Collegian最新文献

{"title":"Impact of educational interventions for professionals on infection control practices to reduce healthcare-associated infections and prevent infectious diseases: A systematic review","authors":"Elina Koota ,&nbsp;Johanna Kaartinen ,&nbsp;Hanna-Leena Melender","doi":"10.1016/j.colegn.2024.04.006","DOIUrl":"https://doi.org/10.1016/j.colegn.2024.04.006","url":null,"abstract":"<div><h3>Background</h3><p>Educational interventions can decrease the rates of healthcare-associated infections (HAIs). We do not know current evidence on what kind of educational interventions are the most effective to reduce HAIs and infectious diseases. The aim of this systematic review was to examine the impact of educational interventions for health and social care professionals on infection control practices to reduce HAIs and prevent infectious diseases.</p></div><div><h3>Methods</h3><p>We searched for papers published between January 1, 2006 and November 16, 2021, using the CINAHL, Medic, MEDLINE, and Scopus databases. Quality appraisal was conducted using the Cochrane risk of bias tool for randomised controlled trials and ROBINS-I for quasi-experimental studies. Data were analysed using a deductive content analysis with The Guideline for Reporting Evidence-based Practice Educational interventions and Teaching checklist and The Classification Rubric for Evidence-based Practice Assessment Tools in Education as frameworks.</p></div><div><h3>Findings</h3><p>The data included 12 studies. Educational interventions on infection control practices have been developed as single, one-time interventions on a local basis. Two studies reported statistically significant outcomes in three of the areas evaluated, which were skills, knowledge, and self-efficacy for the first study, and benefits to the patient, behaviours, and knowledge for the second one. Benefits to the patient were evaluated in seven studies, and out of these, five showed statistically significant improvement.</p></div><div><h3>Conclusions</h3><p>There is currently no evidence of long-term learning paths or comparisons of different interventions to determine the most effective way to educate healthcare professionals. Statistically significant findings indicate that educational interventions on infection control practices should include both theoretical and practical learning activities.</p></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"31 4","pages":"Pages 218-231"},"PeriodicalIF":1.6,"publicationDate":"2024-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1322769624000283/pdfft?md5=c11a41dbbcc870683b2560377a6575a8&pid=1-s2.0-S1322769624000283-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141539981","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":"Are inherent requirements a barrier to diversity? An analysis of course entry information","authors":"Joanna Tai ,&nbsp;Kalpana Raghunathan ,&nbsp;Mollie Dollinger ,&nbsp;Lisa McKenna","doi":"10.1016/j.colegn.2024.05.002","DOIUrl":"https://doi.org/10.1016/j.colegn.2024.05.002","url":null,"abstract":"<div><h3>Background and aim</h3><p>Increasing the diversity of future healthcare professionals is essential to support inclusive patient care. However, course inherent requirements (IRs) may act as (un)intentional and potentially harmful gatekeepers to diverse students entering entry-to-practice courses. A decade beyond the establishment of formal IRs, it is timely to reconsider if and how IRs might be impacting diversity and inclusion.</p></div><div><h3>Methods</h3><p>This study analysed IRs published by the 37 Australian universities offering nursing and midwifery entry-to-practice courses.</p></div><div><h3>Findings</h3><p>IRs were not uniform across all institutions. Most universities placed the responsibility to meet IRs solely upon the student, without sufficient information about possible reasonable adjustments. When institutional support was offered, the level of and means of accessing support were often unclear, again putting the onus to navigate support structures on the student.</p></div><div><h3>Discussion and conclusions</h3><p>Whilst it is helpful for prospective students to understand the types of tasks they will be required to undertake as part of learning within the course and upon graduation, many IRs may be better positioned as expected learning. With increasing student diversity, alternate models requiring all students to demonstrate readiness for clinical placement immediately before placement may be helpful. Rather than presenting a static list of requirements, diverse students and practitioners may be better supported through the concept of ‘fitness to practice’ where more flexible and in-the-moment evaluations can be made.</p></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"31 4","pages":"Pages 252-257"},"PeriodicalIF":1.6,"publicationDate":"2024-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1322769624000301/pdfft?md5=1af16e3174a2368fe4df9fd371878027&pid=1-s2.0-S1322769624000301-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141540081","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":"Delirium prevention and management in an adult intensive care unit through evidence-based nonpharmacological interventions: A scoping review","authors":"Gideon U. Johnson ,&nbsp;Amanda Towell-Barnard ,&nbsp;Christopher McLean ,&nbsp;Beverley Ewens","doi":"10.1016/j.colegn.2024.05.001","DOIUrl":"https://doi.org/10.1016/j.colegn.2024.05.001","url":null,"abstract":"<div><h3>Objective</h3><p>To map and review current literature to describe evidence-based nonpharmacological interventions for delirium prevention and management in adult critically ill patients.