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Artykuły w czasopismach na temat "Remote area nursing"
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Fisher, Jacklin, Julie Bradshaw, Beth Anne Currie, Jeanette Klotz, Patricia Robins, Kerry Reid Serle i Janie Smith. "VIOLENCE AND REMOTE AREA NURSING". Australian Journal of Rural Health 4, nr 3 (sierpień 1996): 190–99. http://dx.doi.org/10.1111/j.1440-1584.1996.tb00208.x.
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Opie, Tessa, Maureen Dollard, Sue Lenthall i Sabina Knight. "Occupational Stress in Remote Area Nursing: Development of the Remote Area Nursing Stress Scale (RANSS)". Journal of Nursing Measurement 21, nr 2 (2013): 246–63. http://dx.doi.org/10.1891/1061-3749.21.2.246.
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Background and Purpose: The purpose of this study was to develop a measure that would adequately and sensitively measure the occupational stress experience of nurses working in very remote health care facilities. Because no existing nursing stress tool is suitable to assess the unique stressors of remote nursing practice, the aim was to address this gap in psychometric measurement capacity and develop the Remote Area Nursing Stress Scale (RANSS). Method: A focus group (n = 19) of remote area nurses identified potential questionnaire items through open discussion and by later listing the stressors they experienced individually in their day-to-day functioning. Subsequently, the Delphi method was employed to further refine the questionnaire (n = 12 experts). The RANSS was successfully pilot tested and was afterward administered to nurses working in very remote Australia in 2008 (n = 349) and in 2010 (n = 433). Results: Principal components analysis and confirmatory factor analysis were performed for both waves of survey administration, demonstrating a robust 7-factor structure consistent across samples and accounting for significant variance in dependent measures. Conclusion: The development and validation of the RANSS is a significant advancement in remote area nursing research. The RANSS should be administered on an ongoing basis to monitor occupational stress among nurses working in very remote Australia. The RANSS should also be administered internationally in countries that also accommodate remote health care facilities. This would determine whether the RANSS is a psychometrically valid stress measure beyond the context of very remote Australia.
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Fisher, Jacklin, Julie Bradshaw, Beth Anne Currie, Jeanette Klotz, Kerry Reid Searl i Janine Smith. "AUSTRALIA: REMOTE AREA NURSES'EXPERIENCES OF VIOLENCE". International Journal of Nursing Practice 1, nr 1 (listopad 1995): 67–70. http://dx.doi.org/10.1111/j.1440-172x.1995.tb00012.x.
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Dowd, Toni, i Sally Johnson. "Remote area nurses – on the cutting edge". Collegian 2, nr 1 (styczeń 1995): 36–40. http://dx.doi.org/10.1016/s1322-7696(08)60085-2.
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Ellis, Isabelle. "Remote area nurses: fitting into a new mould". Collegian 1, nr 1 (styczeń 1994): 43. http://dx.doi.org/10.1016/s1322-7696(08)60581-8.
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Smith, Cathi. "“Yes, but what do remote area nurses do?”". Collegian 1, nr 1 (styczeń 1994): 43. http://dx.doi.org/10.1016/s1322-7696(08)60582-x.
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Opie, Tessa, Maureen Dollard, Sue Lenthall, John Wakerman, Sandra Dunn, Sabina Knight i Martha MacLeod. "Levels of occupational stress in the remote area nursing workforce". Australian Journal of Rural Health 18, nr 6 (30.11.2010): 235–41. http://dx.doi.org/10.1111/j.1440-1584.2010.01161.x.
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McCullough, Kylie, Lisa Whitehead, Sara Bayes i Rebecca Schultz. "Remote area nursing: best practice or paternalism in action? The importance of consumer perspectives on primary health care nursing practice in remote communities". Australian Journal of Primary Health 27, nr 1 (2021): 62. http://dx.doi.org/10.1071/py20089.
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This paper reports on a study that aimed to understand how remote area nurses implemented primary health care principles in the Australian remote health care setting. Twenty-four Registered Nurses and Nurse Practitioners who worked in remote health services without inpatient facilities were interviewed using constructivist grounded theory methods. Findings revealed that nurses in this study aimed to practice in a way that was guided by Indigenous empowerment and social justice. However, some nurses questioned elements of their practice such as ‘chasing’ people for appointments or routine screening required by clinical guidelines that may not reflect the values of Indigenous peoples. Nurses expressed concern that they may be reinforcing past colonising practices and their actions may be considered paternalistic rather than empowering. Nurses in this study wanted to develop partnerships and provide nursing care that aligned with the health and wellbeing expectations of communities. However, ways of communicating the needs of communities and the development of partnerships between health providers and communities need to be developed. The present study calls for further research from the perspective of remote community members in order to develop ways of sharing knowledge about health and wellbeing between remote area nurses and communities.
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Robertson, Jan. "Tackling tobacco: A call to arms for remote area nurses". Contemporary Nurse 37, nr 1 (grudzień 2010): 49–56. http://dx.doi.org/10.5172/conu.2010.37.1.049.
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Robertson, Jan. "Tackling tobacco: A call to arms for remote area nurses". Contemporary Nurse 37, nr 1 (styczeń 2011): 49–56. http://dx.doi.org/10.5172/conu.2011.37.1.049.
Pełny tekst źródłaRozprawy doktorskie na temat "Remote area nursing"
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Cramer, Jennifer H. "Nursing practice in a remote area : an ethnographic study". Thesis, Curtin University, 1998. http://hdl.handle.net/20.500.11937/32.
