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Supporting patient autonomy: Evaluation of information and consent processes in nursing interventions 支持病人自主:护理干预中信息和同意过程的评估
IF 1.7 4区 医学
Collegian Pub Date : 2025-12-01 Epub Date: 2025-09-19 DOI: 10.1016/j.colegn.2025.08.004
Nevin Doğan , Banu Cihan Erdoğan , Mehtap Budak
{"title":"Supporting patient autonomy: Evaluation of information and consent processes in nursing interventions","authors":"Nevin Doğan ,&nbsp;Banu Cihan Erdoğan ,&nbsp;Mehtap Budak","doi":"10.1016/j.colegn.2025.08.004","DOIUrl":"10.1016/j.colegn.2025.08.004","url":null,"abstract":"<div><h3>Aim</h3><div>This study aimed to evaluate the status of patient information and consent acquisition before nursing interventions, focusing on their impact on patient autonomy and safety.</div></div><div><h3>Background</h3><div>Patient autonomy is a fundamental ethical principle in healthcare, emphasising the importance of informing patients and obtaining their consent before medical or nursing interventions. Despite its significance, studies reveal gaps in ensuring adequate patient information and consent, particularly in nursing practices.</div></div><div><h3>Methods</h3><div>A cross-sectional descriptive study was conducted between May and July 2023 at a state hospital in Türkiye. Data were collected using structured questionnaires administered to 718 patients. The questionnaires evaluated the extent of information provided, consent rates for nursing interventions, and patient perceptions of the consent process.</div></div><div><h3>Results</h3><div>The highest rates of patient information were observed for blood transfusion (100%), vital signs measurement (86.9%), and urinary catheterisation (89.3%). Consent rates, however, were lower, with IM/SC/ID drug administration at 80.2%, vital signs at 75.8%, and blood sampling at 75.1%. Furthermore, 76.2% of participants preferred a companion during the consent process, 58.4% felt unable to ask questions, and 71.4% reported insufficient time for decision-making.</div></div><div><h3>Conclusion</h3><div>The findings reveal significant deficiencies in informing patients and obtaining consent before nursing interventions, compromising patient autonomy and safety. To address these issues, a patient-centred approach is essential. Recommendations include implementing digital consent forms, utilising electronic records, and providing educational programmes for nurses to enhance patient safety, autonomy, and satisfaction.</div></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"32 6","pages":"Pages 365-370"},"PeriodicalIF":1.7,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145374282","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}
引用次数: 0
Food preparation and nutrition manuals in Australian residential aged care: A comparative analysis 食物准备和营养手册在澳大利亚住宅老年护理:一个比较分析
IF 1.7 4区 医学
Collegian Pub Date : 2025-12-01 Epub Date: 2025-10-13 DOI: 10.1016/j.colegn.2025.09.005
Maddison L. Mellow , Pennie J. Taylor , Natalie Luscombe-Marsh , Peter Kenny , Kurt Lushington
{"title":"Food preparation and nutrition manuals in Australian residential aged care: A comparative analysis","authors":"Maddison L. Mellow ,&nbsp;Pennie J. Taylor ,&nbsp;Natalie Luscombe-Marsh ,&nbsp;Peter Kenny ,&nbsp;Kurt Lushington","doi":"10.1016/j.colegn.2025.09.005","DOIUrl":"10.1016/j.colegn.2025.09.005","url":null,"abstract":"<div><h3>Background</h3><div>Food service in Australian residential aged care settings has faced criticism for poor food quality and service. This has been attributed to a lack of trained chefs and limited training for kitchen staff. Food and nutrition manuals may address these issues, but it is unclear which manuals are used and how well they align with Australian Government Quality Standards.</div></div><div><h3>Aim</h3><div>Using a quantitative, cross-sectional survey design, the aim of this study was to examine the use of food preparation and nutrition manuals in Australian residential aged care homes and their alignment with current aged care practices and with Australian Government Quality Standards.</div></div><div><h3>Methods</h3><div>An audit of food preparation and nutrition manuals was undertaken on behalf of the Australian Government Department of Health, as part of the National Congress on Food, Nutrition, and the Dining Experience in Aged Care (August–September 2020).