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Rising to the climate challenge: integrating climate action in the undergraduate curriculum 迎接气候挑战:将气候行动纳入本科课程
4区 医学 Q3 NURSING Pub Date : 2023-09-29 DOI: 10.37464/2023.403.1266
Odette Best, Naomi Tutticci, Diane Heart, Zerina Lokmic-Tomkins, Aletha Ward
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引用次数: 0
Australian nurses’ satisfaction and experiences of redeployment during COVID-19: A cross-sectional study 澳大利亚护士在COVID-19期间的满意度和重新部署经验:一项横断面研究
4区 医学 Q3 NURSING Pub Date : 2023-09-29 DOI: 10.37464/2023.403.1047
Ginger Chu, Kristy Connelly, Alex Mexon, Ben Briton, Julie Tait, Victoria Pitt, Kerry J Inder
Objective: To evaluate nurses’ satisfaction and experiences of redeployment during COVID-19. Background: Redeployment to an unfamiliar environment can be challenging; however, it can also present an opportunity for staff to learn new skills. During the COVID-19 pandemic, the need to redeploy health professionals, particularly nurses, increased dramatically. Evaluating nurses’ satisfaction and experiences related to redeployment during the pandemic is essential for future surge planning. Methods: A cross-sectional online survey consisting of single-choice and open-ended questions was conducted on a purposive sample of nurses (n=106) working in an acute hospital in New South Wales, Australia, from July to August 2020. Nurses who were redeployed to wards different from their regular workplaces were invited to participate in the survey. Areas of redeployment include various medical and surgical wards, intensive care units and the emergency department. Nurses’ satisfaction was obtained through the survey question structured as a Likert scale ranging from very satisfied to very dissatisfied. Nurse experiences were captured through a single-choice question (positive or negative experience) and open-ended questions. The single-choice questions were analysed by summarising participant responses, and open-ended questions were analysed using an iterative thematic analysis approach. Results: A high proportion of nurses were either neutral (48.4%, n=45) or dissatisfied (44.1%, n=41) with redeployment, with only 7.5% (n=7) of nurses being satisfied. There was a mix of positive (43%, n=40) and negative (57%, n=53) redeployment experiences. Three main themes influence nurses’ redeployment experience: “staff friendly and welcoming”, “patient allocation”, and “support”. Conclusion: Redeployment of healthcare workers during a pandemic is inevitable. This study highlighted that despite close to half of the redeployed nurses reporting a positive redeployment experience, only a few were satisfied with redeployment. This indicated that more work is required to support nurses during redeployment to increase satisfaction. Future workforce redeployment needs to consider healthcare workers’ needs and must strive to improve satisfaction to build a sustainable and resilient health system. Implications for research, policy, and practice: This study highlighted that although redeployment is challenging, staff can have a positive redeployment experience when supported. Elements that are associated with positive redeployment experience were explored in this study, which can inform policy and prepare nurses for future surge demand. What is already known about the topic? Redeployment of nurses in the acute care sector during the COVID-19 pandemic is common. Both the COVID-19 pandemic and redeployment can be challenging and stressful experiences for nurses. There is a paucity of research examining the satisfaction and experiences of nurses working in the acute care sector during CO
