Collegian最新文献_第8页

Evaluation of a care bundle to support healthcare workers wearing N95 masks 支持医护人员佩戴N95口罩的护理包评估

IF 1.5 4区医学

Collegian Pub Date : 2023-10-01 DOI: 10.1016/j.colegn.2023.07.005

Hermione Shea , Kathren Puyk , Michelle Tuck , Marcus Kusiak , Jaspreet Sidhu , Tracey Bucknall

{"title":"Evaluation of a care bundle to support healthcare workers wearing N95 masks","authors":"Hermione Shea , Kathren Puyk , Michelle Tuck , Marcus Kusiak , Jaspreet Sidhu , 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}

引用次数: 0

Implementation of a structured revision program and the impact on final-year undergraduate nursing students’ preparedness for clinical placement: Mixed methods study 实施结构化复习课程及其对护理本科生最后一年临床实习准备的影响:混合方法研究

IF 1.5 4区医学

Collegian Pub Date : 2023-10-01 DOI: 10.1016/j.colegn.2023.08.006

Susan Irvine , Yu Hua Gong , Carmel Mcleod , Yangama Jokwiro , Beverley Copnell

{"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 , Yu Hua Gong , Carmel Mcleod , Yangama Jokwiro , 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}

引用次数: 0

Nurses’ perspectives on delays in care escalation in an acute private hospital 护士对急性私立医院护理升级延误的看法

IF 1.5 4区医学

Collegian Pub Date : 2023-10-01 DOI: 10.1016/j.colegn.2023.07.006

Suzie Noye , Koshila Kumar , Anastasia Hutchinson , Jane Willcox

{"title":"Nurses’ perspectives on delays in care escalation in an acute private hospital","authors":"Suzie Noye , Koshila Kumar , Anastasia Hutchinson , 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}

引用次数: 0

Tougher laws, too few prosecutions? A mixed methods study of nurses’ experiences regarding the reporting of occupational violence to the police 更严厉的法律，太少的起诉?护士向警方报告职业暴力经验的混合方法研究

IF 1.5 4区医学

Collegian Pub Date : 2023-10-01 DOI: 10.1016/j.colegn.2023.08.003

C.J. Cabilan , Chantelle Judge , Rachael Field , Rob Eley , Amy N.B. Johnston

{"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 , Chantelle Judge , Rachael Field , Rob Eley , 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}

引用次数: 0

A survey of Australian midwifery intravenous fluid management during induction of labour 澳大利亚助产士在引产期间静脉输液管理的调查

IF 1.5 4区医学

Collegian Pub Date : 2023-10-01 DOI: 10.1016/j.colegn.2023.07.003

Darren J. Lowen , Nicole Carlon , Russell Hodgson

{"title":"A survey of Australian midwifery intravenous fluid management during induction of labour","authors":"Darren J. Lowen , Nicole Carlon , 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}

引用次数: 0

Nursing and midwifery research priorities for an Australian health service: A priority-setting partnership approach 澳大利亚保健服务的护理和助产研究优先事项:确定优先事项的伙伴关系方法

IF 1.5 4区医学

Collegian Pub Date : 2023-10-01 DOI: 10.1016/j.colegn.2023.08.004

Carrie Janerka , Melissa Mellan , Robyn Wright , Fenella J. Gill , Gavin D. Leslie

{"title":"Nursing and midwifery research priorities for an Australian health service: A priority-setting partnership approach","authors":"Carrie Janerka , Melissa Mellan , Robyn Wright , Fenella J. Gill , 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}

引用次数: 0

A phenomenological study of the lived experience of clinicians transitioning into academic roles in Australian universities 现象学研究临床医生的生活经验过渡到学术角色在澳大利亚大学

IF 1.5 4区医学

Collegian Pub Date : 2023-10-01 DOI: 10.1016/j.colegn.2023.04.001

Dianne Stratton-Maher , Jennifer Kelly , Karen Livesay

{"title":"A phenomenological study of the lived experience of clinicians transitioning into academic roles in Australian universities","authors":"Dianne Stratton-Maher , Jennifer Kelly , 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}

引用次数: 0

Factors associated with family carers’ fall concern: Prospective study protocol 与家庭照顾者跌倒担忧相关的因素:前瞻性研究方案

IF 1.5 4区医学

Collegian Pub Date : 2023-10-01 DOI: 10.1016/j.colegn.2023.07.004

Seng Giap Marcus Ang , Rosemary Saunders , Chiew Jiat Rosalind Siah , Charlotte Foskett , Christopher Etherton-Beer , Karen Gullick , Melissa Dunham , Nicolette Sagaram , Rhea Rodriguez Tecson , Sue Haydon , Amanda Wilson