</div></div><div><h3>Findings</h3><div>Respondents included 204 single-home proprietors and 88 multiple-home proprietors, representing approximately 43% of Australian residential aged care homes. Most relied on bespoke food preparation and nutrition manuals, with others using materials provided by dietitians or a combination of resources. While most manuals covered nutrition and hydration, they often neglected crucial aspects of food service, including the dining environment, food presentation, meal appeal, and consideration of cultural, religious, and personal preferences.</div></div><div><h3>Discussion</h3><div>A variety of incommensurable food and nutrition manuals are used in Australian residential aged care, which align poorly with current Aged Care practices and with Australian Government Quality Standards.</div></div><div><h3>Conclusion</h3><div>There is a need for the Australian Government to urgently lead the development and delivery of a comprehensive, national best practice manual that can guide all Australian residential aged care homes in the preparation and delivery of healthy, safe, and satisfying meals.</div></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"32 6","pages":"Pages 427-435"},"PeriodicalIF":1.7,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145374343","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}
引用次数: 0
Generation Z: A paradigm shift in nursing leadership is imminent Z世代:护理领导的范式转变迫在眉睫
IF 1.7 4区 医学
Collegian Pub Date : 2025-12-01 Epub Date: 2025-09-12 DOI: 10.1016/j.colegn.2025.08.008
Melissa Foster
{"title":"Generation Z: A paradigm shift in nursing leadership is imminent","authors":"Melissa Foster","doi":"10.1016/j.colegn.2025.08.008","DOIUrl":"10.1016/j.colegn.2025.08.008","url":null,"abstract":"<div><h3>Problem</h3><div>Historical approaches such as hierarchical and transaction-based leadership may not meet the needs and expectations of Generation Z nurses, who prioritise autonomy, inclusivity, and work-life balance. This generational shift in values has contributed to high turnover rates in nursing, highlighting a need to reevaluate traditional leadership strategies.</div></div><div><h3>Aim</h3><div>To explore the impending paradigm shift in nursing leadership through the lens of Henry David Thoreau’s transcendental ideas and contemporary leadership models to better manage and retain Generation Z nurses.</div></div><div><h3>Methods</h3><div>A qualitative analysis of current literature was conducted to examine Generation Z nurses’ priorities and values, Thoreau’s philosophies, and modern nursing leadership theories.</div></div><div><h3>Findings</h3><div>Generation Z emphasises diversity, autonomy, and purpose — values that align with Thoreau’s ideas of independence, self-direction, and a decreased emphasis on materialism. These philosophical similarities provide valuable insights for nurse leaders learning to connect with and support this generation.</div></div><div><h3>Discussion</h3><div>Traditional authoritative leadership styles must shift towards a supportive and transformational approach. Nurse leaders who choose to promote inclusivity, flexibility, and continuous engagement will be better positioned to meet the expectations of Generation Z nurses.</div></div><div><h3>Conclusion</h3><div>A nurse leader paradigm shift is imminent and necessary for organisational and professional success. Integration of Thoreau’s transcendentalist philosophy with modern nursing leadership offers an interesting framework for understanding and leading Generation Z nurses.</div></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"32 6","pages":"Pages 381-386"},"PeriodicalIF":1.7,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145374336","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}
引用次数: 0
A comparison of conventional and nonconventional clinical mental health placement settings for preregistration nursing students: Results from a quasi-experimental research project 注册前护理学生常规与非常规临床心理健康安置设置的比较:准实验研究项目的结果
IF 1.7 4区 医学
Collegian Pub Date : 2025-12-01 Epub Date: 2025-09-19 DOI: 10.1016/j.colegn.2025.08.009
Taylor Yousiph , Lorna Moxham , Michelle Roberts , Elissa-Kate Jay , Kelly Lewer , Georgia Robson , Joanne Cordina , Peta Drury , Suzi Villeneuve-Smith , Christopher Patterson
