Pub Date : 2025-04-29DOI: 10.1016/j.colegn.2025.04.003
Na-Na Cao , Perry Paul Espinosa
Background
Study engagement is essential for the professional development of nursing students in higher vocational education. Parenting styles have been shown to significantly affect students’ academic performance and personal development. Similarly, self-compassion enhances emotional resilience and improves coping strategies, potentially leading to increased study engagement. However, research on the impact of these factors, especially in the context of China, remains scarce.
Aim
To examine how parenting styles influence study engagement among higher vocational nursing students, investigate the mediating role of self-compassion, and highlight the importance of this mechanism in nursing education.
Methods
Data were collected via an electronic questionnaire, including demographic profiles, the Short-form Egna Minnen av Barndoms Uppfostran for Chinese, the Utrecht Work Engagement Scale – Students, and the Self-Compassion Scale. Descriptive correlational studies and structural equation modelling were used for data analysis, with significance determined at p < 0.05.
Findings
Positive parenting styles varied significantly across grade levels, parental education, and family types, while negative parenting styles differed by sex, place of residence, and mother’s education. Structural equation modelling revealed that self-compassion partially mediated the impact of parenting styles on study engagement, with a mediation effect of 22.7% for positive parenting styles and 24.1% for negative parenting styles.
Discussion
Positive parenting styles directly and indirectly positively influenced study engagement through self-compassion. Conversely, negative parenting styles had direct and indirect negative impacts, also mediated by self-compassion.
Conclusion
Parenting styles for higher vocational nursing students are generally positive, but there is potential to enhance self-compassion and study engagement. The study recommends a ‘Nursing-led Intervention Program: Self-Compassion Training for Higher Vocational Nursing Students’ to improve these aspects.
{"title":"Parenting styles and study engagement among higher vocational nursing students: The mediating role of self-compassion","authors":"Na-Na Cao , Perry Paul Espinosa","doi":"10.1016/j.colegn.2025.04.003","DOIUrl":"10.1016/j.colegn.2025.04.003","url":null,"abstract":"<div><h3>Background</h3><div>Study engagement is essential for the professional development of nursing students in higher vocational education. Parenting styles have been shown to significantly affect students’ academic performance and personal development. Similarly, self-compassion enhances emotional resilience and improves coping strategies, potentially leading to increased study engagement. However, research on the impact of these factors, especially in the context of China, remains scarce.</div></div><div><h3>Aim</h3><div>To examine how parenting styles influence study engagement among higher vocational nursing students, investigate the mediating role of self-compassion, and highlight the importance of this mechanism in nursing education.</div></div><div><h3>Methods</h3><div>Data were collected via an electronic questionnaire, including demographic profiles, the Short-form Egna Minnen av Barndoms Uppfostran for Chinese, the Utrecht Work Engagement Scale – Students, and the Self-Compassion Scale. Descriptive correlational studies and structural equation modelling were used for data analysis, with significance determined at p < 0.05.</div></div><div><h3>Findings</h3><div>Positive parenting styles varied significantly across grade levels, parental education, and family types, while negative parenting styles differed by sex, place of residence, and mother’s education. Structural equation modelling revealed that self-compassion partially mediated the impact of parenting styles on study engagement, with a mediation effect of 22.7% for positive parenting styles and 24.1% for negative parenting styles.</div></div><div><h3>Discussion</h3><div>Positive parenting styles directly and indirectly positively influenced study engagement through self-compassion. Conversely, negative parenting styles had direct and indirect negative impacts, also mediated by self-compassion.</div></div><div><h3>Conclusion</h3><div>Parenting styles for higher vocational nursing students are generally positive, but there is potential to enhance self-compassion and study engagement. The study recommends a ‘Nursing-led Intervention Program: Self-Compassion Training for Higher Vocational Nursing Students’ to improve these aspects.</div></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"32 3","pages":"Pages 174-181"},"PeriodicalIF":1.6,"publicationDate":"2025-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143937809","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}
Pub Date : 2025-04-26DOI: 10.1016/j.colegn.2025.04.001
Mayara Moura Alves da Cruz , Joaquim Victor Hugo Gabriel , Tális Silva Antonini , Murilo Reis Alves da Cruz , Luiz Carlos Marques Vanderlei , Gabriela Lima de Melo Ghisi
Background
Despite its benefits, cardiovascular rehabilitation (CR) is underutilised and not widely accessible globally, including in Brazil, where public CR programs are linked to the Unified Health System (SUS). Limited availability, significant access barriers, and the essential role of professionals in Basic Health Unit (BHU) — that is, community-based facilities that deliver primary healthcare services — impact CR’s reach in Brazil.
