Collegian最新文献

{"title":"Elective day of surgery cancellations: A retrospective observational study","authors":"Imelda Chua ,&nbsp;Jed Duff ,&nbsp;Judy Munday","doi":"10.1016/j.colegn.2023.03.013","DOIUrl":"10.1016/j.colegn.2023.03.013","url":null,"abstract":"<div><h3>Background</h3><p>Day-of-surgery (DOS) cancellations are a common and frustrating phenomenon for surgical patients globally. They are both costly to health systems and patients, causing inconvenience, decreased productivity, and emotional distress. In Australia, there are only few published literature that have explored DOS cancellations.</p></div><div><h3>Aim</h3><p>This study aimed to evaluate the frequency and reasons for DOS cancellations in a South-East Queensland tertiary hospital. Secondly, the study aimed to understand the characteristics of patients who have been cancelled on day of surgery.</p></div><div><h3>Methods</h3><p><span>A retrospective observational design was used to investigate elective day of surgery cancellations over one year, from January to December 2019. Variables collected included patients’ age, gender, ethnicity, socio-demographic status, carer responsibilities, attendance at pre-admission clinic (PAC), American Society of Anaesthesiologists status; surgical specialty; category of surgery; date of placement on </span>elective surgery waitlist; ethnicity; suburb of residence; socio-demographic status derived from postcode, employment status, carer responsibilities for other(s); number of times of failure to attend past appointments; presentation at PAC; referrals to other services such as the pre-anaesthetic assessment nurse, nurse navigator or social worker and indigenous liaison health officer during the surgery planning phase, and reasons for cancellation. Mean and standard deviation were calculated to describe age. Frequencies and percentages were also reported.</p></div><div><h3>Findings</h3><p><span>Over 1 year, 5334 elective surgeries occurred: of these, 412 patients (8%) were affected by DOS cancellations. Hospital-initiated cancellations accounted for 32% (113/412) of total cancellations, including reasons such as patients’ condition, treatment no longer required or surgeons opting not to perform the procedure. The mean age of patients affected by cancellation was 58 years (SD 17.5). Male patients accounted for a greater proportion of cancellations than females (251 versus 161; 61% versus 39%). Almost half of cancellations were patients who were booked as inpatient admissions (47%, 193/412). </span>Cardiothoracic comprised the specialty most affected by DOS cancellations (43%, 177/412 of cancelled patients).</p></div><div><h3>Conclusion</h3><p><span>By identifying the reasons for cancellation, and the characteristics of patients who are prone to being cancelled on the day of surgery, we have highlighted that DOS cancellations may be preventable in some cases. Further, quality improvement projects or </span>root cause analysis are required to investigate and further address preventable DOS cancellation.</p></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"30 5","pages":"Pages 721-726"},"PeriodicalIF":1.5,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48271457","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":"Informing and developing professional practice: How international educational programs influence nurse and midwife professional practice","authors":"Jacqueline Johnston,&nbsp;Lisa McKenna,&nbsp;Gulzar Malik,&nbsp;Sonia Reisenhofer","doi":"10.1016/j.colegn.2023.04.003","DOIUrl":"10.1016/j.colegn.2023.04.003","url":null,"abstract":"<div><h3>Aim</h3><p>This paper forms part of a grounded theory study that aimed to determine the impact of an international mobility program during a nurse’s or midwife’s pre-registration program on their subsequent nursing and/or midwifery practice. The focus of this article is on how nursing and midwifery professional practice was informed and developed through participation in international educational programs.</p></div><div><h3>Background</h3><p>Participation in an international educational program during a nurse’s or midwife’s pre-registration education is known to have many positive benefits, however, previous studies have highlighted a need to investigate long-term outcomes on professional practice.</p></div><div><h3>Methods</h3><p>Using Charmaz’s constructivist grounded theory approach, 13 general nurses, 2 mental health nurses, 3 midwives, and 4 dual-qualified nurse/midwives from 8 different countries were interviewed. Data were analysed following coding procedures, with three categories constructed. This paper focuses on the category conceptualised as <em>Informing and developing professional practice</em>.</p></div><div><h3>Findings</h3><p>Participants experienced different healthcare systems and being reflective and applying knowledge to current practice contributed to the development of professional practice. International educational programs were also found to assist in aspiring and cementing decisions for many regarding their future nursing or midwifery practice.