Collegian最新文献_第2页

Applicability and benefits of Standardised Nursing Terminology in Australia: A scoping review

IF 1.6 4区医学 Q2 NURSING

Collegian

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.

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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

Collegian

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.

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引用次数: 0

Rural nursing recruitment and retention – What needs to change?

IF 1.6 4区医学 Q2 NURSING

Collegian

Pub Date : 2024-12-01 DOI: 10.1016/j.colegn.2024.09.001

Fiona C. Giles, Byron Perrin, George Mnatzaganian, Jane Mills

引用次数: 0

Generative artificial intelligence in nursing: A scoping review

IF 1.6 4区医学 Q2 NURSING

Collegian

Pub Date : 2024-12-01 DOI: 10.1016/j.colegn.2024.10.004

Ga Eun Park , Hyeryeon Kim , U Ri Go

Background

Generative artificial intelligence (AI) is rapidly transforming multiple sectors, with significant potential to revolutionise nursing through advancements in education, practice, and research. However, the application of generative AI in nursing remains underexplored, highlighting the need for a comprehensive review of its current impact and future implications.

Aim

To investigate the current state and implications of generative AI in nursing education, practice, and research.

Methods

This scoping review was conducted following the methodological frameworks of Arksey and O’Malley, refined by Levac and colleagues. The databases searched for articles published between January 2020 and April 2024 included PubMed, Embase, CINAHL, PsycINFO, Cochrane Library, and IEEE Xplore.

Findings

A total of 4858 articles were identified, with 23 included in this review. Most of the selected studies were published in 2024 (n = 19/23), primarily conducted in the United States (n = 8/23), and largely consisted of quantitative descriptive studies (n = 14/22). ChatGPT was the most frequently used tool, appearing in 95.7% of the studies (n = 22/23). The articles addressed various nursing domains, including nursing education (n = 12/23), practice (n = 10/23), and research (n = 1/23). Both the benefits and concerns associated with this technology were identified.

Discussion

Generative AI shows great promise for transforming nursing education, practice, and research; however, its integration is still in the early stages.

Conclusion

To fully leverage the benefits of generative AI, nursing professionals must address the challenges associated with AI and lead its ethical adoption. Rigorous research and proactive leadership are crucial to realising the potential of generative AI in nursing.

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引用次数: 0

The gender pay gap in the Australian nursing workforce: A retrospective observational study

IF 1.6 4区医学 Q2 NURSING

Collegian

Pub Date : 2024-12-01 DOI: 10.1016/j.colegn.2024.09.002

Gemma Doleman , Christine Duffield , Ian W. Li

Aim

To explore the gender pay gap among the Australian nursing workforce and identify reasons for such a gap.

Background

Gender discrimination exists in nursing, with men having a higher rate of pay and a faster rate of career progression, irrespective of experience and qualifications. In addition, men are shown to have a greater representation in leadership roles compared to the proportion of men in the profession.

Methods

The study uses a retrospective, observational survey design of graduate nurses from all Australian universities.

Findings

The gender wage gap was around 4% at six months after graduation, increasing to 13% at three years after graduation, favouring nurses who are men. Men also reported being more overqualified than women upon graduation. In addition, graduates who were overqualified had a 21% disparity in pay. Nursing graduates from non-English speaking backgrounds and lower socioeconomic backgrounds had an increased probability of being underemployed.

Conclusions

Overall, nurses who were men are earning a higher wage than women nurses upon graduation and at three years post-graduation in Australia. These findings, despite an enterprise bargaining agreement, are consistent with the gender pay disparity gap in Australia and with international research on this topic. Of note from this study is the notion that men are working unsociable hours and weekends and are, therefore, receiving penalty rates that increase their wages. This notion is also consistent with the current ideology in Australia of men being breadwinners despite changes in gender equality in the country.

Implications for nursing management

Organisations need to offer flexible work environments that will allow women to re-enter the workforce while caring for dependents. This can include shorter shifts allowing women to work flexible hours to care for dependents, job sharing with other nurses of similar skill level and working across multiple areas to allow for flexibility. In addition, healthcare organisations should increase support and promote positive practice environments, including wages in order to sustain and retain the future workforce.

