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“I changed my mind after my placement”: The influence of clinical placement environment on career choices of final-year pre-registration nurses "实习后我改变了主意":临床实习环境对注册护士毕业前职业选择的影响
IF 1.5 4区 医学 Q2 NURSING Pub Date : 2024-01-03 DOI: 10.1016/j.colegn.2023.11.004
Edah Anyango , Irene Ngune , Janie Brown , Esther Adama

Background

Clinical placements (CPs) in the final year of nursing education largely impact nursing students’ professional development by exposing them to nursing realities. Nursing students also use placement exposure to identify suitable career opportunities for their upcoming professional life. However, there is limited evidence on how final-year CPs may attract pre-registration nursing students into different nursing specialties, including hospital and non-hospital settings.

Aim

To explore the influence of CPs in the final year of nursing education on pre-registration student nurses’ career decisions.

Method

A narrative inquiry approach was utilised. A purposeful sample of 12 final-year students from two Western Australian public universities participated in the study. Data were collected through semi-structured individual interviews. This article follows the Consolidated Criteria for Reporting Qualitative Research.

Findings

The final-year CPs mainly influenced nursing students’ career decisions in three ways: they helped them create new career paths, and some students refined their career plans while others reaffirmed their career choices. Four main themes were generated, including nature of the clinical environment, ward or unit culture, preceptorship, and career progression.

Conclusion

The final year of study is crucial for nursing students as they make career plans in preparation for the transition to their professional roles. The students make short- and long-term career plans at this stage, which may influence their commitment to nursing.

Implication for practice

The outcome of this study may assist stakeholders in nursing education and health care in developing policies for CPs and students’ career guidance. These policies may encourage pre-registration nurses to develop career interests in the less-preferable nursing specialties such as community nursing and residential aged care.

背景护理教育最后一年的临床实习(CPs)通过让护理学生接触护理现实,在很大程度上影响了他们的专业发展。护理专业学生还可利用实习机会为今后的职业生涯寻找合适的职业机会。然而,关于毕业班实习如何吸引注册前护理专业学生进入不同的护理专业(包括医院和非医院环境)的证据却很有限。来自西澳大利亚州两所公立大学的 12 名毕业班学生参与了研究。数据通过半结构化的个人访谈收集。本文遵循《定性研究报告综合标准》。研究结果毕业班 CPs 主要从三个方面影响了护理专业学生的职业决定:帮助他们开辟新的职业道路,一些学生完善了自己的职业规划,而另一些学生则重申了自己的职业选择。总结最后一年的学习对护生来说至关重要,因为他们要制定职业规划,为过渡到专业角色做准备。本研究的结果可能有助于护理教育和医疗保健领域的利益相关者制定有关 CP 和学生职业指导的政策。这些政策可能会鼓励注册前护士对社区护理和养老院护理等不太受欢迎的护理专业产生职业兴趣。
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引用次数: 0
Balancing nursing and midwifery student equity and public safety: An Australian case study 平衡护理和助产专业学生的公平与公共安全:澳大利亚案例研究
IF 1.5 4区 医学 Q2 NURSING Pub Date : 2023-12-20 DOI: 10.1016/j.colegn.2023.11.006
Bridget Ferguson, Tanya Capper

Background

Nursing and midwifery academics have multiple responsibilities, including developing curricula that promote public safety and ethical practice. Effective governance processes are required to help academics manage students who pose a risk to public safety. However, the pressure to increase graduate numbers and prioritise student-centred approaches can pose challenges.

Aim

To discuss the challenges facing Australian nursing and midwifery academics who endeavour to optimise the number of successful graduates whilst fulfilling their legislative duty to identify and manage students who may pose a risk to public safety.

Methods

A case study approach is used to gain insight into implementing governance processes that maintain quality, safety, and public safety in nursing and midwifery education and training programs.