</p></div><div><h3>Conclusion</h3><p>Participation in an international educational program has an ongoing and positive influence on a nurse’s or midwife’s professional practice.</p></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"30 5","pages":"Pages 744-750"},"PeriodicalIF":1.5,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46759926","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":"Patient experience of elective general surgery: An integrative review","authors":"Eva Bavin ,&nbsp;Georgia Tobiano ,&nbsp;Brigid M. Gillespie","doi":"10.1016/j.colegn.2023.08.002","DOIUrl":"10.1016/j.colegn.2023.08.002","url":null,"abstract":"<div><h3>Aim</h3><p>To identify and synthesise the current evidence on elective general surgery patient experience of care.</p></div><div><h3>Design</h3><p>An integrative review reported using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines.</p></div><div><h3>Data sources</h3><p>CINAHL, Medline, Embase, and PsycInfo databases were searched for primary peer-reviewed studies published in English between 2010 and January 2023.</p></div><div><h3>Review methods</h3><p>Studies on the experiences of elective general surgery patients (aged 16 and above) published in English were included. Studies that focused on emergency surgical patient experiences or proxy-reported experiences were excluded. Titles and abstracts of retrieved studies were screened according to predetermined inclusion and exclusion criteria. Data were extracted and quality assessment of the included articles was undertaken using the Mixed Methods Appraisal Tool (MMAT). Data were analysed using Thomas and Harden’s thematic synthesis framework.</p></div><div><h3>Results</h3><p>About 36 studies were included. Six themes were identified: (i) daring to care; (ii) seeing the same people; (iii) being a decision partner in my own care; (iv) keeping me in the loop; (v) receiving information from the right person, at the right time; and (vi) seeking comfort.</p></div><div><h3>Conclusion</h3><p>Review findings resonate with key dimensions of patient-centred care and demonstrate that treating a patient as a unique person, involving patients in care, and providing information can influence general surgery patients’ perceptions of their hospital experience. These findings could inform areas for improvement in nursing practice, to enhance general surgery patients’ experience.</p></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"30 5","pages":"Pages 676-685"},"PeriodicalIF":1.5,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47071762","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":"Evaluation of a care bundle to support healthcare workers wearing N95 masks","authors":"Hermione Shea ,&nbsp;Kathren Puyk ,&nbsp;Michelle Tuck ,&nbsp;Marcus Kusiak ,&nbsp;Jaspreet Sidhu ,&nbsp;Tracey Bucknall","doi":"10.1016/j.colegn.2023.07.005","DOIUrl":"10.1016/j.colegn.2023.07.005","url":null,"abstract":"<div><h3>Background</h3><p>N95 masks are required to protect healthcare workers from COVID-19, however, they are known to increase the risk of facial skin injuries.</p></div><div><h3>Aims</h3><p>This study aims to assess staff knowledge, behaviours, and adverse outcomes, in relation to a care bundle, designed to prevent and manage facial skin injury in healthcare workers wearing N95 masks.</p></div><div><h3>Method</h3><p>A quasi-experimental study design was used to compare outcomes for staff who were required to wear N95 masks and had access to a care bundle at a major metropolitan health service during the COVID-19 pandemic, compared with those who did not. Staff were invited to participate in an anonymous survey.</p></div><div><h3>Findings</h3><p>The convenience sample included 758 participants and of these 31.3% accessed the care bundle. Post introduction of the care bundle, 59.8% developed facial injury compared with 72.7% who did not use the care bundle (p = 0.03). Of staff who accessed the care bundle, 28.7% developed acne<span>, compared with 49.5% who did not access the care bundle (p = 0.001). Statistically significant improvements in uptake of prevention and treatment strategies were found in those who accessed the care bundle, compared with those who did not.</span></p></div><div><h3>Discussion</h3><p>This study has demonstrated the benefits of a care bundle to support healthcare workers wearing N95 masks. The bundle improved staff knowledge and reduced minor facial skin injuries.</p></div><div><h3>Conclusion</h3><p>Ongoing COVID-19 cases necessitate that healthcare workers continue to wear N95 masks for long and indefinite periods, and as such, the field remains an area for future research.