Collegian最新文献

{"title":"Aboriginal and Torres Strait Islander nurses’ experiences of racism at work","authors":"Odette Best , Luke Bayliss , Sye Hodgman , Micah DJ Peters","doi":"10.1016/j.colegn.2024.12.004","DOIUrl":"10.1016/j.colegn.2024.12.004","url":null,"abstract":"<div><h3>Glossary of term</h3><div>It needs to be noted that First Nations Australians are also identified as Aboriginal and Torres Strait Islanders but also First Nations and Indigenous peoples of Australia. Further, many First Nations Australians self-identify as ‘blackfullas’. The word blackfullas has been reclaimed and reframed to the descriptor of the invading English identifying Indigenous peoples as Black fellows.</div></div><div><h3>Background</h3><div>Very few studies explore the perspectives of First Nations Australian nurses and their experiences of racism in the workplace. To date, racism in the Australian nursing and midwifery workforce is rarely researched, interrogated, or challenged. Despite this, experiences of racism are common, widespread, persistent, and present a harmful and significant challenge to recruiting, retaining, and supporting the health and well-being of the Aboriginal and Torres Strait Islander nursing workforce as demonstrated by the individual accounts of racism collected and analysed in this study. This workforce is integral to the provision of culturally safe, effective, and inclusive care for First Nations Australians, and racism in workplaces must be identified, examined, and understood to both address and end it.</div></div><div><h3>Objective</h3><div>To provide insights into workplace racism experiences in a way that is genuine to the First Nations’ nurse’s perspective.</div></div><div><h3>Methods</h3><div>This research is Indigenist Research and utilised the First Nations method of yarning. The Primary Investigator (PI) undertook all yarns via Zoom (30–90 min) and is an Aboriginal registered nurse. The space created for the yarns to occur was a culturally safe space as all research participants were known to the PI, and safe boundaries and spaces were established. All yarns undertaken were recorded via Zoom. Thematic data analysis was undertaken deductively, and participants were provided with transcripts for comment.</div></div><div><h3>Results</h3><div>Ten participants were recruited via the Queensland Nurses and Midwives Union (QNMU) First Nations Branch. Three salient and interrelated themes emerged from the analysis of the data, highlighting racism experiences and effects on First Nations nurses. The three themes were (in)direct racism, interjecting and calling out racism, and impacts of racism.</div></div><div><h3>Discussion</h3><div>This study investigated the detrimental effects of racism on Aboriginal and Torres Strait Islander nurses’ professional trajectories, sense of self within the healthcare environment, and overall well-being. The findings not only suggest a correlation between nurses’ experience and their willingness to confront racist incidents but also highlight the negative and harmful impacts this can have on participants. The willingness to confront and respond to racism might be attributed to accumulated frustration or a growing sense of agency in addressing these issues and could b","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"32 2","pages":"Pages 61-68"},"PeriodicalIF":1.6,"publicationDate":"2025-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143562094","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}

{"title":"Applicability and benefits of Standardised Nursing Terminology in Australia: A scoping review","authors":"Rebecca M. Jedwab ,&nbsp;Kerri Holzhauser ,&nbsp;Kalpana Raghunathan ,&nbsp;Zara K.M. Lord ,&nbsp;Sally P. Duncan ,&nbsp;Melanie A. Murray ,&nbsp;Janette Gogler ,&nbsp;Evelyn J.S. Hovenga AM","doi":"10.1016/j.colegn.2024.10.001","DOIUrl":"10.1016/j.colegn.2024.10.001","url":null,"abstract":"<div><h3>Background</h3><div>Standardised Nursing Terminologies (SNTs) provide a set of agreed terms that are aligned to nurses’ assessments, interventions, and nurse-sensitive patient care outcomes. The use of such a terminology allows for improved visibility of nursing care and comparisons of interventions and outcomes to support and assess evidence-based practice. Whilst SNTs have been in use internationally for decades, there is a gap in practice and literature related to SNTs throughout Australia.</div></div><div><h3>Purpose</h3><div>The objectives of this review were to explore recent literature to identify and understand (i) the benefits of SNTs, (ii) the limitations of SNTs, and (iii) the potential scope of SNTs for the Australian context.</div></div><div><h3>Methods</h3><div>A scoping review was undertaken to search relevant literature in CINAHL, Cochrane Review, EMBASE, IEEE Xplore, Medline Complete, and Scopus databases using a date range of 2015–2023.</div></div><div><h3>Findings</h3><div>A total of 36 studies were reviewed, none of which were Australian. Main benefits associated with integrating SNTs into health records include improved nursing documentation quality, facilitate visibility of nursing care, and enable nursing practice quality improvement. Key limitations identified were the lack of evidence about correlation between nurses’ knowledge level and the use of SNT in practice, lack of strong evidence related to benefits in terms of patient outcomes, workflow efficiencies or enhanced communication, poor representation of nursing practice in SNTs, and mapping limitations to achieve interoperability.