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Journal articles on the topic 'Emergency nursing Australia'

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Author: Grafiati

Published: 10 December 2022

Last updated: 28 January 2023

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1

Ranse, J., P. Arbon, R. Shaban, J. Considine, B. Mitchell, and S. Lenson. "(A49) Disaster Content Varies in Australian Postgraduate Tertiary Emergency Nursing Courses: Implications for Educational Preparedness." Prehospital and Disaster Medicine 26, S1 (May 2011): s15. http://dx.doi.org/10.1017/s1049023x11000616.

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Emergency nurses have key roles in responding to healthcare disasters. Emergency nurses often complete postgraduate qualifications in their area of specialty to equip them with a breadth and depth of knowledge to respond to the challenges and complexities of emergency nursing care. However, little is known about the disaster preparedness of emergency nurses in Australia. More specifically, the educational preparedness and training for disaster nursing roles is not well understood. This purpose of this study is to describe the disaster content of Australian postgraduate tertiary emergency nursing courses as a means of better understanding emergency nurses' educational preparedness for disaster. An exploratory, descriptive approach was used to survey postgraduate tertiary emergency nursing course convenors. Data were collected from course convenors by structured telephone interview. Questions included: (1) nursing background; (2) demographics and disaster experience of course convenors; (3) course type, duration and mode of delivery; and (4) the type and amount of disaster content. Currently, 12 universities in Australia offer postgraduate courses specific to Emergency Nursing, ranging from Graduate Certificates to Masters Degree level. Of these universities, 10 participated in this research project. This presentation will report on the demographics of course convenors, including their disaster education and experience. However, the focus of the presentation will be on the review of the course content. Seven courses had some disaster content, while three had none. The disaster content in these courses varied in both content and duration. Three had learning objectives, and one had an assessment item related to disasters. Five had recent modifications relating to disaster content; this was in response to real-world events, such as terrorism and communicable diseases. This research highlights that the disaster content in Australian postgraduate emergency nursing courses varies. This finding supports the need for national consistency and supporting framework for disaster content in post-graduate courses. The 2009 Ben Morley Scholarship, a financial award sponsored by the College of Emergency Nursing Australasia, supported this research.

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Markham, Helen. "Down under: emergency nursing in Australia." Emergency Nurse 9, no. 3 (June 2001): 8–10. http://dx.doi.org/10.7748/en.9.3.8.s12.

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Markham, Helen. "Down under emergency nursing in Australia." Emergency Nurse 9, no. 3 (June 2001): 8–10. http://dx.doi.org/10.7748/en.9.3.8.s9.

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4

Finucane, Julie. "Two colleges for emergency nursing in Australia." Australian Emergency Nursing Journal 7, no. 1 (January 2004): 7. http://dx.doi.org/10.1016/s1328-2743(03)80071-8.

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Clark-Burg, Karen. "Future Perioperative Registered Nurses: An Insight into a Perioperative Programme for Undergraduate Nursing Students." Journal of Perioperative Practice 18, no. 10 (October 2008): 432–35. http://dx.doi.org/10.1177/175045890801801001.

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An Australian College of Operating Room Nurses (ACORN) submission (ACORN 2002–2008) recently stated that the specialities that suffered significantly from the transition of hospital-based nursing training to university training were the perioperative specialty, critical care and emergency. The main reason for this was that perioperative nursing was not included in the undergraduate nursing curriculum. Less than a handful of universities in Australia offer the subject as a compulsory unit. The University of Notre Dame Australia (UNDA) is one of these universities. This paper will provide an insight into the perioperative nursing care unit embedded within the Bachelor of Nursing (BN) undergraduate curriculum.

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Ryan, Norbert. "Reopening a hospital laboratory in Banda Aceh." Microbiology Australia 26, no. 4 (2005): 169. http://dx.doi.org/10.1071/ma05169.

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Medical team GOLF departed Melbourne on Australia Day bound for Banda Aceh. This was an AusAID initiative coordinated by Emergency Management Australia (EMA). The group of 24 was the seventh Australian government team sent to tsunami devastated areas. The team consisted of surgeons, anaesthetists, nursing staff, paramedics, environmental and public health experts and a laboratory team, comprising Dr Geoff Hogg (pathologist), Kay Withnall and myself. Our brief was to provide public health and medical support to communities affected by the tsunami, to coordinate with other agencies and to support local health authorities.

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Considine, Julie, Kate Curtis, Ramon Z. Shaban, and Margaret Fry. "Consensus-based clinical research priorities for emergency nursing in Australia." Australasian Emergency Care 21, no. 2 (May 2018): 43–50. http://dx.doi.org/10.1016/j.auec.2018.03.001.

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Hudson, Paul V., and Andrea P. Marshall. "Extending the nursing role in Emergency Departments: Challenges for Australia." Australasian Emergency Nursing Journal 11, no. 1 (February 2008): 39–48. http://dx.doi.org/10.1016/j.aenj.2007.11.003.

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9

Kerr, Susie. "The pain interest group — Nursing issues (Australia)." Acute Pain 2, no. 4 (December 1999): 201. http://dx.doi.org/10.1016/s1366-0071(99)80021-7.

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McKinley, Sharon, and Leanne M. Aitken. "Securing the future of critical care nursing in Australia." Australian Critical Care 20, no. 1 (February 2007): 3–5. http://dx.doi.org/10.1016/j.aucc.2006.11.004.

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Davidson, Patricia M., and Simon Stewart. "Heart failure nursing in Australia: Past, present and future." Australian Critical Care 22, no. 3 (August 2009): 108–10. http://dx.doi.org/10.1016/j.aucc.2009.06.006.

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Morphet, Julia, Lisa McKenna, and Julie Considine. "The Career Development Year: Responding to the emergency nursing shortage in Australia." Australasian Emergency Nursing Journal 11, no. 1 (February 2008): 32–38. http://dx.doi.org/10.1016/j.aenj.2007.11.001.