</p></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"30 5","pages":"Pages 653-659"},"PeriodicalIF":1.5,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43566830","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":"Implementation of a structured revision program and the impact on final-year undergraduate nursing students’ preparedness for clinical placement: Mixed methods study","authors":"Susan Irvine ,&nbsp;Yu Hua Gong ,&nbsp;Carmel Mcleod ,&nbsp;Yangama Jokwiro ,&nbsp;Beverley Copnell","doi":"10.1016/j.colegn.2023.08.006","DOIUrl":"https://doi.org/10.1016/j.colegn.2023.08.006","url":null,"abstract":"<div><h3>Problem</h3><p>The effects of a revision program on undergraduate nursing students’ preparedness for their final clinical placement leading to their graduate year are unknown.</p></div><div><h3>Aim</h3><p>To explore students’ perceptions of confidence, anxiety, self-doubt, and preparedness for a high-acuity clinical placement following a three-day structured revision program.</p></div><div><h3>Method</h3><p>This was a mixed methods study conducted in the final year of the undergraduate nursing degree. Data were collected by survey using a self-developed 10-item instrument with three components of confidence, inhibitors (self-doubt/anxiety), and preparedness (n = 75) and by semi-structured individual interviews and focus group (7 students in total). Independent sample t-tests were used to compare data between components’ scores and demographic characteristics. Interview data were analysed using thematic analysis.</p></div><div><h3>Results</h3><p>Students who attended the revision program had significantly higher scores for confidence, inhibitors, and preparation. Higher scores in one or more components were associated with enrolment in the Bachelor of Nursing (BN) versus the Bachelor of Nursing/Bachelor of Midwifery, enrolment in the accelerated pathway of the BN, older age, and previous healthcare experience. Four themes emerged from the qualitative data: anticipatory concerns, confidence, preparedness, and striving to belong.</p></div><div><h3>Conclusion</h3><p>The findings have potential implications for adverse learning outcomes and poor student performance because of negative behaviours, lack of preparedness, and belongingness. There is a need to structure curricula, implement instructional support for students with anxiety and self-doubt, and faculty to align pedagogy to best educational practices with student attendance at structured revision sessions before each clinical placement.</p></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"30 5","pages":"Pages 708-714"},"PeriodicalIF":1.5,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49732391","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":"Nurses’ perspectives on delays in care escalation in an acute private hospital","authors":"Suzie Noye ,&nbsp;Koshila Kumar ,&nbsp;Anastasia Hutchinson ,&nbsp;Jane Willcox","doi":"10.1016/j.colegn.2023.07.006","DOIUrl":"10.1016/j.colegn.2023.07.006","url":null,"abstract":"<div><h3>Problem</h3><p>Despite mandated Rapid-Response Systems (RRS), hospitals continue to see delays in escalation of care. There is a paucity of research regarding nurses’ perceptions of the reasons for care escalation delays in the private hospital setting in which there is a different model of care and hierarchy of the medical system. It is important to understand how these elements may influence the approach to escalating care.</p></div><div><h3>Aim</h3><p>To explore nurses’ perspectives and experiences of clinical deterioration and the factors impacting on timely escalation of care in a private, non-profit hospital.</p></div><div><h3>Method</h3><p>Twenty-three bedside and leadership nurses were purposively recruited. Qualitative descriptive methodology employed interviews and focus groups to explore knowledge of, and belief in RRS criteria and process, individual confidence, perceived barriers, and RRS education. Data were analysed thematically.</p></div><div><h3>Findings</h3><p>Three major themes were elicited. First, hierarchy and a culture of indecisiveness. Second, gatekeeping and protocol adherence impacting on timely escalation. Third, the importance of confidence in the nurse role to escalate care. Communication barriers and inconsistent leadership were common threads across all themes.</p></div><div><h3>Discussion</h3><p>RRS have been shown to be effective, however, if escalation criteria are implemented inconsistently, individual’s prior experience can impact interdisciplinary communication, RRS processes and patient outcomes.</p></div><div><h3>Conclusion</h3><p>The effectiveness of RRS is dependent on a supportive workplace culture, good communication, and consistent leadership. Further research is required to understand the optimal mechanisms for implementing RRS processes in private, non-profit hospitals.