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Food preparation and nutrition manuals in Australian residential aged care: A comparative analysis 食物准备和营养手册在澳大利亚住宅老年护理:一个比较分析
IF 1.7 4区 医学 Q2 NURSING Pub Date : 2025-10-13 DOI: 10.1016/j.colegn.2025.09.005
Maddison L. Mellow , Pennie J. Taylor , Natalie Luscombe-Marsh , Peter Kenny , Kurt Lushington

Background

Food service in Australian residential aged care settings has faced criticism for poor food quality and service. This has been attributed to a lack of trained chefs and limited training for kitchen staff. Food and nutrition manuals may address these issues, but it is unclear which manuals are used and how well they align with Australian Government Quality Standards.

Aim

Using a quantitative, cross-sectional survey design, the aim of this study was to examine the use of food preparation and nutrition manuals in Australian residential aged care homes and their alignment with current aged care practices and with Australian Government Quality Standards.

Methods

An audit of food preparation and nutrition manuals was undertaken on behalf of the Australian Government Department of Health, as part of the National Congress on Food, Nutrition, and the Dining Experience in Aged Care (August–September 2020).

Findings

Respondents included 204 single-home proprietors and 88 multiple-home proprietors, representing approximately 43% of Australian residential aged care homes. Most relied on bespoke food preparation and nutrition manuals, with others using materials provided by dietitians or a combination of resources. While most manuals covered nutrition and hydration, they often neglected crucial aspects of food service, including the dining environment, food presentation, meal appeal, and consideration of cultural, religious, and personal preferences.

Discussion

A variety of incommensurable food and nutrition manuals are used in Australian residential aged care, which align poorly with current Aged Care practices and with Australian Government Quality Standards.

Conclusion

There is a need for the Australian Government to urgently lead the development and delivery of a comprehensive, national best practice manual that can guide all Australian residential aged care homes in the preparation and delivery of healthy, safe, and satisfying meals.
澳大利亚养老院的食品服务因食品质量和服务差而受到批评。这是由于缺乏训练有素的厨师和对厨房工作人员的培训有限。食品和营养手册可能会解决这些问题,但目前尚不清楚使用哪些手册,以及它们与澳大利亚政府质量标准的一致性如何。目的采用定量的横断面调查设计,本研究的目的是检查澳大利亚老年住宅中食品准备和营养手册的使用情况,以及它们与当前老年护理实践和澳大利亚政府质量标准的一致性。作为全国老年护理食品、营养和用餐体验大会(2020年8月至9月)的一部分,代表澳大利亚政府卫生部对食品制备和营养手册进行了审核。调查结果显示,受访者包括204名独栋住宅业主和88名多栋住宅业主,约占澳大利亚住宅养老院的43%。大多数人依靠定制的食物准备和营养手册,还有一些人使用营养师提供的材料或多种资源的组合。虽然大多数手册都涵盖了营养和水分,但它们往往忽略了餐饮服务的关键方面,包括用餐环境、食物展示、食物吸引力,以及对文化、宗教和个人偏好的考虑。各种不可比较的食品和营养手册在澳大利亚的住宅老年护理中使用,这些手册与当前的老年护理实践和澳大利亚政府质量标准不一致。结论:澳大利亚政府有必要紧急领导制定和提供一份全面的国家最佳实践手册,以指导澳大利亚所有的养老院准备和提供健康、安全和令人满意的膳食。
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引用次数: 0
Trialling virtual huddles for clinical handover during the SARS-CoV-2 pandemic 在SARS-CoV-2大流行期间试用虚拟会议进行临床交接
IF 1.7 4区 医学 Q2 NURSING Pub Date : 2025-10-11 DOI: 10.1016/j.colegn.2025.09.002
Rebecca M. Jedwab , Bernice Redley , Joanne F. Foster , James-Norbert A. Garduce , Anthony T. Pham , Naomi K. Dobroff

Background

Physical distancing requirements during the COVID-19 pandemic required changes to multiple clinical practices, including communication, handover, and meetings.

Aim

The aim of this trial was to evaluate the use of virtual huddles as a replacement for nursing staff’s start of shift handover or multi-disciplinary meetings.

Methods

A cross-sectional survey was used to assess the perceived usefulness, usability, and applicability of the virtual huddles trial.

