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Not just for surgeons: A qualitative exploration of the surgical consent process 不只是外科医生:对手术同意过程的定性探索
IF 1.5 4区 医学
Collegian Pub Date : 2023-11-22 DOI: 10.1016/j.colegn.2023.10.001
Therese M. Gardiner , Sharon Latimer , Jayne Hewitt , Brigid M. Gillespie
{"title":"Not just for surgeons: A qualitative exploration of the surgical consent process","authors":"Therese M. Gardiner ,&nbsp;Sharon Latimer ,&nbsp;Jayne Hewitt ,&nbsp;Brigid M. Gillespie","doi":"10.1016/j.colegn.2023.10.001","DOIUrl":"10.1016/j.colegn.2023.10.001","url":null,"abstract":"<div><h3>Background</h3><p>Obtaining consent for surgery is a legal requirement and a professional practice standard, but little is known about how nurses and other healthcare professionals (HCPs) engage with this process.</p></div><div><h3>Aim</h3><p>To describe operating room (OR) HCPs’ perceptions of consent processes for adult patients undergoing planned surgery at one health service.</p></div><div><h3>Methods</h3><p>A qualitative exploratory design and purposive maximum variation sampling relative to age, discipline, experience, and role, were used to ensure broad perspectives were gathered. Semi-structured interviews with 17 OR HCPs were conducted between April and May 2021.</p></div><div><h3>Findings</h3><p>Thematic analysis identified three themes: the HCPs’ role in verifying consent goes beyond the World Health Organization’s Surgical Safety Checklist, effective communication is crucial for obtaining and verifying consent, and day-of-surgery delays and errors are multi-factorial.</p></div><div><h3>Discussion</h3><p>Production pressures in surgery can compromise consent processes, undermine communication, and impact patient safety in the OR.</p></div><div><h3>Conclusion</h3><p>HCPs verify more items than the World Health Organization Surgical Safety Checklist, suggesting the checklist may not go far enough when verifying consent in surgery.</p></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"31 1","pages":"Pages 1-9"},"PeriodicalIF":1.5,"publicationDate":"2023-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S132276962300094X/pdfft?md5=d651b8e7f02cd6e776c1b888f39ac5a1&pid=1-s2.0-S132276962300094X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138494515","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}
引用次数: 0
A qualitative approach to exploring nurse practitioners’ provision of telehealth services during the COVID-19 pandemic in Australia 采用定性方法探讨澳大利亚 COVID-19 大流行期间执业护士提供远程保健服务的情况
IF 1.5 4区 医学
Collegian Pub Date : 2023-11-10 DOI: 10.1016/j.colegn.2023.10.002
Jane Currie , Julia Charalambous , Suzanne Williams , Amanda Fox , Olivia Hollingdrake
{"title":"A qualitative approach to exploring nurse practitioners’ provision of telehealth services during the COVID-19 pandemic in Australia","authors":"Jane Currie ,&nbsp;Julia Charalambous ,&nbsp;Suzanne Williams ,&nbsp;Amanda Fox ,&nbsp;Olivia Hollingdrake","doi":"10.1016/j.colegn.2023.10.002","DOIUrl":"10.1016/j.colegn.2023.10.002","url":null,"abstract":"<div><h3>Background</h3><p>In adapting to provide socially distanced healthcare during the COVID-19 pandemic, the Australian government encouraged the use of telehealth consultations in circumstances where face-to-face consultations could be avoided. For nurse practitioners, four telephone and four telehealth Medicare Benefit Schedule items were established.</p></div><div><h3>Aim</h3><p>To explore nurse practitioners' perspectives on their provision of telehealth services during the COVID-19 pandemic in Australia.</p></div><div><h3>Methods</h3><p>Semi-structured interviews were conducted with nurse practitioners (n = 16) recruited through snowball sampling. Interview data were analysed inductively (Phase 1) and deductively (Phase 2). Reported here in accordance with the Consolidated Criteria for Reporting Qualitative Research guideline.</p></div><div><h3>Findings</h3><p>Telehealth provided a viable alternative to in-person consultations during the pandemic, the most common reasons for presentations were medication prescriptions, provision of medical certificates, and management of chronic conditions. The priorities to include in programs to educationally prepare nurse practitioners to provide telehealth were knowledge of telehealth technology, systems and processes, patient assessment via telephone or video telehealth, limitations of scope of practice, and ensuring cultural safety.</p></div><div><h3>Discussion</h3><p>While the rapid transition to telehealth during COVID-19 was perceived to improve patient access to care, it was challenging to provide without having already established the systems and processes required, and without prior telehealth experience or education.</p></div><div><h3>Conclusions</h3><p>Since the height of the COVID-19 pandemic, telehealth has become an accepted means of operating for many healthcare services, including those provided by nurse practitioners. The findings suggest that the educational preparation of nurse practitioners to provide care via telephone or telehealth services is important and should be considered as part of the design of tertiary education leading to nurse practitioner endorsement in Australia.</p></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"31 1","pages":"Pages 10-19"},"PeriodicalIF":1.5,"publicationDate":"2023-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1322769623000951/pdfft?md5=de2e8a1b601946454ce131302f494ab2&pid=1-s2.0-S1322769623000951-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135614703","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}