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13

Plummer, V. M., T. Telepo, and S. Suryanto. "(A51) Facilitating Disaster Nursing Research in Oceania Region." Prehospital and Disaster Medicine 26, S1 (May 2011): s15—s16. http://dx.doi.org/10.1017/s1049023x1100063x.

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“Facilitating disaster nursing research in Oceania Region” Natural disasters in the Oceania region and surrounds include for example earthquakes, volcanic eruptions (Rabaul, PNG, 1994, Merapi, Indonesia 2006), tsunamis, floods,(Indian Ocean 2004) fires, drought (Australia, 2009) and also pest plaques and pandemics which affected the broader international community. Between 1980 and 2008, there were 380 disaster events reported in the Oceania region in which 4,450 people died. That is approximately 154 deaths and 668,786 people affected at a cost of approximately $US 889 million per year. However despite this significant number of deaths and injuries, there is limited reporting on the nursing experience during such disasters or the impact of nursing on communities during response and recovery. This is due to the prioritised clinical focus of nursing resources of most countries during these events. A network of authors and researchers is being established in the area to support the reporting of nursing research in developing countries such as Papua New Guinea, Fiji, the Solomon Islands, Vanuatu, and Indonesia where nurses receive little post basic education, have limited opportunities to review the evidence for practice in disaster and emergency nursing, yet are regularly required to support the multidisciplinary disaster health team without essential support from the nursing research community. The network is essentially web-based and consists of a translational research approach via a network grid of researchers in response to a disaster event. Researchers from neighboring countries not clinically involved in the event respond by discovering and accessing data, analysing and reporting through a portal that enables timely reporting for discussion, publication, e-learning and dissemination of contemporary disaster nursing practices. This paper will report on the development of the network and its nexus with the WADEM Nursing Research Committee.

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Andrade, Luciana Aparecida Soares de, Sulamita de Paula Santos, Roselene Campos Corpolato, Mariluci Hautsch Willig, Maria de Fátima Mantovani, and Alessandra Luciana Aguilera. "Elderly care in the emergency department: an integrative review." Revista Brasileira de Geriatria e Gerontologia 21, no. 2 (April 2018): 243–53. http://dx.doi.org/10.1590/1981-22562018021.170144.

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Abstract Objective: To identify the care practices of nurses for the elderly in emergency departments. Method: An integrative review was carried out in the CAPES database, selecting publications in English, Portuguese and Spanish published between January 2011 and October 2016. The descriptors used were: "Emergency nursing"; "Geriatric nursing"; "Health services for the elderly"; "Elderly person"; "Nursing care". Results: Sixteen articles were analyzed in English, the majority of which had a qualitative approach (56.2%). Australia had the largest number of publications (31.2%). After reading the studies in full, the common themes were organized and classified into three categories: Challenges/difficulties in the care of the elderly in the emergency department, Positive experiences of elderly care in the emergency department and The emergency department as a space of death and dying. Conclusion: The care practices of nurses are focused on identifying the main problems regarding elderly care, adaptation and the planning of their work routine. Another strategy is the implementation of instruments of evaluation specific to elderly patients and the involvement of the family in all stages of care.

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Burns, Penelope L., Gerard J. FitzGerald, Wendy C. Hu, Peter Aitken, and Kirsty A. Douglas. "General Practitioners’ Roles in Disaster Health Management: Perspectives of Disaster Managers." Prehospital and Disaster Medicine 37, no. 1 (December 3, 2021): 124–31. http://dx.doi.org/10.1017/s1049023x21001230.

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AbstractIntroduction:General Practitioners (GPs) are inevitably involved when disaster strikes their communities. Evidence of health care needs in disasters increasingly suggests benefits from greater involvement of GPs, and recent research has clarified key roles. Despite this, GPs continue to be disconnected from disaster health management (DHM) in most countries.Study Objective:The aim of this study was to explore the perspectives of disaster management professionals in two countries, across a range of all-hazard disasters, regarding the roles and contributions of GPs to DHM, and to identify barriers to, and benefits of, more active engagement of GPs in disaster health care systems.Methods:A qualitative research methodology using semi-structured interviews was conducted with a purposive sample of Disaster Managers (DMs) to explore their perspectives arising from experiences and observations of GPs during disasters from 2009 through 2016 in Australia or New Zealand. These involved all-hazard disasters including natural, man-made, and pandemic disasters. Responses were analyzed using thematic analysis.Results:These findings document support from DM participants for greater integration of GPs into DHM with New Zealand DMs reporting GPs as already a valuable integrated contributor. In contrast, Australian DMs reported barriers to inclusion that needed to be addressed before sustained integration could occur. The two most strongly expressed barriers were universally expressed by Australian DMs: (1) limited understanding of the work GPs undertake, restricting DMs’ ability to facilitate GP integration; and (2) DMs’ difficulty engaging with GPs as a single group. Other considerations included GPs’ limited DHM knowledge, limited preparedness, and their heightened vulnerability.Strategies identified to facilitate greater integration of GPs into DHM where it is lacking, such as Australia, included enhanced communication, awareness, and understanding between GPs and DMs.Conclusion:Experience from New Zealand shows systematic, sustained integration of GPs into DHM systems is achievable and valuable. Findings suggest key factors are collaboration between DMs and GPs at local, state, and national levels of DHM in planning and preparedness for the next disaster. A resilient health care system that maximizes capacity of all available local health resources in disasters and sustains them into the recovery should include General Practice.

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Smith, Erin, Lisa Holmes, Brigid Larkin, Brennen Mills, and Mark Dobson. "Supporting Volunteer Firefighter Well-Being: Lessons from the Australian “Black Summer” Bushfires." Prehospital and Disaster Medicine 37, no. 2 (March 2, 2022): 273–76. http://dx.doi.org/10.1017/s1049023x22000322.

