Australian Journal of Advanced Nursing最新文献

{"title":"Identifying barriers and facilitators of full service nurse-led early medication abortion provision: qualitative findings from a Delphi study","authors":"Caroline de Moel-Mandel, A. Taket, Melissa Graham","doi":"10.37464/2020.381.144","DOIUrl":"https://doi.org/10.37464/2020.381.144","url":null,"abstract":"Objective: To explore factors that can influence implementation of a nurse-led model of care for early medication abortion provision in the primary healthcare setting of regional and rural Victoria, Australia. Background: Global research indicates that an increased involvement of primary healthcare nurses in the delivery of early medication abortion provision has the potential to improve abortion access. In Victoria, access in regional and rural areas is restricted despite abortion being legal. A nurse-led early medication abortion provision model is feasible and can potentially improve the current situation. Study design and methods: An online threeround classic Delphi method was used. This paper reports the qualitative findings. Non-probability sampling techniques were used to recruit a panel of professional experts. Data from the three questionnaires were collected and analysed using thematic analysis. Factors influencing model implementation were categorised into the Capability, Opportunity, Motivation-Behaviour framework. Results: A total of 24 medical and other health professionals participated. They identified a range of factors that can hinder model implementation, including a lack of affordable medication abortion education, no remuneration for nurse-led early medication abortion provision, and concerns related to stigma and support. Discussion and conclusion: Understanding and addressing barriers to model implementation may enable the development of primary healthcare nurses’ role in the delivery of early medication abortion provision to improve abortion access. Impact: To improve abortion access in Victoria’s under-served regions, the potential of nurse-led early medication abortion provision was explored. Barriers to model implementation relate to a lack of medication abortion education and funding, professional support and stigma concerns. The study identified a range of support elements that would enable primary healthcare nurses to develop new roles and responsibilities in the delivery of medication abortion services.\u0000What is already known about the topic?\u0000\u0000Evidence indicates that appropriately trained primary healthcare nurses can provide early medication abortion and associated tasks as effectively, safely and satisfactorily as physicians.\u0000Nurse-led early medication abortion provision is a worldwide recognised strategy to overcome the shortage of early medication abortion providers and to improve equity in access to abortion services.\u0000The legal climate of Victoria allows qualified registered nurses to independently administer physician-prescribed early medication abortion drugs to women.\u0000\u0000What this paper adds:\u0000\u0000The Delphi panellists of this study all endorsed nurse-led early medication abortion provision in regional and rural Victoria and beyond.\u0000The study provides a range of model implementation barriers, which are categorised into the components of the Capability, Opportunity, and Motivation Model of Behaviour. Those barriers n","PeriodicalId":55584,"journal":{"name":"Australian Journal of Advanced Nursing","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2021-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45992452","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":"Experience of 4 Cases of Treatment of Gynecomastia from Dialectical Analysis of Liver and Kidney","authors":"Xiaohua Liu, G. Bai","doi":"10.32629/ajn.v2i2.382","DOIUrl":"https://doi.org/10.32629/ajn.v2i2.382","url":null,"abstract":"The author adopts the method of syndrome differentiation and treatment in Chinese medicine based on the treatment of 4 cases of gynecomastia from dialectical analysis of liver and kidney. The report is as follows.","PeriodicalId":55584,"journal":{"name":"Australian Journal of Advanced Nursing","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80581881","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":"Evaluation and Analysis of the Satisfaction Degree of the Intelligent Outpatient Clinic of Tianjin 3A Grade Hospitals Based on the KANO Model","authors":"Fanyu Zhao, Yawen Xiao, Xue Feng, Chang Liu, He Jiang","doi":"10.32629/ajn.v2i2.419","DOIUrl":"https://doi.org/10.32629/ajn.v2i2.419","url":null,"abstract":"Objective — Based on the Kano model, we investigated the outpatients' satisfactions with the functions of the intelligent outpatient clinic of 3A Grade hospital in Tianjin, to improve the function of the intelligent outpatient clinic. Methods — Based on the Kano model, a questionnaire was designed to investigate the satisfaction and expectation of Tianjin outpatients with the use of intelligent outpatient clinic. A survey was conducted on 384 outpatients to determine the functions of the intelligent outpatient clinic. Results — Among the 14 intelligent outpatient service, 11 (79%) are attractive quality, 3 (21%) are one-dimensional quality, and there are no must-be quality. In the quadrant diagram, there are 3 requirements in the dominant area and 11 requirements in the retention area. There are three high satisfying attributes: convenience of multifunctional payment method, convenience of reservation registration and security of multiple payment methods. There is an unsatisfying function: the information pushed by WeChat platform. Conclusion — The intelligent outpatient clinic function has been satisfied by most patients, but it hasn’t been fully popularized. It is necessary to improve the payment security, the order waiting and other attractive quality, to optimize the medical experience of the intelligent clinic and improve patients' satisfaction.","PeriodicalId":55584,"journal":{"name":"Australian Journal of Advanced