{"title":"A comparison of conventional and nonconventional clinical mental health placement settings for preregistration nursing students: Results from a quasi-experimental research project","authors":"Taylor Yousiph ,&nbsp;Lorna Moxham ,&nbsp;Michelle Roberts ,&nbsp;Elissa-Kate Jay ,&nbsp;Kelly Lewer ,&nbsp;Georgia Robson ,&nbsp;Joanne Cordina ,&nbsp;Peta Drury ,&nbsp;Suzi Villeneuve-Smith ,&nbsp;Christopher Patterson","doi":"10.1016/j.colegn.2025.08.009","DOIUrl":"10.1016/j.colegn.2025.08.009","url":null,"abstract":"<div><h3>Background</h3><div>Clinical placements, or learning in practice experiences, have a profound effect on preregistration nursing students’ interest in pursuing mental health nursing post-graduation and their attitudes towards mental illness.</div></div><div><h3>Aim</h3><div>To investigate the impact of preregistration nursing students’ involvement in a nonconventional mental health placement compared to students attending a conventional mental health placement.</div></div><div><h3>Methods</h3><div>A quasi-experimental approach was adopted. Preregistration nurses attending either a conventional (<em>n</em> = 52) or nonconventional (<em>n</em> = 90) mental health learning in practice placement completed the 24-item Pre-Placement Survey.</div></div><div><h3>Findings</h3><div>Students who attended a conventional learning in practice placement setting showed no change in responses. Students who attended the nonconventional learning in practice setting reported decreased <em>Negative Stereotypes</em> and <em>Anxiety Surrounding Mental Illness</em> post-placement, including increased <em>Future Career Interest in Mental Health Nursing</em> and belief that mental health nurses make <em>Valuable Contributions.</em></div></div><div><h3>Discussion</h3><div>These findings echo the wider literature, which highlights that mental health learning in practice placements have an influence on mental health–related stigma and intention to practice.</div></div><div><h3>Conclusion</h3><div>Mental health learning in practice placements for preregistration nurses in a nonconventional setting may promote the pursuit of mental health nursing post-registration. As a potential pipeline into an undersupplied specialist practice area, it is imperative for education providers to consider the benefits of nonconventional placement models and incorporate them into curricula.</div></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"32 6","pages":"Pages 387-394"},"PeriodicalIF":1.7,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145374337","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}
引用次数: 0
The public image of Italian nurses as perceived by different ethnic groups residing in Emilia Romagna, Italy 居住在意大利艾米利亚罗马涅的不同种族对意大利护士的公众形象的感知
IF 1.7 4区 医学
Collegian Pub Date : 2025-12-01 Epub Date: 2025-09-25 DOI: 10.1016/j.colegn.2025.09.004
Ivan Rubbi , Elyaakoubi Najlaa , Luana Conte , Roberto Lupo , Elsa Vitale , Paola Ferri , Giorgio De Nunzio , Donato Cascio , Valeria Cremonini , Claudia Cadas , Gianandrea Pasquinelli
{"title":"The public image of Italian nurses as perceived by different ethnic groups residing in Emilia Romagna, Italy","authors":"Ivan Rubbi ,&nbsp;Elyaakoubi Najlaa ,&nbsp;Luana Conte ,&nbsp;Roberto Lupo ,&nbsp;Elsa Vitale ,&nbsp;Paola Ferri ,&nbsp;Giorgio De Nunzio ,&nbsp;Donato Cascio ,&nbsp;Valeria Cremonini ,&nbsp;Claudia Cadas ,&nbsp;Gianandrea Pasquinelli","doi":"10.1016/j.colegn.2025.09.004","DOIUrl":"10.1016/j.colegn.2025.09.004","url":null,"abstract":"<div><h3>Background</h3><div>The image of nursing is a complex concept influenced by various social and cultural factors, often portrayed in a subordinate manner by the media and stereotypes. However, the COVID-19 pandemic has enhanced the image of nurses, increasing recognition of their value and improving their professional identity. Public perception of nurses influences job satisfaction, performance, and the profession’s appeal to potential recruits/students/new graduates. Recent studies suggest the need to monitor and improve this image, particularly in response to social and political changes, to address the shortage of nursing staff. In the Emilia-Romagna region, there is a shortage of approximately 4200–4500 professionals to meet healthcare needs, and the local healthcare culture is strongly oriented toward collaboration, integration, and teamwork — elements that may pose adaptation challenges for professionals coming from regional contexts with more hierarchical and individualistic models. In Italy, studies have been conducted on the perception of the profession, but no research has specifically investigated how different ethnic groups evaluate the image of Italian nurses. This study aims to explore and analyse how the image of Italian nurses is perceived by various ethnic groups present in Italy.