目的:了解新冠肺炎疫情期间护士的满意度和再调配经验。背景:重新部署到不熟悉的环境可能具有挑战性;然而,它也可以为员工提供学习新技能的机会。在2019冠状病毒病大流行期间,重新部署卫生专业人员,特别是护士的需求急剧增加。在大流行期间评估护士的满意度和与重新部署相关的经验对于未来的激增规划至关重要。方法:对2020年7月至8月在澳大利亚新南威尔士州一家急症医院工作的护士(n=106)进行了一项由单选和开放式问题组成的横断面在线调查。被调往不同工作地点病房的护士被邀请参与调查。重新部署的地区包括各种内科和外科病房、重症监护病房和急诊科。护士的满意度是通过李克特量表从非常满意到非常不满意的调查问题来获得的。通过单选问题(积极或消极的经历)和开放式问题捕捉护士的经历。通过总结参与者的回答来分析单选题,使用迭代主题分析方法分析开放式问题。结果:对调动持中立态度(48.4%,n=45)和不满意态度(44.1%,n=41)的护士比例较高,满意的护士仅占7.5% (n=7)。有积极(43%,n=40)和消极(57%,n=53)的重新部署经验。三个主要主题影响护士的重新部署经验:“员工友好和欢迎”,“病人分配”和“支持”。结论:在大流行期间重新部署卫生工作者是不可避免的。这项研究强调,尽管近一半的重新部署护士报告了积极的重新部署经验,但只有少数人对重新部署感到满意。这表明需要更多的工作来支持护士在重新部署,以提高满意度。未来的人力资源重新部署需要考虑卫生工作者的需求,必须努力提高满意度,以建立一个可持续和有弹性的卫生系统。对研究、政策和实践的启示:该研究强调,尽管重新部署具有挑战性,但在支持下,员工可以获得积极的重新部署体验。本研究探讨了与积极调动经验相关的因素,这可以为政策提供信息,并为护士未来的激增需求做好准备。关于这个话题我们已经知道了什么?在2019冠状病毒病大流行期间,在急症护理部门重新部署护士是很常见的。COVID-19大流行和重新部署对护士来说都是充满挑战和压力的经历。在澳大利亚,关于COVID-19期间在急症护理部门工作的护士的满意度和经验的研究很少。本文补充:本研究提供的证据表明,在澳大利亚COVID-19期间,许多在急性病部门工作的护士都有积极的重新部署经历。尽管如此,很少有人对重新部署感到满意。这项研究确定了积极调动经验的基本因素。这项研究也强调了改进的必要性
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引用次数: 0
Do contemporary patient assessment requirements align with expert nursing practice? 当代患者评估要求是否与专业护理实践相一致?
4区 医学 Q3 NURSING Pub Date : 2023-09-29 DOI: 10.37464/2023.403.1004
Paul Mcliesh, Philippa Rasmussen, Rick Wiechula
Objective: This paper discusses contemporary patient assessment requirements and how they articulate with expert nursing practice. Background: Contemporary patient assessment requirements are intended to standardise the conduct, collection and documentation of patient needs and risks. Current assessment requirements are designed to be applied uniformly for both expert and novice nurses’ alike to ensure consistency in the process and documentation of assessment. The requirements for patient assessment have grown in complexity over time but there is a paucity of evidence that considers how those requirements impact the work of expert nurses. Discussion: This discussion paper reflects on individual aspects of these issues such as how experts develop their practice, the elements of assessment requirements, how and why assessment requirements have changed over time. Expert nurses develop practice over time that is shaped by exposure to a wide range of clinical scenarios and learning experiences. Expert practice is partly defined by an ability to quickly identify key elements of a patient’s condition based on past experiences where the expert has learnt to recognise and predict patterns of care needs. The literature identifies a number of risks inherent with current assessment requirements, many of which are poorly recognised. Disproportionate focus on documentation compliance can reframe nurses’ practice away from assessing patient needs towards the process of assessment documentation instead. A lack of flexibility in assessment practice risks reducing the expert nurses’ ability to respond to the individual needs of a patient and tailor care uniquely designed for their needs. Repetition and duplication of data collection unintentionally embedded within the assessment process, risks impacting the efficiency of practice and serves to increase expert nurses’ frustration with the process. The complexity of assessment documentation was also seen to hinder the process of informing clinical judgement and may cloud the