Collegian最新文献_第8页

Evaluation of a care bundle to support healthcare workers wearing N95 masks 支持医护人员佩戴N95口罩的护理包评估

IF 1.5 4区医学 Q2 NURSING

Collegian

Pub Date : 2023-10-01 DOI: 10.1016/j.colegn.2023.07.005

Hermione Shea , Kathren Puyk , Michelle Tuck , Marcus Kusiak , Jaspreet Sidhu , Tracey Bucknall

Background

N95 masks are required to protect healthcare workers from COVID-19, however, they are known to increase the risk of facial skin injuries.

Aims

This study aims to assess staff knowledge, behaviours, and adverse outcomes, in relation to a care bundle, designed to prevent and manage facial skin injury in healthcare workers wearing N95 masks.

Method

A quasi-experimental study design was used to compare outcomes for staff who were required to wear N95 masks and had access to a care bundle at a major metropolitan health service during the COVID-19 pandemic, compared with those who did not. Staff were invited to participate in an anonymous survey.

Findings

The convenience sample included 758 participants and of these 31.3% accessed the care bundle. Post introduction of the care bundle, 59.8% developed facial injury compared with 72.7% who did not use the care bundle (p = 0.03). Of staff who accessed the care bundle, 28.7% developed acne, compared with 49.5% who did not access the care bundle (p = 0.001). Statistically significant improvements in uptake of prevention and treatment strategies were found in those who accessed the care bundle, compared with those who did not.

Discussion

This study has demonstrated the benefits of a care bundle to support healthcare workers wearing N95 masks. The bundle improved staff knowledge and reduced minor facial skin injuries.

Conclusion

Ongoing COVID-19 cases necessitate that healthcare workers continue to wear N95 masks for long and indefinite periods, and as such, the field remains an area for future research.

n95口罩是保护医护人员免受COVID-19感染的必要条件，但众所周知，它们会增加面部皮肤损伤的风险。目的本研究旨在评估医护人员的知识、行为和不良后果，这些知识、行为和不良后果与护理包有关，旨在预防和管理佩戴N95口罩的医护人员的面部皮肤损伤。方法采用准实验研究设计，比较在COVID-19大流行期间被要求戴N95口罩并在主要大都市卫生服务机构获得护理包的工作人员与未被要求戴N95口罩的工作人员的结果。员工被邀请参加一项匿名调查。便利性样本包括758名参与者，其中31.3%的人使用了护理包。引入护理包后，59.8%的患者出现面部损伤，而未使用护理包的患者为72.7% (p = 0.03)。在使用护理包的员工中，28.7%的人患了痤疮，而没有使用护理包的员工患痤疮的比例为49.5% (p = 0.001)。与那些没有获得护理包的人相比，获得护理包的人在预防和治疗策略的吸收方面有统计学上的显着改善。本研究证明了护理包支持医护人员佩戴N95口罩的好处。该束提高了工作人员的知识，减少了轻微的面部皮肤损伤。正在发生的COVID-19病例需要医护人员长期和无限期地继续佩戴N95口罩，因此，该领域仍然是未来研究的领域。

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引用次数: 0

Implementation of a structured revision program and the impact on final-year undergraduate nursing students’ preparedness for clinical placement: Mixed methods study 实施结构化复习课程及其对护理本科生最后一年临床实习准备的影响:混合方法研究

IF 1.5 4区医学 Q2 NURSING

Collegian

Pub Date : 2023-10-01 DOI: 10.1016/j.colegn.2023.08.006

Susan Irvine , Yu Hua Gong , Carmel Mcleod , Yangama Jokwiro , Beverley Copnell

Problem

The effects of a revision program on undergraduate nursing students’ preparedness for their final clinical placement leading to their graduate year are unknown.

Aim

To explore students’ perceptions of confidence, anxiety, self-doubt, and preparedness for a high-acuity clinical placement following a three-day structured revision program.

Method

This was a mixed methods study conducted in the final year of the undergraduate nursing degree. Data were collected by survey using a self-developed 10-item instrument with three components of confidence, inhibitors (self-doubt/anxiety), and preparedness (n = 75) and by semi-structured individual interviews and focus group (7 students in total). Independent sample t-tests were used to compare data between components’ scores and demographic characteristics. Interview data were analysed using thematic analysis.

