Collegian最新文献

{"title":"Registered nurses’ confidence related to undertaking a leadership role in residential aged care: A clinical leadership self-assessment survey","authors":"Dorika Nhongo ,&nbsp;Annie Holt ,&nbsp;Kasia Bail ,&nbsp;Tracy Flenady","doi":"10.1016/j.colegn.2024.04.004","DOIUrl":"10.1016/j.colegn.2024.04.004","url":null,"abstract":"<div><h3>Background</h3><p>The Australian Royal Commission emphasizes the importance of registered nurse leadership in providing safe, high-quality care to older adults in Residential aged care. Nurse leadership has important ramifications for effective multidisciplinary care as well as recruitment and retention of the aged care workforce. Registered nurse leadership plays a crucial role in enhancing resident outcomes in Residential aged care, however there are limited studies examining self-perceptions of confidence and competence of nurses running Residential aged care, particularly after hours.</p></div><div><h3>Aim</h3><p>To examine registered nurse leadership via self-reported confidence and competence in Residential aged care.</p></div><div><h3>Methods</h3><p>A cross-sectional research design with ten facilities in Western Australia was used, including a survey tool that relied on the Clinical Leadership Competency Framework. Cronbach's alpha test was used to ascertain internal reliability and replicability. The Strengthening the Reporting of Observational studies in Epidemiology guidelines was used to guide the study. Inferential statistics were used for data analysis. Data collection occurred over a six-month period, involving registered nurses employed by a single Residential aged care provider in Perth, Western Australia. Participants rated their leadership confidence on a 5-point Likert-type scale ranging from 1 (never) to 5 (all the time).</p></div><div><h3>Findings</h3><p>From a sample of 100 registered nurses working in aged care after-hours, 90% reported high levels of self-confidence. The survey results showed that those who have more than 10 years of experience reported highest confidence in managing services. Registered nurses over 50 years old self-reported highest confidence in personal qualities, managing, and improving service domains.</p></div><div><h3>Discussion</h3><p>Registered nurses run residential aged care, and this time of aged care reform provides an opportunity to examine associations between registered nurse leadership and resident outcomes and provide avenues for improvements in working environments and resident experiences.</p></div><div><h3>Conclusion</h3><p>The findings have important implications for Residential aged care providers in establishing effective leadership mentoring programs to support registered nurses in improving their confidence and ability.</p></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"31 4","pages":"Pages 202-210"},"PeriodicalIF":1.6,"publicationDate":"2024-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1322769624000180/pdfft?md5=2f2ebd49dc5e7d9c23e483f3edcc98dc&pid=1-s2.0-S1322769624000180-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140789497","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The role of peer support groups in adjustment to stoma: A qualitative study","authors":"Julia Kittscha ,&nbsp;Val Wilson ,&nbsp;Greg Fairbrother ,&nbsp;Vida Bliokas","doi":"10.1016/j.colegn.2024.03.002","DOIUrl":"10.1016/j.colegn.2024.03.002","url":null,"abstract":"<div><h3>Introduction</h3><p>In Australia, access to peer support for people who have a stoma (ostomates) in a group setting, is variable and impacted by barriers such as distance and availability. The ostomate-perceived value of peer support in relation to adjustment to stoma surgery has not been previously researched. The aim of this study was to explore the experience of people who have a stoma (ostomates) and who attended a stoma peer support group. A qualitative design was used to gather insights into the ostomates’ experience.</p></div><div><h3>Methods</h3><p>Three focus groups were held with a total of 13 participants from an ostomy peer support group to investigate the role of this method of support in adjustment to a stoma. The qualitative data were organised using NVivo, and thematic analysis was undertaken following Braun and Clarke’s six-phase process.</p></div><div><h3>Findings</h3><p>Three main themes were identified: ‘being part of a group’, ‘learning from each other’, and ‘receiving support’. Six sub-themes were also identified. The findings suggest that there is a connection between adjustment to a stoma and peer-to-peer support via a support group. Being able to relate to others with a stoma helped the participants to feel normal and ultimately accepted by others. It seems likely that being part of a community of people who have a similar experience contributes positively to stoma adjustment.</p></div><div><h3>Conclusion</h3><p>The study findings suggest that people with a stoma benefit from participation in peer support in terms of learning, support, and connectedness gains.