Discussion and conclusions

Academics must understand their responsibilities, including the need for transparency in accessibility and equity policies. Awareness of the definition of impairment and the provision of reasonable adjustments as defined by the Australian Health Practitioner Regulation Agency are vital to support students in making informed career choices.

背景护理和助产学术界肩负着多重责任,包括制定促进公共安全和道德实践的课程。需要有效的管理程序来帮助学者管理对公共安全构成风险的学生。目的 讨论澳大利亚护理和助产学术界所面临的挑战,他们既要努力提高毕业生的数量,又要履行法律义务,识别和管理可能对公共安全构成风险的学生。方法 采用案例研究的方法,深入了解如何在护理和助产教育与培训项目中实施维护质量、安全和公共安全的管理流程。了解澳大利亚卫生从业人员监管局对障碍的定义并提供合理的调整,对于支持学生做出明智的职业选择至关重要。
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引用次数: 0
Balancing nursing and midwifery student equity and public safety: An Australian case study 平衡护理和助产专业学生的公平与公共安全:澳大利亚案例研究
IF 1.5 4区 医学 Q2 NURSING Pub Date : 2023-12-20 DOI: 10.1016/j.colegn.2023.11.006
Bridget Ferguson , Tanya Capper

Background

Nursing and midwifery academics have multiple responsibilities, including developing curricula that promote public safety and ethical practice. Effective governance processes are required to help academics manage students who pose a risk to public safety. However, the pressure to increase graduate numbers and prioritise student-centred approaches can pose challenges.

Aim

To discuss the challenges facing Australian nursing and midwifery academics who endeavour to optimise the number of successful graduates whilst fulfilling their legislative duty to identify and manage students who may pose a risk to public safety.

Methods

A case study approach is used to gain insight into implementing governance processes that maintain quality, safety, and public safety in nursing and midwifery education and training programs.

Discussion and conclusions

Academics must understand their responsibilities, including the need for transparency in accessibility and equity policies. Awareness of the definition of impairment and the provision of reasonable adjustments as defined by the Australian Health Practitioner Regulation Agency are vital to support students in making informed career choices.

背景护理和助产学术界肩负着多重责任,包括制定促进公共安全和道德实践的课程。需要有效的管理程序来帮助学者管理对公共安全构成风险的学生。目的 讨论澳大利亚护理和助产学术界所面临的挑战,他们既要努力提高毕业生的数量,又要履行法律义务,识别和管理可能对公共安全构成风险的学生。方法 采用案例研究的方法,深入了解如何在护理和助产教育与培训项目中实施维护质量、安全和公共安全的管理流程。了解澳大利亚卫生从业人员监管局对障碍的定义并提供合理的调整,对于支持学生做出明智的职业选择至关重要。
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引用次数: 0
Contextualising an online mindfulness-based intervention for young people with cancer: A qualitative study 为患有癌症的年轻人提供基于正念的在线干预:定性研究
IF 1.5 4区 医学 Q2 NURSING Pub Date : 2023-12-20 DOI: 10.1016/j.colegn.2023.11.005
Sheeja Perumbil Pathrose , Jonny Wells , Pandora Patterson , Fiona Mcdonald , Bronwyn Everett , Jane Ussher , Yenna Salamonson , Gina M. Biegel , Tho Nguyen , Lucie Ramjan

Background

Despite improved prognosis, living with cancer can still negatively impact young people’s psychosocial well-being. Mindfulness-based interventions (MBI) have been shown to help manage cancer-related stress but tailored interventions for young people are warranted. In addition, attendance at intensive face-to-face MBI is often a barrier to access and adherence.

Aim

This study aims to contextualise an online MBI, for young people with cancer (YPWC).

Methods

This study modified an online MBI using a qualitative research approach through several phases, including a discussion with experts, a workshop with YPWC (n = 6), followed by focus groups with health professionals (n = 5) and YPWC (n = 7).