Results

Students who attended the revision program had significantly higher scores for confidence, inhibitors, and preparation. Higher scores in one or more components were associated with enrolment in the Bachelor of Nursing (BN) versus the Bachelor of Nursing/Bachelor of Midwifery, enrolment in the accelerated pathway of the BN, older age, and previous healthcare experience. Four themes emerged from the qualitative data: anticipatory concerns, confidence, preparedness, and striving to belong.

Conclusion

The findings have potential implications for adverse learning outcomes and poor student performance because of negative behaviours, lack of preparedness, and belongingness. There is a need to structure curricula, implement instructional support for students with anxiety and self-doubt, and faculty to align pedagogy to best educational practices with student attendance at structured revision sessions before each clinical placement.

问题修订计划对护理本科生在研究生毕业前最后一次临床实习的准备情况的影响尚不清楚。目的探讨学生在为期三天的结构化复习计划后对自信、焦虑、自我怀疑的看法，以及对高视力临床实习的准备情况。方法本研究采用混合方法，于护理学本科四年级进行。通过使用自行开发的10项工具进行调查，包括信心、抑制因素（自我怀疑/焦虑）和准备（n=75）三个组成部分，并通过半结构化的个人访谈和焦点小组（共7名学生）收集数据。独立样本t检验用于比较成分得分和人口统计学特征之间的数据。访谈数据采用专题分析法进行分析。结果参加复习项目的学生在信心、抑制剂和准备方面得分显著较高。一个或多个组成部分的高分与护理学士（BN）与护理学士/助产学士的入学率、护理学士加速课程的入学率以及年龄较大和既往医疗经验有关。从定性数据中得出四个主题：预期关注、信心、准备和努力归属。结论研究结果可能会对消极行为、缺乏准备和归属感导致的不良学习结果和学生成绩不佳产生影响。有必要构建课程，为焦虑和自我怀疑的学生提供教学支持，并让教师将教学法与最佳教育实践相结合，让学生在每次临床实习前参加结构化的复习课程。

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引用次数: 0

Nurses’ perspectives on delays in care escalation in an acute private hospital 护士对急性私立医院护理升级延误的看法

IF 1.5 4区医学 Q2 NURSING

Collegian

Pub Date : 2023-10-01 DOI: 10.1016/j.colegn.2023.07.006

Suzie Noye , Koshila Kumar , Anastasia Hutchinson , Jane Willcox

Problem

Despite mandated Rapid-Response Systems (RRS), hospitals continue to see delays in escalation of care. There is a paucity of research regarding nurses’ perceptions of the reasons for care escalation delays in the private hospital setting in which there is a different model of care and hierarchy of the medical system. It is important to understand how these elements may influence the approach to escalating care.

Aim

To explore nurses’ perspectives and experiences of clinical deterioration and the factors impacting on timely escalation of care in a private, non-profit hospital.

Method

Twenty-three bedside and leadership nurses were purposively recruited. Qualitative descriptive methodology employed interviews and focus groups to explore knowledge of, and belief in RRS criteria and process, individual confidence, perceived barriers, and RRS education. Data were analysed thematically.

Findings

Three major themes were elicited. First, hierarchy and a culture of indecisiveness. Second, gatekeeping and protocol adherence impacting on timely escalation. Third, the importance of confidence in the nurse role to escalate care. Communication barriers and inconsistent leadership were common threads across all themes.

Discussion

RRS have been shown to be effective, however, if escalation criteria are implemented inconsistently, individual’s prior experience can impact interdisciplinary communication, RRS processes and patient outcomes.

Conclusion

The effectiveness of RRS is dependent on a supportive workplace culture, good communication, and consistent leadership. Further research is required to understand the optimal mechanisms for implementing RRS processes in private, non-profit hospitals.

尽管强制要求建立快速反应系统(RRS)，但医院在升级护理方面仍然存在延误。关于护士对私立医院设置中护理升级延迟原因的看法的研究缺乏，其中存在不同的护理模式和医疗系统的层次结构。了解这些因素如何影响逐步升级的护理方法是很重要的。目的探讨某民营非营利性医院护士对临床恶化的看法和体会，以及影响护理及时升级的因素。方法有目的地招募床边及领导护士23名。定性描述方法采用访谈和焦点小组来探索对RRS标准和过程、个人信心、感知障碍和RRS教育的知识和信念。数据按主题进行分析。研究结果引出了三个主要主题。首先，等级制度和优柔寡断的文化。第二，把关和协议遵守影响及时升级。第三，信心对护士角色升级护理的重要性。沟通障碍和不一致的领导是所有主题的共同线索。RRS已被证明是有效的，然而，如果升级标准的实施不一致，个人之前的经验可能会影响跨学科的沟通，RRS过程和患者的结果。结论RRS的有效性取决于支持性的工作场所文化、良好的沟通和一致的领导。需要进一步的研究来了解在私立非营利性医院实施RRS流程的最佳机制。

