Статті в журналах: "Nursing Practice Australia"

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Scanlon, Andrew. "Doctor of Nursing Practice: Australia." Clinical Scholars Review 8, no. 1 (2015): 98–101. http://dx.doi.org/10.1891/1939-2095.8.1.98.

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This article explores the applicability of the Doctor of Nursing Practice degree from the Australian nurse practitioner (NP) perspective. NPs have been endorsed to practice in Australia for more than 13 years in many diverse roles requiring education beyond that of the current master’s level. However, there is little formal university training beyond this level. Current regulatory requirements, clinical practice settings, and the small number of NPs practicing do not provide the impetus to expand NP education requirements at this time.

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Hegney, Desley. "Practice nursing in rural Australia." Contemporary Nurse 26, no. 1 (August 2007): 74–82. http://dx.doi.org/10.5172/conu.2007.26.1.74.

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Halcomb, Elizabeth J., Patricia M. Davidson, John P. Daly, Rhonda Griffiths, Julie Yallop, and Geoffrey Tofler. "Nursing in Australian general practice: directions and perspectives." Australian Health Review 29, no. 2 (2005): 156. http://dx.doi.org/10.1071/ah050156.

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Primary health care services, such as general practices, are the first point of contact for many Australian health care consumers. Until recently, the role of nursing in Australian primary care was poorly defined and described in the literature. Changes in policy and funding have given rise to an expansion of the nursing role in primary care. This paper provides a review of the literature and seeks to identify the barriers and facilitators to implementation of the practice nurse role in Australia and identifies strategic directions for future research and policy development.

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Pascoe, Tessa, Ronelle Hutchinson, Elizabeth Foley, Ian Watts, Lyndall Whitecross, and Teri Snowdon. "General practice nursing education in Australia." Collegian 13, no. 2 (January 2006): 22–25. http://dx.doi.org/10.1016/s1322-7696(08)60520-x.

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Patterson, Elizabeth, Elizabeth Halcomb, and Patricia Davidson. "Practice Nursing in Australia: Whose Responsibility?" Collegian 14, no. 4 (January 2007): 2–3. http://dx.doi.org/10.1016/s1322-7696(08)60563-6.

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Halcomb, Elizabeth J., Elizabeth Patterson, and Patricia M. Davidson. "Evolution of practice nursing in Australia." Journal of Advanced Nursing 55, no. 3 (August 2006): 376–88. http://dx.doi.org/10.1111/j.1365-2648.2006.03908_1.x.

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Lane, Riki, Elizabeth Halcomb, Lisa McKenna, Nicholas Zwar, Lucio Naccarella, Gawaine Powell Davies, and Grant Russell. "Advancing general practice nursing in Australia: roles and responsibilities of primary healthcare organisations." Australian Health Review 41, no. 2 (2017): 127. http://dx.doi.org/10.1071/ah15239.

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Objectives Given increased numbers and enhanced responsibilities of Australian general practice nurses, we aimed to delineate appropriate roles for primary health care organisations (PHCOs) to support this workforce. Methods A two-round online Delphi consensus process was undertaken between January and June 2012, informed by literature review and key informant interviews. Participants were purposively selected and included decision makers from government and professional organisations, educators, researchers and clinicians from five Australian states and territories Results Of 56 invited respondents, 35 (62%) and 31 (55%) responded to the first and second invitation respectively. Participants reached consensus on five key roles for PHCOs in optimising nursing in general practice: (1) matching workforce size and skills to population needs; (2) facilitating leadership opportunities; (3) providing education and educational access; (4) facilitating integration of general practice with other primary care services to support interdisciplinary care; and (5) promoting advanced nursing roles. National concerns, such as limited opportunities for postgraduate education and career progression, were deemed best addressed by national nursing organisations, universities and peak bodies. Conclusions Advancement of nursing in general practice requires system-level support from a range of organisations. PHCOs play a significant role in education and leadership development for nurses and linking national nursing organisations with general practices. What is known about the topic? The role of nurses in Australian general practice has grown in the last decade, yet they face limited career pathways and opportunities for career advancement. Some nations have forged interprofessional primary care teams that use nurses’ skills to the full extent of their scope of practice. PHCOs have played important roles in the development of general practice nursing in Australia and internationally. What does this paper add? This study delineates organisational support roles for PHCOs in strengthening nurses’ roles and career development in Australian general practice. What are the implications for practitioners? Effective implementation of appropriate responsibilities by PHCOs can assist development of the primary care nursing workforce.

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Roche, Michael, Christine Duffield, Sarah Wise, Richard Baldwin, Margaret Fry, and Annette Solman. "Domains of practice and Advanced Practice Nursing in Australia." Nursing & Health Sciences 15, no. 4 (May 21, 2013): 497–503. http://dx.doi.org/10.1111/nhs.12062.

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Peterson, David, Tracey Clark, Richard Sprod, Trudi Verrall, Louise English, and Amanda Thomson. "Bloody Good! The Impact of eLearning on Medical and Nursing Practice." International Journal of Advanced Corporate Learning (iJAC) 10, no. 2 (November 9, 2017): 75. http://dx.doi.org/10.3991/ijac.v10i2.7349.