引用次数: 0
“Only the Sufferer Knows”: Long-term problems and experiences of kidney transplant recipients: A phenomenological study “只有患者知道”:肾移植受者的长期问题和经历:现象学研究
IF 1.5 4区 医学
Collegian Pub Date : 2023-10-14 DOI: 10.1016/j.colegn.2023.09.004
Deniz Taşdemir , Büşra Nur Temür , Nilgün Aksoy
{"title":"“Only the Sufferer Knows”: Long-term problems and experiences of kidney transplant recipients: A phenomenological study","authors":"Deniz Taşdemir ,&nbsp;Büşra Nur Temür ,&nbsp;Nilgün Aksoy","doi":"10.1016/j.colegn.2023.09.004","DOIUrl":"10.1016/j.colegn.2023.09.004","url":null,"abstract":"<div><h3>Background</h3><p>Understanding the experiences of kidney transplant recipients is important to ensure their inclusion in key strategies and future planning of renal services.</p></div><div><h3>Aim</h3><p>To explore the long-term problems and experiences of adults who have had a kidney transplant due to end-stage kidney disease after discharge.</p></div><div><h3>Methods</h3><p>This was a descriptive phenomenological study. The data were collected through in-depth interviews. A personal information form and semi-structured interview guide were used in the interviews. The interviews were recorded using a voice recorder and conducted by adhering to the semi-structured interview guide. When data saturation was reached and no new information emerged, data collection was terminated after the 17th participant, whose responses were found to be repetitive. In this study, a descriptive phenomenological design and thematic analysis approach based on Husserl’s philosophy was used. The data analysis process was carried out independently by all researchers. Throughout this process, the researchers held regular meetings to discuss and compare the emerging findings. Individual, semi-structured, in-depth interviews were transcribed verbatim. The findings were analysed using Colaizzi's seven-step analysis.</p></div><div><h3>Results</h3><p><span>In total, 17 kidney transplant recipients (five women and 12 men) were included in the study. In the data analysis process, three main themes and 10 sub-themes were identified. Main themes: (i) problems experienced by kidney transplant recipients, (ii) inevitable fears, and (iii) situations that only individuals with kidney transplants can understand — “Only the Sufferer Knows”. Sub-themes: management of drug therapy, role–relationship management, permanent treatment responsibilities and burden, fear of rejection, fear of returning to </span>dialysis treatment, pervasive fear of routine examination results, significance of kidney transplant surgery, sense of gratitude towards the donor, being ‘sick’ in the eyes of others, and not being understood by others.</p></div><div><h3>Conclusion</h3><p>This study provides new insights into understanding the lives of post-transplant kidney transplant recipients. Renal healthcare professionals should focus on the psychological impact as much as the biological impact on recipients of kidney transplants.</p></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"30 6","pages":"Pages 835-842"},"PeriodicalIF":1.5,"publicationDate":"2023-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135762976","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Insights into the barriers and enablers faced by nurse/midwife clinician researchers in Australia 深入了解澳大利亚护士/助产士临床研究人员面临的障碍和促进因素
IF 1.5 4区 医学
Collegian Pub Date : 2023-10-11 DOI: 10.1016/j.colegn.2023.09.005
Caitlin M. Walsh , Claire M. Rickard , Karina R. Charles , Daner Ball , Jessica A. Schults
