Collegian最新文献

{"title":"Practice standards for Australian cardiovascular nurses: An electronic Delphi study","authors":"Jacqueline Colgan ,&nbsp;Patricia Irene Bromley ,&nbsp;Dawn McIvor ,&nbsp;Ross Proctor ,&nbsp;Melanie Greenwood","doi":"10.1016/j.colegn.2023.03.003","DOIUrl":"10.1016/j.colegn.2023.03.003","url":null,"abstract":"<div><h3>Background</h3><p>Professional standards for nurse practice protect the public and define the scope of nursing broadly and in specialty areas. Nurses encounter patients with cardiovascular disease in a variety of clinical contexts, and specialty practice standards have the potential to articulate the scope and role expectations for nurses caring for this population. Practice standards and role expectations for nurses caring for cardiovascular patients in Australia were developed through electronic Delphi (eDelphi) technique.</p></div><div><h3>Aim</h3><p>To present the development of practice standards and role expectations for Australian cardiovascular nurses.</p></div><div><h3>Methods</h3><p>Three-round eDelphi survey with experts from a broad range of contexts who identified as cardiovascular nurses to reach a consensus on the Practice Standards for Australian Cardiovascular Nurses. External stakeholder agreement was also sought on the final version prior to publication.</p></div><div><h3>Findings</h3><p>Three domains were identified: Clinical Care, Cultural Safety, and Person-Centred Care, and Leadership and Teamwork, and their supporting elements. Role expectations reflected the varied context and scope of practice.</p></div><div><h3>Discussion</h3><p>These standards describe the scope of cardiovascular nursing practice regardless of context. Underpinning the standards is the recognition of person-centred care and cultural safety. The standards provide a framework for professional recognition, support the delivery of patient care, and may be used to aid curriculum development in cardiovascular nursing education.</p></div><div><h3>Conclusion</h3><p>The eDelphi technique and external stakeholder agreement validated the expected capability of nurses involved in the assessment, management, and evaluation of care for the cardiovascular patient. The standards and role expectations reflect the various contexts where care for the cardiovascular patient occurs.</p></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"30 4","pages":"Pages 565-570"},"PeriodicalIF":1.5,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44358538","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":"The sleeping giant - Nurses’ professional principal practice in managing sleep health and sleep disorders in Australia and New Zealand: A cross-sectional study","authors":"Catherine Buchan ,&nbsp;Sally Powell ,&nbsp;Nicole Grivell ,&nbsp;Darren O’Brien ,&nbsp;Christopher J. Gordon","doi":"10.1016/j.colegn.2023.03.004","DOIUrl":"10.1016/j.colegn.2023.03.004","url":null,"abstract":"<div><h3>Background</h3><p>The current practices and roles of nurses working extensively in sleep health that manage people with sleep health problems are poorly described and unclear. To our knowledge, there is no global data, and as nurses are the largest healthcare workforce, it is important to understand the roles and practices of nurses involved in sleep health. The aim of this study was to understand the roles, practices, and educational credentials of nurses involved in sleep health in Australia and New Zealand.</p></div><div><h3>Methods</h3><p>A sleep nursing workforce survey was developed, consisting of 35 questions. The survey was distributed through the <em>Australasian Sleep Association</em>, the peak scientific and professional association of sleep health in Australia and New Zealand. Data were analysed using descriptive statistics.</p></div><div><h3>Results</h3><p>In total, 100 participants (Australia, 72%; New Zealand, 28%) completed the survey. The majority of the participants were aged between 40 and 69 years and 79% had a Bachelor’s degree education or higher, had approximately 7 years’ experience in sleep health, and most worked in hospital settings (55%). Nurses spent considerable time involved in direct patient care; undertaking a range of sleep-specific clinical, scientific, and research roles. The more experienced nurses had higher levels of sleep-related education (<em>p</em> = 0.034).