Pub Date : 2025-03-03DOI: 10.1016/j.colegn.2025.02.001
Verónica Saldaña-Ortiz , María Caballero-Galilea , José Miguel Mansilla- Domínguez , Laura Lorenzo-Allegue , Esther Martínez-Miguel
<div><h3>Background</h3><div>The introduction of music therapy in intensive care units (ICUs) has resulted in a notable transformation in the experience of family members, conferring substantial benefits for both patients and their loved ones. Patients have demonstrated improvements in their emotional well-being, quality of life, and a reduction in anxiety and stress levels. Furthermore, music therapy intervention has facilitated the development of nonverbal communication and emotional connections between patients and caregivers. This approach responds not only to clinical needs but also contributes to the humanisation of care, emphasising the importance of the emotional well-being of the patient’s family and recognising their crucial role in supporting the patient’s recovery process.</div></div><div><h3>Aim</h3><div>The aim of this study is to explore family members’ experiences of the humanisation of the adult ICU.</div></div><div><h3>Methods</h3><div>The present study was conducted in accordance with a qualitative hermeneutic phenomenological methodology. Interventions were conducted with a music therapist, and 14 in-depth interviews were collected from relatives in the critical care unit of Mostoles University Hospital in Madrid, Spain. The qualitative analysis employed was that proposed by Braun and Clarke, with an inductive approach. This method resulted in the emergence of three themes from the interviews.</div></div><div><h3>Main results</h3><div>The personal interviews yielded a thematic analysis that revealed three dominant themes. These themes encapsulate the experiences and emotions of the study participants after completing the music therapy sessions. Three main themes have been identified: (i) music therapy responding to family concerns, (ii) music therapy during interventions, and (iii) music therapy to humanise the intensive care unit.</div></div><div><h3>Discussion</h3><div>This study highlights the crucial contribution of music therapy in the humanisation of ICUs by enhancing the experiences of patients, their families, and healthcare professionals. It has been demonstrated to reduce stress, anxiety, and pain while fostering emotional connections and improving communication. The application of music therapy has been demonstrated to reinforce the therapeutic relationships between patients and healthcare professionals, reduce the necessity for sedation, and enhance comfort during medical procedures. In alignment with the principles of humanistic care, it is conducive to the promotion of well-being, intimacy, and quality of life. Despite certain limitations, the integration of music therapy is vital for the creation of more compassionate and patient-centred environments.</div></div><div><h3>Conclusions</h3><div>Music therapy in ICUs enhances family satisfaction by improving patients’ emotional well-being. Relatives recognise music as a comforting influence, positively shaping the hospital environment. It fosters a conducive atmosph
{"title":"Music therapy in intensive care: Family perspectives on humanising care","authors":"Verónica Saldaña-Ortiz , María Caballero-Galilea , José Miguel Mansilla- Domínguez , Laura Lorenzo-Allegue , Esther Martínez-Miguel","doi":"10.1016/j.colegn.2025.02.001","DOIUrl":"10.1016/j.colegn.2025.02.001","url":null,"abstract":"<div><h3>Background</h3><div>The introduction of music therapy in intensive care units (ICUs) has resulted in a notable transformation in the experience of family members, conferring substantial benefits for both patients and their loved ones. Patients have demonstrated improvements in their emotional well-being, quality of life, and a reduction in anxiety and stress levels. Furthermore, music therapy intervention has facilitated the development of nonverbal communication and emotional connections between patients and caregivers. This approach responds not only to clinical needs but also contributes to the humanisation of care, emphasising the importance of the emotional well-being of the patient’s family and recognising their crucial role in supporting the patient’s recovery process.</div></div><div><h3>Aim</h3><div>The aim of this study is to explore family members’ experiences of the humanisation of the adult ICU.</div></div><div><h3>Methods</h3><div>The present study was conducted in accordance with a qualitative hermeneutic phenomenological methodology. Interventions were conducted with a music therapist, and 14 in-depth interviews were collected from relatives in the critical care unit of Mostoles University Hospital in Madrid, Spain. The qualitative analysis employed was that proposed by Braun and Clarke, with an inductive approach. This method resulted in the emergence of three themes from the interviews.</div></div><div><h3>Main results</h3><div>The personal interviews yielded a thematic analysis that revealed three dominant themes. These themes encapsulate the experiences and emotions of the study participants after completing the music therapy sessions. Three main themes have been identified: (i) music therapy responding to family concerns, (ii) music therapy during interventions, and (iii) music therapy to humanise the intensive care unit.</div></div><div><h3>Discussion</h3><div>This study highlights the crucial contribution of music therapy in the humanisation of ICUs by enhancing the experiences of patients, their families, and healthcare professionals. It has been demonstrated to reduce stress, anxiety, and pain while fostering emotional connections and improving communication. The application of music therapy has been demonstrated to reinforce the therapeutic relationships between patients and healthcare professionals, reduce the necessity for sedation, and enhance comfort during medical procedures. In alignment with the principles of humanistic care, it is conducive to the promotion of well-being, intimacy, and quality of life. Despite certain limitations, the integration of music therapy is vital for the creation of more compassionate and patient-centred environments.</div></div><div><h3>Conclusions</h3><div>Music therapy in ICUs enhances family satisfaction by improving patients’ emotional well-being. Relatives recognise music as a comforting influence, positively shaping the hospital environment. It fosters a conducive atmosph","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"32 2","pages":"Pages 111-119"},"PeriodicalIF":1.6,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143562009","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}
Pub Date : 2025-02-28DOI: 10.1016/j.colegn.2025.02.002
Jessie Bange, Weili Gao, Kimberley Crawford
Background
Newly graduated registered nurses have described elements of their first year of employment as stressful, draining, and demanding. The COVID-19 pandemic was an additional challenge for them during an already daunting transitional phase. Developing this future workforce requires adequate support, education, and training provision.