</p></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"30 5","pages":"Pages 660-667"},"PeriodicalIF":1.5,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42516336","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":"Tougher laws, too few prosecutions? A mixed methods study of nurses’ experiences regarding the reporting of occupational violence to the police","authors":"C.J. Cabilan ,&nbsp;Chantelle Judge ,&nbsp;Rachael Field ,&nbsp;Rob Eley ,&nbsp;Amy N.B. Johnston","doi":"10.1016/j.colegn.2023.08.003","DOIUrl":"https://doi.org/10.1016/j.colegn.2023.08.003","url":null,"abstract":"<div><h3>Problem</h3><p>Assaults on nurses by patients are common. To deter occupational violence against nurses, assaults attract penalties of longer imprisonment in many jurisdictions (domestically and internationally). However, the deterrent value of harsher penalties has been questioned when many assaults are underreported.</p></div><div><h3>Aim</h3><p>To identify the barriers and enablers to the reporting and prosecution of assaults experienced by nurses.</p></div><div><h3>Methods</h3><p>In this study participants were recruited using a snowballing technique through health workforce emails, social media channels, and professional organisations. The investigator-developed survey prompted for categorical and open-ended responses. Descriptive and qualitative content analyses were used to analyse the study data.</p></div><div><h3>Findings</h3><p>Of the N = 275 respondents, n = 237 nurses had been assaulted at work. Assaulted nurses were typically female, over 31 years old, had more than five years of nursing experience, and worked in an emergency department. Overwhelmingly, nurses indicated receiving poor support when they wanted to report an assault to the police. Dominant themes (N = 6) identified systemic barriers that hinder criminal reporting, which was found to be a consequence of organisational and policing lapses, and self-limiting nursing culture.</p></div><div><h3>Discussion</h3><p>This study identified several barriers for nurses to report and prosecute assaultive patients in Australia. The barriers point to a strong imperative for organisations that employ nurses and police to fulfil their responsibilities to enable and support assaulted nurses to prosecute.</p></div><div><h3>Conclusion</h3><p>The study findings led to important recommendations for organisations and police to support, encourage, and empower nurses to prosecute assaultive patients, and ultimately deter violence.</p></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"30 5","pages":"Pages 686-692"},"PeriodicalIF":1.5,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49708942","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A survey of Australian midwifery intravenous fluid management during induction of labour","authors":"Darren J. Lowen ,&nbsp;Nicole Carlon ,&nbsp;Russell Hodgson","doi":"10.1016/j.colegn.2023.07.003","DOIUrl":"10.1016/j.colegn.2023.07.003","url":null,"abstract":"<div><h3>Background</h3><p>Guidelines are in place for obstetric<span> indications that warrant an induction of labour as detailed by the Royal Australian and New Zealand College of Obstetricians<span> and Gynaecologists and Safer Care Victoria. However, no such guidelines or policies exist for the management of fluids during labour.</span></span></p></div><div><h3>Aim</h3><p>To determine if there is variability within Australia, as it pertains to the management of intravenous fluids, during induction of labour, as captured by Australian midwives’ responses to an electronic survey.</p></div><div><h3>Methods</h3><p>A REDCap survey was made available to midwives registered with the Australian College of Midwives, through the college’s monthly newsletter.</p></div><div><h3>Findings</h3><p>A total of 189/4445 (4.25%) midwives registered with the Australian College of Midwives completed the survey. A response was received from midwives covering all states and territories of Australia, from a total of 62 hospitals. The primary place of work was listed as a public hospital by 95.2% of the respondents. Variability was noted for the concentration of oxytocin that was used. The crystalloid of choice was either Hartmann's solution (73.5%) or normal saline (25.4%).</p></div><div><h3>Discussion</h3><p>The management of intravenous fluid as documented by midwives during induction of labour varied widely throughout Australia and even varies within the same institutions. This may suggest that within these institutions, a policy to guide intravenous fluid management does not exist, which may be indicative of the lack of literature to guide such a policy.</p></div><div><h3>Conclusion</h3><p>It is currently unknown if the wide variability in intravenous fluid management during induction of labour is impacting upon birth outcomes. Further research in this area is warranted.