首页 > 最新文献

Collegian最新文献

英文 中文
Gender-based violence: A participatory action research study
IF 1.6 4区 医学 Q2 NURSING Pub Date : 2025-02-01 DOI: 10.1016/j.colegn.2024.11.003
Vesile Koçak, Hamide Aygör

Background

Gender-based violence is a global issue that nursing students need to be aware of active teaching methodologies that incorporate students’ thoughts and feelings and encouragestudents to reflect upon and critically think about sensitive issues are required. Photovoice can be used as a research methodology as well as a pedagogical approach.

Aim

To encourage nursing students to learn about gender-based violence by being aware of their thoughts and feelings and to identify, approaches to raise awareness of gender-based violence among students.

Methods

A participatory action research approach was taken and the metod of photovoice was used. The steps in using photovoice are to establish connections with the relevant community/group, recruit participants, conduct introductory group meetings, collect individual data, organise individual and group interviews, and report results. First-year nursing students enrolled in an undergraduate degree program at a university in Turkey were recruited. The study was approved by Necmettin Erbakan University Health Sciences Scientific Research Ethics Board with the decision numbered 2023/523. The photovoice technique was used to record images from a dramatisation that served as the basis for representing scenes from the everyday life of people subjected to gender violence. These photographs were then debated and analysed.

Findings

Three main categories emerged: ‘Women Victimised by Inequality from Family to Society,’ ‘Learned Helplessness and Normalisation,’ and ‘The Importance of Societal Perspective and Awareness.’ Students highlighted that in their society, women are not treated as equals to men. In societies where men are dominant and do not value women, women can be subjected to violent treatment both outside and in social settings; learned helplessness and normalisation were the underlying factors of violence. Those students exposed to violence from a young age described themselves as resorting to violence as a means of conflict resolution and, on occasion, held misconceptions that violence was justified. Those who normalised violence played an important role in carrying this cycle on to future generations. The outcomes from this work were exhibited on International Women’s Day, providing a platform for the deanery, rectorate, and the public to engage.

Conclusion

This study raised students’ awareness of gender-based violence, encouraged critical thinking about its cultural and social dimensions, and amplified students’ voices through a photo exhibition. Given the well-documented impact of gender-based violence, schools and universities are in a pivotal position for advocacy and prevention. Training and awareness raising are needed across all sections of society with the aim of preventing gender-based violence.
{"title":"Gender-based violence: A participatory action research study","authors":"Vesile Koçak,&nbsp;Hamide Aygör","doi":"10.1016/j.colegn.2024.11.003","DOIUrl":"10.1016/j.colegn.2024.11.003","url":null,"abstract":"<div><h3>Background</h3><div>Gender-based violence is a global issue that nursing students need to be aware of active teaching methodologies that incorporate students’ thoughts and feelings and encouragestudents to reflect upon and critically think about sensitive issues are required. Photovoice can be used as a research methodology as well as a pedagogical approach.</div></div><div><h3>Aim</h3><div>To encourage nursing students to learn about gender-based violence by being aware of their thoughts and feelings and to identify, approaches to raise awareness of gender-based violence among students.</div></div><div><h3>Methods</h3><div>A participatory action research approach was taken and the metod of photovoice was used. The steps in using photovoice are to establish connections with the relevant community/group, recruit participants, conduct introductory group meetings, collect individual data, organise individual and group interviews, and report results. First-year nursing students enrolled in an undergraduate degree program at a university in Turkey were recruited. The study was approved by Necmettin Erbakan University Health Sciences Scientific Research Ethics Board with the decision numbered 2023/523. The photovoice technique was used to record images from a dramatisation that served as the basis for representing scenes from the everyday life of people subjected to gender violence. These photographs were then debated and analysed.</div></div><div><h3>Findings</h3><div>Three main categories emerged: ‘Women Victimised by Inequality from Family to Society,’ ‘Learned Helplessness and Normalisation,’ and ‘The Importance of Societal Perspective and Awareness.’ Students highlighted that in their society, women are not treated as equals to men. In societies where men are dominant and do not value women, women can be subjected to violent treatment both outside and in social settings; learned helplessness and normalisation were the underlying factors of violence. Those students exposed to violence from a young age described themselves as resorting to violence as a means of conflict resolution and, on occasion, held misconceptions that violence was justified. Those who normalised violence played an important role in carrying this cycle on to future generations. The outcomes from this work were exhibited on International Women’s Day, providing a platform for the deanery, rectorate, and the public to engage.</div></div><div><h3>Conclusion</h3><div>This study raised students’ awareness of gender-based violence, encouraged critical thinking about its cultural and social dimensions, and amplified students’ voices through a photo exhibition. Given the well-documented impact of gender-based violence, schools and universities are in a pivotal position for advocacy and prevention. Training and awareness raising are needed across all sections of society with the aim of preventing gender-based violence.</div></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"32 1","pages":"Pages 26-33"},"PeriodicalIF":1.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143094495","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
Evaluating a community nursing education program to support patients during chemotherapy treatment
IF 1.6 4区 医学 Q2 NURSING Pub Date : 2025-02-01 DOI: 10.1016/j.colegn.2024.10.003
Bora Kim , Chantale Boustany , Louise Acret , Jodi McLeod , Natalie Cook , Heather McKenzie , Lillian Hayes , Judith Fethney , Judy M. Simpson , Simon Willcock , Kate White

