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Journal articles on the topic 'Queensland nurses'

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Author: Grafiati

Published: 10 December 2022

Last updated: 19 February 2023

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1

Hegney, Desley, Robert Eley, Elizabeth Buikstra, Sharon Rees, and Elizabeth Patterson. "Consumers' Level of Comfort with an Advanced Practice Role for Registered Nurses in General Practice: A Queensland, Australia, Study." Australian Journal of Primary Health 12, no. 3 (2006): 44. http://dx.doi.org/10.1071/py06044.

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A study was carried out in Queensland, Australia, which aimed to ascertain how comfortable consumers were with both the current and an expanded practice role for nurses employed in general practice. Consumers from metropolitan, rural and remote areas were represented. The self-report questionnaire was completed by 87 females and 19 males. Consumers rated their level of comfort from very comfortable to very uncomfortable on a five-point scale in nurses performing 24 different routine and advanced procedures. They were most comfortable with nurses giving vaccinations and managing treatment of wounds and less comfortable with nurses diagnosing and treating minor illnesses. Overall, consumers were very comfortable with nurses performing what may be considered traditional roles of the practice nurse. They were less comfortable with the more extended roles that are seen more as the traditional role of the general practitioner. However, for no procedure were consumers uncomfortable with nurses performing that task. There were no differences in responses due to consumers' age, sex or previous contact with practice nurses. These results may be used to expand the role of practice nurses to complement the services provided by general practitioners.

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2

Eley, Robert, Desley Hegney, Elizabeth Buikstra, Tony Fallon, Ashley Plank, and Victoria Parker. "Aged care nursing in Queensland ? the nurses? view." Journal of Clinical Nursing 16, no. 5 (May 2007): 860–72. http://dx.doi.org/10.1111/j.1365-2702.2006.01696.x.

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3

Henwood, Tim, Robert Eley, Deborah Parker, Anthony Tuckett, and Desley Hegney. "Regional differences among employed nurses: A Queensland study." Australian Journal of Rural Health 17, no. 4 (August 2009): 201–7. http://dx.doi.org/10.1111/j.1440-1584.2009.01072.x.

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4

McHugh, Matthew D., Linda H. Aiken, Carol Windsor, Clint Douglas, and Patsy Yates. "Case for hospital nurse-to-patient ratio legislation in Queensland, Australia, hospitals: an observational study." BMJ Open 10, no. 9 (September 2020): e036264. http://dx.doi.org/10.1136/bmjopen-2019-036264.

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ObjectivesTo determine whether there was variation in nurse staffing across hospitals in Queensland prior to implementation of nurse-to-patient ratio legislation targeting medical-surgical wards, and if so, the extent to which nurse staffing variation was associated with poor outcomes for patients and nurses.DesignAnalysis of cross-sectional data derived from nurse surveys linked with admitted patient outcomes data.SettingPublic hospitals in Queensland.Participants4372 medical-surgical nurses and 146 456 patients in 68 public hospitals.Main outcome measures30-day mortality, quality and safety indicators, nurse outcomes including emotional exhaustion and job dissatisfaction.ResultsMedical-surgical nurse-to-patient ratios before implementation of ratio legislation varied significantly across hospitals (mean 5.52 patients per nurse; SD=2.03). After accounting for patient characteristics and hospital size, each additional patient per nurse was associated with 12% higher odds of 30-day mortality (OR=1.12; 95% CI 1.01 to 1.26). Each additional patient per nurse was associated with poorer outcomes for nurses including 15% higher odds of emotional exhaustion (OR=1.15; 95% CI 1.07 to 1.23) and 14% higher odds of job dissatisfaction (OR=1.14; 95% CI 1.02 to 1.28), as well as higher odds of concerns about quality of care (OR=1.12; 95% CI 1.01 to 1.25) and patient safety (OR=1.32; 95% CI 1.11 to 1.57).ConclusionsBefore ratios were implemented, nurse staffing varied considerably across Queensland hospital medical-surgical wards and higher nurse workloads were associated with patient mortality, low quality of care, nurse emotional exhaustion and job dissatisfaction. The considerable variation across hospitals and the link with outcomes suggests that taking action to improve staffing levels was prudent.

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Duffield, Christine, Susan Chapman, Samantha Rowbotham, and Nicole Blay. "Nurse-Performed Endoscopy." Policy, Politics, & Nursing Practice 18, no. 1 (February 2017): 36–43. http://dx.doi.org/10.1177/1527154417700740.

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Increasing demands for health care globally often lead to discussions about expanding the involvement of nurses in a range of nontraditional roles. Several countries have introduced nurse endoscopists as a means of easing the burden of demand for a range of endoscopic procedures. A shortage of medical staff in Australia combined with increasing demand for endoscopy led to the implementation of nurse endoscopists as a pilot program in the state of Queensland, where a nurse practitioner model was implemented, and Victoria, where an advanced practice model was used. This article will discuss the implementation of and responses from the nursing, medical, and policy community to nurse-performed endoscopy in this country. Regarding health policy, access to cancer screening may be improved by providing nurses with advanced training to safely perform endoscopy procedures. Moreover, issues of nurse credentialing and payment need to be considered appropriate to each country’s health system model.

