Collegian最新文献

{"title":"The effect of cognitive behavioural therapy on interdialytic weight gain in hemodialysis patients: A systematic review and meta-analysis","authors":"Yeo Wool Kim ,&nbsp;Gi Won Choi ,&nbsp;Sun Ju Chang","doi":"10.1016/j.colegn.2025.04.002","DOIUrl":"10.1016/j.colegn.2025.04.002","url":null,"abstract":"<div><h3>Background</h3><div>Interdialytic weight gain (IDWG) is a key indicator of fluid restriction adherence in hemodialysis patients and is associated with cardiovascular complications and higher mortality. Although cognitive behavioural therapy (CBT) has been used to reduce IDWG, its specific impact remains uncertain.</div></div><div><h3>Aim</h3><div>This study aimed to systematically review and evaluate the effects of CBT on IDWG in hemodialysis patients.</div></div><div><h3>Methods</h3><div>Relevant studies published from database inception to March 24, 2025, were searched across six electronic databases. Additionally, citation lists were searched. The selection of eligible studies followed a two-step process. Data were collected using a predefined form, and quality appraisal was conducted. Both narrative synthesis and meta-analysis were conducted.</div></div><div><h3>Findings</h3><div>Among 1418 retrieved studies, eight were selected in the narrative synthesis and seven in the meta-analysis. As a result of narrative synthesis, three studies delivered therapy during hemodialysis, with two using nurse providers. The contents focus on cognitive restructuring, behavioural activation, education, and social connections. The meta-analysis showed no significant effect immediately post-intervention and at three months post-intervention. However, a significant effect was observed at one month post-intervention.</div></div><div><h3>Discussion</h3><div>The structure and content of CBT sessions should be improved, with the format and providers adapted to meet the unique needs of hemodialysis patients. Additionally, rigorous studies are necessary to provide robust evidence.</div></div><div><h3>Conclusion</h3><div>CBT can reduce IDWG in hemodialysis patients. However, therapeutic effects may take time to manifest, and there may be challenges in sustaining these long-term effects.</div></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"32 3","pages":"Pages 163-173"},"PeriodicalIF":1.6,"publicationDate":"2025-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143937842","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Parenting styles and study engagement among higher vocational nursing students: The mediating role of self-compassion","authors":"Na-Na Cao ,&nbsp;Perry Paul Espinosa","doi":"10.1016/j.colegn.2025.04.003","DOIUrl":"10.1016/j.colegn.2025.04.003","url":null,"abstract":"<div><h3>Background</h3><div>Study engagement is essential for the professional development of nursing students in higher vocational education. Parenting styles have been shown to significantly affect students’ academic performance and personal development. Similarly, self-compassion enhances emotional resilience and improves coping strategies, potentially leading to increased study engagement. However, research on the impact of these factors, especially in the context of China, remains scarce.</div></div><div><h3>Aim</h3><div>To examine how parenting styles influence study engagement among higher vocational nursing students, investigate the mediating role of self-compassion, and highlight the importance of this mechanism in nursing education.</div></div><div><h3>Methods</h3><div>Data were collected via an electronic questionnaire, including demographic profiles, the Short-form Egna Minnen av Barndoms Uppfostran for Chinese, the Utrecht Work Engagement Scale – Students, and the Self-Compassion Scale. Descriptive correlational studies and structural equation modelling were used for data analysis, with significance determined at p &lt; 0.05.</div></div><div><h3>Findings</h3><div>Positive parenting styles varied significantly across grade levels, parental education, and family types, while negative parenting styles differed by sex, place of residence, and mother’s education. Structural equation modelling revealed that self-compassion partially mediated the impact of parenting styles on study engagement, with a mediation effect of 22.7% for positive parenting styles and 24.1% for negative parenting styles.</div></div><div><h3>Discussion</h3><div>Positive parenting styles directly and indirectly positively influenced study engagement through self-compassion. Conversely, negative parenting styles had direct and indirect negative impacts, also mediated by self-compassion.</div></div><div><h3>Conclusion</h3><div>Parenting styles for higher vocational nursing students are generally positive, but there is potential to enhance self-compassion and study engagement. The study recommends a ‘Nursing-led Intervention Program: Self-Compassion Training for Higher Vocational Nursing Students’ to improve these aspects.