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Cultural Safety: Beyond the rhetoric 文化安全:超越修辞
IF 1.6 4区 医学
Contemporary Nurse Pub Date : 2022-01-02 DOI: 10.1080/10376178.2022.2087704
T. Power, L. Geia, Denise Wilson, T. Clark, Roianne West, Odette Best
{"title":"Cultural Safety: Beyond the rhetoric","authors":"T. Power, L. Geia, Denise Wilson, T. Clark, Roianne West, Odette Best","doi":"10.1080/10376178.2022.2087704","DOIUrl":"https://doi.org/10.1080/10376178.2022.2087704","url":null,"abstract":"We acknowledge the sovereignty of Indigenous peoples across the Earth as the traditional custodians of Country, and their timeless and embodied relationships with cultures, communities, lands, waters, and sky. We pay our respects to Elders, past and present, particularly those who led the way, allowing us to realise our own calling to be healers. In this second iteration of a two-part special issue on Cultural Safety, we the Australian and Aotearoa New Zealand members of the guest editorial team would like to take this opportunity to draw attention to two contemporary examples of institutional racism in nursing and midwifery care in our respective countries. Despite decades of Indigenous activism, antiracism educational initiatives, and regulatory reforms, racism continues to be an endemic oppressive element in nursing and midwifery, and health systems. Despite Indigenous knowledges, anti-racism and Cultural Safety mandates being embedded in our professional standards and codes of conduct (Nursing and Midwifery Board of Australia, 2018; Nursing Council of New Zealand, 2011), we are forced to continue to interrogate the ongoing practice of culturally unsafe nursing and midwifery care. As a guest editorial team, we are also members of our Indigenous communities. We share the lived experience of family and community, of marginalisation, intergenerational trauma, and the profound bereavement of deaths from preventable health conditions. Statistics tell a narrative of deficit, of inequitable determinants of health and disproportion in our Indigenous health status compared to the mainstream population. As Indigenous nurses and midwives, we are also members of an international body of health care professionals where we have seen and experienced racism in our respective national health care systems. We bring witness to its complicit role in enacting direct and indirect trauma upon Indigenous peoples and their communities from culturally unsafe, and negligent nursing and midwifery practices. The examples of unsafe practices we share in this paper are to highlight our argument that systemic racism continues to go unchecked and reforms at leadership and policy levels are not addressing the issue with expedience.","PeriodicalId":55633,"journal":{"name":"Contemporary Nurse","volume":"26 1","pages":"1 - 7"},"PeriodicalIF":1.6,"publicationDate":"2022-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87252863","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: 2
Clarifying Cultural Safety: its focus and intent in an Australian context 澄清文化安全:澳大利亚背景下的焦点和意图
IF 1.6 4区 医学
Contemporary Nurse Pub Date : 2022-01-02 DOI: 10.1080/10376178.2022.2051572
Leonie Cox, Odette Best
{"title":"Clarifying Cultural Safety: its focus and intent in an Australian context","authors":"Leonie Cox, Odette Best","doi":"10.1080/10376178.2022.2051572","DOIUrl":"https://doi.org/10.1080/10376178.2022.2051572","url":null,"abstract":"The nursing/midwifery professions are facing a sea change with the inclusion of cultural safety in the Code of Conduct for Registered Nurses [Nursing and Midwifery Board of Australia. (2018a). Midwife standards of practice. Retrieved January 30, 2021, from https://www.nursingmidwiferyboard.gov.au/codes-guidelines-statements/professional-standards.aspx], the Code of Conduct for Midwives [Nursing and Midwifery Board of Australia. (2018b). Code of conduct for nurses. Retrieved January 30, 2021, from https://www.nursingmidwiferyboard.gov.au/codes-guidelines-statements/professional-standards.aspx], the Registered Nurse Accreditation Standards (Australian Nursing and Midwifery Accreditation Council. (2019). Registered Nurse Accreditation Standards. Retrieved from https://www.anmac.org.au/), and the Midwife Accreditation Standards [Australian Nursing and Midwifery Accreditation Council. (2021). Midwife Accreditation Standards. Retrieved from https://www.anmac.org.au/standards-and-review/midwife]. In this paper, we focus on the theme of enabling cultural safety seeking to overcome the barrier of confusion surrounding it. The inclusion of cultural safety