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6

Timmings, Robert W. "Rural and Isolated Practice Registered Nurse (RIPRN)—Emergency nurses of the Queensland ‘bush’." Australasian Emergency Nursing Journal 9, no. 1 (April 2006): 29–34. http://dx.doi.org/10.1016/j.aenj.2006.01.001.

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7

Thorley, Virginia. "Accounts of infant-feeding advice received by mothers: Queensland, Australia, 1945-1965." Nursing Reports 2, no. 1 (October 31, 2012): 12. http://dx.doi.org/10.4081/nursrep.2012.e12.

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In the period 1945-1965 most women in the state of Queensland, Australia, gave birth in hospitals and thereafter they used a variety of services and individuals for advice on infant feeding. The services available were similar throughout the period. As mothers rarely worked outside the home, being <em>good mothers</em> was important to their identity. In this historical study, telephone interviews and written responses involving 44 mothers and former nurses from every region of this geographically vast state were used in order to investigate sources of personal advice on infant feeding used during this period, mothers’ experience relating to this advice, and the extent to which they followed the advice. The free, nurse-run well-baby clinics and related services conducted by the state’s Maternal and Child Welfare service were the most commonly mentioned services. However, the uptake of advice from this source showed considerable variation as women also drew upon family members, their general practitioners, advice columns, radio broadcasts, other mothers and their own judgment. Only rarely was a specialist pediatrician consulted. A minority of mothers was advised by pharmacists, private baby nurses, or entered residential mothercraft facilities. An important finding is that attendance at the baby clinics did not necessarily equate with compliance, especially as mothers became more experienced.

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8

Hegney, Desley, Ashley Plank, and Victoria Parker. "Nursing workloads: the results of a study of Queensland Nurses." Journal of Nursing Management 11, no. 5 (September 2003): 307–14. http://dx.doi.org/10.1046/j.1365-2834.2003.00376.x.

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9

Terry, Victoria R., Coralie J. Graham, Cath Rogers, Mark Craigie, Desley G. Hegney, Clare S. Rees, and Chris Small. "Building resilience among rural and remote nurses in Queensland, Australia." Collegian 27, no. 3 (June 2020): 265–70. http://dx.doi.org/10.1016/j.colegn.2019.08.007.

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10

Fiore, Steven, Sanam Souzani, Rita D'Amore, Kieran Behan, Christopher Cutts, and Adam La Caze. "Support needs of supply nurses in rural and remote Queensland." Australian Journal of Rural Health 13, no. 1 (February 2005): 10–13. http://dx.doi.org/10.1111/j.1440-1854.2004.00639.x.

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11

Brodribb, Wendy, and Yvette Miller. "Which mothers receive a post partum home visit in Queensland, Australia? A cross-sectional retrospective study." Australian Health Review 39, no. 3 (2015): 337. http://dx.doi.org/10.1071/ah14055.

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Objective Although home visiting in the early post partum period appears to have increased, there are limited data defining which women receive a visit and none that include Queensland. We aimed to investigate patterns of post partum home visiting in the public and private sectors in Queensland. Methods Data were collected via a retrospective cross-sectional survey of women birthing in Queensland between 1 February and 31 May 2010 at 4 months post partum (n = 6948). Logistic regression was used to assess associations between receiving a home visit and sociodemographic, clinical and hospital variables. Analyses were stratified by public and private birthing sector because of significant differences between sectors. Results Public sector women were more likely to receive a visit from a nurse or midwife (from the hospital or child health sector) within 10 days of hospital discharge (67.2%) than private sector women (7.2%). Length of hospital stay was associated with home visiting in both sectors. Some vulnerable subpopulations in both sectors were more likely to be visited, whereas others were not. Conclusions Home visiting in Queensland varies markedly between the public and private sector and is less common in some vulnerable populations. Further consideration to improving the equity of community post partum care in Queensland is needed. What is known about the topic? A recent paper found that most women from the public sector in Victoria and South Australia receive an early post partum home visit from a midwife or nurse. Queensland only recently implemented a program to increase post partum home visiting but who receives visits is still unknown. What does this paper add? No previous study has investigated which women receive early post partum home visits in Queensland, nor home visiting rates within the private sector. This paper also examines whether specific subpopulations of vulnerable post partum women are receiving home visits so that patterns of inequity or unmet needs can be identified. What are the implications for practitioners? Home visiting by nurses or midwives in the post partum period in Queensland was less common than in other Australian states, and varies markedly between the public and private sector. These differences highlight inequities in community post partum care that need to be addressed if women are to receive the most cost-effective and clinically appropriate care and support in the post partum period.

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Cheffins, Tracy, Margaret Spillman, Clare Heal, Debbie Kimber, Maureen Brittain, and Michele Lees. "Evaluating the use of Enhanced Primary Care Health Assessments by general practices in north Queensland." Australian Journal of Primary Health 16, no. 3 (2010): 221. http://dx.doi.org/10.1071/py09078.