Findings

The qualitative thematic analysis of data from the workshop discussion and focus groups identified two key themes, which were (i) developing mindfulness skill and adopting into daily living and appropriateness; and (ii) accessibility of design and delivery of an MBI eBook. The participants in the workshop and focus group provided various recommendations and as a result of these data, the modules were modified and further tailored both at the design level and the module contents.

Discussion

This study contextualised a self-directed, online MBI through the participation from YPWC and healthcare providers. This participatory approach enabled the development of a young people friendly intervention that incorporated cancer-focused case studies with mindful reflections, all of which were well-received by YPWC.

Conclusion

The involvement of end-users in the development phase significantly improved the acceptability of this intervention design. The tailored MBI potentially aids the psychosocial well-being of YPWC.

背景尽管预后有所改善,但癌症仍然会对年轻人的社会心理健康产生负面影响。以正念为基础的干预(MBI)已被证明有助于控制与癌症相关的压力,但还需要为年轻人量身定制干预措施。方法本研究采用定性研究方法,通过几个阶段对在线 MBI 进行了修改,包括与专家讨论、与青年癌症患者(YPWC)(n = 6)举行研讨会,然后与医疗专业人员(n = 5)和青年癌症患者(YPWC)(n = 7)进行焦点小组讨论。研究结果对来自工作坊讨论和焦点小组的数据进行了定性主题分析,确定了两个关键主题,即(i)发展正念技能并将其融入日常生活和适宜性;以及(ii)设计和提供正念电子书的可及性。工作坊和焦点小组的参与者提出了各种建议,并根据这些数据对模块的设计和内容进行了修改和进一步调整。通过这种参与式方法,开发出了一种对年轻人友好的干预措施,其中包含了以癌症为重点的案例研究和心灵反思,所有这些都受到了青年妇女和儿童的欢迎。结论最终用户参与开发阶段大大提高了这一干预设计的可接受性。量身定制的 MBI 有可能帮助青少年癌症患者的社会心理健康。
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引用次数: 0
Contextualising an online mindfulness-based intervention for young people with cancer: A qualitative study 为患有癌症的年轻人提供基于正念的在线干预:定性研究
IF 1.5 4区 医学 Q2 NURSING Pub Date : 2023-12-20 DOI: 10.1016/j.colegn.2023.11.005
Sheeja Perumbil Pathrose, Jonny Wells, Pandora Patterson, Fiona Mcdonald, Bronwyn Everett, Jane Ussher, Yenna Salamonson, Gina M. Biegel, Tho Nguyen, Lucie Ramjan

Background

Despite improved prognosis, living with cancer can still negatively impact young people’s psychosocial well-being. Mindfulness-based interventions (MBI) have been shown to help manage cancer-related stress but tailored interventions for young people are warranted. In addition, attendance at intensive face-to-face MBI is often a barrier to access and adherence.

Aim

This study aims to contextualise an online MBI, for young people with cancer (YPWC).

Methods

This study modified an online MBI using a qualitative research approach through several phases, including a discussion with experts, a workshop with YPWC (n = 6), followed by focus groups with health professionals (n = 5) and YPWC (n = 7).

Findings

The qualitative thematic analysis of data from the workshop discussion and focus groups identified two key themes, which were (i) developing mindfulness skill and adopting into daily living and appropriateness; and (ii) accessibility of design and delivery of an MBI eBook. The participants in the workshop and focus group provided various recommendations and as a result of these data, the modules were modified and further tailored both at the design level and the module contents.

Discussion

This study contextualised a self-directed, online MBI through the participation from YPWC and healthcare providers. This participatory approach enabled the development of a young people friendly intervention that incorporated cancer-focused case studies with mindful reflections, all of which were well-received by YPWC.

Conclusion

The involvement of end-users in the development phase significantly improved the acceptability of this intervention design. The tailored MBI potentially aids the psychosocial well-being of YPWC.

