Collegian最新文献

{"title":"Aggression and violence in the emergency department: A qualitative study exploring the perspectives of frontline healthcare professionals","authors":"Joshua Johnson ,&nbsp;Sara Hansen ,&nbsp;Luke Hopper ,&nbsp;Luke Brook ,&nbsp;Jessica Watson ,&nbsp;Brennen Mills","doi":"10.1016/j.colegn.2024.04.003","DOIUrl":"10.1016/j.colegn.2024.04.003","url":null,"abstract":"<div><h3>Background</h3><p>Aggression and violence (AV) towards frontline healthcare professionals (FHPs) represent a rapidly increasing strain on hospitals, impacting clinician mental health and the provision of patient care. Little is known about the perceptions of healthcare professionals on current aggression management practices.</p></div><div><h3>Aim</h3><p>This study aimed to investigate the perceptions of FHPs on AV in hospital emergency departments (EDs).</p></div><div><h3>Methods</h3><p>Eight semi-structured focus groups consisting of 6–10 participants from five hospital EDs were held. Participants included medical doctors, nurses, and work health safety staff. Focus groups were audio-recorded and transcribed before undergoing thematic analysis.</p></div><div><h3>Findings</h3><p>Four main themes were identified: (i) workplace AV in healthcare are increasing in frequency and difficulty to manage, (ii) local strategies in place to manage workplace AV are perceived to be insufficient, (iii) systemic issues exacerbate the consequences of workplace AV, and (iv) staff feel inadequately equipped to manage the impact of workplace AV on their own well-being.</p></div><div><h3>Discussion</h3><p>There are substantial perceived barriers to the effective management of workplace aggressive and violent behaviour within Australian hospital EDs. Participants suggest perceived increases in the prevalence of aggressive incidents and systemic issues surrounding incident reporting and follow-up exacerbate existing deficiencies in workplace AV management.</p></div><div><h3>Conclusion</h3><p>Further research into risk reduction strategies, investigation of targeted interventions to better prepare staff, and improved reporting processes and pathways are needed to mitigate fallout of workplace exposures to AV in the ED.</p></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"31 4","pages":"Pages 195-201"},"PeriodicalIF":1.6,"publicationDate":"2024-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1322769624000179/pdfft?md5=dde07a8549e39ac73b967d7c0eb2297e&pid=1-s2.0-S1322769624000179-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141138106","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":"Experiences of international nursing students in a regional university: A clear direction for nursing education","authors":"Coralie Graham ,&nbsp;Linda Ng ,&nbsp;Odette Best ,&nbsp;Jennifer Patrick","doi":"10.1016/j.colegn.2024.04.005","DOIUrl":"10.1016/j.colegn.2024.04.005","url":null,"abstract":"<div><h3>Background</h3><p>Australia sells education to international students, with education currently Australia’s third-largest export. Asia is Australia’s main source of international students, and Australian immigration policy supports international students to stay in the country after graduation. For international students, moving to Australia can involve a stressful adjustment, with major cultural and social differences.</p></div><div><h3>Objectives</h3><p>This study explores the cultural, societal, and learning experiences of international nursing students at a regional university in Australia.</p></div><div><h3>Design</h3><p>This study uses a qualitative research design.</p></div><div><h3>Setting</h3><p>Regional university in Queensland, Australia.</p></div><div><h3>Participants</h3><p>All international students enrolled in the Bachelor of Nursing program were invited to participate via advertising on the course website, flyers, and mail-outs.</p></div><div><h3>Methods</h3><p>We conducted six small focus groups, clustered by nationality: South Asian, Nepalese (three groups), Indian, and a multi-ethnicity group to explore student experiences in clinical placement settings. We conducted a seventh group, with First Nations Australian students, which will be discussed in a separate publication.</p></div><div><h3>Results</h3><p>Student responses were clustered into eight thematic groups: preparedness to study; communication challenges; barriers or challenges to learning; face-to-face learning environments; bias, racism, or discrimination; preferences for support from the university; community support; and their personal strategies for supporting learning.