Two thousand and twenty was a challenging year for all, however it was also a year of many successes for the Australian Journal of Advanced Nursing, attributable in no small part to the contributions of authors, peer reviewers and readers. Here, we discuss some of our achievements to date, including publication of four quarterly issues through our relaunched website, and highlight new journal sections and plans to expand on resources for support and guidance to authors. We also introduce a guest editorial by professors Juanita Sherwood, Roianne West and colleagues who signal the beginning of a developing community of practice as First Nations nurses and midwives, educators, practitioners and researchers. The year gone has shown us all how important it is that we share our knowledge and experience, and so we look forward to supporting another year of challenge and accomplishment for nursing and midwifery both in Australia and beyond.
{"title":"Relaunched, the Australian Journal of Advanced Nursing in the year of the Nurse and Midwife.","authors":"Casey Marnie, M. Peters","doi":"10.37464/2020.381.411","DOIUrl":"https://doi.org/10.37464/2020.381.411","url":null,"abstract":"Two thousand and twenty was a challenging year for all, however it was also a year of many successes for the Australian Journal of Advanced Nursing, attributable in no small part to the contributions of authors, peer reviewers and readers. Here, we discuss some of our achievements to date, including publication of four quarterly issues through our relaunched website, and highlight new journal sections and plans to expand on resources for support and guidance to authors. We also introduce a guest editorial by professors Juanita Sherwood, Roianne West and colleagues who signal the beginning of a developing community of practice as First Nations nurses and midwives, educators, practitioners and researchers. The year gone has shown us all how important it is that we share our knowledge and experience, and so we look forward to supporting another year of challenge and accomplishment for nursing and midwifery both in Australia and beyond.","PeriodicalId":55584,"journal":{"name":"Australian Journal of Advanced Nursing","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2021-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46816664","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}
The purpose of this paper is to observe and analyze the impact of humanistic care on the mental health and behavior of family members of pediatric patients. The methods used are as follows. A total of 188 hospitalized children (188 cases of family members of children) admitted to the pediatrics department of this hospital (from April 2018 to April 2019) were selected. In accordance with random number table method, they were divided into the control group (using routine nursing methods) and the experimental group (using humanistic care nursing methods on the basis of the control group). There were 94 cases in each group. Statistics was used to analyze the total satisfaction rate, the incidence of nurse-patient disputes, the average hospitalization time of the patients and the anxiety scores of the family members of the children before and after nursing in the two groups. The results were as follows. The anxiety scores of the family members of the two groups of children before nursing were not statistically significant (P> 0.05). After nursing, the anxiety scores of the family members of the experimental group were significantly lower than that of the control group (P <0.05). The total satisfaction rate of the family members of the children in the experimental group was significantly higher than that in the control group (P <0.05). And the incidence of nurse-patient disputes in the experimental group was significantly lower than that in the control group (P <0.05). The average hospitalization time of the children in the experimental group was significantly shorter than that in the control group (P <0.05). The conclusion is that humanistic care has a significant effect on the mental health and behavior of the family members of pediatric patients.