in codes and accreditation standards highlights the pressing need for these professions to attain deep understanding of cultural safety so that clinicians and educators can confidently practice and teach in this area. This need is underscored by the context of heightened awareness, that developed amongst mainstream Australians with Black Lives Matter in 2020, of inequity including health inequity. Our concern as academics responsible for staff development, curriculum development and implementation in university Schools of Nursing/Midwifery is to enable and support the teaching and practice of cultural safety. Its focus on working in partnership, addressing power imbalances, racisms and related systems of discrimination constitutes it as a vastly different model to cultural other-awareness and notions of cultural competency which have held sway on matters of culture in health service provision up to now. Our approach was to undertake a reflection on our combined decades of studying, leadership, teaching, and practice of cultural safety, which consistently showed the confusion in Australia about the model overall and about the definition of culture underpinning it. This paper supports the profession by addressing the need to educate academics and clinicians on cultural safety itself and on the role of all nurses/midwives, Indigenous and non-Indigenous, in these endeavours. This paper encourages a coherent development and confident implementation of cultural safety curriculum and practice to meet current requirements.","PeriodicalId":55633,"journal":{"name":"Contemporary Nurse","volume":"59 5 1","pages":"71 - 81"},"PeriodicalIF":1.6,"publicationDate":"2022-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79762889","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: 7
Missed nursing care in a long-term rehabilitation setting: findings from a cross-sectional study. 长期康复环境中的护理缺失:一项横断面研究的结果。
IF 1.6 4区 医学
Contemporary Nurse Pub Date : 2021-12-01 Epub Date: 2022-01-27 DOI: 10.1080/10376178.2022.2029515
Matteo Danielis, Michela Fantini, Sonia Sbrugnera, Tiziana Colaetta, Maria Rosa Maestra, Maura Mesaglio, Alvisa Palese
{"title":"Missed nursing care in a long-term rehabilitation setting: findings from a cross-sectional study.","authors":"Matteo Danielis,&nbsp;Michela Fantini,&nbsp;Sonia Sbrugnera,&nbsp;Tiziana Colaetta,&nbsp;Maria Rosa Maestra,&nbsp;Maura Mesaglio,&nbsp;Alvisa Palese","doi":"10.1080/10376178.2022.2029515","DOIUrl":"https://doi.org/10.1080/10376178.2022.2029515","url":null,"abstract":"<p><p><i>Background:</i> There is a growing amount of literature that links missed nursing care (MNC) to negative patient outcomes, reduced patient safety and poor quality of care. However, only few studies have investigated this phenomenon in long-term rehabilitation settings.<i>Aim:</i> To explore MNC occurrence, type, reasons and predictors in three rehabilitation units.<i>Design:</i> A cross-sectional study was performed between August and September 2017.<i>Method</i>: 95 registered nurses and nursing assistants completed section A (interventions missed) and section B (perceived reasons for MNC) of the MISSCARE Survey tool. Descriptive, bivariate and linear regression analyses were performed.<i>Findings</i>: The top missed elements were patient ambulation (score 2.4 out of 5, Standard Deviation [SD] 0.8), mouth care (2.3, SD 0.8) and participation to multidisciplinary meetings (2.3, SD 1.1). Lack of personnel was the most frequent reason reported for MNC with a score of 2.9 out of 4 (SD 0.9). At the linear regression analysis, advanced nursing education (β = 3.58, CI 95% 1.32-5.84) and inadequate handovers (β = 3.64, CI 95% 0.37-6.91) both increased the perception of MNC occurrence.<i>Conclusion:</i> MNC occurrence in rehabilitation settings appears to be lower than in other contexts; however, the most commonly missed elements are similar to those reported in other settings. As good strategies to detect the difference between expected nursing care and the one delivered to patients, advanced education and good quality handovers seem beneficial. Further research is needed to establish more evidence on predictors by developing longitudinal study designs.</p>","PeriodicalId":55633,"journal":{"name":"Contemporary Nurse","volume":"57 6","pages":"407-421"},"PeriodicalIF":1.6,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39817705","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: 4
Role transition of newly graduated nurses: a qualitative study. 新毕业护士角色转换的质性研究。
IF 1.6 4区 医学
Contemporary Nurse Pub Date : 2021-12-01 Epub Date: 2022-02-01 DOI: 10.1080/10376178.2022.2029519