</p></div><div><h3>Conclusions</h3><p>The findings of this research build on previous research which shows that international students experience linguistic barriers, insufficient social support, and cultural diversities that compound their social isolation and negatively impact their well-being. Our participants reported experiences of racism and communication difficulties in clinical placement settings. International nursing students need support to manage cultural differences and Australian teaching styles. Nursing academics and clinical placement supervisors need professional development in cultural safety to improve the learning opportunities they provide for international students.</p></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"31 4","pages":"Pages 211-217"},"PeriodicalIF":1.6,"publicationDate":"2024-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1322769624000192/pdfft?md5=9764195886982244dc623d5255012074&pid=1-s2.0-S1322769624000192-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141141940","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":"Missed care or missed opportunities in general practice nursing","authors":"Claire Verrall ,&nbsp;Eileen Willis ,&nbsp;Alexander Gerrie ,&nbsp;James Thompson","doi":"10.1016/j.colegn.2024.04.002","DOIUrl":"10.1016/j.colegn.2024.04.002","url":null,"abstract":"<div><h3>Background</h3><p>Research into missed care has been conducted in various acute and some community healthcare settings; however, the experiences of general practice nurses (GPNs) are poorly represented in the literature.</p></div><div><h3>Aim</h3><p>To explore the role of the GPN and whether care activities are missed.</p></div><div><h3>Methods</h3><p>A qualitative descriptive design was used, employing semistructured interviews with 10 participants. The participants were GPNs working in a metropolitan or regional general practice in Australia, with a minimum of three years of experience in the role. A six-step process for thematic analysis was utilised for the extraction and presentation of findings.</p></div><div><h3>Findings</h3><p>GPNs rarely miss care; it is either delayed or rescheduled. Findings illustrate missed opportunities to provide care and enhance the role of the GPN. Factors contributing to missed opportunity are as follows: (i) difficulties navigating the GPN–general practitioner (GP) relationship, (ii) GPNs lack ongoing education commensurate with their scope of practice, (iii) Medicare policy fails to fund the GPN role, (iv) a rise in the number of salaried GPs leads to time pressures that limit the GPN role, (v) scope of practice constrained by time deficits, and (vi) communication problems within a siloed healthcare system limit GPN scope of practice.</p></div><div><h3>Discussion</h3><p>The initial aim was to identify missed care; however, findings suggest that GPNs rarely miss care, but they do miss opportunities to provide care and practice to their full scope.</p></div><div><h3>Conclusion</h3><p>Internal and external factors specific to the general practice context can contribute to missed opportunities for the work of the GPN.</p></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"31 4","pages":"Pages 188-194"},"PeriodicalIF":1.6,"publicationDate":"2024-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1322769624000167/pdfft?md5=644daceec282e15bc701f9407250b2ec&pid=1-s2.0-S1322769624000167-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141053725","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":"Drawing blood from a peripheral intravenous cannula and its effect on cannula dwell time, phlebitis, and bloodstream infection: A randomised controlled study","authors":"Hugh Davies ,&nbsp;Alycia Jacob ,&nbsp;Lea Aboo ,&nbsp;Linda Coventry ,&nbsp;Elisabeth Jacob","doi":"10.1016/j.colegn.2024.04.001","DOIUrl":"10.1016/j.colegn.2024.04.001","url":null,"abstract":"<div><h3>Background</h3><p>Routine blood sampling can be conducted using venepuncture, inserting a new peripheral intravenous cannula (PIVC), or utilising an existing one. The practice of blood sampling from a cannula requires handling and movement of the cannula bung. It is discouraged due to safety concerns linked to increased risk of phlebitis, infection, or reduced dwell time.</p></div><div><h3>Aim</h3><p>To assess cannula dwell time, the prevalence of phlebitis, and bloodstream infection when using a PIVC compared with venepuncture for blood sampling.</p></div><div><h3>Design</h3><p>A randomised controlled study. Reporting followed CONSORT recommendations.