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The solitary position of nurses who practise in geographically isolated communities to provide direct health care to a predominantly Aboriginal population characterises nursing in remote areas. Munoz & Mann (1982) described this practice as unique. The uniqueness of this practice, however, has remained shrouded in superficial descriptions featuring service delivery at a one or two-nurse-post, the physical distance of nursing posts from hospital facilities and the autonomy with which nursing is performed. Only glimpses of the reality of nursing practice in a remote area have been revealed through the study of the educational needs of remote area nurses (Munoz & Mann 1982, Cameron-Traub 1987, Philp 1988, Kreger 1991a, Bell, Chang & Daly 1995). A key problem is the lack of a systematic description and detailed analysis of nursing as it is practised in a remote area.The purpose of this study was to explore, describe and analyse nursing practice in a remote area. The research was undertaken at Warburton, an isolated community mainly inhabited by the Ngaanyatjarra people in the Central Desert of Western Australia. An ethnographic design was chosen for this exploratory inquiry into the social and cultural pattern of everyday nursing practice. In a pre-entry study a suitable setting and informants were found. Fieldwork was conducted at the Warburton nursing post by the researcher and involved living on site for a year. Data gathering techniques were participant observation together with interviewing, collection of pertinent documents and the daily chronological recording of fieldnotes, memos and a personal journal. Data analysis was performed concurrently with data gathering. The process followed the Developmental Research Sequence Method by Spradley (1980). Through a cyclical process of data collection and analysis the domains, taxonomies and componential variables in the culture of remote area nursing practice emerged.Amorphous practice was the overall theme revealed in the underlying cultural patterns that shaped the practice of nursing in the remote area. The term amorphous practice is defined as the changeable nature of practice from nurse to nurse, from situation to situation, from time to time. This was observed in the recurrent differences between nurses in their knowledge, abilities and attitudes as well as in the variability between nurses in their management of client care. Contributors to the phenomenon of amorphous practice were found in three distinct, but inter-related, tributary themes termed detachment, diffusion and beyond the nursing domain. Detachment explained the nurses' feelings of separateness from the usual professional and organisational structures needed for the enactment of nursing. Diffusion encapsulated the broad spread of the nurses' role in remote area practice. Beyond the nursing domain described an unregulated practice considered to be outside the responsibilities of nursing care. The substantive theory of amorphous practice provided a detailed description of how nursing was practised in the remote area. It also explained why it was so different from nursing as it is generally understood by the profession.
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Cramer, Jennifer H. "Nursing practice in a remote area : an ethnographic study". Curtin University of Technology, School of Nursing, 1998. http://espace.library.curtin.edu.au:80/R/?func=dbin-jump-full&object_id=11936.
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The solitary position of nurses who practise in geographically isolated communities to provide direct health care to a predominantly Aboriginal population characterises nursing in remote areas. Munoz & Mann (1982) described this practice as unique. The uniqueness of this practice, however, has remained shrouded in superficial descriptions featuring service delivery at a one or two-nurse-post, the physical distance of nursing posts from hospital facilities and the autonomy with which nursing is performed. Only glimpses of the reality of nursing practice in a remote area have been revealed through the study of the educational needs of remote area nurses (Munoz & Mann 1982, Cameron-Traub 1987, Philp 1988, Kreger 1991a, Bell, Chang & Daly 1995). A key problem is the lack of a systematic description and detailed analysis of nursing as it is practised in a remote area.The purpose of this study was to explore, describe and analyse nursing practice in a remote area. The research was undertaken at Warburton, an isolated community mainly inhabited by the Ngaanyatjarra people in the Central Desert of Western Australia. An ethnographic design was chosen for this exploratory inquiry into the social and cultural pattern of everyday nursing practice. In a pre-entry study a suitable setting and informants were found. Fieldwork was conducted at the Warburton nursing post by the researcher and involved living on site for a year. Data gathering techniques were participant observation together with interviewing, collection of pertinent documents and the daily chronological recording of fieldnotes, memos and a personal journal. Data analysis was performed concurrently with data gathering. The process followed the Developmental Research Sequence Method by Spradley (1980). Through a cyclical process of data collection and analysis the domains, taxonomies and componential variables in the ++culture of remote area nursing practice emerged.Amorphous practice was the overall theme revealed in the underlying cultural patterns that shaped the practice of nursing in the remote area. The term amorphous practice is defined as the changeable nature of practice from nurse to nurse, from situation to situation, from time to time. This was observed in the recurrent differences between nurses in their knowledge, abilities and attitudes as well as in the variability between nurses in their management of client care. Contributors to the phenomenon of amorphous practice were found in three distinct, but inter-related, tributary themes termed detachment, diffusion and beyond the nursing domain. Detachment explained the nurses' feelings of separateness from the usual professional and organisational structures needed for the enactment of nursing. Diffusion encapsulated the broad spread of the nurses' role in remote area practice. Beyond the nursing domain described an unregulated practice considered to be outside the responsibilities of nursing care. The substantive theory of amorphous practice provided a detailed description of how nursing was practised in the remote area. It also explained why it was so different from nursing as it is generally understood by the profession.
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Donovan, Anne, i n/a. "In a nutshell, it's the very basics: remote area nurses' constructions of primary health care". Griffith University. School of Nursing and Midwifery, 1997. http://www4.gu.edu.au:8080/adt-root/public/adt-QGU20050901.104302.
