CollegianPub Date : 2024-01-03DOI: 10.1016/j.colegn.2023.11.004
Edah Anyango , Irene Ngune , Janie Brown , Esther Adama
{"title":"“I changed my mind after my placement”: The influence of clinical placement environment on career choices of final-year pre-registration nurses","authors":"Edah Anyango , Irene Ngune , Janie Brown , Esther Adama","doi":"10.1016/j.colegn.2023.11.004","DOIUrl":"10.1016/j.colegn.2023.11.004","url":null,"abstract":"<div><h3>Background</h3><p>Clinical placements (CPs) in the final year of nursing education largely impact nursing students’ professional development by exposing them to nursing realities. Nursing students also use placement exposure to identify suitable career opportunities for their upcoming professional life. However, there is limited evidence on how final-year CPs may attract pre-registration nursing students into different nursing specialties, including hospital and non-hospital settings.</p></div><div><h3>Aim</h3><p>To explore the influence of CPs in the final year of nursing education on pre-registration student nurses’ career decisions.</p></div><div><h3>Method</h3><p>A narrative inquiry approach was utilised. A purposeful sample of 12 final-year students from two Western Australian public universities participated in the study. Data were collected through semi-structured individual interviews. This article follows the Consolidated Criteria for Reporting Qualitative Research.</p></div><div><h3>Findings</h3><p>The final-year CPs mainly influenced nursing students’ career decisions in three ways: they helped them create new career paths, and some students refined their career plans while others reaffirmed their career choices. Four main themes were generated, including nature of the clinical environment, ward or unit culture, preceptorship, and career progression.</p></div><div><h3>Conclusion</h3><p>The final year of study is crucial for nursing students as they make career plans in preparation for the transition to their professional roles. The students make short- and long-term career plans at this stage, which may influence their commitment to nursing.</p></div><div><h3>Implication for practice</h3><p>The outcome of this study may assist stakeholders in nursing education and health care in developing policies for CPs and students’ career guidance. These policies may encourage pre-registration nurses to develop career interests in the less-preferable nursing specialties such as community nursing and residential aged care.</p></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"31 2","pages":"Pages 69-76"},"PeriodicalIF":1.5,"publicationDate":"2024-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1322769623001099/pdfft?md5=06bbdba868615e8bcd004aec8100fd82&pid=1-s2.0-S1322769623001099-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139095490","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}
CollegianPub Date : 2023-12-20DOI: 10.1016/j.colegn.2023.11.006
Bridget Ferguson, Tanya Capper
{"title":"Balancing nursing and midwifery student equity and public safety: An Australian case study","authors":"Bridget Ferguson, Tanya Capper","doi":"10.1016/j.colegn.2023.11.006","DOIUrl":"https://doi.org/10.1016/j.colegn.2023.11.006","url":null,"abstract":"<h3>Background</h3><p>Nursing and midwifery academics have multiple responsibilities, including developing curricula that promote public safety and ethical practice. Effective governance processes are required to help academics manage students who pose a risk to public safety. However, the pressure to increase graduate numbers and prioritise student-centred approaches can pose challenges.</p><h3>Aim</h3><p>To discuss the challenges facing Australian nursing and midwifery academics who endeavour to optimise the number of successful graduates whilst fulfilling their legislative duty to identify and manage students who may pose a risk to public safety.</p><h3>Methods</h3><p>A case study approach is used to gain insight into implementing governance processes that maintain quality, safety, and public safety in nursing and midwifery education and training programs.</p><h3>Discussion and conclusions</h3><p>Academics must understand their responsibilities, including the need for transparency in accessibility and equity policies. Awareness of the definition of impairment and the provision of reasonable adjustments as defined by the Australian Health Practitioner Regulation Agency are vital to support students in making informed career choices.</p>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"66 1","pages":""},"PeriodicalIF":1.5,"publicationDate":"2023-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139022496","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
CollegianPub Date : 2023-12-20DOI: 10.1016/j.colegn.2023.11.006
Bridget Ferguson , Tanya Capper