</p></div><div><h3>Conclusions</h3><p>This study is the first to characterise the sleep nurse workforce engaged in sleep health in Australia and New Zealand. Our findings show that the nurses working principally in clinical sleep practice have high experience levels and intend remaining in these positions. We propose that educational programs, creating clinical standards for sleep nurses and forging professional practice domains, would be beneficial.</p></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"30 4","pages":"Pages 557-564"},"PeriodicalIF":1.5,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47685939","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":"Eating and drinking-related care for persons with advanced dementia in long-term care","authors":"Tim Luckett ,&nbsp;Dimity Pond ,&nbsp;Geoffrey Mitchell ,&nbsp;Lynnette Chenoweth ,&nbsp;Ingrid Amgarth-Duff ,&nbsp;Domenica Disalvo ,&nbsp;Jane Louise Phillips ,&nbsp;Elizabeth Beattie ,&nbsp;Patricia Mary Davidson ,&nbsp;Georgina Luscombe ,&nbsp;Stephen Goodall ,&nbsp;Meera Agar","doi":"10.1016/j.colegn.2023.03.005","DOIUrl":"10.1016/j.colegn.2023.03.005","url":null,"abstract":"<div><h3>Background</h3><p>Advanced dementia is a life-limiting illness that requires a palliative approach to care. Decline in eating/drinking represents a milestone in progression that warrants decision-making and planning of care. In long-term care (LTC), this is best conducted via family case conferences.</p></div><div><h3>Aim</h3><p>To explore decision-making and planning regarding eating/drinking-related care in case conferences for persons with advanced dementia in LTC to inform future practice.</p></div><div><h3>Methods</h3><p>A qualitative approach was taken, using observation of audio-recorded case conferences. Case conferences were conducted in 6 LTC facilities within the intervention arm of a cluster randomized controlled trial. Participants were LTC personnel, doctors, and families of persons with advanced dementia. Content was analysed for eating/drinking-related goals of care and the degree to which decision-making was shared.</p></div><div><h3>Findings</h3><p>Thirty-two case conferences considered eating/drinking-related care. The goals included nutrition, hydration, weight gain and maintenance, food enjoyment, social interaction, and independence. Key considerations included secondary health issues impacting comfort, and tensions between food enjoyment versus nutrition and risk of aspiration. While families contributed essential information about eating/drinking history, sometimes decision-making was dominated by professionals and overlooked overall goals of care.</p></div><div><h3>Discussion</h3><p>Shared decision-making regarding eating/drinking-related care for persons with advanced dementia in LTC should start with consensus on overall goals of care and include contributions to quality of life as well as risks. Family involvement should be supported beyond information-giving.</p></div><div><h3>Conclusion</h3><p>Future studies are needed to identify the most sensitive and understandable ways for families of discussing eating/drinking-related decline in dementia.</p></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"30 4","pages":"Pages 548-556"},"PeriodicalIF":1.5,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47547370","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 qualitative-based evaluation of the impact of participating in a social media-based foot self-management program among people with diabetes","authors":"Helen Ngozichukwuka Obilor ,&nbsp;Tom Weisz ,&nbsp;Mariam Botros ,&nbsp;Rosemary Wilson ,&nbsp;Joan Tranmer ,&nbsp;Kevin Woo","doi":"10.1016/j.colegn.2023.07.001","DOIUrl":"10.1016/j.colegn.2023.07.001","url":null,"abstract":"<div><h3>Background</h3><p>The rising prevalence of diabetes, along with continued challenges associated with diabetes self-management, including foot self-care activities critical to reducing the incidence of diabetic foot ulcers among people with diabetes (PWD), calls for an alternative approach to diabetes self-management education and support (SMES) programs.</p></div><div><h3>Aim</h3><p>This study aimed to explore PWD’s experience of participating in a social media-based foot SMES program tagged Diabetic Foot Care Group (DFCG) and their perspective on how the program changed their foot self-care practices.