Objective: To find out if non-invasive ventilation (NIV) as a ventilation modality increases the burden on nursing personnel and give suggestions how the presence of non-medical caregivers in an ICU with an extreme staff shortage can reduce nursing workload during mechanical ventilation. Background: Although the European Union offers good quality healthcare, there are middle-income countries in the alliance that suffer from nursing staff shortage. For example, Bulgaria needs two times more nurses than it has now to meet the needs of its healthcare system. This calls for strategies that reduce nursing workload as much as possible. There is a common perception that NIV is more time-consuming for nurses compared to invasive mechanical ventilation (IMV) but only a few studies discuss the matter and none of them are settled in the unique environment where medical and non-medical caregivers provide direct patient care as a team. study design and methods: This is an observational study conducted in a specialised respiratory ICU with trained nurses, physiotherapists, and non-medical caregivers in a university hospital in Bulgaria. Ninety adult patients (43 on NIV and 47 on IMV) with acute respiratory failure that were on mechanical ventilation for at least five days were included. Nursing workload was measured via the Nursing Activities Score (NAS). Average and daily NAS were compared between groups. Then individual components of the score were analysed to determine which activities have the greatest impact on nursing workload. results: Average (39.72 ± 6.35 vs 46.08 ± 5,66, p< 0.001) and daily NAS for the first five days of mechanical ventilation and was significantly higher in the IMV group. There was a substantial drop of nurse workload with time in both groups, more significant for the patients who ventilated invasively. It occurred on the second day in both groups (NIV: p=0.005, 95%CI: 0.88-4.
目的:了解无创通气(NIV)作为一种通气方式是否增加了护理人员的负担，并就人员极度短缺的ICU中非医疗护理人员的存在如何减轻机械通气期间的护理工作量提出建议。背景:尽管欧盟提供高质量的医疗保健，但联盟中有一些中等收入国家面临护理人员短缺的问题。例如，保加利亚需要比现在多两倍的护士来满足其医疗保健系统的需求。这就要求采取尽可能减少护理工作量的策略。人们普遍认为，与有创机械通气(IMV)相比，NIV对护士来说更耗时，但只有少数研究讨论了这个问题，而且没有一项研究是在医疗和非医疗护理人员作为一个团队直接为患者提供护理的独特环境中解决的。研究设计和方法:这是一项观察性研究，在保加利亚一所大学医院由训练有素的护士、物理治疗师和非医疗护理人员组成的专门呼吸ICU进行。90例急性呼吸衰竭的成人患者(43例使用NIV, 47例使用IMV)使用机械通气至少5天。通过护理活动评分(NAS)测量护理工作量。比较两组间的平均NAS和每日NAS。然后分析得分的各个组成部分，以确定哪些活动对护理工作量的影响最大。结果:IMV组机械通气前5天的平均NAS(39.72±6.35 vs 46.08±5.66,p< 0.001)和每日NAS均显著高于IMV组。随着时间的推移，两组的护士工作量都有显著下降，有创通气患者的工作量更显著。两组患者均在第2天出现(NIV: p=0.005, 95%CI: 0.88-4)。
{"title":"Impact of non-invasive ventilation and non-medical caregiver presence on nursing workload – an observational study","authors":"Viktoria Illieva, Y. Yamakova","doi":"10.37464/2023.402.930","DOIUrl":"https://doi.org/10.37464/2023.402.930","url":null,"abstract":"Objective: To find out if non-invasive ventilation (NIV) as a ventilation modality increases the burden on nursing personnel and give suggestions how the presence of non-medical caregivers in an ICU with an extreme staff shortage can reduce nursing workload during mechanical ventilation. Background: Although the European Union offers good quality healthcare, there are middle-income countries in the alliance that suffer from nursing staff shortage. For example, Bulgaria needs two times more nurses than it has now to meet the needs of its healthcare system. This calls for strategies that reduce nursing workload as much as possible. There is a common perception that NIV is more time-consuming for nurses compared to invasive mechanical ventilation (IMV) but only a few studies discuss the matter and none of them are settled in the unique environment where medical and non-medical caregivers provide direct patient care as a team. study design and methods: This is an observational study conducted in a specialised respiratory ICU with trained nurses, physiotherapists, and non-medical caregivers in a university hospital in Bulgaria. Ninety adult patients (43 on NIV and 47 on IMV) with acute respiratory failure that were on mechanical ventilation for at least five days were included. Nursing workload was measured via the Nursing Activities Score (NAS). Average and daily NAS were compared between groups. Then individual components of the score were analysed to determine which activities have the greatest impact on nursing workload. results: Average (39.72 ± 6.35 vs 46.08 ± 5,66, p< 0.001) and daily NAS for the first five days of mechanical ventilation and was significantly higher in the IMV group. There was a substantial drop of nurse workload with time in both groups, more significant for the patients who ventilated invasively. It occurred on the second day in both groups (NIV: p=0.005, 95%CI: 0.88-4.","PeriodicalId":55584,"journal":{"name":"Australian Journal of Advanced Nursing","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2023-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43238902","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}
{"title":"Bridging the gap: the role of nurses in promoting exercise for cancer survivors","authors":"I. Ramsey, M. Fitch, R. Chan","doi":"10.37464/2023.402.1163","DOIUrl":"https://doi.org/10.37464/2023.402.1163","url":null,"abstract":"","PeriodicalId":55584,"journal":{"name":"Australian Journal of Advanced Nursing","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2023-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43286534","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}