Aim
The aim of this study was to explore newly graduated registered nurses experiences and perceptions of support, education, and training received during the first rotation of their graduate nursing program during the COVID-19 pandemic.
Design
The qualitative descriptive design aligned with the interpretive paradigm was utilised.
Methods
A combination of purposive and convenience sampling enabled the recruitment of any newly graduated registered nurse who was employed in a Victorian graduate nursing program during the COVID-19 pandemic (2020–2022). Semistructured interviews were conducted from July 2022 until February 2023. Fourteen participants were interviewed. Data were analysed thematically.
Results
Three themes were established: Transition to practice, Development of graduate nurses, and Support of graduate nurses. Participants reported that there was an absence of educators, so there were situations of accelerated learning or self-education within continually evolving environments. Professional confidence was reduced as their learning came to a halt, and there was a lack of education and training opportunities, which caused the newly graduated registered nurses to question their clinical abilities. Clinical competence was increased with positive, supportive, and consistent learning opportunities.
Conclusions
Newly graduated registered nurse education, training, and support experiences were potentially inadequate, limiting future practice abilities. To ensure inexperienced nurses develop into future nurse leaders, it is essential that they are supported by educators and provided with ample training opportunities.
{"title":"Graduate nurses’ experience of support, training, and education during the COVID-19 pandemic: A qualitative study","authors":"Jessie Bange, Weili Gao, Kimberley Crawford","doi":"10.1016/j.colegn.2025.02.002","DOIUrl":"10.1016/j.colegn.2025.02.002","url":null,"abstract":"<div><h3>Background</h3><div>Newly graduated registered nurses have described elements of their first year of employment as stressful, draining, and demanding. The COVID-19 pandemic was an additional challenge for them during an already daunting transitional phase. Developing this future workforce requires adequate support, education, and training provision.</div></div><div><h3>Aim</h3><div>The aim of this study was to explore newly graduated registered nurses experiences and perceptions of support, education, and training received during the first rotation of their graduate nursing program during the COVID-19 pandemic.</div></div><div><h3>Design</h3><div>The qualitative descriptive design aligned with the interpretive paradigm was utilised.</div></div><div><h3>Methods</h3><div>A combination of purposive and convenience sampling enabled the recruitment of any newly graduated registered nurse who was employed in a Victorian graduate nursing program during the COVID-19 pandemic (2020–2022). Semistructured interviews were conducted from July 2022 until February 2023. Fourteen participants were interviewed. Data were analysed thematically.</div></div><div><h3>Results</h3><div>Three themes were established: Transition to practice, Development of graduate nurses, and Support of graduate nurses. Participants reported that there was an absence of educators, so there were situations of accelerated learning or self-education within continually evolving environments. Professional confidence was reduced as their learning came to a halt, and there was a lack of education and training opportunities, which caused the newly graduated registered nurses to question their clinical abilities. Clinical competence was increased with positive, supportive, and consistent learning opportunities.</div></div><div><h3>Conclusions</h3><div>Newly graduated registered nurse education, training, and support experiences were potentially inadequate, limiting future practice abilities. To ensure inexperienced nurses develop into future nurse leaders, it is essential that they are supported by educators and provided with ample training opportunities.</div></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"32 2","pages":"Pages 120-127"},"PeriodicalIF":1.6,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143562092","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}
Pub Date : 2025-02-21DOI: 10.1016/j.colegn.2025.01.004
Tendayi Bruce Dziruni , Alison M. Hutchinson , Sandra Keppich-Arnold , Tracey Bucknall
Background
Managing patients’ mental state deterioration in acute hospital settings presents significant challenges, often resulting in adverse patient outcomes, traumatic restrictive practices, and negative staff effects. Ensuring timely and appropriate care for patients is critical; however, the efficacy of interventions is contingent upon understanding the underlying causal mechanisms that influence the staff’s capacity to timely manage deterioration.
