Matilda Schmidt, J. Brownlie, Amy Arnold, Kim Lai, James Hughes
{"title":"Emergency Clinicians interpretation and application of Anti-D guidelines","authors":"Matilda Schmidt, J. Brownlie, Amy Arnold, Kim Lai, James Hughes","doi":"10.37464/2020.391.316","DOIUrl":"https://doi.org/10.37464/2020.391.316","url":null,"abstract":"","PeriodicalId":55584,"journal":{"name":"Australian Journal of Advanced Nursing","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2022-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49562480","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}
Family education is the foundation of a person's growth and development. When the risk factors in the family accumulate to a certain level, it is easy to have an adverse effect on the mental growth and personality formation of adolescents, and affect the mental health of adolescents. This article analyzes the influence of family cumulative risks on the growth and development of adolescents from varies angles, and based on the analysis, we propose corresponding family education methods, aiming to put forward certain guidelines for the advancement of current family education. That includes, attaching importance to children's mental health education, providing necessary dredging and counseling for children, promptly preventing and solving psychological problems, paying attention to children's learning and life problems, paying attention to teenagers' personality problems, and correctly handling family members' relationship.
{"title":"An Analysis of the Influence of Family Cumulative Risks on Adolescents' Mental Health","authors":"Ying Chen","doi":"10.32629/ajn.v2i3.607","DOIUrl":"https://doi.org/10.32629/ajn.v2i3.607","url":null,"abstract":"Family education is the foundation of a person's growth and development. When the risk factors in the family accumulate to a certain level, it is easy to have an adverse effect on the mental growth and personality formation of adolescents, and affect the mental health of adolescents. This article analyzes the influence of family cumulative risks on the growth and development of adolescents from varies angles, and based on the analysis, we propose corresponding family education methods, aiming to put forward certain guidelines for the advancement of current family education. That includes, attaching importance to children's mental health education, providing necessary dredging and counseling for children, promptly preventing and solving psychological problems, paying attention to children's learning and life problems, paying attention to teenagers' personality problems, and correctly handling family members' relationship.","PeriodicalId":55584,"journal":{"name":"Australian Journal of Advanced Nursing","volume":"65 1","pages":""},"PeriodicalIF":1.4,"publicationDate":"2022-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82340112","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":"A nurses’ guide to using models of reflection","authors":"Becky Ingham-Broomfield","doi":"10.37464/2020.384.395","DOIUrl":"https://doi.org/10.37464/2020.384.395","url":null,"abstract":"","PeriodicalId":55584,"journal":{"name":"Australian Journal of Advanced Nursing","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2021-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47026576","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":"September - November 2021","authors":"","doi":"10.37464/2020.384","DOIUrl":"https://doi.org/10.37464/2020.384","url":null,"abstract":"","PeriodicalId":55584,"journal":{"name":"Australian Journal of Advanced Nursing","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2021-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43434221","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}
K. Kennedy, J. Fish, Deborah Forsythe, I. Ramsey, P. Adelson
Background: Many hospitals have implemented COVID-19 risk screening of staff and visitors at point of entry. Little is known about staff perspectives of the screening implementation process. Aims: To investigate the experiences of staff conducting screening at a metropolitan hospital for a novel virus with constantly evolving messaging and knowledge, and to identify potential improvements to screening procedures. Methods: An exploratory cross-sectional survey study of 65 nurses who conducted screening at the hospital. The survey contained quantitative and open-ended questions. Descriptive analyses were conducted for quantitative data. Responses from open-ended questions were analysed using thematic analysis. Findings: Few survey participants (20%) received training prior to screening and under half (47%) felt prepared. A majority of participants rated visitors and staff as often or always willing to complete screening questions and have their temperature checked. Approximately half of participants rated their overall experience of screening as positive and most (81.5%) believed the questions were successful in directing at risk people for COVID-19 testing. Themes identified were: hospital environment and screening station setup;necessity for clear information;difficulties and discomfort;and screening is valuable psychologically and for risk reduction. Discussion: Suggested improvements included training for screening staff, clearly marked screening queues, additional signage explaining requirements, mandatory temperature checking, and separate entry points for staff and visitors. Conclusion: Participants felt their overall experience of conducting screening was more positive than negative and screening provided positive psychological value for staff and visitors;however, various ways to improve screening processes for staff were identified.