{"title":"The Influence of Humanistic Care on the Mental Health and Behavior of Family Members of Pediatric Patients","authors":"Li-Chen Chang","doi":"10.32629/AJN.V2I1.253","DOIUrl":"https://doi.org/10.32629/AJN.V2I1.253","url":null,"abstract":"The purpose of this paper is to observe and analyze the impact of humanistic care on the mental health and behavior of family members of pediatric patients. The methods used are as follows. A total of 188 hospitalized children (188 cases of family members of children) admitted to the pediatrics department of this hospital (from April 2018 to April 2019) were selected. In accordance with random number table method, they were divided into the control group (using routine nursing methods) and the experimental group (using humanistic care nursing methods on the basis of the control group). There were 94 cases in each group. Statistics was used to analyze the total satisfaction rate, the incidence of nurse-patient disputes, the average hospitalization time of the patients and the anxiety scores of the family members of the children before and after nursing in the two groups. The results were as follows. The anxiety scores of the family members of the two groups of children before nursing were not statistically significant (P> 0.05). After nursing, the anxiety scores of the family members of the experimental group were significantly lower than that of the control group (P <0.05). The total satisfaction rate of the family members of the children in the experimental group was significantly higher than that in the control group (P <0.05). And the incidence of nurse-patient disputes in the experimental group was significantly lower than that in the control group (P <0.05). The average hospitalization time of the children in the experimental group was significantly shorter than that in the control group (P <0.05). The conclusion is that humanistic care has a significant effect on the mental health and behavior of the family members of pediatric patients.","PeriodicalId":55584,"journal":{"name":"Australian Journal of Advanced Nursing","volume":"44 1","pages":""},"PeriodicalIF":1.4,"publicationDate":"2021-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74930396","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}
J. Sherwood, Roianne West, L. Geia, A. Drummond, T. Power, Lynne Stuart, L. Deravin
This editorial responds to a recent reminder from an Elder to acknowledge and respect First Nations ways of knowing, doing, and being as health professionals and researchers. This reminder asked us to critically reflect on our professional stance and practices as nurses, midwives and researchers in the light of the fire that still burns at the Aboriginal tent Embassy and recent dialogues for Australia Day. In light of the international Black Lives Matter movement in 2020, we discuss the importance of our shared roles and responsibilities to continue to challenge racism and oppressive practices in Australian health care. Decolonising nursing and midwifery practice, policy, research, and education approaches offer a clear transformational reform process to address oppressive practices and racism including attitudes, ignorance and bias, generalisations, assumptions, uninformed opinions and commit to developing and embedding cultural safety in the nursing and midwifery profession.
{"title":"“Taking our blindfolds off”: acknowledging the vision of First Nations peoples for nursing and midwifery","authors":"J. Sherwood, Roianne West, L. Geia, A. Drummond, T. Power, Lynne Stuart, L. Deravin","doi":"10.37464/2020.381.413","DOIUrl":"https://doi.org/10.37464/2020.381.413","url":null,"abstract":"This editorial responds to a recent reminder from an Elder to acknowledge and respect First Nations ways of knowing, doing, and being as health professionals and researchers. This reminder asked us to critically reflect on our professional stance and practices as nurses, midwives and researchers in the light of the fire that still burns at the Aboriginal tent Embassy and recent dialogues for Australia Day. In light of the international Black Lives Matter movement in 2020, we discuss the importance of our shared roles and responsibilities to continue to challenge racism and oppressive practices in Australian health care. Decolonising nursing and midwifery practice, policy, research, and education approaches offer a clear transformational reform process to address oppressive practices and racism including attitudes, ignorance and bias, generalisations, assumptions, uninformed opinions and commit to developing and embedding cultural safety in the nursing and midwifery profession.","PeriodicalId":55584,"journal":{"name":"Australian Journal of Advanced Nursing","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2021-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45772481","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: Accurate patient obesity data can be used to identify and mitigate patient manual handling risks to healthcare staff. This study investigates the accuracy of patient obesity data within the Western Australian Country Health Service (WACHS) and examines factors potentially affecting obesity data accuracy. Background: Risk of injuries to healthcare staff are increasing due to rising patient obesity. Consistent increases in the prevalence of obesity in Australia have been recorded since 1995 and Australian obesity projections predict that 42% of the population will be obese in 2035. To manage the increased risks of injuries to healthcare workers due to obese patient management, accurate healthcare data relating to patient obesity is required. Design: Researchers examined records of patients admitted to WACHS hospitals with Type II Diabetes, which has confirmed links with obesity. Manual data extraction and comparison of obesity related data within patient medical records and electronic