Pub Date : 2025-02-06DOI: 10.1016/j.colegn.2025.01.002
Rebecca M. Jedwab , Tanya G. Langtree , Kate C. LoPresti , Aaron J. Jones , Naomi Dobroff
Background
Digital health technologies are changing the context of nursing and midwifery practice. There are varying degrees of knowledge and adoption of digital health technologies in Australian healthcare systems. While nursing and midwifery informatics is an emerging specialty within Australia, little is known about the scope, roles, and benefits of informatics roles in Australia.
Review question
What are the scope, responsibilities, benefits, and limitations of nursing and midwifery informatics roles throughout Australia?
Methods
A scoping review was used to address the review question, and the mixed-methods appraisal tool was used to guide generalisability and interpretation of included records. Five healthcare and digital health databases, as well as grey literature, reference lists, and published resources related to nursing and midwifery informatics between 2010 and 2024 were searched.
Findings
Four records were identified that partially addressed the review question. The scope, roles, and responsibilities of nursing and midwifery informaticians remain poorly understood.
Discussion
Nurses and midwives need further education about digital health technologies and their place in an ever-changing work environment. Professional development activities that enhance understanding about digital health and informatics would be beneficial to address this gap, regardless of nurses’ and midwives’ current educational level or role. A standardised approach to defining Australian nursing and midwifery informatics, including the scope, roles, and responsibilities of informaticians, would support better understanding, applicability, and usability within the workforce.
Conclusion
Despite literature supporting the need for dedicated nursing and midwifery informatics roles, the evidence and value of these roles are yet to be defined and quantified.
{"title":"Exploring Australian nursing and midwifery informatics roles: A scoping review","authors":"Rebecca M. Jedwab , Tanya G. Langtree , Kate C. LoPresti , Aaron J. Jones , Naomi Dobroff","doi":"10.1016/j.colegn.2025.01.002","DOIUrl":"10.1016/j.colegn.2025.01.002","url":null,"abstract":"<div><h3>Background</h3><div>Digital health technologies are changing the context of nursing and midwifery practice. There are varying degrees of knowledge and adoption of digital health technologies in Australian healthcare systems. While nursing and midwifery informatics is an emerging specialty within Australia, little is known about the scope, roles, and benefits of informatics roles in Australia.</div></div><div><h3>Review question</h3><div>What are the scope, responsibilities, benefits, and limitations of nursing and midwifery informatics roles throughout Australia?</div></div><div><h3>Methods</h3><div>A scoping review was used to address the review question, and the mixed-methods appraisal tool was used to guide generalisability and interpretation of included records. Five healthcare and digital health databases, as well as grey literature, reference lists, and published resources related to nursing and midwifery informatics between 2010 and 2024 were searched.</div></div><div><h3>Findings</h3><div>Four records were identified that partially addressed the review question. The scope, roles, and responsibilities of nursing and midwifery informaticians remain poorly understood.</div></div><div><h3>Discussion</h3><div>Nurses and midwives need further education about digital health technologies and their place in an ever-changing work environment. Professional development activities that enhance understanding about digital health and informatics would be beneficial to address this gap, regardless of nurses’ and midwives’ current educational level or role. A standardised approach to defining Australian nursing and midwifery informatics, including the scope, roles, and responsibilities of informaticians, would support better understanding, applicability, and usability within the workforce.</div></div><div><h3>Conclusion</h3><div>Despite literature supporting the need for dedicated nursing and midwifery informatics roles, the evidence and value of these roles are yet to be defined and quantified.</div></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"32 2","pages":"Pages 76-83"},"PeriodicalIF":1.6,"publicationDate":"2025-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143562096","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}
Adverse events in hospital emergency departments remain significant health problems that pose a serious threat to the patients with resultant detrimental outcomes. However, effective strategies for their reduction and reporting remain understudied.
Aim
This review aims to evaluate interventions for reducing and reporting adverse events in emergency settings.
Methods
We conducted a systematic search across six major scientific databases, including PubMed and Cochrane, for papers published between 2001 and 2024 to capture a broad range of interventions. A PRISMA protocol for systematic review methodology was applied. Included were studies evaluating interventions aimed at reducing adverse events and improving the reporting processes in emergency departments. According to predefined guidelines, data extraction and quality assessment for randomised controlled trials and non-randomized experimental research were completed using the Joanna Briggs Institute critical appraisal tool. Analysis was done on 12 papers that met the criteria for inclusion.
Findings
Key interventions included multidisciplinary staff training, the implementation of electronic health record systems with decision-support tools, and standardised triage protocols, all of which demonstrated a reduction in adverse events. Standardised triage protocols and simulation scenarios were effective in reducing adverse events. Meanwhile, electronic health record systems with decision support tools, machine learning integration, and electronic medication alerts significantly improved reporting practices.