nurse’s ability to recognise risks not specifically included in the mandated assessment tools. Implications for research, policy and practice: This discussion highlights specific elements of expert practice and compares that to contemporary assessment requirements. Further research is needed to specifically measure the time impact of current assessment requirements on nurses. Feedback from expert nurses regarding the value of current requirements and what changes would positively impact their practice and satisfaction levels is needed. This would assist in refining assessment requirements to ensure that current requirements suit nurse’s practice, ensure the efficiency of expert nursing practice, maximise nursing satisfaction, and limit loss of nurses from the profession while maintaining safety of practice. What is known about the topic? The purpose and process of patient assessment has been thoroughly investigated over time. There is a signifi
目的:探讨当代患者评估的要求,以及如何与专业护理实践相结合。背景:当代患者评估要求旨在规范患者需求和风险的行为、收集和记录。目前的评估要求旨在统一适用于专家和新手护士,以确保评估过程和文件的一致性。随着时间的推移,对患者评估的要求越来越复杂,但缺乏证据表明这些要求如何影响专家护士的工作。讨论:该讨论文件反映了这些问题的各个方面,例如专家如何发展他们的实践,评估需求的要素,评估需求如何以及为什么随着时间的推移而变化。随着时间的推移,专业护士通过接触广泛的临床场景和学习经验来发展实践。专家实践的部分定义是,根据过去的经验,专家已经学会识别和预测护理需求的模式,能够快速识别患者病情的关键要素。文献确定了当前评估要求固有的一些风险,其中许多风险未得到充分认识。不成比例地关注文件合规性可以将护士的实践从评估患者需求转向评估文件的过程。在评估实践中缺乏灵活性可能会降低专家护士对患者个人需求做出反应的能力,并根据他们的需求量身定制护理。数据收集的重复和重复无意中嵌入到评估过程中,有可能影响实践效率,并增加专家护士对该过程的挫败感。评估文件的复杂性也被认为阻碍了告知临床判断的过程,并可能影响护士识别未具体包括在授权评估工具中的风险的能力。对研究、政策和实践的影响:本讨论强调专家实践的具体要素,并将其与当代评估要求进行比较。具体衡量现行考核要求对护士的时间影响还需进一步研究。需要专家护士对当前要求的价值以及哪些变化会对他们的实践和满意度产生积极影响的反馈。这将有助于完善评估要求,以确保当前的要求适合护士的实践,确保专家护理实践的效率,最大限度地提高护理满意度,并在保持实践安全的同时限制护士的职业流失。关于这个话题我们知道些什么?随着时间的推移,对患者评估的目的和过程进行了彻底的研究。有大量的知识和证据支持使用标准化的患者评估文件。专家护理实践的价值和性质在现有文献中得到了广泛的探讨。本文补充的内容:认识到当代评估要求中的意外风险,如数据收集的重复和复杂性,有可能降低护理实践的效率。承认评估要求被一些专业护士视为影响安全,负担沉重,并有可能降低护理满意度和保留率。认识到对评估文件合规性的不成比例的关注有可能将护士的优先事项从评估的目的转移到过程中。
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引用次数: 0
The impact of using an academic electronic medical record program on first-year nursing students’ confidence and skills in using E-documentation: a quasi-experimental study 使用学术电子病历计划对一年级护理学生使用电子文档的信心和技能的影响:一项准实验研究
4区 医学 Q3 NURSING Pub Date : 2023-09-29 DOI: 10.37464/2023.403.1078
Lyndall Mollart, Danielle Noble, Adrian Mereles, Jenny Mallyon, Pauletta Irwin
Objective: To evaluate the impact of using an academic electronic medical record program on first-year nursing students’ confidence and skill in E-documentation after their hospital clinical placement. Background: Registered nurses are the largest user group of health information technology systems such as patient electronic medical records (eMR). As such, nurse undergraduate programs need to reflect contemporary practices and respond to emerging trends including digital technology, however integration of eMR learning has not occurred in many countries. To address this gap, a fit-for-purpose academic eMR simulation program was developed by nursing academics and a university Learning Design Department member. Study Design and Methods: A quasi-experimental study design, with self-administered pre-test, post-test surveys, was used with a convenience sample of all first-year nursing students at one regional university in NSW Australia in 2019 and 2021. Results: A total of 105 students completed the surveys (9.7% pre, and 7.4% post-test survey). Only 23% of respondents received training during hospital clinical placement on eMR and electronic observation charts. There was a