Objective — To explore the perioperative nursing effect of puerperae with pregnancy associated with cardiac disease and pulmonary arterial hypertension. Methods — Sixty puerperae with pregnancy associated with cardiac disease and pulmonary arterial hypertension who were admitted to XX Hospital from June 2020 to July 2021 were selected as the research objects. According to hospitalization number, they were randomly divided into experimental group and control group, with 30 cases in each group. The patients in the control group were treated with routine care, and the patients in the experimental group were treated with clinical pathway nursing. The physical indicators and clinical effects of the two groups of parturients before and after nursing were compared. Results — After monitoring and nursing, the comfort score of the pregnant women in the observation group was significantly higher than that of the pregnant women in the control group, and the difference was statistically significant (P<0.05); the hospitalization expenses and length of stay of the pregnant women in the observation group were significantly less than those of the control group, the difference was statistically significant (P<0.05); after treatment, the maternal satisfaction of the observation group (83.67%) was significantly higher than that of the control group (40.82%), and the difference was statistically significant (P<0.01). Conclusion — On the basis of basic monitoring and nursing care, the implementation of clinical pathway nursing for puerperae with pregnancy associated with cardiac disease and pulmonary arterial hypertension can effectively improve the comfort and satisfaction of the patients, and improve the rehabilitation level and quality of life of the puerpera. The safety of infants is of great significance and has good clinical value in clinical application.
{"title":"Perioperative Nursing of Puerperae with Pregnancy Associated with Cardiac Disease and Pulmonary Arterial Hypertension","authors":"Pei-song Meng","doi":"10.32629/ajn.v3i2.1144","DOIUrl":"https://doi.org/10.32629/ajn.v3i2.1144","url":null,"abstract":"Objective — To explore the perioperative nursing effect of puerperae with pregnancy associated with cardiac disease and pulmonary arterial hypertension. Methods — Sixty puerperae with pregnancy associated with cardiac disease and pulmonary arterial hypertension who were admitted to XX Hospital from June 2020 to July 2021 were selected as the research objects. According to hospitalization number, they were randomly divided into experimental group and control group, with 30 cases in each group. The patients in the control group were treated with routine care, and the patients in the experimental group were treated with clinical pathway nursing. The physical indicators and clinical effects of the two groups of parturients before and after nursing were compared. Results — After monitoring and nursing, the comfort score of the pregnant women in the observation group was significantly higher than that of the pregnant women in the control group, and the difference was statistically significant (P<0.05); the hospitalization expenses and length of stay of the pregnant women in the observation group were significantly less than those of the control group, the difference was statistically significant (P<0.05); after treatment, the maternal satisfaction of the observation group (83.67%) was significantly higher than that of the control group (40.82%), and the difference was statistically significant (P<0.01). Conclusion — On the basis of basic monitoring and nursing care, the implementation of clinical pathway nursing for puerperae with pregnancy associated with cardiac disease and pulmonary arterial hypertension can effectively improve the comfort and satisfaction of the patients, and improve the rehabilitation level and quality of life of the puerpera. The safety of infants is of great significance and has good clinical value in clinical application.","PeriodicalId":55584,"journal":{"name":"Australian Journal of Advanced Nursing","volume":"12 1","pages":""},"PeriodicalIF":1.4,"publicationDate":"2023-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78764110","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}
Jingyi Fang, Chun Yu, Xiaocui Zou, Ting Yuan, Jing Zhang
Enterostomy is to resect the diseased intestinal tract through surgery, free a section of normal intestinal tract, sew its opening on the abdominal wall, communicate with the intestinal tract, and use it to excrete metabolic waste in the intestinal tract. It is a common surgical method for cancer, which can save and prolong the life of patients. Intestinal stoma patients not only bring inconvenience to life, but also have physical and psychological problems such as depression, anxiety, insomnia, fatigue, and dyspnea, which seriously affect normal social activities. Therefore, attention should be paid to both physical and mental care of stoma patients. Family resilience refers to the support of family members to help patients get out of the plight of illness. Dual support and coping theory refers to the mutual support between patients and their main caregivers to achieve a stable relationship between family members and to jointly cope with the disease process. Quality of life is especially important. This article reviews the psychological characteristics of patients with enterostomy based on family resilience and dual support coping, aiming to provide reliable theoretical knowledge and nursing programs for postoperative physical and mental recovery of patients with enterostomy.
