/10.1258/1357633054471803.
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Biedermann, Narelle. "Experiences of Australian Army Theatre Nurses." AORN Journal 75, no. 2 (February 2002): 335–46. http://dx.doi.org/10.1016/s0001-2092(06)61412-9.
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Schaller, Christine, and Erica L. James. "The nutritional knowledge of Australian nurses." Nurse Education Today 25, no. 5 (July 2005): 405–12. http://dx.doi.org/10.1016/j.nedt.2005.04.002.
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O'Keefe, E. J. "The evolution of sexual health nursing in Australia: a literature review." Sexual Health 2, no. 1 (2005): 33. http://dx.doi.org/10.1071/sh04010.
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Background: The purpose of this paper is to describe and encapsulate the elements of the sexual health nurse’s role in Australia. In Australia, sexual health nursing is a fast evolving speciality operating within a climate of diverse role expectations, settings and population groups. Today’s health care climate demands that nurses’ roles and their impact on patient care be held up to scrutiny. Methods: A literature review was conducted that used descriptive analysis to elicit the recurrent themes appearing in the Australian sexual health nursing literature that would describe the role. Results: A model of sexual health nursing was evident with the two primary themes of professional responsibility and patient care. The professional role included a philosophy of sharing nursing experiences, collaboration, employment in multiple settings, and the development of the role into advanced practice, appropriate academic and clinical preparation and a commitment to research. The patient care role included the provision of individual and holistic patient care, ability to access specific at-risk groups, clinical effectiveness, patient education and community development roles. Conclusion: Australian sexual health nurses make a specific and measurable contribution to the health care system. They are likely to continue to advance their role supported by appropriate research that validates their models of practice, continues their philosophy of sharing their experiences and that documents the impact they have on the health outcomes of individuals and populations.
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Soh, Sze-Ee, Renata Morello, Sheral Rifat, Caroline Brand, and Anna Barker. "Nurse perceptions of safety climate in Australian acute hospitals: a cross-sectional survey." Australian Health Review 42, no. 2 (2018): 203. http://dx.doi.org/10.1071/ah16172.
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Objectives The aim of the present study was to explore nurse perceptions of safety climate in acute Australian hospitals. Methods Participants included 420 nurses who have worked on 24 acute wards from six Australian hospitals. The Safety Attitudes Questionnaire (SAQ) Short Form was used to quantify nurse perceptions of safety climate and benchmarked against international data. Generalised linear mixed models were used to explore factors that may influence safety climate. Results On average, 53.5% of nurses held positive attitudes towards job satisfaction followed by teamwork climate (50.5%). There was variability in SAQ domain scores across hospitals. The safety climate and perceptions of hospital management domains also varied across wards within a hospital. Nurses who had worked longer at a hospital were more likely to have poorer perceptions of hospital management (β = –5.2; P = 0.014). Overall, nurse perceptions of safety climate appeared higher than international data. Conclusions The perceptions of nurses working in acute Victorian and New South Wales hospitals varied between hospitals as well as across wards within each hospital. This highlights the importance of surveying all hospital wards and examining the results at the ward level when implementing strategies to improve patient safety and the culture of safety in organisations. What is known about the topic? Prior studies in American nursing samples have shown that hospitals with higher levels of safety climate have a lower relative incidence of preventable patient complications and adverse events. Developing a culture of safety in hospitals may be useful in targeting efforts to improve patient safety. What does this paper add? This paper has shown that the perceptions of safety climate among nurses working in acute Australian hospitals varied between hospitals and across wards within a hospital. Only half the nurses also reported positive attitudes towards job satisfaction and teamwork climate. What are the implications for practitioners? Programs or strategies that aim to enhance teamwork performance and skills may be beneficial to improving the culture of safety in hospitals. Wards may also have their own safety ‘subculture’ that is distinct from the overall hospital safety culture. This highlights the importance of tailoring and targeting quality improvement initiatives at the ward level.
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Short, Christine. "Equal Pay—What Happened?" Journal of Industrial Relations 28, no. 3 (September 1986): 315–35. http://dx.doi.org/10.1177/002218568602800301.