</p></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"30 5","pages":"Pages 640-646"},"PeriodicalIF":1.5,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46477531","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":"Nursing and midwifery research priorities for an Australian health service: A priority-setting partnership approach","authors":"Carrie Janerka ,&nbsp;Melissa Mellan ,&nbsp;Robyn Wright ,&nbsp;Fenella J. Gill ,&nbsp;Gavin D. Leslie","doi":"10.1016/j.colegn.2023.08.004","DOIUrl":"10.1016/j.colegn.2023.08.004","url":null,"abstract":"<div><h3>Background</h3><p>Determining research priorities for health services is recommended to better understand health service needs, direct resources, and support translational research. This traditionally involved clinicians, whilst consumer perspectives have been overlooked. Priority-setting partnerships bring together consumers and clinicians to identify research priorities.</p></div><div><h3>Aim</h3><p>To determine nursing and midwifery research priorities for a metropolitan health service in Australia using a priority-setting partnership approach.</p></div><div><h3>Methods</h3><p>The mixed-methods, multiphase study was guided by a modified James Lind Alliance priority-setting partnership approach to determine the top-10 priorities. This involved (i) formation of a steering group (consumers, clinicians); (ii) a cross-sectional survey of nurses, midwives, patients, carers, and community members to identify research topics; (iii–iv) summarising and checking of research topics; (v) interim priority-setting; (vi) a consensus workshop for final priority-setting using a modified nominal group technique; and (vii) reporting. Inductive content analysis was used to summarise research topics. Descriptive statistics were used to analyse survey participant characteristics and workshop data.</p></div><div><h3>Results</h3><p>The survey was completed by 168 participants (n = 106 clinicians, n = 62 consumers) across 5 hospital sites. A list of 17 research topics were summarised from the survey. Topics were discussed and ranked by 18 participants at the workshop and the top-10 priorities agreed by consensus.</p></div><div><h3>Conclusions</h3><p>Priorities reflected a strong desire for research focus on clinical care, as well as education and systems to support nurses and midwives provide care. Involving clinicians and consumers in research can help identify priorities that are of direct relevance to health service users and staff.</p></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"30 5","pages":"Pages 693-700"},"PeriodicalIF":1.5,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47667765","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A phenomenological study of the lived experience of clinicians transitioning into academic roles in Australian universities","authors":"Dianne Stratton-Maher ,&nbsp;Jennifer Kelly ,&nbsp;Karen Livesay","doi":"10.1016/j.colegn.2023.04.001","DOIUrl":"10.1016/j.colegn.2023.04.001","url":null,"abstract":"<div><h3>Background</h3><p>Nurse academics occupy a pivotal role in educating the nursing workforce of the future. However, preparation of registered nurses for an intense academic workload requiring diverse skills, attracts limited literature from an Australian context.</p></div><div><h3>Aim</h3><p>This paper employs phenomenology to explore registered nurses’ lived experiences as they transitioned from the role of clinician to novice nurse academic in six Australian universities.</p></div><div><h3>Method</h3><p>The essence of this study was to understand the lived experiences of 11 registered nurses who transitioned into the role of a novice nurse academic in 2020. Data collection included individual semi-structured interviews that were audio-recorded and transcribed verbatim. Thematic analysis converted the rich data into interpretations of the lived experience of participants.</p></div><div><h3>Findings</h3><p>Four key themes emerged from the data: The <em>‘Becoming’</em> of a Nurse Academic, The Fusion of Horizons, The <em>‘Becoming’</em> of Intentionality, and the <em>‘Being’</em> of a Nurse Academic. Additionally, six pivotal subthemes emerged to reflect the collective essence of the participants’ experience.</p></div><div><h3>Discussion</h3><p>Findings from this research render an original contribution to bridge the transitional pedagogical proficiency gap for novice nurse academics. The expert skills and abilities of clinicians are not simply transferable to the nurse academic role.</p></div><div><h3>Conclusion</h3><p>This paper provides new insights into the Australian novice nurse academics’ experiences, including the impact that the experiences have on the nurse academic’s transitional progression. Findings from this study generated a targeted transition model termed NOVICE, to provide universities with strategies to support novice nurse academics’ transition to academia.</p></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"30 5","pages":"Pages 727-735"},"PeriodicalIF":1.5,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44143488","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}