Collegian最新文献

{"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}

{"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}

{"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}

{"title":"Evaluated nurse-led models of care implemented in regional, rural, and remote Australia: A scoping review","authors":"Hannah Beks ,&nbsp;Suzanne Clayden ,&nbsp;Anna Wong Shee ,&nbsp;Marley J. Binder ,&nbsp;Sophie O’Keeffe ,&nbsp;Vincent L. Versace","doi":"10.1016/j.colegn.2023.05.004","DOIUrl":"10.1016/j.colegn.2023.05.004","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;p&gt;Nurse-led models of care are important for populations residing in regional, rural, and remote settings, who experience barriers to accessing health care. A previous review examining a subset of research undertaken in the Australian context through the Rural Health Multidisciplinary Training program identified a paucity of literature around nurse-led models of care implemented in these settings. Given the maldistribution of the medical workforce in non-metropolitan settings, scoping the broader literature for evidence around nurse-led models of care in these settings is imperative for informing the future directions of the nursing workforce.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Aim&lt;/h3&gt;&lt;p&gt;To identify available literature for evaluated nurse-led modes of care implemented in regional, rural, and remote geographical settings of Australia.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;p&gt;A scoping review was undertaken using the Joanna Briggs Institutes’ scoping review methodology. A protocol was developed in advance, which documented the objectives, inclusion criteria, and methods. The search involved a comprehensive review of peer-reviewed and grey literature published between 2010 and 2022, to map the evidence examining evaluated nurse-led models of care implemented in regional, rural, and remote settings of Australia. A descriptive approach aligning with the review question and objectives, was used to synthesise findings.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Findings&lt;/h3&gt;&lt;p&gt;The search retrieved 1807 unique citations, of which 53 were included with an additional 4 studies identified through review of reference lists. In total, 57 studies examining 49 unique nurse-led models of care were included. Studies were heterogenous in the models of care implemented, settings, and research evaluation designs. Most models of care were implemented in the community-health setting. The majority of first authors were affiliated with a university, with the highest proportion based in a metropolitan setting. The benefits of implementing nurse-led models of care included improving hospital indicators, the prevention and management of chronic disease, healthcare access, and health outcomes. Barriers for implementation were widely cited and were attributed to the non-metropolitan setting of implementation and organisational factors. Specific barriers were also cited for the implementation of nurse practitioner (NP) models of care, such as the constraints of the Medicare Benefits Schedule and role ambiguity.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Discussion&lt;/h3&gt;&lt;p&gt;Nurse-led models of care included in this review were diverse, implemented across the lifespan, mostly led by registered nurses rather than nurses who were also NPs or transitional NPs, and implemented in the community-health setting. The findings expand on the international literature around nurse-led models of care and identify the need for greater support around implementation and evaluation, particularly in non-metropolitan geographical settings.&lt;/p&gt;&lt;/","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"30 6","pages":"Pages 769-778"},"PeriodicalIF":1.5,"publicationDate":"2023-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1322769623000513/pdfft?md5=bd58da4800940b07cce67887664e3adc&pid=1-s2.0-S1322769623000513-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43996134","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":"Chronic fatigue and recovery among nurses working two-shift and three-shift rotations","authors":"Shinya Yamaguchi ,&nbsp;Peter C. Winwood ,&nbsp;Rika Yano","doi":"10.1016/j.colegn.2023.06.001","DOIUrl":"10.1016/j.colegn.2023.06.001","url":null,"abstract":"<div><h3>Background</h3><p>Shift patterns influence nurses’ work and rest conditions. Limited information is available about the nurses' recovery, fatigue, and their associated factors considering shift patterns.</p></div><div><h3>Aim</h3><p>This study explored the association between fatigue and recovery and factors associated with recovery and chronic fatigue among nurses working a three-shift (8 hour shifts) or two-shift (more than 12 hour shifts) rotations in Japan.</p></div><div><h3>Methods</h3><p>This cross-sectional secondary analysis included 807 nurses from a previous questionnaire survey. Fatigue (acute and chronic) and intershift recovery were measured using the Occupational Fatigue Exhaustion Recovery Scale.</p></div><div><h3>Findings</h3><p>Intershift recovery was significantly lower among nurses working a three-shift rotations compared to nurses working a two-shift rotations. Nurses aged ≥40 years tended to experience severe chronic fatigue working in the two-shift rotations. In both shift patterns, overtime hours and low sleep quality were associated with lower intershift recovery and higher chronic fatigue. In the three-shift rotations, having children and being activity-oriented in leisure time were associated with higher intershift recovery and lower chronic fatigue. In the two-shift rotations, activity orientation was significantly associated with lower chronic fatigue.