{"title":"Nurses’ perception of missed nursing care in a Western Australian teaching hospital: A cross-sectional study","authors":"Afia Achiaa Sarpong , Diana Arabiat , Lucy Gent , Ebenezer Afrifa-Yamoah , Amanda Towell-Barnard","doi":"10.1016/j.colegn.2023.05.005","DOIUrl":"10.1016/j.colegn.2023.05.005","url":null,"abstract":"<div><h3>Background</h3><p>Missed nursing care (MNC) has gained increasing emphasis in nursing literature because of its association with nurse and patient outcomes in healthcare settings. While missed care has been widely studied, little evidence is available on the types and frequency of missed care, reasons for its occurrence, and predictors of missed care in Western Australia.</p></div><div><h3>Aims</h3><p>To determine nurses’ perceptions of the types of MNC, reasons for missed care and to identify factors predicting missed care occurrence in Western Australian acute care settings.</p></div><div><h3>Methods</h3><p>A cross-sectional study in medical and surgical wards was performed. The nurse MISSCARE survey tool was used to capture self-reported types and reasons for missed care and level of nurse job satisfaction from a sample of 204 nurses working in 16 acute care wards. Data analyses were carried out in International Business Machines Corperation located in Armonk, New York United States (IBM SPSS Statistics) (v 29).</p></div><div><h3>Findings</h3><p>The most common perceived missed activities included ambulation (87%), patient teaching (79%), interdisciplinary conference attendance (78%), mouth care (78%), intake and output (77%), and patient turning (75%). Labour resources ranked highest for reasons for missed care followed by material resources and communication. Significant relationships were observed between missed care and job satisfaction, role satisfaction, and teamwork.</p></div><div><h3>Discussion</h3><p>Working overtime, job dissatisfaction, inadequate staffing, and heavy admissions and discharges were related to increased likelihood for missed care occurrence.</p></div><div><h3>Conclusion</h3><p>Although further studies examining the link between MNC and staffing methodologies are needed, this study provides evidence on nurse-reported missed care and the impact of missed care in Western Australia.</p></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"30 4","pages":"Pages 602-611"},"PeriodicalIF":1.5,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48777535","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}
CollegianPub Date : 2023-08-01DOI: 10.1016/j.colegn.2023.03.002
Gursharan K. Singh , Alison P. Bowers , Caleb Ferguson , Julee McDonagh , Serra E. Ivynian , Shirley Chambers , Louise D. Hickman
{"title":"Hospital service use in the last year of life by Indigenous Australians who died of heart failure or cardiomyopathy: A linked data study","authors":"Gursharan K. Singh , Alison P. Bowers , Caleb Ferguson , Julee McDonagh , Serra E. Ivynian , Shirley Chambers , Louise D. Hickman","doi":"10.1016/j.colegn.2023.03.002","DOIUrl":"10.1016/j.colegn.2023.03.002","url":null,"abstract":"<div><h3>Background</h3><p>Aboriginal and Torres Strait Islander peoples experience disproportionate rates of heart failure. However, information regarding their use of hospital services in the last year of life is poorly delineated to inform culturally appropriate end-of-life health services.</p></div><div><h3>Objectives</h3><p>To quantify hospital service use in the last year of life of Aboriginal and Torres Strait Islander peoples who died of heart failure or cardiomyopathy in Queensland, Australia.</p></div><div><h3>Methods</h3><p>A subgroup analysis of a larger retrospective linkage study using administrative health data in Queensland, Australia. Individuals that identified as an Aboriginal and Torres Strait Islander person from their first hospital admission in the last year of life, who died of heart failure or cardiomyopathy from 2008 to 2018, were included.</p></div><div><h3>Results</h3><p>There were 99 individuals, with emergency department presentation/s recorded for 85 individuals. Over 50% of individuals presenting to the Emergency Department were from regional areas (n = 43, 51%). The 99 individuals had a total of 472 hospital admissions, excluding same day admissions for haemodialysis, and 70% (n = 70) died in hospital. Most admissions were coded as acute care (n = 442, 94%), and fewer were coded as palliative care (n = 19, 4%). Median comorbidities or factors that led to hospital contact = 5 (interquartile range 3–9).</p></div><div><h3>Conclusion</h3><p>Acute care hospital admissions in the last year of life by this population are common for those who died of heart failure or cardiomyopathy. Multimorbidity is prevalent in the last year of life, underscoring the importance of primary health care, provided by nurses and Indigenous health workers.</p></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"30 4","pages":"Pages 571-577"},"PeriodicalIF":1.5,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42294276","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}