PingRu Hsiao, ChunChih Lin, ChinYen Han, LiChin Chen, LiHsiang Wang, ChingChing Su
{"title":"Role transition of newly graduated nurses: a qualitative study.","authors":"PingRu Hsiao,&nbsp;ChunChih Lin,&nbsp;ChinYen Han,&nbsp;LiChin Chen,&nbsp;LiHsiang Wang,&nbsp;ChingChing Su","doi":"10.1080/10376178.2022.2029519","DOIUrl":"https://doi.org/10.1080/10376178.2022.2029519","url":null,"abstract":"<p><strong>Background: </strong>Newly Graduated Nurses in different socio-cultural contexts confront dissimilar situations and influences on role transfer. It is important to understand how newly graduated nurses reconstruct their own professional concept of clinical nurses.</p><p><strong>Objectives: </strong>This study aimed to explore how Taiwanese newly graduated nurses perceived their new role and the process through which they transition into the professional role.</p><p><strong>Methods: </strong>Charmaz's constructivist grounded theory guided the study's design and implementation. Purposive and theoretical sampling and the snowball technique were used to recruit 30 participants from 3 tertiary and 2 community hospitals in Taiwan. Interviews were audio-recorded and transcribed verbatim into a readable format. Initial, focused and theoretical coding was utilized for data analysis. The criteria of credibility, originality, resonance and usefulness guided assessment of the study's quality and ensured the trustworthiness of the study process.</p><p><strong>Results: </strong>The process of role transition to become a nurse comprised four stages: hesitation, psychological preparation, development and appreciation. The hesitation stage was interpreted as a phase of passive learning. In the psychological preparation, newly graduate nurses began to take full work responsibility. The development stage saw them gain work confidence and, in the appreciation stage, they acquired a full picture of their roles.</p><p><strong>Conclusion: </strong>To bridge the gap between theoretical learning and practice and reduce the time new graduate nurses need for role adjustment contributes to an early stage of Hesitation rather than the Appreciation stage of role transition. The findings suggest the need for further research to explore newly graduated nurses' needs during the process of role transition.</p>","PeriodicalId":55633,"journal":{"name":"Contemporary Nurse","volume":"57 6","pages":"450-461"},"PeriodicalIF":1.6,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39815033","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: 5
Identifying the effects of supplemental oxygen administration on the health outcomes of patients presenting with acute coronary syndrome and oxygen saturation >93% - a systematic review. 确定氧饱和度>93%的急性冠状动脉综合征患者补充氧给药对健康结局的影响——一项系统综述
IF 1.6 4区 医学
Contemporary Nurse Pub Date : 2021-12-01 Epub Date: 2022-01-25 DOI: 10.1080/10376178.2022.2029516
Emma Pacleb, Vasiliki Betihavas
{"title":"Identifying the effects of supplemental oxygen administration on the health outcomes of patients presenting with acute coronary syndrome and oxygen saturation >93% - a systematic review.","authors":"Emma Pacleb,&nbsp;Vasiliki Betihavas","doi":"10.1080/10376178.2022.2029516","DOIUrl":"https://doi.org/10.1080/10376178.2022.2029516","url":null,"abstract":"<p><p><i>Objectives</i>: Oxygen was commonly used in the early management of patients presenting with Acute Coronary Syndrome (ACS) regardless of their oxygen saturation. Inappropriate administration of supplemental oxygen could potentially result in adverse patient health outcomes.<i>Aim:</i> To identify the effects of supplemental oxygen administration on the health outcomes of patients presenting with ACS and oxygen saturations >93%.<i>Method</i>: Systematic review. The CINAHL, PubMed, Cochrane and Medline databases were searched for relevant literature. Inclusion criteria included articles published from 2008-2019, adult participants, primary studies, and participants with uncomplicated ACS and have oxygen saturation >93%. Eligible studies were assessed for rigour using a critical appraisal tool.<i>Results</i>: Seven randomised controlled studies were included for analysis. Themes were also used to group the assessed endpoints. The three main outcomes analysed were: infarct size and cardiac function; adverse cardiac events; and mortality. Two of the seven studies found a statistically significant relationship between oxygen administration, infarct size, and adverse cardiac events. Conversely, five of the seven studies reported that supplemental oxygen did not have statistically significant benefit over room air.