</p></div><div><h3>Methods</h3><p>Adult patients admitted to the emergency department whose health condition required a blood sample to be drawn and insertion of a PIVC were screened for eligibility between May and July 2022. Participants were randomised to either have blood sampled by venepuncture as the control or drawn through the PIVC as the intervention. Follow-up occurred on day three post emergency department presentation.</p></div><div><h3>Results</h3><p>One hundred and five participants were randomised of whom 50 had blood sampled by venepuncture and 55 through the PIVC. No difference was observed in cannula dwell time, prevalence of phlebitis, or signs of bloodstream infection.</p></div><div><h3>Conclusion</h3><p>This study showed PIVC outcomes were no different when the PIVC was used to sample blood compared with participants whose blood was sampled by venepuncture.</p></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"31 4","pages":"Pages 181-187"},"PeriodicalIF":1.6,"publicationDate":"2024-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1322769624000155/pdfft?md5=91ee4eed1f94c210ef9a86fe268c5cee&pid=1-s2.0-S1322769624000155-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141049915","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":"Registered nurses’ confidence related to undertaking a leadership role in residential aged care: A clinical leadership self-assessment survey","authors":"Dorika Nhongo ,&nbsp;Annie Holt ,&nbsp;Kasia Bail ,&nbsp;Tracy Flenady","doi":"10.1016/j.colegn.2024.04.004","DOIUrl":"10.1016/j.colegn.2024.04.004","url":null,"abstract":"<div><h3>Background</h3><p>The Australian Royal Commission emphasizes the importance of registered nurse leadership in providing safe, high-quality care to older adults in Residential aged care. Nurse leadership has important ramifications for effective multidisciplinary care as well as recruitment and retention of the aged care workforce. Registered nurse leadership plays a crucial role in enhancing resident outcomes in Residential aged care, however there are limited studies examining self-perceptions of confidence and competence of nurses running Residential aged care, particularly after hours.</p></div><div><h3>Aim</h3><p>To examine registered nurse leadership via self-reported confidence and competence in Residential aged care.</p></div><div><h3>Methods</h3><p>A cross-sectional research design with ten facilities in Western Australia was used, including a survey tool that relied on the Clinical Leadership Competency Framework. Cronbach's alpha test was used to ascertain internal reliability and replicability. The Strengthening the Reporting of Observational studies in Epidemiology guidelines was used to guide the study. Inferential statistics were used for data analysis. Data collection occurred over a six-month period, involving registered nurses employed by a single Residential aged care provider in Perth, Western Australia. Participants rated their leadership confidence on a 5-point Likert-type scale ranging from 1 (never) to 5 (all the time).</p></div><div><h3>Findings</h3><p>From a sample of 100 registered nurses working in aged care after-hours, 90% reported high levels of self-confidence. The survey results showed that those who have more than 10 years of experience reported highest confidence in managing services. Registered nurses over 50 years old self-reported highest confidence in personal qualities, managing, and improving service domains.</p></div><div><h3>Discussion</h3><p>Registered nurses run residential aged care, and this time of aged care reform provides an opportunity to examine associations between registered nurse leadership and resident outcomes and provide avenues for improvements in working environments and resident experiences.</p></div><div><h3>Conclusion</h3><p>The findings have important implications for Residential aged care providers in establishing effective leadership mentoring programs to support registered nurses in improving their confidence and ability.</p></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"31 4","pages":"Pages 202-210"},"PeriodicalIF":1.6,"publicationDate":"2024-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1322769624000180/pdfft?md5=2f2ebd49dc5e7d9c23e483f3edcc98dc&pid=1-s2.0-S1322769624000180-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140789497","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The role of peer support groups in adjustment to stoma: A qualitative study","authors":"Julia Kittscha ,&nbsp;Val Wilson ,&nbsp;Greg Fairbrother ,&nbsp;Vida Bliokas","doi":"10.1016/j.colegn.2024.03.002","DOIUrl":"10.1016/j.colegn.2024.03.002","url":null,"abstract":"<div><h3>Introduction</h3><p>In Australia, access to peer support for people who have a stoma (ostomates) in a group setting, is variable and impacted by barriers such as distance and availability. The ostomate-perceived value of peer support in relation to adjustment to stoma surgery has not been previously researched. The aim of this study was to explore the experience of people who have a stoma (ostomates) and who attended a stoma peer support group. A qualitative design was used to gather insights into the ostomates’ experience.