背景尽管预后有所改善,但癌症仍然会对年轻人的社会心理健康产生负面影响。以正念为基础的干预(MBI)已被证明有助于控制与癌症相关的压力,但还需要为年轻人量身定制干预措施。方法本研究采用定性研究方法,通过几个阶段对在线 MBI 进行了修改,包括与专家讨论、与青年癌症患者(YPWC)(n = 6)举行研讨会,然后与医疗专业人员(n = 5)和青年癌症患者(YPWC)(n = 7)进行焦点小组讨论。研究结果对来自工作坊讨论和焦点小组的数据进行了定性主题分析,确定了两个关键主题,即(i)发展正念技能并将其融入日常生活和适宜性;以及(ii)设计和提供正念电子书的可及性。工作坊和焦点小组的参与者提出了各种建议,并根据这些数据对模块的设计和内容进行了修改和进一步调整。通过这种参与式方法,开发出了一种对年轻人友好的干预措施,其中包含了以癌症为重点的案例研究和心灵反思,所有这些都受到了青年妇女和儿童的欢迎。结论最终用户参与开发阶段大大提高了这一干预设计的可接受性。量身定制的 MBI 有可能帮助青少年癌症患者的社会心理健康。
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引用次数: 0
Mental health nurses’ caring efficacy towards consumers with dual diagnosis: A descriptive study 精神健康护士对双重诊断患者的护理效能:描述性研究
IF 1.5 4区 医学 Q2 NURSING Pub Date : 2023-12-20 DOI: 10.1016/j.colegn.2023.11.002
Roopalal Anandan , Wendy M. Cross , Michael Olasoji , Huy Nguyen

Introduction

Dual diagnosis is a common and complex problem in mental health settings. This study aimed to assess mental health nurses’ caring efficacy towards consumers with dual diagnosis in Australian mental health settings. The research question was: What is the caring efficacy of mental health nurses towards consumers with coexisting mental health and drug and alcohol problems?

Materials and methods

Eighty-four mental health nurses specialising in caring for consumers with dual diagnosis were recruited using convenience sampling from multiple mental health facilities. The Caring Efficacy Scale assessed mental health nurses’ caring efficacy. Descriptive data and multiple-regression analyses were conducted using SPSS© Version: 28.0.1.0 (142) (IBM Corp. 2021).

Results

The mean caring efficacy score was 145.70, with a standard deviation of 19.92. Caring efficacy values varied from 92 to 178. Mental health nurses’ age, position, clinical settings, and work experience were associated with their caring efficacy. Work experience, experience in current job, caring efficacy, confidence to care, and doubts and concerns correlated with each other (all r > .24, p ≤ .001). The predictors' confidence to care (β = 1.06, p < .001) and doubts and concerns (β = 58.63, p < .001) explained mental health nurses’ caring efficacy. The predictors' age (β = 8.96, p = .033) and self-doubt (β = .39, p = .001) explained mental health nurses’ confidence to care. The predictors' age (β = 10.11, p = .032) and professional experience (β = 8.82, p = .042) explained mental health nurses’ doubts and concerns.

Conclusions

Mental health nurses’ caring efficacy towards consumers with dual diagnosis was above average. The confidence and concerns of mental health nurses play a role in their ability to provide adequate care. Further interventional research is needed to explore how mental health nurses’ age, clinical experience, and self-efficacy impact their ability to care for consumers with dual diagnosis. The findings may be helpful for further health-related studies of mental health nurses’ caring efficacy and for making therapeutic decisions regarding consumer care.

