Collegian最新文献

{"title":"Understanding research capacity and culture of nurses and midwives in two health services in Western Australia","authors":"Carrie Janerka ,&nbsp;Gavin D. Leslie ,&nbsp;Olivia Gallagher ,&nbsp;Melissa Mellan ,&nbsp;Marguerite Lane ,&nbsp;Fenella J. Gill","doi":"10.1016/j.colegn.2024.02.001","DOIUrl":"10.1016/j.colegn.2024.02.001","url":null,"abstract":"<div><h3>Background</h3><p>Health services with a strong research culture report better patient outcomes and organisational performance. Measuring research capacity and culture (RCC) is important for understanding baseline research capabilities of a health service and assessing the effectiveness of capacity-building and culture-improving interventions.</p></div><div><h3>Aim</h3><p>To describe the RCC of nurses and midwives in two health services in Western Australia.</p></div><div><h3>Methods</h3><p>A cross-sectional survey of nurses and midwives was undertaken using a previously validated RCC tool to measure RCC in individual, professional group, and organisational domains, and identify barriers, enablers, and research activity. Staff at each health service were recruited via email during a three-month period in 2022. Quantitative data were analysed for descriptive statistics. Qualitative comments underwent content analysis.</p></div><div><h3>Results</h3><p>Three hundred nurses and midwives completed the survey. Research capacity was low to moderate at the individual and group domains and moderate in the organisational domain. Participation in research activities was generally low. Top barriers for research involved lack of time and backfill, and other work roles taking priority, whilst top enablers were skill development, job satisfaction, and addressing identified problems. The results appeared similar across the two services.</p></div><div><h3>Conclusions</h3><p>The findings align with previous studies, indicating that research capacity continues to be limited for nurses and midwives. Organisations should acknowledge key barriers and enablers for research and implement targeted capacity-building and culture-improving strategies.</p></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"31 3","pages":"Pages 137-143"},"PeriodicalIF":1.5,"publicationDate":"2024-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1322769624000027/pdfft?md5=1d80cfd74d035dbfc1f759b0bd1714d3&pid=1-s2.0-S1322769624000027-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140148541","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