Conclusion
The review highlights the importance of multifaceted strategies, particularly those integrating technology and collaborative approaches, to improve safety culture in emergency departments. Future research should focus on long-term evaluations of these interventions in diverse healthcare settings, with a particular emphasis on resource-limited environments and the scalability of technological solutions.
Study registration details
The protocol is registered in the International Prospective Register of Systematic Reviews with registration number ‘CRD42024532902’.
{"title":"A systematic review of interventions for reducing and reporting adverse events in emergency departments: Multidisciplinary approaches and technological innovations","authors":"Olamide Olajumoke Afolalu , Oluwaseyi Abiodun Akpor , Sunday Adeniran Afolalu","doi":"10.1016/j.colegn.2024.12.001","DOIUrl":"10.1016/j.colegn.2024.12.001","url":null,"abstract":"<div><h3>Background</h3><div>Adverse events in hospital emergency departments remain significant health problems that pose a serious threat to the patients with resultant detrimental outcomes. However, effective strategies for their reduction and reporting remain understudied.</div></div><div><h3>Aim</h3><div>This review aims to evaluate interventions for reducing and reporting adverse events in emergency settings.</div></div><div><h3>Methods</h3><div>We conducted a systematic search across six major scientific databases, including PubMed and Cochrane, for papers published between 2001 and 2024 to capture a broad range of interventions. A PRISMA protocol for systematic review methodology was applied. Included were studies evaluating interventions aimed at reducing adverse events and improving the reporting processes in emergency departments. According to predefined guidelines, data extraction and quality assessment for randomised controlled trials and non-randomized experimental research were completed using the Joanna Briggs Institute critical appraisal tool. Analysis was done on 12 papers that met the criteria for inclusion.</div></div><div><h3>Findings</h3><div>Key interventions included multidisciplinary staff training, the implementation of electronic health record systems with decision-support tools, and standardised triage protocols, all of which demonstrated a reduction in adverse events. Standardised triage protocols and simulation scenarios were effective in reducing adverse events. Meanwhile, electronic health record systems with decision support tools, machine learning integration, and electronic medication alerts significantly improved reporting practices.</div></div><div><h3>Conclusion</h3><div>The review highlights the importance of multifaceted strategies, particularly those integrating technology and collaborative approaches, to improve safety culture in emergency departments. Future research should focus on long-term evaluations of these interventions in diverse healthcare settings, with a particular emphasis on resource-limited environments and the scalability of technological solutions.</div></div><div><h3>Study registration details</h3><div>The protocol is registered in the International Prospective Register of Systematic Reviews with registration number ‘CRD42024532902’.</div></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"32 1","pages":"Pages 34-45"},"PeriodicalIF":1.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143094496","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 : 2025-02-01DOI: 10.1016/j.colegn.2024.12.002
Scott Lamont , Zoe Kumar , Pooja Bhusal
Background
Deterioration in acute healthcare settings is associated with serious adverse sequelae. A National Standards framework for healthcare facilities in Australia has mandated that such facilities provide evidence that satisfies criteria relating to acute deterioration recognition and response. Whilst education and training of healthcare practitioners have been prominent since National Standards inception, state-wide mandatory training programs have not been sensitive to the perioperative context.
Aim
To evaluate the effectiveness of a perioperative simulation-based learning program in building capacity for perioperative staff in acute patient deterioration recognition and response.
Methods
A multiple group post-test design using quantitative measures was undertaken. Participants were a consecutive sample of perioperative nursing staff (n=56) employed across three hospitals in Sydney who self-enrolled in simulation-based learning workshops. Each six-hour workshop focussed on four acute deterioration scenarios: Anaphylaxis, Malignant Hyperthermia, Post-Partum Haemorrhage, and Local Anaesthetic Systemic Toxicity. Simulation effectiveness was measured using the 19-item Simulation Effectiveness Tool–Modified. Descriptive statistics were calculated, and qualitative content analysis was used for an open-ended question.
Findings
All 19 items elicited a high degree of ‘strongly agree’, ranging from 57.1% to 89.6%, with only four of the 19 items achieving less than 80% ‘strongly agree’. Content analysis generated two primary categories: ‘Self-efficacy enabling professional autonomy’ and ‘Relevant and authentic representation’.
Discussion
Perioperative simulation-based learning can enhance clinical proficiency and professional autonomy, whilst developing clinical reasoning, teamwork, and delegation skills.
Conclusion
Perioperative simulation-based learning was perceived as effective in preparing nursing staff working in the perioperative specialty for real-world clinical emergencies.