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AbstractIntroduction:The 2019-2020 “Black Summer” bushfires in Australia focused the attention of the nation on the critical role that volunteer firefighters play in the response to such a disaster, spurring a national conversation about how to best support those on the frontline. The objective of this research was to explore the impact of the Black Summer bushfires on volunteer firefighter well-being and to investigate how to deliver effective well-being support.Methods:An explorative qualitative design underpinned by a phenomenological approach was applied. Participant recruitment followed a multi-modal sampling strategy and data were collected through semi-structured, in-depth interviews.Results:Qualitative data were collected from 58 participants aged from 23 to 61-years-of-age (average age of 46 years). All self-reported as volunteer firefighters who had responded to the Black Summer bushfires in Australia. Just over 80% of participants were male and the majority lived in the Australian states of New South Wales (65%) and Victoria (32%). All participants reported impact on their well-being, resulting from cumulative trauma exposure, responding to fires in local communities, intense work demands, minimal intervals between deployments, and disruption to primary employment. In regard to supporting well-being, four key themes emerged from data analysis: (1) Well-being support needs to be both proactive and reactive and empower local leaders to “reach in” while encouraging responders to “reach out;” (2) Employee Assistance Programs (EAPs) should not be the only well-being support option available; (3) The sharing of lived experience is important; and (4) Support programs need to address self-stigmatization.Conclusion:Participants in this research identified that effective well-being support needs to be both proactive and reactive and holistic in approach.

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Davis, Barbara A., and Helen A. Bush. "Patient Satisfaction of Emergency Nursing Care in the United States, Slovenia, and Australia." Journal of Nursing Care Quality 18, no. 4 (October 2003): 267–74. http://dx.doi.org/10.1097/00001786-200310000-00004.

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Gardner, Glenn, Anne Gardner, Sandy Middleton, Julie Considine, Gerard Fitzgerald, Luke Christofis, Anna Doubrovsky, Margaret Adams, and Jane O'Connell. "Mapping workforce configuration and operational models in Australian emergency departments: a national survey." Australian Health Review 42, no. 3 (2018): 340. http://dx.doi.org/10.1071/ah16231.

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Objective Hospital emergency departments (ED) in Australia and internationally have been experiencing increased demand, resulting in reduced hospital quality, impaired access and adverse health outcomes. Effective evaluation of new ED service models and their effect on outcomes is reliant on baseline measures of the staffing configuration and organisational characteristics of the EDs being studied. The aim of the present study was to comprehensively measure these variables in Australian EDs. Methods Australian hospital EDs with 24-h medical and nursing cover were identified and invited to participate in the study. Telephone interviews were conducted with nursing or medical department managers to collect data related to hospital characteristics, ED workforce and training and ED service and operational models. Results Surveys were completed in 87% of the population sample (n = 135). Metropolitan EDs were significantly more likely to retain higher full-time equivalents (FTEs) in several medical (staff specialist, registrar, resident and intern) and nursing (nurse practitioner (NP), nurse educator, nurse unit manager and registered nurse) positions. NPs were employed by 52% of Australian EDs overall, but this ranged from 40% to 75% depending on jurisdiction. The most commonly used operational models were FastTrack teams (72% of EDs), short-stay/observational unit (59%) and patient liaison models for aged care (84%) and mental health (61%). EDs that employed NPs were significantly more likely to use FastTrack (P = 0.002). Allied health services most frequently available within these EDs were radiology (60%), social work (69%), physiotherapy (70%) and pharmacy (65%). Conclusions The present study has established a baseline measure of the staffing configuration and organisational characteristics of Australian EDs. What is known about the topic? EDs are overcrowded due, in part, to the combined effect of increased service demand and access block. Innovative service and workforce models have been implemented by health departments aiming to improve service and performance. National uptake of these service and workforce innovations is unknown. What does this paper add? The present study is the most comprehensive to date profiling Australian EDs covering hospital characteristics, workforce configuration, operational models and NP service patterns and practice. What are the implications for practitioners? Information from the present study will assist health service planners to evaluate workforce and service reform models, and to monitor trends in emergency service development.

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Jennings, Natasha, Gerard O'Reilly, Geraldine Lee, Peter Cameron, Belinda Free, and Michael Bailey. "Evaluating outcomes of the emergency nurse practitioner role in a major urban emergency department, Melbourne, Australia." Journal of Clinical Nursing 17, no. 8 (April 2008): 1044–50. http://dx.doi.org/10.1111/j.1365-2702.2007.02038.x.

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Hegney, Desley, Elizabeth Buikstra, Chris Chamberlain, Judy March, Michelle McKay, Gail Cope, and Tony Fallon. "Nurse discharge planning in the emergency department: a Toowoomba, Australia, study." Journal of Clinical Nursing 15, no. 8 (August 2006): 1033–44. http://dx.doi.org/10.1111/j.1365-2702.2006.01405.x.

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Ranse, J., and S. Lenson. "(A111) Role, Resources, and Clinical and Educational Backgrounds of Nurses Who Participated in the Prehospital Response to the 2009 Bushfires in Victoria, Australia." Prehospital and Disaster Medicine 26, S1 (May 2011): s31. http://dx.doi.org/10.1017/s1049023x11001130.

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The bushfires of February 2009 in Victoria, Australia resulted in the deaths of 173 people and caused injuries to 414. Furthermore, > 2,030 houses and 3,500 structures were destroyed. The role and experience of nurses in this environment are not well understood, and little is known about the clinical and education background of nurses in this setting. This presentation will provide an overview of the bushfires and report on two research projects. The aims of these projects were to explore participant demographics and various aspects of nursing activities in the prehospital environment. These projects used volunteer nursing members of St John Ambulance Australia who responded to the Victorian fires. The first project used a retrospective, descriptive postal survey, and the second was descriptive and exploratory, using semi-structured interviews as a means of data collection. The survey highlighted that nurses had varying clinical and educational backgrounds. Males were overrepresented when compared to the national average of nurses. Most participants had taken disaster-related education, however, this varied in type and duration. Similarly, most had participated in training or mock disasters; however this usually was not related to bushfire emergencies. The qualitative findings identified two main themes having expansive roles and being prepared. These highlighted that nurses maintained a variety of roles, such as clinicians, emotional supporters, coordinators and problem solvers, and they were well prepared for these roles. This research provided insight into the characteristics and level of preparedness of nurses who responded to the 2009 Victorian bushfires in the prehospital environment. Additionally, it highlights the need for more structured education and training for nurse that is aligned with their role and deployment environment.