</div></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"32 3","pages":"Pages 174-181"},"PeriodicalIF":1.6,"publicationDate":"2025-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143937809","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Primary healthcare professionals’ views on cardiovascular rehabilitation and disease management","authors":"Mayara Moura Alves da Cruz ,&nbsp;Joaquim Victor Hugo Gabriel ,&nbsp;Tális Silva Antonini ,&nbsp;Murilo Reis Alves da Cruz ,&nbsp;Luiz Carlos Marques Vanderlei ,&nbsp;Gabriela Lima de Melo Ghisi","doi":"10.1016/j.colegn.2025.04.001","DOIUrl":"10.1016/j.colegn.2025.04.001","url":null,"abstract":"<div><h3>Background</h3><div>Despite its benefits, cardiovascular rehabilitation (CR) is underutilised and not widely accessible globally, including in Brazil, where public CR programs are linked to the Unified Health System (SUS). Limited availability, significant access barriers, and the essential role of professionals in Basic Health Unit (BHU) — that is, community-based facilities that deliver primary healthcare services — impact CR’s reach in Brazil.</div></div><div><h3>Aim</h3><div>To explore the perspectives and experiences of BHU professionals regarding CR and the management of cardiovascular diseases (CVDs) in Adamantina, Brazil.</div></div><div><h3>Methods</h3><div>A qualitative approach was used, involving nine focus groups with 71 BHU healthcare providers, including nurses, physicians, nursing assistants, community health workers, physiotherapists, and nutritionists. Thematic analysis was conducted.</div></div><div><h3>Findings</h3><div>Participants had an average age of 39.5 years and 9.9 years of professional experience; 71.8% held a university degree or higher. On average, they managed 584 patients monthly, with 53% diagnosed with CVD. Five main themes were generated: (1) comprehensive management of CVD, (2) roles of BHU professionals, (3) awareness of CR, (4) challenges in patient adherence to behaviour change, and (5) obstacles in accessing CR services. Participants demonstrated limited knowledge of CR, with inadequate referral processes and infrastructure challenges impeding effective CR integration.</div></div><div><h3>Discussion</h3><div>Findings highlight the need to address knowledge gaps, improve referral pathways, and enhance infrastructure to better integrate CR into primary healthcare. Despite recognising CR’s importance, BHU professionals face significant challenges in its implementation and promotion.</div></div><div><h3>Conclusion</h3><div>Strengthening professional education, optimising referral systems, and improving infrastructure are critical to increasing CR accessibility and improving outcomes in primary care settings.</div></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"32 3","pages":"Pages 155-162"},"PeriodicalIF":1.6,"publicationDate":"2025-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143937693","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Aboriginal, Torres Strait Islander and Māori nursing and midwifery academic workforce across Australia and Aotearoa New Zealand","authors":"Ann Bonner ,&nbsp;Linda Deravin ,&nbsp;Jan Dewar ,&nbsp;Moira Williamson ,&nbsp;Kerri Gillespie ,&nbsp;Cheryl Atherfold ,&nbsp;Karen Nightingale ,&nbsp;Caryn West ,&nbsp;Karen Strickland","doi":"10.1016/j.colegn.2025.03.004","DOIUrl":"10.1016/j.colegn.2025.03.004","url":null,"abstract":"<div><h3>Background</h3><div>Promoting a representative and supportive industry for Aboriginal, Torres Strait Islander and Māori nursing and midwifery academic staff is a key tenet of Australian and Aotearoa New Zealand universities, and fundamental to strengthening the health workforce. Surprisingly, information about this workforce is unknown.</div></div><div><h3>Aim</h3><div>The aim of the study was to gain an understanding of the Aboriginal, Torres Strait Islander and Māori nursing and midwifery academic workforce.</div></div><div><h3>Methods</h3><div>A cross-sectional study was conducted using an online survey of organisations that provide accredited nursing and midwifery education within Australia and Aotearoa New Zealand. Demographic, academic and employment information relating to Aboriginal, Torres Strait Islander and Māori nursing and midwifery staff was collected.</div></div><div><h3>Findings</h3><div>Thirty-three organisations responded, reporting a total of 55 staff. Aotearoa New Zealand universities (n = 6) had between one and four Māori or Aboriginal staff members. Australian universities (n = 27) reported between one and nine Aboriginal and Torres Strait Islander staff, with 10 universities reporting that they had none. Most staff held a PhD or Master’s degree and were employed at lecturer level in a full-time continuing position. There were 10 appointed into a professoriate level position. Workload was predominantly allocated to teaching and research.</div></div><div><h3>Discussion</h3><div>Neither country has reached parity with the Aboriginal, Torres Strait Islander and Māori overall population. Substantial efforts are required to grow this workforce. In addition, as most staff hold lower-level academic positions, greater succession planning through increased mentorship and professional development is urgently needed.