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Understanding impact of inpatient telemedicine on nurses in a rural hospital environment 了解农村医院住院远程医疗对护士的影响
IF 1.6 4区 医学 Q2 NURSING Pub Date : 2024-12-01 DOI: 10.1016/j.colegn.2024.10.002
Carol Reid , Catherine Church , Viv Jeffery , Ka Chun Tse , Jacque Phillips

Background

Virtual health care has increased equity for those living in rural locations. Whilst this care delivery modality has improved access, it remains important to understand the impact on rural nurses who are on-site and support the delivery of virtual patient care.

Question

What are the impacts on nurses when introducing a virtual doctor model of care for the inpatient wards at three sites of a rural health service in Victoria, Australia?

Methods

A purposive sample of nurses (n = 21) from inpatient settings completed surveys at two time points, at model preparation and at implementation. Semistructured interviews with nurses (n = 13) provided in-depth information. Survey data are presented descriptively. Interview transcripts, analysed using the Qualitative Framework Approach, were coded, grouped, and themes interpreted.

Findings

Survey results at preparation showed that 93% felt informed about the introduction of the model of care. At implementation, very good/excellent ratings were given for policy and procedure development (84%), staff communication (83%), and education and training (50%). Themes from interviews on impact for nurses pertained to rural relationships, adapting the inpatient ‘usual’ model, systems and processes, and nurse recognition and identity.

Discussion and conclusion

The impacts on nurse professional practice and their patient care delivery models need early consideration when introducing virtual care in rural health services. Rural nurses are adept at problem solving real-time issues; they value knowledge acquisition and being listened to as professionals. This vital workforce must be fully involved at the planning phase of new rural virtual models.
虚拟卫生保健增加了生活在农村地区的人的公平性。虽然这种护理提供方式改善了可及性,但了解对在现场并支持提供虚拟患者护理的农村护士的影响仍然很重要。问题:在澳大利亚维多利亚州农村卫生服务的三个站点,在住院病房引入虚拟医生的护理模式对护士有什么影响?方法有目的的住院护士样本(n = 21)在模型准备和实施两个时间点完成调查。与护士的半结构化访谈(n = 13)提供了深入的信息。调查数据是描述性的。访谈记录,使用定性框架方法进行分析,编码,分组,并解释主题。调查结果在准备阶段的调查结果显示,93%的人对这种护理模式的引入感到知情。在实施过程中,政策和程序发展(84%)、员工沟通(83%)和教育和培训(50%)被评为非常好/优秀。访谈中关于对护士影响的主题涉及农村关系、调整住院“常规”模式、系统和流程以及护士的认可和身份。讨论与结论在农村卫生服务中引入虚拟医疗时,应尽早考虑虚拟医疗对护士职业实践和患者服务模式的影响。农村护士善于解决实时问题;他们重视知识的获取和专业人士的倾听。在新农村虚拟模式的规划阶段,这些重要的劳动力必须充分参与。
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引用次数: 0
A scoping review of healthcare professionals on assisted dying in dementia: Presenting nurses’ perceptions and experiences 医疗保健专业人员对痴呆辅助死亡的范围审查:呈现护士的看法和经验
IF 1.6 4区 医学 Q2 NURSING Pub Date : 2024-12-01 DOI: 10.1016/j.colegn.2024.09.003
Ella M. Tomkins , Amanda Fox

Background

Dementia presents a complex challenge marked by cognitive decline and distressing symptoms, yet there is no cure. While access to assisted dying is expanding in many countries, many exclude those with dementia. If policymakers consider extending this option to people with dementia, understanding stakeholder views is crucial.

Aim

To explore healthcare professionals’ experiences and perceptions of assisted dying for people with dementia and to identify gaps in the evidence that will inform future research.

Methods

A search was conducted across five databases and grey literature, screening records against inclusion criteria. Seven relevant records were included for analysis.

Results

A total of 37 articles were found for review. Findings indicate a lack of understanding regarding healthcare professionals’ perspectives on assisted dying. Existing research predominantly focuses on physicians, with limited attention to nurses and even less on dementia-specific cases. A total of seven articles reported healthcare professionals other than physicians. Because of the lack of information available, this report has focused on this area. Key factors shaping nurses’ views include personal values, decision-making principles, background, and patient-centred care focus. While evidence is scant, there appears to be a growing acceptance of assisted dying among nurses over time.