{"title":"Recognising and responding to acute patient deterioration in the perioperative environment – A simulation-based learning approach to meeting National Healthcare Standards criteria","authors":"Scott Lamont , Zoe Kumar , Pooja Bhusal","doi":"10.1016/j.colegn.2024.12.002","DOIUrl":"10.1016/j.colegn.2024.12.002","url":null,"abstract":"<div><h3>Background</h3><div>Deterioration in acute healthcare settings is associated with serious adverse sequelae. A National Standards framework for healthcare facilities in Australia has mandated that such facilities provide evidence that satisfies criteria relating to acute deterioration recognition and response. Whilst education and training of healthcare practitioners have been prominent since National Standards inception, state-wide mandatory training programs have not been sensitive to the perioperative context.</div></div><div><h3>Aim</h3><div>To evaluate the effectiveness of a perioperative simulation-based learning program in building capacity for perioperative staff in acute patient deterioration recognition and response.</div></div><div><h3>Methods</h3><div>A multiple group post-test design using quantitative measures was undertaken. Participants were a consecutive sample of perioperative nursing staff (n=56) employed across three hospitals in Sydney who self-enrolled in simulation-based learning workshops. Each six-hour workshop focussed on four acute deterioration scenarios: Anaphylaxis, Malignant Hyperthermia, Post-Partum Haemorrhage, and Local Anaesthetic Systemic Toxicity. Simulation effectiveness was measured using the 19-item Simulation Effectiveness Tool–Modified. Descriptive statistics were calculated, and qualitative content analysis was used for an open-ended question.</div></div><div><h3>Findings</h3><div>All 19 items elicited a high degree of ‘strongly agree’, ranging from 57.1% to 89.6%, with only four of the 19 items achieving less than 80% ‘strongly agree’. Content analysis generated two primary categories: <em>‘Self-efficacy enabling professional autonomy’</em> and <em>‘Relevant and authentic representation’</em>.</div></div><div><h3>Discussion</h3><div>Perioperative simulation-based learning can enhance clinical proficiency and professional autonomy, whilst developing clinical reasoning, teamwork, and delegation skills.</div></div><div><h3>Conclusion</h3><div>Perioperative simulation-based learning was perceived as effective in preparing nursing staff working in the perioperative specialty for real-world clinical emergencies.</div></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"32 1","pages":"Pages 46-52"},"PeriodicalIF":1.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143094497","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}
Pub Date : 2025-02-01DOI: 10.1016/j.colegn.2024.11.002
Nicola Drayton , Christopher Boothroyd , Lauretta Luck
Aim
To understand the experiences of nurses working in outdoor COVID-19 testing clinics.
Background
The COVID-19 pandemic led to significant changes in the practices of nurses across healthcare settings. This challenge meant responding to working in completely new environments, such as the COVID-19 testing clinics and undertaking work practices never experienced before.
Design
A qualitative descriptive design.
Methods
Semistructured interviews with 11 nurses recruited and deployed to work in outdoor COVID-19 testing clinics across a Local Health District in Australia. Data were analysed using Braun and Clarke’s guide for thematic analysis.
Findings
Six themes were identified from the data: connection to being a nurse in response to the pandemic; the journey working in the clinic; fear of taking COVID-19 home; the influence of the media on personal and professional lives; responding to the community; and becoming one, developing the team.
Conclusions
This study shows how responsive and adaptive nurses can be in times of crisis. Despite the fear of facing the unknown, nurses from an array of backgrounds very quickly established clear roles and team cohesiveness to respond to the needs of the community.
{"title":"Exploring the experiences of nurses working in the outdoor COVID-19 testing clinics: A qualitative descriptive study","authors":"Nicola Drayton , Christopher Boothroyd , Lauretta Luck","doi":"10.1016/j.colegn.2024.11.002","DOIUrl":"10.1016/j.colegn.2024.11.002","url":null,"abstract":"<div><h3>Aim</h3><div>To understand the experiences of nurses working in outdoor COVID-19 testing clinics.</div></div><div><h3>Background</h3><div>The COVID-19 pandemic led to significant changes in the practices of nurses across healthcare settings. This challenge meant responding to working in completely new environments, such as the COVID-19 testing clinics and undertaking work practices never experienced before.</div></div><div><h3>Design</h3><div>A qualitative descriptive design.</div></div><div><h3>Methods</h3><div>Semistructured interviews with 11 nurses recruited and deployed to work in outdoor COVID-19 testing clinics across a Local Health District in Australia. Data were analysed using Braun and Clarke’s guide for thematic analysis.</div></div><div><h3>Findings</h3><div>Six themes were identified from the data: connection to being a nurse in response to the pandemic; the journey working in the clinic; fear of taking COVID-19 home; the influence of the media on personal and professional lives; responding to the community; and becoming one, developing the team.</div></div><div><h3>Conclusions</h3><div>This study shows how responsive and adaptive nurses can be in times of crisis. Despite the fear of facing the unknown, nurses from an array of backgrounds very quickly established clear roles and team cohesiveness to respond to the needs of the community.</div></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"32 1","pages":"Pages 18-25"},"PeriodicalIF":1.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143094493","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 : 2025-02-01DOI: 10.1016/j.colegn.2024.12.003
Betul Sahi̇n-Kilinc , Hilal Tuzer
Aim
This study utilised a quasi-experimental design to examine the effect of the 3D MedSim Intravenous (IV) Catheterisation e-learning application on the knowledge of peripheral intravenous catheterisation (PIVC) among first-year nursing students.