patient admission data was conducted to determine accuracy. Results: Analysis of the patient data examination demonstrated poor recording of weight (67%), height (24%) and Body Mass Index (BMI) when weight and height measurements were recorded (10%). Poor obesity data accuracy was also determined by low sensitivity results (40%), high false negative results (60%) and a Cohen’s kappa value of 0.44. Discussion: The sensitivity result demonstrates that only 40% of obese patients were coded as obese when obesity is recorded in their medical files, and the false negative result demonstrates that where obesity notations were present in medical files, 60% of these cases were incorrectly coded as ‘normal weighted’. There was only moderate agreement between the occurrences of coded obesity and the recorded obese patient notations in the medical files. Conclusion: Further research is required to inform enhancements to improve obesity recording and coding accuracy, which will increase the collection of reliable obesity data that could be used to reduce obese patient handling risks to nurses and other healthcare staff. What is already known about the topic? Increasing Australian population obesity rates have been previously demonstrated, this increase corresponds with increasing numbers of obese patients being admitted into hospitals. Healthcare staff who care for obese patients are at increased risk of injuries when conducting patient handling tasks. What this paper adds: A model to measure obesity accuracy utilising 14 data accuracy indicators was used, revealing poor obesity data accuracy and poor completeness of obesity data. Completeness of obesity data is influenced by time demands and workload of clinicians, breadth of clinical recording requirements, lack of organisational direction for the need of obesity data, and challenges in obtaining height measurements of patients who are mobility impaired, bed-ridden or unable to stand. Complete and accurate obesity
{"title":"An audit of obesity data and concordance with diagnostic coding for patients admitted to Western Australian Country Health Service hospitals","authors":"K. McClean, Martyn Cross, S. Reed","doi":"10.37464/2020.381.99","DOIUrl":"https://doi.org/10.37464/2020.381.99","url":null,"abstract":"Objective: Accurate patient obesity data can be used to identify and mitigate patient manual handling risks to healthcare staff. This study investigates the accuracy of patient obesity data within the Western Australian Country Health Service (WACHS) and examines factors potentially affecting obesity data accuracy. Background: Risk of injuries to healthcare staff are increasing due to rising patient obesity. Consistent increases in the prevalence of obesity in Australia have been recorded since 1995 and Australian obesity projections predict that 42% of the population will be obese in 2035. To manage the increased risks of injuries to healthcare workers due to obese patient management, accurate healthcare data relating to patient obesity is required. Design: Researchers examined records of patients admitted to WACHS hospitals with Type II Diabetes, which has confirmed links with obesity. Manual data extraction and comparison of obesity related data within patient medical records and electronic patient admission data was conducted to determine accuracy. Results: Analysis of the patient data examination demonstrated poor recording of weight (67%), height (24%) and Body Mass Index (BMI) when weight and height measurements were recorded (10%). Poor obesity data accuracy was also determined by low sensitivity results (40%), high false negative results (60%) and a Cohen’s kappa value of 0.44. Discussion: The sensitivity result demonstrates that only 40% of obese patients were coded as obese when obesity is recorded in their medical files, and the false negative result demonstrates that where obesity notations were present in medical files, 60% of these cases were incorrectly coded as ‘normal weighted’. There was only moderate agreement between the occurrences of coded obesity and the recorded obese patient notations in the medical files. Conclusion: Further research is required to inform enhancements to improve obesity recording and coding accuracy, which will increase the collection of reliable obesity data that could be used to reduce obese patient handling risks to nurses and other healthcare staff.\u0000What is already known about the topic?\u0000\u0000Increasing Australian population obesity rates have been previously demonstrated, this increase corresponds with increasing numbers of obese patients being admitted into hospitals.\u0000Healthcare staff who care for obese patients are at increased risk of injuries when conducting patient handling tasks.\u0000\u0000What this paper adds:\u0000\u0000A model to measure obesity accuracy utilising 14 data accuracy indicators was used, revealing poor obesity data accuracy and poor completeness of obesity data.\u0000Completeness of obesity data is influenced by time demands and workload of clinicians, breadth of clinical recording requirements, lack of organisational direction for the need of obesity data, and challenges in obtaining height measurements of patients who are mobility impaired, bed-ridden or unable to stand.