Conclusions

There is a dearth of knowledge on perceptions and experiences regarding assisted dying for patients with dementia. Further primary research is crucial to inform healthcare systems and policymakers contemplating changes to assisted dying legislation or its introduction.
痴呆症是一种复杂的挑战,其特征是认知能力下降和令人痛苦的症状,但目前尚无治愈方法。虽然许多国家正在扩大获得协助死亡的机会,但许多国家将痴呆症患者排除在外。如果决策者考虑将这一选择扩展到痴呆症患者,了解利益相关者的观点至关重要。目的探讨医疗保健专业人员对痴呆症患者协助死亡的经验和看法,并确定证据中的差距,为未来的研究提供信息。方法在5个数据库和灰色文献中进行检索,根据纳入标准筛选记录。纳入7项相关记录进行分析。结果共收录文献37篇。研究结果表明,缺乏了解关于医疗保健专业人员的观点协助死亡。现有的研究主要集中在医生身上,对护士的关注有限,对痴呆症具体病例的关注就更少了。共有7篇文章报道了医生以外的医疗保健专业人员。由于缺乏可用的资料,本报告着重于这一领域。影响护士观点的关键因素包括个人价值观、决策原则、背景和以患者为中心的护理重点。虽然证据不足,但随着时间的推移,护士对协助死亡的接受程度似乎越来越高。结论对痴呆患者辅助死亡的认知和经验缺乏了解。进一步的初步研究对于告知医疗保健系统和决策者考虑改变辅助死亡立法或其引入至关重要。
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引用次数: 0
The use of joint consultations in the transition from child to adult outpatient clinic within type 1 diabetes care: A qualitative study 在1型糖尿病治疗中从儿童到成人门诊过渡中联合会诊的使用:一项定性研究
IF 1.6 4区 医学 Q2 NURSING Pub Date : 2024-12-01 DOI: 10.1016/j.colegn.2024.08.002
Nora Kathrine Gylling , Lena Sønder Snogdal , Mette Juel Rothmann

Aim

This study aims to explore the experiences of young adults and their parents regarding joint consultations during their transition from the Children to the Adult Outpatient Clinic, based on a transition project at Odense University Hospital.

Methods

Individual interviews were conducted with ten young adults (aged 17–18 years) and six parents, using a phenomenological-hermeneutic approach. Transcripts were analysed using a pragmatic approach for text condensation.

Results

The analysis revealed three main themes: ‘A feeling of security’, highlighting the importance of the familiar nurse in the transition, communication about the adult clinic, and building personal relationships with the new healthcare professionals; ‘A fear for the Adult Outpatient Clinic’, describing how the unknown could create anxiety and concerns about whether the adult outpatient clinic has sufficient medical and educational resources; and ‘Parental participation and responsibility’, highlighting the need for balancing independence and the importance of parental involvement.

Conclusion

Joint consultations appear to have a positive impact on young adults and their parents during the transition. However, more scientific evidence is needed in this area.
目的本研究旨在探讨年轻人及其父母在从儿童门诊过渡到成人门诊期间的联合咨询经验,基于欧登塞大学医院的一个过渡项目。方法采用现象学-解释学方法,对10名青少年(17-18岁)和6名家长进行了个人访谈。转录本分析使用务实的方法文本凝结。结果分析揭示了三个主要主题:“安全感”,强调了熟悉护士在过渡中的重要性,关于成人诊所的沟通,以及与新医护人员建立个人关系;“对成人门诊的恐惧”,描述了未知事物如何使人对成人门诊是否有足够的医疗和教育资源产生焦虑和担忧;以及“父母的参与和责任”,强调需要平衡独立和父母参与的重要性。结论联合咨询对过渡时期的青少年及其父母有积极的影响。然而,这一领域还需要更多的科学证据。
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引用次数: 0
Applicability and benefits of Standardised Nursing Terminology in Australia: A scoping review 澳大利亚标准化护理术语的适用性和益处:范围审查
IF 1.6 4区 医学 Q2 NURSING Pub Date : 2024-12-01 DOI: 10.1016/j.colegn.2024.10.001
Rebecca M. Jedwab , Kerri Holzhauser , Kalpana Raghunathan , Zara K.M. Lord , Sally P. Duncan , Melanie A. Murray , Janette Gogler , Evelyn J.S. Hovenga AM

Background

Standardised Nursing Terminologies (SNTs) provide a set of agreed terms that are aligned to nurses’ assessments, interventions, and nurse-sensitive patient care outcomes. The use of such a terminology allows for improved visibility of nursing care and comparisons of interventions and outcomes to support and assess evidence-based practice. Whilst SNTs have been in use internationally for decades, there is a gap in practice and literature related to SNTs throughout Australia.