</p></div><div><h3>Methods</h3><p>This qualitative-based summative evaluation study involved content analysis of transcripts from telephone interviews about PWD’s current foot self-care practices, change process, likes/dislikes, preferences, and recommendations three months after participating in DFCG.</p></div><div><h3>Findings</h3><p>The participants had a positive experience in DFCG and reported improved foot self-care practices. Five themes emerged to describe how DFCG helped participants change their foot self-care practice — in-depth knowledge, perceived susceptibility, sense-making, informed decision, and self-motivation. Most participants preferred an online program like DFCG to an in-person program. Participants’ recommendations include increasing individual access to DFCG, integrating virtual group meetings, increasing participants’ engagement, framing posts more positively, and ensuring program continuity.</p></div><div><h3>Discussion</h3><p>DFCG content and structure facilitated cognitive processes that activated PWD to discern the reality of their diabetic foot risks, take ownership of their health, and become committed to practicing the required foot self-care activities.</p></div><div><h3>Conclusion</h3><p>The findings of this study indicate the potential of a social media-based SMES program in promoting healthy foot self-care practices among PWD.</p></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"30 6","pages":"Pages 812-820"},"PeriodicalIF":1.5,"publicationDate":"2023-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48006711","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 the SPHERE Nursing and Midwifery Clinician Researcher Career Pathway: A qualitative study","authors":"Maree Johnson ,&nbsp;Caleb Ferguson ,&nbsp;Anna Thornton ,&nbsp;Joylynn Israel ,&nbsp;Marilyn Cruickshank ,&nbsp;Debono Deboroah ,&nbsp;Ritin Fernandez ,&nbsp;Margaret Fry ,&nbsp;Louise D Hickman ,&nbsp;Annmarie Hosie ,&nbsp;Sally C Inglis ,&nbsp;Gemma McErlean ,&nbsp;Elizabeth McInnes ,&nbsp;Lin Perry ,&nbsp;Suzanne Sheppard-Law ,&nbsp;Rochelle Wynne ,&nbsp;Mark Parsons ,&nbsp;Sandy Middleton","doi":"10.1016/j.colegn.2023.06.002","DOIUrl":"10.1016/j.colegn.2023.06.002","url":null,"abstract":"<div><h3>Background</h3><p>There is an urgent need to increase the research capability and capacity within the nursing and midwifery workforce, to underpin evidence-based care.</p></div><div><h3>Aim</h3><p>To explore the perceptions of nursing service leaders and academics of the Sydney Partnership for Health, Education, Research and Enterprise (SPHERE) Nursing and Midwifery Clinician Researcher Career Pathway for acceptability and utility.</p></div><div><h3>Methods</h3><p>Using a qualitative descriptive design, data were collected via an online focus group and one individual semi-structured interview. Content and thematic analyses were undertaken.</p></div><div><h3>Findings</h3><p>Data from 22 participants were included in the analyses. Most participants were female (82%), employed within Local Health Districts (LHDs) (29%), universities (24%), and both LHD and university (47%). There was strong support for the SPHERE Nursing and Midwifery Clinician Researcher Career Pathway. Four major themes were identified: (ⅰ) Current disintegration of the clinician researcher role, (ⅱ) Implementation, (ⅲ) Balancing a clinical and research role: need for protected time, and (ⅳ) Reintegration of the clinician researcher role: growing and stabilising a generation of clinician researchers.</p></div><div><h3>Discussion</h3><p>The SPHERE Nursing and Midwifery Clinician Researcher Career Pathway provides a unique opportunity to develop and sustain the future generation of clinician researchers. To succeed, changes to existing perceptions of clinicians, other health professionals, managers, and consumers are required. Leadership, appropriate language and messaging, and a shared vision is required from a unified professional voice. Protected research time remains the greatest challenge, requiring creative solutions that acknowledge diverse models of care.</p></div><div><h3>Conclusion</h3><p>The SPHERE Nursing and Midwifery Clinician Researcher Pathway provides a vision for the reintegration of the role of clinician and researcher within Australian health services, which may take a generation to transform health service research culture.