Nursing","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84665045","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":"Mar - May 2021","authors":"","doi":"10.37464/2020.382","DOIUrl":"https://doi.org/10.37464/2020.382","url":null,"abstract":"","PeriodicalId":55584,"journal":{"name":"Australian Journal of Advanced Nursing","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69735037","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":"September - November 2020","authors":"","doi":"10.37464/2020.374","DOIUrl":"https://doi.org/10.37464/2020.374","url":null,"abstract":"","PeriodicalId":55584,"journal":{"name":"Australian Journal of Advanced Nursing","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2020-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44996778","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 protracted struggle” – A qualitative blog study of endometriosis healthcare experiences in Sweden","authors":"H. Grundström, Hanna Danell, E. Sköld, Siw Alehagen","doi":"10.37464/2020.374.75","DOIUrl":"https://doi.org/10.37464/2020.374.75","url":null,"abstract":"Background: Endometriosis is a chronic gynaecological disease that often has a negative effect on mental, physical, sexual and social health, resulting in lower quality of life. Endometriosis healthcare experiences have typically been described in terms of normalisation, trivialisation and a lack of knowledge from healthcare professionals. These experiences are often reported via individual interviews or focus group interviews. Studying internet blogs may contribute additional information that might not be disclosed during interviews. Therefore, observing and analysing content from blog posts may present an opportunity to gain additional understanding of how healthcare encounters can be experienced by individuals with endometriosis.","PeriodicalId":55584,"journal":{"name":"Australian Journal of Advanced Nursing","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2020-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44007571","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 importance and value of reporting guidance for scoping reviews: A rehabilitation science example","authors":"E. Miller, H. Colquhoun","doi":"10.37464/2020.374.148","DOIUrl":"https://doi.org/10.37464/2020.374.148","url":null,"abstract":"Objective: Scoping reviews use a systematic approach to synthesize a body of knowledge. The use of scoping review methodology is increasingly common. Despite recommendations to guide the conduct of scoping reviews, inconsistencies exist with regards to their methodology and reporting. In this case-study, we reflect on our experience using the PRISMA Extension for Scoping Reviews (PRISMAScR): Checklist and Explanation to improve reporting for a scoping review we initially conducted prior to the release of the PRISMA-ScR reporting guidelines. Study Design and Methods: We evaluated the scoping review against 22 criteria included in the PRISMA-ScR. For each criterion, we provided a rating representing the degree to which we felt the scoping review met the individual criterion in the PRISMAScR. We also provided comments to substantiate our ratings, along with recommended revisions for the scoping review and considerations for future scoping reviews. Results: We identified a number of strengths in the initial reporting of our scoping review , as well as opportunities for improvement. The most substantial areas for improvement included the protocol registration, data items and data charting process. Based on our evaluation, we made revisions to the scoping review manuscript to improve our reporting. Conclusion: Our evaluation helps to highlight the value of using reporting guidelines to improve reporting of scoping reviews, while also exposing several challenges. In future, we recommend consulting the guidelines during the initial preparation of the scoping review manuscript rather than retrospectively. What is already known about the topic? • The use of scoping review methodology is becoming increasingly common. • While recommendations to guide the conduct of scoping reviews have been published, inconsistencies exist in both scoping review methodology and reporting. What this paper adds: • Despite some challenges, we found the PRISMAScR to be an effective tool to guide a structured reflection on our scoping review reporting. • We encourage authors completing scoping reviews to make use of the PRISMA-ScR to guide their own scoping review reporting.","PeriodicalId":55584,"journal":{"name":"Australian Journal of Advanced Nursing","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2020-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43620808","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":"Nursing student evaluations of the quality of mentoring support in individual, dual and group mentoring approach during clinical training: A prospective cohort study","authors":"Ivana Gusar, Kristina Bačkov, Andrea Tokić, B. Dželalija, R. Lovrić","doi":"10.37464/2020.374.83","DOIUrl":"https://doi.org/10.37464/2020.374.83","url":null,"abstract":"","PeriodicalId":55584,"journal":{"name":"Australian Journal of Advanced Nursing","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2020-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44317146","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":"Happy, Healthy, Ready – working with early childhood non-government organisations for developmental surveillance for vulnerable children","authors":"K. Edwards, R. Fernandez, Tania Rimes, Lisa Stephenson, Rebecca Smith, Jane Son, Vanessa Sarkozy, Deborah Perkins, Valsamma Eapan, S. Woolfenden","doi":"10.37464/2020.374.277","DOIUrl":"https://doi.org/10.37464/2020.374.277","url":null,"abstract":"Objective: This study sought to improve: (1) knowledge of child development among non-health child and family workers; and (2) identification and referral of children from culturally and linguistically diverse (CALD) backgrounds at developmental risk, by partnering child health services with nongovernment early childhood education and family support services in two suburbs with high numbers of families