</p></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"31 3","pages":"Pages 173-179"},"PeriodicalIF":1.5,"publicationDate":"2024-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140771358","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":"Post-fall outcomes of aged care residents that did not transfer to hospital following referral to a specialised hospital outreach service: A retrospective cohort study","authors":"Karen Venaglia ,&nbsp;Amanda Fox ,&nbsp;Margaret MacAndrew","doi":"10.1016/j.colegn.2024.03.001","DOIUrl":"10.1016/j.colegn.2024.03.001","url":null,"abstract":"<div><h3>Background</h3><p>Hospital outreach services aim to reduce the number of avoidable emergency department (ED) transfers of aged care residents and improve healthcare outcomes. While there are known benefits of such services, including avoiding the distress and discomfort that comes with the care transition, little is known about the outcomes of older people in residential aged care facilities who are referred to an outreach service and do not transfer to hospital after a fall.</p></div><div><h3>Aim</h3><p>The aim of this study was to describe the characteristics of residents who experienced a fall in an aged care facility and were referred to a hospital outreach service, and to report the health outcomes of those who did not transfer to hospital.</p></div><div><h3>Methods</h3><p>A retrospective cohort study of health administrative data collected from 1st January 2019 to 31st May 2022 was undertaken. Clinical chart audits were conducted of aged care residents who avoided attending an ED following a fall but subsequently, within 30 days, died or presented to hospital. Descriptive statistics were used for analysis.</p></div><div><h3>Findings</h3><p>Most residents who avoided the ED post fall (n = 370, 73%), did not present to hospital or die within 30 days. Of the cohort who presented to hospital within 30 days, the reasons included new symptoms, pain or medical imaging requirement. Of the residents who died (n = 42, 8%), most did not attend an ED within 30 days of the fall.</p></div><div><h3>Discussion</h3><p>Most residents who were recommended not to transfer to an ED post fall by the hospital outreach service did not die or require transfer to hospital within 30 days. The residents who died had incurable progressive illness. Most of them who died were cared for in the aged care facility allowing the resident to die in a familiar environment being cared for by staff known to them.</p></div><div><h3>Conclusion</h3><p>The results suggest that the hospital outreach service in this study was effective in most cases in supporting residents to avoid transfer to an ED post fall. Avoiding ED is not always appropriate.</p></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"31 3","pages":"Pages 165-172"},"PeriodicalIF":1.5,"publicationDate":"2024-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140781399","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":"Understanding research capacity and culture of nurses and midwives in two health services in Western Australia","authors":"Carrie Janerka ,&nbsp;Gavin D. Leslie ,&nbsp;Olivia Gallagher ,&nbsp;Melissa Mellan ,&nbsp;Marguerite Lane ,&nbsp;Fenella J. Gill","doi":"10.1016/j.colegn.2024.02.001","DOIUrl":"10.1016/j.colegn.2024.02.001","url":null,"abstract":"<div><h3>Background</h3><p>Health services with a strong research culture report better patient outcomes and organisational performance. Measuring research capacity and culture (RCC) is important for understanding baseline research capabilities of a health service and assessing the effectiveness of capacity-building and culture-improving interventions.</p></div><div><h3>Aim</h3><p>To describe the RCC of nurses and midwives in two health services in Western Australia.</p></div><div><h3>Methods</h3><p>A cross-sectional survey of nurses and midwives was undertaken using a previously validated RCC tool to measure RCC in individual, professional group, and organisational domains, and identify barriers, enablers, and research activity. Staff at each health service were recruited via email during a three-month period in 2022. Quantitative data were analysed for descriptive statistics. Qualitative comments underwent content analysis.</p></div><div><h3>Results</h3><p>Three hundred nurses and midwives completed the survey. Research capacity was low to moderate at the individual and group domains and moderate in the organisational domain. Participation in research activities was generally low. Top barriers for research involved lack of time and backfill, and other work roles taking priority, whilst top enablers were skill development, job satisfaction, and addressing identified problems. The results appeared similar across the two services.</p></div><div><h3>Conclusions</h3><p>The findings align with previous studies, indicating that research capacity continues to be limited for nurses and midwives. Organisations should acknowledge key barriers and enablers for research and implement targeted capacity-building and culture-improving strategies.