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引用次数: 0

Tougher laws, too few prosecutions? A mixed methods study of nurses’ experiences regarding the reporting of occupational violence to the police 更严厉的法律，太少的起诉?护士向警方报告职业暴力经验的混合方法研究

IF 1.5 4区医学 Q2 NURSING

Collegian

Pub Date : 2023-10-01 DOI: 10.1016/j.colegn.2023.08.003

C.J. Cabilan , Chantelle Judge , Rachael Field , Rob Eley , Amy N.B. Johnston

Problem

Assaults on nurses by patients are common. To deter occupational violence against nurses, assaults attract penalties of longer imprisonment in many jurisdictions (domestically and internationally). However, the deterrent value of harsher penalties has been questioned when many assaults are underreported.

Aim

To identify the barriers and enablers to the reporting and prosecution of assaults experienced by nurses.

Methods

In this study participants were recruited using a snowballing technique through health workforce emails, social media channels, and professional organisations. The investigator-developed survey prompted for categorical and open-ended responses. Descriptive and qualitative content analyses were used to analyse the study data.

Findings

Of the N = 275 respondents, n = 237 nurses had been assaulted at work. Assaulted nurses were typically female, over 31 years old, had more than five years of nursing experience, and worked in an emergency department. Overwhelmingly, nurses indicated receiving poor support when they wanted to report an assault to the police. Dominant themes (N = 6) identified systemic barriers that hinder criminal reporting, which was found to be a consequence of organisational and policing lapses, and self-limiting nursing culture.

Discussion

This study identified several barriers for nurses to report and prosecute assaultive patients in Australia. The barriers point to a strong imperative for organisations that employ nurses and police to fulfil their responsibilities to enable and support assaulted nurses to prosecute.

Conclusion

The study findings led to important recommendations for organisations and police to support, encourage, and empower nurses to prosecute assaultive patients, and ultimately deter violence.

病人袭击护士的问题很常见。为了阻止针对护士的职业暴力，在许多司法管辖区（国内和国际），袭击行为会被判处更长的监禁。然而，当许多袭击事件被少报时，更严厉惩罚的威慑价值受到了质疑。目的确定护士遭受袭击事件报告和起诉的障碍和促成因素。方法在这项研究中，参与者是通过卫生工作者的电子邮件、社交媒体渠道和专业组织使用滚雪球技术招募的。研究者开发的调查提示了分类和开放式回答。使用描述性和定性内容分析来分析研究数据。调查结果在275名受访者中，237名护士曾在工作中遭到袭击。被袭击的护士通常是女性，年龄超过31岁，有五年以上的护理经验，在急诊科工作。绝大多数护士表示，当他们想向警方报案时，得到的支持很差。主导主题（N=6）确定了阻碍刑事报告的系统性障碍，这被发现是组织和警务失误以及自我限制的护理文化的结果。讨论这项研究确定了澳大利亚护士报告和起诉袭击患者的几个障碍。这些障碍表明，雇佣护士和警察的组织必须履行职责，使被袭击的护士能够起诉并得到支持。结论研究结果为组织和警察提供了重要建议，以支持、鼓励和授权护士起诉袭击患者，并最终阻止暴力行为。

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引用次数: 0

A survey of Australian midwifery intravenous fluid management during induction of labour 澳大利亚助产士在引产期间静脉输液管理的调查

IF 1.5 4区医学 Q2 NURSING

Collegian

Pub Date : 2023-10-01 DOI: 10.1016/j.colegn.2023.07.003

Darren J. Lowen , Nicole Carlon , Russell Hodgson

Background

Guidelines are in place for obstetric indications that warrant an induction of labour as detailed by the Royal Australian and New Zealand College of Obstetricians and Gynaecologists and Safer Care Victoria. However, no such guidelines or policies exist for the management of fluids during labour.