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This study explores the constructions of primary health care held by remote area nurses working in indigenous communities without resident medical practitioners, in the Northern Territory. Primary health care is increasingly permeating health policy in Australia, and nurses in remote areas are responsible for its implementation. The study investigates past and present discussions of the meaning of the concept of primary health care to begin to identify the major forces which have problematically impacted on its evolution and interpretation. It traces the threads which emerge from these forces through the more recent developments of health promotion and new pubflc health to explore the discourses and strategies they have produced, and which overtly and covertly influence the implementation of primary health care. Remote area nurses are individually interviewed and their discussions analysed to explore the constructions of primary health care which they hold. The analysis also explores some of the ways in which these constructions may have come to exist, the evident impact of current discourses, and the absence of effective support in the further development of these constructions. The remote area nurses' discussions display a view of primary health care as the most basic of health services, focussed on personal hygiene and the individual's responsibility in prevention of illness, operated through encounters which offer opportunities for education and basic curative care. While several of the nurses indicate discomfort with the paternalistic nature of such a service, none are aware of ways in which they might resolve their concerns about it. The study briefly explores positive approaches towards the democratization of health care, and examines the support needed by remote area nurses if primary health care is to be effectively implemented by them.
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Donovan, Anne. "In a nutshell, it's the very basics: remote area nurses' constructions of primary health care". Thesis, Griffith University, 1997. http://hdl.handle.net/10072/365211.
Pełny tekst źródłaStreszczenie:
This study explores the constructions of primary health care held by remote area nurses working in indigenous communities without resident medical practitioners, in the Northern Territory. Primary health care is increasingly permeating health policy in Australia, and nurses in remote areas are responsible for its implementation. The study investigates past and present discussions of the meaning of the concept of primary health care to begin to identify the major forces which have problematically impacted on its evolution and interpretation. It traces the threads which emerge from these forces through the more recent developments of health promotion and new pubflc health to explore the discourses and strategies they have produced, and which overtly and covertly influence the implementation of primary health care. Remote area nurses are individually interviewed and their discussions analysed to explore the constructions of primary health care which they hold. The analysis also explores some of the ways in which these constructions may have come to exist, the evident impact of current discourses, and the absence of effective support in the further development of these constructions. The remote area nurses' discussions display a view of primary health care as the most basic of health services, focussed on personal hygiene and the individual's responsibility in prevention of illness, operated through encounters which offer opportunities for education and basic curative care. While several of the nurses indicate discomfort with the paternalistic nature of such a service, none are aware of ways in which they might resolve their concerns about it. The study briefly explores positive approaches towards the democratization of health care, and examines the support needed by remote area nurses if primary health care is to be effectively implemented by them.Thesis (Masters)
Master of Philosophy (MPhil)
School of Nursing and Midwifery
Griffith Health
Full Text
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Graf, Amanda Clair. "A mixed method study on Nursing graduate support programs in rural and remote areas of Western Australia". Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 2020. https://ro.ecu.edu.au/theses/2334.
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Aim: To determine if the current rural graduate programs in Western Australia adequately support new graduate nurses transitioning into rural and remote practice.
Background: Graduate nurse transition to employment is a time of significant change and challenges often results in periods of transition shock. These challenges are magnified in rural areas when graduates have limited rural nursing experience and move to commence their career. Supportive graduate nursing programs are essential for enabling nursing transition to practice and assist in reducing attrition rates. Graduate programs were developed to smooth the transition for university trained bachelor’s degree registered nurses into the workforce.
Design: A parallel convergent mixed method design which was informed by Duchscher’s Stages of Transition Theory, the conceptual framework chosen to guide the study.
Method: Through a purposive sample of graduate and senior nurse participants were invited from rural and remote Western Australia during 2015 to mid-2016. The quantitative tool was applied three times to new graduate registered nurses of which a total of 34 completed the survey. The survey was applied once to senior nurses, 40 of whom completed the survey. Semi structured interviews were conducted for both cohorts at three separate time intervals. Ten new graduate registered nurses and 15 senior nurses were interviewed throughout the 12-month timeframe. Braun and Clarke thematic analysis was applied to analyse the qualitative data. Descriptive statistics and content analysis were used to analyse the surveys.
Results: In the first three months new graduates cycled through both transition shock and honeymoon periods resulting in a high level of satisfaction overall, however less satisfaction with the preceptorship. The level of satisfaction dropped significantly at seven months resulting in transition crisis before the adjustment period began. The transition occurred in a linear manner over three distinct timeframes. Limited resources were highlighted as an obstacle to providing adequate support in the rural graduate programs.
Conclusion: Graduate programs need to be structured but flexible to allow for individual differences in graduates and clinical situations. The honeymoon stage coexisted with transition shock which may hide the need for adequate support to continue. Inadequate and/or a lack of preceptorship was evident throughout the Western Australian rural graduate programs.
Relevance to clinical practice: Graduate programs need to be structured but flexible to allow for individual differences in graduates and clinical situations. New graduate nurses would benefit from a break midway through their transition year to assist and overcome the transition crisis stage. Development of the preceptor role through education is required to deliver adequate support to graduate nurses and decrease transition shock. Emphasis on the transition journey is required in undergraduate final semesters to help better prepare new graduates to manage the change from students to registered nurse.