Aim
To explore the perspectives and experiences of BHU professionals regarding CR and the management of cardiovascular diseases (CVDs) in Adamantina, Brazil.
Methods
A qualitative approach was used, involving nine focus groups with 71 BHU healthcare providers, including nurses, physicians, nursing assistants, community health workers, physiotherapists, and nutritionists. Thematic analysis was conducted.
Findings
Participants had an average age of 39.5 years and 9.9 years of professional experience; 71.8% held a university degree or higher. On average, they managed 584 patients monthly, with 53% diagnosed with CVD. Five main themes were generated: (1) comprehensive management of CVD, (2) roles of BHU professionals, (3) awareness of CR, (4) challenges in patient adherence to behaviour change, and (5) obstacles in accessing CR services. Participants demonstrated limited knowledge of CR, with inadequate referral processes and infrastructure challenges impeding effective CR integration.
Discussion
Findings highlight the need to address knowledge gaps, improve referral pathways, and enhance infrastructure to better integrate CR into primary healthcare. Despite recognising CR’s importance, BHU professionals face significant challenges in its implementation and promotion.
Conclusion
Strengthening professional education, optimising referral systems, and improving infrastructure are critical to increasing CR accessibility and improving outcomes in primary care settings.
{"title":"Primary healthcare professionals’ views on cardiovascular rehabilitation and disease management","authors":"Mayara Moura Alves da Cruz , Joaquim Victor Hugo Gabriel , Tális Silva Antonini , Murilo Reis Alves da Cruz , Luiz Carlos Marques Vanderlei , Gabriela Lima de Melo Ghisi","doi":"10.1016/j.colegn.2025.04.001","DOIUrl":"10.1016/j.colegn.2025.04.001","url":null,"abstract":"<div><h3>Background</h3><div>Despite its benefits, cardiovascular rehabilitation (CR) is underutilised and not widely accessible globally, including in Brazil, where public CR programs are linked to the Unified Health System (SUS). Limited availability, significant access barriers, and the essential role of professionals in Basic Health Unit (BHU) — that is, community-based facilities that deliver primary healthcare services — impact CR’s reach in Brazil.</div></div><div><h3>Aim</h3><div>To explore the perspectives and experiences of BHU professionals regarding CR and the management of cardiovascular diseases (CVDs) in Adamantina, Brazil.</div></div><div><h3>Methods</h3><div>A qualitative approach was used, involving nine focus groups with 71 BHU healthcare providers, including nurses, physicians, nursing assistants, community health workers, physiotherapists, and nutritionists. Thematic analysis was conducted.</div></div><div><h3>Findings</h3><div>Participants had an average age of 39.5 years and 9.9 years of professional experience; 71.8% held a university degree or higher. On average, they managed 584 patients monthly, with 53% diagnosed with CVD. Five main themes were generated: (1) comprehensive management of CVD, (2) roles of BHU professionals, (3) awareness of CR, (4) challenges in patient adherence to behaviour change, and (5) obstacles in accessing CR services. Participants demonstrated limited knowledge of CR, with inadequate referral processes and infrastructure challenges impeding effective CR integration.</div></div><div><h3>Discussion</h3><div>Findings highlight the need to address knowledge gaps, improve referral pathways, and enhance infrastructure to better integrate CR into primary healthcare. Despite recognising CR’s importance, BHU professionals face significant challenges in its implementation and promotion.</div></div><div><h3>Conclusion</h3><div>Strengthening professional education, optimising referral systems, and improving infrastructure are critical to increasing CR accessibility and improving outcomes in primary care settings.</div></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"32 3","pages":"Pages 155-162"},"PeriodicalIF":1.6,"publicationDate":"2025-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143937693","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}
Pub Date : 2025-04-26DOI: 10.1016/j.colegn.2025.03.004
Ann Bonner , Linda Deravin , Jan Dewar , Moira Williamson , Kerri Gillespie , Cheryl Atherfold , Karen Nightingale , Caryn West , Karen Strickland
Background
Promoting a representative and supportive industry for Aboriginal, Torres Strait Islander and Māori nursing and midwifery academic staff is a key tenet of Australian and Aotearoa New Zealand universities, and fundamental to strengthening the health workforce. Surprisingly, information about this workforce is unknown.