significant increase in participant confidence and knowledge in documenting in electronic adult observational charts and notes after using the academic eMR program and attending clinical placement. Three themes emerged from the qualitative data: preparation for practice; more exposure increases confidence; and we can’t forget the patient. Conclusion: Students acknowledged the need for repeated practice using an academic eMR program in university learning environments to ensure they would be work-ready. The identified challenge was the communication barrier (computer on wheels) and the potential negative impact on person-centred care and therapeutic communication. Implications for research, policy and practice: Further research is required to determine whether repeated practice with electronic documentation is best placed within a curriculum to increase learner confidence. Simulations that incorporate workstations on wheels should be tested to determine best practice for therapeutic communication. What is already known about this topic? Registered nurses are the largest user group of health information technology systems. Nursing undergraduate program needs to reflect contemporary practices including digital technologies. Integration of eMR education in undergraduate nursing programs has not occurred in many countries. What this paper adds: Evaluation of a fit-for-purpose academic electronic medical record program integrated into an undergraduate nursing student’s curriculum. There was a significant increase in participant confidence and knowledge in documenting in electronic adult observational charts and notes after using the academic eMR program. Digital technology education tailored for students of different age groups may be required.
目的:评价使用学术电子病历程序对护理一年级学生临床实习后电子文档信心和技能的影响。背景:注册护士是患者电子病历(eMR)等卫生信息技术系统的最大用户群体。因此,护士本科课程需要反映当代实践,并应对包括数字技术在内的新兴趋势,然而,许多国家尚未实现电子病历学习的整合。为了解决这一差距,护理学者和大学学习设计系的一名成员开发了一个适合目的的学术电子病历模拟程序。研究设计和方法:采用准实验研究设计,采用自我管理的前测试和后测试调查,方便样本为2019年和2021年新南威尔士州一所地区大学的所有一年级护理专业学生。结果:共105名学生完成问卷调查,其中测前问卷占9.7%,测后问卷占7.4%。只有23%的受访者在医院临床实习期间接受过电子病历和电子观察图表的培训。在使用学术电子病历计划和参加临床实习后,参与者在记录电子成人观察图表和笔记方面的信心和知识显著增加。从定性数据中出现了三个主题:为实践做准备;更多的曝光增加了信心;我们不能忘记病人。结论:学生们承认需要在大学学习环境中反复练习使用学术电子病历程序,以确保他们为工作做好准备。确定的挑战是沟通障碍(车轮上的计算机)以及对以人为本的护理和治疗沟通的潜在负面影响。对研究、政策和实践的影响:需要进一步的研究来确定电子文档的重复练习是否最好地放在课程中,以提高学习者的信心。应该测试将工作站放在轮子上的模拟,以确定治疗沟通的最佳实践。关于这个话题我们已经知道了什么?注册护士是卫生信息技术系统的最大用户群体。护理本科课程需要反映包括数字技术在内的当代实践。许多国家尚未将电子病历教育纳入本科护理课程。本文补充的内容:评估一个适合目的的学术电子病历程序整合到本科护理学生的课程。在使用学术电子病历程序后,参与者在记录电子成人观察图表和笔记方面的信心和知识显著增加。可能需要为不同年龄组的学生量身定制数字技术教育。
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引用次数: 0
Corrigendum to ‘Understanding COPD Emergency Department presentations: using thematic analysis to explore the voices of patients, nurses, and doctors on the lived experience of managing COPD’ [Australian Journal of Advanced Nursing, volume 40, issue 1 (2022), DOI 10.37464/2023.401.195] “理解COPD急诊科的演讲:使用主题分析来探索患者、护士和医生对COPD管理生活经验的声音”的勘误表[澳大利亚高级护理杂志,第40卷,第1期(2022),DOI 10.37464/2023.401.195]
4区 医学 Q3 NURSING Pub Date : 2023-09-29 DOI: 10.37464/2023.403.1280
Following publication of this article the authors notified the editorial team that an author who had facilitated data collection and contributed to an original version of the manuscript had unintentionally been omitted from the author list. The authors confirmed that this oversight occurred following a change in corresponding author and associated responsibilities and have endorsed the subsequent amendment to the author list.