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Berglund, Linnea, i Siri Fjellman. "Registered nurses' experiences of working with indigenous patients in remote areas in Amazonas, Peru : a qualitative interview study at health clinics in Loreto region". Thesis, Sophiahemmet Högskola, 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:shh:diva-3374.
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Background In remote areas of the Peruvian Amazon there is a high burden of communicable diseases, limited access to health care and a low distribution of registered nurses. Registered nurses are working with indigenous patients in the area, where traditional medicine and practice is common. In order to strengthen the relation between western and traditional practices, intercultural health has been implemented within the public health care. Aim The aim was to describe registered nurses’ experiences of working with indigenous patients in remote health care settings in Loreto region, Peruvian Amazon. Method A qualitative field study with semi-structured interviews was conducted at four health clinics in Maynas and Mariscal Ramón Castilla province. A qualitative content analysis was used when analyzing the data. Findings Three categories were identified in the analysis; Working environment in a remote area, Providing health care for indigenous patients and Including intercultural health in nursing practice. The participants’ daily work with few colleagues and high demand in remote clinics was described. Experiences of working with intercultural health, as well as opportunities and challenges of working with indigenous patients was found. Conclusion The registered nurses work in an area with a high workload, limited resources and geographic isolation. Intercultural implementations were shown to improve intercultural relations, autonomy and health. Challenges between registered nurses and indigenous patients related to communication and different cultures were described. In order to improve the situation and reach the UN Sustainable Development Goals, infrastructural and socio-economic improvements, more resources and health professionals are necessary.
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LIN, PI-LING, i 林碧鈴. "The Association between Social Support, Job Satisfaction and Turnover Intention of Nursing Staff in a Remote Area Hospital". Thesis, 2019. http://ndltd.ncl.edu.tw/handle/d5y948.
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碩士中臺科技大學
醫療暨健康產業管理系碩士班
107
The district hospital has maintained the highest rate of both turnover and staff shortage among all levels of hospitals, having a difficulty of nursing staff recruitment. For the district hospital, which locates in the remote area, the staff’s retention and recruitment has been also hindered by its location. By understanding the job satisfaction, social support and turnover intention of the nursing staffs in the remote regional hospital, this study explores the potentials of job dissatisfaction and ways for the improvement. In addition, the essential items to strengthen job satisfaction are also discussed in this paper. The result of this study can be used to refer to increase the nursing staffs’ job intention and to decrease the turnover intention. There are three primary purposes in this paper. Firstly, the author intends to investigate the current nursing staff’s condition in job satisfaction, social support and turnover intention. Secondly, the author plans to explore the impacts of job satisfaction, social support and turnover intention. Lastly, the author aims to find the association among job satisfaction, social support and turnover intention.The study has adapted a cross-sectional study design of a clinical survey. The instrument has used a structured questionnaire including the scales of job satisfaction, social support, turnover intention and nursing staffs’ personal characteristics from a remote area hospital in central Taiwan. 278 effective questionnaires have been collected and analyzed in this study. All data have been tested through SPSS (the 21th version).The results of social support shows that supervisor support has an average score of 4.12, co-worker support has an average score of 4.13 and kinship support has an average score of 4.11. In job satisfaction, the average score of the supportive work environment is 3.69, the average score of professional authority is 3.80, the average score of cooperation and interpersonal interaction is 3.87, the average score of leadership style is 3.93, and the average score of nursing workload is 3.59. The average score in the table of turnover intention is 2.70. The major findings of this study indicates that job satisfaction and social support are significantly and positively related while turnover intention and job satisfaction are significantly and negatively related. Supervisor support and professional autonomy correlate significantly and negatively to turnover intention. The correlation between leadership style and retention turnover is significantly negative. There is a significant and positive correlation between satisfaction of nursing workload and retention turnover.This paper recommends the authorities to provide appropriate nursing training and supportive activities, to strengthen the leadership, to offer retention bonus or related incentives to senior nursing staffs (those who employed for 5 to 10 years) and to supply more related job aids for the nursing staffs to reduce stress at work. Through the above-mentioned methods, the degree of job satisfaction can be enhanced and the retention turnover can be decreased.
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Pan, Mei-Yun, i 潘美雲. "A Study of Job Satisfaction and Willingness to Stay on The Job Among Nursing Aides in Remote Areas - Taking Partial TownshipAn Example of The Nantou County Area ( Renai Township,Xinyi Township, Puli Township )". Thesis, 2015. http://ndltd.ncl.edu.tw/handle/fx52k5.