Purpose

The objectives of this review were to explore recent literature to identify and understand (i) the benefits of SNTs, (ii) the limitations of SNTs, and (iii) the potential scope of SNTs for the Australian context.

Methods

A scoping review was undertaken to search relevant literature in CINAHL, Cochrane Review, EMBASE, IEEE Xplore, Medline Complete, and Scopus databases using a date range of 2015–2023.

Findings

A total of 36 studies were reviewed, none of which were Australian. Main benefits associated with integrating SNTs into health records include improved nursing documentation quality, facilitate visibility of nursing care, and enable nursing practice quality improvement. Key limitations identified were the lack of evidence about correlation between nurses’ knowledge level and the use of SNT in practice, lack of strong evidence related to benefits in terms of patient outcomes, workflow efficiencies or enhanced communication, poor representation of nursing practice in SNTs, and mapping limitations to achieve interoperability.

Conclusions

In order to support SNT implementation and adoption throughout Australia, there is a need for Australian research as well as a national strategy for the adoption of an SNT taxonomy in Australia. This requires stakeholder policy development, government support to ensure standardisation, and broad education at academic and local level to enable comprehensive systems’ integration.
标准化护理术语(snt)提供了一套与护士的评估、干预措施和护士敏感的患者护理结果相一致的商定术语。使用这种术语可以提高护理的可见度,并对干预措施和结果进行比较,以支持和评估循证实践。虽然snt已经在国际上使用了几十年,但在整个澳大利亚,与snt相关的实践和文献存在差距。目的:本综述的目的是探索最近的文献,以确定和理解(i) snt的益处,(ii) snt的局限性,以及(iii) snt在澳大利亚背景下的潜在范围。方法在2015-2023年的CINAHL、Cochrane review、EMBASE、IEEE explore、Medline Complete和Scopus数据库中检索相关文献。研究结果共回顾了36项研究,其中没有一项来自澳大利亚。将snt集成到健康记录中的主要好处包括提高护理文件的质量,促进护理的可见性,并提高护理实践的质量。确定的主要限制是缺乏关于护士知识水平与实践中SNT使用之间相关性的证据,缺乏与患者结果、工作流程效率或加强沟通方面的益处相关的有力证据,SNT中护理实践的代表性差,以及实现互操作性的映射限制。为了支持SNT在整个澳大利亚的实施和采用,有必要进行澳大利亚的研究以及在澳大利亚采用SNT分类的国家战略。这需要利益相关者制定政策、政府支持以确保标准化,以及在学术和地方层面进行广泛的教育以实现全面的系统集成。
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引用次数: 0
Generative artificial intelligence in nursing: A scoping review 生成式人工智能在护理中的应用:综述
IF 1.6 4区 医学 Q2 NURSING Pub Date : 2024-12-01 DOI: 10.1016/j.colegn.2024.10.004
Ga Eun Park , Hyeryeon Kim , U Ri Go

Background

Generative artificial intelligence (AI) is rapidly transforming multiple sectors, with significant potential to revolutionise nursing through advancements in education, practice, and research. However, the application of generative AI in nursing remains underexplored, highlighting the need for a comprehensive review of its current impact and future implications.

Aim

To investigate the current state and implications of generative AI in nursing education, practice, and research.

Methods

This scoping review was conducted following the methodological frameworks of Arksey and O’Malley, refined by Levac and colleagues. The databases searched for articles published between January 2020 and April 2024 included PubMed, Embase, CINAHL, PsycINFO, Cochrane Library, and IEEE Xplore.

Findings

A total of 4858 articles were identified, with 23 included in this review. Most of the selected studies were published in 2024 (n = 19/23), primarily conducted in the United States (n = 8/23), and largely consisted of quantitative descriptive studies (n = 14/22). ChatGPT was the most frequently used tool, appearing in 95.7% of the studies (n = 22/23). The articles addressed various nursing domains, including nursing education (n = 12/23), practice (n = 10/23), and research (n = 1/23). Both the benefits and concerns associated with this technology were identified.

