Collegian最新文献

{"title":"The impact of COVID-19 on clinical research at Australian and New Zealand universities: A qualitative study","authors":"Renu Bhutkar,&nbsp;Sarira El-Den,&nbsp;Claire L. O’Reilly,&nbsp;Jack C. Collins","doi":"10.1016/j.colegn.2023.05.002","DOIUrl":"10.1016/j.colegn.2023.05.002","url":null,"abstract":"<div><h3>Background</h3><p>The COVID-19 pandemic resulted in the implementation of social distancing measures, travel restrictions, and infection control measures that introduced a myriad of disruptions in the conduct of clinical research worldwide. As a result, many aspects of clinical research were variably impacted.</p></div><div><h3>Aim</h3><p>To explore the impact of the first 18 months of the COVID-19 pandemic on clinical research across accredited nursing, pharmacy, and medicine program providers in Australian and New Zealand universities.</p></div><div><h3>Methods</h3><p>Representatives from all program providers across Australian and New Zealand universities, with publicly available contact information, were invited to participate in this qualitative study, whereby semi-structured interviews were completed with participants who held senior research or leadership positions within their institution. Interviews were transcribed verbatim and inductively analysed using thematic content analysis.</p></div><div><h3>Findings</h3><p>Interviews were conducted with 16 participants between August and October 2021. Two major themes were identified (<em>Immediate Research Impact</em> and <em>Broader Research Impact</em>) with six subthemes: Prioritisation, Continuation, and Dissemination of Research; Modifications to Research; Funding and Changes to Research Focus; Collaboration; Research Workforce; Context-specific Impacts.</p></div><div><h3>Discussion</h3><p>The impact on clinical research in Australian and New Zealand universities included changes to data collection methods, a perceived decreased quality of research, changes to collaboration, neglect of basic disease research, and loss of the research workforce.</p></div><div><h3>Conclusion</h3><p>This study highlights the impact of the COVID-19 pandemic on clinical research within the Australian and New Zealand university context. Implications of these impacts should be considered to ensure long-term sustainability of research and preparedness for future disruptions.</p></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"30 4","pages":"Pages 612-619"},"PeriodicalIF":1.5,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10165013/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9718766","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":"Nurses’ education, knowledge and perceptions of peripheral intravenous catheter management: A web-based, cross-sectional survey","authors":"Debbie Massey ,&nbsp;Marie Cooke ,&nbsp;Gillian Ray-Barruel ,&nbsp;Nicole Marsh ,&nbsp;Amanda J. Ullman ,&nbsp;Alison Craswell ,&nbsp;Marianne Wallis","doi":"10.1016/j.colegn.2023.03.001","DOIUrl":"https://doi.org/10.1016/j.colegn.2023.03.001","url":null,"abstract":"<div><h3>Background</h3><p>Peripheral intravenous catheters (PIVCs) are the most used invasive medical device. Unfortunately, PIVCs fail for a variety of reasons and failure often results in serious adverse events leading to patient discomfort, infection, delays in treatment, increased healthcare costs, and even death. In Australia, qualified nurses assess, manage, and remove a PIVC as part of their clinical role. To date, no study has described the current state of knowledge and confidence (self-efficacy) about PIVCs from the perspectives of qualified nurses working in Australian hospital settings.</p></div><div><h3>Aims</h3><p>To describe the current state of knowledge and confidence (self-efficacy) about PIVC management from the perspectives of qualified nurses working in Australian hospital settings. To explore how these related to the education received by these nurses.</p></div><div><h3>Methods</h3><p>An online cross-sectional survey.</p></div><div><h3>Findings</h3><p>Qualified nurses in Australia thought that education about PIVCs was important and that it should be underpinned by evidence-based guidelines. Knowledge Test score for the sample was 12.4/17 (SD 2.1), this equates to a mean grade of 73.0%. Respondents reported very high levels of confidence about caring for a patient with a PIVC in situ.</p></div><div><h3>Conclusion</h3><p>Despite the frequent and increasing use of PIVCs and importantly the documented adverse events associated with poor assessment, management and inappropriate removal, qualified nurses’ knowledge and confidence remain poorly reported. We demonstrated fundamental gaps in qualified nurses’ knowledge in relation to assessment, management, and removal of PIVCs.