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引用次数: 0

Impact of health interventions on informal caregivers: A systematic review and meta-analysis

IF 1.6 4区医学 Q2 NURSING

Collegian

Pub Date : 2024-12-01 DOI: 10.1016/j.colegn.2024.10.005

Diego J. Caicedo-Fajardo , Alix Y. Perdomo-Romero , Claudia P. Cantillo-Medina , Maria L. de Souza , Claudia A. Ramírez-Perdomo

Background

Chronic noncommunicable diseases are the leading cause of death worldwide, affecting the quality of life of patients and their informal caregivers.

Aim

To assess the impact of health interventions on informal caregivers and compare the results with standard care.

Methods

A systematic review and meta-analysis of randomised clinical trials identified from six databases was conducted. We included intervention studies by a healthcare team for caregivers of persons with chronic noncommunicable diseases. The risk of bias was assessed using a risk-of-bias tool, and the meta-analysis was conducted using the software Review Manager. The certainty of the evidence was assessed using the Grading of Recommendations Assessment, Development and Evaluation.

Findings

Ten articles were selected, which included 1088 participants (average age of 55 years). A meta-analysis was performed with four studies using the same evaluation instrument (Zarit Burden Interview).

Discussion

Interventions to decrease caregiver overload were assessed through the effect estimation of the mean score of the Zarit Burden Interview of −5 (95% confidence interval, p < 0.00001).

Conclusion

The findings show a gap in the knowledge about interventions and analyses of quality of life, social support, and caregiver roles. Conducting further methodologically rigorous research to yield valid results is essential for ensuring the well-being of informal caregivers and reducing their burden and overload.

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引用次数: 0

Global social responsibility as a predictor of attitudes toward sustainable development in nursing students: A descriptive cross-sectional study

IF 1.6 4区医学 Q2 NURSING

Collegian

Pub Date : 2024-12-01 DOI: 10.1016/j.colegn.2024.11.001

İlknur Göl

Background

Global social responsibility is one of the basic principles to be followed in achieving sustainable development goals (SDGs). Nurses, as healthcare providers, have important roles in providing sustainable healthcare services and achieving SDGs. Therefore, it is important to determine nursing students’ global social responsibility levels and attitudes toward SDGs.

Objective

This study aimed to examine the effect of global social responsibility on nursing students’ attitudes toward sustainable development.

Method

A descriptive cross-sectional study was conducted with 318 nursing students in the nursing department of a university in Türkiye. Data were collected using a sociodemographic data form, ‘the Attitudes toward Sustainable Development Scale,’ and ‘the Global Social Responsibility Scale.’

Results

The mean total scores of the students participating in the research on the Attitude Toward Sustainable Development Scale and the Global Social Responsibility Scale were 76.94 ± 18.28 and 102.25 ± 17.16, respectively. Total scores on both the Attitude Toward Sustainable Development Scale and the Global Social Responsibility Scale were higher in those who knew the concept and goals of sustainable development. All factors of attitude toward sustainable development were significantly influenced by global social responsibility (p = <.001).

Conclusion

Positive attitudes and behaviours toward sustainable development increased with higher global social responsibility. Including global issues in nursing education programs to improve global social responsibility levels will contribute to the education of nurses who are aware of their social responsibilities and to closing the gap between nursing and SDGs.

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引用次数: 0

Staff perceptions of the potential for nurses to address service gaps within a homeless health service in Sydney, Australia: Results of a cross-sectional survey 员工对护士在澳大利亚悉尼无家可归者医疗服务中解决服务缺口潜力的看法：横断面调查结果

IF 1.6 4区医学 Q2 NURSING

Collegian

Pub Date : 2024-09-04 DOI: 10.1016/j.colegn.2024.08.001

Darcy Morris , Cristina Thompson , Alejandro Vasquez Hernandez , Matthew Larkin , Lucy McWilliams , Jane Currie

Background

People experiencing homelessness face significant health disparities and higher rates of morbidity and premature mortality, resulting in increased demands on the acute health system. Nurses have a key role in supporting vulnerable populations to access appropriate care.