Aim
The aim of the study was to gain an understanding of the Aboriginal, Torres Strait Islander and Māori nursing and midwifery academic workforce.
Methods
A cross-sectional study was conducted using an online survey of organisations that provide accredited nursing and midwifery education within Australia and Aotearoa New Zealand. Demographic, academic and employment information relating to Aboriginal, Torres Strait Islander and Māori nursing and midwifery staff was collected.
Findings
Thirty-three organisations responded, reporting a total of 55 staff. Aotearoa New Zealand universities (n = 6) had between one and four Māori or Aboriginal staff members. Australian universities (n = 27) reported between one and nine Aboriginal and Torres Strait Islander staff, with 10 universities reporting that they had none. Most staff held a PhD or Master’s degree and were employed at lecturer level in a full-time continuing position. There were 10 appointed into a professoriate level position. Workload was predominantly allocated to teaching and research.
Discussion
Neither country has reached parity with the Aboriginal, Torres Strait Islander and Māori overall population. Substantial efforts are required to grow this workforce. In addition, as most staff hold lower-level academic positions, greater succession planning through increased mentorship and professional development is urgently needed.
{"title":"Aboriginal, Torres Strait Islander and Māori nursing and midwifery academic workforce across Australia and Aotearoa New Zealand","authors":"Ann Bonner , Linda Deravin , Jan Dewar , Moira Williamson , Kerri Gillespie , Cheryl Atherfold , Karen Nightingale , Caryn West , Karen Strickland","doi":"10.1016/j.colegn.2025.03.004","DOIUrl":"10.1016/j.colegn.2025.03.004","url":null,"abstract":"<div><h3>Background</h3><div>Promoting a representative and supportive industry for Aboriginal, Torres Strait Islander and Māori nursing and midwifery academic staff is a key tenet of Australian and Aotearoa New Zealand universities, and fundamental to strengthening the health workforce. Surprisingly, information about this workforce is unknown.</div></div><div><h3>Aim</h3><div>The aim of the study was to gain an understanding of the Aboriginal, Torres Strait Islander and Māori nursing and midwifery academic workforce.</div></div><div><h3>Methods</h3><div>A cross-sectional study was conducted using an online survey of organisations that provide accredited nursing and midwifery education within Australia and Aotearoa New Zealand. Demographic, academic and employment information relating to Aboriginal, Torres Strait Islander and Māori nursing and midwifery staff was collected.</div></div><div><h3>Findings</h3><div>Thirty-three organisations responded, reporting a total of 55 staff. Aotearoa New Zealand universities (n = 6) had between one and four Māori or Aboriginal staff members. Australian universities (n = 27) reported between one and nine Aboriginal and Torres Strait Islander staff, with 10 universities reporting that they had none. Most staff held a PhD or Master’s degree and were employed at lecturer level in a full-time continuing position. There were 10 appointed into a professoriate level position. Workload was predominantly allocated to teaching and research.</div></div><div><h3>Discussion</h3><div>Neither country has reached parity with the Aboriginal, Torres Strait Islander and Māori overall population. Substantial efforts are required to grow this workforce. In addition, as most staff hold lower-level academic positions, greater succession planning through increased mentorship and professional development is urgently needed.</div></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"32 3","pages":"Pages 149-154"},"PeriodicalIF":1.6,"publicationDate":"2025-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143937692","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}
Pub Date : 2025-04-23DOI: 10.1016/j.colegn.2025.03.003
Rosemary Saunders , Kate Crookes , Tania Leach , Seng Giap Marcus Ang , Caroline Bulsara , Beverly Ewens , Michelle Gay , Karla Seaman , Paige Watkins , Christopher Etherton-Beer , Olivia Gallagher
Background
Hospital environments may cause or exacerbate behavioural and psychological symptoms of older adults with cognitive impairment. Many hospitals in Australia employ staff as companions to provide constant observation and additional support for those with cognitive impairment and/or at risk of falls; however, little is known about the activities of this role.
Aim
To examine the activities of assistant in nursing companions allocated to older patients in hospital.
Methods
A cross-sectional study design using an observation tool was conducted at an acute metropolitan hospital in Western Australia. A nonparticipant nurse conducted the observations. Descriptive statistical analysis explored the data and frequencies reported.