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Siegloff, L., L. Cusack, P. Arbon, A. Hutton, and L. Mayner. "(A109) Health Workforce and Disaster Preparedness of Rural Hospitals." Prehospital and Disaster Medicine 26, S1 (May 2011): s30—s31. http://dx.doi.org/10.1017/s1049023x11001117.

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Following the devastating March 2009 Victorian bushfire disaster in rural areas of Australia, authorities reviewed strategies designed to protect communities during periods of extreme fire risk. New policy and regulation were introduced and designed to ensure that small rural communities were protected and prepared to confront a wildfire emergency during days of extreme heat or bushfire risk weather. As a result on days of declared ‘catastrophic’ bushfire weather conditions government agencies in South Australia have implemented a policy for schools (including pre-schools) to be temporarily closed. On these days community members are advised to evacuate early to safe regional centres, and to limit travel on country roads. The WADEM Guidelines for Disaster Evaluation and Research demonstrate that Basic Societal Functions (BSFs), such as education, health, transport and others, are interconnected and interdependent. For example in small rural communities in South Australia people may have a number of important roles including being parents, volunteers of emergency services while also being employed as staff of local hospitals. This project reviewed the impact of school closures and other protective measures on the availability of the rural nursing workforce and on rural hospitals. Rural hospitals in Australia are staffed, on average, by 2–8 nurses, service very small communities and are separated by great distances. As a result, small changes in the absentee rate for nurses can have a significant impact on the operation of these hospitals. This paper will argue that policy changes in other sectors, such as education, can impact on societal activities such as childcare, volunteer emergency service work, and hospital staffing, in ways that may not be anticipated unless the impact on all Basic Societal Functions are considered by policymakers.

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Considine, Julie, Ramon Z. Shaban, Jennifer Patrick, Kerri Holzhauser, Peter Aitken, Michele Clark, Elaine Fielding, and Gerry FitzGerald. "Pandemic (H1N1) 2009 Influenza in Australia: Absenteeism and redeployment of emergency medicine and nursing staff." Emergency Medicine Australasia 23, no. 5 (August 8, 2011): 615–23. http://dx.doi.org/10.1111/j.1742-6723.2011.01461.x.

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O’Donnell, Elen, Bridget Honan, Simon Quilty, and Rebecca Schultz. "The Effect of Heat Events on Prehospital and Retrieval Service Utilization in Rural and Remote Areas: A Scoping Review." Prehospital and Disaster Medicine 36, no. 6 (November 2, 2021): 782–87. http://dx.doi.org/10.1017/s1049023x21001163.

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AbstractIntroduction:It is well-established that heatwaves increase demand for emergency transport in metropolitan areas; however, little is known about the impact of heat events on demand for prehospital retrieval services in rural and remote areas, or how heatwaves are defined in this context.Inclusion Criteria:Papers were eligible for inclusion if they reported on the impact of a heat event on the activity of a prehospital and retrieval service in a rural or remote area.Methods:A search of PubMed, Cochrane, Science Direct, CINAHL, and Google Scholar databases was undertaken on August 18, 2020 using search terms related to emergency medical transport, extreme heat, and rural or remote. Data relevant to the impact of heat on retrieval service activity were extracted, as well as definitions of extreme heat.Results:Two papers were identified, both from Australia. Both found that heat events increased the number of road ambulance call-outs. Both studies used the Excess Heat Factor (EHF) to define heatwave periods of interest.Conclusions:This review found almost no primary literature on demand for prehospital retrieval services in rural and remote areas, and no data specifically related to aeromedical transport. The research did recognize the disproportionate impact of heat-related increase in service demand on Australian rural and regional health services. With the effects of climate change already being felt, there is an urgent need for more research and action in this area.

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Wilson, Geoffrey. "Primary Health Care: Toward Equity and Efficiency in the Accident and Emergency Department in Australia." Nursing Forum 26, no. 4 (October 1991): 25–29. http://dx.doi.org/10.1111/j.1744-6198.1991.tb00892.x.

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Delprado, Andrea M. "Trauma Systems in Australia." Journal of Trauma Nursing 14, no. 2 (April 2007): 93–97. http://dx.doi.org/10.1097/01.jtn.0000278795.74277.cf.

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Wand, Timothy, Kathryn White, Joanna Patching, Judith Dixon, and Timothy Green. "Outcomes from the evaluation of an emergency department-based mental health nurse practitioner outpatient service in Australia." Journal of the American Academy of Nurse Practitioners 24, no. 3 (February 10, 2012): 149–59. http://dx.doi.org/10.1111/j.1745-7599.2011.00709.x.

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Wand, Timothy, Kathryn White, and Joanna Patching. "Realistic evaluation of an emergency department-based mental health nurse practitioner outpatient service in Australia." Nursing & Health Sciences 13, no. 2 (May 20, 2011): 199–206. http://dx.doi.org/10.1111/j.1442-2018.2011.00601.x.

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Smith, Samuel, Jacelle Warren, Victoria McCreanor, Kerrianne Watt, and Matthew Hope. "Costs and 30-day readmission after lower limb motorcycle trauma in Queensland Australia: A linked data analysis." Australian Critical Care 35 (2022): S12. http://dx.doi.org/10.1016/j.aucc.2022.08.046.