{"title":"Insights into the barriers and enablers faced by nurse/midwife clinician researchers in Australia","authors":"Caitlin M. Walsh ,&nbsp;Claire M. Rickard ,&nbsp;Karina R. Charles ,&nbsp;Daner Ball ,&nbsp;Jessica A. Schults","doi":"10.1016/j.colegn.2023.09.005","DOIUrl":"10.1016/j.colegn.2023.09.005","url":null,"abstract":"<div><h3>Background</h3><p>Clinician researchers are described as health professionals who conduct research and provide clinical care. Whilst this dual expertise is common in medicine and increasingly in allied health disciplines, fewer nurses and midwives are engaged in clinician researcher roles.</p></div><div><h3>Aim</h3><p>This study aimed to understand the barriers and enablers experienced by clinician researchers in nursing and midwifery in the Australian health systems.</p></div><div><h3>Methods</h3><p>Semi-structured interviews were conducted with current nurse or midwife clinician researchers in Australia. Participants were classified as clinician researchers if they were registered nurses or midwives currently practising clinically whilst concurrently engaged in research. Interview data were analysed using iterative thematic analysis. In total, 15 interviews were conducted.</p></div><div><h3>Findings</h3><p>Key themes identified included (i) perceived value; (ii) structural factors; and (iii) personal factors. Nurse and midwife clinician researchers reported feeling challenged by the absence of a clear career trajectory, and the constant undervaluing of nurse and midwife clinician researchers by health service leaders and peers.</p></div><div><h3>Discussion</h3><p>Barriers included insufficient funding, motivation, mentorship, and leadership support. Enablers included protected research time, leadership support, and capacity-building. Participants also proposed changes to support clinician researcher career progression. These suggestions were used to put forward evidence-based recommendations for such a pathway.</p></div><div><h3>Conclusion</h3><p>This study highlighted the need for a clearly articulated workforce model to support sustainable clinician researcher careers for nurses and midwives to overcome these barriers.</p></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"30 6","pages":"Pages 843-850"},"PeriodicalIF":1.5,"publicationDate":"2023-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1322769623000902/pdfft?md5=0bfd0f079f31b6fe9b758edd5c077701&pid=1-s2.0-S1322769623000902-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135662073","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}
引用次数: 0
Nurse–patient ratios and infection control practices: A cross-sectional study 护患比例和感染控制实践:一项横断面研究
IF 1.5 4区 医学
Collegian Pub Date : 2023-10-09 DOI: 10.1016/j.colegn.2023.09.003
Monika Tencic , Michael Anthony Roche
{"title":"Nurse–patient ratios and infection control practices: A cross-sectional study","authors":"Monika Tencic ,&nbsp;Michael Anthony Roche","doi":"10.1016/j.colegn.2023.09.003","DOIUrl":"10.1016/j.colegn.2023.09.003","url":null,"abstract":"<div><h3>Background</h3><p>Substantial research evidence supports the link between nurse staffing and patient outcomes. Low nurse staffing and high workloads have been linked to poor hand hygiene, ineffective equipment cleaning, and incorrect use of personal protective equipment (PPE), with potential outcomes of intravenous cannula infections, wound infections, urinary tract infections, and pneumonia. Research is limited regarding the impact of staffing models on specific infection control practices (ICP) such as wound dressing, oral hygiene, or patient education.</p></div><div><h3>Aim</h3><p>To describe nurses’ perceptions of the impact of nurse–patient ratios on ICP.</p></div><div><h3>Methods</h3><p>A cross-sectional survey using a questionnaire with items drawn from pertinent research was distributed via QR code. Data were collected from 51 nurses on 12 units in a large tertiary referral hospital where a minimum 1:4 patient ratio had been recently introduced. Analysis was comparative and descriptive.</p></div><div><h3>Findings</h3><p>Most participants were female registered nurses with less than 10 years’ experience in nursing. More than half had experienced a 1:4 ratio on their most recent shift. Nurses in this group indicated that they could complete infection control care in a timely manner, were more likely to provide infection control-related patient education, and had more time to communicate with the treating team about infection control matters. Hand hygiene and the use of PPE were not associated with the 1:4 staffing model.</p></div><div><h3>Discussion</h3><p>ICP included patient education, effective communication, and support appears to be strengthened by ratio staffing. These actions, together with more timely completion of activities such as oral hygiene and wound dressings, may significantly impact hospital-acquired infections and enhance patient safety.</p></div><div><h3>Conclusion</h3><p>ICP may be strengthened by staffing consistent with the 1:4 ratio framework. This suggests that ratio-based staffing can have an early and important impact on practice. Findings regarding foundational practices, teamwork, and team support warrant further investigation.</p></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"30 6","pages":"Pages 828-834"},"PeriodicalIF":1.5,"publicationDate":"2023-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1322769623000926/pdfft?md5=e1fb0dd9c626406b30f7238a9ef331aa&pid=1-s2.0-S1322769623000926-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135607301","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}