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Following the equal pay decisions of 1969, 1972 and 1974, equality in award wages between the sexes was widely assumed to have been achieved in Australia, but this assumption may be incorrect. In this paper the historical discrimination inherent in Australia's wage fixing system is briefly described. Statistics on minimum award wages and the records of the federal and two state Industrial Commissions are used to show how equalpay was implemented from 1950 onwards. The implementation of the 1972 equal pay for work of equal value decision is examined in some detail to reveal how the decision was not fully applied to female-intensive work areas. This resulted from the way work value has been traditionally approached in Australia and the failure of unions to bring the necessary cases to the Commission. A nurses' award is compared with four male awards to show how the nurses soon lost most of what they gained from equal pay. Finally, the 1986 Australian Capital Territory and Victorian nurses' cases are used to show how, when unions press the case for equal pay, and present it competently, advances can be achieved within the present centralized wage fixing system.
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Morphet, Julia, Debra Griffiths, Virginia Plummer, Kelli Innes, Robyn Fairhall, and Jill Beattie. "At the crossroads of violence and aggression in the emergency department: perspectives of Australian emergency nurses." Australian Health Review 38, no. 2 (2014): 194. http://dx.doi.org/10.1071/ah13189.
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Objective Violence is widespread in Australian emergency departments (ED) and most prevalent at triage. The aim of the present study was to identify the causes and common acts of violence in the ED perceived by three distinct groups of nurses. Methods The Delphi technique is a method for consensus-building. In the present study a three-phase Delphi technique was used to identify and compare what nurse unit managers, triage and non-triage nurses believe is the prevalence and nature of violence and aggression in the ED. Results Long waiting times, drugs and alcohol all contributed to ED violence. Triage nurses also indicated that ED staff, including security staff and the triage nurses themselves, can contribute to violence. Improved communication at triage and support from management to follow up episodes of violence were suggested as strategies to reduce violence in the ED Conclusion There is no single solution for the management of ED violence. Needs and strategies vary because people in the waiting room have differing needs to those inside the ED. Participants agreed that the introduction and enforcement of a zero tolerance policy, including support from managers to follow up reports of violence, would reduce violence and improve safety for staff. Education of the public regarding ED processes, and the ED staff in relation to patient needs, may contribute to reducing ED violence. What is known about the topic? Violence is prevalent in Australian healthcare, and particularly in emergency departments (ED). Several organisations and government bodies have made recommendations aimed at reducing the prevalence of violence in healthcare but, to date, these have not been implemented consistently, and violence continues. What does this paper add? This study examined ED violence from the perspective of triage nurses, nurse unit managers and non-triage nurses, and revealed that violence is experienced differently by emergency nurses, depending on their area of work. Triage nurses have identified that they themselves contribute to violence in the ED by their style of communication. Nurse unit managers and non-triage nurses perceive that violence is the result of drugs and alcohol, as well as long waiting times. What are the implications for practitioners? Strategies to reduce violence must address the needs of patients and staff both within the ED and in the waiting room. Such strategies should be multifaceted and include education of ED consumers and staff, as well as support from management to respond to reports of violence.
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Barmanray, Rahul D., Lois M. Rowan, Joshua Tsan, Agnes E. Dodds, Karrie Long, Denise Heinjus, Mervyn Kyi, and Spiros Fourlanos. "Nursing perceptions of the importance of blood glucose monitoring in hospital wards." British Journal of Healthcare Management 26, no. 7 (July 2, 2020): 162–67. http://dx.doi.org/10.12968/bjhc.2020.0056.
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Background/Aims Diabetes mellitus is increasingly prevalent among hospital inpatients. Management requires regular blood glucose monitoring by nurses, yet research into nurse perceptions of glucose management importance is lacking. Methods A 5-point Likert-scale survey was administered to 718 nurses at an Australian tertiary centre. Nurses were predominantly from acute medical wards (57%) and in the first decade of their career (66%). Results The six tested aspects of glucose monitoring were perceived as important by the majority, but the importance of timely management of abnormal glucose was rated lower by clinical nurse educators (4.33 vs 4.70, P=0.019) and by nurses with 5 or more years of experience compared with first-year nurses. Both predictors remained significant following multivariable adjustment (educator status odds ratio 0.51, P=0.043, years of nursing experience odds ratio 0.84, P=0.018). Conclusions These findings imply that concurrent nurse (re-)education in glucose management should be considered in the design and implementation of future glucose management programmes.