{"title":"Analysis of Preoperative Psychological Characteristics of Patients with Enterostomy","authors":"Jingyi Fang, Chun Yu, Xiaocui Zou, Ting Yuan, Jing Zhang","doi":"10.32629/ajn.v3i2.1143","DOIUrl":"https://doi.org/10.32629/ajn.v3i2.1143","url":null,"abstract":"Enterostomy is to resect the diseased intestinal tract through surgery, free a section of normal intestinal tract, sew its opening on the abdominal wall, communicate with the intestinal tract, and use it to excrete metabolic waste in the intestinal tract. It is a common surgical method for cancer, which can save and prolong the life of patients. Intestinal stoma patients not only bring inconvenience to life, but also have physical and psychological problems such as depression, anxiety, insomnia, fatigue, and dyspnea, which seriously affect normal social activities. Therefore, attention should be paid to both physical and mental care of stoma patients. Family resilience refers to the support of family members to help patients get out of the plight of illness. Dual support and coping theory refers to the mutual support between patients and their main caregivers to achieve a stable relationship between family members and to jointly cope with the disease process. Quality of life is especially important. This article reviews the psychological characteristics of patients with enterostomy based on family resilience and dual support coping, aiming to provide reliable theoretical knowledge and nursing programs for postoperative physical and mental recovery of patients with enterostomy.","PeriodicalId":55584,"journal":{"name":"Australian Journal of Advanced Nursing","volume":"2 1","pages":""},"PeriodicalIF":1.4,"publicationDate":"2023-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85595306","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}
In the nursing of patients with critical illness, the oral health of patients will be seriously affected because it is difficult for patients to complete oral care independently. Various microbial pathogens are deposited in patient biofilms as well as in oral secretions and are continuously transmitted. Under the condition of positive pressure ventilation, these pathogenic bacteria will enter the lower respiratory tract of patients, leading to nosocomial pneumonia infection in patients. This will not only significantly prolong the ICU stay time of patients, but also increase the mortality rate of patients. Therefore, it is necessary to strengthen the oral care of patients to reduce the number of bacteria in the patient's pharynx. This is one of the important methods to prevent nosocomial pneumonia infection in patients. For this reason, this article studies the clinical progress of oral care for patients with critical illness, in order to provide some reference for relevant personnel.