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The Enhanced Primary Care (EPC) program funds GPs to provide preventative health assessments through a specific set of Medicare item numbers. The study aimed to show whether patients completing these health assessments had better recorded screening rates than those receiving usual care. A retrospective clinical record audit was undertaken in north Queensland general practices by practice nurses from the North Queensland Practice Based Research Network. Comparisons were made between the recorded screening test rates for patients who completed an over-75-years health assessment with those who did not. A questionnaire was also completed by practice nurses and practice principals. Screening tests were recorded more frequently in patients with a completed health assessment: notably urinalysis, visual acuity and faecal occult blood test/colonoscopy. Blood pressure was the most frequently recorded test with or without a health assessment. The questionnaires provided useful information on how health assessments are implemented and whether GPs believe they are useful.

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13

Hegney, Desley, Alexandra McCarthy, Cath Rogers-Clark, and Don Gorman. "Why nurses are Resigning from rural and remote Queensland health facilities." Collegian 9, no. 2 (January 2002): 33–39. http://dx.doi.org/10.1016/s1322-7696(08)60414-x.

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14

Happell, Brenda, Cadeyrn J. Gaskin, Kerry Reid-Searl, and Trudy Dwyer. "Physical and psychosocial wellbeing of nurses in a regional Queensland hospital." Collegian 21, no. 1 (March 2014): 71–78. http://dx.doi.org/10.1016/j.colegn.2013.02.005.

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15

Barrett, Linda, and Patsy Yates. "Oncology/haematology nurses: a study of job satisfaction, burnout, and intention to leave the specialty." Australian Health Review 25, no. 3 (2002): 109. http://dx.doi.org/10.1071/ah020109.

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The impact of the current nursing shortage on the health care system is receiving attention by both state and federal governments. This study, using a convenience sample of 243 oncology/haematology nurses working in 11 Queensland health care facilities, explored factors that influence the quality of nurses' working lives. Although nurses reported high levels of personal satisfaction and personal accomplishment, results indicated that nearly 40% of registered nurses (RNs) are dealing with workloads they perceive excessive, 48% are dissatisfied regarding pay, and professional support is an issue. Furthermore, emotional exhaustion is a very real concern: over 70% of the sample experienced moderate to high levels. Over 48% of the sample could not commit to remaining in the specialty for a further 12 months. Health care managers and governments should implement strategies that can increase nurses' job satisfaction and reduce burnout, thereby enhancing the retention of oncology/haematology nurses.

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16

Sabesan, Sabe, Clare Senko, Andrew Schmidt, Abhishek Joshi, Ritwik Pandey, Corinne A. Ryan, Megan Lyle, et al. "Enhancing Chemotherapy Capabilities in Rural Hospitals: Implementation of a Telechemotherapy Model (QReCS) in North Queensland, Australia." Journal of Oncology Practice 14, no. 7 (July 2018): e429-e437. http://dx.doi.org/10.1200/jop.18.00110.

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Introduction: The Queensland Remote Chemotherapy Supervision (QReCS) model enables rural nurses to administer chemotherapy in smaller rural towns under supervision by health professionals from larger centers using telehealth. Its implementation began in North Queensland, Australia (population, 650,000), in 2014 between two regional cancer centers (Townsville and Cairns as primary sites) and six rural sites (125 to 1,000 kilometers from primary sites). Our study examined the implementation processes, feasibility, and safety of this model. Methods: Details of implementation and patients’ clinical details for the period of 2014 to 2016 for descriptive analysis were extracted from telechemotherapy project notes and oncology information systems of North Queensland, respectively. Results: After a successful pilot study in Townsville Cancer Centre, statewide rural and cancer networks of Queensland Health, in collaboration with clinicians and managers across the state of Queensland, developed the QReCS model and a guide for operationalizing it. QReCS was implemented at six sites from 2014 to 2016. Main enablers across North Queensland included collaboration among clinicians and managers, availability of common electronic medical records, funding from Queensland Health, and installation of telehealth infrastructure by statewide telehealth services. Main barriers included turnover of senior management and nursing staff at two rural towns. Sixty-two patients received 327 cycles of low- to medium-risk chemotherapy agents. Rates of treatment delays, adverse events, and hospital admissions were similar to those in face-to-face care. Conclusion: Implementation of the QReCS model across a large geographic region is feasible with acceptable safety profiles. Leadership by and collaboration among clinicians and managers, adequacy of resources and common governance are key enablers.

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17

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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Todhunter, Fern, Bob Hallawell, and Debbie Pittaway. "Implementing a Virtual Exchange Project for student nurses in Queensland and Nottingham." Nurse Education in Practice 13, no. 5 (September 2013): 371–76. http://dx.doi.org/10.1016/j.nepr.2012.10.007.

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19

Grimes, Andrea, Vanessa Sparke, Christopher Rouen, and Caryn West. "Preparedness and resilience of student nurses in Northern Queensland Australia for disasters." International Journal of Disaster Risk Reduction 48 (September 2020): 101585. http://dx.doi.org/10.1016/j.ijdrr.2020.101585.