Aims
To test, validate, and refine theories about factors influencing nurses’ ability to manage mental state deterioration and how these factors impact the functioning of a response model.
Methods
A realist evaluation survey was conducted with nurses in acute hospital settings to refine theories about managing patient mental state deterioration.
Results
A total of 60 nurses (50%) completed the survey. Most (n=48, 80%) had some mental health training, but 56% (n=27) reported less than an hour of training, and 53% (n=29) rated their de-escalation skills as low. About 30% (n=16) had activated response teams, and 16% (n=9) had reported managing mental state deterioration in the previous four weeks. Nurses highlighted the challenges of managing mental state deterioration and emphasised the need for tailored training, daily assessments, improved teamwork, communication, and organisational support for high-risk patients.
Conclusion
The study underscores the importance of addressing staff challenges for the effective functioning of a response model for mental state deterioration in acute hospital settings. Enhancing clinical skills and aligning organisational factors, such as guidelines, escalation workflows, and risk reporting, are essential to improving patient outcomes and staff support.
{"title":"A realist-informed exploration of factors influencing nurses’ management of mental state deterioration in acute hospital settings","authors":"Tendayi Bruce Dziruni , Alison M. Hutchinson , Sandra Keppich-Arnold , Tracey Bucknall","doi":"10.1016/j.colegn.2025.01.004","DOIUrl":"10.1016/j.colegn.2025.01.004","url":null,"abstract":"<div><h3>Background</h3><div>Managing patients’ mental state deterioration in acute hospital settings presents significant challenges, often resulting in adverse patient outcomes, traumatic restrictive practices, and negative staff effects. Ensuring timely and appropriate care for patients is critical; however, the efficacy of interventions is contingent upon understanding the underlying causal mechanisms that influence the staff’s capacity to timely manage deterioration.</div></div><div><h3>Aims</h3><div>To test, validate, and refine theories about factors influencing nurses’ ability to manage mental state deterioration and how these factors impact the functioning of a response model.</div></div><div><h3>Methods</h3><div>A realist evaluation survey was conducted with nurses in acute hospital settings to refine theories about managing patient mental state deterioration.</div></div><div><h3>Results</h3><div>A total of 60 nurses (50%) completed the survey. Most (n=48, 80%) had some mental health training, but 56% (n=27) reported less than an hour of training, and 53% (n=29) rated their de-escalation skills as low. About 30% (n=16) had activated response teams, and 16% (n=9) had reported managing mental state deterioration in the previous four weeks. Nurses highlighted the challenges of managing mental state deterioration and emphasised the need for tailored training, daily assessments, improved teamwork, communication, and organisational support for high-risk patients.</div></div><div><h3>Conclusion</h3><div>The study underscores the importance of addressing staff challenges for the effective functioning of a response model for mental state deterioration in acute hospital settings. Enhancing clinical skills and aligning organisational factors, such as guidelines, escalation workflows, and risk reporting, are essential to improving patient outcomes and staff support.</div></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"32 2","pages":"Pages 100-110"},"PeriodicalIF":1.6,"publicationDate":"2025-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143562008","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}
Pub Date : 2025-02-08DOI: 10.1016/j.colegn.2025.01.003
Alan Ramsay , Peter Hartin , Kris McBain-Rigg , Melanie Birks
Introduction
Nurses play a vital role in advocating for patient safety, yet their ability to fulfil this role is influenced by the power dynamics within healthcare systems. Understanding the relationship between power and nurse advocacy in Australia is essential to fostering a supportive environment for effective advocacy.
Aim
This integrative literature review aims to identify and examine the relationship between power and the advocacy role of nurses in Australia.
Methods
The review followed an integrative literature review design, guided by the approach outlined by Toronto and Remington. A comprehensive search was conducted in electronic databases such as Medline, CINAHL, Emcare, Scopus, ProQuest Health & Medicine, and Informit. The search terms used were ‘nurse OR nursing OR nurses’ AND ‘advocacy OR whistleblowing’ AND ‘Australia.’ A total of 2507 articles were retrieved, and 26 studies met the inclusion criteria, comprising 18 qualitative studies, one quantitative study, one mixed-method study, one review of existing literature, and four editorial commentaries. The search was completed in May 2023.
Findings
The findings suggest that enhancing nurses’ advocacy for patient safety requires a multifaceted approach. This includes empowering nurses through professional development and leadership opportunities, fostering a culture of patient safety, and engaging in political action to advocate for policies that support advocacy efforts and patient safety. This approach aims to advance patient well-being and elevate the professional standing of nurses within the healthcare system.