{"title":"Clinical Progress Research on Oral Care for Patients with Critical Illness","authors":"Wenrui Lian","doi":"10.32629/ajn.v3i2.1121","DOIUrl":"https://doi.org/10.32629/ajn.v3i2.1121","url":null,"abstract":"In the nursing of patients with critical illness, the oral health of patients will be seriously affected because it is difficult for patients to complete oral care independently. Various microbial pathogens are deposited in patient biofilms as well as in oral secretions and are continuously transmitted. Under the condition of positive pressure ventilation, these pathogenic bacteria will enter the lower respiratory tract of patients, leading to nosocomial pneumonia infection in patients. This will not only significantly prolong the ICU stay time of patients, but also increase the mortality rate of patients. Therefore, it is necessary to strengthen the oral care of patients to reduce the number of bacteria in the patient's pharynx. This is one of the important methods to prevent nosocomial pneumonia infection in patients. For this reason, this article studies the clinical progress of oral care for patients with critical illness, in order to provide some reference for relevant personnel.","PeriodicalId":55584,"journal":{"name":"Australian Journal of Advanced Nursing","volume":"1 1","pages":""},"PeriodicalIF":1.4,"publicationDate":"2023-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88130138","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}
Wei Liu, Xiaopiao Wang, Fan Wang, Zheng Zheng, Liuxia Chen
Objective: To observe the clinical benefit of cluster nursing mode in RICU patients with acute exacerbation of Chronic Obstructive Pulmonary Disease (COPD) complicated with RF. Methods: From December 2020 to March 2022, 73 cases of patients with acute COPD and RF admitted to RICU Department of Respiratory Department were selected. According to the order before and after admission to RICU department of respiratory department, patients with inability to communicate due to disease were excluded and divided into two groups. Control group: Adoption of traditional nursing mode; Observation group: Cluster nursing mode was adopted. After nursing, blood gas analysis results and patients' satisfaction scores on nursing work were compared and observed between the two groups. Results: The blood gas analysis results of the observation group were significantly better than the control group, and their evaluation of nursing work was also higher than the control group. Conclusion: In the clinical operation of our department RICU, this cluster nursing mode alleviates the distress perception of patients with COPD acute attack combined with RF, which also alleviates the patients' mood, improves the patients' understanding and satisfaction of nursing work, and thus playing a promoting role in improving the nursery-patient relationship and nursery-patient harmony.
{"title":"Exploration of the Role of Cluster Nursing in RICU AECOPD Patients With RF","authors":"Wei Liu, Xiaopiao Wang, Fan Wang, Zheng Zheng, Liuxia Chen","doi":"10.32629/ajn.v3i2.1122","DOIUrl":"https://doi.org/10.32629/ajn.v3i2.1122","url":null,"abstract":"Objective: To observe the clinical benefit of cluster nursing mode in RICU patients with acute exacerbation of Chronic Obstructive Pulmonary Disease (COPD) complicated with RF. Methods: From December 2020 to March 2022, 73 cases of patients with acute COPD and RF admitted to RICU Department of Respiratory Department were selected. According to the order before and after admission to RICU department of respiratory department, patients with inability to communicate due to disease were excluded and divided into two groups. Control group: Adoption of traditional nursing mode; Observation group: Cluster nursing mode was adopted. After nursing, blood gas analysis results and patients' satisfaction scores on nursing work were compared and observed between the two groups. Results: The blood gas analysis results of the observation group were significantly better than the control group, and their evaluation of nursing work was also higher than the control group. Conclusion: In the clinical operation of our department RICU, this cluster nursing mode alleviates the distress perception of patients with COPD acute attack combined with RF, which also alleviates the patients' mood, improves the patients' understanding and satisfaction of nursing work, and thus playing a promoting role in improving the nursery-patient relationship and nursery-patient harmony.","PeriodicalId":55584,"journal":{"name":"Australian Journal of Advanced Nursing","volume":"10 1","pages":""},"PeriodicalIF":1.4,"publicationDate":"2023-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89404746","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}