Aim

To determine if there is variability within Australia, as it pertains to the management of intravenous fluids, during induction of labour, as captured by Australian midwives’ responses to an electronic survey.

Methods

A REDCap survey was made available to midwives registered with the Australian College of Midwives, through the college’s monthly newsletter.

Findings

A total of 189/4445 (4.25%) midwives registered with the Australian College of Midwives completed the survey. A response was received from midwives covering all states and territories of Australia, from a total of 62 hospitals. The primary place of work was listed as a public hospital by 95.2% of the respondents. Variability was noted for the concentration of oxytocin that was used. The crystalloid of choice was either Hartmann's solution (73.5%) or normal saline (25.4%).

Discussion

The management of intravenous fluid as documented by midwives during induction of labour varied widely throughout Australia and even varies within the same institutions. This may suggest that within these institutions, a policy to guide intravenous fluid management does not exist, which may be indicative of the lack of literature to guide such a policy.

Conclusion

It is currently unknown if the wide variability in intravenous fluid management during induction of labour is impacting upon birth outcomes. Further research in this area is warranted.

背景:澳大利亚皇家和新西兰妇产科学院以及维多利亚安全护理中心对引产的产科指征进行了详细的指导。然而，没有这种指导方针或政策来管理分娩期间的液体。目的根据澳大利亚助产士对一项电子调查的答复，确定澳大利亚国内在引产期间静脉输液管理方面是否存在差异。方法REDCap调查通过澳大利亚助产士学院的月刊向注册助产士提供。调查结果共有189/4445名在澳洲助产士学院注册的助产士(4.25%)完成调查。收到了来自澳大利亚所有州和地区共62家医院的助产士的答复。95.2%的受访者将主要工作地点列为公立医院。所使用的催产素浓度的变化值得注意。晶体的选择是哈特曼溶液(73.5%)或生理盐水(25.4%)。根据助产士在引产过程中记录的静脉输液管理在澳大利亚各地差别很大，甚至在同一机构内也各不相同。这可能表明，在这些机构中，不存在指导静脉输液管理的政策，这可能表明缺乏指导此类政策的文献。结论目前尚不清楚引产过程中静脉输液管理的广泛差异是否会影响分娩结果。这方面的进一步研究是有必要的。

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引用次数: 0

Nursing and midwifery research priorities for an Australian health service: A priority-setting partnership approach 澳大利亚保健服务的护理和助产研究优先事项:确定优先事项的伙伴关系方法

IF 1.5 4区医学 Q2 NURSING

Collegian

Pub Date : 2023-10-01 DOI: 10.1016/j.colegn.2023.08.004

Carrie Janerka , Melissa Mellan , Robyn Wright , Fenella J. Gill , Gavin D. Leslie

Background

Determining research priorities for health services is recommended to better understand health service needs, direct resources, and support translational research. This traditionally involved clinicians, whilst consumer perspectives have been overlooked. Priority-setting partnerships bring together consumers and clinicians to identify research priorities.

Aim

To determine nursing and midwifery research priorities for a metropolitan health service in Australia using a priority-setting partnership approach.

Methods

The mixed-methods, multiphase study was guided by a modified James Lind Alliance priority-setting partnership approach to determine the top-10 priorities. This involved (i) formation of a steering group (consumers, clinicians); (ii) a cross-sectional survey of nurses, midwives, patients, carers, and community members to identify research topics; (iii–iv) summarising and checking of research topics; (v) interim priority-setting; (vi) a consensus workshop for final priority-setting using a modified nominal group technique; and (vii) reporting. Inductive content analysis was used to summarise research topics. Descriptive statistics were used to analyse survey participant characteristics and workshop data.

Results

The survey was completed by 168 participants (n = 106 clinicians, n = 62 consumers) across 5 hospital sites. A list of 17 research topics were summarised from the survey. Topics were discussed and ranked by 18 participants at the workshop and the top-10 priorities agreed by consensus.

Conclusions

Priorities reflected a strong desire for research focus on clinical care, as well as education and systems to support nurses and midwives provide care. Involving clinicians and consumers in research can help identify priorities that are of direct relevance to health service users and staff.