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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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Phillips, Margaret, Paul Secombe, and Laura Woods. "The paradoxical mortality benefit of remoteness: A semi-ecological cohort study of adult ICU patients in Australia 2010-2020." Australian Critical Care 35 (2022): S2. http://dx.doi.org/10.1016/j.aucc.2022.08.018.

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Considine, Julie, Tony Walker, and Debra Berry. "Development, implementation and evaluation of an interprofessional graduate program for nursing–paramedicine double-degree graduates." Australian Health Review 39, no. 5 (2015): 595. http://dx.doi.org/10.1071/ah14258.

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Over the past decade, several Australian universities have offered a double degree in nursing and paramedicine. Mainstream employment models that facilitate integrated graduate practice in both nursing and paramedicine are currently lacking. The aim of the present study was to detail the development of the Interprofessional Graduate Program (IPG), the industrial and professional issues that required solutions, outcomes from the first pilot IPG group and future directions. The IPG was an 18-month program during which participants rotated between graduate nursing experience in emergency nursing at Northern Health, Melbourne, Australia and graduate paramedic experience with Ambulance Victoria. The first IPG with 10 participants ran from January 2011 to August 2012. A survey completed by nine of the 10 participants in March 2014 showed that all nine participants nominated Ambulance Victoria as their main employer and five participants were working casual shifts in nursing. Alternative graduate programs that span two health disciplines are feasible but hampered by rigid industrial relations structures and professional ideologies. Despite a ‘purpose built’ graduate program that spanned two disciplines, traditional organisational structures still hamper double-degree graduates using all of skills to full capacity, and force the selection of one dominant profession. What is known about the topic? There are no employment models that facilitate integrated graduate practice in both nursing and paramedicine. The lack of innovative employment models for double-degree graduates means that current graduate program structures force double-degree graduates to practice in one discipline, negating the intent of a double degree. What does this paper add? This is the first time that a graduate program specifically designed for double-degree graduates with qualifications as Registered Nurses and Paramedics has been developed, delivered and evaluated. This paper confirms that graduate programs spanning two health disciplines are feasible. What are the implications for practitioners? Even with a graduate program specifically designed to span nursing and paramedicine, traditional organisational structures still hamper double-degree graduates using all their skills to full capacity, and force the selection of one dominant profession.

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Li, Cecilia, Cristina Sotomayor-Castillo, Shizar Nahidi, Sergey Kuznetsov, Julie Considine, Kate Curtis, Margaret Fry, et al. "Emergency care practitioners’ knowledge, preparedness and experiences of managing COVID-19 in Australia." Infection, Disease & Health 26 (November 2021): S3. http://dx.doi.org/10.1016/j.idh.2021.09.010.

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Venkataraman, Vijeta, Trudy Rudge, and Jane Currie. "Hiding in Plain Sight." Witness: The Canadian Journal of Critical Nursing Discourse 3, no. 1 (June 30, 2021): 85–97. http://dx.doi.org/10.25071/2291-5796.73.

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The incidence of Intimate Partner Violence (IPV) in Australia is rising. Women experiencing IPV seek assistance through Emergency Departments (ED). Women exhibit help-seeking behaviours to nurses who work in emergency over medical or allied health professionals. Nurses’ capacity to recognise the need to care for women experiencing IPV is essential. The aim of this study was to explore nurses’ capacity to care for women who have experienced IPV through outlining inhibiting factors that limit care and create a discourse that contributes to addressing these factors. Pre (n=10) and post (n=6) focus groups (FGs) were undertaken with nurses who work in ED. In between the FGs an intervention was applied to prompt change to caring practices. The discourse generated from the FGs was subjected to a Foucauldian discourse analysis from a poststructural feminist perspective. Participants’ capacity to care was found to be based on the values they formed on IPV, as shaped by their post-registration training. The formation of boundaries was fundamental in inhibiting the participants’ capacity to care. Challenging boundaries through educational inquiry into nursing values can be effective in shifting perspectives of IPV. The raising of awareness of IPV in our communities serves as a vital tool in eliciting cultural behaviour change within EDs and within nursing culture.

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Donaldson, Lachlan, Wade Stedman, Tessa Garside, Anthony Delaney, and Naomi Hammond. "An intensive care follow-up service in Australia is feasible and has high patient and carer satisfaction: A prospective cohort study." Australian Critical Care 35 (2022): S7. http://dx.doi.org/10.1016/j.aucc.2022.08.033.

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Cook, Anthony T., Durgavasini Devanath, Erin E. Noste, Pierre-Yves Beauchamin, Drew R. Chandler, and Sean T. Casey. "Adapting In-Person National Emergency Medical Teams (EMT) Introductory Training to a Virtual, Storytelling (Talanoa) Format for Pacific Island Countries and Areas (PICs)." Prehospital and Disaster Medicine 37, S2 (November 2022): s90. http://dx.doi.org/10.1017/s1049023x22001893.

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Background/Introduction:Many Pacific governments have committed to establishing deployable, self-sufficient national EMTs following recent tropical cyclones, measles outbreaks, and the COVID-19 pandemic. However, for much of the COVD-19 pandemic, PICs have closed international borders limiting in-person team member training.Objectives:To develop a remote, interactive EMT training series to engage current and prospective EMT team members in the PICs during the COVID-19 pandemic.Method/Description:From July through September 2021, WHO hosted a weekly webinar series to introduce the concepts of the EMT Initiative to current and prospective EMT team members in the PICs. The sessions utilized Pacific deployment experience using faculty from EMTs in Australia, Fiji, New Zealand, Papua New Guinea, Solomon Islands, Tonga, and Vanuatu.Results/Outcomes:Attendees from over 23 countries from across the Pacific and other areas of the world participated in the 11 sessions, with a total of over 300 individual participants. The average number of participants per sessions was 85. Feedback was sought after every session. The most significant adaptation of the sessions from the feedback was incorporating the Pacific tradition of talanoa, or storytelling, into the sessions.Conclusion:Adapting the session plans to incorporate the talanoa style of communication in the Pacific created an environment of learning from colleagues throughout the Pacific and increased participant engagement in the virtual setting. The webinar series provided knowledge of EMT basics and increased engagement and excitement in the establishment and continued growth of EMTs in the Pacific.