{"title":"COVID-19 front door screening implementation: experiences of staff conducting screening","authors":"K. Kennedy, J. Fish, Deborah Forsythe, I. Ramsey, P. Adelson","doi":"10.37464/2020.384.430","DOIUrl":"https://doi.org/10.37464/2020.384.430","url":null,"abstract":"Background: Many hospitals have implemented COVID-19 risk screening of staff and visitors at point of entry. Little is known about staff perspectives of the screening implementation process. Aims: To investigate the experiences of staff conducting screening at a metropolitan hospital for a novel virus with constantly evolving messaging and knowledge, and to identify potential improvements to screening procedures. Methods: An exploratory cross-sectional survey study of 65 nurses who conducted screening at the hospital. The survey contained quantitative and open-ended questions. Descriptive analyses were conducted for quantitative data. Responses from open-ended questions were analysed using thematic analysis. Findings: Few survey participants (20%) received training prior to screening and under half (47%) felt prepared. A majority of participants rated visitors and staff as often or always willing to complete screening questions and have their temperature checked. Approximately half of participants rated their overall experience of screening as positive and most (81.5%) believed the questions were successful in directing at risk people for COVID-19 testing. Themes identified were: hospital environment and screening station setup;necessity for clear information;difficulties and discomfort;and screening is valuable psychologically and for risk reduction. Discussion: Suggested improvements included training for screening staff, clearly marked screening queues, additional signage explaining requirements, mandatory temperature checking, and separate entry points for staff and visitors. Conclusion: Participants felt their overall experience of conducting screening was more positive than negative and screening provided positive psychological value for staff and visitors;however, various ways to improve screening processes for staff were identified.","PeriodicalId":55584,"journal":{"name":"Australian Journal of Advanced Nursing","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2021-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46475271","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":"Burnout as a systemic challenge: job demands, loss cycles and the need for a workforce strategy","authors":"G. Sharplin","doi":"10.37464/2020.384.721","DOIUrl":"https://doi.org/10.37464/2020.384.721","url":null,"abstract":"","PeriodicalId":55584,"journal":{"name":"Australian Journal of Advanced Nursing","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2021-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43651863","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":"The region-wide implementation of\u0000a relationship education program\u0000for first time parents delivered\u0000in the maternal and child health\u0000care setting: evaluating reach and\u0000effectiveness","authors":"A. Taket, B. Crisp","doi":"10.37464/2020.384.203","DOIUrl":"https://doi.org/10.37464/2020.384.203","url":null,"abstract":"","PeriodicalId":55584,"journal":{"name":"Australian Journal of Advanced Nursing","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2021-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43902861","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 standardized nursing program for idiopathic scoliosis deformity correction under general anesthesia during perioperative period. Methods — Retrospective analysis 28 patients with adolescent idiopathic scoliosis (AIS) as the research object admitted from 2020 July to August 2021. The nursing plan formulated in the operating room of our hospital was strictly implemented, patients and surgical risks were comprehensively evaluated before surgery, the operating room, surgical instruments and intraoperative drugs were carefully prepared, the operation was performed with strict aseptic techniques, the surgical medical team cooperated skillfully, and the changes of the condition were closely observed after surgery. Results — Operations were smoothly conducted for all the 28 patients with full recovery. The patients were proved without presence of symptoms of skin pressure injury, nervous system injury, serious timeout, postoperative paralysis, hemorrhagic shock and other serious adverse events. Conclusions — Posterior orthopaedic surgery for scoliosis is proved to be difficult for operation with long duration and high risks. There are many risk factors in perioperative nursing. According to standardized and specialized nursing programs, strict intervention throughout the perioperative period can improve the quality of nursing in the operating room, which can improve the efficiency of surgery, reduce the risk of surgery, ensure the safety of patients, and promote the rapid recovery of patients.