</p></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"30 4","pages":"Pages 578-585"},"PeriodicalIF":1.5,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49708585","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":"Structural equation modelling of ethicomoral values and competence of nurses during the COVID-19 pandemic","authors":"Mohammed Hamdan Alshammari ,&nbsp;Rizal Angelo N. Grande ,&nbsp;Daniel Joseph E. Berdida","doi":"10.1016/j.colegn.2023.03.009","DOIUrl":"10.1016/j.colegn.2023.03.009","url":null,"abstract":"<div><h3>Background</h3><p>The COVID-19 pandemic is a global health crisis that affected nurses’ professional values and competence.</p></div><div><h3>Aim</h3><p>Our study examined the relationship between nurses’ professional values and competence in Saudi Arabia during the COVID-19 pandemic.</p></div><div><h3>Methods</h3><p>This study used a descriptive cross-sectional design with 748 nurses from Saudi Arabia. Two self-report instruments were used to collect data. Structural equation modelling was conducted to analyse the data.</p></div><div><h3>Findings</h3><p>The emerging model showed acceptable model-fit indices. Two dimensions of nurse professional values significantly affected professional competence: professionalism and activism. Professionalism significantly affected the other four facets (e.g., caring, activism, trust, and justice) of nurse professional values. The dimension of caring had a strong direct effect on activism. Justice had a moderate direct impact on trust, while activism had a weak direct impact on trust. Professionalism and caring had strong indirect effects on professional competence by mediating the dimension of activism.</p></div><div><h3>Discussion</h3><p>The study’s findings highlight the need for strategies to evaluate and strengthen the various areas of professional values to foster professional competence among nurses. Moreover, nurse administrators should encourage nurses to participate in continuing nursing education programs or provide in-service educational training to promote professional values and competence.</p></div><div><h3>Conclusion</h3><p>This study provides a structural model of the interaction between nurses’ professional values and competence during the pandemic. Nurse administrators can leverage the presented model to develop policies and strategies to evaluate and strengthen nurses’ professional values and competence.</p></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"30 4","pages":"Pages 513-520"},"PeriodicalIF":1.5,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10027944/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10074218","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":"Nurses’ perception of missed nursing care in a Western Australian teaching hospital: A cross-sectional study","authors":"Afia Achiaa Sarpong ,&nbsp;Diana Arabiat ,&nbsp;Lucy Gent ,&nbsp;Ebenezer Afrifa-Yamoah ,&nbsp;Amanda Towell-Barnard","doi":"10.1016/j.colegn.2023.05.005","DOIUrl":"10.1016/j.colegn.2023.05.005","url":null,"abstract":"<div><h3>Background</h3><p>Missed nursing care (MNC) has gained increasing emphasis in nursing literature because of its association with nurse and patient outcomes in healthcare settings. While missed care has been widely studied, little evidence is available on the types and frequency of missed care, reasons for its occurrence, and predictors of missed care in Western Australia.</p></div><div><h3>Aims</h3><p>To determine nurses’ perceptions of the types of MNC, reasons for missed care and to identify factors predicting missed care occurrence in Western Australian acute care settings.</p></div><div><h3>Methods</h3><p>A cross-sectional study in medical and surgical wards was performed. The nurse MISSCARE survey tool was used to capture self-reported types and reasons for missed care and level of nurse job satisfaction from a sample of 204 nurses working in 16 acute care wards. Data analyses were carried out in International Business Machines Corperation located in Armonk, New York United States (IBM SPSS Statistics) (v 29).</p></div><div><h3>Findings</h3><p>The most common perceived missed activities included ambulation (87%), patient teaching (79%), interdisciplinary conference attendance (78%), mouth care (78%), intake and output (77%), and patient turning (75%). Labour resources ranked highest for reasons for missed care followed by material resources and communication. Significant relationships were observed between missed care and job satisfaction, role satisfaction, and teamwork.</p></div><div><h3>Discussion</h3><p>Working overtime, job dissatisfaction, inadequate staffing, and heavy admissions and discharges were related to increased likelihood for missed care occurrence.</p></div><div><h3>Conclusion</h3><p>Although further studies examining the link between MNC and staffing methodologies are needed, this study provides evidence on nurse-reported missed care and the impact of missed care in Western Australia.