Collegian最新文献

筛选
英文 中文
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 ,&nbsp;Chantelle Judge ,&nbsp;Rachael Field ,&nbsp;Rob Eley ,&nbsp;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 ,&nbsp;Nicole Carlon ,&nbsp;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 ,&nbsp;Melissa Mellan ,&nbsp;Robyn Wright ,&nbsp;Fenella J. Gill ,&nbsp;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 ,&nbsp;Jennifer Kelly ,&nbsp;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 ,&nbsp;Rosemary Saunders ,&nbsp;Chiew Jiat Rosalind Siah ,&nbsp;Charlotte Foskett ,&nbsp;Christopher Etherton-Beer ,&nbsp;Karen Gullick ,&nbsp;Melissa Dunham ,&nbsp;Nicolette Sagaram ,&nbsp;Rhea Rodriguez Tecson ,&nbsp;Sue Haydon ,&nbsp;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,&nbsp;Sumie Ikezaki,&nbsp;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 ,&nbsp;Rachel Feeney ,&nbsp;Katrine Del Villar ,&nbsp;Patsy Yates ,&nbsp;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}
引用次数: 0
The role of nurses’ knowledge and attitudes in postoperative pain management 护士知识和态度在术后疼痛管理中的作用
IF 1.5 4区 医学
Collegian Pub Date : 2023-10-01 DOI: 10.1016/j.colegn.2023.03.010
Çisem Ocak , Sacide Yildizeli Topcu
{"title":"The role of nurses’ knowledge and attitudes in postoperative pain management","authors":"Çisem Ocak ,&nbsp;Sacide Yildizeli Topcu","doi":"10.1016/j.colegn.2023.03.010","DOIUrl":"10.1016/j.colegn.2023.03.010","url":null,"abstract":"<div><h3>Background</h3><p>In managing postoperative pain<span>, the knowledge and attitudes of nurses about pain are crucial. Effective postoperative pain management ensures satisfaction with the nursing care provided to patients by increasing patients’ comfort.</span></p></div><div><h3>Aim</h3><p>This study aims to determine the relationship between nurses’ knowledge and attitudes towards pain and patients’ postoperative pain outcomes.</p></div><div><h3>Methods</h3><p>This cross-sectional and correlational study was carried out with 151 patients who had surgical intervention and 43 nurses who provided care to these patients. “Data Collection Forms for Patients and Nurses” and “The Nurses’ Knowledge and Attitudes Survey Regarding Pain” were used in data collection. The data were analysed using descriptive statistical techniques, independent sample t-test, variance, and Pearson correlation analysis. The results were assessed at a 95% confidence level, and a significance level of p &lt; 0.05 was used.</p></div><div><h3>Findings</h3><p>There was a positive correlation between nurses’ knowledge and attitude levels and patients’ pain levels. Nurses with higher levels of knowledge and attitudes about pain used nonpharmacological approaches more frequently. However, there was no relationship between nurses’ knowledge and attitudes and patients’ satisfaction with pain management.</p></div><div><h3>Conclusion</h3><p>While nurses’ knowledge and attitude toward pain management have a positive effect on reducing postoperative pain, they do not affect patient satisfaction with pain management. Further exploration of the factors influencing the effectiveness of pain management and patients satisfaction with postoperative pain management are recommended.</p></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"30 5","pages":"Pages 715-720"},"PeriodicalIF":1.5,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48435207","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: 1
Improving stroke Emergency Department nursing care: The Code Stroke 2.0 pre-test/post-test feasibility study 改进脑卒中急诊科护理:脑卒中代码2.0前测/后测可行性研究
IF 1.5 4区 医学
Collegian Pub Date : 2023-10-01 DOI: 10.1016/j.colegn.2023.04.002
Brett Jones , Oyebola Fasugba , Simeon Dale , Chris Burrows , Manju John , Mary Doncillo , Simogne Wright , Christian Lueck , Catherine D’Este , Ben McElduff , Elizabeth McInnes , Sandy Middleton
{"title":"Improving stroke Emergency Department nursing care: The Code Stroke 2.0 pre-test/post-test feasibility study","authors":"Brett Jones ,&nbsp;Oyebola Fasugba ,&nbsp;Simeon Dale ,&nbsp;Chris Burrows ,&nbsp;Manju John ,&nbsp;Mary Doncillo ,&nbsp;Simogne Wright ,&nbsp;Christian Lueck ,&nbsp;Catherine D’Este ,&nbsp;Ben McElduff ,&nbsp;Elizabeth McInnes ,&nbsp;Sandy Middleton","doi":"10.1016/j.colegn.2023.04.002","DOIUrl":"10.1016/j.colegn.2023.04.002","url":null,"abstract":"<div><h3>Background</h3><p>Activation of an acute ‘Code Stroke’ pathway on hospital arrival improves thrombolysis rates. Whilst post-stroke protocols to manage fever, hyperglycaemia, and dysphagia (Fever, Sugar and Swallow (FeSS) Protocols) have been shown to reduce death and dependency, facilitated implementation in Emergency Department (ED) has been difficult.</p></div><div><h3>Aim</h3><p>To evaluate if an expanded role for an Acute Stroke Nurse improves Code Stroke activation, increases FeSS Protocol uptake in ED, and results in faster stroke unit transfer.