CollegianPub Date : 2023-08-01DOI: 10.1016/j.colegn.2023.03.006
Jane Currie , Lucy McWilliams , Vijeta Venkataraman , Martha Paisi , Jill Shawe , Anna Thornton , Matthew Larkin , Joanne Taylor , Sandy Middleton
{"title":"Nurses’ perceptions on the skills, knowledge, and attributes required to provide healthcare to people experiencing homelessness in Australia: A qualitative study","authors":"Jane Currie , Lucy McWilliams , Vijeta Venkataraman , Martha Paisi , Jill Shawe , Anna Thornton , Matthew Larkin , Joanne Taylor , Sandy Middleton","doi":"10.1016/j.colegn.2023.03.006","DOIUrl":"10.1016/j.colegn.2023.03.006","url":null,"abstract":"<div><h3>Background</h3><p>People experiencing homelessness have unmet healthcare needs often related to chronic health conditions and injury. Nurses are often the first and only point of contact for people experiencing homelessness accessing healthcare. However, education that prepares them to meet the needs of this vulnerable population is limited.</p></div><div><h3>Aim</h3><p>To qualitatively explore nurses’ perceptions on the skills, knowledge, and attributes required to provide healthcare to people experiencing homelessness in Australia that could underpin an educational pathway.</p></div><div><h3>Design</h3><p>Semi-structured interviews with registered nurses and nurse practitioners.</p></div><div><h3>Methods</h3><p>Participants of a national survey were invited to undertake an interview. Interview data were analysed thematically and reported here in accordance with the Consolidated Criteria for Reporting Qualitative Research guidelines.</p></div><div><h3>Findings</h3><p>The registered nurses (n = 11) and nurse practitioners (n = 6) had varying levels of experience providing care for homeless Australians. Overarching themes that arose from the registered nurse and nurse practitioner participants included equitable access to care, knowledge around homelessness, contribution of nursing, and nurses’ role. However, nurse practitioners had a greater sense of agency and empowerment to enact care, while registered nurses perceived being underprepared and overwhelmed by the unmet needs of people experiencing homelessness.</p></div><div><h3>Conclusions</h3><p>The findings suggest that nursing practice holds opportunities to improve access and care provision for people experiencing homelessness. Capitalising on these opportunities requires that nurses are educationally prepared with the skills, knowledge, and attributes to meet the needs of this vulnerable population without necessarily becoming nurse practitioners. These findings will be used to underpin the development of an educational pathway for nurses to enhance their response to homeless populations.</p></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"30 4","pages":"Pages 539-547"},"PeriodicalIF":1.5,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43192555","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}
CollegianPub Date : 2023-08-01DOI: 10.1016/j.colegn.2023.02.002
Jane Currie , Lucy McWilliams , Martha Paisi , Jill Shawe , Anna Thornton , Matthew Larkin , Joanne Taylor , Sandy Middleton
{"title":"Nurses’ perceptions of the skills, knowledge and attributes required to optimise scope of practice and improve access to care for people experiencing homelessness in Australia: A cross-sectional study","authors":"Jane Currie , Lucy McWilliams , Martha Paisi , Jill Shawe , Anna Thornton , Matthew Larkin , Joanne Taylor , Sandy Middleton","doi":"10.1016/j.colegn.2023.02.002","DOIUrl":"10.1016/j.colegn.2023.02.002","url":null,"abstract":"<div><h3>Background</h3><p>People experiencing homelessness are less likely to access healthcare, particularly primary and preventive care. Nurses are well placed to improve access to healthcare for this vulnerable population.