背景:建议确定卫生服务的研究重点，以更好地了解卫生服务需求、指导资源和支持转化研究。这通常涉及临床医生，而消费者的观点被忽视了。确定重点的伙伴关系将消费者和临床医生聚集在一起，以确定研究重点。目的采用确定优先次序的伙伴关系方法，确定澳大利亚城市卫生服务的护理和助产研究优先事项。方法采用改良的詹姆斯·林德联盟(James Lind Alliance)优先设定伙伴关系方法，采用混合方法进行多阶段研究，确定十大优先事项。这涉及(i)组建一个指导小组(消费者、临床医生);(ii)对护士、助产士、患者、护理人员和社区成员进行横断面调查，以确定研究主题;(iii-iv)研究课题的总结和核对;临时确定优先事项;最后确定优先事项的协商一致讲习班，使用改良的名义小组技术;(七)报告。采用归纳性内容分析法对研究课题进行总结。使用描述性统计分析调查参与者特征和车间数据。结果本调查由5家医院的168名参与者(106名临床医生，62名消费者)完成。调查总结了17个研究课题。18名与会者在研讨会上讨论了主题并对其进行了排名，并一致商定了十大优先事项。结论研究的重点是临床护理，以及支持护士和助产士提供护理的教育和制度。让临床医生和消费者参与研究有助于确定与卫生服务使用者和工作人员直接相关的优先事项。

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引用次数: 0

A phenomenological study of the lived experience of clinicians transitioning into academic roles in Australian universities 现象学研究临床医生的生活经验过渡到学术角色在澳大利亚大学

IF 1.5 4区医学 Q2 NURSING

Collegian

Pub Date : 2023-10-01 DOI: 10.1016/j.colegn.2023.04.001

Dianne Stratton-Maher , Jennifer Kelly , Karen Livesay

Background

Nurse academics occupy a pivotal role in educating the nursing workforce of the future. However, preparation of registered nurses for an intense academic workload requiring diverse skills, attracts limited literature from an Australian context.

Aim

This paper employs phenomenology to explore registered nurses’ lived experiences as they transitioned from the role of clinician to novice nurse academic in six Australian universities.

Method

The essence of this study was to understand the lived experiences of 11 registered nurses who transitioned into the role of a novice nurse academic in 2020. Data collection included individual semi-structured interviews that were audio-recorded and transcribed verbatim. Thematic analysis converted the rich data into interpretations of the lived experience of participants.

Findings

Four key themes emerged from the data: The ‘Becoming’ of a Nurse Academic, The Fusion of Horizons, The ‘Becoming’ of Intentionality, and the ‘Being’ of a Nurse Academic. Additionally, six pivotal subthemes emerged to reflect the collective essence of the participants’ experience.

Discussion

Findings from this research render an original contribution to bridge the transitional pedagogical proﬁciency gap for novice nurse academics. The expert skills and abilities of clinicians are not simply transferable to the nurse academic role.

Conclusion

This paper provides new insights into the Australian novice nurse academics’ experiences, including the impact that the experiences have on the nurse academic’s transitional progression. Findings from this study generated a targeted transition model termed NOVICE, to provide universities with strategies to support novice nurse academics’ transition to academia.

护士学者在教育未来的护理人员方面发挥着关键作用。然而，准备注册护士密集的学术工作量需要不同的技能，吸引了有限的文献从澳大利亚的背景下。目的运用现象学的方法，探讨澳大利亚六所大学注册护士从临床医生转变为新手护士学者的生活经历。方法本研究的核心是了解11名注册护士在2020年过渡到新护士学术角色的生活经历。数据收集包括个人半结构化访谈，这些访谈被录音并逐字转录。专题分析将丰富的数据转化为对参与者生活经验的解读。研究结果从数据中得出了四个关键主题:护士学院派的“成为”、视野的融合、意向性的“成为”和护士学院派的“存在”。此外，还出现了六个关键的副主题，以反映参与者体验的集体本质。本研究的结果对弥合新手护士学术的过渡教学能力差距做出了原创性贡献。临床医生的专业技能和能力不能简单地转移到护士的学术角色上。结论本研究对澳大利亚新护士学者的经历及其对护士学者过渡发展的影响提供了新的认识。这项研究的结果产生了一个名为“新手”的有针对性的过渡模型，为大学提供支持新手护士学者向学术界过渡的策略。

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引用次数: 0

Factors associated with family carers’ fall concern: Prospective study protocol 与家庭照顾者跌倒担忧相关的因素:前瞻性研究方案