简介:双重诊断是心理健康机构中一个常见而复杂的问题。本研究旨在评估澳大利亚精神卫生机构中精神卫生护士对患有双重诊断的患者的护理效能。研究问题是材料与方法通过方便抽样的方式,从多家精神卫生机构招募了八十四名专门负责照顾双重诊断患者的精神卫生护士。护理效能量表评估了精神健康护士的护理效能。使用 SPSS© Version: 28.0.1.0 (142) (IBM Corp. 2021) 进行了描述性数据和多元回归分析。关怀效能值从 92 到 178 不等。心理健康护士的年龄、职位、临床环境和工作经验与她们的关爱效能感相关。工作经验、当前工作经验、护理效能感、护理信心和疑虑与护理效能感相互关联(r 均为 0.24,p ≤ 0.001)。预测因子护理信心(β = 1.06,p < .001)和疑虑(β = 58.63,p < .001)解释了心理健康护士的护理效能。年龄(β = 8.96,p = 0.033)和自我怀疑(β = 0.39,p = 0.001)解释了心理健康护士的护理信心。年龄(β = 10.11,p = .032)和专业经验(β = 8.82,p = .042)解释了心理健康护士的怀疑和担忧。心理健康护士的信心和顾虑对其提供适当护理的能力起着一定的作用。需要进一步开展干预性研究,探讨心理健康护士的年龄、临床经验和自我效能感如何影响她们照顾双重诊断患者的能力。这些研究结果可能有助于对精神健康护士的护理效能进行进一步的健康相关研究,并有助于做出有关消费者护理的治疗决策。
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引用次数: 0
The effect of hospital volunteering on empathy in nursing and medical students 医院志愿服务对护理专业学生和医科学生移情能力的影响
IF 1.5 4区 医学 Q2 NURSING Pub Date : 2023-12-19 DOI: 10.1016/j.colegn.2023.11.001
Mary-Ellen Barker , Jennie King , Brett Mitchell , Amanda Dawson , Gary Crowfoot

Background

Empathic care benefits patients and healthcare providers. There is evidence of self-reported empathy decline among students in healthcare education. Hospital volunteering could assist undergraduate healthcare students to develop empathetic relationships with patients.

Aim

The study aimed to investigate the feasibility and effect of a hospital volunteering intervention on the empathy levels of undergraduate nursing and medical students. It further aimed to explore their experience of the intervention and determine student-identified areas for patient safety improvements.

Design

Pre–post-intervention study

Setting

A large outer metropolitan hospital in New South Wales, Australia.

Participants

Twenty-nine (n = 29) undergraduate nursing and medical students from an Australian university.

Methods

Students had an introductory experience of volunteering at their local district hospital through participation in the ‘Volunteer Taster Program’. The Jefferson Scale of Empathy-Health Professions Student questionnaire was used to measure student empathy scores pre and post program. Responses to open-ended questions were thematically analysed to evaluate student experiences and identify student-reported areas for patient safety improvements.

Results

Twenty-nine students (18 nursing, 11 medical) completed the program. Students had statistically significant improvements in post-intervention mean empathy scores 112.03 (95% CI 107.56, 116.5) to 117.38 (95% CI 113.76, 121.00) p < 0.001. Subgroup analysis identified a larger increase in empathy scores among medical students than nursing students. The thematic analysis revealed potential program benefits, including new perspectives of the patient experience, improved confidence in patient communication, a stronger professional identity, and a rewarding experience. Identified patient safety issues included concerns for patients’ emotional and physical well-being, and patient communication.

Conclusions

The Volunteer Taster Program is feasible and enabled nursing and medical students to connect with patients outside the sphere of clinical education. It appears to increase empathy levels in undergraduate students and could assist them to deliver empathetic, person-centred healthcare.