</div></div><div><h3>Methods</h3><div>An observational study was conducted in northern Italy at cultural associations from February to September 2024. A total of 205 observations were collected. The sample consisted of 41.5% (n = 85) Europeans, 22.4% (n = 46) Africans, 22% (n = 45) Asians, 10.2% (n = 21) Americans, and 3.9% (n = 8) classified as ‘Other,’ referring to individuals of Oceanic and Antarctic origin. The instrument used was the validated Italian version of the Nursing Attitude Questionnaire (NAQ-IV).</div></div><div><h3>Results</h3><div>Significant differences in perceptions were found among different populations. The overall score across the NAQ-IV domains, on a scale ranging from 30 to 150, indicated a more favourable perception of the profession in European settings, with a mean of 106.3 (SD = 18.77), and in American settings, with a mean of 106.4 (SD = 22.89), compared to the scores reported by Asian groups (mean = 82.5, SD = 22.2) and African groups (mean = 96.2, SD = 23.52). Cultural factors appear to play a key role.</div></div><div><h3>Conclusions</h3><div>Overcoming stereotypes and enhancing nursing skills must become a priority to promote a more positive perception of the profession. Nurses’ behaviour should make the value of professional development more visible.</div></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"32 6","pages":"Pages 419-426"},"PeriodicalIF":1.7,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145374342","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}
引用次数: 0
Clinical supervision promotes learning and growth among metastatic breast cancer nurses: Mixed methods evaluation of a pilot program 临床监督促进转移性乳腺癌护士的学习和成长:一个试点项目的混合方法评估
IF 1.7 4区 医学
Collegian Pub Date : 2025-12-01 Epub Date: 2025-09-18 DOI: 10.1016/j.colegn.2025.09.001
Gillian Kruss , Pheona Van Huizen , Thi Thuy Ha Dinh , Jessica Delaney , Ladan Yeganeh , Jane Mahony , Fiona Crawford-Willams , Gabrielle Brand , Julia Morphet , Olivia Cook
{"title":"Clinical supervision promotes learning and growth among metastatic breast cancer nurses: Mixed methods evaluation of a pilot program","authors":"Gillian Kruss ,&nbsp;Pheona Van Huizen ,&nbsp;Thi Thuy Ha Dinh ,&nbsp;Jessica Delaney ,&nbsp;Ladan Yeganeh ,&nbsp;Jane Mahony ,&nbsp;Fiona Crawford-Willams ,&nbsp;Gabrielle Brand ,&nbsp;Julia Morphet ,&nbsp;Olivia Cook","doi":"10.1016/j.colegn.2025.09.001","DOIUrl":"10.1016/j.colegn.2025.09.001","url":null,"abstract":"<div><h3>Problem</h3><div>Metastatic breast cancer nurses are integral in providing support to those affected by cancer, while the supervision and mentoring for these roles in the workplace are not always available.</div></div><div><h3>Aim</h3><div>To explore metastatic breast cancer nurses’ perspectives on participation in a 12-month clinical supervision intervention.</div></div><div><h3>Methods</h3><div>Clinical supervision was offered to participants as part of a pilot metastatic breast cancer nurse training program. Bi-monthly one-hour clinical supervision sessions were held using a video conferencing platform for a 12-month period. The clinical supervision intervention was evaluated using a mixed methods approach. Participants completed the Manchester Clinical Supervision Scale-26© (MCSS-26©) online, and a semistructured interview at the end of the clinical supervision period. Descriptive statistics and thematic analysis were used to summarise and report the findings.</div></div><div><h3>Results</h3><div>Eight metastatic breast cancer nurses participated in the clinical supervision intervention. All were ‘very satisfied’ with the supervision (N = 8; 100%). The MCSS subscales which scored highest were ‘Reflection’ (M = 11.5, SD = 0.7, range 0–12), ‘Supervisor advice’ (M = 18.9, SD = 1.4, range 0–20), and ‘Improve Care/Skills’ (M = 14.6, SD = 1.5, range 0–16). Three themes were inductively derived: (i) Learning and growth through clinical supervision, (ii) The shared experience, and (iii) Importance of embedding clinical supervision into practice.</div></div><div><h3>Conclusion</h3><div>Clinical supervision can be used as a learning and support tool for metastatic breast cancer nurses, with peer-to-peer participation being a valuable component. Other specialist cancer nurses may benefit from having clinical supervision embedded into their practice.</div></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"32 6","pages":"Pages 395-402"},"PeriodicalIF":1.7,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145374338","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}