IF 1.5 4区医学 Q2 NURSING

Collegian

Pub Date : 2023-10-01 DOI: 10.1016/j.colegn.2023.07.004

Seng Giap Marcus Ang , Rosemary Saunders , Chiew Jiat Rosalind Siah , Charlotte Foskett , Christopher Etherton-Beer , Karen Gullick , Melissa Dunham , Nicolette Sagaram , Rhea Rodriguez Tecson , Sue Haydon , Amanda Wilson

Background

Family carers are important in preventing community-dwelling older people from falling. Family carers’ concerns about older people’s risk of falling could affect their own physical and psychological health, lifestyle, and burden of care. While there are many studies exploring factors associated with fear of falling among older people, there is no research on family carers’ fall concern of older people (care recipients) who are hospitalised.

Aim

This paper describes a prospective study protocol exploring the relationship of fall concern, psychological distress, and quality of life of family carers when their care recipient is hospitalised and after discharge.

Methods

The study will recruit 180 family carers and older people. Family carers providing support for an older person without cognitive impairment who has been admitted to a private metropolitan hospital in Western Australia and assessed to have a risk of falling will be included. Data will be collected using an interviewer-administered survey. All participants will complete the survey within 48 h before the patient’s discharge, follow-up one week later (only for family carers), and again 30 days after the patient is discharged. Data related to falls, fall concern, psychological distress, and quality of life will be obtained from family carers and care recipients.

Discussion

This study will provide deeper understanding about the factors affecting fall concern among family carers of older people during hospitalisation and after discharge. This will help healthcare professionals better support family carers to implement fall prevention strategies for older people whilst in hospital and in the community.

家庭照顾者在防止社区居住的老年人跌倒方面很重要。家庭照顾者对老年人跌倒风险的担忧可能会影响他们自己的身心健康、生活方式和照顾负担。虽然有许多研究探索与老年人跌倒恐惧相关的因素，但没有关于家庭照顾者对住院老年人(照顾者)跌倒担忧的研究。目的本研究旨在探讨家庭照顾者住院及出院时跌倒担忧、心理困扰与生活质量的关系。方法本研究将招募180名家庭照顾者和老年人。对住进西澳大利亚州一家私立城市医院并经评估有跌倒风险的无认知障碍老年人提供支持的家庭照顾者将包括在内。数据将通过访谈者管理的调查收集。所有参与者将在患者出院前48小时内完成调查，一周后随访(仅限家庭护理人员)，并在患者出院后30天再次随访。与跌倒、跌倒担忧、心理困扰和生活质量有关的数据将从家庭照顾者和受照顾者那里获得。本研究将提供老年人家庭照顾者在住院期间及出院后对跌倒关注的影响因素。这将有助于医疗保健专业人员更好地支持家庭护理人员在医院和社区为老年人实施预防跌倒战略。

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引用次数: 0

Factors associated with nursing practice for cancer patients using complementary and alternative medicine 癌症患者使用补充和替代药物的护理实践的相关因素

IF 1.5 4区医学 Q2 NURSING

Collegian

Pub Date : 2023-10-01 DOI: 10.1016/j.colegn.2023.08.001

Junko Kusunoki, Sumie Ikezaki, Tomoko Majima

Background

The number of cancer patients using complementary and alternative medicine (CAM) is increasing worldwide. CAM is a holistic approach and has the potential to enrich patient lives both physically and mentally. Clarifying the factors associated with CAM-related nursing practice (CRNP) can help develop nursing that contributes to quality-of-life in cancer patients.

Aim

To quantitatively clarify the CRNP for cancer patients and the factors associated with CRNP.

Methods

A cross-sectional descriptive anonymous survey on 17 previously developed CRNPs was distributed to nurses working at cancer district hospitals in Japan. Nurses evaluated the CRNP items by a four-point Likert scale, and the total item mean score was compared among background variables by t-test and ANOVA.

Findings

In total, 451 valid responses were collated; 17 CRNP items were rated as agree/somewhat agree by over 49.6%. The most commonly practiced item was confirming with the primary physician before responding to patients about CAM use. Conversely, nurses failed to take on the role of explaining to patients the CAM-use decisions made by the healthcare team. CRNP scores were significantly higher for nurses with CAM-related learning experience (p = 0.001), nurses with advanced professional qualifications (p = 0.002), and nurses in occupational environments with good workplace communication (p = 0.043) or managers/colleagues with sound understanding of CAM (p = 0.001).