Findings
Ninety-three observations were completed over a one-month period. Assistants in nursing companions were observed providing direct support to patients in less than half of the observations (49%), while 27% of observations recorded assistants in nursing in other activities, and 24% of observations recorded no active support. During direct support, 40% were undertaking diversionary activities. Environmental safety measures were met for most observations. Most patient surveillance forms were completed (95%); cognitive support plans were not completed for 68% of patients.
Discussion
Assistant in nursing companions under the direction of registered nurses can increase patient safety and provide therapeutic engagement; however, they may not be utilised to their full potential.
Conclusion
This role is part of contemporary patient care. It is essential that training is provided to both assistants in nursing and nurses who prepare and supervise them to ensure an effective contribution to patient safety and care quality.
{"title":"Observing nursing assistant companions supporting older adults in hospital: A cross-sectional study","authors":"Rosemary Saunders , Kate Crookes , Tania Leach , Seng Giap Marcus Ang , Caroline Bulsara , Beverly Ewens , Michelle Gay , Karla Seaman , Paige Watkins , Christopher Etherton-Beer , Olivia Gallagher","doi":"10.1016/j.colegn.2025.03.003","DOIUrl":"10.1016/j.colegn.2025.03.003","url":null,"abstract":"<div><h3>Background</h3><div>Hospital environments may cause or exacerbate behavioural and psychological symptoms of older adults with cognitive impairment. Many hospitals in Australia employ staff as companions to provide constant observation and additional support for those with cognitive impairment and/or at risk of falls; however, little is known about the activities of this role.</div></div><div><h3>Aim</h3><div>To examine the activities of assistant in nursing companions allocated to older patients in hospital.</div></div><div><h3>Methods</h3><div>A cross-sectional study design using an observation tool was conducted at an acute metropolitan hospital in Western Australia. A nonparticipant nurse conducted the observations. Descriptive statistical analysis explored the data and frequencies reported.</div></div><div><h3>Findings</h3><div>Ninety-three observations were completed over a one-month period. Assistants in nursing companions were observed providing direct support to patients in less than half of the observations (49%), while 27% of observations recorded assistants in nursing in other activities, and 24% of observations recorded no active support. During direct support, 40% were undertaking diversionary activities. Environmental safety measures were met for most observations. Most patient surveillance forms were completed (95%); cognitive support plans were not completed for 68% of patients.</div></div><div><h3>Discussion</h3><div>Assistant in nursing companions under the direction of registered nurses can increase patient safety and provide therapeutic engagement; however, they may not be utilised to their full potential.</div></div><div><h3>Conclusion</h3><div>This role is part of contemporary patient care. It is essential that training is provided to both assistants in nursing and nurses who prepare and supervise them to ensure an effective contribution to patient safety and care quality.</div></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"32 3","pages":"Pages 142-148"},"PeriodicalIF":1.6,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143937690","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}
Pub Date : 2025-04-12DOI: 10.1016/j.colegn.2025.03.002
Kuei Hsiang Huang , Ling-Yu Wu , Bih-O Lee
Background
The global population of people over 60 is expected to grow, raising concerns about older adults living alone, especially those with chronic diseases. These people require various care needs, including physical, mental, and social support, leading to the exploration of innovative solutions like robot-assisted care. However, no research has addressed the needs of older adults with chronic diseases regarding companion or care robots, so it is essential first to study the needs of the middle-aged and older adults.
Aim
This study aimed to understand the needs of the middle-aged and older adults with chronic diseases for future care robots.
Methods
This qualitative study used in-depth interviews to collect data from 15 middle-aged and older adults in outpatient departments recruited from September 2022 to September 2023. The data were analysed using content analysis.
Results
The identified themes were ‘interaction and companionship’, ‘assistance with daily routines’, ‘medication reminders and assistance with physician–patient communication’, ‘replacement of several long-term care services’, ‘different requirements for robot appearance and size’, and ‘scepticism about future robots’.
Conclusion
The middle-aged and older adults had relatively explicit needs for using robots. Using robots for older adults with chronic diseases presents both opportunities and challenges, suggesting that healthcare providers should be aware of the cultural differences and individual needs of older populations. Once the technology is more advanced, healthcare policies are more likely to include long-term care services provided by robots.
