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Nurse-led study on treatment delay and streamlining antibiotic therapy among haematology patients with febrile neutropenia post chemotherapy 护士主导的化疗后发热性中性粒细胞减少症血液病患者延迟和简化抗生素治疗的研究
IF 1.4 4区 医学 Q3 NURSING Pub Date : 2023-02-28 DOI: 10.37464/2023.401.804
Delilah Shelley, Adwin Thomas, K. Strickland
Objective: The aim of the study is to identify gaps that exist among health professionals that may impact practices in caring effectively for patients with febrile neutropenia (FN). Background : Haematology patients with FN following chemotherapy frequently experience delays in antibiotic administration that may be linked to poorer clinical outcomes. To aid timely review and treatment, FN care pathways have been developed. However, observations of clinical practice and patient anecdotal reports have highlighted that the care pathways may not be adhered to. The impact on patient care outcomes due to treatment delays and the rate of protocol adherence to the FN management pathway is unknown due to insufficient evidence. Methods: Using the Clinical Records Integrated System (CRIS), data were collected by auditing patients’ electronic health records (EHR
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引用次数: 0
Recognising patients at risk of deterioration and dying on general medicine wards: a nurse-led point prevalence study 在普通病房识别有恶化和死亡风险的病人:一项护士主导的点流行研究
IF 1.4 4区 医学 Q3 NURSING Pub Date : 2023-02-28 DOI: 10.37464/2023.401.960
David JT Marco, T. Whelan, Tamsin Bryan, J. Weil
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引用次数: 0
Psychosocial impact of the COVID-19 pandemic on Australian nurses and midwives: a cross-sectional study COVID-19大流行对澳大利亚护士和助产士的心理社会影响:一项横断面研究
4区 医学 Q3 NURSING Pub Date : 2023-02-28 DOI: 10.37464/2023.401.638
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. What is already known about the topic? Nurses and midwives have experienced more psychological distress than other healthcare workers during the COVID-19 pandemic. Most studies about the psychosocial impact of the COVID-19 pandemic on nurses and midwives have been conducted in a single health service. Few studies have concurrently investigated the experiences of nurses and midwives from different health services during the COVID-19 pandemic especially in the Australian context. What this paper adds Despit
目的:调查COVID-19大流行对在急症护理机构工作的护士和助产士的心理社会影响,特别是心理困扰、自我报告的担忧以及对其工作和个人生活的感知影响。背景:人们对大流行对澳大利亚护士和助产士的心理社会影响知之甚少,澳大利亚的COVID-19病例和死亡人数远低于其他许多国家。调查大流行期间护士心理困扰普遍程度的研究很少在一个以上的环境中进行,特别是在澳大利亚的情况下。研究设计和方法:横断面调查设计(STROBE检查表)。澳大利亚墨尔本四个大城市三级卫生服务机构的护士和助产士(n=1,611)在2020年5月15日至8月31日期间完成了一项匿名在线调查,评估了抑郁、焦虑和压力的症状(DASS-21);与COVID-19有关的关切;以及COVID-19的其他影响。为自由文本注释提供了空格。结果:大约五分之一的答复者报告了中度至极严重的抑郁、焦虑和压力症状。较少的临床经验与较高程度的心理困扰显著相关。超过一半的受访者非常/非常担心将COVID-19传染给家庭成员和家人的健康,近一半的受访者担心照顾确诊或疑似COVID-19的患者。答复者报告说,个人防护装备(PPE)等某些预防措施干扰了他们提供最佳患者护理的能力。还报告了大流行病的积极方面,包括工作人员之间的团结和合作意识。结论:2019冠状病毒病大流行对澳大利亚墨尔本急症护理机构的护士和助产士的心理健康、工作和个人生活产生了相当大的影响,尤其是那些临床经验较少的护士和助产士。对护理和卫生服务研究、政策和实践的影响:护士和助产士,特别是那些临床经验较少的护士和助产士,将受益于额外的、有针对性的福利和支持举措。对于那些经验不足的人,可以主动与经验更丰富的同事和教育工作者合作,他们可以提供实际和情感上的支持,并监测他们的压力水平。关于这个话题我们已经知道了什么?在COVID-19大流行期间,护士和助产士比其他卫生保健工作者经历了更多的心理困扰。关于COVID-19大流行对护士和助产士的社会心理影响的大多数研究都是在单一卫生服务机构进行的。很少有研究同时调查了来自不同卫生服务机构的护士和助产士在COVID-19大流行期间的经历,特别是在澳大利亚。尽管澳大利亚的COVID-19病例和死亡人数相对较低,但COVID-19大流行对澳大利亚护士和助产士的心理健康、工作和个人生活产生了相当大的影响。在接受调查的护士和助产士中,约有五分之一的人报告说,在大流行的第一波期间,他们出现了中度至极严重的抑郁、焦虑和压力症状。临床经验较少的护士和助产士比经验丰富的护士和助产士经历了更高程度的心理困扰。
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引用次数: 0