Background

Patients receiving chemotherapy for cancer treatment frequently experience side effects such as nausea, vomiting, and diarrhoea, which negatively impact their quality of life and survival outcomes. In this study, an education program was delivered to community nurses (CNs), who subsequently provided home-based side effect management support to patients receiving chemotherapy.

Aim

This study aimed to evaluate the education program designed to enhance CNs’ knowledge of and confidence in providing chemotherapy side effect management support.

Methods

This mixed-method study used surveys and interviews. The evaluation of program content and its delivery was reported using descriptive statistics. The pre- and post-education confidence levels were compared using a paired sample t-test. Interviews explored CNs’ perspectives on the program’s adequacy and appropriateness in building their knowledge and confidence in providing chemotherapy side effect management support.

Findings

Sixty-five CNs completed the surveys. Overall, 69% (n = 45) rated the education program as either ‘excellent’ or ‘very good’. A statistically significant improvement was found in mean item confidence from pre- (3.24, SD 0.72) to post-education (4.11, SD 0.42, P < 0.001). Two focus groups and seven individual interviews were conducted, involving a total of 17 CNs. Qualitative content analysis revealed two themes: (i) CNs’ opinions on the program content and its mode of delivery, and (ii) CNs’ opinions on the adequacy of the education program in building their knowledge and confidence in chemotherapy side effect management.

Conclusion

This study demonstrated the acceptability and feasibility of delivering an education program to enhance CNs’ knowledge and confidence in supporting patients undergoing chemotherapy.
{"title":"Evaluating a community nursing education program to support patients during chemotherapy treatment","authors":"Bora Kim ,&nbsp;Chantale Boustany ,&nbsp;Louise Acret ,&nbsp;Jodi McLeod ,&nbsp;Natalie Cook ,&nbsp;Heather McKenzie ,&nbsp;Lillian Hayes ,&nbsp;Judith Fethney ,&nbsp;Judy M. Simpson ,&nbsp;Simon Willcock ,&nbsp;Kate White","doi":"10.1016/j.colegn.2024.10.003","DOIUrl":"10.1016/j.colegn.2024.10.003","url":null,"abstract":"<div><h3>Background</h3><div>Patients receiving chemotherapy for cancer treatment frequently experience side effects such as nausea, vomiting, and diarrhoea, which negatively impact their quality of life and survival outcomes. In this study, an education program was delivered to community nurses (CNs), who subsequently provided home-based side effect management support to patients receiving chemotherapy.</div></div><div><h3>Aim</h3><div>This study aimed to evaluate the education program designed to enhance CNs’ knowledge of and confidence in providing chemotherapy side effect management support.</div></div><div><h3>Methods</h3><div>This mixed-method study used surveys and interviews. The evaluation of program content and its delivery was reported using descriptive statistics. The pre- and post-education confidence levels were compared using a paired sample t-test. Interviews explored CNs’ perspectives on the program’s adequacy and appropriateness in building their knowledge and confidence in providing chemotherapy side effect management support.</div></div><div><h3>Findings</h3><div>Sixty-five CNs completed the surveys. Overall, 69% (n = 45) rated the education program as either ‘excellent’ or ‘very good’. A statistically significant improvement was found in mean item confidence from pre- (3.24, SD 0.72) to post-education (4.11, SD 0.42, P &lt; 0.001). Two focus groups and seven individual interviews were conducted, involving a total of 17 CNs. Qualitative content analysis revealed two themes: (i) CNs’ opinions on the program content and its mode of delivery, and (ii) CNs’ opinions on the adequacy of the education program in building their knowledge and confidence in chemotherapy side effect management.</div></div><div><h3>Conclusion</h3><div>This study demonstrated the acceptability and feasibility of delivering an education program to enhance CNs’ knowledge and confidence in supporting patients undergoing chemotherapy.</div></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"32 1","pages":"Pages 9-17"},"PeriodicalIF":1.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143094492","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}
引用次数: 0
Refining positionality and reflexivity to undertake critical qualitative research in aged care
IF 1.6 4区 医学 Q2 NURSING Pub Date : 2025-01-30 DOI: 10.1016/j.colegn.2025.01.001
Deborah Magee , Marguerite Bramble , Holly Randell-Moon , Karen Francis

Background

There is a paucity of information about skill attainment before commencing data collection in critical qualitative studies. Accurately describing the physical environment and human activity is an important skill. Of equal importance is the researcher’s understanding of how the totality of their life experiences influences observation, interpretation, and documentation of events in the field.