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Blood transfusion is a commonly-performed medical procedure that improves and saves the lives of patients. However, this procedure also has significant risks, is sometimes used inappropriately and has substantial costs associated with the collection, testing, processing and distribution of blood and blood products.BloodSafe eLearning Australia (BEA) (<a href="/index.php/i-jac/author/saveSubmit/www.bloodsafelearning.org.au">www.bloodsafelearning.org.au</a>) is an education program for Australian doctors, nurses and midwives, designed to improve the safety and quality of clinical transfusion practice. Courses are interactive and include case studies, videos, and best-practice tips. Successful completion of a multiple-choice assessment provides learners with a certificate of completion. To date there are more than 400,000 registered learners, from more than 1500 organisations, who have completed more than 765,000 courses.Stakeholder feedback shows that the program: provides credible, consistent education across Australia; is cost effective; reduces duplication; is ‘best-practice’ elearning that is readily accessible; allows institutions to focus on practical aspects of transfusion education; results in change to clinical practice; and supports the broader implementation of a blood management strategy in Australia.User evaluation shows that the courses have a positive impact, with 89% of respondents stating they had gained additional knowledge of transfusion practice, processes and/or policy and more than 87% reporting they will make, or have made, changes to their work practices which will improve patient safety and outcomes.The BloodSafe eLearning Australia program provides education to a large number of health professionals across Australia. Evaluation demonstrates that these courses provide users with a consistent and reliable knowledge base that translates into changes to practice and improved patient outcomes.

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Wright, Helen, Melanie Birks, Lin Zhao, and Jane Mills. "Genomics in oncology nursing practice in Australia." Collegian 27, no. 4 (August 2020): 410–15. http://dx.doi.org/10.1016/j.colegn.2019.11.008.

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Carey, Reviewed by Lindsay, and Priscilla Robinson. "A Practice Manual for Community Nursing in Australia." Australian Journal of Primary Health 15, no. 2 (2009): 180. http://dx.doi.org/10.1071/pyv15n2_br1.

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Dunn, Sandra V., Andrew Cashin, Thomas Buckley, and Claire Newman. "Nurse practitioner prescribing practice in Australia." Journal of the American Academy of Nurse Practitioners 22, no. 3 (March 2010): 150–55. http://dx.doi.org/10.1111/j.1745-7599.2009.00484.x.

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O'Keefe, E. J. "The evolution of sexual health nursing in Australia: a literature review." Sexual Health 2, no. 1 (2005): 33. http://dx.doi.org/10.1071/sh04010.

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Background: The purpose of this paper is to describe and encapsulate the elements of the sexual health nurse’s role in Australia. In Australia, sexual health nursing is a fast evolving speciality operating within a climate of diverse role expectations, settings and population groups. Today’s health care climate demands that nurses’ roles and their impact on patient care be held up to scrutiny. Methods: A literature review was conducted that used descriptive analysis to elicit the recurrent themes appearing in the Australian sexual health nursing literature that would describe the role. Results: A model of sexual health nursing was evident with the two primary themes of professional responsibility and patient care. The professional role included a philosophy of sharing nursing experiences, collaboration, employment in multiple settings, and the development of the role into advanced practice, appropriate academic and clinical preparation and a commitment to research. The patient care role included the provision of individual and holistic patient care, ability to access specific at-risk groups, clinical effectiveness, patient education and community development roles. Conclusion: Australian sexual health nurses make a specific and measurable contribution to the health care system. They are likely to continue to advance their role supported by appropriate research that validates their models of practice, continues their philosophy of sharing their experiences and that documents the impact they have on the health outcomes of individuals and populations.

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Day, Gary. "Book review: Community Nursing in Australia." Australian Health Review 32, no. 3 (2008): 583. http://dx.doi.org/10.1071/ah080583.

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THIS BOOK AIMS to be a comprehensive insight into community nursing in Australia. The text largely achieves this claim and in doing so has provided one of the first texts of its type contextualised specifically at Australian community nursing issues. The book comprises 24 well organised and clear chapters around the three primary elements: the organisation of community nursing in Australia; the rapidly changing environment of community health delivery; and the specific practice elements of community nursing care. The chapters are well set out and include a focussed conclusion that really distils the essential elements. The text makes appropriate use of case studies, and scenarios add to the quality of the overall product. One area that could have been given more prominence would have been a specific chapter on issues concerning the community nursing care of Australia?s Indigenous population, as well as a chapter on community nursing approaches to stigmatised and marginalised groups. While reference is made to these groups within other chapters, it may have been more powerful had chapters been specifically written on these groups. Despite this, there is a lot to like about this Australiancentred nursing text. In addition to what you would routinely expect to find in a text on community nursing, the book includes chapters on risk management; organisation culture and organisational change; the changing professional role of community nursing; and the changing focus of research. Overall, the book is easy to read and provides an excellent overview of community nursing in Australia. Additionally, as outlined earlier in this review, the text takes the reader further than what you would expect from a book of this nature. The book would suit a wide variety of readers, from those wanting a greater understanding of the complexities of nursing in the community to nurses working in a range of community health settings.

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Coyle, Meaghan, Mohammad A. Al-Motlaq, Jane Mills, Karen Francis, and Melanie Birks. "An integrative review of the role of registered nurses in remote and isolated practice." Australian Health Review 34, no. 2 (2010): 239. http://dx.doi.org/10.1071/ah09743.

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Objective.To examine the role of the registered nurse in remote and isolated areas of Queensland, the Northern Territory, South Australia and Western Australia; and to illustrate the impact of the burden of disease on nursing practice. Data sources.A literature search was undertaken using electronic databases and the grey literature (including policy documents, project reports and position descriptions). Data synthesis.The role of the nurse in remote areas is diverse, and varies according to the context of practice. Although some states and territories offer formal programs to prepare nurses for the role, it is unclear whether this is routinely provided. The burden of disease is higher in remote Australia, and although nurses work to reduce the burden, the need to provide primary care can be at the expense of primary health care. Conclusions.Whilst the nature of nursing practice is influenced by many factors, considerable agreement exists between states and territories around the role of the registered nurses in remote and isolated communities. The higher burden of disease in remote and isolated areas of Australia impacts on nursing practice, and nurses are uniquely placed to assist in reducing the burden of disease. Greater agreement around what constitutes ‘remote’ is needed. What is known about the topic?Many papers have reported on the difficulties encountered by registered nurses in remote and isolated practice; however, there is a dearth of information describing the role of registered nurses in remote or isolated Australian communities. What does this paper add?This review describes the diverse role of nurses and their role in addressing the burden of disease in remote and isolated Australia. Comparison between states and territories highlights differences in preparation for the role. What are the implications for practitioners?National agreement is needed around preparation for practice, conditions of work, and what constitutes ‘remote’. Greater utilisation of the nursing workforce in remote and isolated areas would assist in addressing the burden of disease.