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碩士亞洲大學
健康產業管理學系長期照護組碩士在職專班
103
Purpose: to investigate Partial care attendant rural areas between job satisfaction and willingness remain in office relevant factors. Methods: This cross-sectional study of mining research and design style, the first stage of sampling purposive sampling convenience sample (convenience sampling) to regional service Puli Township Habitat partial service unit - a social welfare charity foundations of care attendants for the first phase of the case is closed object count 52 people, the second phase of mining snowball sampling (Snowballing sampling) way to close the case of objects counted 41 people, with a self-administered questionnaire administered test, a total of 93 samples was effective, information in order to perform data analysis software SPSS, using methods mean, standard deviation, maximum, minimum, etc., then the descriptive and inferential statistical analysis. Results: (1) according to the flight attendant services to health care for the majority of the content, is a labor-intensive service work according to high load (2) "overall willingness to remain " analysis, willingness to remain in the hospital services are higher than the geriatric day care and private home care service providers ; in the home service agencies who wishes to remain higher than those of private home care services; geriatric day care service providers than private home care services are high. (3) full-time work patterns are at the "willingness to remain current," "willingness to remain on in the coming year", "left the agency after serving as a member of the work according to the will", and "wishes to remain whole" and work patterns of part-time or other persons have significant differences, the table full-time workers have a higher willingness to stay. (4) to take care attendant in job satisfaction was positive; "overall satisfaction" and "willingness to remain current," (r = 0.27, p <0.01), "wishes to remain in the coming year." (R = 0.28, p <0.01), "before leaving any willingness" (r = 0.32, p <0.01), as well as "the will of the overall retention" (r = 0.31, p <0.01) are having a significant positive correlation coefficient values range 0.27-0.32 circles, is a low degree of correlation (5) Job satisfaction and willingness to remain a significant difference,Standardized coefficient of 4.42, p <0.01,Job satisfaction expressed willingness to remain connected with a significant positive impact.The total amount of variation in the overall willingness to remain,Job satisfaction variables can explain facets wishes to remain 10% of the variance that is 10% of the influence or predict. Conclusion:Study found,Partial Township care attendant qualities of job satisfaction, willingness to remain is higher ,care experience and interaction among peers and high sense of responsibility and according to the flight attendants and rural areas of partial human faults are pressing issue in the future.Recommends that the Government in the professional health care environment and constantly changing, the use of the advantages of care services, expanding care services are diverse patterns,continue to promote "community priority" and "universal service" concept,while focusing on issues related to human inject, increasing employment opportunities in the earth,aging policy in place to implement the real.
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(9844970), Nicola Whiteing. "The practice of registered nurses in rural and remote areas of Australia: Case study research". Thesis, 2019. https://figshare.com/articles/thesis/The_practice_of_registered_nurses_in_rural_and_remote_areas_of_Australia_Case_study_research/13409945.
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This study aimed to delineate the roles and responsibilities of Registered Nurses (RNs) working in rural and remote areas of Australia and to explore the clinical and educational preparation required to fulfil such roles and responsibilities.
Whilst much research exists surrounding rural and remote nursing, few studies have looked in depth at the roles and responsibilities and necessary preparation for rural and remote nursing. Indeed, much of the literature encompasses rural and remote nurse data within the wider metropolitan workforce. There is limited research which clearly defines the rural and remote populations being studied. This study, however, clearly delineates those nurses working in rural and remote locations by the Australian Standard Geographical Classification – Remote Areas system (ASGC-RA).
It is known that nursing is facing a workforce crisis with many nurses due to retire in the next ten to 15 years. It is also known that this is worse in rural and remote areas in which the average age of the workforce is higher and there are issues with recruitment and retention of nurses. Thus, there is a need to understand the practice of RNs, preparation for the role and challenges that need to be addressed in order that such workforce issues can be addressed.
The study was carried out utilising Yin’s case study research design. A multiple embedded case study design was selected as appropriate to explore and explain in greater detail the practice of Registered Nurses. The study was undertaken in two States of Australia, Queensland (QLD) and New South Wales (NSW). The philosophical paradigm in which the study is situated is that of social constructivism in which there is a belief that knowledge is generated through experiences and interactions with the social world.
The study comprised three phases of data collection and analysis. The first, a content analysis of documents relating to the context of nursing and more specifically rural andremote nursing, second, a content analysis of an online questionnaire and third, a thematic analysis of semi-structured interviews revealing five major themes.
Data from the three phases were converged through pattern matching and empirical propositions were derived from the data. Alongside many replicated findings the study also generated new findings. Major new findings included the influence of expectation on practice, perceived inadequate managerial understanding and support of the rural and remote RN role, an inability to fulfil the Primary Health Care (PHC) model of practice, the level of experience necessary to work in rural and remote areas, lack of preparation in mental health and maternity, an inability to access professional development, limited collaboration and networking opportunities, and misperceptions held by metropolitan staff.
The Theory of Cognitive Dissonance was applied to the findings to explain the practice of the RN working in rural and remote areas. Through this theory it is evident that a number of implications and recommendations can be proposed in the areas of practice, organisation, education, policy and future research.
Książki na temat "Remote area nursing"
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Victoria. Department of Human Services. Remote area nurses: Emergency guidelines 2005. Melbourne: Dept of Human Services, 2005.
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Brayley, Annabelle. Nurses of the outback: 15 amazing lives in remote area nursing. Melbourne, Victoria, Australia: Michael Joseph/Penguin Books, 2014.
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Cramer, Jennifer. Sounding the alarm: Remote area nurses and Aboriginals at risk. Crawley, W.A: University of Western Australia Press, 2005.
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Brayley, Annabelle, i Kylie Rutledge. Nurses of the Outback: 15 Amazing Lives in Remote Area Nursing. Penguin Random House, 2015.
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Riveros-Perez, Efrain, i Mauricio Perilla. Specialty Practice Situations. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780190885885.003.0008.
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Recent advances in surgical and interventional procedures have led to a significant and increased demand for anesthesia services in locations distant from the traditional operating room. Special settings such as ophthalmologic surgery, interventional radiology, and the electrophysiology lab present unique challenges to the anesthesia provider. In addition to the remote location of the procedure rooms, the lack of familiarity with the equipment and distance from emergency back-up make for a challenging situation. Judicious preparation and set up of anesthesia equipment and materials as well as communication between the anesthesiologist, proceduralist, technicians, and nursing staff are key to performing these procedures in a safe fashion. Finally, procedures involving radiation exposure require awareness of occupational and patient safety concerns. This chapter discusses relevant anesthetic considerations for interventions performed in special settings including ophthalmologic surgery, gastrointestinal endoscopy, interventional radiology, cardiac diagnostic, and magnetic resonance imaging suites.