</p></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"30 6","pages":"Pages 795-804"},"PeriodicalIF":1.5,"publicationDate":"2023-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1322769623000616/pdfft?md5=df365445e5588d09132890edeb4b8f52&pid=1-s2.0-S1322769623000616-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44949111","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":"Unintended pregnancy prevention and care — Pivotal but passed over in curriculum: A descriptive cross-sectional survey of nursing and midwifery faculty","authors":"Sandra G. Downing ,&nbsp;Mary-Claire Balnaves ,&nbsp;Lydia Mainey ,&nbsp;Jemma King ,&nbsp;Ann Peacock ,&nbsp;Joyce Cappiello ,&nbsp;Lisa Peberdy ,&nbsp;Judith Dean","doi":"10.1016/j.colegn.2023.06.003","DOIUrl":"10.1016/j.colegn.2023.06.003","url":null,"abstract":"<div><h3>Background</h3><p>Nurses and midwives are well placed to support the one-in-four Australian women who experience an unintended pregnancy. However, these clinicians may not possess the knowledge and skills to provide high-quality unintended pregnancy prevention and care (UPPC). Research is needed to evaluate the coverage of this topic in the entry to practice nursing and midwifery curricula.</p></div><div><h3>Aim</h3><p>To explore, from the educator’s perspective, what UPPC content is delivered as part of Australian entry to practice nursing and midwifery curricula.</p></div><div><h3>Methods</h3><p>A descriptive cross-sectional survey was conducted using an instrument adapted from Hewitt and Cappiello’s essential nursing education competencies for prevention and care related to unintended pregnancy. Nursing and midwifery faculty members from Australian institutions offering entry to practice programs were eligible to participate.</p></div><div><h3>Results</h3><p>Forty-four people representing all jurisdictions, except Tasmania, participated. Ninety-five percent of respondents (95%) agreed that nursing and midwifery students should be taught UPPC content. However, only 3 of the 29 identified competencies associated with this content, anatomy and physiology, communication skills, and health history taking, were identified as core curriculum.</p></div><div><h3>Conclusion</h3><p>Nursing and midwifery faculty believe UPPC content should be taught in entry to practice programs, however, it is poorly and inconsistently covered. Ensuring graduates have the knowledge and skills to provide appropriate care in this field will require a review of the current nursing and midwifery practice standards and an increase in related clinical and classroom hours.</p></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"30 6","pages":"Pages 805-811"},"PeriodicalIF":1.5,"publicationDate":"2023-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S132276962300063X/pdfft?md5=2c55262632820fdc6493255cb3c0f8c8&pid=1-s2.0-S132276962300063X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41449515","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":"Consumer perspectives of quality care: Exploring patient journeys from remote primary healthcare clinics to Alice Springs Hospital","authors":"Emslie Lankin ,&nbsp;Amanda Graf ,&nbsp;Rebecca Schultz ,&nbsp;Richard Johnson ,&nbsp;Kylie McCullough","doi":"10.1016/j.colegn.2023.05.003","DOIUrl":"10.1016/j.colegn.2023.05.003","url":null,"abstract":"<div><h3>Problem or background</h3><p>Residents of Australia’s remote regions have lower life expectancies and poorer health outcomes than other Australians. Access to hospital and specialist care frequently requires transport via road or air and time spent away from family and community.</p></div><div><h3>Question, hypothesis or aim</h3><p>To explore consumer perspectives of the journey from remote communities to regional health services and identify areas for improvement.</p></div><div><h3>Methods</h3><p>Individual interviews (n = 16) and yarning circles were used to collect and interpret stories of patient’s journeys.</p></div><div><h3>Findings</h3><p>Travel for medical care was common and often required multiple journeys. Complex social and financial barriers to accessing care included costs associated with travel, food, and accommodation for patients and their families, a lack of understanding of the process and requirements of retrieval, difficulty arranging own road transport, and lack of availability of services within the community. These barriers extend to difficulties in attending follow-up outpatient appointments and return to the community after a journey to the hospital.