Aim

To prepare a Doctor of Philosophy candidate (the Candidate) to conduct fieldwork in preparation for commencing a critical qualitative nursing research study situated in aged care.

Methods

In this paper, the Candidate reports on excursions facilitating the development of skills required for fieldwork. Three excursions to public places were undertaken to observe and document the physical environment. Field notes were reviewed by the supervision team, and feedback was provided at a weekly meeting.

Findings

The excursions highlighted the importance of accurately documenting the visual, auditory, tactile, and olfactory aspects of a space. The excursions were also a catalyst for exploring the positionality and reflexivity of the Candidate in relation to emic/etic perspectives and power relations.

Discussion

A typology of personal, interpersonal, methodological, and contextual reflexivity is highlighted as a potential mechanism for acknowledging and integrating the thoughts, values, beliefs, and assumptions of the researcher into the greater context of the study and exploring how these could impact the research process.

Conclusion

The field excursions bolstered the appreciation of critical reflexivity as a research quality assurance process. Enhanced understanding of methodology and refinement of data collection and analysis skills was achieved.
{"title":"Refining positionality and reflexivity to undertake critical qualitative research in aged care","authors":"Deborah Magee ,&nbsp;Marguerite Bramble ,&nbsp;Holly Randell-Moon ,&nbsp;Karen Francis","doi":"10.1016/j.colegn.2025.01.001","DOIUrl":"10.1016/j.colegn.2025.01.001","url":null,"abstract":"<div><h3>Background</h3><div>There is a paucity of information about skill attainment before commencing data collection in critical qualitative studies. Accurately describing the physical environment and human activity is an important skill. Of equal importance is the researcher’s understanding of how the totality of their life experiences influences observation, interpretation, and documentation of events in the field.</div></div><div><h3>Aim</h3><div>To prepare a Doctor of Philosophy candidate (the Candidate) to conduct fieldwork in preparation for commencing a critical qualitative nursing research study situated in aged care.</div></div><div><h3>Methods</h3><div>In this paper, the Candidate reports on excursions facilitating the development of skills required for fieldwork. Three excursions to public places were undertaken to observe and document the physical environment. Field notes were reviewed by the supervision team, and feedback was provided at a weekly meeting.</div></div><div><h3>Findings</h3><div>The excursions highlighted the importance of accurately documenting the visual, auditory, tactile, and olfactory aspects of a space. The excursions were also a catalyst for exploring the positionality and reflexivity of the Candidate in relation to emic/etic perspectives and power relations.</div></div><div><h3>Discussion</h3><div>A typology of personal, interpersonal, methodological, and contextual reflexivity is highlighted as a potential mechanism for acknowledging and integrating the thoughts, values, beliefs, and assumptions of the researcher into the greater context of the study and exploring how these could impact the research process.</div></div><div><h3>Conclusion</h3><div>The field excursions bolstered the appreciation of critical reflexivity as a research quality assurance process. Enhanced understanding of methodology and refinement of data collection and analysis skills was achieved.</div></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"32 2","pages":"Pages 69-75"},"PeriodicalIF":1.6,"publicationDate":"2025-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143562095","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
Aboriginal and Torres Strait Islander nurses’ experiences of racism at work
IF 1.6 4区 医学 Q2 NURSING Pub Date : 2025-01-17 DOI: 10.1016/j.colegn.2024.12.004
Odette Best , Luke Bayliss , Sye Hodgman , Micah DJ Peters
<div><h3>Glossary of term</h3><div>It needs to be noted that First Nations Australians are also identified as Aboriginal and Torres Strait Islanders but also First Nations and Indigenous peoples of Australia. Further, many First Nations Australians self-identify as ‘blackfullas’. The word blackfullas has been reclaimed and reframed to the descriptor of the invading English identifying Indigenous peoples as Black fellows.</div></div><div><h3>Background</h3><div>Very few studies explore the perspectives of First Nations Australian nurses and their experiences of racism in the workplace. To date, racism in the Australian nursing and midwifery workforce is rarely researched, interrogated, or challenged. Despite this, experiences of racism are common, widespread, persistent, and present a harmful and significant challenge to recruiting, retaining, and supporting the health and well-being of the Aboriginal and Torres Strait Islander nursing workforce as demonstrated by the individual accounts of racism collected and analysed in this study. This workforce is integral to the provision of culturally safe, effective, and inclusive care for First Nations Australians, and racism in workplaces must be identified, examined, and understood to both address and end it.</div></div><div><h3>Objective</h3><div>To provide insights into workplace racism experiences in a way that is genuine to the First Nations’ nurse’s perspective.</div></div><div><h3>Methods</h3><div>This research is Indigenist Research and utilised the First Nations method of yarning. The Primary Investigator (PI) undertook all yarns via Zoom (30–90 min) and is an Aboriginal registered nurse. The space created for the yarns to occur was a culturally safe space as all research participants were known to the PI, and safe boundaries and spaces were established. All yarns undertaken were recorded via Zoom. Thematic data analysis was undertaken deductively, and participants were provided with transcripts for comment.