Aim

To determine if increased service demand might be addressed through expanding nurse-led services and further developing the roles of nurses within the Homeless Health Service.

Methods

A 14-item cross-sectional survey was designed to obtain the views of staff employed by a Homeless Health Service (n = 50) in nursing and non-nursing roles. Quantitative data were analysed using descriptive statistics and nonparametric tests. Qualitative data were analysed thematically.

Findings

Seven of the 20 respondents were from nursing roles, and the remainder were from non-nursing staff including physicians, allied health personnel, and peer workers. Respondents identified service gaps in the Homeless Health Service that nurses could potentially address by optimising the scope of practice in physical and mental health assessments and referral pathways. Most (95%) pledged in-principle support for enhancing the nursing role within the Service. Qualitative themes were falling through the gaps, resourcing and workforce, and collaborating with other care providers. Solutions to improve access to care included outreach clinics, mental health and chronic disease management, advanced nursing roles, crisis teams, and specialised care for older clients.

Discussion

Awareness of service gaps and ways of improving access to care is critical and may facilitate the implementation of other strategies to better meet client needs. However, issues including funding and eligibility for health care are beyond the influence of nursing scope of practice.

Conclusion

Study findings indicate strong support for optimising the scope of nursing roles through improving client access to assessment, treatment, education, support, and referral. More specifically, outreach health support, mental health assessment, and enhanced provision of after-hours care were noted as key areas that could be enhanced through optimisation of nursing scope.

背景无家可归者面临着严重的健康差异，发病率和过早死亡率较高，导致对急诊医疗系统的需求增加。目的确定是否可以通过扩大护士主导的服务以及进一步发展护士在无家可归者健康服务机构中的作用来解决服务需求增加的问题。方法设计了一项包含 14 个项目的横断面调查，以了解无家可归者健康服务机构（n = 50）雇用的护理和非护理人员的意见。采用描述性统计和非参数检验对定量数据进行分析。在 20 位受访者中，有 7 位是护理人员，其余是非护理人员，包括医生、专职医疗人员和同伴工作者。受访者指出了无家可归者健康服务中存在的服务缺口，护士可以通过优化身心健康评估和转介途径的实践范围来解决这些缺口。大多数受访者（95%）承诺原则上支持加强护理在无家可归者健康服务中的作用。定性主题是弥补差距、资源配置和劳动力，以及与其他护理提供者合作。改善护理服务的解决方案包括外展诊所、精神健康和慢性病管理、高级护理角色、危机处理小组以及针对老年客户的专业护理。结论研究结果表明，通过改善客户获得评估、治疗、教育、支持和转介的机会，优化护理职责范围的做法得到了大力支持。更具体地说，外展健康支持、心理健康评估和加强下班后护理的提供被认为是可以通过优化护理范围来加强的关键领域。