</p></div><div><h3>Aim</h3><p>To explore nurses’ perceptions of the skills, knowledge and attributes required to optimise scope of practice and improve access to healthcare for people experiencing homelessness, to underpin an education framework.</p></div><div><h3>Design</h3><p>A cross-sectional national survey of nurses in Australia.</p></div><div><h3>Methods</h3><p>Part of a larger study, a 222-item electronic survey was disseminated via social media and nursing colleges and associations. Participants rated the level of priority of specific skills knowledge and attributes to optimise nurses’ scope of practice and improve access to care for people experiencing homelessness. Quantitative data were analysed descriptively and qualitative data thematically.</p></div><div><h3>Findings</h3><p>The final analysis comprised n = 67 surveys. Participants were registered nurses (n = 54), nurse practitioners (n = 12) and one enrolled nurse. Items rated as highest priority and used in practice to optimise access to care were interpersonal attributes (n = 66.5, 99%), diagnosing presenting complaints (n = 64, 95%) and interpreting diagnostic test results (n = 63, 93%). Organisationally, support from colleagues (n = 58, 87%), managers (n = 57, 85%) and clear clinical guidelines (n = 46, 69%) are reportedly important. Most participants stated willingness to undertake further education in the care of people experiencing homelessness (93%, n = 62).</p></div><div><h3>Conclusion</h3><p>In developing a nursing education framework to optimise nurses’ scope of practice and improve access to care for people experiencing homelessness, the findings suggest that interpersonal skills, diagnosis and treatment are priority topics.</p></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"30 4","pages":"Pages 586-594"},"PeriodicalIF":1.5,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45699244","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}
CollegianPub Date : 2023-08-01DOI: 10.1016/j.colegn.2023.04.004
Sharon James , Aline Kunnel , Jane Tomnay , Danielle Mazza , Luke Grzeskowiak
{"title":"Long-acting reversible contraception prescribing coverage by nurse practitioners and midwives in Australia","authors":"Sharon James , Aline Kunnel , Jane Tomnay , Danielle Mazza , Luke Grzeskowiak","doi":"10.1016/j.colegn.2023.04.004","DOIUrl":"10.1016/j.colegn.2023.04.004","url":null,"abstract":"<div><h3>Background</h3><p>Expanded patient access to long-acting reversible contraception (LARC) is needed to support patient choice and access to efficacious forms of contraception. Little is known about nurse practitioner (NP) and midwife LARC prescribing.</p></div><div><h3>Aims</h3><p>To examine LARC prescribing by NPs and midwives in Australia.</p></div><div><h3>Methods</h3><p>A cross-sectional study of Australian Pharmaceutical Benefits Scheme dispensing data from 2018 to 2021 for females aged 15–54. Age‐standardised rates were calculated by state, remoteness area, and level 3 statistical areas (SA3s).</p></div><div><h3>Findings</h3><p>Despite a 1.6 fold increase since 2018, NPs and midwives accounted for 0.82 % (n = 2184) of prescriptions for LARC dispensed in 2021. The percentage of services in 2021 was greater in outer regional (2.21 %) and lowest in major cities (0.68 %) and was higher for the implant (0.92 %) compared with the hormonal intrauterine device (0.76 %). The proportion of total SA3s where a NP/midwife prescribed LARC increased from 23.35 % in 2018 to 29.94 % in 2021. NP/midwife LARC prescribing was highest in outer regional (42.6 %) and lowest in remote areas (18.8 %). When stratified by state/territory, coverage of SA3s was highest in Australian Capital Territory (50.0 %) and lowest in the Northern Territory (11.1 %).</p></div><div><h3>Discussion and conclusion</h3><p>Our findings suggest that whilst there has been an increase in NP and midwife LARC prescribing, the overall rate remains low and coverage across Australia appears fragmented. NPs and midwives are well placed to enhance women’s access to efficacious forms of contraception, but this requires future efforts to identify and address critical barriers (e.g. legislative, funding, training) to service provision.</p></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"30 4","pages":"Pages 627-632"},"PeriodicalIF":1.5,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49300241","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}
CollegianPub Date : 2023-08-01DOI: 10.1016/j.colegn.2023.03.007