Discussion

Generative AI shows great promise for transforming nursing education, practice, and research; however, its integration is still in the early stages.

Conclusion

To fully leverage the benefits of generative AI, nursing professionals must address the challenges associated with AI and lead its ethical adoption. Rigorous research and proactive leadership are crucial to realising the potential of generative AI in nursing.
生成式人工智能(AI)正在迅速改变多个行业,通过教育、实践和研究的进步,它有可能彻底改变护理行业。然而,生成式人工智能在护理中的应用仍未得到充分探索,这凸显了对其当前影响和未来影响进行全面审查的必要性。目的探讨生成式人工智能在护理教育、实践和研究中的现状和意义。方法本综述遵循Arksey和O 'Malley的方法框架,并由Levac及其同事改进。检索2020年1月至2024年4月间发表的文章的数据库包括PubMed、Embase、CINAHL、PsycINFO、Cochrane Library和IEEE explore。共纳入4858篇文献,其中23篇纳入本综述。所选研究大部分发表于2024年(n = 19/23),主要在美国进行(n = 8/23),主要为定量描述性研究(n = 14/22)。ChatGPT是最常用的工具,出现在95.7%的研究中(n = 22/23)。这些文章涉及各个护理领域,包括护理教育(n = 12/23)、实践(n = 10/23)和研究(n = 1/23)。确定了与该技术相关的好处和问题。生成式人工智能在改变护理教育、实践和研究方面显示出巨大的希望;然而,它的整合仍处于早期阶段。为了充分利用生成式人工智能的优势,护理专业人员必须应对与人工智能相关的挑战,并引领其伦理应用。严谨的研究和积极的领导对于实现生成式人工智能在护理中的潜力至关重要。
{"title":"Generative artificial intelligence in nursing: A scoping review","authors":"Ga Eun Park ,&nbsp;Hyeryeon Kim ,&nbsp;U Ri Go","doi":"10.1016/j.colegn.2024.10.004","DOIUrl":"10.1016/j.colegn.2024.10.004","url":null,"abstract":"<div><h3>Background</h3><div>Generative artificial intelligence (AI) is rapidly transforming multiple sectors, with significant potential to revolutionise nursing through advancements in education, practice, and research. However, the application of generative AI in nursing remains underexplored, highlighting the need for a comprehensive review of its current impact and future implications.</div></div><div><h3>Aim</h3><div>To investigate the current state and implications of generative AI in nursing education, practice, and research.</div></div><div><h3>Methods</h3><div>This scoping review was conducted following the methodological frameworks of Arksey and O’Malley, refined by Levac and colleagues. The databases searched for articles published between January 2020 and April 2024 included PubMed, Embase, CINAHL, PsycINFO, Cochrane Library, and IEEE Xplore.</div></div><div><h3>Findings</h3><div>A total of 4858 articles were identified, with 23 included in this review. Most of the selected studies were published in 2024 (n = 19/23), primarily conducted in the United States (n = 8/23), and largely consisted of quantitative descriptive studies (n = 14/22). ChatGPT was the most frequently used tool, appearing in 95.7% of the studies (n = 22/23). The articles addressed various nursing domains, including nursing education (n = 12/23), practice (n = 10/23), and research (n = 1/23). Both the benefits and concerns associated with this technology were identified.</div></div><div><h3>Discussion</h3><div>Generative AI shows great promise for transforming nursing education, practice, and research; however, its integration is still in the early stages.</div></div><div><h3>Conclusion</h3><div>To fully leverage the benefits of generative AI, nursing professionals must address the challenges associated with AI and lead its ethical adoption. Rigorous research and proactive leadership are crucial to realising the potential of generative AI in nursing.</div></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"31 6","pages":"Pages 428-436"},"PeriodicalIF":1.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143146103","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}
引用次数: 0
Family members’ experiences with depression through the lens of Frank’s illness narratives 透过弗兰克的病情叙述,了解家庭成员的抑郁经历
IF 1.6 4区 医学 Q2 NURSING Pub Date : 2024-12-01 DOI: 10.1016/j.colegn.2024.09.005
Amanda Cole , Julie Ann Pooley , Lisa Whitehead

Background

Depression impacts around 300 million people worldwide and places significant strain on families who care for relatives with chronic mental health conditions. This strain can lead to substantial burdens and affect the mental health and well-being of family members.