Discussion
Power dynamics significantly shape nurse advocacy practices. Nurses with greater personal power are more likely to advocate confidently, while those with less power may be hesitant. Healthcare organisations can either support or hinder advocacy efforts, with unsupportive systems creating barriers and fostering a culture of silence. Whistleblowing, as a form of advocacy for patient safety, is also affected by organisational culture and power structures.
Conclusion
Power dynamics play a critical role in determining how effectively nurses can advocate for patient safety. Empowering nurses and addressing organisational barriers are crucial for promoting advocacy in healthcare. This review highlights the need for healthcare systems to cultivate environments that support and facilitate nurse advocacy.
{"title":"Advocating for patient safety: Power dynamics in nurse advocacy practice in Australia—An integrative review","authors":"Alan Ramsay , Peter Hartin , Kris McBain-Rigg , Melanie Birks","doi":"10.1016/j.colegn.2025.01.003","DOIUrl":"10.1016/j.colegn.2025.01.003","url":null,"abstract":"<div><h3>Introduction</h3><div>Nurses play a vital role in advocating for patient safety, yet their ability to fulfil this role is influenced by the power dynamics within healthcare systems. Understanding the relationship between power and nurse advocacy in Australia is essential to fostering a supportive environment for effective advocacy.</div></div><div><h3>Aim</h3><div>This integrative literature review aims to identify and examine the relationship between power and the advocacy role of nurses in Australia.</div></div><div><h3>Methods</h3><div>The review followed an integrative literature review design, guided by the approach outlined by Toronto and Remington. A comprehensive search was conducted in electronic databases such as Medline, CINAHL, Emcare, Scopus, ProQuest Health & Medicine, and Informit. The search terms used were ‘nurse OR nursing OR nurses’ AND ‘advocacy OR whistleblowing’ AND ‘Australia.’ A total of 2507 articles were retrieved, and 26 studies met the inclusion criteria, comprising 18 qualitative studies, one quantitative study, one mixed-method study, one review of existing literature, and four editorial commentaries. The search was completed in May 2023.</div></div><div><h3>Findings</h3><div>The findings suggest that enhancing nurses’ advocacy for patient safety requires a multifaceted approach. This includes empowering nurses through professional development and leadership opportunities, fostering a culture of patient safety, and engaging in political action to advocate for policies that support advocacy efforts and patient safety. This approach aims to advance patient well-being and elevate the professional standing of nurses within the healthcare system.</div></div><div><h3>Discussion</h3><div>Power dynamics significantly shape nurse advocacy practices. Nurses with greater personal power are more likely to advocate confidently, while those with less power may be hesitant. Healthcare organisations can either support or hinder advocacy efforts, with unsupportive systems creating barriers and fostering a culture of silence. Whistleblowing, as a form of advocacy for patient safety, is also affected by organisational culture and power structures.</div></div><div><h3>Conclusion</h3><div>Power dynamics play a critical role in determining how effectively nurses can advocate for patient safety. Empowering nurses and addressing organisational barriers are crucial for promoting advocacy in healthcare. This review highlights the need for healthcare systems to cultivate environments that support and facilitate nurse advocacy.</div></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"32 2","pages":"Pages 84-99"},"PeriodicalIF":1.6,"publicationDate":"2025-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143562007","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}
Pub Date : 2025-02-06DOI: 10.1016/j.colegn.2025.01.002
Rebecca M. Jedwab , Tanya G. Langtree , Kate C. LoPresti , Aaron J. Jones , Naomi Dobroff
Background
Digital health technologies are changing the context of nursing and midwifery practice. There are varying degrees of knowledge and adoption of digital health technologies in Australian healthcare systems. While nursing and midwifery informatics is an emerging specialty within Australia, little is known about the scope, roles, and benefits of informatics roles in Australia.
Review question
What are the scope, responsibilities, benefits, and limitations of nursing and midwifery informatics roles throughout Australia?
Methods
A scoping review was used to address the review question, and the mixed-methods appraisal tool was used to guide generalisability and interpretation of included records. Five healthcare and digital health databases, as well as grey literature, reference lists, and published resources related to nursing and midwifery informatics between 2010 and 2024 were searched.
Findings
Four records were identified that partially addressed the review question. The scope, roles, and responsibilities of nursing and midwifery informaticians remain poorly understood.
Discussion
Nurses and midwives need further education about digital health technologies and their place in an ever-changing work environment. Professional development activities that enhance understanding about digital health and informatics would be beneficial to address this gap, regardless of nurses’ and midwives’ current educational level or role. A standardised approach to defining Australian nursing and midwifery informatics, including the scope, roles, and responsibilities of informaticians, would support better understanding, applicability, and usability within the workforce.