Results

A total of 47 nurses and allied health professionals answered the survey, of whom only five (10.6%) had a System Usability Score of 68 or above (indicating acceptability). Despite being confident in using virtual huddles, most nurses and allied health professionals did not believe virtual huddles helped them identify patients needing urgent attention or escalation of care (n = 21, 44.7%).

Discussion

Health professionals in this study did not feel that sufficient consideration was given to the education of different healthcare professionals related to their skills using technology, patient care requirements such as privacy and confidentiality, and practical needs required to support the virtual huddles’ trial.

Conclusion

Virtual huddles were not perceived as useful in this study, and they exacerbated feelings of separation and reduced team morale.
在COVID-19大流行期间,保持身体距离的要求需要改变多种临床实践,包括沟通、交接和会议。目的本试验的目的是评估虚拟会议作为护理人员轮班交接或多学科会议的替代使用。方法采用横断面调查法评估虚拟会议试验的感知有用性、可用性和适用性。结果共有47名护士和辅助卫生专业人员回答了调查,其中只有5名(10.6%)的系统可用性得分在68分或以上(表示可接受性)。尽管对使用虚拟会议充满信心,但大多数护士和专职卫生专业人员不相信虚拟会议能帮助他们识别需要紧急关注或升级护理的患者(n = 21,44.7%)。讨论本研究中的医疗专业人员认为,没有充分考虑到对不同医疗专业人员的教育与他们使用技术的技能、患者护理要求(如隐私和保密)以及支持虚拟会议试验所需的实际需求。结论虚拟会议在本研究中没有被认为是有用的,它们加剧了分离感,降低了团队士气。
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引用次数: 0
The public image of Italian nurses as perceived by different ethnic groups residing in Emilia Romagna, Italy 居住在意大利艾米利亚罗马涅的不同种族对意大利护士的公众形象的感知
IF 1.7 4区 医学 Q2 NURSING Pub Date : 2025-09-25 DOI: 10.1016/j.colegn.2025.09.004
Ivan Rubbi , Elyaakoubi Najlaa , Luana Conte , Roberto Lupo , Elsa Vitale , Paola Ferri , Giorgio De Nunzio , Donato Cascio , Valeria Cremonini , Claudia Cadas , Gianandrea Pasquinelli

Background

The image of nursing is a complex concept influenced by various social and cultural factors, often portrayed in a subordinate manner by the media and stereotypes. However, the COVID-19 pandemic has enhanced the image of nurses, increasing recognition of their value and improving their professional identity. Public perception of nurses influences job satisfaction, performance, and the profession’s appeal to potential recruits/students/new graduates. Recent studies suggest the need to monitor and improve this image, particularly in response to social and political changes, to address the shortage of nursing staff. In the Emilia-Romagna region, there is a shortage of approximately 4200–4500 professionals to meet healthcare needs, and the local healthcare culture is strongly oriented toward collaboration, integration, and teamwork — elements that may pose adaptation challenges for professionals coming from regional contexts with more hierarchical and individualistic models. In Italy, studies have been conducted on the perception of the profession, but no research has specifically investigated how different ethnic groups evaluate the image of Italian nurses. This study aims to explore and analyse how the image of Italian nurses is perceived by various ethnic groups present in Italy.

Methods

An observational study was conducted in northern Italy at cultural associations from February to September 2024. A total of 205 observations were collected. The sample consisted of 41.5% (n = 85) Europeans, 22.4% (n = 46) Africans, 22% (n = 45) Asians, 10.2% (n = 21) Americans, and 3.9% (n = 8) classified as ‘Other,’ referring to individuals of Oceanic and Antarctic origin. The instrument used was the validated Italian version of the Nursing Attitude Questionnaire (NAQ-IV).

Results

Significant differences in perceptions were found among different populations. The overall score across the NAQ-IV domains, on a scale ranging from 30 to 150, indicated a more favourable perception of the profession in European settings, with a mean of 106.3 (SD = 18.77), and in American settings, with a mean of 106.4 (SD = 22.89), compared to the scores reported by Asian groups (mean = 82.5, SD = 22.2) and African groups (mean = 96.2, SD = 23.52). Cultural factors appear to play a key role.