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Sheehan, Cathy, Tse Leng Tham, Peter Holland, and Brian Cooper. "Psychological contract fulfilment, engagement and nurse professional turnover intention." International Journal of Manpower 40, no. 1 (April 1, 2019): 2–16. http://dx.doi.org/10.1108/ijm-08-2017-0211.
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Purpose The purpose of this paper is to analyse the effect of nurses’ experience of the fulfilment of their psychological contract on their intention to leave the nursing profession and to consider employee engagement as a mediator between the fulfilment of the psychological contract of nurses and their intention to leave their profession. Design/methodology/approach The authors used a quantitative, cross-sectional research design. In total, 1,039 Australian nurses completed an anonymous online survey conducted via the Australian Nursing and Midwifery Federation website. Structural equation modelling was used to test the hypotheses. Findings The fulfilment of promises related to interesting job content and social atmosphere were negatively associated with intentions to leave the nursing profession, and these relationships were mediated by engagement. The fulfilment of promises related to career development, financial rewards and work–life balance were not associated with intentions to leave the nursing profession. Research limitations/implications To ensure professional nurse retention, it is necessary to not just promise nurses interesting jobs and a supportive social atmosphere, but to manage nurse perceptions regarding the fulfilment of these promises. Originality/value Although there has been extensive research on nurse intention to leave their current job, the important area of nurse professional turnover has received less attention. The research highlights the importance of fulfilling expectations and promises related to interesting nurse job content that encourages nurse responsibility and autonomy as well as promises of a social atmosphere that includes co-operative relationships and good communication with colleagues.
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Fletcher, Angharad. "Sisters Behind the Wire: Reappraising Australian Military Nursing and Internment in the Pacific during World War II." Medical History 55, no. 3 (July 2011): 419–24. http://dx.doi.org/10.1017/s0025727300005500.
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During the Second World War, approximately 3,500 Australian military nurses served in combat regions throughout the world. The vast majority were enlisted in the Australian Army Nursing Service (AANS), but after the Japanese advance and the fall of Hong Kong (December 1941) and Singapore (February 1942), a significant number of these nurses spent three-and-a-half years as POWs in Indonesia, Hong Kong, Japan and the Philippines. To date, considerable research has been undertaken on POW experiences in Hong Kong, Singapore, Thailand and Japan, albeit primarily focused on the testimonies of men and civilian women. This body of research utilises various methodologies, from Yuki Tanaka and Kei Ushimura's efforts to reconcile Japanese war crimes with the corruption of the Bushido ethic and sexual violence in contemporary Japanese society, to Christina Twomey's work on the imprisonment and repatriation of Dutch, Dutch–Eurasian and Australian civilian women and children. In the past fifteen years, historians have become aware of the need to recognise the multiplicity of these experiences, rather than continuing to focus on individual community, camp or regional case studies. Nurses are by no means absent from the discussion, although the majority of notable works on this subject focus on Hong Kong or the Philippines and adopt a descriptive and somewhat anecdotal approach. At the same time, scant critical attention has been paid to the internment of nurses in Indonesia despite a wealth of material kept in the Australian War Memorial (AWM) and National Archives of Australia (NAA).
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Mclean, A. S., and E. J. Egan. "Australian Intensive Care Educational Links with Asian Countries." Anaesthesia and Intensive Care 23, no. 6 (December 1995): 718–20. http://dx.doi.org/10.1177/0310057x9502300612.
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A survey examining the level of Australian Intensive Care Unit involvement in the education of Asian critical care doctors and nurses was performed. Of the 49 hospitals surveyed, 34% have ongoing links. An analysis of countries involved, proportion of medical and nursing numbers, and whether the teaching was performed in Australia or the Asian country was undertaken. The survey revealed that a high proportion of Australian Intensive Care Units are actively involved, or would consider future participation, in educational links with Asian units.