Gravimetric assessment of postpartum blood loss: training and implementation in a low resource setting 产后失血的重量评估:在低资源环境中的培训和实施
IF 1.4 4区 医学 Q3 NURSING Pub Date : 2023-02-28 DOI: 10.37464/2023.401.693
I. -, T. Stacey, H. Merchant, Z. Darwin
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引用次数: 1
Comment on Jarden R, Scanlon A, Bridge N, et al. 2021. Coronavirus disease 2019 Critical Care Essentials course for nurses: development and implementation of an education program for healthcare professionals. 李建军,张建军,张建军等。2013。2019冠状病毒病护士重症监护要点课程:制定和实施医疗保健专业人员教育计划。
IF 1.4 4区 医学 Q3 NURSING Pub Date : 2022-08-31 DOI: 10.37464/2020.393.874
J. Harmon, Michela L. Mitchell
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引用次数: 0
Perspectives of Australian nursing educators on the preparation of nursing students for the care of older people's oral health 澳大利亚护理教育工作者对护理学生护理老年人口腔健康的准备工作的看法
IF 1.4 4区 医学 Q3 NURSING Pub Date : 2022-08-31 DOI: 10.37464/2020.393.813
Vandana Bhagat, Ha Hai Hoang, L. Crocombe, L. Goldberg
Nurses can and need to take a leadership role in improving and maintaining older Australians' oral health in community, hospital, and residential care settings. [...]it is important to investigate the perspectives of nursing educators on the preparation of nursing students for the care of older people's oral health. Keywords: aged care, oral health, nursing, older people, nursing curricula, dental care, interprofessional and collaborative practice INTRODUCTION The oral health of many older Australians (65 years and above) remains poor despite an increased understanding of the importance of oral health and its association with general healths 2 Due to blood-borne pathogens from the mouth, oral diseases worsen heart problems, diabetes, and pneumonia, leading to unplanned hospitalisations.3"5 Poor oral health also increases the severity of complications arising from viral infections, including COVID-19.6,7 Predominant oral health issues for older people include tooth decay, gum diseases, dry mouth, tooth wear, and oral cancer.8 Poor oral health leads to oral pain, difficulties in eating, speaking, and swallowing as well as lower self-esteem due to bad breath and poor facial and dental appearance.9 Maintaining oral health - a mouth free of pain, discomfort and disease - is key to maintaining the quality of life and general health of older people.10 In providing oral healthcare, nurses need to understand the factors affecting people's oral health and oral healthrelated quality of life, ensure daily oral care practice, and be able to complete an oral health screening to identify issues needing timely referral to a dentist, doctor, or allied health specialist.11 Oral healthcare for older people has been promoted by Australian government-funded learning resource packages such as "Better Oral Health in Residential Care" and "Better Oral Health in Home Care".12 These resources were developed a decade ago to educate and assist nurses, nursing assistants, and allied health professionals to collaborate with dental professionals to ensure effective oral healthcare for the older population.12 However, the uptake of these learning resource packages appears limited, and the report of the Royal Commission into Aged Care Quality and Safety highlighted the continuing neglect of older people's oral health, particularly in residential care.13 Similar concerns have been raised about the oral healthcare of older people in hospitals