Conclusions

Overcoming stereotypes and enhancing nursing skills must become a priority to promote a more positive perception of the profession. Nurses’ behaviour should make the value of professional development more visible.
护理形象是一个复杂的概念,受各种社会文化因素的影响,往往被媒体和刻板印象以从属的方式描绘出来。然而,2019冠状病毒病大流行提升了护士的形象,提高了对护士价值的认识,提高了护士的职业认同感。公众对护士的看法影响工作满意度、表现和职业对潜在新兵/学生/新毕业生的吸引力。最近的研究表明,需要监测和改善这种形象,特别是在应对社会和政治变化时,以解决护理人员短缺的问题。在艾米利亚-罗马涅地区,约有4200-4500名专业人员短缺,无法满足医疗保健需求,而当地的医疗保健文化强烈倾向于协作、整合和团队合作——这些因素可能会给来自具有更多等级和个人主义模式的区域背景的专业人员带来适应挑战。在意大利,已经进行了关于职业认知的研究,但没有研究专门调查不同种族如何评价意大利护士的形象。本研究旨在探讨和分析意大利护士的形象是如何被意大利的各个民族所感知的。方法于2024年2 - 9月在意大利北部的文化协会进行观察性研究。共收集了205项观察结果。样本包括41.5% (n = 85)欧洲人,22.4% (n = 46)非洲人,22% (n = 45)亚洲人,10.2% (n = 21)美国人,3.9% (n = 8)被归类为“其他”,指的是来自大洋和南极的个体。使用的工具为意大利版护理态度问卷(NAQ-IV)。结果不同人群在认知上存在显著差异。NAQ-IV领域的总体得分在30到150的范围内,与亚洲群体(平均= 82.5,SD = 22.2)和非洲群体(平均= 96.2,SD = 23.52)的得分相比,欧洲环境的平均得分为106.3 (SD = 18.77),美国环境的平均得分为106.4 (SD = 22.89),表明欧洲环境对该职业的看法更为有利。文化因素似乎起着关键作用。结论克服刻板印象,提高护理技能是提高护理专业认同度的首要任务。护士的行为应该使专业发展的价值更加明显。
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引用次数: 0
Supporting patient autonomy: Evaluation of information and consent processes in nursing interventions 支持病人自主:护理干预中信息和同意过程的评估
IF 1.7 4区 医学 Q2 NURSING Pub Date : 2025-09-19 DOI: 10.1016/j.colegn.2025.08.004
Nevin Doğan , Banu Cihan Erdoğan , Mehtap Budak

Aim

This study aimed to evaluate the status of patient information and consent acquisition before nursing interventions, focusing on their impact on patient autonomy and safety.

Background

Patient autonomy is a fundamental ethical principle in healthcare, emphasising the importance of informing patients and obtaining their consent before medical or nursing interventions. Despite its significance, studies reveal gaps in ensuring adequate patient information and consent, particularly in nursing practices.

Methods

A cross-sectional descriptive study was conducted between May and July 2023 at a state hospital in Türkiye. Data were collected using structured questionnaires administered to 718 patients. The questionnaires evaluated the extent of information provided, consent rates for nursing interventions, and patient perceptions of the consent process.

Results

The highest rates of patient information were observed for blood transfusion (100%), vital signs measurement (86.9%), and urinary catheterisation (89.3%). Consent rates, however, were lower, with IM/SC/ID drug administration at 80.2%, vital signs at 75.8%, and blood sampling at 75.1%. Furthermore, 76.2% of participants preferred a companion during the consent process, 58.4% felt unable to ask questions, and 71.4% reported insufficient time for decision-making.