</div></div><div><h3>Results</h3><div>Ten participants were recruited via the Queensland Nurses and Midwives Union (QNMU) First Nations Branch. Three salient and interrelated themes emerged from the analysis of the data, highlighting racism experiences and effects on First Nations nurses. The three themes were (in)direct racism, interjecting and calling out racism, and impacts of racism.</div></div><div><h3>Discussion</h3><div>This study investigated the detrimental effects of racism on Aboriginal and Torres Strait Islander nurses’ professional trajectories, sense of self within the healthcare environment, and overall well-being. The findings not only suggest a correlation between nurses’ experience and their willingness to confront racist incidents but also highlight the negative and harmful impacts this can have on participants. The willingness to confront and respond to racism might be attributed to accumulated frustration or a growing sense of agency in addressing these issues and could b
{"title":"Aboriginal and Torres Strait Islander nurses’ experiences of racism at work","authors":"Odette Best ,&nbsp;Luke Bayliss ,&nbsp;Sye Hodgman ,&nbsp;Micah DJ Peters","doi":"10.1016/j.colegn.2024.12.004","DOIUrl":"10.1016/j.colegn.2024.12.004","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Glossary of term&lt;/h3&gt;&lt;div&gt;It needs to be noted that First Nations Australians are also identified as Aboriginal and Torres Strait Islanders but also First Nations and Indigenous peoples of Australia. Further, many First Nations Australians self-identify as ‘blackfullas’. The word blackfullas has been reclaimed and reframed to the descriptor of the invading English identifying Indigenous peoples as Black fellows.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;Very few studies explore the perspectives of First Nations Australian nurses and their experiences of racism in the workplace. To date, racism in the Australian nursing and midwifery workforce is rarely researched, interrogated, or challenged. Despite this, experiences of racism are common, widespread, persistent, and present a harmful and significant challenge to recruiting, retaining, and supporting the health and well-being of the Aboriginal and Torres Strait Islander nursing workforce as demonstrated by the individual accounts of racism collected and analysed in this study. This workforce is integral to the provision of culturally safe, effective, and inclusive care for First Nations Australians, and racism in workplaces must be identified, examined, and understood to both address and end it.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Objective&lt;/h3&gt;&lt;div&gt;To provide insights into workplace racism experiences in a way that is genuine to the First Nations’ nurse’s perspective.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;This research is Indigenist Research and utilised the First Nations method of yarning. The Primary Investigator (PI) undertook all yarns via Zoom (30–90 min) and is an Aboriginal registered nurse. The space created for the yarns to occur was a culturally safe space as all research participants were known to the PI, and safe boundaries and spaces were established. All yarns undertaken were recorded via Zoom. Thematic data analysis was undertaken deductively, and participants were provided with transcripts for comment.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;Ten participants were recruited via the Queensland Nurses and Midwives Union (QNMU) First Nations Branch. Three salient and interrelated themes emerged from the analysis of the data, highlighting racism experiences and effects on First Nations nurses. The three themes were (in)direct racism, interjecting and calling out racism, and impacts of racism.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Discussion&lt;/h3&gt;&lt;div&gt;This study investigated the detrimental effects of racism on Aboriginal and Torres Strait Islander nurses’ professional trajectories, sense of self within the healthcare environment, and overall well-being. The findings not only suggest a correlation between nurses’ experience and their willingness to confront racist incidents but also highlight the negative and harmful impacts this can have on participants. The willingness to confront and respond to racism might be attributed to accumulated frustration or a growing sense of agency in addressing these issues and could b","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"32 2","pages":"Pages 61-68"},"PeriodicalIF":1.6,"publicationDate":"2025-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143562094","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}
引用次数: 0
Understanding impact of inpatient telemedicine on nurses in a rural hospital environment
IF 1.6 4区 医学 Q2 NURSING Pub Date : 2024-12-01 DOI: 10.1016/j.colegn.2024.10.002
Carol Reid , Catherine Church , Viv Jeffery , Ka Chun Tse , Jacque Phillips

Background

Virtual health care has increased equity for those living in rural locations. Whilst this care delivery modality has improved access, it remains important to understand the impact on rural nurses who are on-site and support the delivery of virtual patient care.

Question

What are the impacts on nurses when introducing a virtual doctor model of care for the inpatient wards at three sites of a rural health service in Victoria, Australia?

Methods

A purposive sample of nurses (n = 21) from inpatient settings completed surveys at two time points, at model preparation and at implementation. Semistructured interviews with nurses (n = 13) provided in-depth information. Survey data are presented descriptively. Interview transcripts, analysed using the Qualitative Framework Approach, were coded, grouped, and themes interpreted.