{"title":"The needs of middle-aged and older adults with chronic diseases living alone for using care robots","authors":"Kuei Hsiang Huang , Ling-Yu Wu , Bih-O Lee","doi":"10.1016/j.colegn.2025.03.002","DOIUrl":"10.1016/j.colegn.2025.03.002","url":null,"abstract":"<div><h3>Background</h3><div>The global population of people over 60 is expected to grow, raising concerns about older adults living alone, especially those with chronic diseases. These people require various care needs, including physical, mental, and social support, leading to the exploration of innovative solutions like robot-assisted care. However, no research has addressed the needs of older adults with chronic diseases regarding companion or care robots, so it is essential first to study the needs of the middle-aged and older adults.</div></div><div><h3>Aim</h3><div>This study aimed to understand the needs of the middle-aged and older adults with chronic diseases for future care robots.</div></div><div><h3>Methods</h3><div>This qualitative study used in-depth interviews to collect data from 15 middle-aged and older adults in outpatient departments recruited from September 2022 to September 2023. The data were analysed using content analysis.</div></div><div><h3>Results</h3><div>The identified themes were ‘interaction and companionship’, ‘assistance with daily routines’, ‘medication reminders and assistance with physician–patient communication’, ‘replacement of several long-term care services’, ‘different requirements for robot appearance and size’, and ‘scepticism about future robots’.</div></div><div><h3>Conclusion</h3><div>The middle-aged and older adults had relatively explicit needs for using robots. Using robots for older adults with chronic diseases presents both opportunities and challenges, suggesting that healthcare providers should be aware of the cultural differences and individual needs of older populations. Once the technology is more advanced, healthcare policies are more likely to include long-term care services provided by robots.</div></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"32 3","pages":"Pages 135-141"},"PeriodicalIF":1.6,"publicationDate":"2025-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143937689","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}
Pub Date : 2025-03-27DOI: 10.1016/j.colegn.2025.03.001
Anita Moyes , Brent A. Hayward
Background
Nurses work in schools in every state and territory of Australia but have limited visibility in the public discourse. Knowledge and perceptions of school nursing work can significantly influence policy, funding, and program implementation, yet public perceptions of nursing work in Australian schools have never been investigated.
Aim
The aim of the study was to examine public perceptions of the work of nurses in Australian schools using data collected from a thread on the social media platform Reddit. Study objectives included exploring respondents’ source of knowledge, perceptions of the presence and distribution of school nurses, and understanding of the role.
Method
The study was guided by Elo and Kyngäs’ content analysis method. Data were manually extracted from a Reddit thread, de-identified, and analysed using deductive and inductive content analysis.
Findings
The Reddit thread contained 79 individual posts from 69 unique respondents. The study identified that the breadth and depth of nursing work in Australian schools was poorly understood, and the title of ‘school nurse’ is being co-opted by non-nurses.
Discussion
Strategies to improve public understanding of the breadth and scope of nursing work in Australian schools are urgently needed. School nursing is considered low value, contributing to its low regard. This is occurring in an era when teachers report significant burden from intervening in complex health and social issues for which they are not educationally prepared.
Conclusion
School nursing in Australia is experiencing a crisis of invisibility and misunderstanding with significant implications for nurses, students, school staff, and families.
