Collegian最新文献

{"title":"A systematic review of interventions for reducing and reporting adverse events in emergency departments: Multidisciplinary approaches and technological innovations","authors":"Olamide Olajumoke Afolalu ,&nbsp;Oluwaseyi Abiodun Akpor ,&nbsp;Sunday Adeniran Afolalu","doi":"10.1016/j.colegn.2024.12.001","DOIUrl":"10.1016/j.colegn.2024.12.001","url":null,"abstract":"<div><h3>Background</h3><div>Adverse events in hospital emergency departments remain significant health problems that pose a serious threat to the patients with resultant detrimental outcomes. However, effective strategies for their reduction and reporting remain understudied.</div></div><div><h3>Aim</h3><div>This review aims to evaluate interventions for reducing and reporting adverse events in emergency settings.</div></div><div><h3>Methods</h3><div>We conducted a systematic search across six major scientific databases, including PubMed and Cochrane, for papers published between 2001 and 2024 to capture a broad range of interventions. A PRISMA protocol for systematic review methodology was applied. Included were studies evaluating interventions aimed at reducing adverse events and improving the reporting processes in emergency departments. According to predefined guidelines, data extraction and quality assessment for randomised controlled trials and non-randomized experimental research were completed using the Joanna Briggs Institute critical appraisal tool. Analysis was done on 12 papers that met the criteria for inclusion.</div></div><div><h3>Findings</h3><div>Key interventions included multidisciplinary staff training, the implementation of electronic health record systems with decision-support tools, and standardised triage protocols, all of which demonstrated a reduction in adverse events. Standardised triage protocols and simulation scenarios were effective in reducing adverse events. Meanwhile, electronic health record systems with decision support tools, machine learning integration, and electronic medication alerts significantly improved reporting practices.</div></div><div><h3>Conclusion</h3><div>The review highlights the importance of multifaceted strategies, particularly those integrating technology and collaborative approaches, to improve safety culture in emergency departments. Future research should focus on long-term evaluations of these interventions in diverse healthcare settings, with a particular emphasis on resource-limited environments and the scalability of technological solutions.</div></div><div><h3>Study registration details</h3><div>The protocol is registered in the International Prospective Register of Systematic Reviews with registration number ‘CRD42024532902’.</div></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"32 1","pages":"Pages 34-45"},"PeriodicalIF":1.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143094496","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":"Recognising and responding to acute patient deterioration in the perioperative environment – A simulation-based learning approach to meeting National Healthcare Standards criteria","authors":"Scott Lamont ,&nbsp;Zoe Kumar ,&nbsp;Pooja Bhusal","doi":"10.1016/j.colegn.2024.12.002","DOIUrl":"10.1016/j.colegn.2024.12.002","url":null,"abstract":"<div><h3>Background</h3><div>Deterioration in acute healthcare settings is associated with serious adverse sequelae. A National Standards framework for healthcare facilities in Australia has mandated that such facilities provide evidence that satisfies criteria relating to acute deterioration recognition and response. Whilst education and training of healthcare practitioners have been prominent since National Standards inception, state-wide mandatory training programs have not been sensitive to the perioperative context.</div></div><div><h3>Aim</h3><div>To evaluate the effectiveness of a perioperative simulation-based learning program in building capacity for perioperative staff in acute patient deterioration recognition and response.</div></div><div><h3>Methods</h3><div>A multiple group post-test design using quantitative measures was undertaken. Participants were a consecutive sample of perioperative nursing staff (n=56) employed across three hospitals in Sydney who self-enrolled in simulation-based learning workshops. Each six-hour workshop focussed on four acute deterioration scenarios: Anaphylaxis, Malignant Hyperthermia, Post-Partum Haemorrhage, and Local Anaesthetic Systemic Toxicity. Simulation effectiveness was measured using the 19-item Simulation Effectiveness Tool–Modified. Descriptive statistics were calculated, and qualitative content analysis was used for an open-ended question.