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Hall, Sally. "Divisions of general practice and practice nurse development in Australia." Contemporary Nurse 26, no. 1 (August 2007): 37–47. http://dx.doi.org/10.5172/conu.2007.26.1.37.

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Taylor, Bev. "AUSTRALIA: THE USE OF NATURAL THERAPIES IN NURSING PRACTICE." International Journal of Nursing Practice 2, no. 3 (September 1996): 167–68. http://dx.doi.org/10.1111/j.1440-172x.1996.tb00046.x.

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John Crowther, Andrew, and Angela Theresa Ragusa. "Realities of Mental Health Nursing Practice in Rural Australia." Issues in Mental Health Nursing 32, no. 8 (July 19, 2011): 512–18. http://dx.doi.org/10.3109/01612840.2011.569633.

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White, Edward, and Julie Winstanley. "A randomised controlled trial of clinical supervision: selected findings from a novel Australian attempt to establish the evidence base for causal relationships with quality of care and patient outcomes, as an informed contribution to mental health nursing practice development." Journal of Research in Nursing 15, no. 2 (January 20, 2010): 151–67. http://dx.doi.org/10.1177/1744987109357816.

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This paper reports on selected findings from a novel randomised controlled trial (RCT) conducted in mental health settings in Queensland, Australia. Several national and state reports recently revealed the sub-optimal state of Australian mental health service provision which have direct implications for mental health nursing, including the privately experienced cost of working and coping in these settings. Clinical supervision (CS), a structured staff support arrangement, has shown promise as a positive contribution to the clinical practice development agenda and is now found reflected in health policy themes elsewhere in the world. However, CS is underdeveloped in Australia and the empirical evidence base for the informed implementation of CS, per se, has remained elusive. Within the overall context of a RCT design, therefore, and supplemented by other data collection methods, this large and generously funded study attempted to make an incremental contribution to better understanding this demanding substantive domain. Whilst the substantive insights and theoretical propositions reported here were derived from, and may be limited by, a sub-specialty of nursing and a single geographic location, they were earthed in the personal self-reported experience of those directly involved with a clinical practice innovation. They may resonate with counterparts beyond mental health nursing and Queensland, Australia, respectively, therefore, and may assist in both conceptualising and operationalising CS research, education, management, policy and clinical practice development decision making in the future.

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Nairn, Raymond, Ruth DeSouza, Angela Moewaka Barnes, Jenny Rankine, Belinda Borell, and Tim McCreanor. "Nursing in media-saturated societies: implications for cultural safety in nursing practice in Aotearoa New Zealand." Journal of Research in Nursing 19, no. 6 (September 2014): 477–87. http://dx.doi.org/10.1177/1744987114546724.

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This educational piece seeks to apprise nurses and other health professionals of mass media news practices that distort social and health policy development. It focuses on two media discourses evident in White settler societies, primarily Australia, Canada, New Zealand and the United States, drawing out implications of these media practices for those committed to social justice and health equity. The first discourse masks the dominant culture, ensuring it is not readily recognised as a culture, naturalising the dominant values, practices and institutions, and rendering their cultural foundations invisible. The second discourse represents indigenous peoples and minority ethnic groups as ‘raced’ – portrayed in ways that marginalise their culture and disparage them as peoples. Grounded in media research from different societies, the paper focuses on the implications for New Zealand nurses and their ability to practise in a culturally safe manner as an exemplary case. It is imperative that these findings are elaborated for New Zealand and that nurses and other health professionals extend the work in relation to practice in their own society.

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Gray, Michelle, Jennifer Rowe, and Margaret Barnes. "Australian midwives’ interpretation of the re-registration, recency of practice standard." Australian Health Review 39, no. 4 (2015): 462. http://dx.doi.org/10.1071/ah14070.

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Objective The aim of the present study was to investigate how midwives are responding to the changed re-registration requirements; specifically the Recency of Practice (RoP) Standard. Methods A qualitative longitudinal case study used conversational interviews conducted annually at two time phases after the introduction of national registration. Results Findings reveal that confusion has created challenges in demonstration of the RoP standard. This confusion was evident at individual and organisational levels. Conclusions Professional bodies need to support staff in this transition by providing clearer guidance that exemplifies the Nursing and Midwifery Board of Australia expectations. What is known about the topic? Impact subsequent to Australian legislative and regulatory changes affecting midwifery and nursing registration has not been examined. What does this paper add? The findings of this study provide an insight into midwives’ responses to the changed re-registration standard in Australia. What are the implications for practitioners? There appears to be a problem in the way tensions and challenges are being met; misinterpretation of the requirements has generated questions about the relationship between skills and work areas and demonstration of RoP. This may influence individual career planning and have broader workforce planning implications.

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Parker, Vicki, and Margaret Mcmillan. "Challenges facing internationalisation of nursing practice, nurse education and nursing workforce in Australia." Contemporary Nurse 24, no. 2 (April 2007): 128–36. http://dx.doi.org/10.5172/conu.2007.24.2.128.