</div></div><div><h3>Conclusions</h3><div>In order to support SNT implementation and adoption throughout Australia, there is a need for Australian research as well as a national strategy for the adoption of an SNT taxonomy in Australia. This requires stakeholder policy development, government support to ensure standardisation, and broad education at academic and local level to enable comprehensive systems’ integration.</div></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"31 6","pages":"Pages 404-420"},"PeriodicalIF":1.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143145661","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":"Family members’ experiences with depression through the lens of Frank’s illness narratives","authors":"Amanda Cole ,&nbsp;Julie Ann Pooley ,&nbsp;Lisa Whitehead","doi":"10.1016/j.colegn.2024.09.005","DOIUrl":"10.1016/j.colegn.2024.09.005","url":null,"abstract":"<div><h3>Background</h3><div>Depression impacts around 300 million people worldwide and places significant strain on families who care for relatives with chronic mental health conditions. This strain can lead to substantial burdens and affect the mental health and well-being of family members.</div></div><div><h3>Aim</h3><div>This study explores family members’ experiences with depression through the lens of Frank’s illness narratives.</div></div><div><h3>Methods</h3><div>Employing a narrative inquiry approach, interviews were conducted with eight family members of adults diagnosed with major depressive disorder. The data were analysed through the lens of Frank’s illness narratives.</div></div><div><h3>Findings</h3><div>Family members’ experiences revealed a complex interplay of narratives that reflected the elements of the narratives of quest, chaos, and restitution. The narratives illustrated an ongoing process of adaptation, meaning-making, and personal transformation while living with a family member diagnosed with depression. All narratives portrayed the concept of hope, and this was manifested in different ways across the narrative types.</div></div><div><h3>Conclusion</h3><div>While Frank’s narratives traditionally focus on individuals living with chronic health conditions, this study extends the work to the family member perspective, revealing how families navigate the burden, distress, and challenges of depression while also experiencing personal growth and hope. This paper expands our understanding of the broader impacts of depression on families.</div></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"31 6","pages":"Pages 392-403"},"PeriodicalIF":1.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143145611","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":"Rural nursing recruitment and retention – What needs to change?","authors":"Fiona C. Giles,&nbsp;Byron Perrin,&nbsp;George Mnatzaganian,&nbsp;Jane Mills","doi":"10.1016/j.colegn.2024.09.001","DOIUrl":"10.1016/j.colegn.2024.09.001","url":null,"abstract":"","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"31 6","pages":"Pages 372-374"},"PeriodicalIF":1.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143145677","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":"Generative artificial intelligence in nursing: A scoping review","authors":"Ga Eun Park ,&nbsp;Hyeryeon Kim ,&nbsp;U Ri Go","doi":"10.1016/j.colegn.2024.10.004","DOIUrl":"10.1016/j.colegn.2024.10.004","url":null,"abstract":"<div><h3>Background</h3><div>Generative artificial intelligence (AI) is rapidly transforming multiple sectors, with significant potential to revolutionise nursing through advancements in education, practice, and research. However, the application of generative AI in nursing remains underexplored, highlighting the need for a comprehensive review of its current impact and future implications.</div></div><div><h3>Aim</h3><div>To investigate the current state and implications of generative AI in nursing education, practice, and research.</div></div><div><h3>Methods</h3><div>This scoping review was conducted following the methodological frameworks of Arksey and O’Malley, refined by Levac and colleagues. The databases searched for articles published between January 2020 and April 2024 included PubMed, Embase, CINAHL, PsycINFO, Cochrane Library, and IEEE Xplore.</div></div><div><h3>Findings</h3><div>A total of 4858 articles were identified, with 23 included in this review. Most of the selected studies were published in 2024 (n = 19/23), primarily conducted in the United States (n = 8/23), and largely consisted of quantitative descriptive studies (n = 14/22). ChatGPT was the most frequently used tool, appearing in 95.7% of the studies (n = 22/23). The articles addressed various nursing domains, including nursing education (n = 12/23), practice (n = 10/23), and research (n = 1/23). Both the benefits and concerns associated with this technology were identified.</div></div><div><h3>Discussion</h3><div>Generative AI shows great promise for transforming nursing education, practice, and research; however, its integration is still in the early stages.</div></div><div><h3>Conclusion</h3><div>To fully leverage the benefits of generative AI, nursing professionals must address the challenges associated with AI and lead its ethical adoption. Rigorous research and proactive leadership are crucial to realising the potential of generative AI in nursing.