</p></div><div><h3>Introduction</h3><p>Previous research has demonstrated the efficacy of nonpharmacological interventions for intensive care unit (ICU) delirium; however, the heterogeneity and complexity of these interventions make it challenging to disseminate and integrate into clinical practice.</p></div><div><h3>Design</h3><p>This scoping review follows the Joanna Briggs Institute (JBI) Protocol Guidelines.</p></div><div><h3>Data sources</h3><p>Cumulative Index of Nursing and Allied Health Literature, Medical Literature Analysis and Retrieval System Online, PsycINFO, JBI, ProQuest, and Excerpta Medica databases were searched until August 2023.</p></div><div><h3>Review methods</h3><p>Double screening, extraction, and data coding using thematic analysis and frequency counts. Reporting followed the Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines using the extension for scoping reviews.</p></div><div><h3>Results</h3><p>Thirty-three primary research articles were included; thirty-one were quantitative, and two were qualitative. Four categories of interventions were identified: instrument-based therapeutic interventions (n = 10) consisting of the use of music, light, mirror, and occupational therapy; nurse-led interventions (n = 5) consisting of interventions directly delivered by the nurses with mobilisation, orientation, and cognitive stimulation being the most common types of intervention. Family-delivered interventions (n = 5) are delivered directly by family members, with extended visitation and orientation being the most utilised. Multicomponent interventions (n = 13) combine different aspects of single interventions into care bundles and programs.</p></div><div><h3>Conclusion</h3><p>This review identified a lack of consistency in applying nonpharmacologic interventions to prevent and manage delirium in adult ICUs. Standardised evidence-based guidelines addressing all aspects of single-component or multicomponent nonpharmacological delirium interventions, along with support for ICU staff utilising these interventions and family member education and support, are required. Without consistent involvement from the healthcare team and patient families, opportunities may have been lost to optimise family-centred care practices in critical care settings.</p></div><div><h3>Patient or public contribution</h3><p>No patient or public contribution was necessary for this review.</p></div><div><h3>Protocol registration</h3><p>The protocol registration for this review can be accessed via Open Science Framework at <span>https://doi.org/10.17605/OSF.IO/CMQWG</span><svg><path></path></svg>.</p></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"31 4","pages":"Pages 232-251"},"PeriodicalIF":1.6,"publicationDate":"2024-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1322769624000295/pdfft?md5=ba2aaaafa709411c08d8506fd3a2823f&pid=1-s2.0-S1322769624000295-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141540082","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":"Aggression and violence in the emergency department: A qualitative study exploring the perspectives of frontline healthcare professionals","authors":"Joshua Johnson ,&nbsp;Sara Hansen ,&nbsp;Luke Hopper ,&nbsp;Luke Brook ,&nbsp;Jessica Watson ,&nbsp;Brennen Mills","doi":"10.1016/j.colegn.2024.04.003","DOIUrl":"10.1016/j.colegn.2024.04.003","url":null,"abstract":"<div><h3>Background</h3><p>Aggression and violence (AV) towards frontline healthcare professionals (FHPs) represent a rapidly increasing strain on hospitals, impacting clinician mental health and the provision of patient care. Little is known about the perceptions of healthcare professionals on current aggression management practices.</p></div><div><h3>Aim</h3><p>This study aimed to investigate the perceptions of FHPs on AV in hospital emergency departments (EDs).</p></div><div><h3>Methods</h3><p>Eight semi-structured focus groups consisting of 6–10 participants from five hospital EDs were held. Participants included medical doctors, nurses, and work health safety staff. Focus groups were audio-recorded and transcribed before undergoing thematic analysis.</p></div><div><h3>Findings</h3><p>Four main themes were identified: (i) workplace AV in healthcare are increasing in frequency and difficulty to manage, (ii) local strategies in place to manage workplace AV are perceived to be insufficient, (iii) systemic issues exacerbate the consequences of workplace AV, and (iv) staff feel inadequately equipped to manage the impact of workplace AV on their own well-being.</p></div><div><h3>Discussion</h3><p>There are substantial perceived barriers to the effective management of workplace aggressive and violent behaviour within Australian hospital EDs. Participants suggest perceived increases in the prevalence of aggressive incidents and systemic issues surrounding incident reporting and follow-up exacerbate existing deficiencies in workplace AV management.</p></div><div><h3>Conclusion</h3><p>Further research into risk reduction strategies, investigation of targeted interventions to better prepare staff, and improved reporting processes and pathways are needed to mitigate fallout of workplace exposures to AV in the ED.