<i>Conclusion</i>: This review identified that oxygen should not be administered to patients who present with ACS and have oxygen saturations >93%. This is due to the potential risk of adverse outcomes: increased infarct size, mortality, and adverse events.<i>Impact statement</i>: Recent update of guidelines despite evidence opposing oxygen delivery in ACS means the education of nurses is imperative for safe practice.</p>","PeriodicalId":55633,"journal":{"name":"Contemporary Nurse","volume":"57 6","pages":"422-438"},"PeriodicalIF":1.6,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39820227","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
Effect of an evidence-based poster on the knowledge of delirium and its prevention in student nurses: A quasi-experimental study. 循证海报对护生谵妄知识及预防的影响:一项准实验研究。
IF 1.6 4区 医学
Contemporary Nurse Pub Date : 2021-12-01 Epub Date: 2022-03-09 DOI: 10.1080/10376178.2022.2044872
George Frederick Glass, Hongyun Tan, Ee-Yuee Chan
{"title":"Effect of an evidence-based poster on the knowledge of delirium and its prevention in student nurses: A quasi-experimental study.","authors":"George Frederick Glass,&nbsp;Hongyun Tan,&nbsp;Ee-Yuee Chan","doi":"10.1080/10376178.2022.2044872","DOIUrl":"https://doi.org/10.1080/10376178.2022.2044872","url":null,"abstract":"<p><strong>Background: </strong>A major barrier to nurses adopting evidence-based practice (EBP) has been the limited awareness of evidence underpinning clinical practice, often due to poor access and understanding of the literature base. To address this, we piloted the development of educational posters summarizing the evidence base around clinical practices to see if they help nurses better understand the rationale behind their care. Our first poster focused on the evidence supporting the management of delirium in older persons, specifically delirium identification and its prevention.</p><p><strong>Objective: </strong>To examine the effect of an evidence-based poster education on the delirium knowledge of student nurses.</p><p><strong>Design: </strong>A prospective two-armed quasi-experimental study.</p><p><strong>Methods: </strong>188 student nurses were recruited in December 2017. Participants were alternated to receive either an evidence-based poster education session or a reflective education session as a control. Both groups were assessed on their general knowledge on delirium, knowledge on delirium detection and knowledge on delirium prevention. This was conducted both before exposure to either the intervention or control, and one week after exposure. Unpaired t-tests with 95% confidence intervals (CI) were applied to compare the mean change in pre-test and post-test delirium knowledge. We used the Transparent Reporting of Evaluations with Nonrandomized Designs (TREND) checklist to report our methods and findings.</p><p><strong>Results: </strong>Students in the poster education group reported greater improvements in mean scores of delirium identification (Mean increase  = 1.0, <i>p</i> = 0.007, 95% CI: 0.3-1.6), delirium prevention (Mean increase  = 1.6, <i>p</i> < 0.001, 9% CI: 1.0-2.2) and overall delirium knowledge (Mean increase = 2.7, <i>p</i> < 0.001, 95% CI: 1.5-3.8) than students in the control.</p><p><strong>Conclusion: </strong>Summarised research evidence within a poster format can increase student nurses' access to the evidence base. This has shown to increase their knowledge to guide their clinical practice.</p><p><strong>Impact statement: </strong>Exposure to poster summaries of research evidence underpinning delirium care increases student nurses' clinical knowledge of delirium identification and prevention.</p>","PeriodicalId":55633,"journal":{"name":"Contemporary Nurse","volume":"57 6","pages":"462-471"},"PeriodicalIF":1.6,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39938684","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
Unplanned representation to hospital by patients with diabetes: development and pilot feasibility testing of a screening tool. 糖尿病患者意外住院:一种筛查工具的开发和试点可行性测试。
IF 1.6 4区 医学
Contemporary Nurse Pub Date : 2021-12-01 Epub Date: 2022-01-29 DOI: 10.1080/10376178.2022.2029517
Julie Gale, Steven James, Wayne Varndell, Lin Perry