Lynda J. Hughes , Amy N.B. Johnston , Jacqueline H. Byrne , Debbie Massey
{"title":"Exploring assessment policies for clinical practice: A scoping review of the literature","authors":"Lynda J. Hughes , Amy N.B. Johnston , Jacqueline H. Byrne , Debbie Massey","doi":"10.1016/j.colegn.2023.03.007","DOIUrl":"10.1016/j.colegn.2023.03.007","url":null,"abstract":"<div><h3>Background</h3><p>Assessment of pre-registration nursing students in clinical practice is an essential process, ensuring students who graduate meet standards for practice and competently and safely care for patients under their care. However, such assessment remains challenging for individuals and organisations.</p></div><div><h3>Aim</h3><p>We aimed to investigate what is known about the application of clinical placement assessment policies guiding pre-registration nursing programmes.</p></div><div><h3>Methods</h3><p>Arskey and O’Malley’s five-stage method for scoping reviews was employed. Health and education databases were searched in July 2020 and December 2021. Identified papers were screened. The Joanna Briggs Institute’s critical appraisal tools were used to appraise the quality of the included articles. The Invitational Theory domains of people, processes, programmes, places, and policies were utilised to aid meaningful analysis of the findings.</p></div><div><h3>Findings</h3><p>Nineteen articles were appraised: eleven primary data studies, two that psychometrically tested a survey instrument, four discussion articles, and two literature reviews. Article quality varied widely. Three themes were identified: lack of processes around clinical practice, people and clinical practice, and policies and clinical practice.</p></div><div><h3>Discussion</h3><p>Assessment within placement is complex and unique. Uncertainty permeates the literature around assessment of pre-registration students in clinical practice. There is a clear need to promote policies that highlight differences between theoretical and practice assessment, ensuring all stakeholders can access relevant governance processes that support patient safety.</p></div><div><h3>Conclusion</h3><p>More empirical evidence is needed to develop policies and processes that reduce uncertainty and improve patient safety associated with student assessment within clinical placements.</p></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"30 4","pages":"Pages 530-538"},"PeriodicalIF":1.5,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46270466","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}
CollegianPub Date : 2023-08-01DOI: 10.1016/j.colegn.2023.04.005
Amanda Fox , Raymond Javan Chan , Fiona Crawford-Williams , Suzanne Williams , Jane Currie , Carla Thamm
{"title":"A survey of nurse practitioner’s views on registered nurse prescribing in Australia — Conflicted perspectives","authors":"Amanda Fox , Raymond Javan Chan , Fiona Crawford-Williams , Suzanne Williams , Jane Currie , Carla Thamm","doi":"10.1016/j.colegn.2023.04.005","DOIUrl":"10.1016/j.colegn.2023.04.005","url":null,"abstract":"<div><h3>Background</h3><p>The Nursing and Midwifery Board of Australia has proposed a standard of practice that enables registered nurses (RNs) to prescribe under a partnership model. This requires extensive input and support from authorised prescribers including nurse practitioners. Understanding nurse practitioners’ views and preparedness to support partnership nurse prescribing is imperative to its successful adoption.</p></div><div><h3>Aim</h3><p>To report Australian nurse practitioners’ views on the RN-prescribing standard.</p></div><div><h3>Methods</h3><p>This cross-sectional study surveyed a convenience sample of nurse practitioners using multiple-choice, Likert Scale and open-text responses. Quantitative data were analysed using descriptive statistics; short answer responses were explored thematically.</p></div><div><h3>Findings</h3><p>The majority of the 229 participants (n = 183, 76.2%) agreed that prescribing would optimise RN knowledge, skills, and capability. Mentorship was the highest-rated enabling factor (n = 205, 89.5%). Three themes were identified: the lived experience of nurse practitioners, perceived impact on nurse practitioner roles, and patient safety.</p></div><div><h3>Discussion</h3><p>Participant views were conflicted. While the potential advantages for patients, RNs, and the healthcare system were acknowledged, there was equal concern for the implementation of nurse prescribing, role ambiguity, and erosion and patient safety. Nurse practitioners’ support for RN prescribing will be an important component of implementation.