</div></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"31 6","pages":"Pages 428-436"},"PeriodicalIF":1.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143146103","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 gender pay gap in the Australian nursing workforce: A retrospective observational study","authors":"Gemma Doleman ,&nbsp;Christine Duffield ,&nbsp;Ian W. Li","doi":"10.1016/j.colegn.2024.09.002","DOIUrl":"10.1016/j.colegn.2024.09.002","url":null,"abstract":"<div><h3>Aim</h3><div>To explore the gender pay gap among the Australian nursing workforce and identify reasons for such a gap.</div></div><div><h3>Background</h3><div>Gender discrimination exists in nursing, with men having a higher rate of pay and a faster rate of career progression, irrespective of experience and qualifications. In addition, men are shown to have a greater representation in leadership roles compared to the proportion of men in the profession.</div></div><div><h3>Methods</h3><div>The study uses a retrospective, observational survey design of graduate nurses from all Australian universities.</div></div><div><h3>Findings</h3><div>The gender wage gap was around 4% at six months after graduation, increasing to 13% at three years after graduation, favouring nurses who are men. Men also reported being more overqualified than women upon graduation. In addition, graduates who were overqualified had a 21% disparity in pay. Nursing graduates from non-English speaking backgrounds and lower socioeconomic backgrounds had an increased probability of being underemployed.</div></div><div><h3>Conclusions</h3><div>Overall, nurses who were men are earning a higher wage than women nurses upon graduation and at three years post-graduation in Australia. These findings, despite an enterprise bargaining agreement, are consistent with the gender pay disparity gap in Australia and with international research on this topic. Of note from this study is the notion that men are working unsociable hours and weekends and are, therefore, receiving penalty rates that increase their wages. This notion is also consistent with the current ideology in Australia of men being breadwinners despite changes in gender equality in the country.</div></div><div><h3>Implications for nursing management</h3><div>Organisations need to offer flexible work environments that will allow women to re-enter the workforce while caring for dependents. This can include shorter shifts allowing women to work flexible hours to care for dependents, job sharing with other nurses of similar skill level and working across multiple areas to allow for flexibility. In addition, healthcare organisations should increase support and promote positive practice environments, including wages in order to sustain and retain the future workforce.</div></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"31 6","pages":"Pages 375-381"},"PeriodicalIF":1.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143145676","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":"Impact of health interventions on informal caregivers: A systematic review and meta-analysis","authors":"Diego J. Caicedo-Fajardo ,&nbsp;Alix Y. Perdomo-Romero ,&nbsp;Claudia P. Cantillo-Medina ,&nbsp;Maria L. de Souza ,&nbsp;Claudia A. Ramírez-Perdomo","doi":"10.1016/j.colegn.2024.10.005","DOIUrl":"10.1016/j.colegn.2024.10.005","url":null,"abstract":"<div><h3>Background</h3><div>Chronic noncommunicable diseases are the leading cause of death worldwide, affecting the quality of life of patients and their informal caregivers.</div></div><div><h3>Aim</h3><div>To assess the impact of health interventions on informal caregivers and compare the results with standard care.</div></div><div><h3>Methods</h3><div>A systematic review and meta-analysis of randomised clinical trials identified from six databases was conducted. We included intervention studies by a healthcare team for caregivers of persons with chronic noncommunicable diseases. The risk of bias was assessed using a risk-of-bias tool, and the meta-analysis was conducted using the software Review Manager. The certainty of the evidence was assessed using the Grading of Recommendations Assessment, Development and Evaluation.</div></div><div><h3>Findings</h3><div>Ten articles were selected, which included 1088 participants (average age of 55 years). A meta-analysis was performed with four studies using the same evaluation instrument (Zarit Burden Interview).</div></div><div><h3>Discussion</h3><div>Interventions to decrease caregiver overload were assessed through the effect estimation of the mean score of the Zarit Burden Interview of −5 (95% confidence interval, p &lt; 0.00001).</div></div><div><h3>Conclusion</h3><div>The findings show a gap in the knowledge about interventions and analyses of quality of life, social support, and caregiver roles. Conducting further methodologically rigorous research to yield valid results is essential for ensuring the well-being of informal caregivers and reducing their burden and overload.</div></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"31 6","pages":"Pages 437-445"},"PeriodicalIF":1.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143146105","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}