Findings

Survey results at preparation showed that 93% felt informed about the introduction of the model of care. At implementation, very good/excellent ratings were given for policy and procedure development (84%), staff communication (83%), and education and training (50%). Themes from interviews on impact for nurses pertained to rural relationships, adapting the inpatient ‘usual’ model, systems and processes, and nurse recognition and identity.

Discussion and conclusion

The impacts on nurse professional practice and their patient care delivery models need early consideration when introducing virtual care in rural health services. Rural nurses are adept at problem solving real-time issues; they value knowledge acquisition and being listened to as professionals. This vital workforce must be fully involved at the planning phase of new rural virtual models.
{"title":"Understanding impact of inpatient telemedicine on nurses in a rural hospital environment","authors":"Carol Reid ,&nbsp;Catherine Church ,&nbsp;Viv Jeffery ,&nbsp;Ka Chun Tse ,&nbsp;Jacque Phillips","doi":"10.1016/j.colegn.2024.10.002","DOIUrl":"10.1016/j.colegn.2024.10.002","url":null,"abstract":"<div><h3>Background</h3><div>Virtual health care has increased equity for those living in rural locations. Whilst this care delivery modality has improved access, it remains important to understand the impact on rural nurses who are on-site and support the delivery of virtual patient care.</div></div><div><h3>Question</h3><div>What are the impacts on nurses when introducing a virtual doctor model of care for the inpatient wards at three sites of a rural health service in Victoria, Australia?</div></div><div><h3>Methods</h3><div>A purposive sample of nurses (n = 21) from inpatient settings completed surveys at two time points, at model preparation and at implementation. Semistructured interviews with nurses (n = 13) provided in-depth information. Survey data are presented descriptively. Interview transcripts, analysed using the Qualitative Framework Approach, were coded, grouped, and themes interpreted.</div></div><div><h3>Findings</h3><div>Survey results at preparation showed that 93% felt informed about the introduction of the model of care. At implementation, very good/excellent ratings were given for policy and procedure development (84%), staff communication (83%), and education and training (50%). Themes from interviews on impact for nurses pertained to rural relationships, adapting the inpatient ‘usual’ model, systems and processes, and nurse recognition and identity.</div></div><div><h3>Discussion and conclusion</h3><div>The impacts on nurse professional practice and their patient care delivery models need early consideration when introducing virtual care in rural health services. Rural nurses are adept at problem solving real-time issues; they value knowledge acquisition and being listened to as professionals. This vital workforce must be fully involved at the planning phase of new rural virtual models.</div></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"31 6","pages":"Pages 421-427"},"PeriodicalIF":1.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143146106","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}
引用次数: 0
A scoping review of healthcare professionals on assisted dying in dementia: Presenting nurses’ perceptions and experiences
IF 1.6 4区 医学 Q2 NURSING Pub Date : 2024-12-01 DOI: 10.1016/j.colegn.2024.09.003
Ella M. Tomkins , Amanda Fox

Background

Dementia presents a complex challenge marked by cognitive decline and distressing symptoms, yet there is no cure. While access to assisted dying is expanding in many countries, many exclude those with dementia. If policymakers consider extending this option to people with dementia, understanding stakeholder views is crucial.

Aim

To explore healthcare professionals’ experiences and perceptions of assisted dying for people with dementia and to identify gaps in the evidence that will inform future research.

Methods

A search was conducted across five databases and grey literature, screening records against inclusion criteria. Seven relevant records were included for analysis.

Results

A total of 37 articles were found for review. Findings indicate a lack of understanding regarding healthcare professionals’ perspectives on assisted dying. Existing research predominantly focuses on physicians, with limited attention to nurses and even less on dementia-specific cases. A total of seven articles reported healthcare professionals other than physicians. Because of the lack of information available, this report has focused on this area. Key factors shaping nurses’ views include personal values, decision-making principles, background, and patient-centred care focus. While evidence is scant, there appears to be a growing acceptance of assisted dying among nurses over time.