</div></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"32 3","pages":"Pages 149-154"},"PeriodicalIF":1.6,"publicationDate":"2025-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143937692","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Observing nursing assistant companions supporting older adults in hospital: A cross-sectional study","authors":"Rosemary Saunders ,&nbsp;Kate Crookes ,&nbsp;Tania Leach ,&nbsp;Seng Giap Marcus Ang ,&nbsp;Caroline Bulsara ,&nbsp;Beverly Ewens ,&nbsp;Michelle Gay ,&nbsp;Karla Seaman ,&nbsp;Paige Watkins ,&nbsp;Christopher Etherton-Beer ,&nbsp;Olivia Gallagher","doi":"10.1016/j.colegn.2025.03.003","DOIUrl":"10.1016/j.colegn.2025.03.003","url":null,"abstract":"<div><h3>Background</h3><div>Hospital environments may cause or exacerbate behavioural and psychological symptoms of older adults with cognitive impairment. Many hospitals in Australia employ staff as companions to provide constant observation and additional support for those with cognitive impairment and/or at risk of falls; however, little is known about the activities of this role.</div></div><div><h3>Aim</h3><div>To examine the activities of assistant in nursing companions allocated to older patients in hospital.</div></div><div><h3>Methods</h3><div>A cross-sectional study design using an observation tool was conducted at an acute metropolitan hospital in Western Australia. A nonparticipant nurse conducted the observations. Descriptive statistical analysis explored the data and frequencies reported.</div></div><div><h3>Findings</h3><div>Ninety-three observations were completed over a one-month period. Assistants in nursing companions were observed providing direct support to patients in less than half of the observations (49%), while 27% of observations recorded assistants in nursing in other activities, and 24% of observations recorded no active support. During direct support, 40% were undertaking diversionary activities. Environmental safety measures were met for most observations. Most patient surveillance forms were completed (95%); cognitive support plans were not completed for 68% of patients.</div></div><div><h3>Discussion</h3><div>Assistant in nursing companions under the direction of registered nurses can increase patient safety and provide therapeutic engagement; however, they may not be utilised to their full potential.</div></div><div><h3>Conclusion</h3><div>This role is part of contemporary patient care. It is essential that training is provided to both assistants in nursing and nurses who prepare and supervise them to ensure an effective contribution to patient safety and care quality.</div></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"32 3","pages":"Pages 142-148"},"PeriodicalIF":1.6,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143937690","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The needs of middle-aged and older adults with chronic diseases living alone for using care robots","authors":"Kuei Hsiang Huang ,&nbsp;Ling-Yu Wu ,&nbsp;Bih-O Lee","doi":"10.1016/j.colegn.2025.03.002","DOIUrl":"10.1016/j.colegn.2025.03.002","url":null,"abstract":"<div><h3>Background</h3><div>The global population of people over 60 is expected to grow, raising concerns about older adults living alone, especially those with chronic diseases. These people require various care needs, including physical, mental, and social support, leading to the exploration of innovative solutions like robot-assisted care. However, no research has addressed the needs of older adults with chronic diseases regarding companion or care robots, so it is essential first to study the needs of the middle-aged and older adults.</div></div><div><h3>Aim</h3><div>This study aimed to understand the needs of the middle-aged and older adults with chronic diseases for future care robots.</div></div><div><h3>Methods</h3><div>This qualitative study used in-depth interviews to collect data from 15 middle-aged and older adults in outpatient departments recruited from September 2022 to September 2023. The data were analysed using content analysis.</div></div><div><h3>Results</h3><div>The identified themes were ‘interaction and companionship’, ‘assistance with daily routines’, ‘medication reminders and assistance with physician–patient communication’, ‘replacement of several long-term care services’, ‘different requirements for robot appearance and size’, and ‘scepticism about future robots’.</div></div><div><h3>Conclusion</h3><div>The middle-aged and older adults had relatively explicit needs for using robots. Using robots for older adults with chronic diseases presents both opportunities and challenges, suggesting that healthcare providers should be aware of the cultural differences and individual needs of older populations. Once the technology is more advanced, healthcare policies are more likely to include long-term care services provided by robots.</div></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"32 3","pages":"Pages 135-141"},"PeriodicalIF":1.6,"publicationDate":"2025-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143937689","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"‘Are you sure they’re a nurse?’: Public perceptions of Australian school nursing","authors":"Anita Moyes ,&nbsp;Brent A. Hayward","doi":"10.1016/j.colegn.2025.03.001","DOIUrl":"10.1016/j.colegn.2025.03.001","url":null,"abstract":"<div><h3>Background</h3><div>Nurses work in schools in every state and territory of Australia but have limited visibility in the public discourse. Knowledge and perceptions of school nursing work can significantly influence policy, funding, and program implementation, yet public perceptions of nursing work in Australian schools have never been investigated.