{"title":"Balancing nursing and midwifery student equity and public safety: An Australian case study","authors":"Bridget Ferguson , Tanya Capper","doi":"10.1016/j.colegn.2023.11.006","DOIUrl":"10.1016/j.colegn.2023.11.006","url":null,"abstract":"<div><h3>Background</h3><p>Nursing and midwifery academics have multiple responsibilities, including developing curricula that promote public safety and ethical practice. Effective governance processes are required to help academics manage students who pose a risk to public safety. However, the pressure to increase graduate numbers and prioritise student-centred approaches can pose challenges.</p></div><div><h3>Aim</h3><p>To discuss the challenges facing Australian nursing and midwifery academics who endeavour to optimise the number of successful graduates whilst fulfilling their legislative duty to identify and manage students who may pose a risk to public safety.</p></div><div><h3>Methods</h3><p>A case study approach is used to gain insight into implementing governance processes that maintain quality, safety, and public safety in nursing and midwifery education and training programs.</p></div><div><h3>Discussion and conclusions</h3><p>Academics must understand their responsibilities, including the need for transparency in accessibility and equity policies. Awareness of the definition of impairment and the provision of reasonable adjustments as defined by the Australian Health Practitioner Regulation Agency are vital to support students in making informed career choices.</p></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"31 1","pages":"Pages 63-68"},"PeriodicalIF":1.5,"publicationDate":"2023-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139018767","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":"Contextualising an online mindfulness-based intervention for young people with cancer: A qualitative study","authors":"Sheeja Perumbil Pathrose , Jonny Wells , Pandora Patterson , Fiona Mcdonald , Bronwyn Everett , Jane Ussher , Yenna Salamonson , Gina M. Biegel , Tho Nguyen , Lucie Ramjan","doi":"10.1016/j.colegn.2023.11.005","DOIUrl":"10.1016/j.colegn.2023.11.005","url":null,"abstract":"<div><h3>Background</h3><p>Despite improved prognosis, living with cancer can still negatively impact young people’s psychosocial well-being. Mindfulness-based interventions (MBI) have been shown to help manage cancer-related stress but tailored interventions for young people are warranted. In addition, attendance at intensive face-to-face MBI is often a barrier to access and adherence.</p></div><div><h3>Aim</h3><p>This study aims to contextualise an online MBI, for young people with cancer (YPWC).</p></div><div><h3>Methods</h3><p>This study modified an online MBI using a qualitative research approach through several phases, including a discussion with experts, a workshop with YPWC (<em>n</em> = 6), followed by focus groups with health professionals (<em>n</em> = 5) and YPWC (<em>n</em> = 7).</p></div><div><h3>Findings</h3><p>The qualitative thematic analysis of data from the workshop discussion and focus groups identified two key themes, which were (i) developing mindfulness skill and adopting into daily living and appropriateness; and (ii) accessibility of design and delivery of an MBI eBook. The participants in the workshop and focus group provided various recommendations and as a result of these data, the modules were modified and further tailored both at the design level and the module contents.</p></div><div><h3>Discussion</h3><p>This study contextualised a self-directed, online MBI through the participation from YPWC and healthcare providers. This participatory approach enabled the development of a young people friendly intervention that incorporated cancer-focused case studies with mindful reflections, all of which were well-received by YPWC.</p></div><div><h3>Conclusion</h3><p>The involvement of end-users in the development phase significantly improved the acceptability of this intervention design. The tailored MBI potentially aids the psychosocial well-being of YPWC.</p></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"31 1","pages":"Pages 56-62"},"PeriodicalIF":1.5,"publicationDate":"2023-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1322769623001105/pdfft?md5=bd1093ce1e35cbf6c3537c33aa6101e8&pid=1-s2.0-S1322769623001105-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139016878","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":"Contextualising an online mindfulness-based intervention for young people with cancer: A qualitative study","authors":"Sheeja Perumbil Pathrose, Jonny Wells, Pandora Patterson, Fiona Mcdonald, Bronwyn Everett, Jane Ussher, Yenna Salamonson, Gina M. Biegel, Tho Nguyen, Lucie Ramjan","doi":"10.1016/j.colegn.2023.11.005","DOIUrl":"https://doi.org/10.1016/j.colegn.2023.11.005","url":null,"abstract":"<h3>Background</h3><p>Despite improved prognosis, living with cancer can still negatively impact young people’s psychosocial well-being. Mindfulness-based interventions (MBI) have been shown to help manage cancer-related stress but tailored interventions for young people are warranted. In addition, attendance at intensive face-to-face MBI is often a barrier to access and adherence.</p><h3>Aim</h3><p>This study aims to contextualise an online MBI, for young people with cancer (YPWC).</p><h3>Methods</h3><p>This study modified an online MBI using a qualitative research approach through several phases, including a discussion with experts, a workshop with YPWC (<em>n</em> = 6), followed by focus groups with health professionals (<em>n</em> = 5) and YPWC (<em>n</em> = 7).</p><h3>Findings</h3><p>The qualitative thematic analysis of data from the workshop discussion and focus groups identified two key themes, which were (i) developing mindfulness skill and adopting into daily living and appropriateness; and (ii) accessibility of design and delivery of an MBI eBook. The participants in the workshop and focus group provided various recommendations and as a result of these data, the modules were modified and further tailored both at the design level and the module contents.