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Freene, Nicole, Sophie Cools, Danny Hills, Bernie Bissett, Kate Pumpa, and Gabrielle Cooper. "A wake-up call for physical activity promotion in Australia: results from a survey of Australian nursing and allied health professionals." Australian Health Review 43, no. 2 (2019): 165. http://dx.doi.org/10.1071/ah16240.
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Objective Nursing and allied health professionals (AHPs) are in an ideal position to promote physical activity (PA) as part of their health care provision. The aim of this study was to investigate current promotion and knowledge of PA among people in these disciplines. Methods A cross-sectional online survey of practicing Australian physiotherapists, nurses, exercise physiologists, occupational therapists, dietitians and pharmacists was conducted in 2016. Results A total of 433 nurses and AHPs completed the survey. All disciplines agreed that providing PA advice was part of their role, although nurses were less likely to agree. All disciplines felt they had the skills to promote PA but nurses were more likely to report a lack of time as a barrier. Physiotherapists and exercise physiologists were more confident giving PA advice to patients. Most health professionals (68%) were aware of the PA guidelines, although only 16% were accurately able to describe all relevant components. In logistic regression modelling, women and those working in public hospitals were less likely to encourage PA. Awareness of the PA guidelines doubled the odds of encouraging PA in patients (odds ratio 2.01, 95% confidence interval 1.18–3.43). Conclusions Australian nurses and AHPs perceive that PA promotion is part of their role, however few have specific knowledge of the PA guidelines. To increase PA promotion by nurses and AHPs awareness of the PA guidelines appears to be essential. What is known about the topic? Nurses and AHPs are in an ideal position to promote PA, although there is limited evidence of their PA promotion and knowledge. What does the paper add? Australian nurses and AHPs are confident and think it is feasible to promote PA to patients in several healthcare settings but many lack sufficient PA knowledge, limiting their PA promotion. What are the implications for practitioners? Increasing PA knowledge of nurses and AHPs could generate increased levels of PA in the Australian population and improve national health and wellbeing.
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Joyce, Terry, Isabel Higgins, Parker Magin, Susan Goode, Dimity Pond, Teresa Stone, Stephen Elsom, and Kerry O'Neill. "Nurses' perceptions of a mental health education programme for Australian nurses." International Journal of Mental Health Nursing 20, no. 4 (March 8, 2011): 247–52. http://dx.doi.org/10.1111/j.1447-0349.2010.00737.x.
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Wilson, Janice, and Andrew Retsas. "Australian nurses' personal constructs about effective nurses—A repertory grid approach." Journal of Professional Nursing 13, no. 3 (May 1997): 193–99. http://dx.doi.org/10.1016/s8755-7223(97)80071-3.
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Boldy, Duncan, Phillip Della, Rene Michael, Mark Jones, and Shelley Gower. "Attributes for effective nurse management within the health services of Western Australia, Singapore and Tanzania." Australian Health Review 37, no. 2 (2013): 268. http://dx.doi.org/10.1071/ah12173.
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Objective. To identify the perceptions of nurse managers in Western Australia, Singapore and Tanzania regarding desirable attributes for effective management of their health services, and to identify and discuss the implications for health-management education provided by Australian universities. Methods. Nurse managers completed a questionnaire covering four key dimensions: personality characteristics, knowledge and learning, skills, and beliefs and values. Each of 75 items were rated as to their effect on management effectiveness, according to a 5-point Likert scale. Results. Skills were considered the most important for management effectiveness by each group. Tanzanian respondents rated knowledge and learning almost as highly, and significantly higher than Western Australian respondents. They also rated personality characteristics and beliefs and values significantly higher than Western Australian respondents. No significant differences were found between Singapore and Western Australia. Conclusions. Participants desired a different relative mix of attributes in their nurse managers, with Western Australian respondents most likely to indicate that transformational leadership contributed most to managerial effectiveness. Tanzanian nurse managers were most likely to advocate transactional leadership, whereas Singaporean nurse managers’ views were located somewhere between. Given that these perceptions are valid, the content and curricula of management-development courses need to be cognisant of the cultural backgrounds of participants. What is known about the topic? Views differ as to the extent to which the criteria for management effectiveness are broadly universal or contingent on culture. This applies to the area of nurse management as it does to healthcare management in general. What does this paper add? It is demonstrated that each of the three quite different countries or states considered identified a distinctive combination of attributes as desirable, with the nurse managers of Western Australia most likely to favour a transformational style of leadership, those from Tanzania a transactional leadership style and those from Singapore somewhere in between. What are the implications for practitioners? Given the country- or state-specific desire for a different relative mix of attributes in their nurse managers, management educators in Australia need to ensure that the content and curricula of their courses are cognisant of the cultural backgrounds of their students. There are also important lessons to be taken on board regarding recruitment of nurses into management positions in terms of each of the four dimensions considered, particularly in terms of desirable personality characteristics and beliefs and values.