</div></div><div><h3>Aim</h3><div>The aim of the study was to examine public perceptions of the work of nurses in Australian schools using data collected from a thread on the social media platform Reddit. Study objectives included exploring respondents’ source of knowledge, perceptions of the presence and distribution of school nurses, and understanding of the role.</div></div><div><h3>Method</h3><div>The study was guided by Elo and Kyngäs’ content analysis method. Data were manually extracted from a Reddit thread, de-identified, and analysed using deductive and inductive content analysis.</div></div><div><h3>Findings</h3><div>The Reddit thread contained 79 individual posts from 69 unique respondents. The study identified that the breadth and depth of nursing work in Australian schools was poorly understood, and the title of ‘school nurse’ is being co-opted by non-nurses.</div></div><div><h3>Discussion</h3><div>Strategies to improve public understanding of the breadth and scope of nursing work in Australian schools are urgently needed. School nursing is considered low value, contributing to its low regard. This is occurring in an era when teachers report significant burden from intervening in complex health and social issues for which they are not educationally prepared.</div></div><div><h3>Conclusion</h3><div>School nursing in Australia is experiencing a crisis of invisibility and misunderstanding with significant implications for nurses, students, school staff, and families.</div></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"32 3","pages":"Pages 129-134"},"PeriodicalIF":1.6,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143937688","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Music therapy in intensive care: Family perspectives on humanising care","authors":"Verónica Saldaña-Ortiz ,&nbsp;María Caballero-Galilea ,&nbsp;José Miguel Mansilla- Domínguez ,&nbsp;Laura Lorenzo-Allegue ,&nbsp;Esther Martínez-Miguel","doi":"10.1016/j.colegn.2025.02.001","DOIUrl":"10.1016/j.colegn.2025.02.001","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;The introduction of music therapy in intensive care units (ICUs) has resulted in a notable transformation in the experience of family members, conferring substantial benefits for both patients and their loved ones. Patients have demonstrated improvements in their emotional well-being, quality of life, and a reduction in anxiety and stress levels. Furthermore, music therapy intervention has facilitated the development of nonverbal communication and emotional connections between patients and caregivers. This approach responds not only to clinical needs but also contributes to the humanisation of care, emphasising the importance of the emotional well-being of the patient’s family and recognising their crucial role in supporting the patient’s recovery process.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Aim&lt;/h3&gt;&lt;div&gt;The aim of this study is to explore family members’ experiences of the humanisation of the adult ICU.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;The present study was conducted in accordance with a qualitative hermeneutic phenomenological methodology. Interventions were conducted with a music therapist, and 14 in-depth interviews were collected from relatives in the critical care unit of Mostoles University Hospital in Madrid, Spain. The qualitative analysis employed was that proposed by Braun and Clarke, with an inductive approach. This method resulted in the emergence of three themes from the interviews.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Main results&lt;/h3&gt;&lt;div&gt;The personal interviews yielded a thematic analysis that revealed three dominant themes. These themes encapsulate the experiences and emotions of the study participants after completing the music therapy sessions. Three main themes have been identified: (i) music therapy responding to family concerns, (ii) music therapy during interventions, and (iii) music therapy to humanise the intensive care unit.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Discussion&lt;/h3&gt;&lt;div&gt;This study highlights the crucial contribution of music therapy in the humanisation of ICUs by enhancing the experiences of patients, their families, and healthcare professionals. It has been demonstrated to reduce stress, anxiety, and pain while fostering emotional connections and improving communication. The application of music therapy has been demonstrated to reinforce the therapeutic relationships between patients and healthcare professionals, reduce the necessity for sedation, and enhance comfort during medical procedures. In alignment with the principles of humanistic care, it is conducive to the promotion of well-being, intimacy, and quality of life. Despite certain limitations, the integration of music therapy is vital for the creation of more compassionate and patient-centred environments.