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20

ELEY, ROB, ELIZABETH BUIKSTRA, ASHLEY PLANK, DESLEY HEGNEY, and VICTORIA PARKER. "Tenure, mobility and retention of nurses in Queensland, Australia: 2001 and 2004." Journal of Nursing Management 15, no. 3 (April 2007): 285–93. http://dx.doi.org/10.1111/j.1365-2834.2007.00652.x.

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21

Belbin, Cheryl, Ronel Erwee, and Retha Wiesner. "Employee perceptions of workforce retention strategies in a health system." Journal of Management & Organization 18, no. 5 (September 2012): 742–60. http://dx.doi.org/10.1017/s1833367200000651.

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AbstractThis quantitative study explores the perceptions of 379 nurses using a survey to assess awareness of, participation in, and effectiveness of 28 workforce retention strategies offered by Queensland Health. Perceptions of workforce retention strategies were also examined to determine if any aspects of the strategy (retention factors) had an influence on turnover intention. The major findings were that respondents were more aware and had participated to a greater extent in those strategies that were included in Queensland Health policy or were part of the nursing Enterprise Bargaining Agreement. Strategies ranked as most effective included those that provided a monetary advantage and to a lesser extent, a professional development opportunity. A positive relationship was found between retention factors and decreased turnover intention.

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Belbin, Cheryl, Ronel Erwee, and Retha Wiesner. "Employee perceptions of workforce retention strategies in a health system." Journal of Management & Organization 18, no. 5 (September 2012): 742–60. http://dx.doi.org/10.5172/jmo.2012.18.5.742.

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AbstractThis quantitative study explores the perceptions of 379 nurses using a survey to assess awareness of, participation in, and effectiveness of 28 workforce retention strategies offered by Queensland Health. Perceptions of workforce retention strategies were also examined to determine if any aspects of the strategy (retention factors) had an influence on turnover intention. The major findings were that respondents were more aware and had participated to a greater extent in those strategies that were included in Queensland Health policy or were part of the nursing Enterprise Bargaining Agreement. Strategies ranked as most effective included those that provided a monetary advantage and to a lesser extent, a professional development opportunity. A positive relationship was found between retention factors and decreased turnover intention.

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23

Hsu, Mei Chi, Wendy Moyle, Debra Creedy, and Lorraine Venturato. "An investigation of aged care mental health knowledge of Queensland aged care nurses." International Journal of Mental Health Nursing 14, no. 1 (March 2005): 16–23. http://dx.doi.org/10.1111/j.1440-0979.2005.00350.x.

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24

Eley, Robert, Karen Francis, and Desley Hegney. "Nursing and the nursing workplace in Queensland, 2001-2010: What the nurses think." International Journal of Nursing Practice 20, no. 4 (September 13, 2013): 366–74. http://dx.doi.org/10.1111/ijn.12182.

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25

Wangoo, Laltaksh, Robin A. Ray, and Yik-Hong Ho. "Staff Attitudes and Compliance Toward the Surgical Safety Checklist in North Queensland." International Surgery 103, no. 5-6 (May 1, 2018): 270–79. http://dx.doi.org/10.9738/intsurg-d-16-00013.1.

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The Surgical Safety Checklist (SSC) has been reported to decrease complications and mortality; however, it is unclear which aspects are most crucial in producing its associated benefits and whether the positive attitudes of the operating room (OR) staff toward the SSC translates into better checklist compliance. This study aims to compare staff attitudes about reported benefits of and potential barriers to the SSC against observed compliance in 3 multispecialty North Queensland hospitals. SSC compliance, attitudes, and socio-professional factors were assessed via a staff survey consisting of a modified OR version of the Surgical Attitudes Questionnaire. A direct observation study of 165 procedures was concurrently performed to assess compliance with and accuracy of SSC completion at The Townsville Hospital. A total of 205 responses were received (response rate, 70%). Of these, 29.6% of responses were from private hospital staff. Survey responses versus observations indicated a 20% margin between satisfactory initiation and verbal completion of the SSC, with Sign Out both unsatisfactorily initiated (26%) and verbally completed (18%) (P < 0.05). “Staff introduction” was poorly completed and reported as not important (P = 0.005). Disinterest from other staff as perceived by nurses was seen as the greatest barrier to SSC completion. Surgeons and anesthesiologists valued the importance and benefits of the checklist less than half as much as nurses (P < 0.05). The SSC in its present form is not fully embraced in North Queensland hospitals. Making amendments to the checklist and its implementation protocols that reflect local cultural and social settings is desirable to improve compliance.

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Hegney, Desley, Robert Eley, Rebecca Osseiran-Moisson, and Karen Francis. "Work and personal well-being of nurses in Queensland: Does rurality make a difference?" Australian Journal of Rural Health 23, no. 6 (December 2015): 359–65. http://dx.doi.org/10.1111/ajr.12206.