{"title":"Staff perceptions of the potential for nurses to address service gaps within a homeless health service in Sydney, Australia: Results of a cross-sectional survey","authors":"Darcy Morris , Cristina Thompson , Alejandro Vasquez Hernandez , Matthew Larkin , Lucy McWilliams , Jane Currie","doi":"10.1016/j.colegn.2024.08.001","DOIUrl":"10.1016/j.colegn.2024.08.001","url":null,"abstract":"<div><h3>Background</h3><p>People experiencing homelessness face significant health disparities and higher rates of morbidity and premature mortality, resulting in increased demands on the acute health system. Nurses have a key role in supporting vulnerable populations to access appropriate care.</p></div><div><h3>Aim</h3><p>To determine if increased service demand might be addressed through expanding nurse-led services and further developing the roles of nurses within the Homeless Health Service.</p></div><div><h3>Methods</h3><p>A 14-item cross-sectional survey was designed to obtain the views of staff employed by a Homeless Health Service (n = 50) in nursing and non-nursing roles. Quantitative data were analysed using descriptive statistics and nonparametric tests. Qualitative data were analysed thematically.</p></div><div><h3>Findings</h3><p>Seven of the 20 respondents were from nursing roles, and the remainder were from non-nursing staff including physicians, allied health personnel, and peer workers. Respondents identified service gaps in the Homeless Health Service that nurses could potentially address by optimising the scope of practice in physical and mental health assessments and referral pathways. Most (95%) pledged in-principle support for enhancing the nursing role within the Service. Qualitative themes were <em>falling through the gaps</em>, <em>resourcing and workforce</em>, and <em>collaborating with other care providers.</em> Solutions to improve access to care included outreach clinics, mental health and chronic disease management, advanced nursing roles, crisis teams, and specialised care for older clients.</p></div><div><h3>Discussion</h3><p>Awareness of service gaps and ways of improving access to care is critical and may facilitate the implementation of other strategies to better meet client needs. However, issues including funding and eligibility for health care are beyond the influence of nursing scope of practice.</p></div><div><h3>Conclusion</h3><p>Study findings indicate strong support for optimising the scope of nursing roles through improving client access to assessment, treatment, education, support, and referral. More specifically, outreach health support, mental health assessment, and enhanced provision of after-hours care were noted as key areas that could be enhanced through optimisation of nursing scope.</p></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"31 5","pages":"Pages 356-363"},"PeriodicalIF":1.6,"publicationDate":"2024-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1322769624000519/pdfft?md5=ee972d3e027263911669a3ff73c01248&pid=1-s2.0-S1322769624000519-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142164755","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

Workplace violence against nurses in rural governmental hospitals in Jordan 约旦农村政府医院中针对护士的工作场所暴力行为

IF 1.6 4区医学 Q2 NURSING

Collegian

Pub Date : 2024-07-27 DOI: 10.1016/j.colegn.2024.07.002

Mohammad M. Alnaeem , Mohammad A. Abu Sabra , Raid Abu Jebbeh , Khaled Suleiman

Background

Rural hospitals in low-income countries have limited resources and services. Nurses in these settings are more susceptible to workplace violence (WPV) and deserve significant attention.

Purpose

This study aimed to assess the prevalence of WPV (verbal and physical) against nurses who work in rural hospitals in Jordan.

Method

A descriptive cross-sectional survey on WPV among nurses who worked in rural governmental hospitals (n = 431). A modified version of the questionnaire developed by ILO/International Council of Nurses/World Health Organization/Public Services International Workplace Violence in the Health Sector Country Case Study – Questionnaire was utilised.

Result

Out of 431 nurses who worked in the selected hospitals, 81% faced verbal violence, and one quadrant faced physical violence (25.5%). In the last year, 49.1% and 55.5% of participants experienced physical and verbal violence, respectively. Exposed to physical violence, most frequently were males (14.4%) under 30 years old (14.8%) and married (12.5%). Verbal violence was predominantly experienced by females (45.2%), those under 30 years old (44.5%), and when dealing with both genders (76.8%). Most of the relatives of patients were the perpetrators of both forms of violence. Participants’ gender, age, education level, and the patient’s gender were associated factors with experiencing verbal and physical violence.

Conclusion/Implication for future practice

The greater incidence rate of WPV among nurses in rural hospitals reflects the need to implement effective preventive measures and security protocols and build progressive training and supervision systems for healthcare providers to address conflict management and de-escalation techniques tailored to the specific needs of nurses in rural hospitals. As a result, Jordan’s governments and non-governmental organisations have to devote more time, money, and effort to promoting awareness in rural population cities about the need to combat violence against nurses.