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusions&lt;/h3&gt;&lt;div&gt;Music therapy in ICUs enhances family satisfaction by improving patients’ emotional well-being. Relatives recognise music as a comforting influence, positively shaping the hospital environment. It fosters a conducive atmosph","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"32 2","pages":"Pages 111-119"},"PeriodicalIF":1.6,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143562009","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Graduate nurses’ experience of support, training, and education during the COVID-19 pandemic: A qualitative study","authors":"Jessie Bange,&nbsp;Weili Gao,&nbsp;Kimberley Crawford","doi":"10.1016/j.colegn.2025.02.002","DOIUrl":"10.1016/j.colegn.2025.02.002","url":null,"abstract":"<div><h3>Background</h3><div>Newly graduated registered nurses have described elements of their first year of employment as stressful, draining, and demanding. The COVID-19 pandemic was an additional challenge for them during an already daunting transitional phase. Developing this future workforce requires adequate support, education, and training provision.</div></div><div><h3>Aim</h3><div>The aim of this study was to explore newly graduated registered nurses experiences and perceptions of support, education, and training received during the first rotation of their graduate nursing program during the COVID-19 pandemic.</div></div><div><h3>Design</h3><div>The qualitative descriptive design aligned with the interpretive paradigm was utilised.</div></div><div><h3>Methods</h3><div>A combination of purposive and convenience sampling enabled the recruitment of any newly graduated registered nurse who was employed in a Victorian graduate nursing program during the COVID-19 pandemic (2020–2022). Semistructured interviews were conducted from July 2022 until February 2023. Fourteen participants were interviewed. Data were analysed thematically.</div></div><div><h3>Results</h3><div>Three themes were established: Transition to practice, Development of graduate nurses, and Support of graduate nurses. Participants reported that there was an absence of educators, so there were situations of accelerated learning or self-education within continually evolving environments. Professional confidence was reduced as their learning came to a halt, and there was a lack of education and training opportunities, which caused the newly graduated registered nurses to question their clinical abilities. Clinical competence was increased with positive, supportive, and consistent learning opportunities.</div></div><div><h3>Conclusions</h3><div>Newly graduated registered nurse education, training, and support experiences were potentially inadequate, limiting future practice abilities. To ensure inexperienced nurses develop into future nurse leaders, it is essential that they are supported by educators and provided with ample training opportunities.</div></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"32 2","pages":"Pages 120-127"},"PeriodicalIF":1.6,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143562092","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A realist-informed exploration of factors influencing nurses’ management of mental state deterioration in acute hospital settings","authors":"Tendayi Bruce Dziruni ,&nbsp;Alison M. Hutchinson ,&nbsp;Sandra Keppich-Arnold ,&nbsp;Tracey Bucknall","doi":"10.1016/j.colegn.2025.01.004","DOIUrl":"10.1016/j.colegn.2025.01.004","url":null,"abstract":"<div><h3>Background</h3><div>Managing patients’ mental state deterioration in acute hospital settings presents significant challenges, often resulting in adverse patient outcomes, traumatic restrictive practices, and negative staff effects. Ensuring timely and appropriate care for patients is critical; however, the efficacy of interventions is contingent upon understanding the underlying causal mechanisms that influence the staff’s capacity to timely manage deterioration.</div></div><div><h3>Aims</h3><div>To test, validate, and refine theories about factors influencing nurses’ ability to manage mental state deterioration and how these factors impact the functioning of a response model.</div></div><div><h3>Methods</h3><div>A realist evaluation survey was conducted with nurses in acute hospital settings to refine theories about managing patient mental state deterioration.</div></div><div><h3>Results</h3><div>A total of 60 nurses (50%) completed the survey. Most (n=48, 80%) had some mental health training, but 56% (n=27) reported less than an hour of training, and 53% (n=29) rated their de-escalation skills as low. About 30% (n=16) had activated response teams, and 16% (n=9) had reported managing mental state deterioration in the previous four weeks. Nurses highlighted the challenges of managing mental state deterioration and emphasised the need for tailored training, daily assessments, improved teamwork, communication, and organisational support for high-risk patients.</div></div><div><h3>Conclusion</h3><div>The study underscores the importance of addressing staff challenges for the effective functioning of a response model for mental state deterioration in acute hospital settings. Enhancing clinical skills and aligning organisational factors, such as guidelines, escalation workflows, and risk reporting, are essential to improving patient outcomes and staff support.</div></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"32 2","pages":"Pages 100-110"},"PeriodicalIF":1.6,"publicationDate":"2025-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143562008","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}