Ginger moxibustion is characterized by performing easily, activating local blood circulation, warming meridian and unblocking collateral obviously.In order to observe the therapeutic effects of ginger moxibustion for local swelling and pain after COVID-19vaccines, 36 cases were randomly divided into 2 groups, of whom 18 were treated with ginger moxibustion and 18 treated with hot compress. The results showed a cure rate of 100% with a total effective rate of 100% in the ginger moxibustion group, while 27.8% and 44.4% respectively in the hot compress group. The comparisons between the two groups in the cure rate and the total effective rate showed significant differences (P
{"title":"Efficacy of Ginger Moxibustion in Management of Local Swelling and Pain at Injection Sites of COVID-19 Vaccines","authors":"Jianyue Weng, Wei Li","doi":"10.32629/ajn.v3i2.1113","DOIUrl":"https://doi.org/10.32629/ajn.v3i2.1113","url":null,"abstract":"Ginger moxibustion is characterized by performing easily, activating local blood circulation, warming meridian and unblocking collateral obviously.In order to observe the therapeutic effects of ginger moxibustion for local swelling and pain after COVID-19vaccines, 36 cases were randomly divided into 2 groups, of whom 18 were treated with ginger moxibustion and 18 treated with hot compress. The results showed a cure rate of 100% with a total effective rate of 100% in the ginger moxibustion group, while 27.8% and 44.4% respectively in the hot compress group. The comparisons between the two groups in the cure rate and the total effective rate showed significant differences (P","PeriodicalId":55584,"journal":{"name":"Australian Journal of Advanced Nursing","volume":"68 1","pages":""},"PeriodicalIF":1.4,"publicationDate":"2023-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84199511","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}
Sara Holton, Karen Wynter, Julie Considine, Maryann Street, Ana Hutchinson, Damien Khaw, Paula Stephenson, Alison M Hutchinson, Cherene Ockerby, Katrina Nankervis, Shane Crowe, Melody Trueman, Susan Sweeney, Suellen Bruce, Bodil Rasmussen
Objective: To investigate the psychosocial effects of the COVID-19 pandemic on nurses and midwives working in acute care settings, specifically psychological distress, self-reported concerns, and perceived impact on their work and personal lives. Background: Little is known about the psychosocial impact of the pandemic on nurses and midwives in Australia, a country with a substantially lower number of COVID-19 cases and deaths than many others. Few studies investigating the prevalence of psychological distress among nurses during the pandemic have been conducted in more than one setting, especially in the Australian context. Study design and methods: Cross-sectional survey design (STROBE checklist). Nurses and midwives (n=1,611) at four metropolitan tertiary health services in Melbourne, Australia completed an anonymous online survey between 15 May and 31 August 2020, which assessed symptoms of depression, anxiety and stress (DASS-21); concerns related to COVID-19; and other effects of COVID-19. Space was provided for free-text comments. Results: Approximately one fifth of respondents reported moderate to extremely severe symptoms of depression, anxiety and stress. Fewer years of clinical experience were significantly associated with higher levels of psychological distress. More than half of the respondents were extremely/very concerned about passing COVID-19 on to family members and about their family's health, and almost half were concerned about caring for a patient who had confirmed or suspected COVID-19. Respondents reported that certain precautionary measures such as personal protective equipment (PPE) interfered with their ability to provide optimal patient care. Positive aspects of the pandemic were also reported including a sense of togetherness and cooperation among staff. Conclusion: The COVID-19 pandemic has had a considerable impact on the psychological wellbeing and work and personal lives of nurses and midwives working in acute care settings in Melbourne, Australia, particularly those with less clinical experience. Implications for nursing and health services research, policy and practice: Nurses and midwives, particularly those with less clinical experience, would benefit from additional, targeted wellbeing and support initiatives. For those with less experience, initiatives could include being partnered with more experienced colleagues and educators who can provide practical and emotional support and monitor their stress levels.
{"title":"Psychosocial impact of the COVID-19 pandemic on Australian nurses and midwives: a cross-sectional study","authors":"Sara Holton, Karen Wynter, Julie Considine, Maryann Street, Ana Hutchinson, Damien Khaw, Paula Stephenson, Alison M Hutchinson, Cherene Ockerby, Katrina Nankervis, Shane Crowe, Melody Trueman, Susan Sweeney, Suellen Bruce, Bodil Rasmussen","doi":"10.37464/2023.401.623","DOIUrl":"https://doi.org/10.37464/2023.401.623","url":null,"abstract":"Objective: To investigate the psychosocial effects of the COVID-19 pandemic on nurses and midwives working in acute care settings, specifically psychological distress, self-reported concerns, and perceived impact on their work and personal lives. Background: Little is known about the psychosocial impact of the pandemic on nurses and midwives in Australia, a