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Curtis, Kate, and Judith Donoghue. "The Trauma Nurse Coordinator in Australia and New Zealand." Journal of Trauma Nursing 15, no. 2 (April 2008): 34–42. http://dx.doi.org/10.1097/01.jtn.0000327324.37534.02.

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Curtis, Kate, and Elizabeth Leonard. "The Trauma Nurse Coordinator in Australia and New Zealand." Journal of Trauma Nursing 19, no. 4 (2012): 214–20. http://dx.doi.org/10.1097/jtn.0b013e3182759a7d.

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Smith, Erin, Michella Hill, Cameron Anderson, Moira Sim, Alecka Miles, David Reid, and Brennen Mills. "Lived Experience of Emergency Health Care Utilization during the COVID-19 Pandemic: A Qualitative Study." Prehospital and Disaster Medicine 36, no. 6 (October 8, 2021): 691–96. http://dx.doi.org/10.1017/s1049023x21001126.

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AbstractIntroduction:As the understanding of health care worker lived experience during coronavirus disease 2019 (COVID-19) grows, the experiences of those utilizing emergency health care services (EHS) during the pandemic are yet to be fully appreciated.Study Objective:The objective of this research was to explore lived experience of EHS utilization in Victoria, Australia during the COVID-19 pandemic from March 2020 through March 2021.Methods:An explorative qualitative design underpinned by a phenomenological approach was applied. Data were collected through semi-structured, in-depth interviews, which were transcribed verbatim and analyzed using Colaizzi’s approach.Results:Qualitative data were collected from 67 participants aged from 32 to 78-years-of-age (average age of 52). Just over one-half of the research participants were male (54%) and three-quarters lived in metropolitan regions (75%). Four key themes emerged from data analysis: (1) Concerns regarding exposure and infection delayed EHS utilization among participants with chronic health conditions; (2) Participants with acute health conditions expressed concern regarding the impact of COVID-19 on their care, but continued to access services as required; (3) Participants caring for people with sensory and developmental disabilities identified unique communication needs during interactions with EHS during the COVID-19 pandemic; communicating with emergency health care workers wearing personal protective equipment (PPE) was identified as a key challenge, with face masks reported as especially problematic for people who are deaf or hard-of-hearing; and (4) Children and older people also experienced communication challenges associated with PPE, and the need for connection with emergency health care workers was important for positive lived experience during interactions with EHS throughout the pandemic.Conclusion:This research provides an important insight into the lived experience of EHS utilization during the COVID-19 pandemic, a perspective currently lacking in the published peer-reviewed literature.

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Dall'Osso, F., M. Gonella, G. Gabbianelli, G. Withycombe, and D. Dominey-Howes. "Assessing the vulnerability of buildings to tsunami in Sydney." Natural Hazards and Earth System Sciences 9, no. 6 (December 3, 2009): 2015–26. http://dx.doi.org/10.5194/nhess-9-2015-2009.

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Abstract. Australia is vulnerable to the impacts of tsunamis and exposure along the SE coast of New South Wales is especially high. Significantly, this is the same area reported to have been affected by repeated large magnitude tsunamis during the Holocene. Efforts are under way to complete probabilistic risk assessments for the region but local government planners and emergency risk managers need information now about building vulnerability in order to develop appropriate risk management strategies. We use the newly revised PTVA-3 Model (Dall'Osso et al., 2009) to assess the relative vulnerability of buildings to damage from a "worst case tsunami" defined by our latest understanding of regional risk – something never before undertaken in Australia. We present selected results from an investigation of building vulnerability within the local government area of Manly – an iconic coastal area of Sydney. We show that a significant proportion of buildings (in particular, residential structures) are classified as having "High" and "Very High" Relative Vulnerability Index scores. Furthermore, other important buildings (e.g., schools, nursing homes and transport structures) are also vulnerable to damage. Our results have serious implications for immediate emergency risk management, longer-term land-use zoning and development, and building design and construction standards. Based on the work undertaken here, we recommend further detailed assessment of the vulnerability of coastal buildings in at risk areas, development of appropriate risk management strategies and a detailed program of community engagement to increase overall resilience.

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Fan, Lijun, Bill Lukin, Jingzhou Zhao, Jiandong Sun, Kaeleen Dingle, Rhonda Purtill, Sam Tapp, and Xiang-Yu Hou. "Cost analysis of improving emergency care for aged care residents under a Hospital in the Nursing Home program in Australia." PLOS ONE 13, no. 7 (July 3, 2018): e0199879. http://dx.doi.org/10.1371/journal.pone.0199879.

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Cronan, Karl, and Linda Winn. "Development of an Evacuation Exercise for Residential Aged Care Facilities Using the Emergo Train System (ETS)." Prehospital and Disaster Medicine 34, s1 (May 2019): s1—s2. http://dx.doi.org/10.1017/s1049023x19000232.