</p></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"30 4","pages":"Pages 602-611"},"PeriodicalIF":1.5,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48777535","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":"Hospital service use in the last year of life by Indigenous Australians who died of heart failure or cardiomyopathy: A linked data study","authors":"Gursharan K. Singh ,&nbsp;Alison P. Bowers ,&nbsp;Caleb Ferguson ,&nbsp;Julee McDonagh ,&nbsp;Serra E. Ivynian ,&nbsp;Shirley Chambers ,&nbsp;Louise D. Hickman","doi":"10.1016/j.colegn.2023.03.002","DOIUrl":"10.1016/j.colegn.2023.03.002","url":null,"abstract":"<div><h3>Background</h3><p>Aboriginal and Torres Strait Islander peoples experience disproportionate rates of heart failure. However, information regarding their use of hospital services in the last year of life is poorly delineated to inform culturally appropriate end-of-life health services.</p></div><div><h3>Objectives</h3><p>To quantify hospital service use in the last year of life of Aboriginal and Torres Strait Islander peoples who died of heart failure or cardiomyopathy in Queensland, Australia.</p></div><div><h3>Methods</h3><p>A subgroup analysis of a larger retrospective linkage study using administrative health data in Queensland, Australia. Individuals that identified as an Aboriginal and Torres Strait Islander person from their first hospital admission in the last year of life, who died of heart failure or cardiomyopathy from 2008 to 2018, were included.</p></div><div><h3>Results</h3><p>There were 99 individuals, with emergency department presentation/s recorded for 85 individuals. Over 50% of individuals presenting to the Emergency Department were from regional areas (n = 43, 51%). The 99 individuals had a total of 472 hospital admissions, excluding same day admissions for haemodialysis, and 70% (n = 70) died in hospital. Most admissions were coded as acute care (n = 442, 94%), and fewer were coded as palliative care (n = 19, 4%). Median comorbidities or factors that led to hospital contact = 5 (interquartile range 3–9).</p></div><div><h3>Conclusion</h3><p>Acute care hospital admissions in the last year of life by this population are common for those who died of heart failure or cardiomyopathy. Multimorbidity is prevalent in the last year of life, underscoring the importance of primary health care, provided by nurses and Indigenous health workers.</p></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"30 4","pages":"Pages 571-577"},"PeriodicalIF":1.5,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42294276","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’ perceptions on the skills, knowledge, and attributes required to provide healthcare to people experiencing homelessness in Australia: A qualitative study","authors":"Jane Currie ,&nbsp;Lucy McWilliams ,&nbsp;Vijeta Venkataraman ,&nbsp;Martha Paisi ,&nbsp;Jill Shawe ,&nbsp;Anna Thornton ,&nbsp;Matthew Larkin ,&nbsp;Joanne Taylor ,&nbsp;Sandy Middleton","doi":"10.1016/j.colegn.2023.03.006","DOIUrl":"10.1016/j.colegn.2023.03.006","url":null,"abstract":"<div><h3>Background</h3><p>People experiencing homelessness have unmet healthcare needs often related to chronic health conditions and injury. Nurses are often the first and only point of contact for people experiencing homelessness accessing healthcare. However, education that prepares them to meet the needs of this vulnerable population is limited.</p></div><div><h3>Aim</h3><p>To qualitatively explore nurses’ perceptions on the skills, knowledge, and attributes required to provide healthcare to people experiencing homelessness in Australia that could underpin an educational pathway.</p></div><div><h3>Design</h3><p>Semi-structured interviews with registered nurses and nurse practitioners.</p></div><div><h3>Methods</h3><p>Participants of a national survey were invited to undertake an interview. Interview data were analysed thematically and reported here in accordance with the Consolidated Criteria for Reporting Qualitative Research guidelines.</p></div><div><h3>Findings</h3><p>The registered nurses (n = 11) and nurse practitioners (n = 6) had varying levels of experience providing care for homeless Australians. Overarching themes that arose from the registered nurse and nurse practitioner participants included equitable access to care, knowledge around homelessness, contribution of nursing, and nurses’ role. However, nurse practitioners had a greater sense of agency and empowerment to enact care, while registered nurses perceived being underprepared and overwhelmed by the unmet needs of people experiencing homelessness.</p></div><div><h3>Conclusions</h3><p>The findings suggest that nursing practice holds opportunities to improve access and care provision for people experiencing homelessness. Capitalising on these opportunities requires that nurses are educationally prepared with the skills, knowledge, and attributes to meet the needs of this vulnerable population without necessarily becoming nurse practitioners. These findings will be used to underpin the development of an educational pathway for nurses to enhance their response to homeless populations.