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Crawford, Heather M., and Michael C. Calver. "Attitudes and Practices of Australian Veterinary Professionals and Students towards Early Age Desexing of Cats." Animals 9, no. 1 (December 20, 2018): 2. http://dx.doi.org/10.3390/ani9010002.
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Surgical desexing of cats is typically carried out after six months of age (Mature Age Desexing, MAD); between 4–6 months (Traditional Age Desexing, TAD); or before four months (Early Age Desexing, EAD). We complemented existing surveys of veterinarians’ acceptance of EAD with online and face-to-face surveys, to ascertain the preferred desexing ages for cats and rationale of 957 Australian veterinarians, veterinary nurses, veterinary science students, and veterinary nursing students. A complementary survey of 299 veterinary practice websites across Australia documented any information provided about desexing cats. The most common reason for preferred desexing ages was reducing stray cat populations (30%); 78% of these respondents chose ages aligning with EAD. Vet nurses and nursing students were more conservative than vets or vet students, preferring to desex cats >4 months. Perceived anaesthetic risk was a major motivation, especially for nurses ≤5 years’ experience. Across 299 urban practices in Australian capital cities, 55% of surveyed websites provided no information about desexing cats or listed desexing without explaining why it was necessary, or when to perform it. Increasingly, Australian legislatures mandate desexing of cats by three months of age, so the practices of some current/future veterinary professionals do not match changing legislation.
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Jelinek, G. A., T. J. Weiland, C. Mackinlay, N. Hill, and M. F. Gerdtz. "Perceived Differences in the Management of Mental Health Patients in Remote and Rural Australia and Strategies for Improvement: Findings from a National Qualitative Study of Emergency Clinicians." Emergency Medicine International 2011 (2011): 1–7. http://dx.doi.org/10.1155/2011/965027.
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Introduction. We aimed to describe perceptions of Australian emergency clinicians of differences in management of mental health patients in rural and remote Australia compared with metropolitan hospitals, and what could be improved.Methods. Descriptive exploratory study using semi-structured telephone interviews of doctors and nurses in Australian emergency departments (EDs), stratified to represent states and territories and rural or metropolitan location. Content analysis of responses developed themes and sub-themes.Results. Of 39 doctors and 32 nurses responding to email invitation, 20 doctors and 16 nurses were interviewed. Major themes were resources/environment, staff and patient issues. Clinicians noted lack of access in rural areas to psychiatric support services, especially alcohol and drug services, limited referral options, and a lack of knowledge, understanding and acceptance of mental health issues. The clinicians suggested resource, education and guideline improvements, wanting better access to mental health experts in rural areas, better support networks and visiting specialist coverage, and educational courses tailored to the needs of rural clinicians.Conclusion. Clinicians managing mental health patients in rural and remote Australian EDs lack resources, support services and referral capacity, and access to appropriate education and training. Improvements would better enable access to support and referral services, and educational opportunities.
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Rapport, Frances, Karen Hutchinson, Geoffrey K. Herkes, Andrew Bleasel, Armin Nikpour, Tayhla Ryder, Chong Wong, et al. "Determining the role and responsibilities of the Australian epilepsy nurse in the management of epilepsy: a study protocol." BMJ Open 11, no. 1 (January 2021): e043553. http://dx.doi.org/10.1136/bmjopen-2020-043553.