{"title":"‘Are you sure they’re a nurse?’: Public perceptions of Australian school nursing","authors":"Anita Moyes , Brent A. Hayward","doi":"10.1016/j.colegn.2025.03.001","DOIUrl":"10.1016/j.colegn.2025.03.001","url":null,"abstract":"<div><h3>Background</h3><div>Nurses work in schools in every state and territory of Australia but have limited visibility in the public discourse. Knowledge and perceptions of school nursing work can significantly influence policy, funding, and program implementation, yet public perceptions of nursing work in Australian schools have never been investigated.</div></div><div><h3>Aim</h3><div>The aim of the study was to examine public perceptions of the work of nurses in Australian schools using data collected from a thread on the social media platform Reddit. Study objectives included exploring respondents’ source of knowledge, perceptions of the presence and distribution of school nurses, and understanding of the role.</div></div><div><h3>Method</h3><div>The study was guided by Elo and Kyngäs’ content analysis method. Data were manually extracted from a Reddit thread, de-identified, and analysed using deductive and inductive content analysis.</div></div><div><h3>Findings</h3><div>The Reddit thread contained 79 individual posts from 69 unique respondents. The study identified that the breadth and depth of nursing work in Australian schools was poorly understood, and the title of ‘school nurse’ is being co-opted by non-nurses.</div></div><div><h3>Discussion</h3><div>Strategies to improve public understanding of the breadth and scope of nursing work in Australian schools are urgently needed. School nursing is considered low value, contributing to its low regard. This is occurring in an era when teachers report significant burden from intervening in complex health and social issues for which they are not educationally prepared.</div></div><div><h3>Conclusion</h3><div>School nursing in Australia is experiencing a crisis of invisibility and misunderstanding with significant implications for nurses, students, school staff, and families.</div></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"32 3","pages":"Pages 129-134"},"PeriodicalIF":1.6,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143937688","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}
Pub Date : 2025-03-03DOI: 10.1016/j.colegn.2025.02.001
Verónica Saldaña-Ortiz , María Caballero-Galilea , José Miguel Mansilla- Domínguez , Laura Lorenzo-Allegue , Esther Martínez-Miguel
Background
The introduction of music therapy in intensive care units (ICUs) has resulted in a notable transformation in the experience of family members, conferring substantial benefits for both patients and their loved ones. Patients have demonstrated improvements in their emotional well-being, quality of life, and a reduction in anxiety and stress levels. Furthermore, music therapy intervention has facilitated the development of nonverbal communication and emotional connections between patients and caregivers. This approach responds not only to clinical needs but also contributes to the humanisation of care, emphasising the importance of the emotional well-being of the patient’s family and recognising their crucial role in supporting the patient’s recovery process.
Aim
The aim of this study is to explore family members’ experiences of the humanisation of the adult ICU.
Methods
The present study was conducted in accordance with a qualitative hermeneutic phenomenological methodology. Interventions were conducted with a music therapist, and 14 in-depth interviews were collected from relatives in the critical care unit of Mostoles University Hospital in Madrid, Spain. The qualitative analysis employed was that proposed by Braun and Clarke, with an inductive approach. This method resulted in the emergence of three themes from the interviews.
Main results
The personal interviews yielded a thematic analysis that revealed three dominant themes. These themes encapsulate the experiences and emotions of the study participants after completing the music therapy sessions. Three main themes have been identified: (i) music therapy responding to family concerns, (ii) music therapy during interventions, and (iii) music therapy to humanise the intensive care unit.
Discussion
This study highlights the crucial contribution of music therapy in the humanisation of ICUs by enhancing the experiences of patients, their families, and healthcare professionals. It has been demonstrated to reduce stress, anxiety, and pain while fostering emotional connections and improving communication. The application of music therapy has been demonstrated to reinforce the therapeutic relationships between patients and healthcare professionals, reduce the necessity for sedation, and enhance comfort during medical procedures. In alignment with the principles of humanistic care, it is conducive to the promotion of well-being, intimacy, and quality of life. Despite certain limitations, the integration of music therapy is vital for the creation of more compassionate and patient-centred environments.
Conclusions
Music therapy in ICUs enhances family satisfaction by improving patients’ emotional well-being. Relatives recognise music as a comforting influence, positively shaping the hospital environment. It fosters a conducive atmosph