在这篇文章发表后,作者通知编辑团队,一位促进数据收集并为原稿做出贡献的作者无意中被从作者名单中删除了。作者确认,这种疏忽是在通信作者和相关责任发生变化后发生的,并批准了随后对作者名单的修订。
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引用次数: 0
Can personal psychological resources reduce burnout and turnover in Australian hospital nurses? 个人心理资源能否减少澳大利亚医院护士的倦怠和离职?
4区 医学 Q3 NURSING Pub Date : 2023-09-29 DOI: 10.37464/2023.403.1129
Sam Eley, Peter Hassmen
Objective: To examine whether personal psychological resources safeguard hospital nurses against adverse workplace consequences, particularly job burnout and the desire to leave the profession. Background: Nursing research has extensively documented the adverse effects of job burnout and staff turnover. With the current nursing shortage, it is imperative to identify resources and strategies that can mitigate adverse workplace outcomes. However, the role of personal psychological resources, or psychological capital, in aiding nurses to perform effectively in their work environment remains relatively unexplored. Study design and methods: This study adopted a cross-sectional survey design. The survey assessed nurses’ experienced burnout (MBI-HSS), psychological capital (PCQ-24), and intentions to leave nursing. Hospital nurses (n= 258) from six states of Australia responded to an online anonymous survey between June and November 2022. Results: Respondents indicated a high degree of experienced burnout: 68.6% experienced high emotional exhaustion, 31.8% had high depersonalisation, and 31.8% had low personal accomplishment. Additionally, 38.8% had high intentions to leave the profession. Emotional exhaustion (p<.001, b=.56) and personal accomplishment (p=.006, b=-.15) were significant predictors of turnover intentions. Higher psychological capital was significantly associated with lower emotional exhaustion (p<.001, b=-.42), lower depersonalisation (p<.001, b=-.29), higher personal accomplishment (p<.001, b=.60), and lower turnover intentions (p<.001, b=.44). Discussion: Much of the nursing burnout and intent to leave literature focuses on negative rather than positive aspects of the work environment. Positive responses to workplace stimuli promote positive attitudes such as empowerment, job satisfaction, and organisational commitment that have a tangible impact on personal and occupational wellbeing. This may explain why nurses with stronger personal psychological resources experienced less burnout and voiced fewer intentions to leave the profession. Conclusion: The health and wellbeing of nurses should be a priority for healthcare organisations; the working conditions nurses face in Australian hospitals cause many to be negatively impacted by work stress. Implications for Research, Policy, and Practice: Nurses would benefit from initiatives to enhance their psychological resources. Targeted interventions to develop psychological capital should be examined in a nursing population. This can change policy, thereby benefitting the healthcare system. What is already known about the topic? Australia is currently facing a shortage of qualified nurses. Hospital nurses often experience job burnout and high levels of turnover due to the challenging nature of their work environment. Personal psychological resources have been linked to positive workplace outcomes, such as job satisfaction and organisational commitment, in various settings. What this paper adds:
目的:探讨个人心理资源是否能保障医院护士免受职场不良后果,特别是职业倦怠和离职意愿的影响。背景:护理研究广泛记录了工作倦怠和员工离职的不利影响。随着目前的护理短缺,必须确定资源和战略,可以减轻不利的工作场所的结果。然而,个人心理资源或心理资本在帮助护士在其工作环境中有效执行方面的作用仍然相对未被探索。研究设计与方法:本研究采用横断面调查设计。调查评估护士经历过的职业倦怠(MBI-HSS)、心理资本(PCQ-24)和离职意向。来自澳大利亚六个州的医院护士(n= 258)在2022年6月至11月期间参与了一项在线匿名调查。结果:被调查者经历过高度的倦怠,68.6%的人经历过高度的情绪耗竭,31.8%的人经历过高度的人格解体,31.8%的人经历过低的个人成就感。此外,38.8%的人有很高的意愿离开这个行业。情绪衰竭(p<。001, b=.56)和个人成就(p=。006, b=- 0.15)是离职意向的显著预测因子。较高的心理资本与较低的情绪耗竭显著相关(p<。001, b=- 0.42),人格解体程度较低(p<。001, b=- 0.29),个人成就感较高(p<。001, b=.60),离职意向较低(p<。001年,b =无误)。讨论:很多关于护士职业倦怠和离职意向的文献关注的是工作环境的消极方面,而不是积极方面。对工作场所刺激的积极反应促进积极的态度,如授权、工作满意度和组织承诺,对个人和职业福祉有切实的影响。这也许可以解释为什么拥有更强个人心理资源的护士更少感到倦怠,也更少表达离开职业的意愿。结论:护士的健康和福祉应该是医疗机构的优先事项;澳大利亚医院护士面临的工作条件导致许多人受到工作压力的负面影响。对研究、政策和实践的影响:护士将受益于增强其心理资源的举措。有针对性的干预措施,以发展心理资本应检查护理人群。这可以改变政策,从而使医疗保健系统受益。关于这个话题我们已经知道了什么?澳大利亚目前正面临合格护士短缺的问题。由于工作环境的挑战性,医院护士经常经历工作倦怠和高水平的流动率。在不同的环境中,个人心理资源与积极的工作成果有关,比如工作满意度和组织承诺。本文补充的内容:它表明,拥有更多个人心理资源的护士经历了较低水平的倦怠,并且不太可能考虑离开这个职业。本文认为,实施有针对性的干预措施,旨在提高护士的个人心理资源可能是一个可行的途径,以减轻倦怠和离职意向(TI)。
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引用次数: 0
“We are competing with culture” the chasm between healthcare professionals and Australian Samoan women in the prevention and management of gestational diabetes mellitus “我们正在与文化竞争”——医疗保健专业人员和澳大利亚萨摩亚妇女在预防和管理妊娠期糖尿病方面的差距
IF 1.4 4区 医学 Q3 NURSING Pub Date : 2023-05-31 DOI: 10.37464/2023.402.591
Dorothy W. Ndwiga, K. McBride, Ronda Thompson, David Simmons, F. MacMillan
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引用次数: 0
Enhancing palliative care at home: a generalist community nursing case study 加强家庭姑息治疗:一项全面的社区护理案例研究
IF 1.4 4区 医学 Q3 NURSING Pub Date : 2023-05-31 DOI: 10.37464/2023.402.866
Georgina Johnstone, Leanne Davey, Janeen Cato, Judy Lowthian
What this paper adds: * This case study demonstrated that facilitating ongoing education opportunities that draw on the expertise of local palliative care champions or internal specialists can enhance care provision. * Nurse care managers believe the value of generalist services, particularly home care services, in the generalist-specialist palliative care partnership, needs to be understood and respected. * Tailored investment in home care to provide a general palliative approach would be beneficial given the unique challenges of this mobile workforce. Keywords: Palliative care;home care services;Education, Nursing;qualitative research;Nurse Practitioner BACKGROUND Palliative care focuses on improving the quality of life of people affected by life-threatening illnesses, including the prevention and relief of suffering through identification, assessment and treatment.1 This care extends to family members, and encompasses physical, psychological, social and spiritual support. Home nursing and care organisations are key providers of community-based palliative care, with staff often the linchpin, in supporting palliative clients, organising and providing care, coordinating the input of other professionals and of specialist equipment.5 Previous research has identified the difficulties faced by home care nurses in meeting their clients' palliative care needs, such as symptom management and communication, as well as requirements for further training to enhance their knowledge and confidence of caring for palliative clients.5-7 In this context, generalist palliative care is delivered by health and care professionals with broad clinical responsibilities who provide primary, ongoing care;and have established relationships with the person and their care community.2 This is distinct from specialist palliative care services which support complex needs through multidisciplinary teams with specialised palliative care training. FINDINGS AND DISCUSSION Thematic analysis identified the following overarching themes: 1) targeted education increased staff knowledge and confidence, but more is needed;2) collaborative teamwork with effective communication and information sharing underpins a successful generalist-specialist partnership;3) the home care setting is unique and requires accessible systems and processes.