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Shephard OAM, Mark, red. Practical Guide to Global Point-of-Care Testing. CSIRO Publishing, 2016. http://dx.doi.org/10.1071/9781486305193.
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Point-of-care testing (POCT) refers to pathology testing performed in a clinical setting at the time of patient consultation, generating a rapid test result that enables informed and timely clinical action to be taken on patient care. It offers patients greater convenience and access to health services and helps to improve clinical outcomes. POCT also provides innovative solutions for the detection and management of chronic, acute and infectious diseases, in settings including family practices, Indigenous medical services, community health facilities, rural and remote areas and in developing countries, where health-care services are often geographically isolated from the nearest pathology laboratory.
A Practical Guide to Global Point-of-Care Testing shows health professionals how to set up and manage POCT services under a quality-assured, sustainable, clinically and culturally effective framework, as well as understand the wide global scope and clinical applications of POCT.
The book is divided into three major themes: the management of POCT services, a global perspective on the clinical use of POCT, and POCT for specific clinical settings. Chapters within each theme are written by experts and explore wide-ranging topics such as selecting and evaluating devices, POCT for diabetes, coagulation disorders, HIV, malaria and Ebola, and the use of POCT for disaster management and in extreme environments. Figures are included throughout to illustrate the concepts, principles and practice of POCT.
Written for a broad range of practicing health professionals from the fields of medical science, health science, nursing, medicine, paramedic science, Indigenous health, public health, pharmacy, aged care and sports medicine, A Practical Guide to Global Point-of-Care Testing will also benefit university students studying these health-related disciplines.
Części książek na temat "Remote area nursing"
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Lenthall, Sue, Terrie Ivanhoe i Kylie Stothers. "Remote area nursing". W Nursing in Australia, 191–200. Milton Park, Abingdon, Oxon; New York, NY: Routledge, 2021.: Routledge, 2020. http://dx.doi.org/10.4324/9781003120698-24.
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Thomas, Andre, Yun Li, Christine L. Kaunas, Marty Newcomb, Gerard E. Carrino, Lori D. Greenwood, Patrick D. St. Louis, LeRoy A. Marklund, Nephy G. Samuel i Hector O. Chapa. "Implementation of a Digital Live-Action Gaming Experience for Interprofessional Learning and Training". W Global Perspectives on Educational Innovations for Emergency Situations, 199–207. Cham: Springer International Publishing, 2022. http://dx.doi.org/10.1007/978-3-030-99634-5_20.
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AbstractInterprofessional education is required by all athletic training, medical, pharmacy, nursing, and public health students at Texas A&M University. One such opportunity for collaborative training has been Disaster Day, the nation’s largest student-led interprofessional emergency response simulation. This annual training of 500–800 students takes place on a single day, in two 4-h sessions, at a designated site on campus. Due to COVID-19, the simulation could not be offered in-person in 2020, so the organizers looked for alternative solutions. We opted to use digital games, which have been proposed and used for formal and informal education for several years. While there have been games specifically developed for interprofessional training, none of those games were readily available for use by other institutions, nor is their focus on disaster response. In this chapter, we provide a detailed analysis of how an interdisciplinary team of health professions educators and game designers met interprofessional learning requirements while maintaining student engagement. Lessons from an abbreviated schedule and limited budget will be discussed. The approach incorporated different technologies and tools that are readily available. We will discuss pitfalls, assumptions, and full implementation of our approach. This will allow others to replicate our method and create similar highly engaging learning experiences for remote and online learning.
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"Remote area nursing practice". W Yatdjuligin, redaktor Nicole Ramsamy, 187–206. Wyd. 3. Cambridge University Press, 2021. http://dx.doi.org/10.1017/9781108894166.011.
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Saurman, E., D. Perkins, D. Lyle, M. Patfield i R. Roberts. "Case Study". W Evidence-Based Practice in Nursing Informatics, 191–203. IGI Global, 2011. http://dx.doi.org/10.4018/978-1-60960-034-1.ch015.
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The MHEC-RAP project involves the innovative application of video conferencing to mental health assessment in rural NSW. The preliminary evaluation findings of the project are presented. Mental health emergencies in rural and remote settings cause particular problems and are not amenable to conventional health service solutions. Patients and local health care staff may be isolated from specialist mental health staff and from acute inpatient services. Decisions to transport patients for specialist assessments or treatment may be required at night or at weekends and may involve families, police, ambulance services and local health staff. Such decisions need to be made promptly but carefully and the ability to obtain a specialist assessment may assist in making a decision about how best to care for the patient bearing in mind the need to provide a responsive, high quality and safe service to patients and local clinicians. In this chapter we examine a novel approach which uses audio-visual technology to conduct remote emergency mental health patient assessment interviews and provide consultations to local clinicians in rural communities in western NSW. The Mental Health Emergency Care – Rural Access Project or ‘MHEC-RAP’ was developed in 2007 following a series of consultations held in rural towns and implemented in 2008 within the Greater Western Area Health Service (GWAHS), New South Wales, Australia. GWAHS is a primary example of a rural and remote health service. It serves 287,481 people (8.3% of whom are Indigenous Australians) in an area that is 445,197sq km or 55% of the state of New South Wales (Australian Bureau of Statistics, 2001; Greater Western Area Health Service, 2007, 2009). The communities within GWAHS are mostly small, the towns are widely dispersed and local services are “limited by distance, expense, transport, and the difficulty of recruiting health professionals to these areas” (Dunbar, 2007 page 587). The chapter focuses on the design of the service, its implementation and its performance in the first year. We conclude with a discussion about the service, its broader relevance, transferability and its sustainability.