\u0000Complete and accurate obesity ","PeriodicalId":55584,"journal":{"name":"Australian Journal of Advanced Nursing","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2021-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48164428","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: The aim was to explore and compare documentation of the nursing process for patient safety in two nursing documentation systems: paper and digital records. Background: The ‘nursing process’ (assessment, planning, intervention, and evaluation) is recommended by professional nursing registration and health service accreditation bodies as a key component of understanding nurses’ clinical reasoning. Nurses’ responsibility for patient safety must be supported by comprehensive documentation practices. Study design and methods: A retrospective audit of twenty clinical care records (N = 20) randomly selected from a single acute medical ward at a tertiary hospital in Australia; ten from a digital trial that replicated selected paper forms and ten paper records as controls. The audit was conducted by two nurse researchers using a purpose built data extraction tool. Results: Patient age, gender and primary diagnoses were similar for the digital and paper care records. Documentation of the full nursing process was low in both record types, and comprehensiveness of nursing documentation was similar across the paper and digital records. Compared to the paper documents, the digital documents were more often rated as ‘complete’ (p<0.05). Documentation of risk to skin integrity (p<0.05) and evidence of completed nursing interventions to address risks were more frequent (p<0.05) in digital records. Discussion: The findings of this study highlight an important gap in comprehensive documentation of the nursing process that supports and informs the clinical reasoning of nurses for patient safety. Improvements in digital documents reflect future opportunity to enhance the quality of nurse documentation using technology specific strategies such as prompts, visualisation and nudge. Conclusion: This research identifies that both paper and digital systems of hospital documentation may fail to capture and communicate the clinical reasoning of nurses. Digital systems have the potential to improve capture of the clinical reasoning and nursing process. What is already known about the topic? Professional registration and healthcare accreditation bodies recommend nurses’ clinical decision making is underpinned by processes of assessment, planning, intervention and evaluation. Poor capture of nurses’ clinical decision making in their documentation has negative consequences for the continuity, quality and safety of care; including inadequate detection of deterioration and escalation of care. Electronic systems are expected to enhance capture of nurse decision making in documentation. What this paper adds: Nurses’ clinical reasoning was poorly captured in both paper and digital documentation systems. Nurses documented their intervention responses to identified patient risks more often in the digital system compared to paper records. Digital systems offer an opportunity to proactively nudge nurses towards improved documentation of nursing processes.
{"title":"Documenting patient risk and nursing interventions: record audit","authors":"K. Bail, Eamon Merrick, Chrysta Bridge, B. Redley","doi":"10.37464/2020.381.167","DOIUrl":"https://doi.org/10.37464/2020.381.167","url":null,"abstract":"Objective: The aim was to explore and compare documentation of the nursing process for patient safety in two nursing documentation systems: paper and digital records. Background: The ‘nursing process’ (assessment, planning, intervention, and evaluation) is recommended by professional nursing registration and health service accreditation bodies as a key component of understanding nurses’ clinical reasoning. Nurses’ responsibility for patient safety must be supported by comprehensive documentation practices. Study design and methods: A retrospective audit of twenty clinical care records (N = 20) randomly selected from a single acute medical ward at a tertiary hospital in Australia; ten from a digital trial that replicated selected paper forms and ten paper records as controls. The audit was conducted by two nurse researchers using a purpose built data extraction tool. Results: Patient age, gender and primary diagnoses were similar for the digital and paper care records. Documentation of the full nursing process was low in both record types, and comprehensiveness of nursing documentation was similar across the paper and digital records. Compared to the paper documents, the digital documents were more often rated as ‘complete’ (p<0.05). Documentation of risk to skin integrity (p<0.05) and evidence of completed nursing interventions to address risks were more frequent (p<0.05) in digital records. Discussion: The findings of this study highlight an important gap in comprehensive documentation of the nursing process that supports and informs the clinical reasoning of nurses for patient safety. Improvements in digital documents reflect future opportunity to enhance the quality of nurse documentation using technology specific strategies such as prompts, visualisation and nudge. Conclusion: This research identifies that both paper and digital systems of hospital documentation may fail to capture and communicate the clinical reasoning of nurses. Digital systems have the potential to improve capture of the clinical reasoning and nursing process.\u0000What is already known about the topic?\u0000\u0000Professional registration and healthcare accreditation bodies recommend nurses’ clinical decision making is underpinned by processes of assessment, planning, intervention and evaluation.\u0000Poor capture of nurses’ clinical decision making in their documentation has negative consequences for the continuity, quality and safety of care; including inadequate detection of deterioration and escalation of care.\u0000Electronic systems are expected to enhance capture of nurse decision making in documentation.\u0000\u0000What this paper adds:\u0000\u0000Nurses’ clinical reasoning was poorly captured in both paper and digital documentation systems.\u0000Nurses documented their intervention responses to identified patient risks more often in the digital system compared to paper records.\u0000Digital systems offer an opportunity to proactively nudge nurses towards improved documentation of nursing processes.","PeriodicalId":55584,"journal":{"name":"Australian Journal of Advanced Nursing","volume":"38 1","pages":"36-44"},"PeriodicalIF":1.4,"publicationDate":"2021-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41857537","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}