country with a substantially lower number of COVID-19 cases and deaths than many others. Few studies investigating the prevalence of psychological distress among nurses during the pandemic have been conducted in more than one setting, especially in the Australian context. Study design and methods: Cross-sectional survey design (STROBE checklist). Nurses and midwives (n=1,611) at four metropolitan tertiary health services in Melbourne, Australia completed an anonymous online survey between 15 May and 31 August 2020, which assessed symptoms of depression, anxiety and stress (DASS-21); concerns related to COVID-19; and other effects of COVID-19. Space was provided for free-text comments. Results: Approximately one fifth of respondents reported moderate to extremely severe symptoms of depression, anxiety and stress. Fewer years of clinical experience were significantly associated with higher levels of psychological distress. More than half of the respondents were extremely/very concerned about passing COVID-19 on to family members and about their family's health, and almost half were concerned about caring for a patient who had confirmed or suspected COVID-19. Respondents reported that certain precautionary measures such as personal protective equipment (PPE) interfered with their ability to provide optimal patient care. Positive aspects of the pandemic were also reported including a sense of togetherness and cooperation among staff. Conclusion: The COVID-19 pandemic has had a considerable impact on the psychological wellbeing and work and personal lives of nurses and midwives working in acute care settings in Melbourne, Australia, particularly those with less clinical experience. Implications for nursing and health services research, policy and practice: Nurses and midwives, particularly those with less clinical experience, would benefit from additional, targeted wellbeing and support initiatives. For those with less experience, initiatives could include being partnered with more experienced colleagues and educators who can provide practical and emotional support and monitor their stress levels.","PeriodicalId":55584,"journal":{"name":"Australian Journal of Advanced Nursing","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135677207","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}
L. Matricciani, Paul N. Bennett, Lemuel J Pelentsov, Gabriel R Baljak, M. Kelly
The COVID-ig pandemic has increased and highlighted the day-to-day demands of nursing and effects on sleep.1 During the pandemic, the prevalence of sleep disturbances among healthcare workers and nursing students was 31% and 27% (respectively), compared to 18% of the general population.2,3 Given that sleep is important for cognitive, emotional and physical wellbeing,4,5 sleep may be especially important for nurses - a demanding profession that often requires shift work - a known risk factor for poor sleep.1,6 Studies support the importance of sleep for nurses.7"9 Poor sleep has been associated with reduced quality of life, weight gain, hypertension, and diabetes among nurses.7,8,10"12 In addition to personal health concerns, poor sleep has also been associated with medical errors,13 reduced job productivity9 and burnout.14"16 Perhaps most concerning, studies suggest that although objective performance continues to decline with chronic partial sleep deprivation, subjective ratings of alertness level-off.17 This means that an individual who is sleep deprived becomes less aware of how their performance has been impaired, in much the same way that a person who is intoxicated does not realise many of their cognitive and physical abilities are compromised.18 Fortunately, wellness programs that recognise the importance of sleep are being developed to support nurses. There are thoughts that strategies to promote wellbeing and resilience should be developed early in a nurse's career.1 However, many of these initiatives fail to identify the importance of sleep despite growing concerns of poor sleep during the graduate nurse year.1 In a recent study of 88 newly graduated nurses working in a tertiary hospital in South Korea, Kim and Lee found a significant decline in subjective sleep quality over the first four months of undertaking shift work as a nurse, which was associated with a decline in quality of life.23 Similarly Donovan and colleagues reported emotional, physical and mental exhaustion was often attributed to sleep deprivation during the graduate year of nursing and midwifery24 Epstein and colleagues also explored sleep during the graduate year and found graduate nurses had limited and potentially counterproductive strategies to cope with fatigue.25 Whether poor sleep continues, worsens, or improves during the nursing career remains unclear. Prevalence of mental health problems and sleep disturbances in nursing students during the COVID-19 pandemic: a systematic review and meta-analysis. Sampson M, Melnyk B, Hoying J. The MINDBODYSTRONG intervention for new nurse residents: 6-Month effects on mental health outcomes, healthy lifestyle behaviors, and job satisfaction.