in Australia.14 As people age, many become frail and require assistance with oral care. The importance of nurses in providing oral healthcare has been acknowledged in international reports and studies.15-18 Restrictions to dental services during the COVID -19 pandemic have highlighted the need for the leadership of nurses in oral healthcare, working closely with dentists, doctors, and allied health professionals to maintain older adults' oral and general health.19 Nursing curricula need to specify the knowledge and clinical competence require
护士可以而且需要在社区、医院和寄宿护理环境中发挥领导作用,改善和维护澳大利亚老年人的口腔健康。[…]重要的是调查护理教育工作者对护理学生护理老年人口腔健康的准备工作的看法。关键词:老年护理、口腔健康、护理、老年人、护理课程、牙科护理、跨专业和合作实践引言尽管人们越来越了解口腔健康的重要性及其与一般健康的关系,但许多澳大利亚老年人(65岁及以上)的口腔健康仍然很差,口腔疾病会加重心脏问题、糖尿病和肺炎,导致意外住院。3“5口腔健康不良也会增加病毒感染并发症的严重程度,包括COVID-19。67老年人的主要口腔健康问题包括蛀牙、牙龈疾病、口干、牙齿磨损和口腔癌症口腔外观。9保持口腔健康——一个没有疼痛、不适和疾病的口腔——是保持老年人生活质量和总体健康的关键。10在提供口腔保健时,护士需要了解影响人们口腔健康和口腔健康相关生活质量的因素,确保日常口腔护理实践,并且能够完成口腔健康筛查以识别需要及时转诊给牙医、医生或其他人的问题,11澳大利亚政府资助的学习资源包促进了老年人的口腔保健,如“改善住院护理中的口腔健康”和“改善家庭护理中的口服健康”。12这些资源是十年前开发的,旨在教育和帮助护士、护理助理,12然而,这些学习资源包的使用似乎有限,皇家老年护理质量与安全委员会的报告强调了对老年人口腔健康的持续忽视,13澳大利亚的医院也对老年人的口腔保健提出了类似的担忧。14随着人们年龄的增长,许多人变得虚弱,需要口腔护理的帮助。国际报告和研究承认护士在提供口腔保健方面的重要性。15-18 COVID-19大流行期间对牙科服务的限制突出了护士在口腔保健方面发挥领导作用的必要性,19护理课程需要规定有效提供口腔保健的知识和临床能力要求,以确保所有毕业学生都做好了提供此类护理的充分准备。11尽管公认口腔健康不佳与一般健康之间存在关联,13,20-22对澳大利亚护理专业学生为老年人提供口腔保健的准备程度知之甚少。11大学网站上发布的澳大利亚护理学士课程综述,第一作者(VB)没有显示任何关于纳入老年人口腔健康护理单位和临床实践的信息。目前的澳大利亚护理和助产认证委员会(ANMAC)标准可能暗示了口腔保健方面的能力(标准3.6确实要求护理项目在内容和学习结果方面结合跨专业学习和实践的原则),但没有特别关注口腔保健学习目标本研究旨在评估护理教育工作者对护理学生了解和提供有效口腔保健的准备工作的看法,尤其是对老年人。
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引用次数: 1
Distressed, detached, devalued and determined: aged care workers’ experiences of the COVID-19 pandemic 痛苦、疏离、贬值和坚定:老年护理工作者在COVID-19大流行中的经历
IF 1.4 4区 医学 Q3 NURSING Pub Date : 2022-08-31 DOI: 10.37464/2020.393.661
Laura T Tierney, Kathleen Doherty, Kate-Ellen J Elliot
Background: The COVID-19 pandemic has had widespread impacts on the community and has demanded a rapid response from the aged care sector. System changes for infection control have been required including the use of personal protective equipment, lockdowns, visitor restrictions and changes to activities within aged care facilities. Even prior to COVID-19, the high physical and emotional demands of aged care work were recognised. Objective: This study sought to understand aged care workers’ experiences of the COVID-19 pandemic. Methods: Using a pragmatic paradigm qualitative data about work experiences during COVID-19 was collected from people employed in different aged care organisations in a range of aged care roles and settings from multiple Australian states. Data was collected using focus groups and interviews conducted online between August-October 2020. Inductive thematic analysis was used to identify key themes in the data. Results: Participants included 15 people working across a range of aged care roles including clinical, care and management staff and across both residential and community settings. Five themes were identified which characterised aged care workers thoughts about their jobs during the pandemic. These included intensified procedures and emotional demands, feeling undervalued and detached from the frontline, exposure of existing system deficiencies, recognising teamwork and increased confidence in technology. Conclusion: Reflecting on aged care workers’ experiences of COVID-19 highlights the need to better support workers and acknowledge their important