本文补充的内容:*本案例研究表明,促进利用当地姑息治疗冠军或内部专家的专业知识的持续教育机会可以增强护理提供。*护理管理人员认为,在全科-专科姑息治疗伙伴关系中,全科服务,特别是家庭护理服务的价值需要得到理解和尊重。*考虑到这一流动劳动力的独特挑战,在家庭护理方面进行量身定制的投资以提供一般姑息治疗方法将是有益的。关键词:姑息治疗;居家照护服务;教育、护理这种照顾延伸到家庭成员,包括身体、心理、社会和精神支持。家庭护理和护理组织是社区姑息治疗的主要提供者,在支持姑息治疗客户、组织和提供护理、协调其他专业人员和专业设备的投入方面,工作人员往往是关键以往的研究已经发现,家庭护理护士在满足病人的缓和疗护需求时,如症状管理和沟通等,面临的困难,以及需要进一步的培训,以提高他们照顾缓和疗护病人的知识和信心。在这种情况下,全科姑息治疗是由具有广泛临床责任的卫生保健专业人员提供的,他们提供初级的、持续的护理,并与患者及其护理社区建立了关系这与专业姑息治疗服务不同,后者通过多学科团队和专业姑息治疗培训来支持复杂需求。专题分析确定了以下主要主题:1)有针对性的教育提高了员工的知识和信心,但还需要更多的教育;2)具有有效沟通和信息共享的协作团队是成功的通才合作伙伴关系的基础;3)家庭护理环境是独特的,需要可访问的系统和流程。
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引用次数: 0
Single registered midwives contributing care for general patients: a scoping study 单一注册助产士为普通患者提供护理:一项范围界定研究
IF 1.4 4区 医学 Q3 NURSING Pub Date : 2023-05-31 DOI: 10.37464/2023.402.725
A. Bull, Sara Bayes, S. Geraghty
Background: Midwifery vacancies persist in small maternity units in Australian rural and private settings where midwives are expected to also care for general (non-maternity) patients when midwifery activity is low. Recruiting dual registered nurse/midwives over single registered midwives is preferred, as single registered midwives are seen as inflexible to assist with nursing work. Little is known about single registered midwives’ contribution to care of general patients in small maternity units. Objective: This scoping study aimed to consult single registered midwives and managers of single registered midwives to determine perspectives on single registered midwives’ contribution in small maternity units where the workload encompasses both midwifery and care of general patients, to inform further research. study design and methods: This study used a qualitative description design. Two online focus groups were held, one containing three single registered midwives, the other three managers of single registered midwives. Similar questions were posed to each group about single registered midwives’ contribution to care in small maternity units. Data analysis was conducted collaboratively through coding and thematic categorisation processes. results: Four major categories were found. Single registered midwives’ scope of practice concerning general patients is undefined; single registered midwives possess transferrable clinical skills applicable to general patients; practical, professional, and emotional barriers exist for single-registered midwives in small maternity units; and future research recommendations include scope of practice and workplace experiences. Discussion: Persistent midwifery vacancies are implicated in the closure of small maternity units to the detriment of childbearing families. Understanding the contribution of single registered midwives in small maternity units will inform future research and midwifery recruitment strategies to improve access to services. conclusion: The experiences of single registered midwives working in small maternity units warrants further investigation. This scoping study contributes to the literature about single registered midwives’ experiences in small maternity units and suggests considerations for
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引用次数: 0