背景移情护理有利于患者和医疗服务提供者。有证据表明,接受医疗保健教育的学生自我报告的移情能力有所下降。该研究旨在调查医院志愿服务干预的可行性及其对护理和医学专业本科生移情水平的影响。研究还旨在探究他们的干预体验,并确定学生们认为可以改善患者安全的领域。方法学生们通过参加 "志愿者体验计划",在当地的地区医院获得了志愿服务的初步体验。杰斐逊移情量表--卫生专业学生问卷用于测量学生在项目前后的移情得分。对开放式问题的回答进行了主题分析,以评估学生的体验并确定学生报告的患者安全改进领域。干预后,学生的移情平均得分从 112.03 (95% CI 107.56, 116.5) 提高到 117.38 (95% CI 113.76, 121.00) p < 0.001,有统计学意义。通过分组分析发现,医科学生的移情得分提高幅度大于护理专业学生。主题分析揭示了项目的潜在益处,包括对患者体验的新视角、患者沟通信心的提高、更强的职业认同感以及有益的体验。结论 志愿者体验计划是可行的,它使护理专业和医科专业的学生能够在临床教学之外与病人建立联系。它似乎提高了本科生的移情水平,有助于他们提供富有同情心、以人为本的医疗服务。
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引用次数: 0
Factors predisposing hospitals and nursing home staff to use personal protective equipment 促使医院和疗养院工作人员使用个人防护设备的因素
IF 1.5 4区 医学 Q2 NURSING Pub Date : 2023-12-11 DOI: 10.1016/j.colegn.2023.10.003
Manuela Hoedl , Doris Eglseer, Daniela Schoberer, Silvia Bauer

Background

As physical contact is the one of the major transmission modes for a COVID-19 infection, the use of personal protective equipment (PPE) by nursing staff is warranted. A focus has been placed on the availability of PPE in the recent literature, but data are lacking on the actual use and the factors that predispose nursing staff in hospitals and nursing homes to use PPE are missing.

Aim

We investigated the availability and use of PPE and collected data on associated factors regarding the use of PPE, by nursing staff in hospitals and nursing homes in Austria.

Methods

We used data from two cross-sectional online surveys, with nursing staff recruited in the first and second wave of COVID-19.

Findings

The availability and use of surgical-face masks (SFM) and filtering-facepiece (FFP) masks increased in both settings during the second COVID-19 wave. In both settings, the availability of the PPE was associated with the use of gowns and FFP masks. Moreover, caring for a person suspected of or affected by COVID-19 was associated with the use of gowns, SFM, and FFP masks in both settings.

Discussion

Intra-personal factors such as age, sex, professional qualification, or work experience did not seem to significantly influence the usage of PPE in these settings. Our study findings show that the efforts invested to keep healthcare staff and residents safe and healthy needed to start at an organisational level.

Conclusions

These findings highlight the need for adequate nursing management training, since this influences the provision of high-quality nursing care.

背景由于身体接触是 COVID-19 感染的主要传播方式之一,因此护理人员必须使用个人防护设备(PPE)。我们调查了奥地利医院和养老院护理人员个人防护设备的可用性和使用情况,并收集了使用个人防护设备相关因素的数据。结果在 COVID-19 的第二轮调查中,外科口罩 (SFM) 和过滤式口罩 (FFP) 的供应和使用在两种环境中都有所增加。在这两种环境中,个人防护设备的可用性与手术衣和 FFP 口罩的使用有关。讨论在这两种环境中,年龄、性别、专业资格或工作经验等个人因素似乎对个人防护设备的使用没有显著影响。我们的研究结果表明,为确保医护人员和住院患者的安全与健康而投入的努力需要从组织层面开始。
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引用次数: 0
Facilitator experiences of providing feedback of large quality and safety datasets to staff: A qualitative study 向员工提供大型质量与安全数据集反馈的促进者经验:定性研究
IF 1.5 4区 医学 Q2 NURSING Pub Date : 2023-12-11 DOI: 10.1016/j.colegn.2023.11.003
Rebekkah Middleton , Denise Edgar , Emma Radbron , Val Wilson

Background

Positive safety cultures are imperative for patient and staff outcomes. For transformation to occur in healthcare safety cultures, data should be collected at clinical, professional, and system levels and staff provided with the opportunity to review and take action. Feedback of such data, specifically large datasets, can be both difficult and confronting for those giving and receiving the information. As such, facilitation is a critical element of the feedback process that can ensure context is understood by those receiving feedback, strengths of the findings are outlined, and actions are forthcoming in response to the data.

Aim

To explore facilitator experiences, perceptions, and strategies employed when delivering feedback of large safety culture datasets to teams in a Local Health District in NSW Australia.

Methods

An exploratory descriptive qualitative approach utilising thematic analysis.