Conclusion
Despite literature supporting the need for dedicated nursing and midwifery informatics roles, the evidence and value of these roles are yet to be defined and quantified.
{"title":"Exploring Australian nursing and midwifery informatics roles: A scoping review","authors":"Rebecca M. Jedwab , Tanya G. Langtree , Kate C. LoPresti , Aaron J. Jones , Naomi Dobroff","doi":"10.1016/j.colegn.2025.01.002","DOIUrl":"10.1016/j.colegn.2025.01.002","url":null,"abstract":"<div><h3>Background</h3><div>Digital health technologies are changing the context of nursing and midwifery practice. There are varying degrees of knowledge and adoption of digital health technologies in Australian healthcare systems. While nursing and midwifery informatics is an emerging specialty within Australia, little is known about the scope, roles, and benefits of informatics roles in Australia.</div></div><div><h3>Review question</h3><div>What are the scope, responsibilities, benefits, and limitations of nursing and midwifery informatics roles throughout Australia?</div></div><div><h3>Methods</h3><div>A scoping review was used to address the review question, and the mixed-methods appraisal tool was used to guide generalisability and interpretation of included records. Five healthcare and digital health databases, as well as grey literature, reference lists, and published resources related to nursing and midwifery informatics between 2010 and 2024 were searched.</div></div><div><h3>Findings</h3><div>Four records were identified that partially addressed the review question. The scope, roles, and responsibilities of nursing and midwifery informaticians remain poorly understood.</div></div><div><h3>Discussion</h3><div>Nurses and midwives need further education about digital health technologies and their place in an ever-changing work environment. Professional development activities that enhance understanding about digital health and informatics would be beneficial to address this gap, regardless of nurses’ and midwives’ current educational level or role. A standardised approach to defining Australian nursing and midwifery informatics, including the scope, roles, and responsibilities of informaticians, would support better understanding, applicability, and usability within the workforce.</div></div><div><h3>Conclusion</h3><div>Despite literature supporting the need for dedicated nursing and midwifery informatics roles, the evidence and value of these roles are yet to be defined and quantified.</div></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"32 2","pages":"Pages 76-83"},"PeriodicalIF":1.6,"publicationDate":"2025-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143562096","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}
Adverse events in hospital emergency departments remain significant health problems that pose a serious threat to the patients with resultant detrimental outcomes. However, effective strategies for their reduction and reporting remain understudied.
Aim
This review aims to evaluate interventions for reducing and reporting adverse events in emergency settings.
Methods
We conducted a systematic search across six major scientific databases, including PubMed and Cochrane, for papers published between 2001 and 2024 to capture a broad range of interventions. A PRISMA protocol for systematic review methodology was applied. Included were studies evaluating interventions aimed at reducing adverse events and improving the reporting processes in emergency departments. According to predefined guidelines, data extraction and quality assessment for randomised controlled trials and non-randomized experimental research were completed using the Joanna Briggs Institute critical appraisal tool. Analysis was done on 12 papers that met the criteria for inclusion.
Findings
Key interventions included multidisciplinary staff training, the implementation of electronic health record systems with decision-support tools, and standardised triage protocols, all of which demonstrated a reduction in adverse events. Standardised triage protocols and simulation scenarios were effective in reducing adverse events. Meanwhile, electronic health record systems with decision support tools, machine learning integration, and electronic medication alerts significantly improved reporting practices.
Conclusion
The review highlights the importance of multifaceted strategies, particularly those integrating technology and collaborative approaches, to improve safety culture in emergency departments. Future research should focus on long-term evaluations of these interventions in diverse healthcare settings, with a particular emphasis on resource-limited environments and the scalability of technological solutions.
Study registration details
The protocol is registered in the International Prospective Register of Systematic Reviews with registration number ‘CRD42024532902’.