</p></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"30 4","pages":"Pages 539-547"},"PeriodicalIF":1.5,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43192555","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’ perceptions of the skills, knowledge and attributes required to optimise scope of practice and improve access to care for people experiencing homelessness in Australia: A cross-sectional study","authors":"Jane Currie ,&nbsp;Lucy McWilliams ,&nbsp;Martha Paisi ,&nbsp;Jill Shawe ,&nbsp;Anna Thornton ,&nbsp;Matthew Larkin ,&nbsp;Joanne Taylor ,&nbsp;Sandy Middleton","doi":"10.1016/j.colegn.2023.02.002","DOIUrl":"10.1016/j.colegn.2023.02.002","url":null,"abstract":"<div><h3>Background</h3><p>People experiencing homelessness are less likely to access healthcare, particularly primary and preventive care. Nurses are well placed to improve access to healthcare for this vulnerable population.</p></div><div><h3>Aim</h3><p>To explore nurses’ perceptions of the skills, knowledge and attributes required to optimise scope of practice and improve access to healthcare for people experiencing homelessness, to underpin an education framework.</p></div><div><h3>Design</h3><p>A cross-sectional national survey of nurses in Australia.</p></div><div><h3>Methods</h3><p>Part of a larger study, a 222-item electronic survey was disseminated via social media and nursing colleges and associations. Participants rated the level of priority of specific skills knowledge and attributes to optimise nurses’ scope of practice and improve access to care for people experiencing homelessness. Quantitative data were analysed descriptively and qualitative data thematically.</p></div><div><h3>Findings</h3><p>The final analysis comprised n = 67 surveys. Participants were registered nurses (n = 54), nurse practitioners (n = 12) and one enrolled nurse. Items rated as highest priority and used in practice to optimise access to care were interpersonal attributes (n = 66.5, 99%), diagnosing presenting complaints (n = 64, 95%) and interpreting diagnostic test results (n = 63, 93%). Organisationally, support from colleagues (n = 58, 87%), managers (n = 57, 85%) and clear clinical guidelines (n = 46, 69%) are reportedly important. Most participants stated willingness to undertake further education in the care of people experiencing homelessness (93%, n = 62).</p></div><div><h3>Conclusion</h3><p>In developing a nursing education framework to optimise nurses’ scope of practice and improve access to care for people experiencing homelessness, the findings suggest that interpersonal skills, diagnosis and treatment are priority topics.</p></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"30 4","pages":"Pages 586-594"},"PeriodicalIF":1.5,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45699244","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":"Long-acting reversible contraception prescribing coverage by nurse practitioners and midwives in Australia","authors":"Sharon James ,&nbsp;Aline Kunnel ,&nbsp;Jane Tomnay ,&nbsp;Danielle Mazza ,&nbsp;Luke Grzeskowiak","doi":"10.1016/j.colegn.2023.04.004","DOIUrl":"10.1016/j.colegn.2023.04.004","url":null,"abstract":"<div><h3>Background</h3><p>Expanded patient access to long-acting reversible contraception (LARC) is needed to support patient choice and access to efficacious forms of contraception. Little is known about nurse practitioner (NP) and midwife LARC prescribing.</p></div><div><h3>Aims</h3><p>To examine LARC prescribing by NPs and midwives in Australia.</p></div><div><h3>Methods</h3><p>A cross-sectional study of Australian Pharmaceutical Benefits Scheme dispensing data from 2018 to 2021 for females aged 15–54. Age‐standardised rates were calculated by state, remoteness area, and level 3 statistical areas (SA3s).</p></div><div><h3>Findings</h3><p>Despite a 1.6 fold increase since 2018, NPs and midwives accounted for 0.82 % (n = 2184) of prescriptions for LARC dispensed in 2021. The percentage of services in 2021 was greater in outer regional (2.21 %) and lowest in major cities (0.68 %) and was higher for the implant (0.92 %) compared with the hormonal intrauterine device (0.76 %). The proportion of total SA3s where a NP/midwife prescribed LARC increased from 23.35 % in 2018 to 29.94 % in 2021. NP/midwife LARC prescribing was highest in outer regional (42.6 %) and lowest in remote areas (18.8 %). When stratified by state/territory, coverage of SA3s was highest in Australian Capital Territory (50.0 %) and lowest in the Northern Territory (11.1 %).</p></div><div><h3>Discussion and conclusion</h3><p>Our findings suggest that whilst there has been an increase in NP and midwife LARC prescribing, the overall rate remains low and coverage across Australia appears fragmented. NPs and midwives are well placed to enhance women’s access to efficacious forms of contraception, but this requires future efforts to identify and address critical barriers (e.g. legislative, funding, training) to service provision.