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Introduction:Events such as the Sydney Quakers Hill Nursing Home fire highlighted the great need for robust evacuation plans for Residential Aged Care Facilities (RACFs). However, plans alone are not sufficient and routine exercises are necessary to test the capability of a facility’s emergency plan. Current methods of exercising facility evacuations, such as live drills, are limited and only test isolated elements of the evacuation process, which fall drastically short of being able to simulate the real-time resources and procedures required to perform a large scale evacuation of a RACF.Aim:To develop an exercise tool that assists Residential Aged Care Facilities (RACF) to evaluate their evacuation procedures using quantifiable data, based on real-time and providing minimal disruption to existing residents.Methods:Utilizing the existing ETS framework, an aged care resident patient bank was developed by NSW Health Emergency Management Unit, including: A bank of 200 residents from data sourced from the Australian Institute of Health and Welfare.Layout for the resident gubers and Summary Care Plans.Resources and equipment routinely used in RACF’s.Real-world testing of the prototype in exercises across NSW, AustraliaMortality and morbidity data to measure outcomes.Validation of the exercise tool nationally and internationally.Results:A bank of residents was developed to test evacuation systems and processes, in a scalable, realistic simulation based on patient outcomes. This will result in improved planning and process, empowerment of RACFs, better patient outcomes, and increased resilience and preparedness.Discussion:A significant investment of data, time, and effort has gone into producing this resident bank for use in RACF evacuation exercises across NSW Australia. A presentation delivered at the ETS World Congress in the Netherlands (2018), by NSW Health Emergency Management Unit, showcased the relevance and suitability of this tool across the world.

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Withiel, T. D., S. Sheridan, N. Rudd, and C. A. Fisher. "Preparedness to Respond to Family Violence: A Cross-Sectional Study Across Clinical Areas." SAGE Open Nursing 8 (January 2022): 237796082211263. http://dx.doi.org/10.1177/23779608221126355.

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Introduction Family violence (FV) is one of the most urgent health issues of our generation. While nurses play a vital role in identifying and supporting victim/survivors of violence, little is known about nursing readiness to respond across clinical areas. Objective This study aimed to compare and contrast the knowledge, confidence, clinical skills, and perceived barriers of nurses across three clinical areas of a tertiary trauma hospital in Melbourne, Australia, in responding to FV. Method A prospective, mixed methods design was used. The nursing staff at a large trauma hospital were approached to participate. Participants completed a brief online survey to quantify clinician-reported knowledge, clinical skills, and barriers to managing FV. Results Two hundred and forty-two nursing staff electronically completed a brief survey to capture self-reported confidence, knowledge, clinical skills, and barriers to working effectively in the area. The descriptive analysis reflected service-wide deficits in knowledge, confidence, and self-reported clinical skills, irrespective of the work area. Deficits were identified on a background of limited structured training for FV among this cohort. Significantly higher rates of FV confidence and knowledge were identified among emergency department nurses relative to acute and subacute clinical counterparts. Conclusion Nurse respondents overall reported low rates of confidence, knowledge, and clinical skills in responding to disclosures of FV. Findings reinforce the need for imbedded training programs to support frontline responses.

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McNeilly, Bryan, Gregory Jasani, Garrett Cavaliere, Reem Alfalasi, and Benjamin Lawner. "The Rising Threat of Terrorist Attacks Against Hospitals." Prehospital and Disaster Medicine 37, no. 2 (March 24, 2022): 223–29. http://dx.doi.org/10.1017/s1049023x22000413.

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AbstractIntroduction:Hospitals are vulnerable to terrorist attacks, as they must remain easily accessible to the general public. Hospitals are also occupied with both staff and patients 24 hours a day, 365 days a year, meaning that any attack is almost guaranteed to inflict a multitude of casualties. In addition to the immediate effects of attacking a hospital, there are also uniquely devastating second- and third-order effects when hospitals are attacked.Methods:A focused search of the Global Terrorism Database (GTD) was performed to identify terrorist attacks against hospitals throughout the world. Data between the years 1970-2018 were selected, which included 191,465 entries in total. These entries were then searched for incidents containing the term “hospital” and the results were manually searched to identify trends in the number of incidents occurring per year, as well as the armament that was employed, and the regions of the world where the attacks occurred.Results:A total of 430 terrorist attacks on hospitals were identified in the GTD, resulting in 1,291 deaths and an additional 1,921 wounded. The frequency of terrorist attacks against hospitals has been steadily increasing over the last two decades and is disproportionate to the overall increase in terrorist attacks against all target types. Attacks have been carried out against hospitals in 61 different countries. The most common method used in these attacks was “bombing/explosion,” which accounted for 299 attacks. Of the known terrorist groups identified in the GTD, “Houthi extremists (Anshar Allah)” and “Islamic State of Iraq and the Levant (ISIL)” carried out the greatest number of attacks on hospitals.Conclusion:There has been a disproportionate rise in the frequency of terrorist attacks on hospitals when compared to other target types, highlighting the vulnerability of these key structures. Unsurprisingly, these attacks have inflicted large casualty counts in addition to disrupting community health care and disaster response. Attacks against hospitals have been reported on every inhabited continent except Australia, making their protection a matter of international security. The rate of terrorist attacks on hospitals has increased dramatically over the last two decades, creating an urgent need to develop improved defense strategies that will better ensure their protection.

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Faulkner, Debbie, and Julia Law. "The ‘unnecessary’ use of emergency departments by older people: findings from hospital data, hospital staff and older people." Australian Health Review 39, no. 5 (2015): 544. http://dx.doi.org/10.1071/ah14185.

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Objective Increasing demands are being placed on emergency departments in Australia and there is a view that older Australians are more likely than other age groups to attend for non-urgent conditions. The objective of this paper is to compare and contrast administrative data with the views of hospital staff and older people with regard to their presentation at two emergency departments in metropolitan Adelaide and how this aligns with the Australian Institute of Health and Welfare definition of ‘potentially avoidable general practitioner-type presentations.’ Methods The study used three sources of data from two emergency departments: hospital data for the financial year 2010–11 for patients aged 65 years and over and identified as triage category four or five; three focus groups with medical, nursing and allied staff from these two hospitals; and interviews with 58 older people who presented at the two emergency departments over a two-week period. Results The hospital administrative data provided a very limited insight into why older people attended the emergency department, other than the medical diagnosis. Professional staff identified individual determinants, societal determinants and the health services system as explanations. Older people attended the emergency department for a range of reasons that may not necessarily reflect the opinions of health professionals. Conclusions For many older people the emergency department was an appropriate place to attend considering their condition, though some presentations could be circumvented with appropriate and increased services in the community. However, as many older people suffer comorbidities, careful consideration needs to be given as to the best possible practices to achieve this. What is known about the topic? Increasing demands are being placed on hospital emergency departments and there are concerns that a growing number of presentations are ‘inappropriate presentations’. Older people are considered to be one group that overuse emergency department services. What does this paper add? Most studies use hospital statistics to examine primary care presentations at emergency departments or present the viewpoints of medical staff within hospitals about the necessity of these visits. This paper compares and contrasts the available data from hospitals, the opinions of medical and allied health professionals and information collected from older people themselves to provide greater insight into why older people triaged as three, four or five attend emergency departments in Adelaide. What are the implications for practitioners? For a range of reasons including availability of quality care, familiarity with hospital services, and a lack of community based services, older people will continue to present to emergency departments. With increasing numbers of older people in the population, hospital emergency departments will need to continuously adapt to accommodate the needs of this older demographic and for staff to acquire necessary geriatric skills.