Method
The study employed a two-group design, comprising a control group (n=34) and an intervention group (n=34). The control group received conventional educational methods, whereas the intervention group received traditional education supplemented with using an e-learning application. Data were gathered online via Google Forms, encompassing a questionnaire, achievement tests, and e-learning application exam scores.
Results
A statistically significant difference was observed between the mean pretest and posttest knowledge scores of students in the intervention group. Additionally, a statistically significant, moderate positive correlation was found between the application examination knowledge scores and both the pretest and posttest knowledge scores.
Conclusions
The IV catheterisation e-learning application has been proven to be an effective tool for increasing knowledge scores in the area of PIVC.
{"title":"The impact of an intravenous e-learning application on nursing students’ knowledge level: A quasi-experimental study","authors":"Betul Sahi̇n-Kilinc , Hilal Tuzer","doi":"10.1016/j.colegn.2024.12.003","DOIUrl":"10.1016/j.colegn.2024.12.003","url":null,"abstract":"<div><h3>Aim</h3><div>This study utilised a quasi-experimental design to examine the effect of the 3D MedSim Intravenous (IV) Catheterisation e-learning application on the knowledge of peripheral intravenous catheterisation (PIVC) among first-year nursing students.</div></div><div><h3>Method</h3><div>The study employed a two-group design, comprising a control group (n=34) and an intervention group (n=34). The control group received conventional educational methods, whereas the intervention group received traditional education supplemented with using an e-learning application. Data were gathered online via Google Forms, encompassing a questionnaire, achievement tests, and e-learning application exam scores.</div></div><div><h3>Results</h3><div>A statistically significant difference was observed between the mean pretest and posttest knowledge scores of students in the intervention group. Additionally, a statistically significant, moderate positive correlation was found between the application examination knowledge scores and both the pretest and posttest knowledge scores.</div></div><div><h3>Conclusions</h3><div>The IV catheterisation e-learning application has been proven to be an effective tool for increasing knowledge scores in the area of PIVC.</div></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"32 1","pages":"Pages 53-59"},"PeriodicalIF":1.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143094494","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 : 2025-02-01DOI: 10.1016/j.colegn.2024.09.004
Angela Ellis , Melissa Taylor
Background
Healthcare and societal expectations change over time, with Hospital in the Home (HITH) registered nurses (RNs) increasing in community profile in Australian nursing domains. With increases in service demand and bed pressure creating an increased need for services outside the hospital environment, understanding of the role of the registered nurse working in HITH is needed.
Aim
This research aims to identify the role and function of the RNs’ experience in their day-to-day work in the HITH setting. Additionally, the research shares a content analysis of the position descriptions of participating HITH RNs to analyse key performance indicator inclusions and barriers in scope of practice for the registered nurse.
Method
Using an interpretive phenomenological approach and Gadamer’s method, 12 HITH RN participants from across Australia were engaged in in-depth interviews. Interviews provided HITH RNs the opportunity to share their experience of the role, and a contributing content analysis of position descriptions followed, providing a synopsis of key areas of commonality and difference.
Findings
Three key areas emerged: professionalism, knowledge, and responsiveness, with an identified mismatch between generalisations in scope of practice in the position descriptions and the shared experience of the HITH RN participants.
Discussion
The research identified shared challenges that exist in the day-to-day role and function of the HITH RN, determining that HITH RNs undertake complex roles, working with generic position descriptions, often absent of core components of autonomous practice, experience, and knowledge. Limitations exist in the scope of practice of the HITH RN resulting in delays in care where advanced practice could be applied.