引用次数: 0
The mediating effect of job motivation on the relationship between career barriers and nurses’ turnover intention 工作动机在职业障碍与护士离职意向关系中的中介作用
IF 1.5 4区 医学
Collegian Pub Date : 2023-10-08 DOI: 10.1016/j.colegn.2023.09.002
Tuğba Yeşilyurt , Nilgün Göktepe , Şehrinaz Polat
{"title":"The mediating effect of job motivation on the relationship between career barriers and nurses’ turnover intention","authors":"Tuğba Yeşilyurt ,&nbsp;Nilgün Göktepe ,&nbsp;Şehrinaz Polat","doi":"10.1016/j.colegn.2023.09.002","DOIUrl":"10.1016/j.colegn.2023.09.002","url":null,"abstract":"<div><h3>Background</h3><p>Numerous organisational variables have been shown to be associated with nurse turnover, and evidence of the negative impact of nurse turnover on patients and healthcare organisations is accumulating. However, little is known about the impact of nurses' career barriers on nurses’ turnover intentions.</p></div><div><h3>Aim</h3><p>This study aimed to examine the effect of variables related to nurses’ sociodemographic and working characteristics, career barriers, and work motivation on turnover intentions, and reveal the mediating effect of job motivation on the relationship between career barriers on turnover intentions.</p></div><div><h3>Methods</h3><p>This cross-sectional study was conducted using an online questionnaire distributed among nurses working in university, private, and public hospitals in Turkey. The sample of the study consisted of 404 nurses, and the Demographic and Work-Related Variables Questionnaire, Career Barriers in Nursing Scale, Nurses Job Motivation Scale, and the Turnover Intention Scale were used for data collection. Descriptive statistics, Pearson correlation analysis, multiple-regression analysis, and mediating effect analysis with HAYES (Model 4) were used in data analysis.</p></div><div><h3>Findings</h3><p>The regression analysis determined that seven independent variables (type of hospital, duration of current hospital experience, choosing the profession willingly, satisfaction with career opportunities in the current hospital, having a career goal, career barriers, and job motivation) affected nurses’ turnover intention, and these variables explained 41% of the total variance. It was also found that job motivation has a mediating effect on the relationship between career barriers and turnover intention.</p></div><div><h3>Conclusion</h3><p>This study found that nurses’ turnover intentions were affected by variables such as career barriers, job motivation, and sociodemographic/working characteristics, with job motivation having a mediating effect on the relationship between career barriers and turnover intention. An additional finding was that as job motivation increases, turnover intention caused by career barriers decreases. It is important that managers and policymakers implement practices aimed at reducing career barriers and study the factors that increase nurses’ job motivation in order to maintain nurse retention.</p></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"30 6","pages":"Pages 821-827"},"PeriodicalIF":1.5,"publicationDate":"2023-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135607171","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Editorial — A ‘rural ready’ nursing workforce 社论-一支“农村就绪”的护理队伍
IF 1.5 4区 医学
Collegian Pub Date : 2023-10-07 DOI: 10.1016/j.colegn.2023.09.001
Leesa Hooker , Fiona C. Burgemeister , Jane Mills
{"title":"Editorial — A ‘rural ready’ nursing workforce","authors":"Leesa Hooker ,&nbsp;Fiona C. Burgemeister ,&nbsp;Jane Mills","doi":"10.1016/j.colegn.2023.09.001","DOIUrl":"10.1016/j.colegn.2023.09.001","url":null,"abstract":"","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"30 6","pages":"Pages 751-752"},"PeriodicalIF":1.5,"publicationDate":"2023-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135605807","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Elective day of surgery cancellations: A retrospective observational study 择期取消手术的一项回顾性观察研究
IF 1.5 4区 医学
Collegian Pub Date : 2023-10-01 DOI: 10.1016/j.colegn.2023.03.013
Imelda Chua , Jed Duff , Judy Munday
{"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}
引用次数: 0
Informing and developing professional practice: How international educational programs influence nurse and midwife professional practice 告知和发展专业实践:国际教育项目如何影响护士和助产士的专业实践
IF 1.5 4区 医学
Collegian Pub Date : 2023-10-01 DOI: 10.1016/j.colegn.2023.04.003
Jacqueline Johnston, Lisa McKenna, Gulzar Malik, Sonia Reisenhofer
{"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}
引用次数: 0
Patient experience of elective general surgery: An integrative review 选择性普外科手术的患者经验:一项综合回顾
IF 1.5 4区 医学
Collegian Pub Date : 2023-10-01 DOI: 10.1016/j.colegn.2023.08.002
Eva Bavin , Georgia Tobiano , Brigid M. Gillespie
{"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}
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