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

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

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

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

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

{"title":"Employment of undergraduate nursing students for specialling of people with cognitive impairment: A pilot study","authors":"Lisa Beccaria ,&nbsp;Heather Hoey ,&nbsp;Helen Towler ,&nbsp;Sharon Rees ,&nbsp;Rebecca Brazier ,&nbsp;Karen Gordon ,&nbsp;Christine Neville ,&nbsp;Bob Knight","doi":"10.1016/j.colegn.2023.12.002","DOIUrl":"10.1016/j.colegn.2023.12.002","url":null,"abstract":"<div><h3>Background</h3><p><span>Health services need to consider how best to care for and resource people with cognitive impairment, such as dementia and/or delirium, during an acute care hospital admission. Upskilling undergraduate students in nursing (USiNs) is one option. This paper describes a pilot model to prepare employed USiNs under the delegation of </span>registered nurses (RNs).</p></div><div><h3>Aim</h3><p>The aim of this study was to evaluate a pre-registration employment model of USiNs and delegating RNs providing specialised person-centred care to people with cognitive impairment and complex behaviours and their perception of workplace preparation of the USiN.</p></div><div><h3>Methods</h3><p>Semi-structured interviews were held with 15 USiNs and 11 delegating RNs. A chart audit examined the types of care provided by the USiNs to see if these were aligned with current evidence-based practice. An online survey was administered post employment about perceptions of orientation and involvement in the pre-registration employment model.</p></div><div><h3>Findings</h3><p>USiNs provided physical care, monitored, and managed care in relation to changes in cognition, behaviour, and other clinical symptoms associated with dementia and delirium. All participants in the study articulated that the model benefited them as stakeholders.</p></div><div><h3>Discussion</h3><p>The pilot model provided effective orientation and enhanced the skills and knowledge of USiNs within their scope of practice under delegated supervision.</p></div><div><h3>Conclusion</h3><p>Innovative models developed in partnership between health services and universities can help to improve the care of people, provide employment opportunities, and support the development of a future registered nursing workforce attuned to the needs of vulnerable people population.</p></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"31 2","pages":"Pages 84-91"},"PeriodicalIF":1.5,"publicationDate":"2024-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139555527","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"In-service educational learning factors related to nursing competence among new nurses","authors":"Junko Hoshino ,&nbsp;Koji Tamakoshi ,&nbsp;Masashi Hotta ,&nbsp;Suguri Muto ,&nbsp;Naomi Furukawa","doi":"10.1016/j.colegn.2023.12.004","DOIUrl":"10.1016/j.colegn.2023.12.004","url":null,"abstract":"<div><h3>Background</h3><p>To provide quality patient care, nurses are required to actively learn and improve their nursing competence.</p></div><div><h3>Aim</h3><p>This study examined the impact of nurses’ learning factors related to in-service education on nursing competence, targeting nurses with up to five years of clinical experience working in hospitals.</p></div><div><h3>Methods</h3><p>Questionnaires were mailed to qualified nurses working in two areas of Japan. Data from 177 responses with no missing values for the dependent and independent variables were analysed. The survey items included the Clinical Nursing Competence Self-Assessment Scale (CNCSS), Learning Scale on In-service Education for Nurses, demographic factors such as age and career self-reliance, and institutional environmental factors such as number of beds in the hospital where they work.</p></div><div><h3>Findings</h3><p>Among the three concepts in the CNCSS, “fundamental in nursing practice” had the highest average score, and “personal and professional development” had the lowest average score. Of the nurses’ learning factors, “acquisition of basic nursing” and “self-growth as a person” had the highest and lowest mean scores, respectively. Nurses’ total learning scores were significantly associated with nursing competence — the higher the learning score, the higher the CNCSS score. Moreover, the scores for “acquisition of autonomy as a nursing professional” and “self-growth as a person” in nurses’ in-service education learning showed a significant positive relationship with nursing competence.</p></div><div><h3>Conclusion</h3><p>Hospitals need to devise educational programs and train educators to improve the autonomy of nurses and encourage their growth as a person.</p></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"31 2","pages":"Pages 100-106"},"PeriodicalIF":1.5,"publicationDate":"2024-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139509316","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Graduate entry nursing students’ well-being and transformation in becoming registered nurses: Phase three of a longitudinal case study","authors":"Kay Shannon ,&nbsp;Patricia McClunie-Trust ,&nbsp;Rachel Macdiarmid ,&nbsp;Rebecca Jarden ,&nbsp;Jan Dewar ,&nbsp;Rosemary Turner ,&nbsp;Rhona Winnington ,&nbsp;Rebecca Mowatt ,&nbsp;Virginia Jones","doi":"10.1016/j.colegn.2023.12.001","DOIUrl":"10.1016/j.colegn.2023.12.001","url":null,"abstract":"<div><h3>Background</h3><p>Graduate entry nursing (GEN) programmes offer an accelerated entry to practice pathway for people with a non-nursing degree. Characteristics and motivations of students enrolling in these programmes differ from those in nursing undergraduate programmes.</p></div><div><h3>Aim</h3><p>To explore the experiences of students on completion of a graduate entry Master of Nursing Science degree.</p></div><div><h3>Methods</h3><p>We report the findings of phase three of a longitudinal study conducted at the completion of a GEN program. Semi-structured interview recordings were transcribed and analysed using reflexive thematic analysis. Reporting of the study followed the Consolidated Criteria for Reporting Qualitative Studies.</p></div><div><h3>Findings</h3><p>We constructed three themes, sustaining well-being, perceptions and misconceptions, and transformation. Sustaining well-being encompassed students navigating challenges in maintaining work/study/life balance, physical health, and psychological well-being. Perceptions and misconceptions included students developing an awareness of the reality of nursing, programme intensity, and negative perceptions of nursing as a career. Transformation transpired through the students learning and recognising what it takes to succeed and develop their professional identity.</p></div><div><h3>Discussion</h3><p>Participants balanced supporting well-being with the sacrifices that were required to complete a demanding accelerated programme. Their life and previous study experience supported development of their growing self-identity as nurses. Understanding the experiences of GEN students during the later stages of their entry to practice education provides an opportunity to understand their transition to the profession and inform both programme development and graduate nursing programmes.</p></div><div><h3>Conclusion</h3><p>Ensuring GEN students are supported to transition to practice will contribute to addressing the global nursing workforce shortage.</p></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"31 2","pages":"Pages 77-83"},"PeriodicalIF":1.5,"publicationDate":"2024-01-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1322769623001129/pdfft?md5=eae2d942cf07cc74097cb43cf75008e9&pid=1-s2.0-S1322769623001129-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139498996","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring nursing students’ perceptions on usefulness, ease of use, and acceptability of using a simulated Electronic Medical Record: A descriptive study","authors":"Linda Ng ,&nbsp;Sonya Osborne ,&nbsp;Rob Eley ,&nbsp;Anthony Tuckett ,&nbsp;Jan Walker","doi":"10.1016/j.colegn.2023.12.006","DOIUrl":"10.1016/j.colegn.2023.12.006","url":null,"abstract":"<div><h3>Background</h3><p>Modernisation in the healthcare landscape has seen the spread of the integration of health information technology to replace paper-based systems with Electronic Medical Record (EMR) systems. Although this technology has become accessible in most healthcare settings globally, its adoption into nursing school curricula as a teaching tool and learning strategy is slow. Universities are now faced with a number of challenges to ensure nursing and midwifery students are well-equipped to use this new technology upon graduation and to determine how best to integrate this new technology into undergraduate health education curricula.</p></div><div><h3>Objective</h3><p>The purpose of this study was to develop an Interactive Simulated Electronic Medical Record (ISEMR) as a learning tool and assess students’ acceptability and intention to use the tool in their nursing education.</p></div><div><h3>Methods</h3><p>A quantitative descriptive study was conducted in the cohort of second-year undergraduate nursing students enrolled in a clinical course in a Bachelor of Nursing program in Australia. This study was guided by the Technology Acceptance Model (TAM). Data were collected over one semester using a validated questionnaire to measure the students’ perceived ease of use, perceived usefulness (PU), intention to use, and acceptability.</p></div><div><h3>Results</h3><p>Of the 530 students enrolled in the course, 433 (82%) participated in the study. In accordance with the TAM, the findings showed that PU of the ISEMR in providing learning and experience for the future was significant in determining students’ intention to use it. Students who perceived the ISEMR easy to use were more likely to perceive usefulness.</p></div><div><h3>Conclusion</h3><p>Integrating the EMR into the nursing curriculum will be beneficial in providing undergraduate nursing students with the opportunity to enhance critical thinking, improve documentation, and enhance understanding and nursing skill. The findings from this study will drive learning and teaching approaches that will lead to growth in capability with health information technology.</p></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"31 2","pages":"Pages 120-127"},"PeriodicalIF":1.5,"publicationDate":"2024-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1322769623001178/pdfft?md5=ae7542815b1bc51882db0a4ca3d90aa5&pid=1-s2.0-S1322769623001178-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139468982","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}