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Hovenga, Evelyn J. S. "Nursing Classification and Terminology Systems." Health Information Management 31, no. 1 (March 2003): 25–42. http://dx.doi.org/10.1177/183335830303100111.

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A number of terminologies exist that represent concepts of relevance to nurses, although none of these is in use by Australian nurses. Without consensus, nursing language and definitions incorporated in clinical information systems now being implemented will continue to vary considerably. The result will be an inability to compare nursing practice, or to aggregate data for research purposes, or to collect national statistical data to demonstrate the significance of nurses' contributions to health care. This article provides an international historical overview of nursing terminology developments relative to what is happening in Australia, brief reviews of the many available nursing terminologies, an update of this work relative to activities being undertaken towards the development and adoption of standards, and a discussion about desirable future research and development activities.

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Livesay, Karen, Ruby Walter, Sascha Petersen, and Lin Zhao. "Are women nursing academics represented in university leadership positions?" Journal of University Teaching and Learning Practice 19, no. 1 (March 8, 2022): 107–21. http://dx.doi.org/10.53761/1.19.1.07.

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The nursing workforce constitutes the largest professional health workforce in Australia. Nursing is traditionally a female dominated profession. This study reviewed Australian universities that provide entry to practice nursing education. The study identified the distribution of females and males in leadership in nursing education, the positioning of the discipline in the university, and where nurses occupy leadership roles above the nursing discipline (faculty/college). Of the 37 universities that offered entry to practice nursing, more females were evident. However, more men were evident in academia than the proportion of men in nursing outside of the academic setting. Leadership nomenclature varied within each nursing discipline group reviewed. This study demonstrated that the number of nursing academics has decreased since the late 1990’s. The nursing workforce is still a significant contributor to the academic workforce and yet numbers of nurse academics working in roles senior to their discipline were few. This paper discusses how the nursing workforce as predominantly female, has implications to both females and males, and may impact opportunities for leadership and promotion to senior roles.

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Rasmussen, Philippa, Tiffany Conroy, and Mette Grønkjær. "Child and adolescent mental health nurses’ perceptions of their professional identity: an exploratory study." Journal of Mental Health Training, Education and Practice 12, no. 5 (September 11, 2017): 281–91. http://dx.doi.org/10.1108/jmhtep-12-2016-0058.

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Purpose Nurses with specialised knowledge, experience and education are needed to provide specific care in nursing subspecialties such as child and adolescent mental health (CAMH) nursing. However, some of these attributes are implicit and not clear to the wider nursing community. The purpose of this paper is to explore the applicability of a conceptual framework for CAMH inpatient nursing practice to other areas of CAMH nursing practice. This paper presents an exploratory study regarding the applicability of the framework to two small cohorts of CAMH nurses. This study was conducted in Tasmania, Australia and Northern Denmark. These settings were chosen due to the self-perceived knowledge gap surrounding the role and professional identity of these Australian and Danish CAMH nurses. Design/methodology/approach An exploratory qualitative study within the social constructivist paradigm was undertaken. The method of data collection was two focus groups of CAMH nurses in Tasmania, Australia and Northern Denmark. The data were analysed using an adaptation of a six-phase thematic analysis process. Findings The analysis of the data resulted in three themes: individual preparation and experience of CAMH nurses, knowledge transfer and nurses’ perceptions of their individual and team roles. The findings have contributed new knowledge of CAMH nursing. Originality/value The findings of this study may support the applicability of the conceptual framework with participants’ endorsing that it reflects their role.

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Helen Cramer, Jennifer. "Amorphous practice: Nursing in a remote Indigenous community of Australia." Contemporary Nurse 22, no. 2 (September 2006): 191–202. http://dx.doi.org/10.5172/conu.2006.22.2.191.

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Guzys, Diana, Amanda Kenny, and Melanie Bish. "Sustaining secondary school nursing practice in Australia: A qualitative study." Nursing & Health Sciences 15, no. 3 (March 11, 2013): 353–59. http://dx.doi.org/10.1111/nhs.12039.

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White, Trish, Helen Crowe, and Elaine Papps. "Defining urology nursing practice roles in Australia and New Zealand." International Journal of Urological Nursing 3, no. 2 (July 2009): 69–77. http://dx.doi.org/10.1111/j.1749-771x.2009.01069.x.

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Hallinan, Christine M., and Kelsey L. Hegarty. "Advanced training for primary care and general practice nurses: enablers and outcomes of postgraduate education." Australian Journal of Primary Health 22, no. 2 (2016): 113. http://dx.doi.org/10.1071/py14072.

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The aims of the present study were to understand enablers to participation in postgraduate education for primary care nurses (PCNs), and to explore how postgraduate education has advanced their nursing practice. Cross-sectional questionnaires were mailed out in April 2012 to current and past students undertaking postgraduate studies in primary care nursing at The University of Melbourne, Victoria, Australia. Questionnaires were returned by 100 out of 243 nurses (response rate 41%). Ninety-one per cent (91/100) of the respondents were first registered as nurses in Australia. Fifty-seven per cent were hospital trained and 43% were university educated to attain their initial nurse qualification. The respondents reported opportunities to expand scope of practice (99%; 97/98), improve clinical practice (98%; 97/99), increase work satisfaction (93%; 91/98) and increase practice autonomy (92%; 89/97) as factors that most influenced participation in postgraduate education in primary care nursing. Major enablers for postgraduate studies were scholarship access (75%; 71/95) and access to distance education (74%; 72/98). Many respondents reported an increased scope of practice (98%; 95/97) and increased job satisfaction (71%; 70/98) as an education outcome. Only 29% (28/97) cited an increase in pay-rate as an outcome. Of the 73 PCNs currently working in general practice, many anticipated an increase in time spent on the preparation of chronic disease management plans (63%; 45/72), multidisciplinary care plans (56%; 40/72) and adult health checks (56%; 40/72) in the preceding 12 months. Recommendations emerging from findings include: (1) increased access to scholarships for nurses undertaking postgraduate education in primary care nursing is imperative; (2) alternative modes of course delivery need to be embedded in primary care nursing education; (3) the development of Australian primary care policy, including policy on funding models, needs to more accurately reflect the educational level of PCNs, PCN role expansion and the extent of interprofessional collaboration that is evident from research undertaken to date. Nurses with postgraduate education have the potential to increase their scope of practice, take on a greater teaching role and provide more preventive and chronic disease services in primary care. Policies aimed at increasing access to education for nurses working in primary care would strengthen the primary care nursing profession, and enhance the delivery of primary health care services in Australia.