引用次数: 0
Trialling virtual huddles for clinical handover during the SARS-CoV-2 pandemic 在SARS-CoV-2大流行期间试用虚拟会议进行临床交接
IF 1.7 4区 医学
Collegian Pub Date : 2025-12-01 Epub Date: 2025-10-11 DOI: 10.1016/j.colegn.2025.09.002
Rebecca M. Jedwab , Bernice Redley , Joanne F. Foster , James-Norbert A. Garduce , Anthony T. Pham , Naomi K. Dobroff
{"title":"Trialling virtual huddles for clinical handover during the SARS-CoV-2 pandemic","authors":"Rebecca M. Jedwab ,&nbsp;Bernice Redley ,&nbsp;Joanne F. Foster ,&nbsp;James-Norbert A. Garduce ,&nbsp;Anthony T. Pham ,&nbsp;Naomi K. Dobroff","doi":"10.1016/j.colegn.2025.09.002","DOIUrl":"10.1016/j.colegn.2025.09.002","url":null,"abstract":"<div><h3>Background</h3><div>Physical distancing requirements during the COVID-19 pandemic required changes to multiple clinical practices, including communication, handover, and meetings.</div></div><div><h3>Aim</h3><div>The aim of this trial was to evaluate the use of virtual huddles as a replacement for nursing staff’s start of shift handover or multi-disciplinary meetings.</div></div><div><h3>Methods</h3><div>A cross-sectional survey was used to assess the perceived usefulness, usability, and applicability of the virtual huddles trial.</div></div><div><h3>Results</h3><div>A total of 47 nurses and allied health professionals answered the survey, of whom only five (10.6%) had a System Usability Score of 68 or above (indicating acceptability). Despite being confident in using virtual huddles, most nurses and allied health professionals did not believe virtual huddles helped them identify patients needing urgent attention or escalation of care (n = 21, 44.7%).</div></div><div><h3>Discussion</h3><div>Health professionals in this study did not feel that sufficient consideration was given to the education of different healthcare professionals related to their skills using technology, patient care requirements such as privacy and confidentiality, and practical needs required to support the virtual huddles’ trial.</div></div><div><h3>Conclusion</h3><div>Virtual huddles were not perceived as useful in this study, and they exacerbated feelings of separation and reduced team morale.</div></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"32 6","pages":"Pages 403-408"},"PeriodicalIF":1.7,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145374339","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}
引用次数: 0
Are we educating the future workforce for interprofessional responses to child maltreatment? An exploratory study 我们是否在教育未来的劳动力如何跨专业应对儿童虐待?探索性研究
IF 1.7 4区 医学
Collegian Pub Date : 2025-12-01 Epub Date: 2025-09-02 DOI: 10.1016/j.colegn.2025.08.007
Lauren Elizabeth Lines , Tracy Alexis Kakyo , Helen McLaren , Donna Hartz , Nina Sivertsen , Alison Hutton , Megan Cooper , Lana Zannettino , Julian Grant
{"title":"Are we educating the future workforce for interprofessional responses to child maltreatment? An exploratory study","authors":"Lauren Elizabeth Lines ,&nbsp;Tracy Alexis Kakyo ,&nbsp;Helen McLaren ,&nbsp;Donna Hartz ,&nbsp;Nina Sivertsen ,&nbsp;Alison Hutton ,&nbsp;Megan Cooper ,&nbsp;Lana Zannettino ,&nbsp;Julian Grant","doi":"10.1016/j.colegn.2025.08.007","DOIUrl":"10.1016/j.colegn.2025.08.007","url":null,"abstract":"<div><h3>Background</h3><div>Public health responses to child maltreatment enable prevention and early support. Little is known about what education, health, and welfare professionals receive in preparation for collaborative interprofessional responses to preventing and responding to child maltreatment.</div></div><div><h3>Aim</h3><div>This study explored university educators’ perspectives on curriculum for three frontline professions (nursing, midwifery, and social work) in Australia to identify where curriculum incorporated interprofessional public health responses to child maltreatment.</div></div><div><h3>Methods</h3><div>Two-phase interpretive descriptive design; Phase One was a cross-sectional survey and Phase Two involved qualitative interviews. In Phase One, 35 nursing, midwifery, and social work educators participated in an online survey via Qualtrics, and data were analysed using Statistical Product and Service Solutions (SPSS) version 27. In Phase Two, semistructured interviews were conducted with five educators, and data were analysed thematically.