role in caring for older Australians. This includes at an organisational level by providing supportive environments and access to online resources as well as at the community and policy level by recognising aged care workers as frontline workers. The COVID-19 pandemic has also highlighted existing systemic issues in the aged care sector that need to be addressed for the provision of quality aged care in Australia during the COVID-19 pandemic and into the future. What is already known about the topic? • While the COVID-19 pandemic is affecting the global community, it is disproportionately impacting the aged care sector with higher rates of severe illness and death and wide-ranging system changes to prevent and control the spread of the virus. • Prior to COVID-19, aged care work was associated with high job demands and lack of access to resources to support aged care workers in their role. • Survey data on the Australian RACF workforce found workers felt prepared for the pandemic with a wide range of measures to control the spread of COVID-19 but they faced several challenges associated with their additional roles and restrictions. What this paper adds • This paper provides qualitative and descriptive insights into the challenges experienced by the Australian aged care workforce during COVID-19 including increased workloads and intensified emotional demands of their roles whi
背景:新冠肺炎疫情对社区产生了广泛影响,需要老年护理部门迅速做出反应。需要改变感染控制系统,包括使用个人防护设备、封锁、访客限制以及改变老年护理机构内的活动。甚至在新冠肺炎之前,老年护理工作对身体和情感的高需求就已经得到了认可。目的:本研究旨在了解老年护理人员在新冠肺炎大流行中的经历。方法:使用实用范式,从澳大利亚多个州的不同老年护理机构的工作人员中收集关于新冠肺炎期间工作经历的定性数据,这些老年护理机构具有不同的老年护理角色和环境。数据是通过焦点小组和2020年8月至10月期间进行的在线访谈收集的。归纳主题分析用于确定数据中的关键主题。结果:参与者包括15名老年护理人员,包括临床、护理和管理人员,以及居住和社区环境中的工作人员。确定了五个主题,这些主题是老年护理工作者在疫情期间对工作的思考。其中包括强化程序和情感需求、感觉被低估和脱离前线、暴露现有系统缺陷、认识到团队合作以及增强对技术的信心。结论:反思老年护理人员的新冠肺炎经历,强调需要更好地支持工作人员,并承认他们在照顾澳大利亚老年人方面的重要作用。这包括在组织层面提供支持性环境和在线资源,以及在社区和政策层面承认老年护理工作者是一线工作者。新冠肺炎大流行也突出了老年护理部门现有的系统性问题,在新冠肺炎大流行期间和未来,澳大利亚需要解决这些问题,以提供高质量的老年护理。关于这个话题,我们已经知道了什么?•尽管新冠肺炎大流行正在影响全球社会,但它对老年护理部门的影响尤为严重,重症和死亡率更高,而且为预防和控制病毒传播而进行了广泛的系统变革。•在新冠肺炎之前,老年护理工作与高工作需求和缺乏资源来支持老年护理工作者发挥作用有关。•关于澳大利亚RACF劳动力的调查数据发现,工人们对疫情做好了准备,采取了广泛的措施来控制新冠肺炎的传播,但他们面临着与额外角色和限制相关的一些挑战。本文补充内容•本文对澳大利亚老年护理人员在新冠肺炎期间所经历的挑战提供了定性和描述性的见解,包括工作量增加和对其角色的情感需求加剧,同时感到被更广泛的社区低估。•这项研究强调,需要通过媒体和组织内部对社区老年护理人员的描述,更好地支持和认可他们,为团队环境提供支持,并提供在线资源和培训。•本文讨论了新冠肺炎和皇家老年护理质量与安全委员会强调的现有系统性问题,这些问题需要为工人的福祉和提供优质老年护理而解决。©2022,澳大利亚护理联合会。保留所有权利。
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引用次数: 4
The effect of self-management support on knowledge level, treatment compliance and self-care management in patients with hypertension 自我管理支持对高血压患者知识水平、治疗依从性和自我保健管理的影响
IF 1.4 4区 医学 Q3 NURSING Pub Date : 2022-08-31 DOI: 10.37464/2020.393.543
Duygu Kurt, E. P. Gurdogan
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引用次数: 3
Factors of impact (size and the way it’s used) 影响因素(大小和使用方式)
IF 1.4 4区 医学 Q3 NURSING Pub Date : 2022-08-31 DOI: 10.37464/2020.393.945
M. Peters
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引用次数: 0
Australian community nurses’ encounters with early relational trauma: a qualitative study of lived experiences and the impact of specialist training 澳大利亚社区护士遇到的早期关系创伤:生活经验的定性研究和专家培训的影响
IF 1.4 4区 医学 Q3 NURSING Pub Date : 2022-08-31 DOI: 10.37464/2020.393.681
A. Booth, J. Mcintosh, Elizabeth Clancy, E. Hartley, J. Opie, Crag A Olsson, L. Newman
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引用次数: 1
期刊
Australian Journal of Advanced Nursing
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