{"title":"Factors associated with family carers’ fall concern: Prospective study protocol","authors":"Seng Giap Marcus Ang , Rosemary Saunders , Chiew Jiat Rosalind Siah , Charlotte Foskett , Christopher Etherton-Beer , Karen Gullick , Melissa Dunham , Nicolette Sagaram , Rhea Rodriguez Tecson , Sue Haydon , Amanda Wilson","doi":"10.1016/j.colegn.2023.07.004","DOIUrl":"10.1016/j.colegn.2023.07.004","url":null,"abstract":"<div><h3>Background</h3><p>Family carers are important in preventing community-dwelling older people from falling. Family carers’ concerns about older people’s risk of falling could affect their own physical and psychological health, lifestyle, and burden of care. While there are many studies exploring factors associated with fear of falling among older people, there is no research on family carers’ fall concern of older people (care recipients) who are hospitalised.</p></div><div><h3>Aim</h3><p>This paper describes a prospective study protocol exploring the relationship of fall concern, psychological distress, and quality of life of family carers when their care recipient is hospitalised and after discharge.</p></div><div><h3>Methods</h3><p>The study will recruit 180 family carers and older people. Family carers providing support for an older person without cognitive impairment who has been admitted to a private metropolitan hospital in Western Australia and assessed to have a risk of falling will be included. Data will be collected using an interviewer-administered survey. All participants will complete the survey within 48 h before the patient’s discharge, follow-up one week later (only for family carers), and again 30 days after the patient is discharged. Data related to falls, fall concern, psychological distress, and quality of life will be obtained from family carers and care recipients.</p></div><div><h3>Discussion</h3><p>This study will provide deeper understanding about the factors affecting fall concern among family carers of older people during hospitalisation and after discharge. This will help healthcare professionals better support family carers to implement fall prevention strategies for older people whilst in hospital and in the community.</p></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"30 5","pages":"Pages 647-652"},"PeriodicalIF":1.5,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43886584","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

Factors associated with nursing practice for cancer patients using complementary and alternative medicine 癌症患者使用补充和替代药物的护理实践的相关因素

IF 1.5 4区医学

Collegian Pub Date : 2023-10-01 DOI: 10.1016/j.colegn.2023.08.001

Junko Kusunoki, Sumie Ikezaki, Tomoko Majima

{"title":"Factors associated with nursing practice for cancer patients using complementary and alternative medicine","authors":"Junko Kusunoki, Sumie Ikezaki, Tomoko Majima","doi":"10.1016/j.colegn.2023.08.001","DOIUrl":"10.1016/j.colegn.2023.08.001","url":null,"abstract":"<div><h3>Background</h3><p>The number of cancer patients using complementary and alternative medicine (CAM) is increasing worldwide. CAM is a holistic approach and has the potential to enrich patient lives both physically and mentally. Clarifying the factors associated with CAM-related nursing practice (CRNP) can help develop nursing that contributes to quality-of-life in cancer patients.</p></div><div><h3>Aim</h3><p>To quantitatively clarify the CRNP for cancer patients and the factors associated with CRNP.</p></div><div><h3>Methods</h3><p>A cross-sectional descriptive anonymous survey on 17 previously developed CRNPs was distributed to nurses working at cancer district hospitals in Japan. Nurses evaluated the CRNP items by a four-point Likert scale, and the total item mean score was compared among background variables by t-test and ANOVA.</p></div><div><h3>Findings</h3><p>In total, 451 valid responses were collated; 17 CRNP items were rated as agree/somewhat agree by over 49.6%. The most commonly practiced item was confirming with the primary physician before responding to patients about CAM use. Conversely, nurses failed to take on the role of explaining to patients the CAM-use decisions made by the healthcare team. CRNP scores were significantly higher for nurses with CAM-related learning experience (p = 0.001), nurses with advanced professional qualifications (p = 0.002), and nurses in occupational environments with good workplace communication (p = 0.043) or managers/colleagues with sound understanding of CAM (p = 0.001).</p></div><div><h3>Discussion</h3><p>Nurses should be aware that support for CAM use is an important issue that nurses can contribute to. Securing opportunities for CAM learning and deepening understanding of CAM throughout the workplace are useful in promoting further practice.</p></div><div><h3>Conclusion</h3><p>Nurses should deepen the understanding and value of CAM across their organisation to meet the needs of patients using CAM.</p></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"30 5","pages":"Pages 668-675"},"PeriodicalIF":1.5,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49398772","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

Voluntary assisted dying: A discussion of key legal issues for Australian nurses 自愿协助死亡：澳大利亚护士关键法律问题的讨论

IF 1.5 4区医学

Collegian Pub Date : 2023-10-01 DOI: 10.1016/j.colegn.2023.08.005

Lindy Willmott , Rachel Feeney , Katrine Del Villar , Patsy Yates , Ben White

{"title":"Voluntary assisted dying: A discussion of key legal issues for Australian nurses","authors":"Lindy Willmott , Rachel Feeney , Katrine Del Villar , Patsy Yates , Ben White","doi":"10.1016/j.colegn.2023.08.005","DOIUrl":"10.1016/j.colegn.2023.08.005","url":null,"abstract":"<div><h3>Background</h3><p>Voluntary assisted dying (VAD) laws have been passed in all Australian states and have commenced operation in Victoria, Western Australia, Tasmania, Queensland, and South Australia. Nurses have a significant role in caring for and supporting patients at the end of life, and it is likely that they will be impacted, at some point, by VAD practice. In some states, nurses who want to be involved in VAD and satisfy specified eligibility criteria will be able to administer the VAD medication to eligible patients. Given this, nurses should be familiar with relevant aspects of the VAD law in their jurisdiction.</p></div><div><h3>Aim</h3><p>This article explores implications of the VAD legislation for nurses. It seeks to clarify the role of nurses to promote practice consistent with their legal roles, obligations, and protections.</p></div><div><h3>Findings and discussion</h3><p>This article explores three key legal issues for nurses in relation to VAD: (i) conversations about VAD (including prohibition provisions), (ii) administration of VAD medication, and (iii) conscientious objections (and any associated obligations).</p></div><div><h3>Conclusion</h3><p>It is important that all nurses (not just those wishing to have a formal VAD role) have sound understanding of the VAD legislation in their jurisdiction (including legal obligations, protections, prohibitions, and offenses), so that they know what the law permits them to do in their practice.</p></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"30 5","pages":"Pages 701-707"},"PeriodicalIF":1.5,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41683114","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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