</p></div><div><h3>Methods</h3><p>A pre-test/post-test feasibility study undertaken in an Australian ED. Intervention comprised an expanded Acute Stroke Nurse role who instigated FeSS Protocol care or supported ED clinicians to use the protocols. Logistic regression analyses compared outcomes pre-test/post-test intervention. Subgroup analysis examined intervention effect during business hours.</p></div><div><h3>Findings</h3><p>There were 117 patients each in the pre-intervention and post-intervention cohorts (n = 234). Post-intervention patients had significantly more Code Stroke activations (pre: 7%, post: 62%), temperature at ED arrival (pre: 62%, post: 78%), formal blood glucose (pre: 55%, post: 98%), fewer oral medications administered before swallow screening (pre: 31%, post: 14%), more stroke unit transfers within 4 h from ED arrival (pre: 26%, post: 41%), and thrombolysis screening (pre: 53%, post: 80%). Subgroup analysis during business hours showed significant improvement in Code Stroke activations (pre: 10%, post: 79%), formal blood glucose testing (pre: 57%, post: 98%), reduced oral medications before swallow screening (pre: 24%, post: 9%), and thrombolysis screening (pre: 45%, post: 82%).</p></div><div><h3>Conclusion</h3><p>Expanding the Acute Stroke Nurse role to support ED staff during Code Stroke was associated with improved stroke care processes. Our findings highlight potential for successful implementation of this model across multiple hospitals to improve patient outcomes.</p></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"30 5","pages":"Pages 736-743"},"PeriodicalIF":1.5,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47962438","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
Newly licensed nurses’ transition during the pandemic after participating in nurse apprentice program 新持牌护士在大流行期间参加护士学徒计划后的过渡
IF 1.5 4区 医学
Collegian Pub Date : 2023-10-01 DOI: 10.1016/j.colegn.2023.07.002
Scott S. Christensen , Sue Chase-Cantarini , Hui Li , Xiaoming Sheng , Tracey L. Nixon , Marla J. De Jong
{"title":"Newly licensed nurses’ transition during the pandemic after participating in nurse apprentice program","authors":"Scott S. Christensen ,&nbsp;Sue Chase-Cantarini ,&nbsp;Hui Li ,&nbsp;Xiaoming Sheng ,&nbsp;Tracey L. Nixon ,&nbsp;Marla J. De Jong","doi":"10.1016/j.colegn.2023.07.002","DOIUrl":"10.1016/j.colegn.2023.07.002","url":null,"abstract":"<div><h3>Background</h3><p>Nurse apprentice/externship programs, some including students obtaining an apprentice license before graduation, prepare students to transition to practice. Some United States regions authorised new apprentice programs during the coronavirus disease 2019 pandemic.</p></div><div><h3>Aim</h3><p>We aimed to compare how newly licensed registered nurses (RNs) who participated or did not participate in an apprentice program during the pandemic perceived the transition to practice.</p></div><div><h3>Methods</h3><p>We compared participants with (<em>n</em> = 14) and without (<em>n</em><span> = 18) apprentice training by administering surveys at 2, 6, and 12 months post RN employment. Participants completed the Casey-Fink Graduate Nurse Experience Survey (CFGNES) and Oldenburg Burnout Inventory (OLBI). We used Cronbach’s alpha to assess survey domain internal consistency and compared CFGNES scores between cohorts using a linear regression model.</span></p></div><div><h3>Findings</h3><p>The nurse apprentice and standard training cohorts had mean composite CFGNES scores of 76.8 (SD = 7.52) vs. 71.9 (SD = 6.68), <em>p</em> &lt; 0.01; higher scores suggested positive values for workplace support, stress, communication/leadership, and professional satisfaction. Participant OLBI scores indicated burnout among both cohorts.</p></div><div><h3>Discussion</h3><p>The recipients of the nurse apprentice program perceived transitioning into RN roles more favourably than those without this experience, implying newly licensed RNs benefit from nurse apprentice experiences. Job/professional satisfaction and workplace integration may play a role in promoting the transition to practice.</p></div><div><h3>Conclusion</h3><p>Nurse apprentice programs may promote satisfaction and acclimatisation among newly licensed RNs, even during pandemic work conditions. Healthcare leaders are encouraged to advocate for nurse apprentice programs, including pathways for apprentice licensure and program implementation.</p></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"30 5","pages":"Pages 633-639"},"PeriodicalIF":1.5,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46680561","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
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
相关产品
×
本文献相关产品
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信