Conclusion

The findings reveal significant deficiencies in informing patients and obtaining consent before nursing interventions, compromising patient autonomy and safety. To address these issues, a patient-centred approach is essential. Recommendations include implementing digital consent forms, utilising electronic records, and providing educational programmes for nurses to enhance patient safety, autonomy, and satisfaction.
目的本研究旨在评估护理干预前患者信息和同意获取的现状,重点关注其对患者自主性和安全性的影响。患者自主是医疗保健中的一项基本伦理原则,强调在医疗或护理干预之前告知患者并征得其同意的重要性。尽管具有重要意义,但研究表明,在确保充分的患者信息和同意方面存在差距,特别是在护理实践中。方法于2023年5月至7月在泰国一家州立医院进行横断面描述性研究。对718名患者进行结构化问卷调查,收集数据。问卷评估了所提供信息的程度、护理干预的同意率以及患者对同意过程的看法。结果患者信息知晓率最高的是输血(100%)、生命体征测量(86.9%)和导尿(89.3%)。然而,同意率较低,IM/SC/ID给药率为80.2%,生命体征率为75.8%,血液采样率为75.1%。此外,76.2%的参与者在同意过程中更喜欢伴侣,58.4%的人觉得无法提问,71.4%的人表示没有足够的时间做决定。结论在护理干预前告知患者和征得患者同意方面存在明显不足,影响了患者的自主性和安全性。为解决这些问题,以患者为中心的方法至关重要。建议包括实施数字同意书,利用电子记录,并为护士提供教育计划,以提高患者的安全性、自主性和满意度。
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引用次数: 0
A comparison of conventional and nonconventional clinical mental health placement settings for preregistration nursing students: Results from a quasi-experimental research project 注册前护理学生常规与非常规临床心理健康安置设置的比较:准实验研究项目的结果
IF 1.7 4区 医学 Q2 NURSING Pub Date : 2025-09-19 DOI: 10.1016/j.colegn.2025.08.009
Taylor Yousiph , Lorna Moxham , Michelle Roberts , Elissa-Kate Jay , Kelly Lewer , Georgia Robson , Joanne Cordina , Peta Drury , Suzi Villeneuve-Smith , Christopher Patterson

Background

Clinical placements, or learning in practice experiences, have a profound effect on preregistration nursing students’ interest in pursuing mental health nursing post-graduation and their attitudes towards mental illness.

Aim

To investigate the impact of preregistration nursing students’ involvement in a nonconventional mental health placement compared to students attending a conventional mental health placement.

Methods

A quasi-experimental approach was adopted. Preregistration nurses attending either a conventional (n = 52) or nonconventional (n = 90) mental health learning in practice placement completed the 24-item Pre-Placement Survey.

Findings

Students who attended a conventional learning in practice placement setting showed no change in responses. Students who attended the nonconventional learning in practice setting reported decreased Negative Stereotypes and Anxiety Surrounding Mental Illness post-placement, including increased Future Career Interest in Mental Health Nursing and belief that mental health nurses make Valuable Contributions.

Discussion

These findings echo the wider literature, which highlights that mental health learning in practice placements have an influence on mental health–related stigma and intention to practice.

Conclusion

Mental health learning in practice placements for preregistration nurses in a nonconventional setting may promote the pursuit of mental health nursing post-registration. As a potential pipeline into an undersupplied specialist practice area, it is imperative for education providers to consider the benefits of nonconventional placement models and incorporate them into curricula.
背景临床实习或在实践中学习对预注册护生毕业后从事心理健康护理的兴趣和对精神疾病的态度有深远的影响。目的探讨注册前护生参加非常规心理健康安置与参加常规心理健康安置的影响。方法采用准实验方法。参加常规(n = 52)或非常规(n = 90)实习心理健康学习的注册前护士完成了24项实习前调查。结果发现,参加传统实习学习的学生在反应上没有变化。在实践环境中参加非常规学习的学生报告说,他们在实习后减少了对精神疾病的负面刻板印象和焦虑,包括增加了对精神卫生护理的未来职业兴趣,并相信精神卫生护士做出了有价值的贡献。这些发现与更广泛的文献相呼应,这些文献强调了实践实习中的心理健康学习对心理健康相关的耻辱感和实践意愿有影响。结论非常规环境下的预注册护士心理健康实习学习对预注册护士心理健康学习有促进作用。作为进入供应不足的专业实践领域的潜在渠道,教育提供者必须考虑非传统安置模式的好处,并将其纳入课程。
{"title":"A comparison of conventional and nonconventional clinical mental health placement settings for preregistration nursing students: Results from a quasi-experimental research project","authors":"Taylor Yousiph ,&nbsp;Lorna Moxham ,&nbsp;Michelle Roberts ,&nbsp;Elissa-Kate Jay ,&nbsp;Kelly Lewer ,&nbsp;Georgia Robson ,&nbsp;Joanne Cordina ,&nbsp;Peta Drury ,&nbsp;Suzi Villeneuve-Smith ,&nbsp;Christopher Patterson","doi":"10.1016/j.colegn.2025.08.009","DOIUrl":"10.1016/j.colegn.2025.08.009","url":null,"abstract":"<div><h3>Background</h3><div>Clinical placements, or learning in practice experiences, have a profound effect on preregistration nursing students’ interest in pursuing mental health nursing post-graduation and their attitudes towards mental illness.</div></div><div><h3>Aim</h3><div>To investigate the impact of preregistration nursing students’ involvement in a nonconventional mental health placement compared to students attending a conventional mental health placement.</div></div><div><h3>Methods</h3><div>A quasi-experimental approach was adopted. Preregistration nurses attending either a conventional (<em>n</em> = 52) or nonconventional (<em>n</em> = 90) mental health learning in practice placement completed the 24-item Pre-Placement Survey.</div></div><div><h3>Findings</h3><div>Students who attended a conventional learning in practice placement setting showed no change in responses. Students who attended the nonconventional learning in practice setting reported decreased <em>Negative Stereotypes</em> and <em>Anxiety Surrounding Mental Illness</em> post-placement, including increased <em>Future Career Interest in Mental Health Nursing</em> and belief that mental health nurses make <em>Valuable Contributions.</em></div></div><div><h3>Discussion</h3><div>These findings echo the wider literature, which highlights that mental health learning in practice placements have an influence on mental health–related stigma and intention to practice.</div></div><div><h3>Conclusion</h3><div>Mental health learning in practice placements for preregistration nurses in a nonconventional setting may promote the pursuit of mental health nursing post-registration. As a potential pipeline into an undersupplied specialist practice area, it is imperative for education providers to consider the benefits of nonconventional placement models and incorporate them into curricula.</div></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"32 6","pages":"Pages 387-394"},"PeriodicalIF":1.7,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145374337","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
Hybrid education increases nurses’ skills in management of deteriorating patients: A QUASI-experimental study 混合教育提高护士管理病情恶化患者的技能:一项准实验研究
IF 1.7 4区 医学 Q2 NURSING Pub Date : 2025-09-19 DOI: 10.1016/j.colegn.2025.09.003
Suzie Noye , Mick Breen , Damien Khaw , Anastasia Hutchinson