</p></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"31 3","pages":"Pages 137-143"},"PeriodicalIF":1.5,"publicationDate":"2024-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1322769624000027/pdfft?md5=1d80cfd74d035dbfc1f759b0bd1714d3&pid=1-s2.0-S1322769624000027-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140148541","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Family members’ experiences of ‘living well’ with a family member with depression","authors":"Amanda Cole ,&nbsp;Julie Ann Pooley ,&nbsp;Vivien Kemp ,&nbsp;Lisa Whitehead","doi":"10.1016/j.colegn.2024.02.003","DOIUrl":"10.1016/j.colegn.2024.02.003","url":null,"abstract":"<div><h3>Background</h3><p>With the high and growing prevalence of depression worldwide, there is an increasing number of families assuming the role of caregivers for family members with mental health conditions such as depression.</p></div><div><h3>Aim</h3><p>The aim of this study was to explore how family members describe and perceive the experience of living well with a family member living with depression.</p></div><div><h3>Methods</h3><p>Narrative inquiry was used to elicit stories from eight participants who lived with an adult family member diagnosed with depression. Narrative and thematic analysis were used.</p></div><div><h3>Findings</h3><p>Participants described the experience of living well through the themes of ‘times of uncertainty, distress, change, adaptation, perseverance, endurance, hope, and healing.’</p></div><div><h3>Discussion</h3><p>This study found that participants needed to make substantial psychosocial adaptations and modification to roles, goals, and relationships that they described as necessary to live well. Living well was described as synonymous with ‘normal’ living when living with a family member living with depression. Depression was described as bringing disruption, change, adaptation, challenges, acceptance, gains, and hope. Although paradoxical in terms of societal understandings of living well, participants described their current state of being as an example of living well.</p></div><div><h3>Conclusion</h3><p>The findings highlight the necessity for health professionals, mental health, and comprehensively trained nurses to adopt an integrated way of examining a family’s dynamics. Attention ought to be given to strengths, and concerns in health and illness when supporting families, not just the person diagnosed with depression.</p></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"31 3","pages":"Pages 154-164"},"PeriodicalIF":1.5,"publicationDate":"2024-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1322769624000040/pdfft?md5=20a1cf789bfc257c739591a2f45f27f9&pid=1-s2.0-S1322769624000040-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140148542","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nurses’ understanding of their duty of confidentiality to patients in mental health care: A qualitative exploratory study","authors":"Darren Conlon ,&nbsp;Toby Raeburn ,&nbsp;Timothy Wand","doi":"10.1016/j.colegn.2024.02.002","DOIUrl":"10.1016/j.colegn.2024.02.002","url":null,"abstract":"<div><h3>Background</h3><p>There are significant personal repercussions for patients, and professional, legal, financial, or reputational repercussions for stakeholders, when confidential patient information is mishandled by nurses working in mental health care. Education and guidance would be helpful for nurses, to address any knowledge or practice gaps related to their duty of confidentiality to patients, but there is limited empirical literature exploring their understanding of this important area of nursing practice to guide these interventions.</p></div><div><h3>Aim</h3><p>To explore nurses’ understanding of their duty of confidentiality to patients in mental health care.</p></div><div><h3>Methods</h3><p>Theoretical thematic analysis employing a deductive approach to coding of interview data.</p></div><div><h3>Findings</h3><p>Nurses have a general knowledge of the concept of confidentiality and its rules, but this knowledge is often incomplete or incorrect. Nonetheless, they recognise and prioritise patients’ interests when considering how confidential information should be handled, whilst also demonstrating awareness of potential risks to patients if their mental health information becomes known to others.</p></div><div><h3>Discussion</h3><p>Nurses’ understanding of their duty of confidentiality is based on information and knowledge that is incomplete or incorrect. However, in general, they are genuinely motivated to protect the interests of patients and other stakeholders. Several key knowledge and practice gaps that would benefit from education and guidance have been identified. Addressing these gaps should lead to improvements in nurses’ handling of confidential patient information.</p></div><div><h3>Conclusion</h3><p>Confidentiality is an integral element of good mental health care. Findings from this qualitative exploratory study will lead to the development of nurse education and guidance that will assist nurses to thoroughly understand the duty of confidentiality they owe to their patients. Consequently, these findings have the potential to safeguard patients against the mishandling of their personal information by nurses and protect other stakeholders (including nurses) from consequential, personal, professional, legal, or financial repercussions. Further research in this area of practice would also enhance the findings of this study.