</div></div><div><h3>Findings</h3><div>Less than half (44.1%) of respondents indicated a dedicated topic about child protection within curriculum for nurses, midwives, or social workers, and none incorporated interprofessional prevention and early support. Perceived barriers included over-emphasis on statutory responses and inconsistent disciplinary perspectives.</div></div><div><h3>Discussion</h3><div>Without foundational skills for interprofessional practice, health and welfare professionals cannot effectively respond to child maltreatment, perpetuating its severe and lasting impacts. Further research is needed to explore opportunities for developing and implementing interprofessional education about child maltreatment into preservice curriculum.</div></div><div><h3>Conclusion</h3><div>Further work must identify core knowledge, skills, and values for health and welfare professionals, and how they can be equipped for collaborative prevention and early support for child maltreatment.</div></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"32 6","pages":"Pages 371-380"},"PeriodicalIF":1.7,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145374283","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}
引用次数: 0
Hybrid education increases nurses’ skills in management of deteriorating patients: A QUASI-experimental study 混合教育提高护士管理病情恶化患者的技能:一项准实验研究
IF 1.7 4区 医学
Collegian Pub Date : 2025-12-01 Epub Date: 2025-09-19 DOI: 10.1016/j.colegn.2025.09.003
Suzie Noye , Mick Breen , Damien Khaw , Anastasia Hutchinson
{"title":"Hybrid education increases nurses’ skills in management of deteriorating patients: A QUASI-experimental study","authors":"Suzie Noye ,&nbsp;Mick Breen ,&nbsp;Damien Khaw ,&nbsp;Anastasia Hutchinson","doi":"10.1016/j.colegn.2025.09.003","DOIUrl":"10.1016/j.colegn.2025.09.003","url":null,"abstract":"<div><h3>Background</h3><div>There is a need to develop acute care nurses’ skills in identifying and managing clinical deterioration.</div></div><div><h3>Aim</h3><div>To evaluate the impact of a hybrid (online and simulation-based) education program on improving recognition and response to deteriorating patients.</div></div><div><h3>Methods</h3><div>A quasi-experimental study was conducted in 2023 on two wards within a large, regional health care provider in Victoria, Australia. Thirty-nine (53.4%) participating ward nurses completed the program. Participants were surveyed before and after program participation and six to eight weeks later. Changes in evaluation scores were compared using paired T-tests. Administrative datasets were accessed to compare Medical Emergency Team call activation rates using process control charts.</div></div><div><h3>Findings</h3><div>A total of 79 evaluation surveys were collected across the three timepoints. There was a statistically significant increase between pre- and post-intervention, in self-reported confidence for all measured indicators (<em>p</em>-values &lt;.05). Large effects (<em>d</em> &gt; 0.8) were found for certainty of advocating for the patient, performing a rapid assessment, performing effective airway assessment, cardiopulmonary resuscitation, and making an interprofessional plan. There was a trend for increased rates of Medical Emergency Team call escalations and a decrease in Code Blue calls over the follow-up time period.</div></div><div><h3>Discussion</h3><div>Use of a hybrid simulation-based approach improved nurses’ knowledge and confidence to recognise and respond to deterioration, increased early escalation of care, and decreased Code Blue calls.</div></div><div><h3>Conclusion</h3><div>This study provides preliminary evidence that the emphasis of mandatory training should change from focusing on provision of Basic Life Support to developing clinicians’ skills in detection and response to deterioration.</div></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"32 6","pages":"Pages 409-418"},"PeriodicalIF":1.7,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145374341","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}
引用次数: 0
Research activity among the Australian nursing and midwifery academic workforce: A cross-sectional study 澳大利亚护理和助产学学术人员的研究活动:一项横断面研究
IF 1.7 4区 医学
Collegian Pub Date : 2025-10-01 Epub Date: 2025-09-02 DOI: 10.1016/j.colegn.2025.08.006
Leah East , Daniel Terry , Elizabeth Halcomb , Debra Jackson , Marie Hutchinson
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