Discussion

Nurses should be aware that support for CAM use is an important issue that nurses can contribute to. Securing opportunities for CAM learning and deepening understanding of CAM throughout the workplace are useful in promoting further practice.

Conclusion

Nurses should deepen the understanding and value of CAM across their organisation to meet the needs of patients using CAM.

在世界范围内，使用补充和替代医学(CAM)的癌症患者数量正在增加。CAM是一种全面的方法，有可能在身体和精神上丰富病人的生活。明确与cam相关的护理实践(CRNP)相关的因素可以帮助开发有助于提高癌症患者生活质量的护理。目的定量阐明肿瘤患者的CRNP及与CRNP相关的因素。方法采用横断面描述性匿名调查方法，对在日本癌症区医院工作的护士发放17份先前开发的crnp。护士采用李克特四分制对CRNP项目进行评估，并采用t检验和方差分析比较各背景变量的总项目平均得分。共整理有效问卷451份;同意/比较同意的有17项，超过49.6%。最常见的做法是在回应患者使用辅助治疗前与主治医生确认。相反，护士没有承担向患者解释医疗团队做出的使用cam的决定的角色。具有CAM相关学习经验的护士(p = 0.001)、具有高级专业资格的护士(p = 0.002)、工作场所沟通良好的职业环境中的护士(p = 0.043)或对CAM了解良好的管理人员/同事(p = 0.001)的护士CRNP得分显著较高。护士应该意识到，支持辅助医学的使用是护士可以做出贡献的一个重要问题。在整个工作场所确保CAM学习的机会和加深对CAM的理解有助于促进进一步的实践。结论护士应加强对辅助护理的认识和重视，以满足患者对辅助护理的需求。

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引用次数: 0

Voluntary assisted dying: A discussion of key legal issues for Australian nurses 自愿协助死亡：澳大利亚护士关键法律问题的讨论

IF 1.5 4区医学 Q2 NURSING

Collegian

Pub Date : 2023-10-01 DOI: 10.1016/j.colegn.2023.08.005

Lindy Willmott , Rachel Feeney , Katrine Del Villar , Patsy Yates , Ben White

Background

Voluntary assisted dying (VAD) laws have been passed in all Australian states and have commenced operation in Victoria, Western Australia, Tasmania, Queensland, and South Australia. Nurses have a significant role in caring for and supporting patients at the end of life, and it is likely that they will be impacted, at some point, by VAD practice. In some states, nurses who want to be involved in VAD and satisfy specified eligibility criteria will be able to administer the VAD medication to eligible patients. Given this, nurses should be familiar with relevant aspects of the VAD law in their jurisdiction.

Aim

This article explores implications of the VAD legislation for nurses. It seeks to clarify the role of nurses to promote practice consistent with their legal roles, obligations, and protections.

Findings and discussion

This article explores three key legal issues for nurses in relation to VAD: (i) conversations about VAD (including prohibition provisions), (ii) administration of VAD medication, and (iii) conscientious objections (and any associated obligations).

Conclusion

It is important that all nurses (not just those wishing to have a formal VAD role) have sound understanding of the VAD legislation in their jurisdiction (including legal obligations, protections, prohibitions, and offenses), so that they know what the law permits them to do in their practice.

自愿协助死亡(VAD)法律已在澳大利亚所有州通过，并已在维多利亚州、西澳大利亚州、塔斯马尼亚州、昆士兰州和南澳大利亚州开始实施。护士在临终关怀和支持病人方面发挥着重要作用，在某些时候，他们很可能会受到VAD实践的影响。在一些州，想要参与VAD并满足特定资格标准的护士将能够为符合条件的患者管理VAD药物。鉴于此，护士应熟悉其管辖范围内VAD法律的相关方面。目的探讨VAD立法对护士的影响。它旨在澄清护士的作用，以促进与其法律角色、义务和保护相一致的实践。本文探讨了护士与VAD相关的三个关键法律问题:(i)关于VAD的对话(包括禁止条款)，(ii) VAD药物的管理，以及(iii)出于良心的反对(以及任何相关义务)。重要的是，所有护士(不仅仅是那些希望拥有正式VAD角色的护士)都对其管辖范围内的VAD立法(包括法律义务、保护、禁止和违法行为)有充分的了解，这样他们就知道法律允许他们在实践中做什么。

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引用次数: 0