</p></div><div><h3>Discussion</h3><p>Educational resources may also be used to describe the retrieval process to remote community members to demystify acute health care in Central Australia but also to express the health service commitment to quality improvement through consumer voice. These resources may be used to orientate new health service employees to patient experiences and perspectives so that these can be incorporated into care planning to enhance cross-cultural understanding.</p></div><div><h3>Conclusion</h3><p>Travel to access healthcare is an essential component of health services for remote communities. Targeted education for residents on travel expectations and education for staff may significantly reduce barriers to healthcare access.</p></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"30 6","pages":"Pages 762-768"},"PeriodicalIF":1.5,"publicationDate":"2023-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1322769623000501/pdfft?md5=2fa06f26aadb5a4f20e4cf65c4e9f7a3&pid=1-s2.0-S1322769623000501-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44111557","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":"Nurse migration to Australia: Past, present, and future","authors":"Princess Villamin ,&nbsp;Violeta Lopez ,&nbsp;Deependra Kaji Thapa ,&nbsp;Michelle Cleary","doi":"10.1016/j.colegn.2023.05.001","DOIUrl":"10.1016/j.colegn.2023.05.001","url":null,"abstract":"<div><h3>Background</h3><p>One way that the nursing shortage in Australia is being addressed is by supplementing the workforce with an intake of migrant nurses through the Skilled Migration Program. The ongoing shortage, despite the continuous immigration of nurses, poses an issue in light of the increasing global mobility of healthcare workers, which may exacerbate the global demand–supply inequities.</p></div><div><h3>Aim</h3><p>To describe nurse migration to Australia and related aspects, and its implications in the context of the nursing shortage and workforce retention. Understanding skilled migration allows a discussion on possible strategies that may contribute to migrant retention and improve future workforce planning.</p></div><div><h3>Methods</h3><p>A discussion paper.</p></div><div><h3>Findings</h3><p>The skilled migration of nurses to Australia has been crucial in supplementing the workforce. The continuous reforms on the Skilled Migration Program and related processes may have a flow-on effect on the source countries of migrant nurses to Australia.</p></div><div><h3>Discussion</h3><p>Viewing skilled migration to Australia, in consideration of the source country's perspective may shed light on implications for retention. Individualised studies may help policymakers and organisations determine targeted rather than universal strategies aimed at better transition, adaptation, and, ultimately, retention.</p></div><div><h3>Conclusion</h3><p>An understanding of migrant nurses and the implementation of retention practices based on cultural and migration background may maximise their participation in the workforce until the number of domestic graduates and retention of the current workforce balances the supply and demand of nurses. It is essential for the Government to monitor and manage its migrant nursing workforce to ensure that the Skilled Migration Program remains effective at meeting occupational shortages.</p></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"30 6","pages":"Pages 753-761"},"PeriodicalIF":1.5,"publicationDate":"2023-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41978936","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":"Queensland Adult Deterioration Detection System observation chart diagnostic accuracy in detecting patient deterioration: A retrospective case–control study","authors":"Tracy Flenady ,&nbsp;Trudy Dwyer ,&nbsp;Tania Signal ,&nbsp;Cailem Murray-Boyle ,&nbsp;Danielle Le Lagadec ,&nbsp;Julie Kahl ,&nbsp;Matthew Browne","doi":"10.1016/j.colegn.2023.05.006","DOIUrl":"10.1016/j.colegn.2023.05.006","url":null,"abstract":"<div><h3>Background</h3><p>Queensland Adult Deterioration Detection System (Q-ADDS) is the acute-care vital sign observation chart used widely throughout Queensland, Australia. The diagnostic accuracy of the chart in detecting patient deterioration is unknown.</p></div><div><h3>Aim</h3><p>This study aims to assess how accurately the Q-ADDS observation chart predicts patient deterioration in acute-care hospitals and the contribution of each vital sign in predicting patient deterioration.