背景低收入国家的农村医院资源和服务有限。本研究旨在评估在约旦农村医院工作的护士遭受工作场所暴力（口头和肢体暴力）的情况。方法对在农村政府医院工作的护士（n = 431）进行描述性横断面调查。调查采用了国际劳工组织/国际护士理事会/世界卫生组织/公共服务国际编制的《卫生部门工作场所暴力国家案例研究--调查问卷》的修订版。结果在选定医院工作的 431 名护士中，81% 的人面临语言暴力，四分之一的人面临身体暴力（25.5%）。在过去一年中，分别有 49.1%和 55.5%的参与者遭受过身体暴力和语言暴力。最常遭受身体暴力的是男性（14.4%）、30 岁以下（14.8%）和已婚者（12.5%）。遭受语言暴力的主要是女性（45.2%）、30 岁以下的女性（44.5%）和男女双方（76.8%）。大多数患者的亲属是这两种形式暴力的施暴者。参与者的性别、年龄、教育水平和患者的性别与遭受言语和身体暴力有关。结论/对未来实践的启示农村医院护士的 WPV 发生率较高，这反映出有必要实施有效的预防措施和安全协议，并为医疗服务提供者建立渐进的培训和监督体系，以解决冲突管理和降级技巧问题，满足农村医院护士的特殊需求。因此，约旦政府和非政府组织必须投入更多的时间、资金和精力，提高农村人口城市对打击暴力侵害护士行为必要性的认识。

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引用次数: 0

Implementation of evidence-based practice in paediatric nursing care: Facilitators and barriers 在儿科护理中实施循证实践：促进因素和障碍

IF 1.6 4区医学 Q2 NURSING

Collegian

Pub Date : 2024-07-25 DOI: 10.1016/j.colegn.2024.07.001

Cânia Torres , Francisco Mendes , Adriana Maria Duarte , Simão Vilaça , Maria do Céu Barbieri-Figueiredo

Background

Evidence-based practice (EBP) is widely recognised in healthcare as a means of improving patient outcomes by incorporating patient preferences, clinical experience, and rigorous research. Although it has demonstrated potential in promoting healthcare, increasing patient safety, and reducing costs, there are still challenges in implementing and applying EBP in practice. The aim of this study was to explore the barriers and facilitators identified by nurses concerning the implementation of EBP in the care provided to children and their families.

Methods

Two focus groups were held with a total of 32 nurses from a paediatric unit of a university hospital. The qualitative data were organised using NVivo, and thematic analysis was undertaken following Bardin’s three-phase process.

Findings

Three categories emerged: Facilitators for the Implementation of EBP, Barriers to the Implementation of EBP, and Family and Child-Centred Care in Clinical Practice. The main facilitators are the presence of mentors, institutional recognition, an environment that promotes EBPs, and the interest and motivation of the team. The main barriers highlighted were unassertive intradisciplinary and interdisciplinary communication, time management, tradition, and inexperience in research. Organisations must implement policies that promote environments conducive to EBP.

Conclusion

It is crucial to prioritise ongoing professional development, integrate this practice into nursing education, promote innovative organisational cultures, and embrace the principles of Family-Centred Care. Nurses recognise the importance of mentors as key to implementing this practice.

背景基于证据的实践（EBP）在医疗保健领域被广泛认为是一种通过结合患者偏好、临床经验和严谨研究来改善患者治疗效果的手段。尽管它在促进医疗保健、提高患者安全和降低成本方面已显示出潜力，但在实践中实施和应用 EBP 仍面临挑战。本研究旨在探讨护士在为儿童及其家庭提供护理时实施 EBP 所遇到的障碍和促进因素。使用 NVivo 对定性数据进行了整理，并按照 Bardin 的三阶段流程进行了主题分析：研究结果分为三类：实施 EBP 的促进因素、实施 EBP 的障碍以及临床实践中以家庭和儿童为中心的护理。主要的促进因素包括导师的存在、机构的认可、促进 EBP 的环境以及团队的兴趣和动力。突出强调的主要障碍是学科内和学科间沟通缺乏主动性、时间管理、传统以及缺乏研究经验。组织必须实施促进有利于 EBP 的环境的政策。结论将持续的专业发展作为优先事项、将这一实践纳入护理教育、促进创新的组织文化以及接受以家庭为中心的护理原则至关重要。护士们认识到导师的重要性，认为导师是实施这一实践的关键。

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引用次数: 0