Background

There is a need to develop acute care nurses’ skills in identifying and managing clinical deterioration.

Aim

To evaluate the impact of a hybrid (online and simulation-based) education program on improving recognition and response to deteriorating patients.

Methods

A quasi-experimental study was conducted in 2023 on two wards within a large, regional health care provider in Victoria, Australia. Thirty-nine (53.4%) participating ward nurses completed the program. Participants were surveyed before and after program participation and six to eight weeks later. Changes in evaluation scores were compared using paired T-tests. Administrative datasets were accessed to compare Medical Emergency Team call activation rates using process control charts.

Findings

A total of 79 evaluation surveys were collected across the three timepoints. There was a statistically significant increase between pre- and post-intervention, in self-reported confidence for all measured indicators (p-values <.05). Large effects (d > 0.8) were found for certainty of advocating for the patient, performing a rapid assessment, performing effective airway assessment, cardiopulmonary resuscitation, and making an interprofessional plan. There was a trend for increased rates of Medical Emergency Team call escalations and a decrease in Code Blue calls over the follow-up time period.

Discussion

Use of a hybrid simulation-based approach improved nurses’ knowledge and confidence to recognise and respond to deterioration, increased early escalation of care, and decreased Code Blue calls.

Conclusion

This study provides preliminary evidence that the emphasis of mandatory training should change from focusing on provision of Basic Life Support to developing clinicians’ skills in detection and response to deterioration.
有必要发展急症护理护士识别和管理临床恶化的技能。目的评估混合(在线和基于模拟的)教育计划对提高对恶化患者的识别和反应的影响。方法于2023年在澳大利亚维多利亚州一家大型区域性卫生保健机构的两个病房进行了一项准实验研究。39名(53.4%)参与的病房护士完成了该项目。参与者在参加项目前后以及六到八周后接受了调查。采用配对t检验比较评价分数的变化。使用过程控制图访问管理数据集,以比较医疗急救队的呼叫激活率。调查结果在三个时间点共收集了79项评估调查。干预前和干预后,所有测量指标的自我报告信心均有统计学意义上的显著增加(p值<; 0.05)。在支持患者、进行快速评估、进行有效气道评估、心肺复苏和制定跨专业计划的确定性方面发现了较大的影响(d > 0.8)。在随访期间,医疗急救小组呼叫升级率呈上升趋势,蓝色代码呼叫率呈下降趋势。使用基于混合模拟的方法提高了护士识别和应对病情恶化的知识和信心,增加了护理的早期升级,减少了蓝色警报呼叫。结论本研究提供了初步证据,表明强制性培训的重点应从注重提供基本生命支持转变为培养临床医生发现和应对恶化的技能。
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引用次数: 0
Clinical supervision promotes learning and growth among metastatic breast cancer nurses: Mixed methods evaluation of a pilot program 临床监督促进转移性乳腺癌护士的学习和成长:一个试点项目的混合方法评估
IF 1.7 4区 医学 Q2 NURSING Pub Date : 2025-09-18 DOI: 10.1016/j.colegn.2025.09.001
Gillian Kruss , Pheona Van Huizen , Thi Thuy Ha Dinh , Jessica Delaney , Ladan Yeganeh , Jane Mahony , Fiona Crawford-Willams , Gabrielle Brand , Julia Morphet , Olivia Cook