{"title":"Music therapy in intensive care: Family perspectives on humanising care","authors":"Verónica Saldaña-Ortiz , María Caballero-Galilea , José Miguel Mansilla- Domínguez , Laura Lorenzo-Allegue , Esther Martínez-Miguel","doi":"10.1016/j.colegn.2025.02.001","DOIUrl":"10.1016/j.colegn.2025.02.001","url":null,"abstract":"<div><h3>Background</h3><div>The introduction of music therapy in intensive care units (ICUs) has resulted in a notable transformation in the experience of family members, conferring substantial benefits for both patients and their loved ones. Patients have demonstrated improvements in their emotional well-being, quality of life, and a reduction in anxiety and stress levels. Furthermore, music therapy intervention has facilitated the development of nonverbal communication and emotional connections between patients and caregivers. This approach responds not only to clinical needs but also contributes to the humanisation of care, emphasising the importance of the emotional well-being of the patient’s family and recognising their crucial role in supporting the patient’s recovery process.</div></div><div><h3>Aim</h3><div>The aim of this study is to explore family members’ experiences of the humanisation of the adult ICU.</div></div><div><h3>Methods</h3><div>The present study was conducted in accordance with a qualitative hermeneutic phenomenological methodology. Interventions were conducted with a music therapist, and 14 in-depth interviews were collected from relatives in the critical care unit of Mostoles University Hospital in Madrid, Spain. The qualitative analysis employed was that proposed by Braun and Clarke, with an inductive approach. This method resulted in the emergence of three themes from the interviews.</div></div><div><h3>Main results</h3><div>The personal interviews yielded a thematic analysis that revealed three dominant themes. These themes encapsulate the experiences and emotions of the study participants after completing the music therapy sessions. Three main themes have been identified: (i) music therapy responding to family concerns, (ii) music therapy during interventions, and (iii) music therapy to humanise the intensive care unit.</div></div><div><h3>Discussion</h3><div>This study highlights the crucial contribution of music therapy in the humanisation of ICUs by enhancing the experiences of patients, their families, and healthcare professionals. It has been demonstrated to reduce stress, anxiety, and pain while fostering emotional connections and improving communication. The application of music therapy has been demonstrated to reinforce the therapeutic relationships between patients and healthcare professionals, reduce the necessity for sedation, and enhance comfort during medical procedures. In alignment with the principles of humanistic care, it is conducive to the promotion of well-being, intimacy, and quality of life. Despite certain limitations, the integration of music therapy is vital for the creation of more compassionate and patient-centred environments.</div></div><div><h3>Conclusions</h3><div>Music therapy in ICUs enhances family satisfaction by improving patients’ emotional well-being. Relatives recognise music as a comforting influence, positively shaping the hospital environment. It fosters a conducive atmosph","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"32 2","pages":"Pages 111-119"},"PeriodicalIF":1.6,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143562009","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}
Pub Date : 2025-02-28DOI: 10.1016/j.colegn.2025.02.002
Jessie Bange, Weili Gao, Kimberley Crawford
Background
Newly graduated registered nurses have described elements of their first year of employment as stressful, draining, and demanding. The COVID-19 pandemic was an additional challenge for them during an already daunting transitional phase. Developing this future workforce requires adequate support, education, and training provision.
Aim
The aim of this study was to explore newly graduated registered nurses experiences and perceptions of support, education, and training received during the first rotation of their graduate nursing program during the COVID-19 pandemic.
Design
The qualitative descriptive design aligned with the interpretive paradigm was utilised.
Methods
A combination of purposive and convenience sampling enabled the recruitment of any newly graduated registered nurse who was employed in a Victorian graduate nursing program during the COVID-19 pandemic (2020–2022). Semistructured interviews were conducted from July 2022 until February 2023. Fourteen participants were interviewed. Data were analysed thematically.
Results
Three themes were established: Transition to practice, Development of graduate nurses, and Support of graduate nurses. Participants reported that there was an absence of educators, so there were situations of accelerated learning or self-education within continually evolving environments. Professional confidence was reduced as their learning came to a halt, and there was a lack of education and training opportunities, which caused the newly graduated registered nurses to question their clinical abilities. Clinical competence was increased with positive, supportive, and consistent learning opportunities.
Conclusions
Newly graduated registered nurse education, training, and support experiences were potentially inadequate, limiting future practice abilities. To ensure inexperienced nurses develop into future nurse leaders, it is essential that they are supported by educators and provided with ample training opportunities.
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Pub Date : 2025-02-21DOI: 10.1016/j.colegn.2025.01.004
Tendayi Bruce Dziruni , Alison M. Hutchinson , Sandra Keppich-Arnold , Tracey Bucknall
Background
Managing patients’ mental state deterioration in acute hospital settings presents significant challenges, often resulting in adverse patient outcomes, traumatic restrictive practices, and negative staff effects. Ensuring timely and appropriate care for patients is critical; however, the efficacy of interventions is contingent upon understanding the underlying causal mechanisms that influence the staff’s capacity to timely manage deterioration.
Aims
To test, validate, and refine theories about factors influencing nurses’ ability to manage mental state deterioration and how these factors impact the functioning of a response model.
Methods
A realist evaluation survey was conducted with nurses in acute hospital settings to refine theories about managing patient mental state deterioration.
Results
A total of 60 nurses (50%) completed the survey. Most (n=48, 80%) had some mental health training, but 56% (n=27) reported less than an hour of training, and 53% (n=29) rated their de-escalation skills as low. About 30% (n=16) had activated response teams, and 16% (n=9) had reported managing mental state deterioration in the previous four weeks. Nurses highlighted the challenges of managing mental state deterioration and emphasised the need for tailored training, daily assessments, improved teamwork, communication, and organisational support for high-risk patients.