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Daly, John, and Debra Jackson. "On the Use of Nursing Theory in Nurse Education, Nursing Practice, and Nursing Research in Australia." Nursing Science Quarterly 12, no. 4 (October 1999): 342–45. http://dx.doi.org/10.1177/089431849901200418.

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Ratsch, Angela, Fiona Sewell, and Adrian Pennington. "Developing and testing a matrix to achieveready-everyday nursing standards(RENS): an observational study protocol." BMJ Open 9, no. 8 (August 2019): e031499. http://dx.doi.org/10.1136/bmjopen-2019-031499.

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IntroductionThe Australian Council on Healthcare Standards (ACHS) set criteria for the delivery of healthcare services in Australia. While a voluntary process, continual accreditation with ACHS is an expectation of, and for, Australian healthcare providers. Juxtapositioned with the ACHS, the Nursing and Midwifery Board of Australia (NMBA) set the mandatory practice requirements of, and for, Australian nurses. Despite these overarching quality and governance directives, a regional Queensland Hospital and Health Service (HHS) demonstrated deficits in the quality of nursing care. Accordingly, a HHS project was commissioned with the aim of producing a quantum shift in the quality of nursing services such that the service wasready-everydayfor accreditation assessment, and nursing practice exemplified the NMBA standards.Several barriers to achieving the aim were identified and it was considered that the implementation of critical system changes would structurally and operationally support the achievement of the aim. The system changes are pivoted around an interactive matrix that links nursing care services to the array of nursing professional and practice standards and provides real-time quantitative output measures. This paper outlines the protocol that will be used to establish, implement and evaluate the matrix.Methods and analysisA participatory action research design with a modified Delphi methodology will be used for the development the matrix. The organisational change management around the matrix implementation will be informed by Kotter’s model and supported by the use of the McKinsey 7S. The matrix implementation phase will be conducted using a modifiedPromoting Action on Research Implementation in Health Servicesmodel. Quantitative and qualitative data will be collected over a 12 month pre-test/post-test design to measure the statistical significance of the matrix in supporting compliance with nursing standards and the achievement of quality nursing care. Quantitative data from quality of care assessments will be analysed using descriptive and comparative statistics. Qualitative data from staff surveys will be analysed by content analysis of the major themes (n~200).Ethics and disseminationThe project has ethics approval from a Queensland Health Human Research Ethics Committee. Results will be reported to participants and other stakeholders at seminars and conferences and through peer-reviewed publications.

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Brodie, Pat, and Lesley Barclay. "Contemporary issues in Australian midwifery regulation." Australian Health Review 24, no. 4 (2001): 103. http://dx.doi.org/10.1071/ah010103.

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This paper reports on research that examined the Nurses' Acts, regulations and current policies of each state and territory in Australia, in order to determine their adequacy in regulating the education and practice of midwifery. This is part of a three-year study (Australian Midwifery Action Project) set up to identify and investigate barriers to midwifery within the provision of mainstream maternity services in Australia. Through an in-depth examination and comparison of key factors in the various statutes, the paper identifies their effect on contemporary midwifery roles and practices. The work assessed whether the current regulatory system that subsumes midwifery into nursing is adequate in protecting the public appropriately and ensuring that minimum professional standards are met. This is of particular importance in Australia, where many maternity health care services are seeking to maximise midwives' contributions through the development of new models of care that increase midwives' autonomy and level of accountability.

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Nagle, Cate, Marie Heartfield, Susan McDonald, Jane Morrow, Gina Kruger, Julianne Bryce, Melanie Birks, Rhian Cramer, Sara Stelfox, and Nicki Hartney. "A necessary practice parameter: Nursing and Midwifery Board of Australia Midwife standards for practice." Women and Birth 30 (October 2017): 10–11. http://dx.doi.org/10.1016/j.wombi.2017.08.028.

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Scanlon, Andrew, Janice Smolowitz, Judy Honig, and Katie Barnes. "Building the Next Generation of Advanced Practice Nurses Through Clinical Education and Faculty Practice: Three International Perspectives." Clinical Scholars Review 8, no. 2 (2015): 249–57. http://dx.doi.org/10.1891/1939-2095.8.2.249.

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Aims and Objectives: This article aims to provide an overview of the history of advanced practice nursing, including regulation, education, and faculty practice of nurse practitioners/advanced practice nurses from Australia, the United Kingdom, and the United States. Background: Clinical nursing education has evolved from the apprenticeship model to the multiple learning methods that are employed today. The faculty practice model has the most promise and maybe the new frontier to achieve excellence in clinical education. Design: Discursive paper. Methods: Advanced practice nursing clinical education will be discussed, current trends presented, and future educational directions considered. The essential characteristics of an effective clinical educator and the ideal context for clinical education will be highlighted with the goal of educating for clinical excellence. Contemporary practices of a nurse practitioner regulation and education will be examined. Conclusions: Faculty practice in advanced practice nursing requires critical elements, which include role modeling, financial sustainability, teaching credibility, translation of research to practice, and clinical expertise. Challenges to a functional context include conflicting regulatory issues, limited scope of practice, external agency restrictions, and lack of institutional support. Relevance to clinical practice: It is essential to understand the ideal characteristics and context for effective advanced practice clinical education and identify specific challenges within each country’s functional contexts that prevent effective advanced practice clinical education. Strategies to address these current challenges and to enhance clinical excellence to maximize the effectiveness of advanced practice nursing education.