{"title":"A qualitative analysis of the role of the Hospital in the Home registered nurse in Australia","authors":"Angela Ellis , Melissa Taylor","doi":"10.1016/j.colegn.2024.09.004","DOIUrl":"10.1016/j.colegn.2024.09.004","url":null,"abstract":"<div><h3>Background</h3><div>Healthcare and societal expectations change over time, with Hospital in the Home (HITH) registered nurses (RNs) increasing in community profile in Australian nursing domains. With increases in service demand and bed pressure creating an increased need for services outside the hospital environment, understanding of the role of the registered nurse working in HITH is needed.</div></div><div><h3>Aim</h3><div>This research aims to identify the role and function of the RNs’ experience in their day-to-day work in the HITH setting. Additionally, the research shares a content analysis of the position descriptions of participating HITH RNs to analyse key performance indicator inclusions and barriers in scope of practice for the registered nurse.</div></div><div><h3>Method</h3><div>Using an interpretive phenomenological approach and Gadamer’s method, 12 HITH RN participants from across Australia were engaged in in-depth interviews. Interviews provided HITH RNs the opportunity to share their experience of the role, and a contributing content analysis of position descriptions followed, providing a synopsis of key areas of commonality and difference.</div></div><div><h3>Findings</h3><div>Three key areas emerged: professionalism, knowledge, and responsiveness, with an identified mismatch between generalisations in scope of practice in the position descriptions and the shared experience of the HITH RN participants.</div></div><div><h3>Discussion</h3><div>The research identified shared challenges that exist in the day-to-day role and function of the HITH RN, determining that HITH RNs undertake complex roles, working with generic position descriptions, often absent of core components of autonomous practice, experience, and knowledge. Limitations exist in the scope of practice of the HITH RN resulting in delays in care where advanced practice could be applied.</div></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"32 1","pages":"Pages 1-8"},"PeriodicalIF":1.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143094491","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}
Pub Date : 2025-02-01DOI: 10.1016/j.colegn.2024.11.003
Vesile Koçak, Hamide Aygör
Background
Gender-based violence is a global issue that nursing students need to be aware of active teaching methodologies that incorporate students’ thoughts and feelings and encouragestudents to reflect upon and critically think about sensitive issues are required. Photovoice can be used as a research methodology as well as a pedagogical approach.
Aim
To encourage nursing students to learn about gender-based violence by being aware of their thoughts and feelings and to identify, approaches to raise awareness of gender-based violence among students.
Methods
A participatory action research approach was taken and the metod of photovoice was used. The steps in using photovoice are to establish connections with the relevant community/group, recruit participants, conduct introductory group meetings, collect individual data, organise individual and group interviews, and report results. First-year nursing students enrolled in an undergraduate degree program at a university in Turkey were recruited. The study was approved by Necmettin Erbakan University Health Sciences Scientific Research Ethics Board with the decision numbered 2023/523. The photovoice technique was used to record images from a dramatisation that served as the basis for representing scenes from the everyday life of people subjected to gender violence. These photographs were then debated and analysed.
Findings
Three main categories emerged: ‘Women Victimised by Inequality from Family to Society,’ ‘Learned Helplessness and Normalisation,’ and ‘The Importance of Societal Perspective and Awareness.’ Students highlighted that in their society, women are not treated as equals to men. In societies where men are dominant and do not value women, women can be subjected to violent treatment both outside and in social settings; learned helplessness and normalisation were the underlying factors of violence. Those students exposed to violence from a young age described themselves as resorting to violence as a means of conflict resolution and, on occasion, held misconceptions that violence was justified. Those who normalised violence played an important role in carrying this cycle on to future generations. The outcomes from this work were exhibited on International Women’s Day, providing a platform for the deanery, rectorate, and the public to engage.
Conclusion
This study raised students’ awareness of gender-based violence, encouraged critical thinking about its cultural and social dimensions, and amplified students’ voices through a photo exhibition. Given the well-documented impact of gender-based violence, schools and universities are in a pivotal position for advocacy and prevention. Training and awareness raising are needed across all sections of society with the aim of preventing gender-based violence.
{"title":"Gender-based violence: A participatory action research study","authors":"Vesile Koçak, Hamide Aygör","doi":"10.1016/j.colegn.2024.11.003","DOIUrl":"10.1016/j.colegn.2024.11.003","url":null,"abstract":"<div><h3>Background</h3><div>Gender-based violence is a global issue that nursing students need to be aware of active teaching methodologies that incorporate students’ thoughts and feelings and encouragestudents to reflect upon and critically think about sensitive issues are required. Photovoice can be used as a research methodology as well as a pedagogical approach.</div></div><div><h3>Aim</h3><div>To encourage nursing students to learn about gender-based violence by being aware of their thoughts and feelings and to identify, approaches to raise awareness of gender-based violence among students.</div></div><div><h3>Methods</h3><div>A participatory action research approach was taken and the metod of photovoice was used. The steps in using photovoice are to establish connections with the relevant community/group, recruit participants, conduct introductory group meetings, collect individual data, organise individual and group interviews, and report results. First-year nursing students enrolled in an undergraduate degree program at a university in Turkey were recruited. The study was approved by Necmettin Erbakan University Health Sciences Scientific Research Ethics Board with the decision numbered 2023/523. The photovoice technique was used to record images from a dramatisation that served as the basis for representing scenes from the everyday life of people subjected to gender violence. These photographs were then debated and analysed.</div></div><div><h3>Findings</h3><div>Three main categories emerged: ‘Women Victimised by Inequality from Family to Society,’ ‘Learned Helplessness and Normalisation,’ and ‘The Importance of Societal Perspective and Awareness.’ Students highlighted that in their society, women are not treated as equals to men. In societies where men are dominant and do not value women, women can be subjected to violent treatment both outside and in social settings; learned helplessness and normalisation were the underlying factors of violence. Those students exposed to violence from a young age described themselves as resorting to violence as a means of conflict resolution and, on occasion, held misconceptions that violence was justified. Those who normalised violence played an important role in carrying this cycle on to future generations. The outcomes from this work were exhibited on International Women’s Day, providing a platform for the deanery, rectorate, and the public to engage.</div></div><div><h3>Conclusion</h3><div>This study raised students’ awareness of gender-based violence, encouraged critical thinking about its cultural and social dimensions, and amplified students’ voices through a photo exhibition. Given the well-documented impact of gender-based violence, schools and universities are in a pivotal position for advocacy and prevention. Training and awareness raising are needed across all sections of society with the aim of preventing gender-based violence.</div></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"32 1","pages":"Pages 26-33"},"PeriodicalIF":1.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143094495","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-02-01DOI: 10.1016/j.colegn.2024.10.003
Bora Kim , Chantale Boustany , Louise Acret , Jodi McLeod , Natalie Cook , Heather McKenzie , Lillian Hayes , Judith Fethney , Judy M. Simpson , Simon Willcock , Kate White
Background
Patients receiving chemotherapy for cancer treatment frequently experience side effects such as nausea, vomiting, and diarrhoea, which negatively impact their quality of life and survival outcomes. In this study, an education program was delivered to community nurses (CNs), who subsequently provided home-based side effect management support to patients receiving chemotherapy.