Conclusion
The study underscores the importance of addressing staff challenges for the effective functioning of a response model for mental state deterioration in acute hospital settings. Enhancing clinical skills and aligning organisational factors, such as guidelines, escalation workflows, and risk reporting, are essential to improving patient outcomes and staff support.
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Pub Date : 2025-02-08DOI: 10.1016/j.colegn.2025.01.003
Alan Ramsay , Peter Hartin , Kris McBain-Rigg , Melanie Birks
Introduction
Nurses play a vital role in advocating for patient safety, yet their ability to fulfil this role is influenced by the power dynamics within healthcare systems. Understanding the relationship between power and nurse advocacy in Australia is essential to fostering a supportive environment for effective advocacy.
Aim
This integrative literature review aims to identify and examine the relationship between power and the advocacy role of nurses in Australia.
Methods
The review followed an integrative literature review design, guided by the approach outlined by Toronto and Remington. A comprehensive search was conducted in electronic databases such as Medline, CINAHL, Emcare, Scopus, ProQuest Health & Medicine, and Informit. The search terms used were ‘nurse OR nursing OR nurses’ AND ‘advocacy OR whistleblowing’ AND ‘Australia.’ A total of 2507 articles were retrieved, and 26 studies met the inclusion criteria, comprising 18 qualitative studies, one quantitative study, one mixed-method study, one review of existing literature, and four editorial commentaries. The search was completed in May 2023.
Findings
The findings suggest that enhancing nurses’ advocacy for patient safety requires a multifaceted approach. This includes empowering nurses through professional development and leadership opportunities, fostering a culture of patient safety, and engaging in political action to advocate for policies that support advocacy efforts and patient safety. This approach aims to advance patient well-being and elevate the professional standing of nurses within the healthcare system.
Discussion
Power dynamics significantly shape nurse advocacy practices. Nurses with greater personal power are more likely to advocate confidently, while those with less power may be hesitant. Healthcare organisations can either support or hinder advocacy efforts, with unsupportive systems creating barriers and fostering a culture of silence. Whistleblowing, as a form of advocacy for patient safety, is also affected by organisational culture and power structures.
Conclusion
Power dynamics play a critical role in determining how effectively nurses can advocate for patient safety. Empowering nurses and addressing organisational barriers are crucial for promoting advocacy in healthcare. This review highlights the need for healthcare systems to cultivate environments that support and facilitate nurse advocacy.
护士在倡导患者安全方面发挥着至关重要的作用，然而，他们履行这一角色的能力受到医疗保健系统内权力动态的影响。在澳大利亚，理解权力和护士倡导之间的关系对于促进有效倡导的支持性环境至关重要。目的：本综合文献综述旨在识别和研究澳大利亚护士权力与倡导角色之间的关系。方法采用多伦多和雷明顿概述的方法，采用综合文献回顾设计。在Medline、CINAHL、Emcare、Scopus、ProQuest Health &；医学和信息学。使用的搜索词是“护士或护理或护士”、“倡导或举报”和“澳大利亚”。共检索到2507篇文章，26项研究符合纳入标准，包括18项定性研究、1项定量研究、1项混合方法研究、1项现有文献综述和4篇社论评论。搜寻工作于2023年5月完成。研究结果表明，加强护士对患者安全的倡导需要多方面的方法。这包括通过专业发展和领导机会赋予护士权力，培养患者安全文化，并参与政治行动，倡导支持宣传工作和患者安全的政策。这种方法的目的是促进病人的福祉，提高护士在医疗保健系统内的专业地位。权力动态显著塑造护士倡导实践。拥有更大个人权力的护士更有可能自信地倡导，而那些权力较小的护士可能会犹豫不决。医疗机构既可以支持也可以阻碍宣传工作，不支持的系统会制造障碍，助长沉默文化。举报作为倡导患者安全的一种形式，也受到组织文化和权力结构的影响。结论权力动力学在决定护士如何有效地倡导患者安全方面起着关键作用。赋予护士权力和解决组织障碍对于促进保健宣传至关重要。这篇综述强调了卫生保健系统需要培养支持和促进护士倡导的环境。
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