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Bushy, Angeline. "INTERNATIONAL PERSPECTIVES ON RURAL NURSING: AUSTRALIA, CANADA, USA." Australian Journal of Rural Health 10, no. 2 (April 2002): 104–11. http://dx.doi.org/10.1111/j.1440-1584.2002.tb00018.x.

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Steel, Rona, and Tri Bui. "Contemporary Australian priming constituents for adult perfusion centres: a survey." Perfusion 35, no. 8 (March 9, 2020): 778–85. http://dx.doi.org/10.1177/0267659120906043.

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Aim: Evidence for the ideal/best practice priming solution remains meagre and largely historical. The aim of this survey was to determine the constituents of contemporary priming solutions in adult open-heart centres across Australia. This would provide insight on the level of variation within current Australian priming practices and inform perfusionists of how their current priming methods compare to the spectrum of Australian practice. Method: A total of 15 survey questions covering various aspects of priming constituents were sent via email to perfusionists in all 63 adult open-heart centres across Australia. Results: This prime survey received a 100% response rate across Australia. All units prime with a balanced physiological solution, 73% of units prime with Plasma-Lyte 148 and 19% with Hartmann’s solution. No synthetic colloids are used for priming in Australia. Up to 6,520 (30%) cases per annum receive heparin as the only additive to their prime base solution. All other cases had various combinations of sodium bicarbonate, mannitol and albumin added for a variety of recorded reasons. Conclusion: Contemporary Australian priming practices show a marked level of conformity between units. Variation exists in the rationale for adding sodium bicarbonate, mannitol and albumin. Further investigations into the clinical effects of these additives are required to determine if the rationale for their addition is historical or judicious in this contemporary era of low prime volumes, physiological base solutions and coated bypass circuits.

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Omeri, Akram. "Meeting diversity challenges: Pathway of ‘advanced’ transcultural nursing practice in Australia." Contemporary Nurse 15, no. 3 (October 2003): 175–87. http://dx.doi.org/10.5172/conu.15.3.175.

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Williams, Ged. "I love a sunburnt country: critical care nursing practice in Australia." Nursing in Critical Care 15, no. 1 (January 2010): 14–16. http://dx.doi.org/10.1111/j.1478-5153.2009.00371.x.

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DAVIDSON, P. M., D. ELLIOTT, and J. DALY. "Clinical leadership in contemporary clinical practice: implications for nursing in Australia." Journal of Nursing Management 14, no. 3 (April 2006): 180–87. http://dx.doi.org/10.1111/j.1365-2934.2006.00555.x.

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Cheluvappa, Rajkumar, and Selwyn Selvendran. "Palliative Care Nursing in Australia and the Role of the Registered Nurse in Palliative Care." Nursing Reports 12, no. 3 (August 12, 2022): 589–96. http://dx.doi.org/10.3390/nursrep12030058.

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The registered nurse has crucial preventative, therapeutic, sociocultural, and advocacy roles in promoting quality holistic patient-centred palliative care. This paper examines, describes, and analyses this multifaceted role from an antipodean perspective. We conducted systematic searches using PubMed, Google Scholar, government guidelines, authoritative body regulations, quality control guidelines, and government portals pertaining to palliative care nursing in Australia. This paper relies upon the information garnered from publications, reports, and guidelines resulting from these searches and analyses. The fundamental principles and guiding values of palliative care (and nursing) and the raison d’etre for palliative care as a discipline are underscored and expanded on. Australian Clinical Practice Guidelines (CPGs) pertaining to palliative end-of-life (EOL) nursing care and associated services are discussed. The relevant NMBA nursing standards that RNs need to have to administer opioids/narcotics in palliative care are summarised. The identification of patients who need EOL care, holistic person-centred care planning for them, and consultative multidisciplinary palliative clinical decision making are discussed in the palliative care context. Several components of advance care planning apropos health deterioration and conflicts are discussed. Several aspects of EOL care, especially palliative nursing care, are analysed using research evidence, established nursing and palliative care standards, and the Australian EOL CPGs.

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Hartin, Peter, Melanie Birks, and David Lindsay. "Bullying in Nursing: Is it in the Eye of the Beholder?" Policy, Politics, & Nursing Practice 20, no. 2 (May 2019): 82–91. http://dx.doi.org/10.1177/1527154419845411.

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The nursing profession is presented with numerous definitions of workplace bullying. This study provides an in-depth analysis of the concept of bullying in the nursing profession in Australia through a scoping review of definitions presented in literature published up until 2018. The research questions used to guide the search were as follows: How has the definition of bullying in nursing in Australia been conceptualized in the literature? How do these definitions of bullying differ? How has the definition of bullying, as used in the literature, evolved over time? The review was informed by the approach of Arksey and O’Malley, containing explicit definitions of bullying in nursing literature. The findings reveal that the literature does not reflect a shared and integrated vision of the exact nature of bullying in the nursing profession. The conceptualization of bullying in the nursing profession has become more dynamic over time. The myriad ways in which bullying in nursing is defined in Australia has important implications for research, practice, education, and policy.

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Jones, Jacqueline, and Simon Stewart. "Optimising Stroke Outcomes through Evidence-Based Nursing Practice: An Australian Perspective." European Journal of Cardiovascular Nursing 1, no. 4 (December 2002): 227–35. http://dx.doi.org/10.1016/s1474-51510200042-7.