</p></div><div><h3>Methods</h3><p>Three focus groups were held with a total of 13 participants from an ostomy peer support group to investigate the role of this method of support in adjustment to a stoma. The qualitative data were organised using NVivo, and thematic analysis was undertaken following Braun and Clarke’s six-phase process.</p></div><div><h3>Findings</h3><p>Three main themes were identified: ‘being part of a group’, ‘learning from each other’, and ‘receiving support’. Six sub-themes were also identified. The findings suggest that there is a connection between adjustment to a stoma and peer-to-peer support via a support group. Being able to relate to others with a stoma helped the participants to feel normal and ultimately accepted by others. It seems likely that being part of a community of people who have a similar experience contributes positively to stoma adjustment.</p></div><div><h3>Conclusion</h3><p>The study findings suggest that people with a stoma benefit from participation in peer support in terms of learning, support, and connectedness gains.</p></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"31 3","pages":"Pages 173-179"},"PeriodicalIF":1.5,"publicationDate":"2024-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140771358","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Post-fall outcomes of aged care residents that did not transfer to hospital following referral to a specialised hospital outreach service: A retrospective cohort study","authors":"Karen Venaglia ,&nbsp;Amanda Fox ,&nbsp;Margaret MacAndrew","doi":"10.1016/j.colegn.2024.03.001","DOIUrl":"10.1016/j.colegn.2024.03.001","url":null,"abstract":"<div><h3>Background</h3><p>Hospital outreach services aim to reduce the number of avoidable emergency department (ED) transfers of aged care residents and improve healthcare outcomes. While there are known benefits of such services, including avoiding the distress and discomfort that comes with the care transition, little is known about the outcomes of older people in residential aged care facilities who are referred to an outreach service and do not transfer to hospital after a fall.</p></div><div><h3>Aim</h3><p>The aim of this study was to describe the characteristics of residents who experienced a fall in an aged care facility and were referred to a hospital outreach service, and to report the health outcomes of those who did not transfer to hospital.</p></div><div><h3>Methods</h3><p>A retrospective cohort study of health administrative data collected from 1st January 2019 to 31st May 2022 was undertaken. Clinical chart audits were conducted of aged care residents who avoided attending an ED following a fall but subsequently, within 30 days, died or presented to hospital. Descriptive statistics were used for analysis.</p></div><div><h3>Findings</h3><p>Most residents who avoided the ED post fall (n = 370, 73%), did not present to hospital or die within 30 days. Of the cohort who presented to hospital within 30 days, the reasons included new symptoms, pain or medical imaging requirement. Of the residents who died (n = 42, 8%), most did not attend an ED within 30 days of the fall.</p></div><div><h3>Discussion</h3><p>Most residents who were recommended not to transfer to an ED post fall by the hospital outreach service did not die or require transfer to hospital within 30 days. The residents who died had incurable progressive illness. Most of them who died were cared for in the aged care facility allowing the resident to die in a familiar environment being cared for by staff known to them.</p></div><div><h3>Conclusion</h3><p>The results suggest that the hospital outreach service in this study was effective in most cases in supporting residents to avoid transfer to an ED post fall. Avoiding ED is not always appropriate.</p></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"31 3","pages":"Pages 165-172"},"PeriodicalIF":1.5,"publicationDate":"2024-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140781399","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

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

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

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