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Yarger, Lisa. "Nurses on Horseback". W Lovie. University of North Carolina Press, 2016. http://dx.doi.org/10.5149/northcarolina/9781469630052.003.0007.
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Lovie visits the world-famous Frontier Nursing Service (FNS), the first program in the United States to employ nurse-midwives. Founded in 1925 in a tri-county area of Kentucky’s Appalachian Mountains by Mary Breckinridge, a wealthy socialite and nurse, the FNS compiled a remarkable record and won the admiration of physicians and health professionals from around the country and the world. FNS midwives, originally recruited from the United Kingdom but later trained on site, rode horseback through creek beds and narrow coves to provide health care and deliver babies in remote mountain cabins. Lovie recounts how her three-month stint at the FNS sealed her interest in becoming a nurse-midwife.
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Jeon, Eunjoo, Laura-Maria Peltonen, Lorraine Block, Charlene Ronquillo, Jude L. Tayaben, Raji Nibber, Lisiane Pruinelli i in. "Emergency Remote Learning in Nursing Education During the COVID-19 Pandemic". W Studies in Health Technology and Informatics. IOS Press, 2021. http://dx.doi.org/10.3233/shti210317.
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Due to the corona (COVID-19) pandemic, several countries are currently conducting non-face-to-face education. Therefore, teachers of nursing colleges have been carrying out emergency remote education. This study developed a questionnaire to understand the status of Emergency Remote Learning (ERL) in nursing education internationally, translated it into 7 languages, and distributed it to 18 countries. A total of 328 nursing educators responded, and the most often used online methods were Social networking technology such as Facebook, Google+ and Video sharing platform such as YouTube. The ERL applied to nursing education was positively evaluated as 3.59 out of 5. The results of the study show that during the two semesters nursing college professors have well adapted to this unprecedent crisis of teaching. The world after COVID-19 has become a completely different place, and nursing education should be prepared for ‘untact’ education.
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Gallimore, Malaika R., Chelsea Howland, Jo-Ana D. Chase, Amy Grimsley, Chuka Emezue, Katrina Boles, Allison B. Anbari i in. "Digital Methodology for Mobile Clinical Decision Support Development in Long-Term Care". W MEDINFO 2021: One World, One Health – Global Partnership for Digital Innovation. IOS Press, 2022. http://dx.doi.org/10.3233/shti220122.
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The global COVID-19 pandemic has driven innovations in methods to sustain initiatives for the design, development, evaluation, and implementation of clinical support technology in long-term care settings while removing risk of infection for residents, family members, health care workers, researchers and technical professionals. We adapted traditional design and evaluation methodology for a mobile clinical decision support app – designated Mobile Application Information System for Integrated Evidence (“MAISIE”) – to a completely digital design methodology that removes in-person contacts between the research team, developer, and nursing home staff and residents. We have successfully maintained project continuity for MAISIE app development with only minor challenges while working remotely. This digital design methodology can be implemented in projects where software can be installed without in-person technical support and remote work is feasible. Team skills, experience, and relationships are key considerations for adapting to digital environments and maintaining project momentum.
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Sneed, Wanda. "A Treatise on Rural Public Health Nursing". W Nursing and Clinical Informatics, 1–15. IGI Global, 2009. http://dx.doi.org/10.4018/978-1-60566-234-3.ch001.
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Nursing informaticists can be leaders in promoting prevention of illness and diseases in the 21st century. Developing an infrastructure for application of preventive and predicative models in healthcare delivery is paramount. This chapter stresses the need for rural regions to develop paradigmatic models for incorporating all aspect of the human ecology domain. While movement in public health nursing is contingent on improvement in public health interconnectivity, nurse informaticists need to develop a classification system for public health nursing, develop databases for evidence–based practice, and incorporate the rural culture in their work. Incorporation of genomics in daily nursing practice will soon be a reality. As consumer-driven healthcare becomes the reality, the platform for healthcare delivery will change. A change to care delivery in a variety of community sites with electronic information exchanges and personal health records will require robust work by informaticists. Remote monitoring devices in clients’ homes are another arena which will require a new set of skills for nursing interventionists.
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Fleming, Jacqueline, i Amy Minix. "Supporting Visual Literacy in Nursing". W Visual Literacy in The Virtual Realm: The Book of Selected Readings 2021, 20–29. International Visual Literacy Association, 2021. http://dx.doi.org/10.52917/ivlatbsr.2021.013.
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COVID-19 impacted in person learning, particularly for the health sciences. Nursing students learn valuable clinical skills in simulation labs on campus. When one university campus stopped in person instruction during the 2020 spring semester, two librarians worked together to identify resources to support a nursing course that quickly switched to remote learning. These resources ranged from library licensed content to free virtual reality simulations. In order to identify materials, the librarians first defined visual literacy within nursing, as well as met with various constituents to understand curriculum goals and needs. Making connections with both the faculty and the curriculum was the impetus for examining similarities between the Association of College and Research Libraries Visual Literacy Competency Standards and the American Association of Colleges of Nursing Clinical Resources Essentials for Baccalaureate Nursing Education. Both librarians are eager to continue working on strategically and systematically incorporating visual literacy library instruction into the nursing curriculum.