</p><h3>Discussion</h3><p>This study contextualised a self-directed, online MBI through the participation from YPWC and healthcare providers. This participatory approach enabled the development of a young people friendly intervention that incorporated cancer-focused case studies with mindful reflections, all of which were well-received by YPWC.</p><h3>Conclusion</h3><p>The involvement of end-users in the development phase significantly improved the acceptability of this intervention design. The tailored MBI potentially aids the psychosocial well-being of YPWC.</p>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"80 1","pages":""},"PeriodicalIF":1.5,"publicationDate":"2023-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139022533","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
CollegianPub Date : 2023-12-19DOI: 10.1016/j.colegn.2023.11.001
Mary-Ellen Barker , Jennie King , Brett Mitchell , Amanda Dawson , Gary Crowfoot
{"title":"The effect of hospital volunteering on empathy in nursing and medical students","authors":"Mary-Ellen Barker , Jennie King , Brett Mitchell , Amanda Dawson , Gary Crowfoot","doi":"10.1016/j.colegn.2023.11.001","DOIUrl":"10.1016/j.colegn.2023.11.001","url":null,"abstract":"<div><h3>Background</h3><p>Empathic care benefits patients and healthcare providers. There is evidence of self-reported empathy decline among students in healthcare education. Hospital volunteering could assist undergraduate healthcare students to develop empathetic relationships with patients.</p></div><div><h3>Aim</h3><p>The study aimed to investigate the feasibility and effect of a hospital volunteering intervention on the empathy levels of undergraduate nursing and medical students<span>. It further aimed to explore their experience of the intervention and determine student-identified areas for patient safety improvements.</span></p></div><div><h3>Design</h3><p>Pre–post-intervention study</p></div><div><h3>Setting</h3><p>A large outer metropolitan hospital in New South Wales, Australia.</p></div><div><h3>Participants</h3><p>Twenty-nine (n = 29) undergraduate nursing and medical students from an Australian university.</p></div><div><h3>Methods</h3><p>Students had an introductory experience of volunteering at their local district hospital through participation in the ‘Volunteer Taster Program’. The Jefferson Scale of Empathy-Health Professions Student questionnaire was used to measure student empathy scores pre and post program. Responses to open-ended questions were thematically analysed to evaluate student experiences and identify student-reported areas for patient safety improvements.</p></div><div><h3>Results</h3><p>Twenty-nine students (18 nursing, 11 medical) completed the program. Students had statistically significant improvements in post-intervention mean empathy scores 112.03 (95% CI 107.56, 116.5) to 117.38 (95% CI 113.76, 121.00) p < 0.001. Subgroup analysis identified a larger increase in empathy scores among medical students than nursing students. The thematic analysis revealed potential program benefits, including <span><em>new perspectives of the patient experience, improved confidence </em><em>in patient</em><em> communication</em></span>, a <em>stronger professional identity,</em> and <em>a rewarding experience</em>. Identified patient safety issues included concerns for patients’ emotional and physical well-being, and patient communication.</p></div><div><h3>Conclusions</h3><p>The Volunteer Taster Program is feasible and enabled nursing and medical students to connect with patients outside the sphere of clinical education. It appears to increase empathy levels in undergraduate students and could assist them to deliver empathetic, person-centred healthcare.</p></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"31 1","pages":"Pages 34-39"},"PeriodicalIF":1.5,"publicationDate":"2023-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138743708","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":"Factors predisposing hospitals and nursing home staff to use personal protective equipment","authors":"Manuela Hoedl , Doris Eglseer, Daniela Schoberer, Silvia Bauer","doi":"10.1016/j.colegn.2023.10.003","DOIUrl":"10.1016/j.colegn.2023.10.003","url":null,"abstract":"<div><h3>Background</h3><p>As physical contact is the one of the major transmission modes for a COVID-19 infection, the use of personal protective equipment (PPE) by nursing staff is warranted. A focus has been placed on the availability of PPE in the recent literature, but data are lacking on the actual use and the factors that predispose nursing staff in hospitals and nursing homes to use PPE are missing.</p></div><div><h3>Aim</h3><p>We investigated the availability and use of PPE and collected data on associated factors regarding the use of PPE, by nursing staff in hospitals and nursing homes in Austria.</p></div><div><h3>Methods</h3><p>We used data from two cross-sectional online surveys, with nursing staff recruited in the first and second wave of COVID-19.</p></div><div><h3>Findings</h3><p>The availability and use of surgical-face masks (SFM) and filtering-facepiece (FFP) masks increased in both settings during the second COVID-19 wave. In both settings, the availability of the PPE was associated with the use of gowns and FFP masks. Moreover, caring for a person suspected of or affected by COVID-19 was associated with the use of gowns, SFM, and FFP masks in both settings.