</div></div><div><h3>Findings</h3><div>All 19 items elicited a high degree of ‘strongly agree’, ranging from 57.1% to 89.6%, with only four of the 19 items achieving less than 80% ‘strongly agree’. Content analysis generated two primary categories: <em>‘Self-efficacy enabling professional autonomy’</em> and <em>‘Relevant and authentic representation’</em>.</div></div><div><h3>Discussion</h3><div>Perioperative simulation-based learning can enhance clinical proficiency and professional autonomy, whilst developing clinical reasoning, teamwork, and delegation skills.</div></div><div><h3>Conclusion</h3><div>Perioperative simulation-based learning was perceived as effective in preparing nursing staff working in the perioperative specialty for real-world clinical emergencies.</div></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"32 1","pages":"Pages 46-52"},"PeriodicalIF":1.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143094497","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":"Exploring the experiences of nurses working in the outdoor COVID-19 testing clinics: A qualitative descriptive study","authors":"Nicola Drayton ,&nbsp;Christopher Boothroyd ,&nbsp;Lauretta Luck","doi":"10.1016/j.colegn.2024.11.002","DOIUrl":"10.1016/j.colegn.2024.11.002","url":null,"abstract":"<div><h3>Aim</h3><div>To understand the experiences of nurses working in outdoor COVID-19 testing clinics.</div></div><div><h3>Background</h3><div>The COVID-19 pandemic led to significant changes in the practices of nurses across healthcare settings. This challenge meant responding to working in completely new environments, such as the COVID-19 testing clinics and undertaking work practices never experienced before.</div></div><div><h3>Design</h3><div>A qualitative descriptive design.</div></div><div><h3>Methods</h3><div>Semistructured interviews with 11 nurses recruited and deployed to work in outdoor COVID-19 testing clinics across a Local Health District in Australia. Data were analysed using Braun and Clarke’s guide for thematic analysis.</div></div><div><h3>Findings</h3><div>Six themes were identified from the data: connection to being a nurse in response to the pandemic; the journey working in the clinic; fear of taking COVID-19 home; the influence of the media on personal and professional lives; responding to the community; and becoming one, developing the team.</div></div><div><h3>Conclusions</h3><div>This study shows how responsive and adaptive nurses can be in times of crisis. Despite the fear of facing the unknown, nurses from an array of backgrounds very quickly established clear roles and team cohesiveness to respond to the needs of the community.</div></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"32 1","pages":"Pages 18-25"},"PeriodicalIF":1.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143094493","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 impact of an intravenous e-learning application on nursing students’ knowledge level: A quasi-experimental study","authors":"Betul Sahi̇n-Kilinc ,&nbsp;Hilal Tuzer","doi":"10.1016/j.colegn.2024.12.003","DOIUrl":"10.1016/j.colegn.2024.12.003","url":null,"abstract":"<div><h3>Aim</h3><div>This study utilised a quasi-experimental design to examine the effect of the 3D MedSim Intravenous (IV) Catheterisation e-learning application on the knowledge of peripheral intravenous catheterisation (PIVC) among first-year nursing students.</div></div><div><h3>Method</h3><div>The study employed a two-group design, comprising a control group (n=34) and an intervention group (n=34). The control group received conventional educational methods, whereas the intervention group received traditional education supplemented with using an e-learning application. Data were gathered online via Google Forms, encompassing a questionnaire, achievement tests, and e-learning application exam scores.</div></div><div><h3>Results</h3><div>A statistically significant difference was observed between the mean pretest and posttest knowledge scores of students in the intervention group. Additionally, a statistically significant, moderate positive correlation was found between the application examination knowledge scores and both the pretest and posttest knowledge scores.</div></div><div><h3>Conclusions</h3><div>The IV catheterisation e-learning application has been proven to be an effective tool for increasing knowledge scores in the area of PIVC.</div></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"32 1","pages":"Pages 53-59"},"PeriodicalIF":1.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143094494","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":"A qualitative analysis of the role of the Hospital in the Home registered nurse in Australia","authors":"Angela Ellis ,&nbsp;Melissa Taylor","doi":"10.1016/j.colegn.2024.09.004","DOIUrl":"10.1016/j.colegn.2024.09.004","url":null,"abstract":"<div><h3>Background</h3><div>Healthcare and societal expectations change over time, with Hospital in the Home (HITH) registered nurses (RNs) increasing in community profile in Australian nursing domains. With increases in service demand and bed pressure creating an increased need for services outside the hospital environment, understanding of the role of the registered nurse working in HITH is needed.