Benjamin R Davey, S. Byrne, P. Millear, Chris Dawber, L. Medoro
Objective: This study represents phase one of a three-year research project aiming to investigate the impact of reflective practice groups for nurses. Background: Evidence indicates that increased job demands, and inadequate support contribute to nursing burnout, reduced capacity and workplace attrition. There is some evidence that group interventions may help address such issues. Study Design/Methods: This study utilised a cross sectional, quantitative research methodology. Overall, 251 nurses completed questionnaires incorporating 11 validated subscales. Levels of compassion satisfaction, intolerance to uncertainty, inhibitory anxiety, group cohesiveness, psychological distress, and psychosocial safety were evaluated in relation to number of groups attended, for both individual nurses and work groups. The data was then examined alongside existing personal and job resources. Results: Individual nurses who attended 6–18 reflective practice groups demonstrated increased tolerance to uncertainty and less inhibitory anxiety, whilst those who attended more than 18 groups demonstrated increased compassion satisfaction and group cohesiveness. There was, however, no evidence to indicate more pervasive, work group benefits. Whilst the second part of the study confirmed that reflective practice group attendance was significantly correlated with increased compassion satisfaction, it was not able to explain changes in levels of burnout, secondary traumatic stress or compassion satisfaction over and above personal factors, job factors and levels of psychological distress. Conclusion: Professional quality of life involves a complex set of variables. Reflective practice group attendance is correlated with a number of benefits for nurses however cause and effect were not clearly determined. A subsequent study will focus on the more subtle mechanisms and indirect effects of the groups on nurses’ personal resources. Relevance: This research supports the role of person and job factors in explaining professional quality of life for nurses and provides evidence to support a number of positive outcomes for nurses attending reflective practice groups; establishing a foundation for future studies to explore impacts and mediators in greater detail. What is already known about the topic? Personal and job resources can buffer against job demands to improve Professional Quality of Life (ProQoL). Nurses who lack personal resources are more likely to report burnout. What this paper adds: Personal resources of autonomy, self-efficacy and optimism are particularly important for nursing ProQoL. Higher levels of RPG attendance are correlated with improved tolerance to uncertainty, reduced inhibitory anxiety, increased compassion satisfaction and improved group cohesion. An explanatory link between RPG and variations in ProQoL is still not clear as RPG attendance in itself was not found to account for changes in ProQoL over personal resources, job resources and job demands. Th
{"title":"Evaluating the impact of reflective practice groups for nurses in an acute hospital setting","authors":"Benjamin R Davey, S. Byrne, P. Millear, Chris Dawber, L. Medoro","doi":"10.37464/2020.381.220","DOIUrl":"https://doi.org/10.37464/2020.381.220","url":null,"abstract":"Objective: This study represents phase one of a three-year research project aiming to investigate the impact of reflective practice groups for nurses. Background: Evidence indicates that increased job demands, and inadequate support contribute to nursing burnout, reduced capacity and workplace attrition. There is some evidence that group interventions may help address such issues. Study Design/Methods: This study utilised a cross sectional, quantitative research methodology. Overall, 251 nurses completed questionnaires incorporating 11 validated subscales. Levels of compassion satisfaction, intolerance to uncertainty, inhibitory anxiety, group cohesiveness, psychological distress, and psychosocial safety were evaluated in relation to number of groups attended, for both individual nurses and work groups. The data was then examined alongside existing personal and job resources. Results: Individual nurses who attended 6–18 reflective practice groups demonstrated increased tolerance to uncertainty and less inhibitory anxiety, whilst those who attended more than 18 groups demonstrated increased compassion satisfaction and group cohesiveness. There was, however, no evidence to indicate more pervasive, work group benefits. Whilst the second part of the study confirmed that reflective practice group attendance was significantly correlated with increased compassion satisfaction, it was not able to explain changes in levels of burnout, secondary traumatic stress or compassion satisfaction over and above personal factors, job factors and levels of psychological distress. Conclusion: Professional quality of life involves a complex set of variables. Reflective practice group attendance is correlated with a number of benefits for nurses however cause and effect were not clearly determined. A subsequent study will focus on the more subtle mechanisms and indirect effects of the groups on nurses’ personal resources. Relevance: This research supports the role of person and job factors in explaining professional quality of life for nurses and provides evidence to support a number of positive outcomes for nurses attending reflective practice groups; establishing a foundation for future studies to explore impacts and mediators in greater detail.\u0000What is already known about the topic?