</p></div><div><h3>Discussion</h3><p>Intra-personal factors such as age, sex, professional qualification, or work experience did not seem to significantly influence the usage of PPE in these settings. Our study findings show that the efforts invested to keep healthcare staff and residents safe and healthy needed to start at an organisational level.</p></div><div><h3>Conclusions</h3><p>These findings highlight the need for adequate nursing management training, since this influences the provision of high-quality nursing care.</p></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"31 1","pages":"Pages 20-27"},"PeriodicalIF":1.5,"publicationDate":"2023-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1322769623000963/pdfft?md5=ab216910142f9f8ab3953c32a0dc4a56&pid=1-s2.0-S1322769623000963-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138576226","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}
CollegianPub Date : 2023-12-11DOI: 10.1016/j.colegn.2023.11.003
Rebekkah Middleton , Denise Edgar , Emma Radbron , Val Wilson
{"title":"Facilitator experiences of providing feedback of large quality and safety datasets to staff: A qualitative study","authors":"Rebekkah Middleton , Denise Edgar , Emma Radbron , Val Wilson","doi":"10.1016/j.colegn.2023.11.003","DOIUrl":"10.1016/j.colegn.2023.11.003","url":null,"abstract":"<div><h3>Background</h3><p>Positive safety cultures are imperative for patient and staff outcomes. For transformation to occur in healthcare safety cultures, data should be collected at clinical, professional, and system levels and staff provided with the opportunity to review and take action. Feedback of such data, specifically large datasets, can be both difficult and confronting for those giving and receiving the information. As such, facilitation is a critical element of the feedback process that can ensure context is understood by those receiving feedback, strengths of the findings are outlined, and actions are forthcoming in response to the data.</p></div><div><h3>Aim</h3><p>To explore facilitator experiences, perceptions, and strategies employed when delivering feedback of large safety culture datasets to teams in a Local Health District in NSW Australia.</p></div><div><h3>Methods</h3><p>An exploratory descriptive qualitative approach utilising thematic analysis.</p></div><div><h3>Findings</h3><p>Three themes relating to the purpose, processes, and outcomes of facilitated feedback.</p></div><div><h3>Discussion</h3><p>Exploration of the themes demonstrated that when feedback is delivered by skilled facilitators in person-centred ways, reflection and understanding data are encouraged and skills developed in others.</p></div><div><h3>Conclusion</h3><p>Facilitation promoted positive action by healthcare staff in response to their findings, and the process of feedback resulted in enhanced expertise for facilitators.</p></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"31 1","pages":"Pages 48-55"},"PeriodicalIF":1.5,"publicationDate":"2023-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1322769623001075/pdfft?md5=764be79c996f7d07ee97d622b2c5e02f&pid=1-s2.0-S1322769623001075-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138566085","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}
CollegianPub Date : 2023-12-06DOI: 10.1016/j.colegn.2023.10.004
Mary Mulcahy , Karen Tuqiri , Kathryne E. Hoban , Tracy Levett-Jones
{"title":"Dear Diary — Shining a light on the work of 200 nurses","authors":"Mary Mulcahy , Karen Tuqiri , Kathryne E. Hoban , Tracy Levett-Jones","doi":"10.1016/j.colegn.2023.10.004","DOIUrl":"10.1016/j.colegn.2023.10.004","url":null,"abstract":"<div><h3>Background</h3><p>To celebrate the 200th anniversary of the birth of Florence Nightingale, the World Health Assembly designated 2020 as the International Year of the Nurse and Midwife.</p></div><div><h3>Aim</h3><p>To celebrate this event, we aimed to collect and analyse 200 nurses’ personal accounts of a time when they made a meaningful difference to patient care and to compare the contemporary perspectives that emerged with those evident in Nightingale’s historical writings.</p></div><div><h3>Methods</h3><p>This project employed a narrative inquiry design with diary entries collected from nurses employed at one metropolitan hospital in Australia thematically analysed.</p></div><div><h3>Findings</h3><p><span>In total, 209 nurses from 46 clinical units representing a diverse range of roles and clinical specialties contributed to the project. Five overarching themes emerged from analysis: (1) compassionate practice; (2) person-centred care; (3) human connection; (4) patient safety; and (5) teamwork and </span>collaborative practice.</p></div><div><h3>Discussion and conclusion</h3><p>This project provided nurses with an opportunity to meaningfully reflect on their practice and to consider what matters most to them as they deliver care to patients and families. By mapping contemporary nursing practice to Nightingale’s writings, the findings highlight the historical legacy of nursing practice, provide a rich commentary on modern-day nursing, and illuminate nurses’ experiences of providing safe, high-quality, and compassionate patient care.</p></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"31 1","pages":"Pages 28-33"},"PeriodicalIF":1.5,"publicationDate":"2023-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138492636","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}