</p></div><div><h3>Methods</h3><p>This multi-centre retrospective case–control study compared vital sign data of 1152 patients that suffered a deterioration event and 1088 demographically and diagnostically matched non-deterioration patients. The efficacy of the Q-ADDS chart was determined by calculating the Area Under the Receiver Operator Characteristic Curve (AUROC) after logistic regression and Random Forest (RF) classification using the individual vital signs, and the aggregated Q-ADDS score.</p></div><div><h3>Findings</h3><p>Q-ADDS predicted patient deterioration with above-chance accuracy 6 hours before the deterioration event (AUROC = 0.690), comparable to an optimised RF model using the same vital sign data. At the time of the deterioration event, the Q-ADDS performed at parity with the optimised model (AUROC = 0.907). The aggregated Q-ADDS score was a better predictor of patient deterioration than any individual vital sign.</p></div><div><h3>Discussion</h3><p>Q-ADDS predictive validity is weaker than several other Early Warning Systems. However, its ability to discriminate between deteriorating and non-deteriorating patients is above the level expected by chance. No individual vital sign is a strong predictor of patient deterioration, but the aggregated weighted Q-ADDS score is a good deterioration predictor.</p></div><div><h3>Conclusion</h3><p>The multivariable Q-ADDS score efficiently predicts clinical deterioration in acute-care hospitals, with the tool’s discriminatory capacity increasing with proximity to the deterioration event.</p></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"30 6","pages":"Pages 779-785"},"PeriodicalIF":1.5,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1322769623000598/pdfft?md5=b241dedcff901cc05709d45021c4c697&pid=1-s2.0-S1322769623000598-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45311303","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":"Linking student in nursing/student in midwifery employment to Australian professional standards: A cross-sectional study","authors":"Tracey Ahern,&nbsp;Madelyn Pardon,&nbsp;David Lindsay,&nbsp;Marie McAuliffe","doi":"10.1016/j.colegn.2023.02.003","DOIUrl":"10.1016/j.colegn.2023.02.003","url":null,"abstract":"<div><h3>Background</h3><p>Undergraduate nursing and midwifery curricula in Australia are accredited according to the Australian Registered Nurse Standards for Practice and Midwife Standards for Practice. At the university level, all subjects are mapped to their relevant professional standards. Little is known about the intersection between the curricula and dedicated student in nursing (SIN) and student in midwifery (SIM) employment roles.</p></div><div><h3>Methods</h3><p>This cross-sectional study, conducted in 2019 over 5 months, surveyed nursing and midwifery students working in undergraduate student employment roles at major public and private hospitals in North Queensland (NQ), Australia, using a self-report survey developed by the authors.</p></div><div><h3>Findings</h3><p>Data collected from 68 respondents indicated that work undertaken by SIN/SIMs in the areas of knowledge development, skill development, building confidence, and socialisation was highly valued by those who work in these roles. The findings also demonstrated links between student knowledge and skill acquisition that occurs at university and their application within clinical environments. Conversely, participants reported no formal recognition by their university of the knowledge acquired and learning undertaken within the workplace whilst in a SIN/SIM role.</p></div><div><h3>Discussion</h3><p>The results of this study affirm the important integrative relationship between this work and student learning, whilst also demonstrating links to the achievement of professional standards, a requirement for all nursing and midwifery graduates. The absence of collaboration and connection between the university and clinical settings is of major concern given the long-standing attempts to reduce the intransigent ‘theory-practice gap’.</p></div><div><h3>Conclusion</h3><p>It is axiomatic that the work undertaken by nursing and midwifery undergraduates in dedicated clinical employment roles in NQ contributes in significant ways to student learning and professional development.</p></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"30 3","pages":"Pages 498-505"},"PeriodicalIF":1.5,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41618894","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}