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IntroductionEpilepsy is a common neurological condition affecting between 3% and 3.5% of the Australian population at some point in their lifetime. The effective management of chronic and complex conditions such as epilepsy requires person-centred and coordinated care across sectors, from primary to tertiary healthcare. Internationally, epilepsy nurse specialists are frequently identified as playing a vital role in improving the integration of epilepsy care and enhancing patient self-management. This workforce has not been the focus of research in Australia to date.Methods and analysisThis multistage mixed-method study examines the role and responsibilities of epilepsy nurses, particularly in primary and community care settings, across Australia, including through the provision of a nurse helpline service. A nationwide sample of 30 epilepsy nurses will be purposively recruited via advertisements distributed by epilepsy organisations and through word-of-mouth snowball sampling. Two stages (1 and 3) consist of a demographic questionnaire and semistructured interviews (individual or group) with epilepsy nurse participants, with the thematic data analysis from this work informing the areas for focus in stage 3. Stage 2 comprises of a retrospective descriptive analysis of phone call data from Epilepsy Action Australia’s National Epilepsy Line service to identify types of users, their needs and reasons for using the service, and to characterise the range of activities undertaken by the nurse call takers.Ethics and disseminationEthics approval for this study was granted by Macquarie University (HREC: 52020668117612). Findings of the study will be published through peer-reviewed journal articles and summary reports to key stakeholders, and disseminated through public forums and academic conference presentations. Study findings will also be communicated to people living with epilepsy and families.
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Twigg, Diane E., Christine Duffield, and Gemma Evans. "The critical role of nurses to the successful implementation of the National Safety and Quality Health Service Standards." Australian Health Review 37, no. 4 (2013): 541. http://dx.doi.org/10.1071/ah12013.
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The National Safety and Quality Health Service Standards requires health service compliance by 2013 and covers several areas including governance arrangements, partnerships with consumers and eight key clinical processes. Nurses in Australia comprise 62% of the hospital workforce, are the largest component and hence play a critical role in meeting these standards and improving the quality of patient care. Several of the standards are influenced by nursing interventions, which incorporate any direct-care treatment that the nurse performs for a patient that may be nurse or physician initiated. The ability for nurses to undertake these interventions is influenced by the hours of care available, the skill mix of the nursing workforce and the environment in which they practice. Taking into consideration the predicted nursing shortages, the challenge to successfully implement the National Safety and Quality Health Service Standards will be great. This paper examines the role of nursing in the delivery of the National Standards, analyses the evidence with regard to nursing-sensitive outcomes and discusses the implications for health service decision makers and policy. What is known about the topic? The National Safety and Quality Health Service Standards have been endorsed for implementation by the Australian Health Ministers. Compliance with the National Safety and Quality Health Service Standards is required by Health Services in 2013. Nurses play a critical role in providing high-quality patient care and meeting accreditation standards. A decline in nursing standards is associated with inadequate staffing levels and skill mix and a lack of effective leadership and results in an increase in patient mortality. What does this paper add? The role of nurses in achieving compliance with the standards is discussed. We demonstrate that the capacity for nurses to undertake interventions is influenced by prevailing workforce characteristics. Significant nursing shortages have been identified as possible challenges to successfully implementing the National Safety and Quality Health Service Standards. What are the implications for practitioners? Practitioners need to review nursing hours of care, skill mix and the practice environment as part of the actions required to achieve the National Quality and Safety Standards. The Australian Commission on Safety and Quality in Health Care has the opportunity to take the lead by including such indicators in the measurement of hospital performance.
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Parkinson, Anne M., and Rhian Parker. "Addressing chronic and complex conditions: what evidence is there regarding the role primary healthcare nurses can play?" Australian Health Review 37, no. 5 (2013): 588. http://dx.doi.org/10.1071/ah12019.