{"title":"Unplanned representation to hospital by patients with diabetes: development and pilot feasibility testing of a screening tool.","authors":"Julie Gale,&nbsp;Steven James,&nbsp;Wayne Varndell,&nbsp;Lin Perry","doi":"10.1080/10376178.2022.2029517","DOIUrl":"https://doi.org/10.1080/10376178.2022.2029517","url":null,"abstract":"<p><p><i>Background</i>: Unplanned representation of patients with diabetes recently discharged from the emergency department or in-patient hospital settings is a common but complex problem world-wide. This study set out to examine the feasibility of a risk screening interview and whether component characteristics may be associated with the unplanned representation of patients with diabetes to a tertiary metropolitan hospital.<i>Methods</i>: A screening interview comprised of demographic, social and clinical characteristics was developed and piloted using a prospective cross-sectional survey design. A convenience sample of 55 patients was recruited and screened. Outcomes were the occurrence of unplanned representation to hospital within 28 or 90 days of hospital discharge from the index presentation.<i>Results</i>: The screening interview was shown to be broadly feasible and acceptable for use by staff and patients, with identified areas for modification. Seventeen participants (30.9%) experienced unplanned representation within 90 days of hospital discharge; for 13 participants (23.6%) this occurred within 28 days. Characteristics linked with unplanned representation to hospital were identified.<i>Conclusions</i>: Preliminary data indicated the feasibility of tool use and informed refinement for future testing of the ability of the screening interview to predict those patients with diabetes at high risk of unplanned representation to hospital, to enhance effective care planning.<i>Impact statement</i>: Patients with diabetes commonly present to Emergency Departments, and demonstration of the feasibility of a screening interview to determine those at elevated risk of unplanned representation is an important step towards effective management. Data supported refinement and future testing of the new screening interview.</p>","PeriodicalId":55633,"journal":{"name":"Contemporary Nurse","volume":"57 6","pages":"439-449"},"PeriodicalIF":1.6,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39815032","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: 2
Mindfulness-based psychoeducation for schizophrenia spectrum disorders: a qualitative analysis of participants' experiences. 精神分裂症谱系障碍的正念心理教育:参与者经验的定性分析。
IF 1.6 4区 医学
Contemporary Nurse Pub Date : 2021-12-01 Epub Date: 2021-10-28 DOI: 10.1080/10376178.2021.1994864
Angie Ho Yan Lam, Sau Fong Leung, Wai Tong Chien
{"title":"Mindfulness-based psychoeducation for schizophrenia spectrum disorders: a qualitative analysis of participants' experiences.","authors":"Angie Ho Yan Lam,&nbsp;Sau Fong Leung,&nbsp;Wai Tong Chien","doi":"10.1080/10376178.2021.1994864","DOIUrl":"https://doi.org/10.1080/10376178.2021.1994864","url":null,"abstract":"<p><p>Mindfulness-based psychoeducation program (MBPP) has been proposed as a new approach to improve the overall outcomes for individuals with schizophrenia spectrum disorders. However, to date, limited studies have examined the participants' experiences of MBPP for schizophrenia.</p><p><p>The aim of this study was to explore the experiences of individuals with schizophrenia spectrum disorders (SSDs) who underwent an 8-week MBPP with respect to their perception of the benefits and unusual challenges of mindfulness training and self-practices.</p><p><p>Twenty-four (<i>n</i> = 24) individuals with SSDs were invited to participate in an 8-week MBPP. A total of eight participants were invited for semi-structured interview one week after the final class of MBPP. The semi-structured interview was conducted in Cantonese and data were transcribed by the first author. Of the eight participants, five participants had unusual experiences and three participants had a positive experience with MBPP. They were included to provide more candid understanding on the constituents of diverse experience towards MBPP. An interview guide was developed to understand the patients' perceptions of MBPP, the challenege in self-practising mindfulness, and the changes in how they coped with their illness during and after taking part in MBPP. Qualitative data from the semi-structured interview were recorded by a research assistant and the transcripts were proof-read by the participants to ensure accuracy. The Software NVivo 12 Pro was used to manage the qualitative data from the semi-structured interview. Thematic analysis was adopted to identify the major themes from the qualitative data.</p><p><p>Five themes emerged: developing a state of mindfulness, empowering illness management, learning a new way to regulate emotion, encountering barriers in self-practising mindfulness and preference for bodily mindfulness.