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27

Al-Motlaq, Mohammad, Jane Mills, Melanie Birks, and Karen Francis. "How nurses address the burden of disease in remote or isolated areas in Queensland." International Journal of Nursing Practice 16, no. 5 (September 20, 2010): 472–77. http://dx.doi.org/10.1111/j.1440-172x.2010.001871.x.

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28

Hegney, Desley, Robert Eley, and Karen Francis. "Queensland nursing staffs' perceptions of the preparation for practice of registered and enrolled nurses." Nurse Education Today 33, no. 10 (October 2013): 1148–52. http://dx.doi.org/10.1016/j.nedt.2012.11.023.

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Hegney, Desley, Anthony Tuckett, Deborah Parker, and Eley Robert. "Access to and support for continuing professional education amongst Queensland nurses: 2004 and 2007." Nurse Education Today 30, no. 2 (February 2010): 142–49. http://dx.doi.org/10.1016/j.nedt.2009.06.015.

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30

Thornthwaite, Louise. "Book Reviews : Labour of Love: the History of the Nurses Association in Queensland, 1860-1950." Journal of Industrial Relations 39, no. 4 (December 1997): 568–70. http://dx.doi.org/10.1177/002218569703900412.

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Gururajan, Raj, Clint Moloney, and Jeffrey Soar. "Challenges for implementing wireless hand-held technology in health care: Views from selected Queensland nurses." Journal of Telemedicine and Telecare 11, no. 2_suppl (December 2005): 37–38. http://dx.doi.org/10.1258/135763305775124849.

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32

Willmott, Lindy, Ben White, Patsy Yates, Geoffrey Mitchell, David C. Currow, Katrin Gerber, and Donella Piper. "Nurses’ knowledge of law at the end of life and implications for practice: A qualitative study." Palliative Medicine 34, no. 4 (February 7, 2020): 524–32. http://dx.doi.org/10.1177/0269216319897550.

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Background: Some patients do not receive adequate pain and symptom relief at the end of life, causing distress to patients, families and healthcare professionals. It is unclear whether undertreatment of symptoms occurs, in part, because of nurses’ concerns about legal and/or disciplinary repercussions if the patient dies after medication is administered. Aim: The aim was to explore nurses’ experiences and knowledge of the law relating to the provision of end-of-life pain and symptom relief. Design: Semi-structured interviews with nurses were assessed using a six-stage hybrid thematic analysis technique. Setting/participants: Four face-to-face and 21 telephone interviews were conducted with nurses who routinely prescribed and/or administered pain and symptom relief to patients approaching the end of their lives in Queensland and New South Wales, Australia. Results: While many nurses had no personal experiences with legal or professional repercussions after a patient had died, the fear of hastening death and being held accountable was frequently discussed and regarded as relevant to the provision of inadequate pain and symptom relief. Concerns included potential civil or criminal liability and losing one’s job, registration or reputation. Two-thirds of participants believed that pain relief was sometimes withheld because of these legal concerns. Less than half of the interviewed nurses demonstrated knowledge of the doctrine of double effect, the legal protection for health professionals who provide end-of-life pain and symptom relief. Conclusion: Education is urgently required to strengthen nurses’ knowledge of the legal protections supporting the provision of appropriate palliative medication, thereby improving their clinical practice with end-of-life patients.

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O'Maley, Tim, and Bernadette Gazzard. "Interferon Beta-1b for Multiple Sclerosis: Service Provision Promoting Therapy Adherence in Queensland, Australia." International Journal of MS Care 8, no. 3 (January 1, 2006): 107–9. http://dx.doi.org/10.7224/1537-2073-8.3.107.

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Adherence issues are an important consideration in the long-term support of patients who are using immunotherapies as part of their overall multiple sclerosis (MS) management. The MS Clinic nursing service at the Royal Brisbane and Women's Hospital (RBWH) in Queensland, Australia, is staffed by two registered nurses. The service is responsible for disseminating MS-specific information and education on immunotherapies to people with MS, other health professionals, and community groups. Literature strongly suggests that psychosocial, physical, emotional, cognitive, and knowledge factors affect adherence rates. Perhaps the most important factor is patient expectations of therapy and perceptions of treatment success and failure. This article is a snapshot of a clinical service provided by a hospital-based public health MS nursing service.

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Curtis, Kate, Margaret Fry, Sarah Kourouche, Belinda Kennedy, Julie Considine, Hatem Alkhouri, Mary Lam, et al. "Implementation evaluation of an evidence-based emergency nursing framework (HIRAID): study protocol for a step-wedge randomised control trial." BMJ Open 13, no. 1 (January 2023): e067022. http://dx.doi.org/10.1136/bmjopen-2022-067022.