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Ireland, Sharyn, Rachel Cross, Kelly Decker, and Biswadev Mitra. "Perceptions of an educational programme for registered nurses who work at non-major trauma services in Victoria, Australia: The Nursing Emergency eXternal Trauma Programme." Australasian Emergency Nursing Journal 20, no. 3 (August 2017): 131–38. http://dx.doi.org/10.1016/j.aenj.2017.05.002.

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Stephens, Dianne, Matt Brearley, and Lisa Vermeulen. "Heat Health Management in a Quarantine and Isolation Facility in the Tropics." Prehospital and Disaster Medicine 37, no. 2 (February 28, 2022): 259–64. http://dx.doi.org/10.1017/s1049023x22000255.

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AbstractIntroduction:The Howard Springs Quarantine Facility (HSQF) is located in tropical Northern Australia and has 875 blocks of four rooms (3,500 rooms in total) spread over 67 hectares. The HSQF requires a large outdoor workforce walking outdoor pathways to provide individual care in the ambient climate. The personal protective equipment (PPE) required for the safety of quarantine workers varies between workgroups and limits body heat dissipation that anecdotally contributes to excessive sweating, which combined with heat stress symptoms of fatigue, headache, and irritability, likely increases the risk of workplace injuries including infection control breaches.Study Objective:The purpose of this study was the description of qualitative and quantitative assessment for HSQF workers exposed to tropical environmental conditions and provision of evidenced-based strategies to mitigate the risk of heat stress in an outdoor quarantine and isolation workforce.Methods:The study comprised two components - a cross-sectional physiological monitoring study of 18 workers (eight males/ten females; means: 41.4 years; 1.69m; 80.6kg) during a single shift in November 2020 and a subjective heat health survey completed by participants on a minimum of four occasions across the wet season/summer period from November 2020 through February 2021. The physiological monitoring included continuous core temperature monitoring and assessment of fluid balance.Results:The mean apparent temperature across first-half and second-half of the shift was 34.7°C (SD = 0.8) and 35.6°C (SD = 1.9), respectively. Across the work shift (mean duration 10.1 hours), the mean core temperature of participants was 37.3°C (SD = 0.2) with a range of 37.0°C - 37.7°C. The mean maximal core temperature of participants was 37.7°C (SD = 0.3). In the survey, for the workforce in full PPE, 57% reported feeling moderately, severely, or unbearably hot compared to 49% of those in non-contact PPE, and the level of fatigue was reported as moderate to severe in just over 25% of the workforce in both groups.Conclusion:Heat stress is a significant risk in outdoor workers in the tropics and is amplified in the coronavirus disease 2019 (COVID-19) frontline workforce required to wear PPE in outdoor settings. A heat health program aimed at mitigating risk, including workplace education, limiting exposure times, encouraging hydration, buddy system, active cooling, and monitoring, is recommended to limit PPE breaches and other workplace injuries in this workforce.

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Long, Debbie, Jeanine Young, Claire M. Rickard, and Marion L. Mitchell. "Measuring paediatric intensive care nursing knowledge in Australia and New Zealand: How the Basic Knowledge Assessment Tool for pediatric critical care nurses (PEDS-BKAT4) performs." Australian Critical Care 26, no. 1 (February 2013): 36–42. http://dx.doi.org/10.1016/j.aucc.2012.02.004.

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Bray, Janet E., Lahn Straney, Bill Barger, and Judith Finn. "Effect of Public Awareness Campaigns on Calls to Ambulance Across Australia." Stroke 46, no. 5 (May 2015): 1377–80. http://dx.doi.org/10.1161/strokeaha.114.008515.

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Background and Purpose— The National Stroke Foundation of Australia has run 12 public awareness campaigns since 2004. Campaign exposure and funding has varied annually and regionally during this time. The aim of this study was to measure the effect of campaigns on calls to ambulance for stroke across Australia in exposed regions (paid or pro bono advertising). Methods— All ambulance services in Australia provided monthly ambulance dispatch data between January 2003 and June 2014. We performed multivariable regression to measure the effect of campaign exposure on the volume of stroke-related emergency calls, after controlling for confounders. Results— The final model indicated that 11 of the 12 National Stroke Foundation campaigns were associated with increases in the volume of stroke-related calls (varying between 1% and 9.9%) in regions with exposure to advertising. This increase lasted ≈3 months, with an additional 10.2% relative increase in the volume of the calls in regions with paid advertising. We found no significant additional effect of the campaigns on stroke calls where ambulance services are publicly funded. Conclusions— The National Stroke Foundation stroke awareness campaigns are associated with increases to calls to ambulance for stroke in regions receiving advertising and promotion. Research is now required to examine whether this increased use in ambulance is for appropriate emergencies.

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Stewart, Carmel J. "Snake bite in Australia: first aid and envenomation management." Accident and Emergency Nursing 11, no. 2 (April 2003): 106–11. http://dx.doi.org/10.1016/s0965-2302(02)00189-3.

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