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Stroke is the third leading cause of death of people in the world today and the highest cause of disability and handicap, producing a huge burden on individuals and society more broadly. Yet unlike its counterpart acute myocardial infarction (AMI), little has been done to promote early intervention in evolving strokes. Recommendations from the American Heart Association and more recently the European Stroke Initiative are available; however, in Australia (as with many other countries) practice guidelines are scarce and clinicians largely operate in an ad hoc manner with little awareness of ‘best practice’. The controversial role of thrombolysis with limitations in respect to selecting appropriate patients, in addition to a small window of opportunity for therapeutic beneficial effects and a high risk for haemorrhage, has inhibited its widespread application. As such, emergent stroke management clearly lags behind that of AMI–both with respect to the range of treatment options and the application of best practice. This paper reviews the literature regarding best practice management of evolving stroke and the crucial role of nurses in triaging and managing patients to deliver optimal outcomes within the Australian context.

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Birks, Melanie, Jenny Davis, John Smithson, and Daniel Lindsay. "Enablers and Barriers to Registered Nurses Expanding Their Scope of Practice in Australia: A Cross-Sectional Study." Policy, Politics, & Nursing Practice 20, no. 3 (August 2019): 145–52. http://dx.doi.org/10.1177/1527154419864176.

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A number of resources exist to assist registered nurses in Australia to determine their scope of practice; however, the ability of a professional nurse to expand his or her practice is highly context dependent. This article reports on barriers and enablers to expanding scope of practice, as identified by registered nurses across Australia. A cross-sectional survey administered online in 2016 returned 1,205 useable submissions. Results indicated that nurses wishing to expand their practice felt supported to do so by nursing colleagues and were aware of professional and regulatory documents relating to expanding scope of practice. Less support for this process was evident from other health professionals or employers. Respondents also indicated that they were motivated to expand their scope by professional satisfaction, potential for career advancement, and the desire to meet health service user's needs. The majority of respondents identified barriers to expanding scope of practice, including lack of remuneration and the absence of supportive guidelines. Respondents in the early stage of their careers were more likely to perceive organizational support for expanding their scope of practice. When required to expand their role, the majority of respondents indicated that they had undertaken additional training or accessed various resources to guide them in this process. Barriers to expanding nursing scope of practice can result in underutilization of the one of the greatest resources in the health care system. This article identifies a number of strategies that can facilitate role expansion to ensure that nursing continues to make a significant contribution to positive health service outcomes in Australia.

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Hungerford, Catherine, Brenton Prosser, and Rachel Davey. "The Key Role of Nurse Researchers in the Evaluation of Nurse Practitioner Models of Practice." Research and Theory for Nursing Practice 29, no. 3 (2015): 214–25. http://dx.doi.org/10.1891/1541-6577.29.3.214.

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The Nurse Practitioner–Aged Care Models of Practice Program involved diverse models of practice comprising multiple stakeholders located in more than 30 locations across Australia, in remote, rural, urban, and metropolitan settings. Funded by the Australian government, the aims of the program included supporting development of effective, economically viable, and sustainable aged care nurse practitioner models of practice; and enabling improvements in access to primary health care for people aged older than 65 years.This article describes the process by which a framework was developed to support the evaluation of this program. A particular challenge for the nurse researchers involved in the evaluation was to ensure the unique values of the nursing profession were upheld alongside economic, biomedical, and empirical imperatives in the diverse processes involved in collecting and interpreting data. The evaluation framework developed provides an important means of enabling research teams who undertake complex evaluations of diverse nursing models of practice to maintain a common goal—to unify the various stakeholders involved, while at the same time upholding what is most important to the profession of nursing. This article highlights how nurses can play an influential role when involved in the multidisciplinary evaluation of new and innovative approaches to practice.

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Naylor, Tonia. "Development of a CPD program on caring nursing practice for hospital nurses: A mixed-methods study." Journal of Nursing Education and Practice 13, no. 3 (October 31, 2022): 11. http://dx.doi.org/10.5430/jnep.v13n3p11.

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Continuing Professional Development (CPD) is able to enhance and support caring nursing practice; however, the relationship has never been reported in Western Australia (WA). The aim of this study was to develop a CPD program on caring nursing practice for hospital nurses. A descriptive and exploratory mixed methods approach was used for the research. The research is reported using a three step curriculum development model: (1) development, (2) implementation, and, (3) evaluation - discussion. Findings confirmed that CPD is able to enhance and support caring nursing practice in WA hospitals. The extent to which it is able to do this is limited by cultural, organisational, interprofessional, nursing and personal factors beyond the reach of the CPD program.

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Hegney, Desley. "THE STATUS OF RURAL NURSING IN AUSTRALIA: A REVIEW." Australian Journal of Rural Health 4, no. 1 (February 1996): 1–10. http://dx.doi.org/10.1111/j.1440-1584.1996.tb00180.x.

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Afzali, Hossein Haji Ali, Jonathan Karnon, Justin Beilby, Jodi Gray, Christine Holton, and David Banham. "Practice nurse involvement in general practice clinical care: policy and funding issues need resolution." Australian Health Review 38, no. 3 (2014): 301. http://dx.doi.org/10.1071/ah13187.