</div></div><div><h3>Aim</h3><div>This research aims to identify the role and function of the RNs’ experience in their day-to-day work in the HITH setting. Additionally, the research shares a content analysis of the position descriptions of participating HITH RNs to analyse key performance indicator inclusions and barriers in scope of practice for the registered nurse.</div></div><div><h3>Method</h3><div>Using an interpretive phenomenological approach and Gadamer’s method, 12 HITH RN participants from across Australia were engaged in in-depth interviews. Interviews provided HITH RNs the opportunity to share their experience of the role, and a contributing content analysis of position descriptions followed, providing a synopsis of key areas of commonality and difference.</div></div><div><h3>Findings</h3><div>Three key areas emerged: professionalism, knowledge, and responsiveness, with an identified mismatch between generalisations in scope of practice in the position descriptions and the shared experience of the HITH RN participants.</div></div><div><h3>Discussion</h3><div>The research identified shared challenges that exist in the day-to-day role and function of the HITH RN, determining that HITH RNs undertake complex roles, working with generic position descriptions, often absent of core components of autonomous practice, experience, and knowledge. Limitations exist in the scope of practice of the HITH RN resulting in delays in care where advanced practice could be applied.</div></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"32 1","pages":"Pages 1-8"},"PeriodicalIF":1.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143094491","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":"Gender-based violence: A participatory action research study","authors":"Vesile Koçak,&nbsp;Hamide Aygör","doi":"10.1016/j.colegn.2024.11.003","DOIUrl":"10.1016/j.colegn.2024.11.003","url":null,"abstract":"<div><h3>Background</h3><div>Gender-based violence is a global issue that nursing students need to be aware of active teaching methodologies that incorporate students’ thoughts and feelings and encouragestudents to reflect upon and critically think about sensitive issues are required. Photovoice can be used as a research methodology as well as a pedagogical approach.</div></div><div><h3>Aim</h3><div>To encourage nursing students to learn about gender-based violence by being aware of their thoughts and feelings and to identify, approaches to raise awareness of gender-based violence among students.</div></div><div><h3>Methods</h3><div>A participatory action research approach was taken and the metod of photovoice was used. The steps in using photovoice are to establish connections with the relevant community/group, recruit participants, conduct introductory group meetings, collect individual data, organise individual and group interviews, and report results. First-year nursing students enrolled in an undergraduate degree program at a university in Turkey were recruited. The study was approved by Necmettin Erbakan University Health Sciences Scientific Research Ethics Board with the decision numbered 2023/523. The photovoice technique was used to record images from a dramatisation that served as the basis for representing scenes from the everyday life of people subjected to gender violence. These photographs were then debated and analysed.</div></div><div><h3>Findings</h3><div>Three main categories emerged: ‘Women Victimised by Inequality from Family to Society,’ ‘Learned Helplessness and Normalisation,’ and ‘The Importance of Societal Perspective and Awareness.’ Students highlighted that in their society, women are not treated as equals to men. In societies where men are dominant and do not value women, women can be subjected to violent treatment both outside and in social settings; learned helplessness and normalisation were the underlying factors of violence. Those students exposed to violence from a young age described themselves as resorting to violence as a means of conflict resolution and, on occasion, held misconceptions that violence was justified. Those who normalised violence played an important role in carrying this cycle on to future generations. The outcomes from this work were exhibited on International Women’s Day, providing a platform for the deanery, rectorate, and the public to engage.