</p></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"31 3","pages":"Pages 144-153"},"PeriodicalIF":1.5,"publicationDate":"2024-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1322769624000039/pdfft?md5=cb1d4c878973e120fcc8f96ec91a3aa7&pid=1-s2.0-S1322769624000039-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140076630","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The development of the Australian gerontological nursing competencies","authors":"Victoria Traynor ,&nbsp;Pippa Burns ,&nbsp;Kate Clissold ,&nbsp;Nicole Britten ,&nbsp;Lynn Chenoweth ,&nbsp;The Nursing in Aged Care Collaborative","doi":"10.1016/j.colegn.2023.12.005","DOIUrl":"10.1016/j.colegn.2023.12.005","url":null,"abstract":"<div><h3>Background</h3><p>There is a global workforce shortage of registered nurses that can work in community and care homes.</p></div><div><h3>Aim</h3><p>To develop gerontological nursing competencies (GNCs) for registered nurses working within community and care homes in Australia.</p></div><div><h3>Methods</h3><p>A prospective mixed-method study: Phase 1: scoping review, Phase 2: workshop with aged care nurses (n = 76), and Phase 3: e-Delphi (n = 409) with five rounds of consultation.</p></div><div><h3>Findings</h3><p>The literature review identified 10 themes that were used to create a draft list of gerontological competencies. This list was reviewed at a workshop and 11 core competencies with associated domains of practice were generated. The e-Delphi endorsed this set of competencies and associated domains of practice for aged care nursing in Australia. The GNCs are (i) living well for older people across communities and groups, (ii) maximising health outcomes, (iii) effective communication, (iv) facilitating transitions in care, (v) facilitating choices within legal and ethical frameworks, (vi) partnering with family carers, (vii) promoting mental health and psychological well-being, (viii) evidence-based dementia care, (ix) pain assessment and optimal pain management, (x) providing palliative care, and (xi) enabling access to technology.</p></div><div><h3>Discussion</h3><p>The GNCs provide evidence-based expectations of service provision from registered nurses in aged care services in Australia. With further research, these competencies could be applied to other settings, levels of practice, and disciplines.</p></div><div><h3>Conclusions</h3><p>These competencies provide a foundation for recruiting and developing registered nurses capable of providing safe, high-quality care to older people and their families.</p></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"31 2","pages":"Pages 107-119"},"PeriodicalIF":1.5,"publicationDate":"2024-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1322769623001166/pdfft?md5=fdb32a6f8de8cee75abee4d3db5a0e49&pid=1-s2.0-S1322769623001166-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139831180","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Acute coronary syndrome pathway use and differences in intervention times in rural hospitals: A retrospective cohort analysis","authors":"Cindy Earl ,&nbsp;Penelope Patterson ,&nbsp;Claire Ellen Seaman","doi":"10.1016/j.colegn.2024.01.001","DOIUrl":"10.1016/j.colegn.2024.01.001","url":null,"abstract":"<div><h3>Background</h3><p>The potential that clinical pathways support reduced time-to-intervention is of heightened importance in emergency department (ED) presentations with life-threatening conditions, such as acute coronary syndrome (ACS). There is limited contemporary evidence regarding ACS Pathway use in a hybrid documentation system or across rural facilities with varying ED capacities. This study examined ACS Pathway use and the associated time-to-interventions in one rural health district to assess this potential.</p></div><div><h3>Methods</h3><p>Data from 202 ED self-presentations that received an acute myocardial infarction (AMI) diagnosis in one Australian rural health district were reviewed. The outcomes were documented ACS Pathway use and four binary time-to-intervention outcomes: electrocardiograph acquisition, troponin collection, aspirin administration, and transfer initiation (from smaller EDs only). Proportion tests and logistic regressions were conducted for each outcome, with ACS Pathway use the key independent variable for the time outcomes.</p></div><div><h3>Results</h3><p>An ACS Pathway was documented in 35.6% of presentations, more commonly in smaller hospitals, for high-risk presentations, and those with a ST elevation myocardial infarction diagnosis. Regression results found significant percentage-point increases in the probability of timely troponin (17.61, 95% CI [0.43, 34.79]), aspirin administration (21.26, 95% CI [9.61, 32.91]), and transfer initiation (23.09, 95% CI [6.21, 39.98]) outcomes with Pathway use.</p></div><div><h3>Conclusion</h3><p>The results suggest that ACS Pathway use should be promoted, especially among nurses and other key clinicians in rural EDs. Further research is needed to understand clinical decision-making and rural needs for the use and relevancy of an ACS Pathway in a hybrid documentation system.