Reflective Practice Groups for nurses: perceptions and preferences, considerations, and cautions 护士反思性实践小组:感知和偏好、考虑和注意事项
IF 1.4 4区 医学 Q3 NURSING Pub Date : 2023-05-31 DOI: 10.37464/2023.402.893
Phoebe Rattray, Christopher Dawber, P. Millear
Objective: Study 5, from a series of six, examines the influence of attendance rates and personal attendance preferences on the effectiveness of Reflective Practice Groups (RPGs). It also explores participant perceptions regarding benefits and barriers of RPG. This article presents the current study in context of associated research and attempts to synthesise the collective findings. Background: Nursing can be associated with burnout, secondary traumatic stress (STS) and compassion fatigue. RPGs might help mitigate these negative impacts. study Design/Methods : This cross-sectional study surveyed a cohort of 190 nurses (88% female) using validated scales to assess professional quality of life (ProQOL), job satisfaction (JS) and psychological distress, alongside perceived effectiveness of RPG, attendance rates and preferences. Open-ended questions explored perceived barriers and benefits to attendance. results: Nurses who attended less RPGs reported higher STS. Those who preferred to go more frequently also reported higher STS however level of attendance and personal preference did not affect each other. Nurses attending ‘as often as groups are run’ also rated the effectiveness of RPG more highly. Other outcome measures were not significant for either variable. Perceived benefits of RPG included sharing, support, cohesiveness, skills development and facilitatory alliance. Barriers included workloads, rostering, time constraints and discomfort in a group setting. Discussion: The majority of nurses reported higher STS, preferred to attend RPGs more frequently, and rated them as more effective. Nurses who attended more RPGs reported significantly lower STS, indicating a restorative benefit. The lack of significance for Compassion Satisfaction (CS) ratings contrasted with findings of earlier studies. Logistical issues and discomfort in groups were barriers to RPG attendance. Perceived benefits related to personal and workgroup development. Alongside findings from the overarching project, results indicate a positive correlation between effective RPGs, personal and job resources, and aspects of ProQOL.
目的:研究5(共6项)考察了出勤率和个人出勤偏好对反思练习小组(RPG)有效性的影响。它还探讨了参与者对RPG的好处和障碍的看法。本文在相关研究的背景下介绍了当前的研究,并试图综合这些集体发现。背景:护理可能与倦怠、继发性创伤压力(STS)和同情疲劳有关。RPG可能有助于减轻这些负面影响。研究设计/方法:这项横断面研究使用经验证的量表对190名护士(88%为女性)进行了调查,以评估职业生活质量(ProQOL)、工作满意度(JS)和心理困扰,以及RPG的感知有效性、出勤率和偏好。开放式问题探讨了出席会议的障碍和好处。结果:参加较少RPG的护士报告STS较高。那些更喜欢经常去的人也报告说STS更高,但出勤率和个人偏好并不相互影响。参加“尽可能多地分组”的护士也对RPG的有效性给予了更高的评价。其他结果指标对这两个变量都不显著。RPG的好处包括分享、支持、凝聚力、技能发展和促进联盟。障碍包括工作量、排班、时间限制和在集体环境中的不适。讨论:大多数护士报告STS较高,更喜欢更频繁地参加RPG,并认为它们更有效。参加更多RPG的护士报告STS显著降低,表明有恢复作用。与早期研究结果相比,同情满意度(CS)评分缺乏显著性。后勤问题和团队中的不适是RPG参与的障碍。与个人和工作组发展相关的感知利益。除了总体项目的研究结果外,研究结果还表明,有效的RPG、个人和工作资源以及ProQOL各方面之间存在正相关。
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引用次数: 0
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Australian Journal of Advanced Nursing
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