Conclusions

There is a dearth of knowledge on perceptions and experiences regarding assisted dying for patients with dementia. Further primary research is crucial to inform healthcare systems and policymakers contemplating changes to assisted dying legislation or its introduction.
{"title":"A scoping review of healthcare professionals on assisted dying in dementia: Presenting nurses’ perceptions and experiences","authors":"Ella M. Tomkins ,&nbsp;Amanda Fox","doi":"10.1016/j.colegn.2024.09.003","DOIUrl":"10.1016/j.colegn.2024.09.003","url":null,"abstract":"<div><h3>Background</h3><div>Dementia presents a complex challenge marked by cognitive decline and distressing symptoms, yet there is no cure. While access to assisted dying is expanding in many countries, many exclude those with dementia. If policymakers consider extending this option to people with dementia, understanding stakeholder views is crucial.</div></div><div><h3>Aim</h3><div>To explore healthcare professionals’ experiences and perceptions of assisted dying for people with dementia and to identify gaps in the evidence that will inform future research.</div></div><div><h3>Methods</h3><div>A search was conducted across five databases and grey literature, screening records against inclusion criteria. Seven relevant records were included for analysis.</div></div><div><h3>Results</h3><div>A total of 37 articles were found for review. Findings indicate a lack of understanding regarding healthcare professionals’ perspectives on assisted dying. Existing research predominantly focuses on physicians, with limited attention to nurses and even less on dementia-specific cases. A total of seven articles reported healthcare professionals other than physicians. Because of the lack of information available, this report has focused on this area. Key factors shaping nurses’ views include personal values, decision-making principles, background, and patient-centred care focus. While evidence is scant, there appears to be a growing acceptance of assisted dying among nurses over time.</div></div><div><h3>Conclusions</h3><div>There is a dearth of knowledge on perceptions and experiences regarding assisted dying for patients with dementia. Further primary research is crucial to inform healthcare systems and policymakers contemplating changes to assisted dying legislation or its introduction.</div></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"31 6","pages":"Pages 382-391"},"PeriodicalIF":1.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143145612","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}
引用次数: 0
The use of joint consultations in the transition from child to adult outpatient clinic within type 1 diabetes care: A qualitative study
IF 1.6 4区 医学 Q2 NURSING Pub Date : 2024-12-01 DOI: 10.1016/j.colegn.2024.08.002
Nora Kathrine Gylling , Lena Sønder Snogdal , Mette Juel Rothmann

Aim

This study aims to explore the experiences of young adults and their parents regarding joint consultations during their transition from the Children to the Adult Outpatient Clinic, based on a transition project at Odense University Hospital.

Methods

Individual interviews were conducted with ten young adults (aged 17–18 years) and six parents, using a phenomenological-hermeneutic approach. Transcripts were analysed using a pragmatic approach for text condensation.

Results

The analysis revealed three main themes: ‘A feeling of security’, highlighting the importance of the familiar nurse in the transition, communication about the adult clinic, and building personal relationships with the new healthcare professionals; ‘A fear for the Adult Outpatient Clinic’, describing how the unknown could create anxiety and concerns about whether the adult outpatient clinic has sufficient medical and educational resources; and ‘Parental participation and responsibility’, highlighting the need for balancing independence and the importance of parental involvement.

Conclusion

Joint consultations appear to have a positive impact on young adults and their parents during the transition. However, more scientific evidence is needed in this area.
{"title":"The use of joint consultations in the transition from child to adult outpatient clinic within type 1 diabetes care: A qualitative study","authors":"Nora Kathrine Gylling ,&nbsp;Lena Sønder Snogdal ,&nbsp;Mette Juel Rothmann","doi":"10.1016/j.colegn.2024.08.002","DOIUrl":"10.1016/j.colegn.2024.08.002","url":null,"abstract":"<div><h3>Aim</h3><div>This study aims to explore the experiences of young adults and their parents regarding joint consultations during their transition from the Children to the Adult Outpatient Clinic, based on a transition project at Odense University Hospital.</div></div><div><h3>Methods</h3><div>Individual interviews were conducted with ten young adults (aged 17–18 years) and six parents, using a phenomenological-hermeneutic approach. Transcripts were analysed using a pragmatic approach for text condensation.</div></div><div><h3>Results</h3><div>The analysis revealed three main themes: ‘A feeling of security’, highlighting the importance of the familiar nurse in the transition, communication about the adult clinic, and building personal relationships with the new healthcare professionals; ‘A fear for the Adult Outpatient Clinic’, describing how the unknown could create anxiety and concerns about whether the adult outpatient clinic has sufficient medical and educational resources; and ‘Parental participation and responsibility’, highlighting the need for balancing independence and the importance of parental involvement.</div></div><div><h3>Conclusion</h3><div>Joint consultations appear to have a positive impact on young adults and their parents during the transition. However, more scientific evidence is needed in this area.</div></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"31 6","pages":"Pages 365-371"},"PeriodicalIF":1.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143145678","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
Applicability and benefits of Standardised Nursing Terminology in Australia: A scoping review
IF 1.6 4区 医学 Q2 NURSING Pub Date : 2024-12-01 DOI: 10.1016/j.colegn.2024.10.001
Rebecca M. Jedwab , Kerri Holzhauser , Kalpana Raghunathan , Zara K.M. Lord , Sally P. Duncan , Melanie A. Murray , Janette Gogler , Evelyn J.S. Hovenga AM

Background

Standardised Nursing Terminologies (SNTs) provide a set of agreed terms that are aligned to nurses’ assessments, interventions, and nurse-sensitive patient care outcomes. The use of such a terminology allows for improved visibility of nursing care and comparisons of interventions and outcomes to support and assess evidence-based practice. Whilst SNTs have been in use internationally for decades, there is a gap in practice and literature related to SNTs throughout Australia.

Purpose

The objectives of this review were to explore recent literature to identify and understand (i) the benefits of SNTs, (ii) the limitations of SNTs, and (iii) the potential scope of SNTs for the Australian context.