Aim

This study explores family members’ experiences with depression through the lens of Frank’s illness narratives.

Methods

Employing a narrative inquiry approach, interviews were conducted with eight family members of adults diagnosed with major depressive disorder. The data were analysed through the lens of Frank’s illness narratives.

Findings

Family members’ experiences revealed a complex interplay of narratives that reflected the elements of the narratives of quest, chaos, and restitution. The narratives illustrated an ongoing process of adaptation, meaning-making, and personal transformation while living with a family member diagnosed with depression. All narratives portrayed the concept of hope, and this was manifested in different ways across the narrative types.

Conclusion

While Frank’s narratives traditionally focus on individuals living with chronic health conditions, this study extends the work to the family member perspective, revealing how families navigate the burden, distress, and challenges of depression while also experiencing personal growth and hope. This paper expands our understanding of the broader impacts of depression on families.
抑郁症影响着全球约3亿人,给照顾患有慢性精神疾病亲属的家庭带来了巨大压力。这种压力会导致沉重的负担,并影响家庭成员的心理健康和福祉。目的本研究通过弗兰克的疾病叙述来探讨家庭成员的抑郁经历。方法采用叙事探究法,对8名重度抑郁症成人患者的家庭成员进行访谈。这些数据是通过弗兰克的疾病叙述来分析的。研究结果:家庭成员的经历揭示了一种复杂的相互作用的叙述,反映了追求、混乱和恢复的叙述元素。这些故事说明了与患有抑郁症的家庭成员一起生活时,一个持续的适应、意义创造和个人转变的过程。所有的叙事都描绘了希望的概念,这在不同的叙事类型中以不同的方式表现出来。虽然弗兰克的叙事传统上关注的是患有慢性疾病的个人,但本研究将工作扩展到家庭成员的角度,揭示了家庭如何在经历个人成长和希望的同时应对抑郁症的负担、痛苦和挑战。这篇论文扩展了我们对抑郁症对家庭更广泛影响的理解。
{"title":"Family members’ experiences with depression through the lens of Frank’s illness narratives","authors":"Amanda Cole ,&nbsp;Julie Ann Pooley ,&nbsp;Lisa Whitehead","doi":"10.1016/j.colegn.2024.09.005","DOIUrl":"10.1016/j.colegn.2024.09.005","url":null,"abstract":"<div><h3>Background</h3><div>Depression impacts around 300 million people worldwide and places significant strain on families who care for relatives with chronic mental health conditions. This strain can lead to substantial burdens and affect the mental health and well-being of family members.</div></div><div><h3>Aim</h3><div>This study explores family members’ experiences with depression through the lens of Frank’s illness narratives.</div></div><div><h3>Methods</h3><div>Employing a narrative inquiry approach, interviews were conducted with eight family members of adults diagnosed with major depressive disorder. The data were analysed through the lens of Frank’s illness narratives.</div></div><div><h3>Findings</h3><div>Family members’ experiences revealed a complex interplay of narratives that reflected the elements of the narratives of quest, chaos, and restitution. The narratives illustrated an ongoing process of adaptation, meaning-making, and personal transformation while living with a family member diagnosed with depression. All narratives portrayed the concept of hope, and this was manifested in different ways across the narrative types.</div></div><div><h3>Conclusion</h3><div>While Frank’s narratives traditionally focus on individuals living with chronic health conditions, this study extends the work to the family member perspective, revealing how families navigate the burden, distress, and challenges of depression while also experiencing personal growth and hope. This paper expands our understanding of the broader impacts of depression on families.</div></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"31 6","pages":"Pages 392-403"},"PeriodicalIF":1.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143145611","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}
引用次数: 0
Rural nursing recruitment and retention – What needs to change? 农村护士招聘和保留——需要改变什么?
IF 1.6 4区 医学 Q2 NURSING Pub Date : 2024-12-01 DOI: 10.1016/j.colegn.2024.09.001
Fiona C. Giles, Byron Perrin, George Mnatzaganian, Jane Mills
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引用次数: 0
The gender pay gap in the Australian nursing workforce: A retrospective observational study 澳大利亚护理人员的性别薪酬差距:一项回顾性观察研究
IF 1.6 4区 医学 Q2 NURSING Pub Date : 2024-12-01 DOI: 10.1016/j.colegn.2024.09.002
Gemma Doleman , Christine Duffield , Ian W. Li

Aim

To explore the gender pay gap among the Australian nursing workforce and identify reasons for such a gap.