</p></div><div><h3>Conclusion</h3><p>RN prescribing is an opportunity to potentially improve consumer access to medicines and enhance healthcare system efficiency. It is also an opportunity for the nursing profession to contribute to improved systems of care while embedding succession planning for advanced practice nursing roles.</p></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"30 4","pages":"Pages 620-626"},"PeriodicalIF":1.5,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48642633","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}
CollegianPub Date : 2023-08-01DOI: 10.1016/j.colegn.2023.03.003
Jacqueline Colgan , Patricia Irene Bromley , Dawn McIvor , Ross Proctor , Melanie Greenwood
{"title":"Practice standards for Australian cardiovascular nurses: An electronic Delphi study","authors":"Jacqueline Colgan , Patricia Irene Bromley , Dawn McIvor , Ross Proctor , Melanie Greenwood","doi":"10.1016/j.colegn.2023.03.003","DOIUrl":"10.1016/j.colegn.2023.03.003","url":null,"abstract":"<div><h3>Background</h3><p>Professional standards for nurse practice protect the public and define the scope of nursing broadly and in specialty areas. Nurses encounter patients with cardiovascular disease in a variety of clinical contexts, and specialty practice standards have the potential to articulate the scope and role expectations for nurses caring for this population. Practice standards and role expectations for nurses caring for cardiovascular patients in Australia were developed through electronic Delphi (eDelphi) technique.</p></div><div><h3>Aim</h3><p>To present the development of practice standards and role expectations for Australian cardiovascular nurses.</p></div><div><h3>Methods</h3><p>Three-round eDelphi survey with experts from a broad range of contexts who identified as cardiovascular nurses to reach a consensus on the Practice Standards for Australian Cardiovascular Nurses. External stakeholder agreement was also sought on the final version prior to publication.</p></div><div><h3>Findings</h3><p>Three domains were identified: Clinical Care, Cultural Safety, and Person-Centred Care, and Leadership and Teamwork, and their supporting elements. Role expectations reflected the varied context and scope of practice.</p></div><div><h3>Discussion</h3><p>These standards describe the scope of cardiovascular nursing practice regardless of context. Underpinning the standards is the recognition of person-centred care and cultural safety. The standards provide a framework for professional recognition, support the delivery of patient care, and may be used to aid curriculum development in cardiovascular nursing education.</p></div><div><h3>Conclusion</h3><p>The eDelphi technique and external stakeholder agreement validated the expected capability of nurses involved in the assessment, management, and evaluation of care for the cardiovascular patient. The standards and role expectations reflect the various contexts where care for the cardiovascular patient occurs.</p></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"30 4","pages":"Pages 565-570"},"PeriodicalIF":1.5,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44358538","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}
CollegianPub Date : 2023-08-01DOI: 10.1016/j.colegn.2023.03.004
Catherine Buchan , Sally Powell , Nicole Grivell , Darren O’Brien , Christopher J. Gordon
{"title":"The sleeping giant - Nurses’ professional principal practice in managing sleep health and sleep disorders in Australia and New Zealand: A cross-sectional study","authors":"Catherine Buchan , Sally Powell , Nicole Grivell , Darren O’Brien , Christopher J. Gordon","doi":"10.1016/j.colegn.2023.03.004","DOIUrl":"10.1016/j.colegn.2023.03.004","url":null,"abstract":"<div><h3>Background</h3><p>The current practices and roles of nurses working extensively in sleep health that manage people with sleep health problems are poorly described and unclear. To our knowledge, there is no global data, and as nurses are the largest healthcare workforce, it is important to understand the roles and practices of nurses involved in sleep health. The aim of this study was to understand the roles, practices, and educational credentials of nurses involved in sleep health in Australia and New Zealand.