{"title":"Application of Standardized Nursing in the Perioperative Period of Patients with Idiopathic Scoliosis","authors":"W. Liang","doi":"10.32629/ajn.v2i3.527","DOIUrl":"https://doi.org/10.32629/ajn.v2i3.527","url":null,"abstract":"Objective — To explore the standardized nursing program for idiopathic scoliosis deformity correction under general anesthesia during perioperative period. Methods — Retrospective analysis 28 patients with adolescent idiopathic scoliosis (AIS) as the research object admitted from 2020 July to August 2021. The nursing plan formulated in the operating room of our hospital was strictly implemented, patients and surgical risks were comprehensively evaluated before surgery, the operating room, surgical instruments and intraoperative drugs were carefully prepared, the operation was performed with strict aseptic techniques, the surgical medical team cooperated skillfully, and the changes of the condition were closely observed after surgery. Results — Operations were smoothly conducted for all the 28 patients with full recovery. The patients were proved without presence of symptoms of skin pressure injury, nervous system injury, serious timeout, postoperative paralysis, hemorrhagic shock and other serious adverse events. Conclusions — Posterior orthopaedic surgery for scoliosis is proved to be difficult for operation with long duration and high risks. There are many risk factors in perioperative nursing. According to standardized and specialized nursing programs, strict intervention throughout the perioperative period can improve the quality of nursing in the operating room, which can improve the efficiency of surgery, reduce the risk of surgery, ensure the safety of patients, and promote the rapid recovery of patients.","PeriodicalId":55584,"journal":{"name":"Australian Journal of Advanced Nursing","volume":"3 1 1","pages":""},"PeriodicalIF":1.4,"publicationDate":"2021-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76046390","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 observe the curative effect of urokinase catheter thrombolysis in treating deep venous thrombosis of lower limbs after implantation of vena cava filter and explore nursing measures and nursing points. Methods — Perioperative nursing of 30 deep venous thrombosis patients with catheter thrombolysis treatment were summarized retrospectively. Results — 30 patients were conducted with catheter pumped urokinase to treat venous thrombus, and the swelling and pain of limbs disappeared. No patient had pulmonary embolism or hemorrhage. Conclusion — When we use urokinase catheter thrombolysis to treat deep venous thrombosis, a comprehensive preparation such as health education, psychological nursing, close observation on patients’ condition, proper fixation of catheter, nursing of thrombolytic drugs and prevention of infection can reduce the occurrence of complications and promote the patients rehabilitation.
{"title":"Nursing Experience of Vena Cava Filter Combined with Catheter Thrombolysis in the Treatment of Deep Venous Thrombosis of Lower Limbs","authors":"Yue-hua Li","doi":"10.32629/ajn.v2i2.444","DOIUrl":"https://doi.org/10.32629/ajn.v2i2.444","url":null,"abstract":"Objective — To observe the curative effect of urokinase catheter thrombolysis in treating deep venous thrombosis of lower limbs after implantation of vena cava filter and explore nursing measures and nursing points. Methods — Perioperative nursing of 30 deep venous thrombosis patients with catheter thrombolysis treatment were summarized retrospectively. Results — 30 patients were conducted with catheter pumped urokinase to treat venous thrombus, and the swelling and pain of limbs disappeared. No patient had pulmonary embolism or hemorrhage. Conclusion — When we use urokinase catheter thrombolysis to treat deep venous thrombosis, a comprehensive preparation such as health education, psychological nursing, close observation on patients’ condition, proper fixation of catheter, nursing of thrombolytic drugs and prevention of infection can reduce the occurrence of complications and promote the patients rehabilitation.","PeriodicalId":55584,"journal":{"name":"Australian Journal of Advanced Nursing","volume":"35 1","pages":""},"PeriodicalIF":1.4,"publicationDate":"2021-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81255703","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}
Debbie J Reschke, Chris Dawber, P. Millear, L. Medoro
Objective: This qualitative research project set out to explore how, and by what means, participation in group clinical supervision might impact nurses. It aimed to describe participant perceptions of the processes within a long running reflective practice group for intensive care nurses and explore these in relation to relevant theory. Background: Interpersonal aspects of care are central to the nursing role, however, the associated emotional labour can develop into moral distress, compassion fatigue and burnout. Australia’s peak nursing and midwifery bodies have released a joint position statement on the importance of supervision for nurses. Group supervision interventions, such as reflective practice groups, mitigate stress, promote learning and support interpersonal aspects of nursing. Method: Twenty-two intensive care nurses from a reflective practice group that had been running for 10 years, participated in focus groups convened by an independent researcher. Thematic analysis identified key perceptions relating to process and