Aim
This study aimed to evaluate the education program designed to enhance CNs’ knowledge of and confidence in providing chemotherapy side effect management support.
Methods
This mixed-method study used surveys and interviews. The evaluation of program content and its delivery was reported using descriptive statistics. The pre- and post-education confidence levels were compared using a paired sample t-test. Interviews explored CNs’ perspectives on the program’s adequacy and appropriateness in building their knowledge and confidence in providing chemotherapy side effect management support.
Findings
Sixty-five CNs completed the surveys. Overall, 69% (n = 45) rated the education program as either ‘excellent’ or ‘very good’. A statistically significant improvement was found in mean item confidence from pre- (3.24, SD 0.72) to post-education (4.11, SD 0.42, P < 0.001). Two focus groups and seven individual interviews were conducted, involving a total of 17 CNs. Qualitative content analysis revealed two themes: (i) CNs’ opinions on the program content and its mode of delivery, and (ii) CNs’ opinions on the adequacy of the education program in building their knowledge and confidence in chemotherapy side effect management.
Conclusion
This study demonstrated the acceptability and feasibility of delivering an education program to enhance CNs’ knowledge and confidence in supporting patients undergoing chemotherapy.
背景：接受化疗治疗的癌症患者经常会出现恶心、呕吐和腹泻等副作用，这些副作用会对他们的生活质量和生存结果产生负面影响。在本研究中，向社区护士（CNs）提供了一个教育计划，他们随后为接受化疗的患者提供以家庭为基础的副作用管理支持。目的本研究旨在评估旨在提高cnns提供化疗副作用管理支持的知识和信心的教育方案。方法采用问卷调查和访谈相结合的方法。对项目内容及其交付的评估使用描述性统计进行报告。使用配对样本t检验比较教育前和教育后的置信水平。采访探讨了cnn对该项目的充分性和适当性的看法，以建立他们在提供化疗副作用管理支持方面的知识和信心。65家cnn完成了调查。总体而言，69% （n = 45）的受访者将教育项目评为“优秀”或“非常好”。平均项目置信度从教育前（3.24,SD 0.72）到教育后(4.11,SD 0.42, P <；0.001)。共进行了2个焦点小组和7个个人访谈，共涉及17名cnn。定性内容分析揭示了两个主题：(i) CNs对课程内容及其交付方式的意见；（ii） CNs对教育课程是否足够建立他们对化疗副作用管理的知识和信心的意见。结论本研究证明了提供教育计划以提高中枢神经系统护士支持化疗患者的知识和信心的可接受性和可行性。
{"title":"Evaluating a community nursing education program to support patients during chemotherapy treatment","authors":"Bora Kim , Chantale Boustany , Louise Acret , Jodi McLeod , Natalie Cook , Heather McKenzie , Lillian Hayes , Judith Fethney , Judy M. Simpson , Simon Willcock , Kate White","doi":"10.1016/j.colegn.2024.10.003","DOIUrl":"10.1016/j.colegn.2024.10.003","url":null,"abstract":"<div><h3>Background</h3><div>Patients receiving chemotherapy for cancer treatment frequently experience side effects such as nausea, vomiting, and diarrhoea, which negatively impact their quality of life and survival outcomes. In this study, an education program was delivered to community nurses (CNs), who subsequently provided home-based side effect management support to patients receiving chemotherapy.</div></div><div><h3>Aim</h3><div>This study aimed to evaluate the education program designed to enhance CNs’ knowledge of and confidence in providing chemotherapy side effect management support.</div></div><div><h3>Methods</h3><div>This mixed-method study used surveys and interviews. The evaluation of program content and its delivery was reported using descriptive statistics. The pre- and post-education confidence levels were compared using a paired sample t-test. Interviews explored CNs’ perspectives on the program’s adequacy and appropriateness in building their knowledge and confidence in providing chemotherapy side effect management support.</div></div><div><h3>Findings</h3><div>Sixty-five CNs completed the surveys. Overall, 69% (n = 45) rated the education program as either ‘excellent’ or ‘very good’. A statistically significant improvement was found in mean item confidence from pre- (3.24, SD 0.72) to post-education (4.11, SD 0.42, P < 0.001). Two focus groups and seven individual interviews were conducted, involving a total of 17 CNs. Qualitative content analysis revealed two themes: (i) CNs’ opinions on the program content and its mode of delivery, and (ii) CNs’ opinions on the adequacy of the education program in building their knowledge and confidence in chemotherapy side effect management.</div></div><div><h3>Conclusion</h3><div>This study demonstrated the acceptability and feasibility of delivering an education program to enhance CNs’ knowledge and confidence in supporting patients undergoing chemotherapy.</div></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"32 1","pages":"Pages 9-17"},"PeriodicalIF":1.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143094492","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
There is a paucity of information about skill attainment before commencing data collection in critical qualitative studies. Accurately describing the physical environment and human activity is an important skill. Of equal importance is the researcher’s understanding of how the totality of their life experiences influences observation, interpretation, and documentation of events in the field.