from CALD backgrounds. Background: Children from CALD backgrounds have increased risk of developmental problems going undetected prior to school entry, thereby missing early intervention. Study design and methods: This was a quality improvement project. The model comprised: (1) co-locating a child and family health nurse CAFHN in a non-health setting or visits by early AUTHORS KAREN EDWARDS BA, Grad Dip Cont Ed, MBA1 RITIN FERNANDEZ PhD2 TANIA RIMES BSocSc(Psych), MA(Psych), GradDipPsychPrac(Org. Psych)3 LISA STEPHENSON BSocWork4 REBECCA SMITH BN, BSc, Grad Dip. Midwifery, Grad Cert. C&FH Nursing5 JANE SON MBBS, DipPaed, FRACP, MIPH6 VANESSA SARKOZY MHM, MPH, FRACP, MRCPCH, MBChB, MPH, MHM7 DEBORAH PERKINS MBBS, BSc, DipPaed, MPH7 VALSAMMA EAPEN MBBS, PhD, FRCPsych, FRANZCP7,8 SUE WOOLFENDEN MBBS, FRACP, MPH, PhD7,9 1 Counterpoint Consulting Pty Ltd, Glen Innes, NSW, Australia 2 School of Nursing and Midwifery, Faculty of Science, Medicine and Health, University of Wollongong, NSW, Australia 3 South Eastern Sydney LHD, Sydney, NSW, Australia 4 South Eastern Sydney LHD, Caringbah, NSW, Australia 5 Child and Family Health Nursing, South Eastern Sydney LHD, Ramsgate, NSW, Australia 6 Kogarah Developmental Assessment Service, South Eastern Sydney LHD, Kogarah, NSW, Australia 7 Sydney Children’s Hospital, Randwick, NSW, Australia 8 School of Women and Children’s Health, University of New South Wales; South West Sydney (AUCS); Early Life Determinants of Health, Sydney Partnership for Health, Education, Research and Enterprise (SPHERE); Cooperative Research Centre for Autism (CRC); BestSTART-SW (Systems Transformation and Research Translation – South West Sydney) Academic Unit; ICAMHS, L1 MHC, Liverpool Hospital, Liverpool, NSW, Australia 9 Integrated Care and Department of Community Child Health, Sydney Children’s Hospitals Network; School of Public Health, the Faculty of Medicine and Health, University of Sydney, NSW, Australia CORRESPONDING AUTHOR KAREN EDWARDS Counterpoint Consulting Pty Ltd, PO Box 675, Glen Innes NSW 2370 Australia. Phone: +61 0401 863 805. Email: karen@counterpointconsulting.com.au Happy, Healthy, Ready – working with early childhood non-government organisations for developmental surveillance for vulnerable children","PeriodicalId":55584,"journal":{"name":"Australian Journal of Advanced Nursing","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2020-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47469270","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":"Continuity of care for people with multimorbidity: the development of a model for a nurse-led care coordination service","authors":"K. Davis, M. Eckert, A. Hutchinson, J. Harmon, G. Sharplin, S. Shakib, G. Caughey","doi":"10.37464/2020.374.123","DOIUrl":"https://doi.org/10.37464/2020.374.123","url":null,"abstract":"Objective: To collaboratively develop a model of nurse-led care, within a multidisciplinary team and support continuity of care at the primary-secondary interface for people with multimorbidity. Background: Existing models of care are frequently based on a medical model, designed to manage a single disease condition, and thus pose a significant challenge to provide healthcare for people with multimorbidity. Particular design elements for models of care affecting the primary-secondary interface have been previously demonstrated, however, these have not been applied to the development of a nurse-led model of care for people with multimorbidity. Study design and methods: This paper, the first in a series of two, is part of a broader action research study and reports on the development of a model which will subsequently be assessed in terms of feasibility to provide a nurse-led care coordination service for people with multi-morbidity. This paper reports on the first action research cycle and methodology including a literature search, stakeholder engagement forums, validation workshop, team meetings, and professional engagement and validation. Results: Data from two stakeholder forums were sorted into 257 ‘structure, process and outcome’ statements and 86 goal related statements. These were cross referenced with design elements on models of care from the literature and finally aggregated into themes. The aggregated themes were then integrated into a model of care for a nurse–led care coordination service. The model consists of an overarching component, 4 domains and 6 operational areas with underpinning criteria. Conclusion: Through stakeholder consultation, consideration of the strengths of previous models and building blocks, a new nurse-led model of care that provides a pathway for transitional healthcare management at the primary -secondary interface has been developed. Inclusion of governance and culture within the model’s domains enables the approach to be pragmatic and adaptable, contributing to the potential for successful change management and model implementation in the clinical workplace. Further evaluation and refinement of the model is planned and will be reported on, in part 2 of this two-part series.\u0000Implications for research, policy, and practice: These findings provide direction for model implementation and further research required regarding nurse-led models of care. The supporting documents, systems, and processes reported, positions the model to support change and guide clinical practitioners and nursing management working at the primary-secondary healthcare interface. The future success of model implementation could provide evidence for health workforce policy and coordinated healthcare management.\u0000What is already known about this topic: \u0000\u0000Particular design elements for models of care affecting the primary-secondary interface have been previously demonstrated.\u0000Interventions delivered at the primary-secondary care interface, parti","PeriodicalId":55584,"journal":{"name":"Australian Journal of Advanced Nursing","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2020-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47295481","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}