Methods

A scoping review was undertaken to search relevant literature in CINAHL, Cochrane Review, EMBASE, IEEE Xplore, Medline Complete, and Scopus databases using a date range of 2015–2023.

Findings

A total of 36 studies were reviewed, none of which were Australian. Main benefits associated with integrating SNTs into health records include improved nursing documentation quality, facilitate visibility of nursing care, and enable nursing practice quality improvement. Key limitations identified were the lack of evidence about correlation between nurses’ knowledge level and the use of SNT in practice, lack of strong evidence related to benefits in terms of patient outcomes, workflow efficiencies or enhanced communication, poor representation of nursing practice in SNTs, and mapping limitations to achieve interoperability.

Conclusions

In order to support SNT implementation and adoption throughout Australia, there is a need for Australian research as well as a national strategy for the adoption of an SNT taxonomy in Australia. This requires stakeholder policy development, government support to ensure standardisation, and broad education at academic and local level to enable comprehensive systems’ integration.
{"title":"Applicability and benefits of Standardised Nursing Terminology in Australia: A scoping review","authors":"Rebecca M. Jedwab ,&nbsp;Kerri Holzhauser ,&nbsp;Kalpana Raghunathan ,&nbsp;Zara K.M. Lord ,&nbsp;Sally P. Duncan ,&nbsp;Melanie A. Murray ,&nbsp;Janette Gogler ,&nbsp;Evelyn J.S. Hovenga AM","doi":"10.1016/j.colegn.2024.10.001","DOIUrl":"10.1016/j.colegn.2024.10.001","url":null,"abstract":"<div><h3>Background</h3><div>Standardised Nursing Terminologies (SNTs) provide a set of agreed terms that are aligned to nurses’ assessments, interventions, and nurse-sensitive patient care outcomes. The use of such a terminology allows for improved visibility of nursing care and comparisons of interventions and outcomes to support and assess evidence-based practice. Whilst SNTs have been in use internationally for decades, there is a gap in practice and literature related to SNTs throughout Australia.</div></div><div><h3>Purpose</h3><div>The objectives of this review were to explore recent literature to identify and understand (i) the benefits of SNTs, (ii) the limitations of SNTs, and (iii) the potential scope of SNTs for the Australian context.</div></div><div><h3>Methods</h3><div>A scoping review was undertaken to search relevant literature in CINAHL, Cochrane Review, EMBASE, IEEE Xplore, Medline Complete, and Scopus databases using a date range of 2015–2023.</div></div><div><h3>Findings</h3><div>A total of 36 studies were reviewed, none of which were Australian. Main benefits associated with integrating SNTs into health records include improved nursing documentation quality, facilitate visibility of nursing care, and enable nursing practice quality improvement. Key limitations identified were the lack of evidence about correlation between nurses’ knowledge level and the use of SNT in practice, lack of strong evidence related to benefits in terms of patient outcomes, workflow efficiencies or enhanced communication, poor representation of nursing practice in SNTs, and mapping limitations to achieve interoperability.</div></div><div><h3>Conclusions</h3><div>In order to support SNT implementation and adoption throughout Australia, there is a need for Australian research as well as a national strategy for the adoption of an SNT taxonomy in Australia. This requires stakeholder policy development, government support to ensure standardisation, and broad education at academic and local level to enable comprehensive systems’ integration.</div></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"31 6","pages":"Pages 404-420"},"PeriodicalIF":1.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143145661","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
Family members’ experiences with depression through the lens of Frank’s illness narratives
IF 1.6 4区 医学 Q2 NURSING Pub Date : 2024-12-01 DOI: 10.1016/j.colegn.2024.09.005
Amanda Cole , Julie Ann Pooley , Lisa Whitehead

Background

Depression impacts around 300 million people worldwide and places significant strain on families who care for relatives with chronic mental health conditions. This strain can lead to substantial burdens and affect the mental health and well-being of family members.

Aim

This study explores family members’ experiences with depression through the lens of Frank’s illness narratives.

Methods

Employing a narrative inquiry approach, interviews were conducted with eight family members of adults diagnosed with major depressive disorder. The data were analysed through the lens of Frank’s illness narratives.

Findings

Family members’ experiences revealed a complex interplay of narratives that reflected the elements of the narratives of quest, chaos, and restitution. The narratives illustrated an ongoing process of adaptation, meaning-making, and personal transformation while living with a family member diagnosed with depression. All narratives portrayed the concept of hope, and this was manifested in different ways across the narrative types.