</p></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"31 4","pages":"Pages 195-201"},"PeriodicalIF":1.6,"publicationDate":"2024-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1322769624000179/pdfft?md5=dde07a8549e39ac73b967d7c0eb2297e&pid=1-s2.0-S1322769624000179-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141138106","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":"Experiences of international nursing students in a regional university: A clear direction for nursing education","authors":"Coralie Graham ,&nbsp;Linda Ng ,&nbsp;Odette Best ,&nbsp;Jennifer Patrick","doi":"10.1016/j.colegn.2024.04.005","DOIUrl":"10.1016/j.colegn.2024.04.005","url":null,"abstract":"<div><h3>Background</h3><p>Australia sells education to international students, with education currently Australia’s third-largest export. Asia is Australia’s main source of international students, and Australian immigration policy supports international students to stay in the country after graduation. For international students, moving to Australia can involve a stressful adjustment, with major cultural and social differences.</p></div><div><h3>Objectives</h3><p>This study explores the cultural, societal, and learning experiences of international nursing students at a regional university in Australia.</p></div><div><h3>Design</h3><p>This study uses a qualitative research design.</p></div><div><h3>Setting</h3><p>Regional university in Queensland, Australia.</p></div><div><h3>Participants</h3><p>All international students enrolled in the Bachelor of Nursing program were invited to participate via advertising on the course website, flyers, and mail-outs.</p></div><div><h3>Methods</h3><p>We conducted six small focus groups, clustered by nationality: South Asian, Nepalese (three groups), Indian, and a multi-ethnicity group to explore student experiences in clinical placement settings. We conducted a seventh group, with First Nations Australian students, which will be discussed in a separate publication.</p></div><div><h3>Results</h3><p>Student responses were clustered into eight thematic groups: preparedness to study; communication challenges; barriers or challenges to learning; face-to-face learning environments; bias, racism, or discrimination; preferences for support from the university; community support; and their personal strategies for supporting learning.</p></div><div><h3>Conclusions</h3><p>The findings of this research build on previous research which shows that international students experience linguistic barriers, insufficient social support, and cultural diversities that compound their social isolation and negatively impact their well-being. Our participants reported experiences of racism and communication difficulties in clinical placement settings. International nursing students need support to manage cultural differences and Australian teaching styles. Nursing academics and clinical placement supervisors need professional development in cultural safety to improve the learning opportunities they provide for international students.</p></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"31 4","pages":"Pages 211-217"},"PeriodicalIF":1.6,"publicationDate":"2024-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1322769624000192/pdfft?md5=9764195886982244dc623d5255012074&pid=1-s2.0-S1322769624000192-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141141940","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":"Missed care or missed opportunities in general practice nursing","authors":"Claire Verrall ,&nbsp;Eileen Willis ,&nbsp;Alexander Gerrie ,&nbsp;James Thompson","doi":"10.1016/j.colegn.2024.04.002","DOIUrl":"10.1016/j.colegn.2024.04.002","url":null,"abstract":"<div><h3>Background</h3><p>Research into missed care has been conducted in various acute and some community healthcare settings; however, the experiences of general practice nurses (GPNs) are poorly represented in the literature.</p></div><div><h3>Aim</h3><p>To explore the role of the GPN and whether care activities are missed.</p></div><div><h3>Methods</h3><p>A qualitative descriptive design was used, employing semistructured interviews with 10 participants. The participants were GPNs working in a metropolitan or regional general practice in Australia, with a minimum of three years of experience in the role. A six-step process for thematic analysis was utilised for the extraction and presentation of findings.</p></div><div><h3>Findings</h3><p>GPNs rarely miss care; it is either delayed or rescheduled. Findings illustrate missed opportunities to provide care and enhance the role of the GPN. Factors contributing to missed opportunity are as follows: (i) difficulties navigating the GPN–general practitioner (GP) relationship, (ii) GPNs lack ongoing education commensurate with their scope of practice, (iii) Medicare policy fails to fund the GPN role, (iv) a rise in the number of salaried GPs leads to time pressures that limit the GPN role, (v) scope of practice constrained by time deficits, and (vi) communication problems within a siloed healthcare system limit GPN scope of practice.</p></div><div><h3>Discussion</h3><p>The initial aim was to identify missed care; however, findings suggest that GPNs rarely miss care, but they do miss opportunities to provide care and practice to their full scope.