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IntroductionPoor patient assessment results in undetected clinical deterioration. Yet, there is no standardised assessment framework for >29 000 Australian emergency nurses. To reduce clinical variation and increase safety and quality of initial emergency nursing care, the evidence-based emergency nursing framework HIRAID (History, Identify Red flags, Assessment, Interventions, Diagnostics, communication and reassessment) was developed and piloted. This paper presents the rationale and protocol for a multicentre clinical trial of HIRAID.Methods and analysisUsing an effectiveness-implementation hybrid design, the study incorporates a stepped-wedge cluster randomised controlled trial of HIRAID at 31 emergency departments (EDs) in New South Wales, Victoria and Queensland. The primary outcomes are incidence of inpatient deterioration related to ED care, time to analgesia, patient satisfaction and medical satisfaction with nursing clinical handover (effectiveness). Strategies that optimise HIRAID uptake (implementation) and implementation fidelity will be determined to assess if HIRAID was implemented as intended at all sites.Ethics and disseminationEthics has been approved for NSW sites through Greater Western Human Research Ethics Committee (2020/ETH02164), and for Victoria and Queensland sites through Royal Brisbane & Woman’s Hospital Human Research Ethics Committee (2021/QRBW/80026). The final phase of the study will integrate the findings in a toolkit for national rollout. A dissemination, communications (variety of platforms) and upscaling strategy will be designed and actioned with the organisations that influence state and national level health policy and emergency nurse education, including the Australian Commission for Quality and Safety in Health Care. Scaling up of findings could be achieved by embedding HIRAID into national transition to nursing programmes, ‘business as usual’ ED training schedules and university curricula.Trial registration numberACTRN12621001456842.

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Bailey, Peter. "We Are Learning - Slowly." Aboriginal Child at School 18, no. 1 (March 1990): 30–34. http://dx.doi.org/10.1017/s1326011100600273.

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“The Minister directs that you take up duties at X school.” Ye gods and little fishes! What does a teacher new to a school like this do?The school concerned in this paper is in a small, isolated, North Queensland town with a population of about 200. The racial mix is about 75% Aboriginal descent. The “best” jobs are mainly confined to the European sector, with the high profile occupations being held by itinerants, (teachers, nurses, and police). The local council is the main employer in the town, but there is still a high level of unemployment. Low socio-economic and educational standards and high alcohol consumption are prevalent throughout the community.

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McGrath, Pam. "Post-treatment support for patients with haematological malignancies:findings from regional, rural and remote Queensland." Australian Health Review 23, no. 4 (2000): 142. http://dx.doi.org/10.1071/ah000142.

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Social support is a significant factor in the cancer patient's psychosocial wellbeing. This paper presents the findings ofrecent Queensland-based research that explored the experience of families returning home to the regional, rural andremote sector after a family member completed specialist treatment for a haematological malignancy and related blooddisorder in a major metropolitan centre.Family and friends are the key resource persons providing support. To a large degree, this is because of the absence ofalternative sources. Even support from health professionals can be problematic and for many the only source of supportis the specialist centre many hundreds of kilometres away. The primary response to developing supportive services needsto be through person to person contact either via telephone or newsletter. If targeted appropriately, there is alsoevidence that educational programs, support groups and volunteers would be an effective medium for providingsupport. Educating the local health professionals (GPs and nurses) about haematological conditions is a logicalextension of providing support to families.

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Tan, Amy C. W., Lynne M. Emmerton, and H. Laetitia Hattingh. "Prescribing and medication-initiation roles based on the perspectives of rural healthcare providers in a study community in Queensland." Australian Health Review 37, no. 2 (2013): 172. http://dx.doi.org/10.1071/ah12190.

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Objective. There are recognised health service inequities in rural communities, including the timely provision of medications, often due to shortages of qualified prescribers. The present paper explores the insights of rural healthcare providers into the prescribing and medication-initiation roles of health professionals for their rural community. Methods. Forty-nine healthcare providers (medical practitioners, pharmacists, nurses, occupational therapists, a dentist and an optometrist) from four neighbouring towns in a rural health service district in Queensland participated in face-to-face semistructured interviews. The interviews explored medication supply and management issues in the community, including the roles of health professionals to address these issues. The interviews, averaging 45 min in duration, were recorded, transcribed and qualitatively analysed for general trends and unique responses. Results. Participants recognised the potential for dentists, optometrists and nurse practitioners to reduce the prescribing workload of rural medical practitioners, and there was some support for a ‘continued dispensing’ model for pharmacists. Medication-initiation orders by endorsed registered nurses were also valued in providing timely medical treatment in rural hospitals. Conclusions. Rural communities have unique needs that require consideration of multidisciplinary support to assist medical practitioners in coping with prescription demands for timely medical treatment. What is known about the topic? Extension of prescribing rights to non-medical prescribers has been a topic of considerable debate in Australia for some decades. Several extended-prescribing or medication-initiation roles were established to supplement and support the medical workforce, particularly in rural areas, where health service inequalities and inefficiencies in prescribing and provision of medications are recognised. To date, workforce dynamics and legislative boundaries have restricted the eventual number of rurally located non-medical prescribers. What does this paper add? Little research has been conducted to investigate or evaluate the application of prescribing or medication-initiation roles in rural settings from a multidisciplinary approach. This paper provides the perspectives of rural healthcare providers on the prescribing and medication-initiation roles across health professions. Key findings from this rural-engagement exercise are considered valuable for policymakers and health service planners in optimisation of the prescribing or medication-initiation models. The qualitative methods also added richness and depth to the discussion about these roles. What are the implications for practitioners? According to the literature review and other media, extended prescribing roles are not universally accepted. However, some of the roles are being developed and implemented. Hence, it is important for health practitioners to embrace the roles and optimise their application. Specifically in rural settings, it is also important to recognise the value of multidisciplinary support and collaboration within the limited health workforce.