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In Australia, primary care-based funding initiatives have been implemented to encourage general practices to employ practice nurses. The aim of this paper is to discuss limitations of the current funding and policy arrangements in enhancing the clinical role of practice nurses in the management of chronic conditions. This paper draws on the results of a real-world economic evaluation, the Primary Care Services Improvement Project (PCSIP). The PCSIP linked routinely collected clinical and resource use data to undertake a risk-adjusted cost-effectiveness analysis of increased practice nurse involvement in clinical-based activities for the management of diabetes and obesity. The findings of the PCSIP suggested that the active involvement of practice nurses in collaborative clinical-based activities is cost-effective, as well as addressing general practice workforce issues. Although primary healthcare organisations (e.g. Medicare Locals) can play a key role in supporting enhanced practice nurse roles, improvements to practice nurse funding models could further encourage more efficient use of an important resource. What is known about the topic? There is evidence that the increased involvement of practice nurses in clinical-based activities in the management of patients with chronic conditions (e.g. diabetes and obesity) is cost-effective. The Australian Government has implemented financial incentives to encourage general practices to recruit nurses and to expand nursing roles within collaborative models of care. There is currently insufficient engagement of practice nurses in clinical care. What does this paper add? This paper summarises evidence regarding the value of an enhanced practice nurse role in Australian general practice, and discusses refinements to current funding arrangements for practice nurses. What are the implications for practitioners? Delegating clinical role (e.g. patient education and monitoring clinical progress) to practice nurses in the management of patients with chronic conditions can improve clinical outcomes without adversely affecting general practice business models.

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Crawford, Heather M., and Michael C. Calver. "Attitudes and Practices of Australian Veterinary Professionals and Students towards Early Age Desexing of Cats." Animals 9, no. 1 (December 20, 2018): 2. http://dx.doi.org/10.3390/ani9010002.

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Surgical desexing of cats is typically carried out after six months of age (Mature Age Desexing, MAD); between 4–6 months (Traditional Age Desexing, TAD); or before four months (Early Age Desexing, EAD). We complemented existing surveys of veterinarians’ acceptance of EAD with online and face-to-face surveys, to ascertain the preferred desexing ages for cats and rationale of 957 Australian veterinarians, veterinary nurses, veterinary science students, and veterinary nursing students. A complementary survey of 299 veterinary practice websites across Australia documented any information provided about desexing cats. The most common reason for preferred desexing ages was reducing stray cat populations (30%); 78% of these respondents chose ages aligning with EAD. Vet nurses and nursing students were more conservative than vets or vet students, preferring to desex cats >4 months. Perceived anaesthetic risk was a major motivation, especially for nurses ≤5 years’ experience. Across 299 urban practices in Australian capital cities, 55% of surveyed websites provided no information about desexing cats or listed desexing without explaining why it was necessary, or when to perform it. Increasingly, Australian legislatures mandate desexing of cats by three months of age, so the practices of some current/future veterinary professionals do not match changing legislation.

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Peters, Lisa, Sharon L. Bourke, Janet A. Green, Elianna Johnson, Ligi Anish, and Linda K. Jones. "Understanding the healthcare needs of Sudanese refugee women settling in Australia." Clinical Nursing Studies 8, no. 2 (June 16, 2020): 40. http://dx.doi.org/10.5430/cns.v8n2p40.

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Objective: Explore the healthcare needs of Sudanese refugee women settling in Australia.Background: Refugees from Sudan are the fastest growing community in Australia. Nurses who care for people from the Sudan will be required to be familiar with the needs of this emerging community and offer culturally competent and safe care.Methods: Integrative review of the literature.Results: Sudan is one of the countries in Africa where the practice of female genital mutilation (FGM), cutting or circumcision is considered a social norm. This is a deeply rooted traditional cultural practice that is still prevalent in many developing countries. Healthcare professionals in Australia are ill equipped to care for women and children who have undergone this procedure. This paper explores the Sudanese refugee community in Shepparton, Victoria to explore the nursing considerations caring for women affected by FGM within the Australian health care context.Conclusions: There is a need for more education in undergraduate, postgraduate and continuing professional education on the healthcare needs of women who have undergone female genital mutilation in order to provide appropriate care and support for these women.

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O'Brien, Anthony P., Julie M. Boddy, and Derrylea J. Hardy. "Culturally Specific Process Measures to Improve Mental Health Clinical Practice: Indigenous Focus." Australian & New Zealand Journal of Psychiatry 41, no. 8 (August 2007): 667–74. http://dx.doi.org/10.1080/00048670701449211.

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Objective: In New Zealand and Australia, a renewed emphasis on equity and efficiency in the provision of mental health care has seen outcomes-focused, culturally appropriate clinical practice become essential within mental health services. Ascertaining the degree to which quality improvement and monitoring systems are enhancing professional practice and patient outcomes, however, is hindered by the difficulty of measuring the process of quality care delivery. Method: This paper argues that it is the process of care delivery (i.e. what clinicians do to, and for, patients) that is critical to the effectiveness of treatment and the degree to which treatment either inhibits or promotes an improvement in mental health recovery. Identification of the underlying causes of poor achievement of process factors is likely to positively impact on things such as readmission rates, shared care initiatives, and ultimately patient recovery. Such attention could be the difference between low-quality service provision and a high-quality service provision with positive recovery outcomes for patients. Results: Ascertaining the degree to which quality improvement and monitoring systems are enhancing professional practice and patient outcomes for indigenous people, however, is hindered by the difficulty of measuring such concepts. Australia has indeed embraced ‘culturally appropriate’ practice in recent years, but this appears to be piecemeal when compared with New Zealand. Certainly, there are inconsistent and variable approaches to cultural practices with indigenous people when comparing the two countries. Conclusions: Using evidence from a bicultural mental health nursing study that developed and validated generic and Mâori-specific (indigenous) clinical indicators for mental health nursing standards of practice in New Zealand, it is argued that the process of care delivery is equally as important as outcome measures when ascertaining the effectiveness of nursing care. Second, this paper contends that accurate process measures must be culturally responsive to indigenous and other ethnic groups.

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