</p></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"31 2","pages":"Pages 128-135"},"PeriodicalIF":1.5,"publicationDate":"2024-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1322769624000015/pdfft?md5=ecd3a5790e69afcf52744d8e857031e2&pid=1-s2.0-S1322769624000015-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139892057","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Australian regional cancer nurses’ experiences of burnout during 2019–2021","authors":"Lauren Parkinson-Zarb ,&nbsp;Cameron Duff ,&nbsp;Ying Wang Lena ,&nbsp;Jane Mills","doi":"10.1016/j.colegn.2023.12.003","DOIUrl":"10.1016/j.colegn.2023.12.003","url":null,"abstract":"<div><h3>Background</h3><p>Cancer nurses are known to experience high rates of burnout. Despite cancer nurses being critical to providing care for people in rural and remote areas, there is limited research exploring the unique challenges and job demands experienced by regional cancer nurses, and the job demands that may act to buffer these stressors.</p></div><div><h3>Aim</h3><p>This study aims to identify antecedents of burnout among Victorian regional cancer nurses over a two-year period, by examining the job demands and resources prevalent in their work. We will build on existing literature by identifying specific job resources that can ameliorate job demands experienced by regional cancer nurses.</p></div><div><h3>Methods</h3><p>A qualitative case study with participants located in regional Victoria, Australia, was employed. Semistructured interviews were conducted both before and during the COVID-19 pandemic.</p></div><div><h3>Findings</h3><p>Patient aggression, emotional demands, unsupportive peers and management, and resource-constrained work environments were reported as distinct job demands; while job significance, supportive peers and leadership, and connection to community were reported as job resources.</p></div><div><h3>Conclusion</h3><p>In regional settings, patient aggression, workforce shortages, hazardous work environments, and inconsistent digitisation of patient management systems are common characteristics of under-resourced workplaces. Despite these challenges, participants reported a strong desire to remain in the profession, mostly due to their commitment to their communities. Supportive peers and colleagues were also reported as an important job resource, particularly during the pandemic.</p></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"31 2","pages":"Pages 92-99"},"PeriodicalIF":1.5,"publicationDate":"2024-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1322769623001142/pdfft?md5=0a0c0c1704b191b54db7894dffd61613&pid=1-s2.0-S1322769623001142-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139555561","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Employment of undergraduate nursing students for specialling of people with cognitive impairment: A pilot study","authors":"Lisa Beccaria ,&nbsp;Heather Hoey ,&nbsp;Helen Towler ,&nbsp;Sharon Rees ,&nbsp;Rebecca Brazier ,&nbsp;Karen Gordon ,&nbsp;Christine Neville ,&nbsp;Bob Knight","doi":"10.1016/j.colegn.2023.12.002","DOIUrl":"10.1016/j.colegn.2023.12.002","url":null,"abstract":"<div><h3>Background</h3><p><span>Health services need to consider how best to care for and resource people with cognitive impairment, such as dementia and/or delirium, during an acute care hospital admission. Upskilling undergraduate students in nursing (USiNs) is one option. This paper describes a pilot model to prepare employed USiNs under the delegation of </span>registered nurses (RNs).</p></div><div><h3>Aim</h3><p>The aim of this study was to evaluate a pre-registration employment model of USiNs and delegating RNs providing specialised person-centred care to people with cognitive impairment and complex behaviours and their perception of workplace preparation of the USiN.</p></div><div><h3>Methods</h3><p>Semi-structured interviews were held with 15 USiNs and 11 delegating RNs. A chart audit examined the types of care provided by the USiNs to see if these were aligned with current evidence-based practice. An online survey was administered post employment about perceptions of orientation and involvement in the pre-registration employment model.</p></div><div><h3>Findings</h3><p>USiNs provided physical care, monitored, and managed care in relation to changes in cognition, behaviour, and other clinical symptoms associated with dementia and delirium. All participants in the study articulated that the model benefited them as stakeholders.</p></div><div><h3>Discussion</h3><p>The pilot model provided effective orientation and enhanced the skills and knowledge of USiNs within their scope of practice under delegated supervision.</p></div><div><h3>Conclusion</h3><p>Innovative models developed in partnership between health services and universities can help to improve the care of people, provide employment opportunities, and support the development of a future registered nursing workforce attuned to the needs of vulnerable people population.</p></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"31 2","pages":"Pages 84-91"},"PeriodicalIF":1.5,"publicationDate":"2024-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139555527","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}