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Parker, Deborah, Anthony Tuckett, Robert Eley, and Desley Hegney. "Construct validity and reliability of the Practice Environment Scale of the Nursing Work Index for Queensland nurses." International Journal of Nursing Practice 16, no. 4 (July 22, 2010): 352–58. http://dx.doi.org/10.1111/j.1440-172x.2010.01851.x.

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McAllister, Margaret, Debra Creedy, Wendy Moyle, and Charles Farrugia. "Study of Queensland emergency department nurses' actions and formal and informal procedures for clients who self-harm." International Journal of Nursing Practice 8, no. 4 (August 2002): 184–90. http://dx.doi.org/10.1046/j.1440-172x.2002.00359.x.

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Moloney, Clint Wayne. "Behavioural intention and user acceptance of research evidence for Queensland nurses: Provision of solutions from the clinician." Nurse Education in Practice 13, no. 4 (July 2013): 310–16. http://dx.doi.org/10.1016/j.nepr.2013.03.017.

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Greaves, Amanda Jane, Robert King, Peter Yellowlees, Susan Spence, and Chris Lloyd. "The Competence of Mental Health Occupational Therapists." British Journal of Occupational Therapy 65, no. 8 (August 2002): 381–86. http://dx.doi.org/10.1177/030802260206500806.

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This research sought to investigate the self-perceived competence of mental health occupational therapists in Queensland. The research is a post-hoc analysis of survey results that formed part of the 1995 Professional Development Strategy for Adult Mental Health Services for the Queensland Health Mental Health Unit. A sample of 55 occupational therapists was compared with other professionals in relation to both general self-efficacy and efficacy in specific competencies. The devised scale for measuring self-efficacy was found to have a high level of internal reliability. The results indicated that the general self-perceived competence of occupational therapists for the whole sample was comparable to that of other professional groups, but that in the community-based sample it was significantly higher than that of social workers or nurses. In addition, occupational therapists in community settings had significantly higher general self-perceived competence than occupational therapists in hospital locations. Greater length of experience in mental health was strongly predictive of higher levels of competence for occupational therapists than for other professionals. The results suggest that occupational therapists have adapted well to the demands of multidisciplinary community practice. The possible reasons for these results, and the implications for competency-based recruitment and training, are presented.

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Deshong, Diane, and Amanda Henderson. "The trainee assistant in nursing: a pilot exercise in building and retaining a workforce." Australian Health Review 34, no. 1 (2010): 41. http://dx.doi.org/10.1071/ah09641.

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With increasing pressures on the skilled nursing workforce, strategies need to be developed to maximise the value of the existing workforce without impacting on the quality of care delivery. This paper reports on the introduction of a Commonwealth and State subsidised program for assistants-in-nursing (AINs) to assist in addressing the global nursing shortage. The program – which has included education sessions with registered nurses about the role of the AIN, delegation and supervision, and has also sustained support to the participants throughout the duration of their employment – has delivered benefits locally to the Princess Alexandra Hospital (PAH) and, broadly, to the nursing profession. Most of the participants completing the program have chosen to continue their employment at PAH or pursue further studies in nursing. What is known about the topic?The shortage of skilled nurses means there is a need for innovative solutions to support the existing workforce. What does this paper add?The development of an assistant-in-nursing role was seen as a successful development for a Queensland hospital. What are the implications for practitioners?The trained assistants have largely remained employed in the area and 68% have gone on to further nursing education.

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Hegney, Desley, Ashley Plank, Jennifer Watson, Lisa Raith, and Christine McKeon. "Patient education and consumer medicine information: a study of provision by Queensland rural and remote area Registered Nurses." Journal of Clinical Nursing 14, no. 7 (June 30, 2005): 855–62. http://dx.doi.org/10.1111/j.1365-2702.2005.01203.x.

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Strachan, Glenda. "Sacred Office, Trade or Profession? The Dilemma of Nurses' Involvement in Industrial Activities in Queensland, 1900 to 1950." Labour History, no. 61 (1991): 147. http://dx.doi.org/10.2307/27509096.

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Tuckett, Anthony G. "The experience of lying in dementia care." Nursing Ethics 19, no. 1 (December 2, 2011): 7–20. http://dx.doi.org/10.1177/0969733011412104.