Background

Gender discrimination exists in nursing, with men having a higher rate of pay and a faster rate of career progression, irrespective of experience and qualifications. In addition, men are shown to have a greater representation in leadership roles compared to the proportion of men in the profession.

Methods

The study uses a retrospective, observational survey design of graduate nurses from all Australian universities.

Findings

The gender wage gap was around 4% at six months after graduation, increasing to 13% at three years after graduation, favouring nurses who are men. Men also reported being more overqualified than women upon graduation. In addition, graduates who were overqualified had a 21% disparity in pay. Nursing graduates from non-English speaking backgrounds and lower socioeconomic backgrounds had an increased probability of being underemployed.

Conclusions

Overall, nurses who were men are earning a higher wage than women nurses upon graduation and at three years post-graduation in Australia. These findings, despite an enterprise bargaining agreement, are consistent with the gender pay disparity gap in Australia and with international research on this topic. Of note from this study is the notion that men are working unsociable hours and weekends and are, therefore, receiving penalty rates that increase their wages. This notion is also consistent with the current ideology in Australia of men being breadwinners despite changes in gender equality in the country.

Implications for nursing management

Organisations need to offer flexible work environments that will allow women to re-enter the workforce while caring for dependents. This can include shorter shifts allowing women to work flexible hours to care for dependents, job sharing with other nurses of similar skill level and working across multiple areas to allow for flexibility. In addition, healthcare organisations should increase support and promote positive practice environments, including wages in order to sustain and retain the future workforce.
目的探讨澳大利亚护理人员的性别薪酬差距,并找出造成这种差距的原因。护理行业存在性别歧视,无论经验和资历如何,男性的薪酬更高,职业发展速度更快。此外,与男性在该专业中的比例相比,男性在领导角色中的代表性更大。方法采用回顾性、观察性调查设计,对澳大利亚所有大学的研究生护士进行调查。研究发现,毕业后6个月,男女工资差距约为4%,毕业后3年,这一差距增加到13%,这有利于男性护士。男性在毕业时也比女性更大材小用。此外,大材小用的毕业生在薪酬上也有21%的差距。非英语背景和社会经济背景较低的护理毕业生就业不足的可能性增加。总体而言,澳大利亚男性护士在毕业时和毕业后三年内的工资高于女性护士。尽管存在企业讨价还价协议,但这些发现与澳大利亚的性别薪酬差距以及有关该主题的国际研究是一致的。从这项研究中值得注意的是,男性在非社交时间和周末工作,因此得到了提高工资的惩罚率。这一概念也符合澳大利亚目前的意识形态,即男性是养家糊口的人,尽管该国的性别平等有所变化。组织需要提供灵活的工作环境,允许女性在照顾家属的同时重新进入劳动力市场。这可以包括缩短轮班时间,使妇女能够灵活地工作时间来照顾家属,与其他技能水平相似的护士分担工作,以及跨多个领域工作以实现灵活性。此外,医疗机构应该增加支持和促进积极的实践环境,包括工资,以维持和留住未来的劳动力。
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引用次数: 0
Impact of health interventions on informal caregivers: A systematic review and meta-analysis 健康干预对非正式护理人员的影响:系统回顾和荟萃分析
IF 1.6 4区 医学 Q2 NURSING Pub Date : 2024-12-01 DOI: 10.1016/j.colegn.2024.10.005
Diego J. Caicedo-Fajardo , Alix Y. Perdomo-Romero , Claudia P. Cantillo-Medina , Maria L. de Souza , Claudia A. Ramírez-Perdomo

Background

Chronic noncommunicable diseases are the leading cause of death worldwide, affecting the quality of life of patients and their informal caregivers.

Aim

To assess the impact of health interventions on informal caregivers and compare the results with standard care.

Methods

A systematic review and meta-analysis of randomised clinical trials identified from six databases was conducted. We included intervention studies by a healthcare team for caregivers of persons with chronic noncommunicable diseases. The risk of bias was assessed using a risk-of-bias tool, and the meta-analysis was conducted using the software Review Manager. The certainty of the evidence was assessed using the Grading of Recommendations Assessment, Development and Evaluation.

Findings

Ten articles were selected, which included 1088 participants (average age of 55 years). A meta-analysis was performed with four studies using the same evaluation instrument (Zarit Burden Interview).