Problem

Metastatic breast cancer nurses are integral in providing support to those affected by cancer, while the supervision and mentoring for these roles in the workplace are not always available.

Aim

To explore metastatic breast cancer nurses’ perspectives on participation in a 12-month clinical supervision intervention.

Methods

Clinical supervision was offered to participants as part of a pilot metastatic breast cancer nurse training program. Bi-monthly one-hour clinical supervision sessions were held using a video conferencing platform for a 12-month period. The clinical supervision intervention was evaluated using a mixed methods approach. Participants completed the Manchester Clinical Supervision Scale-26© (MCSS-26©) online, and a semistructured interview at the end of the clinical supervision period. Descriptive statistics and thematic analysis were used to summarise and report the findings.

Results

Eight metastatic breast cancer nurses participated in the clinical supervision intervention. All were ‘very satisfied’ with the supervision (N = 8; 100%). The MCSS subscales which scored highest were ‘Reflection’ (M = 11.5, SD = 0.7, range 0–12), ‘Supervisor advice’ (M = 18.9, SD = 1.4, range 0–20), and ‘Improve Care/Skills’ (M = 14.6, SD = 1.5, range 0–16). Three themes were inductively derived: (i) Learning and growth through clinical supervision, (ii) The shared experience, and (iii) Importance of embedding clinical supervision into practice.

Conclusion

Clinical supervision can be used as a learning and support tool for metastatic breast cancer nurses, with peer-to-peer participation being a valuable component. Other specialist cancer nurses may benefit from having clinical supervision embedded into their practice.
问题:转移性乳腺癌护士在为癌症患者提供支持方面是不可或缺的,但在工作场所,对这些角色的监督和指导并不总是可用的。目的探讨转移性乳腺癌护士参与12个月临床监督干预的观点。方法作为转移性乳腺癌护士培训试点项目的一部分,对参与者进行临床监督。通过视频会议平台进行为期12个月的双月1小时临床监督会议。临床监督干预采用混合方法进行评价。参与者在线完成曼彻斯特临床监督量表-26©(MCSS-26©),并在临床监督期结束时进行半结构化访谈。使用描述性统计和专题分析来总结和报告调查结果。结果8名转移性乳腺癌护理人员参与临床监督干预。所有人都对监督“非常满意”(N = 8; 100%)。MCSS得分最高的子量表是“反思”(M = 11.5, SD = 0.7,范围0-12),“主管建议”(M = 18.9, SD = 1.4,范围0-20)和“改善护理/技能”(M = 14.6, SD = 1.5,范围0-16)。归纳得出三个主题:(i)通过临床监督学习和成长;(ii)分享经验;(iii)将临床监督纳入实践的重要性。结论临床督导可以作为转移性乳腺癌护士学习和支持的工具,其中点对点参与是一个有价值的组成部分。其他癌症专科护士可能受益于将临床监督嵌入到他们的实践中。
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引用次数: 0
Generation Z: A paradigm shift in nursing leadership is imminent Z世代:护理领导的范式转变迫在眉睫
IF 1.7 4区 医学 Q2 NURSING Pub Date : 2025-09-12 DOI: 10.1016/j.colegn.2025.08.008
Melissa Foster

Problem

Historical approaches such as hierarchical and transaction-based leadership may not meet the needs and expectations of Generation Z nurses, who prioritise autonomy, inclusivity, and work-life balance. This generational shift in values has contributed to high turnover rates in nursing, highlighting a need to reevaluate traditional leadership strategies.

Aim

To explore the impending paradigm shift in nursing leadership through the lens of Henry David Thoreau’s transcendental ideas and contemporary leadership models to better manage and retain Generation Z nurses.