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This analysis examines the practice of care providers in residential aged care lying to residents with dementia. Qualitative data were collected through multiple methods. Data here represents perceptions from registered and enrolled nurses, personal care assistants, and allied health professionals from five residential aged care facilities located in Queensland, Australia. Care providers in residential aged care facilities (RACFs) lie to residents with dementia. Lying is conceptualized as therapeutic whereby the care provider’s intent is to eliminate harm and also control behaviour. Care providers of residents with dementia in RACFs need guidance around lying. An ethical framework cognisant of an ethical theory of good and ethical theory of right supplemented by a theory of virtue is proposed. A complimentary four stage communication strategy that promotes truth telling as a first option while also recommending the lie as a suitable strategy is also promoted.

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Kurti, Linda, Susan Rudland, Rebecca Wilkinson, Dawn DeWitt, and Catherine Zhang. "Physician's assistants: a workforce solution for Australia?" Australian Journal of Primary Health 17, no. 1 (2011): 23. http://dx.doi.org/10.1071/py10055.

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Significant medical workforce shortages, particularly in rural and remote locations, have prompted a range of responses in Australia at both state and Commonwealth levels. One such response was a pilot project to test the suitability of the Physician Assistant (PA) role in the Australian context. Five US-trained and accredited PAs were employed by Queensland Health and deployed in urban, rural and remote settings across Queensland. A concurrent mixed-method evaluation was conducted by Urbis, an independent research firm. The evaluation found that the PAs provided quality, safe clinical care under the supervision of local medical officers. The majority of nurses and doctors who worked with the PAs believed that the PAs made a positive contribution to the health care team by increasing capacity to meet patient needs; reducing on-call requirements for doctors; liaising with other clinical team members; streamlining procedures for efficient patient throughput; and providing continuity during periods of doctor changeover. The Pilot demonstrated that a delegated PA role can provide safe, quality health care by augmenting an established healthcare team. The PA role has the potential to benefit the community by increasing the capacity of the health care system, and to improve recruitment and retention by providing an additional professional pathway. The small size of the Pilot limits the ability to generalise regarding the future efficacy of the PA role in Australia. Further research is required to test training and deployment of PAs in a wider range of Australian clinical settings, including general practice and rural health clinics.

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Tuckett, Anthony, Desley Hegney, Deborah Parker, Robert M. Eley, and Robyn Dickie. "The top eight issues Queensland Australia's aged-care nurses and assistants-in-nursing worried about outside their workplace: A qualitative snapshot." International Journal of Nursing Practice 17, no. 5 (September 21, 2011): 444–54. http://dx.doi.org/10.1111/j.1440-172x.2011.01966.x.

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White, Edward, and Julie Winstanley. "Clinical supervision for nurses working in mental health settings in Queensland, Australia: a randomised controlled trial in progress and emergent challenges." Journal of Research in Nursing 14, no. 3 (April 28, 2009): 263–76. http://dx.doi.org/10.1177/1744987108101612.

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Carson, Jerome. "Clinical supervision for nurses working in mental health settings in Queensland, Australia: a randomised controlled trial in progress and emergent challenges." Journal of Research in Nursing 14, no. 3 (April 28, 2009): 277–78. http://dx.doi.org/10.1177/1744987108101754.

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Byrne, Amy-Louise, Adele Baldwin, Clare Harvey, Janie Brown, Eileen Willis, Desley Hegney, Bridget Ferguson, et al. "Understanding the impact and causes of ‘failure to attend’ on continuity of care for patients with chronic conditions." PLOS ONE 16, no. 3 (March 2, 2021): e0247914. http://dx.doi.org/10.1371/journal.pone.0247914.

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Aim To understand the impact and causes of ‘Failure to Attend’ (FTA) labelling, of patients with chronic conditions. Background Nurse navigators are registered nurses employed by public hospitals in Queensland, Australia, to coordinate the care of patients with multiple chronic conditions, who frequently miss hospital appointments. The role of the nurse navigator is to improve care management of these patients. Evidence for this is measured through improvement in patient self-management of their conditions, a reduction in preventable hospital admissions and compliance with attendance at outpatient clinics. Failure to attend (FTA) is one measure of hospital utilisation, identifying outpatient appointments that are cancelled or not attended. Method The cohort for this study was patients with multiple chronic conditions, and nurse navigators coordinating their care. Data describing the concept of FTA were thematically analysed twelve months into this three year evaluation. Results Although the patient is blamed for failing to attend appointments, the reasons appear to be a mixture of systems error/miscommunication between the patient and the health services or social reasons impacting on patient’s capacity to attend. Themes emerging from the data were: access barriers; failure to recognise personal stigma of FTA; and bridging the gap. Conclusion The nurse navigators demonstrate their pivotal role in engaging with outpatient services to reduce FTAs whilst helping patients to become confident in dealing with multiple appointments. There are many reasons why a patient is unable to attend a scheduled appointment. The phrase ‘Failure to Attend’ has distinctly negative connotations and can lead to a sense of blame and shame for those with complex chronic needs. We propose the use of the neutral phrase “appointment did not proceed” to replace FTA. Implications for Nursing management This article advocates for further consideration of collaborative models that engage the patient in their care journey and for consideration of the language used within the outpatient acute hospital setting, proposing the term ‘appointment did not proceed.’

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