</p></div><div><h3>Conclusion</h3><p>Internal and external factors specific to the general practice context can contribute to missed opportunities for the work of the GPN.</p></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"31 4","pages":"Pages 188-194"},"PeriodicalIF":1.6,"publicationDate":"2024-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1322769624000167/pdfft?md5=644daceec282e15bc701f9407250b2ec&pid=1-s2.0-S1322769624000167-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141053725","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":"Drawing blood from a peripheral intravenous cannula and its effect on cannula dwell time, phlebitis, and bloodstream infection: A randomised controlled study","authors":"Hugh Davies ,&nbsp;Alycia Jacob ,&nbsp;Lea Aboo ,&nbsp;Linda Coventry ,&nbsp;Elisabeth Jacob","doi":"10.1016/j.colegn.2024.04.001","DOIUrl":"10.1016/j.colegn.2024.04.001","url":null,"abstract":"<div><h3>Background</h3><p>Routine blood sampling can be conducted using venepuncture, inserting a new peripheral intravenous cannula (PIVC), or utilising an existing one. The practice of blood sampling from a cannula requires handling and movement of the cannula bung. It is discouraged due to safety concerns linked to increased risk of phlebitis, infection, or reduced dwell time.</p></div><div><h3>Aim</h3><p>To assess cannula dwell time, the prevalence of phlebitis, and bloodstream infection when using a PIVC compared with venepuncture for blood sampling.</p></div><div><h3>Design</h3><p>A randomised controlled study. Reporting followed CONSORT recommendations.</p></div><div><h3>Methods</h3><p>Adult patients admitted to the emergency department whose health condition required a blood sample to be drawn and insertion of a PIVC were screened for eligibility between May and July 2022. Participants were randomised to either have blood sampled by venepuncture as the control or drawn through the PIVC as the intervention. Follow-up occurred on day three post emergency department presentation.</p></div><div><h3>Results</h3><p>One hundred and five participants were randomised of whom 50 had blood sampled by venepuncture and 55 through the PIVC. No difference was observed in cannula dwell time, prevalence of phlebitis, or signs of bloodstream infection.</p></div><div><h3>Conclusion</h3><p>This study showed PIVC outcomes were no different when the PIVC was used to sample blood compared with participants whose blood was sampled by venepuncture.</p></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"31 4","pages":"Pages 181-187"},"PeriodicalIF":1.6,"publicationDate":"2024-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1322769624000155/pdfft?md5=91ee4eed1f94c210ef9a86fe268c5cee&pid=1-s2.0-S1322769624000155-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141049915","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":"Registered nurses’ confidence related to undertaking a leadership role in residential aged care: A clinical leadership self-assessment survey","authors":"Dorika Nhongo ,&nbsp;Annie Holt ,&nbsp;Kasia Bail ,&nbsp;Tracy Flenady","doi":"10.1016/j.colegn.2024.04.004","DOIUrl":"10.1016/j.colegn.2024.04.004","url":null,"abstract":"<div><h3>Background</h3><p>The Australian Royal Commission emphasizes the importance of registered nurse leadership in providing safe, high-quality care to older adults in Residential aged care. Nurse leadership has important ramifications for effective multidisciplinary care as well as recruitment and retention of the aged care workforce. Registered nurse leadership plays a crucial role in enhancing resident outcomes in Residential aged care, however there are limited studies examining self-perceptions of confidence and competence of nurses running Residential aged care, particularly after hours.</p></div><div><h3>Aim</h3><p>To examine registered nurse leadership via self-reported confidence and competence in Residential aged care.</p></div><div><h3>Methods</h3><p>A cross-sectional research design with ten facilities in Western Australia was used, including a survey tool that relied on the Clinical Leadership Competency Framework. Cronbach's alpha test was used to ascertain internal reliability and replicability. The Strengthening the Reporting of Observational studies in Epidemiology guidelines was used to guide the study. Inferential statistics were used for data analysis. Data collection occurred over a six-month period, involving registered nurses employed by a single Residential aged care provider in Perth, Western Australia. Participants rated their leadership confidence on a 5-point Likert-type scale ranging from 1 (never) to 5 (all the time).</p></div><div><h3>Findings</h3><p>From a sample of 100 registered nurses working in aged care after-hours, 90% reported high levels of self-confidence. The survey results showed that those who have more than 10 years of experience reported highest confidence in managing services. Registered nurses over 50 years old self-reported highest confidence in personal qualities, managing, and improving service domains.</p></div><div><h3>Discussion</h3><p>Registered nurses run residential aged care, and this time of aged care reform provides an opportunity to examine associations between registered nurse leadership and resident outcomes and provide avenues for improvements in working environments and resident experiences.