Methods

A qualitative analysis of current literature was conducted to examine Generation Z nurses’ priorities and values, Thoreau’s philosophies, and modern nursing leadership theories.

Findings

Generation Z emphasises diversity, autonomy, and purpose — values that align with Thoreau’s ideas of independence, self-direction, and a decreased emphasis on materialism. These philosophical similarities provide valuable insights for nurse leaders learning to connect with and support this generation.

Discussion

Traditional authoritative leadership styles must shift towards a supportive and transformational approach. Nurse leaders who choose to promote inclusivity, flexibility, and continuous engagement will be better positioned to meet the expectations of Generation Z nurses.

Conclusion

A nurse leader paradigm shift is imminent and necessary for organisational and professional success. Integration of Thoreau’s transcendentalist philosophy with modern nursing leadership offers an interesting framework for understanding and leading Generation Z nurses.
问题:传统的分层领导和基于交易的领导方式可能无法满足Z世代护士的需求和期望,他们优先考虑自主权、包容性和工作与生活的平衡。这种价值观的代际转变导致了护理行业的高流动率,凸显了重新评估传统领导策略的必要性。目的通过亨利·大卫·梭罗的超越性思想和当代领导模式,探讨护理领导即将发生的范式转变,以更好地管理和留住Z一代护士。方法对现有文献进行定性分析,考察Z世代护士的优先事项和价值观,梭罗的哲学和现代护理领导理论。Z世代强调多样性、自主性和目的性——这些价值观与梭罗的独立、自我指导和减少对物质主义的强调相一致。这些哲学上的相似之处为护士领袖们学习与这一代人建立联系并给予支持提供了宝贵的见解。传统的权威式领导风格必须转向支持性和变革性的方法。选择促进包容性、灵活性和持续参与的护士领导者将更好地满足Z世代护士的期望。结论护士长模式的转变是组织和职业成功的必要条件。梭罗的先验主义哲学与现代护理领导力的融合为理解和领导Z一代护士提供了一个有趣的框架。
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引用次数: 0
Nurse practitioners in New Zealand: An integrative review of clinical practice and involvement in policy 新西兰执业护士:临床实践和参与政策的综合回顾
IF 1.7 4区 医学 Q2 NURSING Pub Date : 2025-09-03 DOI: 10.1016/j.colegn.2025.08.002
Deborah L. Harris , Eileen McKinlay

Background

Nurse Practitioner roles have escalated internationally with the aim of improving access to healthcare and thereby enhancing health and social outcomes. In Aotearoa New Zealand, Nurse Practitioner registration began in 2001, yet questions remain about their contributions to practice and policy.

Aim

To critically appraise peer-reviewed research on nurse practitioners’ contributions to clinical practice and health policy in New Zealand.

Methods

This integrative review followed Whittemore and Knafl’s five-stage framework. A search was conducted across six databases between January 2001 and May 2025. Inclusion criteria required studies to report primary research or audits. The Mixed Methods Appraisal Tool assessed methodological quality. Data were extracted, summarised in tabular form, and synthesised narratively across key domains. Twenty-two studies were included: 8 qualitative, 11 quantitative, and 3 mixed methods.

Findings

Nurse practitioners deliver expert, culturally safe healthcare across diverse settings. They collaborate interprofessionally to deliver coordinated care, promote health, and provide clinical leadership that improves healthcare access and equity. Studies highlight the nurse practitioner role in supporting underserved communities through models responsive to Māori and Pacific populations. Policy engagement remains weak. Barriers include organisational constraints, limited early-career support, insufficient data on workforce, clinical activity, and patient outcomes, and a misalignment between nurse practitioner values and funding models.