{"title":"A systematic review of interventions for reducing and reporting adverse events in emergency departments: Multidisciplinary approaches and technological innovations","authors":"Olamide Olajumoke Afolalu , Oluwaseyi Abiodun Akpor , Sunday Adeniran Afolalu","doi":"10.1016/j.colegn.2024.12.001","DOIUrl":"10.1016/j.colegn.2024.12.001","url":null,"abstract":"<div><h3>Background</h3><div>Adverse events in hospital emergency departments remain significant health problems that pose a serious threat to the patients with resultant detrimental outcomes. However, effective strategies for their reduction and reporting remain understudied.</div></div><div><h3>Aim</h3><div>This review aims to evaluate interventions for reducing and reporting adverse events in emergency settings.</div></div><div><h3>Methods</h3><div>We conducted a systematic search across six major scientific databases, including PubMed and Cochrane, for papers published between 2001 and 2024 to capture a broad range of interventions. A PRISMA protocol for systematic review methodology was applied. Included were studies evaluating interventions aimed at reducing adverse events and improving the reporting processes in emergency departments. According to predefined guidelines, data extraction and quality assessment for randomised controlled trials and non-randomized experimental research were completed using the Joanna Briggs Institute critical appraisal tool. Analysis was done on 12 papers that met the criteria for inclusion.</div></div><div><h3>Findings</h3><div>Key interventions included multidisciplinary staff training, the implementation of electronic health record systems with decision-support tools, and standardised triage protocols, all of which demonstrated a reduction in adverse events. Standardised triage protocols and simulation scenarios were effective in reducing adverse events. Meanwhile, electronic health record systems with decision support tools, machine learning integration, and electronic medication alerts significantly improved reporting practices.</div></div><div><h3>Conclusion</h3><div>The review highlights the importance of multifaceted strategies, particularly those integrating technology and collaborative approaches, to improve safety culture in emergency departments. Future research should focus on long-term evaluations of these interventions in diverse healthcare settings, with a particular emphasis on resource-limited environments and the scalability of technological solutions.</div></div><div><h3>Study registration details</h3><div>The protocol is registered in the International Prospective Register of Systematic Reviews with registration number ‘CRD42024532902’.</div></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"32 1","pages":"Pages 34-45"},"PeriodicalIF":1.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143094496","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}
Pub Date : 2025-02-01DOI: 10.1016/j.colegn.2024.12.002
Scott Lamont , Zoe Kumar , Pooja Bhusal
Background
Deterioration in acute healthcare settings is associated with serious adverse sequelae. A National Standards framework for healthcare facilities in Australia has mandated that such facilities provide evidence that satisfies criteria relating to acute deterioration recognition and response. Whilst education and training of healthcare practitioners have been prominent since National Standards inception, state-wide mandatory training programs have not been sensitive to the perioperative context.
Aim
To evaluate the effectiveness of a perioperative simulation-based learning program in building capacity for perioperative staff in acute patient deterioration recognition and response.
Methods
A multiple group post-test design using quantitative measures was undertaken. Participants were a consecutive sample of perioperative nursing staff (n=56) employed across three hospitals in Sydney who self-enrolled in simulation-based learning workshops. Each six-hour workshop focussed on four acute deterioration scenarios: Anaphylaxis, Malignant Hyperthermia, Post-Partum Haemorrhage, and Local Anaesthetic Systemic Toxicity. Simulation effectiveness was measured using the 19-item Simulation Effectiveness Tool–Modified. Descriptive statistics were calculated, and qualitative content analysis was used for an open-ended question.
Findings
All 19 items elicited a high degree of ‘strongly agree’, ranging from 57.1% to 89.6%, with only four of the 19 items achieving less than 80% ‘strongly agree’. Content analysis generated two primary categories: ‘Self-efficacy enabling professional autonomy’ and ‘Relevant and authentic representation’.
Discussion
Perioperative simulation-based learning can enhance clinical proficiency and professional autonomy, whilst developing clinical reasoning, teamwork, and delegation skills.
Conclusion
Perioperative simulation-based learning was perceived as effective in preparing nursing staff working in the perioperative specialty for real-world clinical emergencies.
{"title":"Recognising and responding to acute patient deterioration in the perioperative environment – A simulation-based learning approach to meeting National Healthcare Standards criteria","authors":"Scott Lamont , Zoe Kumar , Pooja Bhusal","doi":"10.1016/j.colegn.2024.12.002","DOIUrl":"10.1016/j.colegn.2024.12.002","url":null,"abstract":"<div><h3>Background</h3><div>Deterioration in acute healthcare settings is associated with serious adverse sequelae. A National Standards framework for healthcare facilities in Australia has mandated that such facilities provide evidence that satisfies criteria relating to acute deterioration recognition and response. Whilst education and training of healthcare practitioners have been prominent since National Standards inception, state-wide mandatory training programs have not been sensitive to the perioperative context.</div></div><div><h3>Aim</h3><div>To evaluate the effectiveness of a perioperative simulation-based learning program in building capacity for perioperative staff in acute patient deterioration recognition and response.</div></div><div><h3>Methods</h3><div>A multiple group post-test design using quantitative measures was undertaken. Participants were a consecutive sample of perioperative nursing staff (n=56) employed across three hospitals in Sydney who self-enrolled in simulation-based learning workshops. Each six-hour workshop focussed on four acute deterioration scenarios: Anaphylaxis, Malignant Hyperthermia, Post-Partum Haemorrhage, and Local Anaesthetic Systemic Toxicity. Simulation effectiveness was measured using the 19-item Simulation Effectiveness Tool–Modified. Descriptive statistics were calculated, and qualitative content analysis was used for an open-ended question.</div></div><div><h3>Findings</h3><div>All 19 items elicited a high degree of ‘strongly agree’, ranging from 57.1% to 89.6%, with only four of the 19 items achieving less than 80% ‘strongly agree’. Content analysis generated two primary categories: <em>‘Self-efficacy enabling professional autonomy’</em> and <em>‘Relevant and authentic representation’</em>.</div></div><div><h3>Discussion</h3><div>Perioperative simulation-based learning can enhance clinical proficiency and professional autonomy, whilst developing clinical reasoning, teamwork, and delegation skills.</div></div><div><h3>Conclusion</h3><div>Perioperative simulation-based learning was perceived as effective in preparing nursing staff working in the perioperative specialty for real-world clinical emergencies.</div></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"32 1","pages":"Pages 46-52"},"PeriodicalIF":1.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143094497","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}
Pub Date : 2025-02-01DOI: 10.1016/j.colegn.2024.11.002
Nicola Drayton , Christopher Boothroyd , Lauretta Luck
Aim
To understand the experiences of nurses working in outdoor COVID-19 testing clinics.