</div></div><div><h3>Conclusion</h3><div>This study raised students’ awareness of gender-based violence, encouraged critical thinking about its cultural and social dimensions, and amplified students’ voices through a photo exhibition. Given the well-documented impact of gender-based violence, schools and universities are in a pivotal position for advocacy and prevention. Training and awareness raising are needed across all sections of society with the aim of preventing gender-based violence.</div></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"32 1","pages":"Pages 26-33"},"PeriodicalIF":1.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143094495","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":"Evaluating a community nursing education program to support patients during chemotherapy treatment","authors":"Bora Kim ,&nbsp;Chantale Boustany ,&nbsp;Louise Acret ,&nbsp;Jodi McLeod ,&nbsp;Natalie Cook ,&nbsp;Heather McKenzie ,&nbsp;Lillian Hayes ,&nbsp;Judith Fethney ,&nbsp;Judy M. Simpson ,&nbsp;Simon Willcock ,&nbsp;Kate White","doi":"10.1016/j.colegn.2024.10.003","DOIUrl":"10.1016/j.colegn.2024.10.003","url":null,"abstract":"<div><h3>Background</h3><div>Patients receiving chemotherapy for cancer treatment frequently experience side effects such as nausea, vomiting, and diarrhoea, which negatively impact their quality of life and survival outcomes. In this study, an education program was delivered to community nurses (CNs), who subsequently provided home-based side effect management support to patients receiving chemotherapy.</div></div><div><h3>Aim</h3><div>This study aimed to evaluate the education program designed to enhance CNs’ knowledge of and confidence in providing chemotherapy side effect management support.</div></div><div><h3>Methods</h3><div>This mixed-method study used surveys and interviews. The evaluation of program content and its delivery was reported using descriptive statistics. The pre- and post-education confidence levels were compared using a paired sample t-test. Interviews explored CNs’ perspectives on the program’s adequacy and appropriateness in building their knowledge and confidence in providing chemotherapy side effect management support.</div></div><div><h3>Findings</h3><div>Sixty-five CNs completed the surveys. Overall, 69% (n = 45) rated the education program as either ‘excellent’ or ‘very good’. A statistically significant improvement was found in mean item confidence from pre- (3.24, SD 0.72) to post-education (4.11, SD 0.42, P &lt; 0.001). Two focus groups and seven individual interviews were conducted, involving a total of 17 CNs. Qualitative content analysis revealed two themes: (i) CNs’ opinions on the program content and its mode of delivery, and (ii) CNs’ opinions on the adequacy of the education program in building their knowledge and confidence in chemotherapy side effect management.</div></div><div><h3>Conclusion</h3><div>This study demonstrated the acceptability and feasibility of delivering an education program to enhance CNs’ knowledge and confidence in supporting patients undergoing chemotherapy.</div></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"32 1","pages":"Pages 9-17"},"PeriodicalIF":1.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143094492","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":"Understanding impact of inpatient telemedicine on nurses in a rural hospital environment","authors":"Carol Reid ,&nbsp;Catherine Church ,&nbsp;Viv Jeffery ,&nbsp;Ka Chun Tse ,&nbsp;Jacque Phillips","doi":"10.1016/j.colegn.2024.10.002","DOIUrl":"10.1016/j.colegn.2024.10.002","url":null,"abstract":"<div><h3>Background</h3><div>Virtual health care has increased equity for those living in rural locations. Whilst this care delivery modality has improved access, it remains important to understand the impact on rural nurses who are on-site and support the delivery of virtual patient care.</div></div><div><h3>Question</h3><div>What are the impacts on nurses when introducing a virtual doctor model of care for the inpatient wards at three sites of a rural health service in Victoria, Australia?</div></div><div><h3>Methods</h3><div>A purposive sample of nurses (n = 21) from inpatient settings completed surveys at two time points, at model preparation and at implementation. Semistructured interviews with nurses (n = 13) provided in-depth information. Survey data are presented descriptively. Interview transcripts, analysed using the Qualitative Framework Approach, were coded, grouped, and themes interpreted.</div></div><div><h3>Findings</h3><div>Survey results at preparation showed that 93% felt informed about the introduction of the model of care. At implementation, very good/excellent ratings were given for policy and procedure development (84%), staff communication (83%), and education and training (50%). Themes from interviews on impact for nurses pertained to rural relationships, adapting the inpatient ‘usual’ model, systems and processes, and nurse recognition and identity.