Aim
To prepare a Doctor of Philosophy candidate (the Candidate) to conduct fieldwork in preparation for commencing a critical qualitative nursing research study situated in aged care.
Methods
In this paper, the Candidate reports on excursions facilitating the development of skills required for fieldwork. Three excursions to public places were undertaken to observe and document the physical environment. Field notes were reviewed by the supervision team, and feedback was provided at a weekly meeting.
Findings
The excursions highlighted the importance of accurately documenting the visual, auditory, tactile, and olfactory aspects of a space. The excursions were also a catalyst for exploring the positionality and reflexivity of the Candidate in relation to emic/etic perspectives and power relations.
Discussion
A typology of personal, interpersonal, methodological, and contextual reflexivity is highlighted as a potential mechanism for acknowledging and integrating the thoughts, values, beliefs, and assumptions of the researcher into the greater context of the study and exploring how these could impact the research process.
Conclusion
The field excursions bolstered the appreciation of critical reflexivity as a research quality assurance process. Enhanced understanding of methodology and refinement of data collection and analysis skills was achieved.
{"title":"Refining positionality and reflexivity to undertake critical qualitative research in aged care","authors":"Deborah Magee , Marguerite Bramble , Holly Randell-Moon , Karen Francis","doi":"10.1016/j.colegn.2025.01.001","DOIUrl":"10.1016/j.colegn.2025.01.001","url":null,"abstract":"<div><h3>Background</h3><div>There is a paucity of information about skill attainment before commencing data collection in critical qualitative studies. Accurately describing the physical environment and human activity is an important skill. Of equal importance is the researcher’s understanding of how the totality of their life experiences influences observation, interpretation, and documentation of events in the field.</div></div><div><h3>Aim</h3><div>To prepare a Doctor of Philosophy candidate (the Candidate) to conduct fieldwork in preparation for commencing a critical qualitative nursing research study situated in aged care.</div></div><div><h3>Methods</h3><div>In this paper, the Candidate reports on excursions facilitating the development of skills required for fieldwork. Three excursions to public places were undertaken to observe and document the physical environment. Field notes were reviewed by the supervision team, and feedback was provided at a weekly meeting.</div></div><div><h3>Findings</h3><div>The excursions highlighted the importance of accurately documenting the visual, auditory, tactile, and olfactory aspects of a space. The excursions were also a catalyst for exploring the positionality and reflexivity of the Candidate in relation to emic/etic perspectives and power relations.</div></div><div><h3>Discussion</h3><div>A typology of personal, interpersonal, methodological, and contextual reflexivity is highlighted as a potential mechanism for acknowledging and integrating the thoughts, values, beliefs, and assumptions of the researcher into the greater context of the study and exploring how these could impact the research process.</div></div><div><h3>Conclusion</h3><div>The field excursions bolstered the appreciation of critical reflexivity as a research quality assurance process. Enhanced understanding of methodology and refinement of data collection and analysis skills was achieved.</div></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"32 2","pages":"Pages 69-75"},"PeriodicalIF":1.6,"publicationDate":"2025-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143562095","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-01-17DOI: 10.1016/j.colegn.2024.12.004
Odette Best , Luke Bayliss , Sye Hodgman , Micah DJ Peters
Glossary of term
It needs to be noted that First Nations Australians are also identified as Aboriginal and Torres Strait Islanders but also First Nations and Indigenous peoples of Australia. Further, many First Nations Australians self-identify as ‘blackfullas’. The word blackfullas has been reclaimed and reframed to the descriptor of the invading English identifying Indigenous peoples as Black fellows.