Conclusion

While Frank’s narratives traditionally focus on individuals living with chronic health conditions, this study extends the work to the family member perspective, revealing how families navigate the burden, distress, and challenges of depression while also experiencing personal growth and hope. This paper expands our understanding of the broader impacts of depression on families.
{"title":"Family members’ experiences with depression through the lens of Frank’s illness narratives","authors":"Amanda Cole ,&nbsp;Julie Ann Pooley ,&nbsp;Lisa Whitehead","doi":"10.1016/j.colegn.2024.09.005","DOIUrl":"10.1016/j.colegn.2024.09.005","url":null,"abstract":"<div><h3>Background</h3><div>Depression impacts around 300 million people worldwide and places significant strain on families who care for relatives with chronic mental health conditions. This strain can lead to substantial burdens and affect the mental health and well-being of family members.</div></div><div><h3>Aim</h3><div>This study explores family members’ experiences with depression through the lens of Frank’s illness narratives.</div></div><div><h3>Methods</h3><div>Employing a narrative inquiry approach, interviews were conducted with eight family members of adults diagnosed with major depressive disorder. The data were analysed through the lens of Frank’s illness narratives.</div></div><div><h3>Findings</h3><div>Family members’ experiences revealed a complex interplay of narratives that reflected the elements of the narratives of quest, chaos, and restitution. The narratives illustrated an ongoing process of adaptation, meaning-making, and personal transformation while living with a family member diagnosed with depression. All narratives portrayed the concept of hope, and this was manifested in different ways across the narrative types.</div></div><div><h3>Conclusion</h3><div>While Frank’s narratives traditionally focus on individuals living with chronic health conditions, this study extends the work to the family member perspective, revealing how families navigate the burden, distress, and challenges of depression while also experiencing personal growth and hope. This paper expands our understanding of the broader impacts of depression on families.</div></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"31 6","pages":"Pages 392-403"},"PeriodicalIF":1.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143145611","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}
引用次数: 0
Rural nursing recruitment and retention – What needs to change?
IF 1.6 4区 医学 Q2 NURSING Pub Date : 2024-12-01 DOI: 10.1016/j.colegn.2024.09.001
Fiona C. Giles, Byron Perrin, George Mnatzaganian, Jane Mills
{"title":"Rural nursing recruitment and retention – What needs to change?","authors":"Fiona C. Giles,&nbsp;Byron Perrin,&nbsp;George Mnatzaganian,&nbsp;Jane Mills","doi":"10.1016/j.colegn.2024.09.001","DOIUrl":"10.1016/j.colegn.2024.09.001","url":null,"abstract":"","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"31 6","pages":"Pages 372-374"},"PeriodicalIF":1.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143145677","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
期刊
Collegian
全部 Acc. Chem. Res. ACS Applied Bio Materials ACS Appl. Electron. Mater. ACS Appl. Energy Mater. ACS Appl. Mater. Interfaces ACS Appl. Nano Mater. ACS Appl. Polym. Mater. ACS BIOMATER-SCI ENG ACS Catal. ACS Cent. Sci. ACS Chem. Biol. ACS Chemical Health & Safety ACS Chem. Neurosci. ACS Comb. Sci. ACS Earth Space Chem. ACS Energy Lett. ACS Infect. Dis. ACS Macro Lett. ACS Mater. Lett. ACS Med. Chem. Lett. ACS Nano ACS Omega ACS Photonics ACS Sens. ACS Sustainable Chem. Eng. ACS Synth. Biol. Anal. Chem. BIOCHEMISTRY-US Bioconjugate Chem. BIOMACROMOLECULES Chem. Res. Toxicol. Chem. Rev. Chem. Mater. CRYST GROWTH DES ENERG FUEL Environ. Sci. Technol. Environ. Sci. Technol. Lett. Eur. J. Inorg. Chem. IND ENG CHEM RES Inorg. Chem. J. Agric. Food. Chem. J. Chem. Eng. Data J. Chem. Educ. J. Chem. Inf. Model. J. Chem. Theory Comput. J. Med. Chem. J. Nat. Prod. J PROTEOME RES J. Am. Chem. Soc. LANGMUIR MACROMOLECULES Mol. Pharmaceutics Nano Lett. Org. Lett. ORG PROCESS RES DEV ORGANOMETALLICS J. Org. Chem. J. Phys. Chem. J. Phys. Chem. A J. Phys. Chem. B J. Phys. Chem. C J. Phys. Chem. Lett. Analyst Anal. Methods Biomater. Sci. Catal. Sci. Technol. Chem. Commun. Chem. Soc. Rev. CHEM EDUC RES PRACT CRYSTENGCOMM Dalton Trans. Energy Environ. Sci. ENVIRON SCI-NANO ENVIRON SCI-PROC IMP ENVIRON SCI-WAT RES Faraday Discuss. Food Funct. Green Chem. Inorg. Chem. Front. Integr. Biol. J. Anal. At. Spectrom. J. Mater. Chem. A J. Mater. Chem. B J. Mater. Chem. C Lab Chip Mater. Chem. Front. Mater. Horiz. MEDCHEMCOMM Metallomics Mol. Biosyst. Mol. Syst. Des. Eng. Nanoscale Nanoscale Horiz. Nat. Prod. Rep. New J. Chem. Org. Biomol. Chem. Org. Chem. Front. PHOTOCH PHOTOBIO SCI PCCP Polym. Chem.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1