outcomes. Results: Group identification, voluntary participation and skilled facilitation created an enabling environment for nurses to self-disclose. The sense of universality experienced by participants, along with increased empathy, enabled reflection and self-evaluation relevant to the group prototype of the ideal nurse. Authentic emotional expression was seen to provide respite from emotional labour, thereby regenerating resources for nurses to cope with job demands. Discussion: Key themes can be aligned to social psychology constructs of group identity, task interdependence and homogeneity, supporting earlier studies that suggest group cohesion is comprised of measurable factors. By developing and aligning with these constructs, the facilitator assists the group to establish a safe space whilst conceptualizing and aspiring to a model for the professional and compassionate nurse. Conclusion: Social psychology constructs can help develop practice and research of group supervision for nurses. In clinical nursing settings, group identity is particularly salient and facilitator interventions should aim to strengthen this. The development of a sense of universality, when combined with voluntary participation and a focus on intra-group process, can enhance cohesion and create a safe space for self-disclosure. This enables nurses to examine actions and responses to clinical situations and explore emotions incongruent with the ideal nurse prototype, thereby promoting restorative and formative benefits. Implications for research, policy, and practice: This study adds to our understanding of processes in group clinical supervision for nurses and suggests that it is appropriate to apply social identity theory to improve practice and research. It will be of interest to nurses and nursing leaders who wish to develop supervision programs. What is already known about this topic? Compassion fatigue, emotional labour and moral di
{"title":"Group clinical supervision for nurses: process, group cohesion and facilitator effect","authors":"Debbie J Reschke, Chris Dawber, P. Millear, L. Medoro","doi":"10.37464/2020.383.221","DOIUrl":"https://doi.org/10.37464/2020.383.221","url":null,"abstract":"Objective: This qualitative research project set out to explore how, and by what means, participation in group clinical supervision might impact nurses. It aimed to describe participant perceptions of the processes within a long running reflective practice group for intensive care nurses and explore these in relation to relevant theory. Background: Interpersonal aspects of care are central to the nursing role, however, the associated emotional labour can develop into moral distress, compassion fatigue and burnout. Australia’s peak nursing and midwifery bodies have released a joint position statement on the importance of supervision for nurses. Group supervision interventions, such as reflective practice groups, mitigate stress, promote learning and support interpersonal aspects of nursing. Method: Twenty-two intensive care nurses from a reflective practice group that had been running for 10 years, participated in focus groups convened by an independent researcher. Thematic analysis identified key perceptions relating to process and outcomes. Results: Group identification, voluntary participation and skilled facilitation created an enabling environment for nurses to self-disclose. The sense of universality experienced by participants, along with increased empathy, enabled reflection and self-evaluation relevant to the group prototype of the ideal nurse. Authentic emotional expression was seen to provide respite from emotional labour, thereby regenerating resources for nurses to cope with job demands. Discussion: Key themes can be aligned to social psychology constructs of group identity, task interdependence and homogeneity, supporting earlier studies that suggest group cohesion is comprised of measurable factors. By developing and aligning with these constructs, the facilitator assists the group to establish a safe space whilst conceptualizing and aspiring to a model for the professional and compassionate nurse. Conclusion: Social psychology constructs can help develop practice and research of group supervision for nurses. In clinical nursing settings, group identity is particularly salient and facilitator interventions should aim to strengthen this. The development of a sense of universality, when combined with voluntary participation and a focus on intra-group process, can enhance cohesion and create a safe space for self-disclosure. This enables nurses to examine actions and responses to clinical situations and explore emotions incongruent with the ideal nurse prototype, thereby promoting restorative and formative benefits. Implications for research, policy, and practice: This study adds to our understanding of processes in group clinical supervision for nurses and suggests that it is appropriate to apply social identity theory to improve practice and research. It will be of interest to nurses and nursing leaders who wish to develop supervision programs.\u0000What is already known about this topic?\u0000\u0000Compassion fatigue, emotional labour and moral di","PeriodicalId":55584,"journal":{"name":"Australian Journal of Advanced Nursing","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2021-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48850730","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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