</div></div><div><h3>Discussion and conclusion</h3><div>The impacts on nurse professional practice and their patient care delivery models need early consideration when introducing virtual care in rural health services. Rural nurses are adept at problem solving real-time issues; they value knowledge acquisition and being listened to as professionals. This vital workforce must be fully involved at the planning phase of new rural virtual models.</div></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"31 6","pages":"Pages 421-427"},"PeriodicalIF":1.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143146106","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 scoping review of healthcare professionals on assisted dying in dementia: Presenting nurses’ perceptions and experiences","authors":"Ella M. Tomkins ,&nbsp;Amanda Fox","doi":"10.1016/j.colegn.2024.09.003","DOIUrl":"10.1016/j.colegn.2024.09.003","url":null,"abstract":"<div><h3>Background</h3><div>Dementia presents a complex challenge marked by cognitive decline and distressing symptoms, yet there is no cure. While access to assisted dying is expanding in many countries, many exclude those with dementia. If policymakers consider extending this option to people with dementia, understanding stakeholder views is crucial.</div></div><div><h3>Aim</h3><div>To explore healthcare professionals’ experiences and perceptions of assisted dying for people with dementia and to identify gaps in the evidence that will inform future research.</div></div><div><h3>Methods</h3><div>A search was conducted across five databases and grey literature, screening records against inclusion criteria. Seven relevant records were included for analysis.</div></div><div><h3>Results</h3><div>A total of 37 articles were found for review. Findings indicate a lack of understanding regarding healthcare professionals’ perspectives on assisted dying. Existing research predominantly focuses on physicians, with limited attention to nurses and even less on dementia-specific cases. A total of seven articles reported healthcare professionals other than physicians. Because of the lack of information available, this report has focused on this area. Key factors shaping nurses’ views include personal values, decision-making principles, background, and patient-centred care focus. While evidence is scant, there appears to be a growing acceptance of assisted dying among nurses over time.</div></div><div><h3>Conclusions</h3><div>There is a dearth of knowledge on perceptions and experiences regarding assisted dying for patients with dementia. Further primary research is crucial to inform healthcare systems and policymakers contemplating changes to assisted dying legislation or its introduction.</div></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"31 6","pages":"Pages 382-391"},"PeriodicalIF":1.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143145612","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":"The use of joint consultations in the transition from child to adult outpatient clinic within type 1 diabetes care: A qualitative study","authors":"Nora Kathrine Gylling ,&nbsp;Lena Sønder Snogdal ,&nbsp;Mette Juel Rothmann","doi":"10.1016/j.colegn.2024.08.002","DOIUrl":"10.1016/j.colegn.2024.08.002","url":null,"abstract":"<div><h3>Aim</h3><div>This study aims to explore the experiences of young adults and their parents regarding joint consultations during their transition from the Children to the Adult Outpatient Clinic, based on a transition project at Odense University Hospital.</div></div><div><h3>Methods</h3><div>Individual interviews were conducted with ten young adults (aged 17–18 years) and six parents, using a phenomenological-hermeneutic approach. Transcripts were analysed using a pragmatic approach for text condensation.</div></div><div><h3>Results</h3><div>The analysis revealed three main themes: ‘A feeling of security’, highlighting the importance of the familiar nurse in the transition, communication about the adult clinic, and building personal relationships with the new healthcare professionals; ‘A fear for the Adult Outpatient Clinic’, describing how the unknown could create anxiety and concerns about whether the adult outpatient clinic has sufficient medical and educational resources; and ‘Parental participation and responsibility’, highlighting the need for balancing independence and the importance of parental involvement.</div></div><div><h3>Conclusion</h3><div>Joint consultations appear to have a positive impact on young adults and their parents during the transition. However, more scientific evidence is needed in this area.</div></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"31 6","pages":"Pages 365-371"},"PeriodicalIF":1.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143145678","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}