</p></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"30 4","pages":"Pages 627-632"},"PeriodicalIF":1.5,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49300241","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":"Exploring assessment policies for clinical practice: A scoping review of the literature","authors":"Lynda J. Hughes ,&nbsp;Amy N.B. Johnston ,&nbsp;Jacqueline H. Byrne ,&nbsp;Debbie Massey","doi":"10.1016/j.colegn.2023.03.007","DOIUrl":"10.1016/j.colegn.2023.03.007","url":null,"abstract":"<div><h3>Background</h3><p>Assessment of pre-registration nursing students in clinical practice is an essential process, ensuring students who graduate meet standards for practice and competently and safely care for patients under their care. However, such assessment remains challenging for individuals and organisations.</p></div><div><h3>Aim</h3><p>We aimed to investigate what is known about the application of clinical placement assessment policies guiding pre-registration nursing programmes.</p></div><div><h3>Methods</h3><p>Arskey and O’Malley’s five-stage method for scoping reviews was employed. Health and education databases were searched in July 2020 and December 2021. Identified papers were screened. The Joanna Briggs Institute’s critical appraisal tools were used to appraise the quality of the included articles. The Invitational Theory domains of people, processes, programmes, places, and policies were utilised to aid meaningful analysis of the findings.</p></div><div><h3>Findings</h3><p>Nineteen articles were appraised: eleven primary data studies, two that psychometrically tested a survey instrument, four discussion articles, and two literature reviews. Article quality varied widely. Three themes were identified: lack of processes around clinical practice, people and clinical practice, and policies and clinical practice.</p></div><div><h3>Discussion</h3><p>Assessment within placement is complex and unique. Uncertainty permeates the literature around assessment of pre-registration students in clinical practice. There is a clear need to promote policies that highlight differences between theoretical and practice assessment, ensuring all stakeholders can access relevant governance processes that support patient safety.</p></div><div><h3>Conclusion</h3><p>More empirical evidence is needed to develop policies and processes that reduce uncertainty and improve patient safety associated with student assessment within clinical placements.</p></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"30 4","pages":"Pages 530-538"},"PeriodicalIF":1.5,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46270466","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 nurse practitioner’s views on registered nurse prescribing in Australia — Conflicted perspectives","authors":"Amanda Fox ,&nbsp;Raymond Javan Chan ,&nbsp;Fiona Crawford-Williams ,&nbsp;Suzanne Williams ,&nbsp;Jane Currie ,&nbsp;Carla Thamm","doi":"10.1016/j.colegn.2023.04.005","DOIUrl":"10.1016/j.colegn.2023.04.005","url":null,"abstract":"<div><h3>Background</h3><p>The Nursing and Midwifery Board of Australia has proposed a standard of practice that enables registered nurses (RNs) to prescribe under a partnership model. This requires extensive input and support from authorised prescribers including nurse practitioners. Understanding nurse practitioners’ views and preparedness to support partnership nurse prescribing is imperative to its successful adoption.</p></div><div><h3>Aim</h3><p>To report Australian nurse practitioners’ views on the RN-prescribing standard.</p></div><div><h3>Methods</h3><p>This cross-sectional study surveyed a convenience sample of nurse practitioners using multiple-choice, Likert Scale and open-text responses. Quantitative data were analysed using descriptive statistics; short answer responses were explored thematically.</p></div><div><h3>Findings</h3><p>The majority of the 229 participants (n = 183, 76.2%) agreed that prescribing would optimise RN knowledge, skills, and capability. Mentorship was the highest-rated enabling factor (n = 205, 89.5%). Three themes were identified: the lived experience of nurse practitioners, perceived impact on nurse practitioner roles, and patient safety.</p></div><div><h3>Discussion</h3><p>Participant views were conflicted. While the potential advantages for patients, RNs, and the healthcare system were acknowledged, there was equal concern for the implementation of nurse prescribing, role ambiguity, and erosion and patient safety. Nurse practitioners’ support for RN prescribing will be an important component of implementation.</p></div><div><h3>Conclusion</h3><p>RN prescribing is an opportunity to potentially improve consumer access to medicines and enhance healthcare system efficiency. It is also an opportunity for the nursing profession to contribute to improved systems of care while embedding succession planning for advanced practice nursing roles.</p></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"30 4","pages":"Pages 620-626"},"PeriodicalIF":1.5,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48642633","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}