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Lueg, Christopher, i Valérie Jungo. "Mobile Remote Presence Robots for Medical Consultation and Social Connectedness". W Studies in Health Technology and Informatics. IOS Press, 2021. http://dx.doi.org/10.3233/shti210328.
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We demonstrate that Mobile Remote Presence systems (MRP) aka telepresence robots can be successfully used in certain types of medical consultation such as consultation from a distance with residents of nursing homes. We argue that MRP afforded media richness also allows for supporting social connectedness during medically recommended isolation regimes similar to the ones that are implemented in residential care homes around the world during the SARS-CoVID-2 pandemic. Specifically, our research found that MRP are perceived as a more natural medium compared to typical telephones or videoconferencing via computers or tablets. MRP allow conversations to become more dynamic and engaging since remote participants are able to adjust their remote position and perspective during a conversation. Participants in our experiments reported they would be willing to engage even in difficult or emotional topics when using MRP however there are also certain types of situations that would still ask for face-to-face conversations.
Streszczenia konferencji na temat "Remote area nursing"
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Li, Zhi, Peter Moran, Qingyuan Dong, Ryan J. Shaw i Kris Hauser. "Development of a tele-nursing mobile manipulator for remote care-giving in quarantine areas". W 2017 IEEE International Conference on Robotics and Automation (ICRA). IEEE, 2017. http://dx.doi.org/10.1109/icra.2017.7989411.
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Maier, Edith, Pascale Baer-Baldauf, Peter Jaeschke, Ulrich Reimer i Tom Ulmer. "Continuous real-time remote monitoring of severely or chronically ill children". W The 18th international symposium on health information management research. Linnaeus University Press, 2022. http://dx.doi.org/10.15626/ishimr.2020.12.
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Compared to parents of healthy children, parents of severely or chronically ill children have significantly worse physical and mental health and a lower quality of life, e.g. because of lack of sleep. The proposed solution aims at assisting caregivers by means of a remote monitoring service run by professional nursing staff which should allow parents to get a good night’s sleep. A smart algorithm has been developed to detect if a particular parameter (heart rate, respiration rate or oxygen saturation) has exceeded a pre-defined threshold and thus may imply an emergency. Parents are only alerted after a professional nurse in the monitoring centre has cross-checked vital parameter trends and carried out an audio-visual inspection. The quality and accuracy of the system has been validated through iterative testing including a test performed in a children’s hospital to ensure that the monitoring system is not inferior to a hospital set-up.
Raporty organizacyjne na temat "Remote area nursing"
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Johnson, Corey, Colton James, Sarah Traughber i Charles Walker. Postoperative Nausea and Vomiting Implications in Neostigmine versus Sugammadex. University of Tennessee Health Science Center, lipiec 2021. http://dx.doi.org/10.21007/con.dnp.2021.0005.
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Purpose/Background: Postoperative nausea and vomiting (PONV) is a frequent complaint in the postoperative period, which can delay discharge, result in readmission, and increase cost for patients and facilities. Inducing paralysis is common in anesthesia, as is utilizing the drugs neostigmine and sugammadex as reversal agents for non-depolarizing neuromuscular blockers. Many studies are available that compare these two drugs to determine if neostigmine increases the risk of PONV over sugammadex. Sugammadex has a more favorable pharmacologic profile and may improve patient outcomes by reducing PONV. Methods: This review included screening a total of 39 studies and peer-reviewed articles that looked at patients undergoing general anesthesia who received non-depolarizing neuromuscular blockers requiring either neostigmine or sugammadex for reversal, along with their respective PONV rates. 8 articles were included, while 31 articles were removed based on our exclusion criteria. These were published between 2014 and 2020 exclusively. The key words used were “neostigmine”, “sugammadex”, “PONV”, along with combinations “paralytic reversal agents and PONV”. This search was performed on the scholarly database MEDLINE. The data items were PONV rates in neostigmine group, PONV rates in sugammadex group, incidence of postoperative analgesic consumption in neostigmine group, and incidence of postoperative analgesic consumption in sugammadex group. Results: Despite numerical differences being noted in the incidence of PONV with sugammadex over reversal with neostigmine, there did not appear to be any statistically significant data in the multiple peer-reviewed trials included in our review, for not one of the 8 studies concluded that there was a higher incidence of PONV in one drug or the other of an y clinical relevance. Although the side-effect profile tended to be better in the sugammadex group than neostigmine in areas other than PONV, there was not sufficient evidence to conclude that one drug was superior to the other in causing a direct reduction of PONV. Implications for Nursing Practice: There were variable but slight differences noted between both drug groups in PONV rates, but it remained that none of the studies determined it was statically significant or clinically conclusive. This review did, however, note other advantages to sugammadex over neostigmine, including its pharmacologic profile of more efficiently reversing non-depolarizing neuromuscular blocking drugs and its more favorable pharmacokinetics. This lack of statistically significant evidence found within these studies consequentially does not support pharmacologic decision-making of one drug in favor of the other for reducing PONV; therefore, PONV alone is not a sufficient rationale for a provider to justify using one reversal over another at the current time until further research proves otherwise.