Discussion

Interventions to decrease caregiver overload were assessed through the effect estimation of the mean score of the Zarit Burden Interview of −5 (95% confidence interval, p < 0.00001).

Conclusion

The findings show a gap in the knowledge about interventions and analyses of quality of life, social support, and caregiver roles. Conducting further methodologically rigorous research to yield valid results is essential for ensuring the well-being of informal caregivers and reducing their burden and overload.
慢性非传染性疾病是世界范围内导致死亡的主要原因,影响着患者及其非正式照护者的生活质量。目的评估卫生干预对非正规护理人员的影响,并将结果与标准护理进行比较。方法对来自6个数据库的随机临床试验进行系统评价和荟萃分析。我们纳入了一个医疗团队对慢性非传染性疾病患者护理人员的干预研究。使用偏倚风险工具评估偏倚风险,使用Review Manager软件进行meta分析。证据的确定性是用分级建议评估、发展和评估来评估的。研究结果选择了10篇文章,其中包括1088名参与者(平均年龄55岁)。采用相同的评估工具(Zarit Burden访谈)对四项研究进行荟萃分析。通过Zarit负担访谈平均得分- 5的效果估计来评估减少照顾者负担的干预措施(95%置信区间,p <;0.00001)。结论研究结果表明,在干预和分析生活质量、社会支持和照顾者角色方面存在差距。为了确保非正规照料者的福祉并减轻其负担和负担过重,开展进一步的方法上严谨的研究以产生有效的结果至关重要。
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引用次数: 0
Global social responsibility as a predictor of attitudes toward sustainable development in nursing students: A descriptive cross-sectional study 全球社会责任作为护生对可持续发展态度的预测因子:一项描述性横断面研究
IF 1.6 4区 医学 Q2 NURSING Pub Date : 2024-12-01 DOI: 10.1016/j.colegn.2024.11.001
İlknur Göl

Background

Global social responsibility is one of the basic principles to be followed in achieving sustainable development goals (SDGs). Nurses, as healthcare providers, have important roles in providing sustainable healthcare services and achieving SDGs. Therefore, it is important to determine nursing students’ global social responsibility levels and attitudes toward SDGs.

Objective

This study aimed to examine the effect of global social responsibility on nursing students’ attitudes toward sustainable development.

Method

A descriptive cross-sectional study was conducted with 318 nursing students in the nursing department of a university in Türkiye. Data were collected using a sociodemographic data form, ‘the Attitudes toward Sustainable Development Scale,’ and ‘the Global Social Responsibility Scale.’

Results

The mean total scores of the students participating in the research on the Attitude Toward Sustainable Development Scale and the Global Social Responsibility Scale were 76.94 ± 18.28 and 102.25 ± 17.16, respectively. Total scores on both the Attitude Toward Sustainable Development Scale and the Global Social Responsibility Scale were higher in those who knew the concept and goals of sustainable development. All factors of attitude toward sustainable development were significantly influenced by global social responsibility (p = <.001).

Conclusion

Positive attitudes and behaviours toward sustainable development increased with higher global social responsibility. Including global issues in nursing education programs to improve global social responsibility levels will contribute to the education of nurses who are aware of their social responsibilities and to closing the gap between nursing and SDGs.
全球社会责任是实现可持续发展目标(SDGs)的基本原则之一。护士作为医疗保健提供者,在提供可持续医疗保健服务和实现可持续发展目标方面发挥着重要作用。因此,确定护生的全球社会责任水平和对可持续发展目标的态度具有重要意义。目的探讨全球社会责任对护生可持续发展态度的影响。方法采用描述性横断面研究方法,对台湾省某大学护理系318名护生进行调查。数据是通过社会人口统计数据表“对可持续发展的态度量表”和“全球社会责任量表”收集的。结果参与研究的学生可持续发展态度量表和全球社会责任量表的平均总分分别为76.94±18.28分和102.25±17.16分。了解可持续发展概念和目标的学生在可持续发展态度量表和全球社会责任量表上的总分均较高。可持续发展态度各因素均受全球社会责任的显著影响(p = <.001)。结论对可持续发展的积极态度和行为随着全球社会责任的增加而增加。将全球问题纳入护理教育计划,以提高全球社会责任水平,将有助于教育意识到自己社会责任的护士,并缩小护理与可持续发展目标之间的差距。
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