</p></div><div><h3>Conclusion</h3><p>The findings have important implications for Residential aged care providers in establishing effective leadership mentoring programs to support registered nurses in improving their confidence and ability.</p></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"31 4","pages":"Pages 202-210"},"PeriodicalIF":1.6,"publicationDate":"2024-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1322769624000180/pdfft?md5=2f2ebd49dc5e7d9c23e483f3edcc98dc&pid=1-s2.0-S1322769624000180-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140789497","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 role of peer support groups in adjustment to stoma: A qualitative study","authors":"Julia Kittscha ,&nbsp;Val Wilson ,&nbsp;Greg Fairbrother ,&nbsp;Vida Bliokas","doi":"10.1016/j.colegn.2024.03.002","DOIUrl":"10.1016/j.colegn.2024.03.002","url":null,"abstract":"<div><h3>Introduction</h3><p>In Australia, access to peer support for people who have a stoma (ostomates) in a group setting, is variable and impacted by barriers such as distance and availability. The ostomate-perceived value of peer support in relation to adjustment to stoma surgery has not been previously researched. The aim of this study was to explore the experience of people who have a stoma (ostomates) and who attended a stoma peer support group. A qualitative design was used to gather insights into the ostomates’ experience.</p></div><div><h3>Methods</h3><p>Three focus groups were held with a total of 13 participants from an ostomy peer support group to investigate the role of this method of support in adjustment to a stoma. The qualitative data were organised using NVivo, and thematic analysis was undertaken following Braun and Clarke’s six-phase process.</p></div><div><h3>Findings</h3><p>Three main themes were identified: ‘being part of a group’, ‘learning from each other’, and ‘receiving support’. Six sub-themes were also identified. The findings suggest that there is a connection between adjustment to a stoma and peer-to-peer support via a support group. Being able to relate to others with a stoma helped the participants to feel normal and ultimately accepted by others. It seems likely that being part of a community of people who have a similar experience contributes positively to stoma adjustment.</p></div><div><h3>Conclusion</h3><p>The study findings suggest that people with a stoma benefit from participation in peer support in terms of learning, support, and connectedness gains.</p></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"31 3","pages":"Pages 173-179"},"PeriodicalIF":1.5,"publicationDate":"2024-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140771358","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":"Post-fall outcomes of aged care residents that did not transfer to hospital following referral to a specialised hospital outreach service: A retrospective cohort study","authors":"Karen Venaglia ,&nbsp;Amanda Fox ,&nbsp;Margaret MacAndrew","doi":"10.1016/j.colegn.2024.03.001","DOIUrl":"10.1016/j.colegn.2024.03.001","url":null,"abstract":"<div><h3>Background</h3><p>Hospital outreach services aim to reduce the number of avoidable emergency department (ED) transfers of aged care residents and improve healthcare outcomes. While there are known benefits of such services, including avoiding the distress and discomfort that comes with the care transition, little is known about the outcomes of older people in residential aged care facilities who are referred to an outreach service and do not transfer to hospital after a fall.</p></div><div><h3>Aim</h3><p>The aim of this study was to describe the characteristics of residents who experienced a fall in an aged care facility and were referred to a hospital outreach service, and to report the health outcomes of those who did not transfer to hospital.</p></div><div><h3>Methods</h3><p>A retrospective cohort study of health administrative data collected from 1st January 2019 to 31st May 2022 was undertaken. Clinical chart audits were conducted of aged care residents who avoided attending an ED following a fall but subsequently, within 30 days, died or presented to hospital. Descriptive statistics were used for analysis.</p></div><div><h3>Findings</h3><p>Most residents who avoided the ED post fall (n = 370, 73%), did not present to hospital or die within 30 days. Of the cohort who presented to hospital within 30 days, the reasons included new symptoms, pain or medical imaging requirement. Of the residents who died (n = 42, 8%), most did not attend an ED within 30 days of the fall.</p></div><div><h3>Discussion</h3><p>Most residents who were recommended not to transfer to an ED post fall by the hospital outreach service did not die or require transfer to hospital within 30 days. The residents who died had incurable progressive illness. Most of them who died were cared for in the aged care facility allowing the resident to die in a familiar environment being cared for by staff known to them.</p></div><div><h3>Conclusion</h3><p>The results suggest that the hospital outreach service in this study was effective in most cases in supporting residents to avoid transfer to an ED post fall. Avoiding ED is not always appropriate.</p></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"31 3","pages":"Pages 165-172"},"PeriodicalIF":1.5,"publicationDate":"2024-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140781399","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}