</p></div><div><h3>Methods</h3><p>A sleep nursing workforce survey was developed, consisting of 35 questions. The survey was distributed through the <em>Australasian Sleep Association</em>, the peak scientific and professional association of sleep health in Australia and New Zealand. Data were analysed using descriptive statistics.</p></div><div><h3>Results</h3><p>In total, 100 participants (Australia, 72%; New Zealand, 28%) completed the survey. The majority of the participants were aged between 40 and 69 years and 79% had a Bachelor’s degree education or higher, had approximately 7 years’ experience in sleep health, and most worked in hospital settings (55%). Nurses spent considerable time involved in direct patient care; undertaking a range of sleep-specific clinical, scientific, and research roles. The more experienced nurses had higher levels of sleep-related education (<em>p</em> = 0.034).</p></div><div><h3>Conclusions</h3><p>This study is the first to characterise the sleep nurse workforce engaged in sleep health in Australia and New Zealand. Our findings show that the nurses working principally in clinical sleep practice have high experience levels and intend remaining in these positions. We propose that educational programs, creating clinical standards for sleep nurses and forging professional practice domains, would be beneficial.</p></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"30 4","pages":"Pages 557-564"},"PeriodicalIF":1.5,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47685939","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}
CollegianPub Date : 2023-08-01DOI: 10.1016/j.colegn.2023.03.005
Tim Luckett , Dimity Pond , Geoffrey Mitchell , Lynnette Chenoweth , Ingrid Amgarth-Duff , Domenica Disalvo , Jane Louise Phillips , Elizabeth Beattie , Patricia Mary Davidson , Georgina Luscombe , Stephen Goodall , Meera Agar
{"title":"Eating and drinking-related care for persons with advanced dementia in long-term care","authors":"Tim Luckett , Dimity Pond , Geoffrey Mitchell , Lynnette Chenoweth , Ingrid Amgarth-Duff , Domenica Disalvo , Jane Louise Phillips , Elizabeth Beattie , Patricia Mary Davidson , Georgina Luscombe , Stephen Goodall , Meera Agar","doi":"10.1016/j.colegn.2023.03.005","DOIUrl":"10.1016/j.colegn.2023.03.005","url":null,"abstract":"<div><h3>Background</h3><p>Advanced dementia is a life-limiting illness that requires a palliative approach to care. Decline in eating/drinking represents a milestone in progression that warrants decision-making and planning of care. In long-term care (LTC), this is best conducted via family case conferences.</p></div><div><h3>Aim</h3><p>To explore decision-making and planning regarding eating/drinking-related care in case conferences for persons with advanced dementia in LTC to inform future practice.</p></div><div><h3>Methods</h3><p>A qualitative approach was taken, using observation of audio-recorded case conferences. Case conferences were conducted in 6 LTC facilities within the intervention arm of a cluster randomized controlled trial. Participants were LTC personnel, doctors, and families of persons with advanced dementia. Content was analysed for eating/drinking-related goals of care and the degree to which decision-making was shared.</p></div><div><h3>Findings</h3><p>Thirty-two case conferences considered eating/drinking-related care. The goals included nutrition, hydration, weight gain and maintenance, food enjoyment, social interaction, and independence. Key considerations included secondary health issues impacting comfort, and tensions between food enjoyment versus nutrition and risk of aspiration. While families contributed essential information about eating/drinking history, sometimes decision-making was dominated by professionals and overlooked overall goals of care.</p></div><div><h3>Discussion</h3><p>Shared decision-making regarding eating/drinking-related care for persons with advanced dementia in LTC should start with consensus on overall goals of care and include contributions to quality of life as well as risks. Family involvement should be supported beyond information-giving.</p></div><div><h3>Conclusion</h3><p>Future studies are needed to identify the most sensitive and understandable ways for families of discussing eating/drinking-related decline in dementia.</p></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"30 4","pages":"Pages 548-556"},"PeriodicalIF":1.5,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47547370","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}