</p><p><p>The findings provide comprehensive knowledge and deeper insights into treatment processes of mindfulness psychoeducation as an intervention for schizophrenia spectrum disorders.</p><p><strong>Impact statement: </strong>This study establishes a body of knowledge regarding people with schizophrenia spectrum disorders who received mindfulness psychoeducation intervention. The results suggest that patients can develop a new way to regulate emotion and manage their illness through mindfulness psychoeducation. The perceived negative experience of some patients also warrants closer attention in mindfulness practice, especially for individuals with schizophrenia spectrum disorders. Further research could focus on factors leading to the negative consequences of mindfulness practice and the ways to minimize the negative consequeces.</p>","PeriodicalId":55633,"journal":{"name":"Contemporary Nurse","volume":"57 6","pages":"387-406"},"PeriodicalIF":1.6,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39553218","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: 2
Improving the health assistant in nursing employment model through entry to practice nursing student perceptions: a cross-sectional study 通过进入实习护理学生认知来改善护理卫生助理就业模式:一项横断面研究
IF 1.6 4区 医学
Contemporary Nurse Pub Date : 2021-11-02 DOI: 10.1080/10376178.2022.2049615
Zerina Lokmic-Tomkins, M. Khor, Kate A Mathews, Joanna Martin, Anthony McGillion
{"title":"Improving the health assistant in nursing employment model through entry to practice nursing student perceptions: a cross-sectional study","authors":"Zerina Lokmic-Tomkins, M. Khor, Kate A Mathews, Joanna Martin, Anthony McGillion","doi":"10.1080/10376178.2022.2049615","DOIUrl":"https://doi.org/10.1080/10376178.2022.2049615","url":null,"abstract":"Background: A model employing entry to practice nursing students as health assistants in nursing (HANs) was developed to support the nursing workforce. Objective: This research examines the perceived benefits of being employed as a HAN to graduate entry to practice nursing students. Design: Cross-sectional study Methods: A web-based 33-item questionnaire was open to entry to practice nursing students employed as a HAN. Categorical measures were summarised using descriptive statistics. Qualitative comments were analysed thematically. Results: Of the 39 enrolled participants, 38 (97.4%) completed the study. Fifteen students (39.5%) commenced a graduate year in 2019, 12 (31.6%) commenced a graduate year in 2020 and 11 (28.9%) will commence a graduate year in 2021. The participants viewed HAN employment as an opportunity to further develop as nurses and suggested that the HAN scope of practice expand to include their existing nursing scope of practice, thereby optimising their learning experience. Conclusion: The HAN model is viewed as a valuable model of employment by entry to practice nursing students; however, the HAN scope of practice is viewed as too limited and not conducive to self-development. This may impact on the retention of HAN employees as they transition to registered graduate nurse employment. Impact statement: Graduate entry to practice nursing students offer direction on how to improve the Health Assistants in Nursing employment model.","PeriodicalId":55633,"journal":{"name":"Contemporary Nurse","volume":"336 1","pages":"472 - 481"},"PeriodicalIF":1.6,"publicationDate":"2021-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85794828","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: 2
Cultural safety for First Nations people in aged care. 老年人护理中原住民的文化安全。
IF 1.6 4区 医学
Contemporary Nurse Pub Date : 2021-10-01 DOI: 10.1080/10376178.2021.1962378
Linda Michelle Deravin, Judith Anderson, Nicole Mahara
{"title":"Cultural safety for First Nations people in aged care.","authors":"Linda Michelle Deravin,&nbsp;Judith Anderson,&nbsp;Nicole Mahara","doi":"10.1080/10376178.2021.1962378","DOIUrl":"https://doi.org/10.1080/10376178.2021.1962378","url":null,"abstract":"Descriptor- note the term \"First Nations peoples\" is used here to be respectful and inclusive of all Indigenous Peoples whose countries and nations have been and still are impacted by colonisation.","PeriodicalId":55633,"journal":{"name":"Contemporary Nurse","volume":"57 5","pages":"308-311"},"PeriodicalIF":1.6,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/10376178.2021.1962378","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39259411","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: 2
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