Discussion

Strong evidence shows that nurse practitioners improve care across diverse settings. However, their involvement in policy development remains limited. Data gaps and structural barriers continue to constrain their impact. Strengthening practitioner leadership, research capacity, and policy engagement is essential to advance equity and drive health reform.
背景:执业护士的角色在国际上已经升级,目的是改善获得医疗保健的机会,从而提高健康和社会成果。在新西兰的奥特罗阿,执业护士注册始于2001年,但他们对实践和政策的贡献仍然存在问题。目的批判性地评估同行评议的护士从业人员对新西兰临床实践和卫生政策的贡献。方法本综合综述遵循Whittemore和Knafl的五阶段框架。在2001年1月至2025年5月期间,对六个数据库进行了搜索。纳入标准要求研究报告主要研究或审计。混合方法评估工具评估方法学质量。数据被提取出来,以表格形式总结,并在关键领域以叙述的方式综合。共纳入22项研究:定性研究8项,定量研究11项,混合研究3项。护士从业人员在不同的环境中提供专业的、文化上安全的医疗保健。他们进行跨专业合作,提供协调一致的护理,促进健康,并提供临床领导,以改善医疗保健的可及性和公平性。研究强调了执业护士在通过响应Māori和太平洋人口的模式支持服务不足社区方面的作用。政策参与仍然薄弱。障碍包括组织约束、有限的早期职业支持、关于劳动力、临床活动和患者结果的数据不足,以及护士执业价值观和资助模式之间的不一致。强有力的证据表明,执业护士可以改善不同环境下的护理。然而,它们对政策制定的参与仍然有限。数据差距和结构性障碍继续限制其影响。加强从业者领导、研究能力和政策参与对于促进公平和推动卫生改革至关重要。
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引用次数: 0
Research activity among the Australian nursing and midwifery academic workforce: A cross-sectional study 澳大利亚护理和助产学学术人员的研究活动:一项横断面研究
IF 1.7 4区 医学 Q2 NURSING Pub Date : 2025-09-02 DOI: 10.1016/j.colegn.2025.08.006
Leah East , Daniel Terry , Elizabeth Halcomb , Debra Jackson , Marie Hutchinson

Background

Research in nursing and midwifery continues to grow and inform evidence-based practice. However, intentions to pursue an academic research pathway and heavy teaching workloads impede research outcomes in academia, with the nursing and midwifery academic workforce being at particular risk.

Aim

Determine research activity among the nursing and midwifery academic Australian workforce and explore how academic roles, qualifications, tenure, and workload profiles influence research engagement, productivity, and outcomes.

Methods

An online survey was circulated throughout Australian universities, social media platforms, and professional websites. Data were analysed using descriptive and inferential statistics.

Results

Of the 250 respondents, the majority (n=164) were research-active and were employed in blended teaching and research roles (n = 126). Tenured academics reported a significantly higher rate of research-active status (p ≤ 0.001). The mean number of papers published in the previous 12 months was 3.31 (Standard Deviation [SD] 2.28), with a career mean of 26.47 (SD 46.25). Respondents who were research active were engaged in Higher Degree Research (HDR) supervision, and research-active academics were more likely to apply for and be successful in grant outcomes (p<.001); however, they had lower levels of satisfaction with workload.

Discussion

Job security through tenure is significantly associated with research activity, indicating that research productivity may be lost through non-tenured positions. Whilst research-active respondents were engaged in HDR supervision, which is essential for workforce growth and scholarship, a significant portion were not, placing the workforce pipeline at risk.

Conclusion

Research activity in academia is essential for tenure and to support evidence-based practice. By fostering enabling research environments, the contribution of nursing and midwifery academics to support evidence-based practice and scholarship can be enhanced.
护理和助产学的研究持续增长,并为循证实践提供信息。然而,追求学术研究途径的意图和繁重的教学工作量阻碍了学术界的研究成果,护理和助产学学术人员尤其面临风险。目的确定澳大利亚护理和助产学术人员的研究活动,探索学术角色、资格、任期和工作量概况如何影响研究参与、生产力和结果。方法在澳大利亚各大学、社交媒体平台和专业网站进行在线调查。数据分析采用描述性和推断性统计。结果在250名受访者中,大多数(n=164)是研究活跃的,并且从事混合教学和研究角色(n= 126)。终身制学者报告的研究活跃状态率显著较高(p≤0.001)。前12个月平均发表论文数3.31篇(标准差[SD] 2.28),职业生涯平均发表论文数26.47篇(SD 46.25)。研究活跃的受访者从事高等学位研究(HDR)监督,研究活跃的学者更有可能申请并成功获得资助结果(p<.001);然而,他们对工作量的满意度较低。通过终身职位获得的工作保障与研究活动显著相关,这表明非终身职位可能会失去研究生产力。虽然积极从事研究的受访者参与了HDR监督,这对劳动力增长和奖学金至关重要,但很大一部分受访者没有,这使劳动力渠道面临风险。结论学术界的研究活动对终身教职和支持循证实践至关重要。通过营造有利的研究环境,可以加强护理和助产学学者对支持循证实践和学术的贡献。
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引用次数: 0
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