Findings

Three themes relating to the purpose, processes, and outcomes of facilitated feedback.

Discussion

Exploration of the themes demonstrated that when feedback is delivered by skilled facilitators in person-centred ways, reflection and understanding data are encouraged and skills developed in others.

Conclusion

Facilitation promoted positive action by healthcare staff in response to their findings, and the process of feedback resulted in enhanced expertise for facilitators.

背景积极的安全文化对患者和员工的治疗效果至关重要。要实现医疗安全文化的转变,应在临床、专业和系统层面收集数据,并为员工提供审查和采取行动的机会。对于提供和接收信息的人员来说,反馈此类数据(尤其是大型数据集)可能既困难又困难。因此,引导是反馈过程中的一个关键因素,可以确保接受反馈的人员了解背景情况,概述调查结果的优点,并针对数据采取相应的行动。 目的探索澳大利亚新南威尔士州一个地方卫生区的团队在提供大型安全文化数据集反馈时引导者的经验、看法和策略。讨论对这些主题的探讨表明,当熟练的促进者以以人为本的方式提供反馈时,反思和对数据的理解会得到鼓励,其他人的技能也会得到发展。结论促进工作促进了医护人员针对其发现采取积极行动,反馈过程提高了促进者的专业知识。
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引用次数: 0
Dear Diary — Shining a light on the work of 200 nurses 亲爱的日记——照亮200名护士的工作
IF 1.5 4区 医学 Q2 NURSING Pub Date : 2023-12-06 DOI: 10.1016/j.colegn.2023.10.004
Mary Mulcahy , Karen Tuqiri , Kathryne E. Hoban , Tracy Levett-Jones

Background

To celebrate the 200th anniversary of the birth of Florence Nightingale, the World Health Assembly designated 2020 as the International Year of the Nurse and Midwife.

Aim

To celebrate this event, we aimed to collect and analyse 200 nurses’ personal accounts of a time when they made a meaningful difference to patient care and to compare the contemporary perspectives that emerged with those evident in Nightingale’s historical writings.

Methods

This project employed a narrative inquiry design with diary entries collected from nurses employed at one metropolitan hospital in Australia thematically analysed.

Findings

In total, 209 nurses from 46 clinical units representing a diverse range of roles and clinical specialties contributed to the project. Five overarching themes emerged from analysis: (1) compassionate practice; (2) person-centred care; (3) human connection; (4) patient safety; and (5) teamwork and collaborative practice.

Discussion and conclusion

This project provided nurses with an opportunity to meaningfully reflect on their practice and to consider what matters most to them as they deliver care to patients and families. By mapping contemporary nursing practice to Nightingale’s writings, the findings highlight the historical legacy of nursing practice, provide a rich commentary on modern-day nursing, and illuminate nurses’ experiences of providing safe, high-quality, and compassionate patient care.

背景为庆祝弗洛伦斯·南丁格尔诞辰200周年,世界卫生大会指定2020年为国际护士和助产士年。为了庆祝这一事件,我们旨在收集和分析200名护士的个人记录,他们在那段时间对病人的护理做出了有意义的改变,并将出现的当代观点与南丁格尔的历史著作中明显的观点进行比较。方法本研究采用记叙式调查设计,收集澳大利亚某大城市医院护士的日记,对其进行主题分析。总共有来自46个临床单位的209名护士参与了该项目,他们代表了不同的角色和临床专业。分析得出五大主题:(1)慈悲修行;(2)以人为本的护理;(3)人际关系;(4)患者安全;(5)团队合作与协作实践。讨论与结论本项目为护士提供了一个有意义的机会来反思他们的实践,并考虑在为患者和家属提供护理时对他们最重要的是什么。通过将当代护理实践映射到南丁格尔的著作,研究结果突出了护理实践的历史遗产,提供了对现代护理的丰富评论,并阐明了护士提供安全,高质量和富有同情心的患者护理的经验。
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