{"title":"Healthy sleep and nursing","authors":"L. Matricciani, Paul N. Bennett, Lemuel J Pelentsov, Gabriel R Baljak, M. Kelly","doi":"10.37464/2023.401.1105","DOIUrl":"https://doi.org/10.37464/2023.401.1105","url":null,"abstract":"The COVID-ig pandemic has increased and highlighted the day-to-day demands of nursing and effects on sleep.1 During the pandemic, the prevalence of sleep disturbances among healthcare workers and nursing students was 31% and 27% (respectively), compared to 18% of the general population.2,3 Given that sleep is important for cognitive, emotional and physical wellbeing,4,5 sleep may be especially important for nurses - a demanding profession that often requires shift work - a known risk factor for poor sleep.1,6 Studies support the importance of sleep for nurses.7\"9 Poor sleep has been associated with reduced quality of life, weight gain, hypertension, and diabetes among nurses.7,8,10\"12 In addition to personal health concerns, poor sleep has also been associated with medical errors,13 reduced job productivity9 and burnout.14\"16 Perhaps most concerning, studies suggest that although objective performance continues to decline with chronic partial sleep deprivation, subjective ratings of alertness level-off.17 This means that an individual who is sleep deprived becomes less aware of how their performance has been impaired, in much the same way that a person who is intoxicated does not realise many of their cognitive and physical abilities are compromised.18 Fortunately, wellness programs that recognise the importance of sleep are being developed to support nurses. There are thoughts that strategies to promote wellbeing and resilience should be developed early in a nurse's career.1 However, many of these initiatives fail to identify the importance of sleep despite growing concerns of poor sleep during the graduate nurse year.1 In a recent study of 88 newly graduated nurses working in a tertiary hospital in South Korea, Kim and Lee found a significant decline in subjective sleep quality over the first four months of undertaking shift work as a nurse, which was associated with a decline in quality of life.23 Similarly Donovan and colleagues reported emotional, physical and mental exhaustion was often attributed to sleep deprivation during the graduate year of nursing and midwifery24 Epstein and colleagues also explored sleep during the graduate year and found graduate nurses had limited and potentially counterproductive strategies to cope with fatigue.25 Whether poor sleep continues, worsens, or improves during the nursing career remains unclear. Prevalence of mental health problems and sleep disturbances in nursing students during the COVID-19 pandemic: a systematic review and meta-analysis. Sampson M, Melnyk B, Hoying J. The MINDBODYSTRONG intervention for new nurse residents: 6-Month effects on mental health outcomes, healthy lifestyle behaviors, and job satisfaction.","PeriodicalId":55584,"journal":{"name":"Australian Journal of Advanced Nursing","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2023-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44998365","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}
Clint Moloney, Jeffrey Gow, Gavin Beccaria, A. Mullens, T. Phillips, Hancy Isaac, A. King, G. Keijzers, R. Rana
aim: To describe for areas of improvement in the management of COPD and reduction in emergency department presentations in Queensland. Background: If current trends in the management of COPD do not change, the predicted 4.5 million Australians diagnosed with COPD by 2050 will place significant burdens on already over-utilised frontline ED services. Separately COPD is more costly per case than cardiovascular disease and is a more common presentation to Emergency Departments in any year than most types of cancer, road traffic accidents and heart disease. study Design and Methods: This study used a qualitative thematic analysis methodology in which field convergent interviews were employed to generate data. Sixteen staff and nine patients across three major Southern Queensland Health acute care facilities participated in the study. The authors analysed interview data using qualitative thematic analysis. results: This research has revealed several noteworthy concepts worthy of further exploration. Thematic analysis from both staff and patient interviews identified the
{"title":"Understanding COPD Emergency Department presentations: using thematic analysis to explore the voices of patients, nurses, and doctors on the lived experience of managing COPD","authors":"Clint Moloney, Jeffrey Gow, Gavin Beccaria, A. Mullens, T. Phillips, Hancy Isaac, A. King, G. Keijzers, R. Rana","doi":"10.37464/2023.401.195","DOIUrl":"https://doi.org/10.37464/2023.401.195","url":null,"abstract":"aim: To describe for areas of improvement in the management of COPD and reduction in emergency department presentations in Queensland. Background: If current trends in the management of COPD do not change, the predicted 4.5 million Australians diagnosed with COPD by 2050 will place significant burdens on already over-utilised frontline ED services. Separately COPD is more costly per case than cardiovascular disease and is a more common presentation to Emergency Departments in any year than most types of cancer, road traffic accidents and heart disease. study Design and Methods: This study used a qualitative thematic analysis methodology in which field convergent interviews were employed to generate data. Sixteen staff and nine patients across three major Southern Queensland Health acute care facilities participated in the study. The authors analysed interview data using qualitative thematic analysis. results: This research has revealed several noteworthy concepts worthy of further exploration. Thematic analysis from both staff and patient interviews identified the","PeriodicalId":55584,"journal":{"name":"Australian Journal of Advanced Nursing","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2023-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46370767","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}
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