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Primary healthcare services in Australia need to respond to the needs of an ageing population and the rising prevalence of chronic and complex conditions in that population. This paper reports on the results of a comprehensive Australian and international literature review on nurse-led and nurse-involved primary healthcare interventions with a particular focus on those serving people with chronic and complex conditions and hard to reach populations. The key question this review addresses is: what role can nurses play in primary healthcare to manage people with chronic and complex conditions? International evidence demonstrates that nurses working in primary care provide effective care, have high patient satisfaction and patients are more likely to comply with nurse instructions than general practitioner instructions. Nurses can provide care equivalent to doctors within their scope of practice but have longer consultations. Lifestyle interventions provided by nurses have been shown to be effective for cardiac care, diabetes care, smoking cessation and obesity. The nursing workforce can provide appropriate, cost-effective and high-quality primary healthcare within their scope of practice. What is known about the topic? The prevalence of chronic disease worldwide is increasing due to our lifestyles and ageing populations combined with our extended lifespans. People living in rural and remote areas have higher rates of disease and injury, and poorer access to healthcare. In particular, many older people suffer multiple chronic and complex conditions that require significant clinical management. Nurses are playing increasingly important roles in the delivery of primary healthcare worldwide and international evidence demonstrates that nurses can provide equivalent care to doctors within their scope of practice but have longer consultations. What does this paper add? There is clear international evidence that nurses can play a more significant role in supporting preventive activities and addressing the needs of an ageing population with chronic and complex conditions. In contrast with earlier evidence, recent evidence suggests that nurses may provide the most cost-effective care. What are the implications for practitioners? Adequately prepared nurses can provide a range of effective and cost-effective primary healthcare services in chronic disease management. Studies report that patients are satisfied with nursing care. Nurses should be utilised to their full scope of practice to provide ongoing care to these populations.
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J, Vine, Shahwan-Akl L, Maude P, Jones LK, and Kimpton A. "Nurses knowledge and attitudes to individuals who self-harm: A quantitative exploration." Journal of Hospital Administration 6, no. 5 (August 2, 2017): 1. http://dx.doi.org/10.5430/jha.v6n5p1.
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Objective: Self-injury can be described as the deliberate destruction of the body without the intent to die, and is a distinct clinical presentation needing to be assessed separately from suicide and para-suicide. Nurses attitude to self-injury is a largely unexplored area particularly within Australia. The aim of this paper is to explore Australian general and mental health nurses’ attitudes towards self-injury taking into account their preparation as registered nurses (RNs) or enrolled nurses (ENs) and length of experience.Methods: This was a mixed methods exploratory design study. Phase one used a combination of two established surveys, the Self-Harm Antipathy Scale (SHAS) and the Attitudes Towards Deliberate Self-Harm Questionnaire (ATDSHQ). Nurses who were either RNs or ENs, mental health educated (MHE) or not, working in the area of mental health or emergency departments (ED) were recruited through a number of professional nursing organisations. A total of 172 nurses completed the phase one online questionnaire. The results of this survey are reported in this paper.Results: The key findings indicated a significant relationship between years of mental health nursing experience and mental health nursing qualification. A significant difference was noted in the knowledge level of self-injury between the mental health nurses who had a greater knowledge compared to those who were not mental health educated. Lastly, the attitudes of nurses to self-injury were generally found to be positive.Conclusions: These results extend much of what is in the literature on knowledge, attitudes and beliefs of nurses to non-suicidal self-injury (NSSI) and place these results in an Australian context. Further research to assess the effectiveness of increased education and community engagement should be undertaken.
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Fernandez, Ritin, Heidi Lord, Lorna Moxham, Rebekkah Middleton, and Elizabeth Halcomb. "Anxiety among Australian nurses during COVID-19." Collegian 28, no. 4 (August 2021): 357–58. http://dx.doi.org/10.1016/j.colegn.2021.05.002.
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Knight, Vickie M., Nikki Corkill, Debbie Pittam, Annette Dillon, and Caron Marks. "Australian sexual health nurses: Variations in practice." Contemporary Nurse 15, no. 1-2 (August 2003): 140–47. http://dx.doi.org/10.5172/conu.15.1-2.140.
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Tattam, Amanda. "A common bond with the Australian nurses." Nursing Standard 3, no. 14 (December 31, 1988): 10–11. http://dx.doi.org/10.7748/ns.3.14.10.s15.
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Kenny, Amanda, and Ann Allenby. "Implementing clinical supervision for Australian rural nurses." Nurse Education in Practice 13, no. 3 (May 2013): 165–69. http://dx.doi.org/10.1016/j.nepr.2012.08.009.
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Bull, Rosalind, and Mary FitzGerald. "Nurses' Advocacy in an Australian Operating Department." AORN Journal 79, no. 6 (June 2004): 1265–74. http://dx.doi.org/10.1016/s0001-2092(06)60881-8.
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