Background
Very few studies explore the perspectives of First Nations Australian nurses and their experiences of racism in the workplace. To date, racism in the Australian nursing and midwifery workforce is rarely researched, interrogated, or challenged. Despite this, experiences of racism are common, widespread, persistent, and present a harmful and significant challenge to recruiting, retaining, and supporting the health and well-being of the Aboriginal and Torres Strait Islander nursing workforce as demonstrated by the individual accounts of racism collected and analysed in this study. This workforce is integral to the provision of culturally safe, effective, and inclusive care for First Nations Australians, and racism in workplaces must be identified, examined, and understood to both address and end it.
Objective
To provide insights into workplace racism experiences in a way that is genuine to the First Nations’ nurse’s perspective.
Methods
This research is Indigenist Research and utilised the First Nations method of yarning. The Primary Investigator (PI) undertook all yarns via Zoom (30–90 min) and is an Aboriginal registered nurse. The space created for the yarns to occur was a culturally safe space as all research participants were known to the PI, and safe boundaries and spaces were established. All yarns undertaken were recorded via Zoom. Thematic data analysis was undertaken deductively, and participants were provided with transcripts for comment.
Results
Ten participants were recruited via the Queensland Nurses and Midwives Union (QNMU) First Nations Branch. Three salient and interrelated themes emerged from the analysis of the data, highlighting racism experiences and effects on First Nations nurses. The three themes were (in)direct racism, interjecting and calling out racism, and impacts of racism.
Discussion
This study investigated the detrimental effects of racism on Aboriginal and Torres Strait Islander nurses’ professional trajectories, sense of self within the healthcare environment, and overall well-being. The findings not only suggest a correlation between nurses’ experience and their willingness to confront racist incidents but also highlight the negative and harmful impacts this can have on participants. The willingness to confront and respond to racism might be attributed to accumulated frustration or a growing sense of agency in addressing these issues and could b
{"title":"Aboriginal and Torres Strait Islander nurses’ experiences of racism at work","authors":"Odette Best , Luke Bayliss , Sye Hodgman , Micah DJ Peters","doi":"10.1016/j.colegn.2024.12.004","DOIUrl":"10.1016/j.colegn.2024.12.004","url":null,"abstract":"<div><h3>Glossary of term</h3><div>It needs to be noted that First Nations Australians are also identified as Aboriginal and Torres Strait Islanders but also First Nations and Indigenous peoples of Australia. Further, many First Nations Australians self-identify as ‘blackfullas’. The word blackfullas has been reclaimed and reframed to the descriptor of the invading English identifying Indigenous peoples as Black fellows.</div></div><div><h3>Background</h3><div>Very few studies explore the perspectives of First Nations Australian nurses and their experiences of racism in the workplace. To date, racism in the Australian nursing and midwifery workforce is rarely researched, interrogated, or challenged. Despite this, experiences of racism are common, widespread, persistent, and present a harmful and significant challenge to recruiting, retaining, and supporting the health and well-being of the Aboriginal and Torres Strait Islander nursing workforce as demonstrated by the individual accounts of racism collected and analysed in this study. This workforce is integral to the provision of culturally safe, effective, and inclusive care for First Nations Australians, and racism in workplaces must be identified, examined, and understood to both address and end it.</div></div><div><h3>Objective</h3><div>To provide insights into workplace racism experiences in a way that is genuine to the First Nations’ nurse’s perspective.</div></div><div><h3>Methods</h3><div>This research is Indigenist Research and utilised the First Nations method of yarning. The Primary Investigator (PI) undertook all yarns via Zoom (30–90 min) and is an Aboriginal registered nurse. The space created for the yarns to occur was a culturally safe space as all research participants were known to the PI, and safe boundaries and spaces were established. All yarns undertaken were recorded via Zoom. Thematic data analysis was undertaken deductively, and participants were provided with transcripts for comment.</div></div><div><h3>Results</h3><div>Ten participants were recruited via the Queensland Nurses and Midwives Union (QNMU) First Nations Branch. Three salient and interrelated themes emerged from the analysis of the data, highlighting racism experiences and effects on First Nations nurses. The three themes were (in)direct racism, interjecting and calling out racism, and impacts of racism.</div></div><div><h3>Discussion</h3><div>This study investigated the detrimental effects of racism on Aboriginal and Torres Strait Islander nurses’ professional trajectories, sense of self within the healthcare environment, and overall well-being. The findings not only suggest a correlation between nurses’ experience and their willingness to confront racist incidents but also highlight the negative and harmful impacts this can have on participants. The willingness to confront and respond to racism might be attributed to accumulated frustration or a growing sense of agency in addressing these issues and could b","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"32 2","pages":"Pages 61-68"},"PeriodicalIF":1.6,"publicationDate":"2025-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143562094","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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