Background
The COVID-19 pandemic led to significant changes in the practices of nurses across healthcare settings. This challenge meant responding to working in completely new environments, such as the COVID-19 testing clinics and undertaking work practices never experienced before.
Design
A qualitative descriptive design.
Methods
Semistructured interviews with 11 nurses recruited and deployed to work in outdoor COVID-19 testing clinics across a Local Health District in Australia. Data were analysed using Braun and Clarke’s guide for thematic analysis.
Findings
Six themes were identified from the data: connection to being a nurse in response to the pandemic; the journey working in the clinic; fear of taking COVID-19 home; the influence of the media on personal and professional lives; responding to the community; and becoming one, developing the team.
Conclusions
This study shows how responsive and adaptive nurses can be in times of crisis. Despite the fear of facing the unknown, nurses from an array of backgrounds very quickly established clear roles and team cohesiveness to respond to the needs of the community.
{"title":"Exploring the experiences of nurses working in the outdoor COVID-19 testing clinics: A qualitative descriptive study","authors":"Nicola Drayton , Christopher Boothroyd , Lauretta Luck","doi":"10.1016/j.colegn.2024.11.002","DOIUrl":"10.1016/j.colegn.2024.11.002","url":null,"abstract":"<div><h3>Aim</h3><div>To understand the experiences of nurses working in outdoor COVID-19 testing clinics.</div></div><div><h3>Background</h3><div>The COVID-19 pandemic led to significant changes in the practices of nurses across healthcare settings. This challenge meant responding to working in completely new environments, such as the COVID-19 testing clinics and undertaking work practices never experienced before.</div></div><div><h3>Design</h3><div>A qualitative descriptive design.</div></div><div><h3>Methods</h3><div>Semistructured interviews with 11 nurses recruited and deployed to work in outdoor COVID-19 testing clinics across a Local Health District in Australia. Data were analysed using Braun and Clarke’s guide for thematic analysis.</div></div><div><h3>Findings</h3><div>Six themes were identified from the data: connection to being a nurse in response to the pandemic; the journey working in the clinic; fear of taking COVID-19 home; the influence of the media on personal and professional lives; responding to the community; and becoming one, developing the team.</div></div><div><h3>Conclusions</h3><div>This study shows how responsive and adaptive nurses can be in times of crisis. Despite the fear of facing the unknown, nurses from an array of backgrounds very quickly established clear roles and team cohesiveness to respond to the needs of the community.</div></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"32 1","pages":"Pages 18-25"},"PeriodicalIF":1.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143094493","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}
Pub Date : 2025-02-01DOI: 10.1016/j.colegn.2024.12.003
Betul Sahi̇n-Kilinc , Hilal Tuzer
Aim
This study utilised a quasi-experimental design to examine the effect of the 3D MedSim Intravenous (IV) Catheterisation e-learning application on the knowledge of peripheral intravenous catheterisation (PIVC) among first-year nursing students.
Method
The study employed a two-group design, comprising a control group (n=34) and an intervention group (n=34). The control group received conventional educational methods, whereas the intervention group received traditional education supplemented with using an e-learning application. Data were gathered online via Google Forms, encompassing a questionnaire, achievement tests, and e-learning application exam scores.
Results
A statistically significant difference was observed between the mean pretest and posttest knowledge scores of students in the intervention group. Additionally, a statistically significant, moderate positive correlation was found between the application examination knowledge scores and both the pretest and posttest knowledge scores.
Conclusions
The IV catheterisation e-learning application has been proven to be an effective tool for increasing knowledge scores in the area of PIVC.