</p></div><div><h3>Discussions</h3><p>The three-shift rotations influenced nurses’ intershift recovery more than the two-shift rotations. Regardless of shift patterns, managers must restrict overtime and encourage nurses to maintain sleep quality, family roles, and leisure activities. Moreover, considering nurses’ age while selecting and organising shift patterns may prevent chronic fatigue.</p></div><div><h3>Conclusion</h3><p>Fatigue management based on the characteristics and associated factors of fatigue and recovery for each shift pattern revealed in this study prevents chronic fatigue, which may contribute to the retention of nurses.</p></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"30 6","pages":"Pages 786-794"},"PeriodicalIF":1.5,"publicationDate":"2023-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48444124","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":"Development of work readiness in graduate nurses during a Transition to Practice Program: A survey study","authors":"Stacey Rogers ,&nbsp;Jerry Lai ,&nbsp;Arlene Walker ,&nbsp;Helen Rawson ,&nbsp;Bernice Redley","doi":"10.1016/j.colegn.2023.05.007","DOIUrl":"10.1016/j.colegn.2023.05.007","url":null,"abstract":"<div><h3>Background</h3><p>Transition to Practice Programs (TPPs) support graduate nurses and midwives during their first year of clinical practice. ‘Work readiness’ theory proposes specific skills, knowledge, and attributes are needed to successfully transition into the workplace.</p></div><div><h3>Aims</h3><p>To measure development of self-perceived work readiness among graduates undertaking a 12-month TPP.</p></div><div><h3>Methods</h3><p>Repeated measure, cross-sectional survey. Participants were a cohort of 160 graduate nurses and midwives (response rate 56.7%) commencing at a large tertiary hospital in Melbourne, Australia. Work readiness was measured using the Work Readiness Scale-graduate nurses at three timepoints: on commencement (T1), at 6 months (T2), and on completion (T3) of a 12-month TPP. Data were collected between 2018 and 2019.</p></div><div><h3>Results</h3><p>Graduate’s Social Intelligence (<em>p</em> = 0.007) and Work Competence (WC) (<em>p</em> &lt; 0.001) subscales had a significant increase from T1 to T3. On completion of the TPP (T3), participants reported significantly higher Personal Work Characteristics (p = 0.017) and WC (<em>p</em> &lt; 0.001) scores compared with baseline (T1). Scores for the organisational acumen (OA) subscale were high across all three timepoints (<em>p</em> = 0.898).</p></div><div><h3>Discussion</h3><p>Significant improvement in three of the four domains of work readiness was observed at timepoints across the TPP.</p><p>OA was consistently high at all timepoints, which may reflect the comprehensive orientation provided before commencement of the program.</p></div><div><h3>Conclusion</h3><p>Understanding graduate development of work readiness can inform cost-effective TPPs that deliver desired graduate outcomes.</p></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"30 4","pages":"Pages 595-601"},"PeriodicalIF":1.5,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43279184","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":"Serial–multiple mediation of transformational and clinical leadership in the relationship between work overload and quality of work life among nurses: A Job Demands-Resources Framework","authors":"Hilal Kuşcu Karatepe ,&nbsp;Emine Türkmen","doi":"10.1016/j.colegn.2023.03.008","DOIUrl":"10.1016/j.colegn.2023.03.008","url":null,"abstract":"<div><h3>Background</h3><p>Nurses’ quality of work life is a crucial factor in nurse, patient and organisational outcomes. Because work overload and leadership affect quality of work life, it is important to understand the relationship between them.</p></div><div><h3>Aim</h3><p>The aims of this study were to investigate the serial multiple mediation of transformational and clinical leadership in the relationship between work overload and quality of life among clinical nurses and to test a model designed to examine the fit and relations between these variables.</p></div><div><h3>Methods</h3><p>This study used a model-testing design with cross-sectional data. The sample consisted of 415 clinical nurses working in hospitals in Turkey. A questionnaire was used to collect data between August and September 2021. Data were analysed using descriptive and correlation analyses. Data analyses included model-testing approaches and were conducted using the Statistical Package for Social Sciences 26.0, Hayes’ PROCESS macro for SPSS v4.0, and Analysis of Moment Structures 24.0.</p></div><div><h3>Findings</h3><p>The serial–multiple mediation of transformational leadership perception and clinical leadership skills in the relationship between work overload and quality of work life was found to be statistically significant. The model fit indices were desirable.</p></div><div><h3>Conclusion</h3><p>The results of the study showed that decreased work overload perception was associated first with increased perception of transformational leadership, followed by increased clinical leadership skills, which in turn was related to increased quality of work life among clinical nurses.</p></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"30 4","pages":"Pages 521-529"},"PeriodicalIF":1.5,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47260768","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 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}