{"title":"The impact of an intravenous e-learning application on nursing students’ knowledge level: A quasi-experimental study","authors":"Betul Sahi̇n-Kilinc , Hilal Tuzer","doi":"10.1016/j.colegn.2024.12.003","DOIUrl":"10.1016/j.colegn.2024.12.003","url":null,"abstract":"<div><h3>Aim</h3><div>This study utilised a quasi-experimental design to examine the effect of the 3D MedSim Intravenous (IV) Catheterisation e-learning application on the knowledge of peripheral intravenous catheterisation (PIVC) among first-year nursing students.</div></div><div><h3>Method</h3><div>The study employed a two-group design, comprising a control group (n=34) and an intervention group (n=34). The control group received conventional educational methods, whereas the intervention group received traditional education supplemented with using an e-learning application. Data were gathered online via Google Forms, encompassing a questionnaire, achievement tests, and e-learning application exam scores.</div></div><div><h3>Results</h3><div>A statistically significant difference was observed between the mean pretest and posttest knowledge scores of students in the intervention group. Additionally, a statistically significant, moderate positive correlation was found between the application examination knowledge scores and both the pretest and posttest knowledge scores.</div></div><div><h3>Conclusions</h3><div>The IV catheterisation e-learning application has been proven to be an effective tool for increasing knowledge scores in the area of PIVC.</div></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"32 1","pages":"Pages 53-59"},"PeriodicalIF":1.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143094494","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}
Pub Date : 2025-02-01DOI: 10.1016/j.colegn.2024.09.004
Angela Ellis , Melissa Taylor
Background
Healthcare and societal expectations change over time, with Hospital in the Home (HITH) registered nurses (RNs) increasing in community profile in Australian nursing domains. With increases in service demand and bed pressure creating an increased need for services outside the hospital environment, understanding of the role of the registered nurse working in HITH is needed.
Aim
This research aims to identify the role and function of the RNs’ experience in their day-to-day work in the HITH setting. Additionally, the research shares a content analysis of the position descriptions of participating HITH RNs to analyse key performance indicator inclusions and barriers in scope of practice for the registered nurse.
Method
Using an interpretive phenomenological approach and Gadamer’s method, 12 HITH RN participants from across Australia were engaged in in-depth interviews. Interviews provided HITH RNs the opportunity to share their experience of the role, and a contributing content analysis of position descriptions followed, providing a synopsis of key areas of commonality and difference.
Findings
Three key areas emerged: professionalism, knowledge, and responsiveness, with an identified mismatch between generalisations in scope of practice in the position descriptions and the shared experience of the HITH RN participants.
Discussion
The research identified shared challenges that exist in the day-to-day role and function of the HITH RN, determining that HITH RNs undertake complex roles, working with generic position descriptions, often absent of core components of autonomous practice, experience, and knowledge. Limitations exist in the scope of practice of the HITH RN resulting in delays in care where advanced practice could be applied.
{"title":"A qualitative analysis of the role of the Hospital in the Home registered nurse in Australia","authors":"Angela Ellis , Melissa Taylor","doi":"10.1016/j.colegn.2024.09.004","DOIUrl":"10.1016/j.colegn.2024.09.004","url":null,"abstract":"<div><h3>Background</h3><div>Healthcare and societal expectations change over time, with Hospital in the Home (HITH) registered nurses (RNs) increasing in community profile in Australian nursing domains. With increases in service demand and bed pressure creating an increased need for services outside the hospital environment, understanding of the role of the registered nurse working in HITH is needed.</div></div><div><h3>Aim</h3><div>This research aims to identify the role and function of the RNs’ experience in their day-to-day work in the HITH setting. Additionally, the research shares a content analysis of the position descriptions of participating HITH RNs to analyse key performance indicator inclusions and barriers in scope of practice for the registered nurse.</div></div><div><h3>Method</h3><div>Using an interpretive phenomenological approach and Gadamer’s method, 12 HITH RN participants from across Australia were engaged in in-depth interviews. Interviews provided HITH RNs the opportunity to share their experience of the role, and a contributing content analysis of position descriptions followed, providing a synopsis of key areas of commonality and difference.</div></div><div><h3>Findings</h3><div>Three key areas emerged: professionalism, knowledge, and responsiveness, with an identified mismatch between generalisations in scope of practice in the position descriptions and the shared experience of the HITH RN participants.</div></div><div><h3>Discussion</h3><div>The research identified shared challenges that exist in the day-to-day role and function of the HITH RN, determining that HITH RNs undertake complex roles, working with generic position descriptions, often absent of core components of autonomous practice, experience, and knowledge. Limitations exist in the scope of practice of the HITH RN resulting in delays in care where advanced practice could be applied.</div></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"32 1","pages":"Pages 1-8"},"PeriodicalIF":1.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143094491","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}
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