\u0000\u0000Personal and job resources can buffer against job demands to improve Professional Quality of Life (ProQoL).\u0000Nurses who lack personal resources are more likely to report burnout.\u0000\u0000What this paper adds:\u0000\u0000Personal resources of autonomy, self-efficacy and optimism are particularly important for nursing ProQoL.\u0000Higher levels of RPG attendance are correlated with improved tolerance to uncertainty, reduced inhibitory anxiety, increased compassion satisfaction and improved group cohesion.\u0000An explanatory link between RPG and variations in ProQoL is still not clear as RPG attendance in itself was not found to account for changes in ProQoL over personal resources, job resources and job demands.\u0000Th","PeriodicalId":55584,"journal":{"name":"Australian Journal of Advanced Nursing","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2021-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46159180","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: The purpose of this study was to determine the occupational risks faced by operating room nurses, their working conditions and health problems, and the protective measures adopted. Background: Since operating rooms are high-risk environments, the nurses working in them are exposed to correspondingly greater health risks. Method: This qualitative descriptive study design involved 17 operating room nurses and was performed in a public hospital in Turkey. Data were collected by the author during face-to-face interviews using a semi-structured form constructed on the basis of the study aims. Theme establishment continued until new data emerged from the analysis of all interviews. Data were then subjected to qualitative content analysis. Results: Three main themes were determined in the study, worker safety, working conditions, and training. At interview, operating room nurses reported being exposed to several occupational risks, including radiation, sharp implements, long working hours, and working standing up. They also reported experiencing, or were anxious about encountering in the future, various health problems associated with these risks. They also identified activities associated with education and protective measures as inadequate. Discussion and conclusion: Several occupational risk factors in the operating room environment adversely affect the health of nurses working in the unit. We recommend that standards aimed at protecting against occupational risks be applied on a regular basis in order to preserve the personal health and safety of operating room staff. Implication for nursing and health policy: Nurses are responsible for the constant care of their patients under all conditions and environments but may face the risk of compromise of their own health as a result. Training, certification, and nursing policies aimed at protecting the health of employees in clinical settings should be implemented. What is already known about the topic? Operating room nurses are known to experience severe health problems arising from their working environment. Many nurses have to cope or live with these health problems. What this paper adds: The study reveals the need for operating room nursing education programs. It also stresses the importance of legislation and monitoring to ensure a safe working environment for nurses in Turkey.
{"title":"Qualitative determination of occupational risks among operating room nurses","authors":"Ülfiye Çelikkalp, Aylin Aydin Sayilan","doi":"10.37464/2020.381.104","DOIUrl":"https://doi.org/10.37464/2020.381.104","url":null,"abstract":"Objective: The purpose of this study was to determine the occupational risks faced by operating room nurses, their working conditions and health problems, and the protective measures adopted. Background: Since operating rooms are high-risk environments, the nurses working in them are exposed to correspondingly greater health risks. Method: This qualitative descriptive study design involved 17 operating room nurses and was performed in a public hospital in Turkey. Data were collected by the author during face-to-face interviews using a semi-structured form constructed on the basis of the study aims. Theme establishment continued until new data emerged from the analysis of all interviews. Data were then subjected to qualitative content analysis. Results: Three main themes were determined in the study, worker safety, working conditions, and training. At interview, operating room nurses reported being exposed to several occupational risks, including radiation, sharp implements, long working hours, and working standing up. They also reported experiencing, or were anxious about encountering in the future, various health problems associated with these risks. They also identified activities associated with education and protective measures as inadequate. Discussion and conclusion: Several occupational risk factors in the operating room environment adversely affect the health of nurses working in the unit. We recommend that standards aimed at protecting against occupational risks be applied on a regular basis in order to preserve the personal health and safety of operating room staff.\u0000Implication for nursing and health policy:\u0000Nurses are responsible for the constant care of their patients under all conditions and environments but may face the risk of compromise of their own health as a result. Training, certification, and nursing policies aimed at protecting the health of employees in clinical settings should be implemented.\u0000What is already known about the topic?\u0000Operating room nurses are known to experience severe health problems arising from their working environment. Many nurses have to cope or live with these health problems.\u0000What this paper adds: The study reveals the need for operating room nursing education programs. It also stresses the importance of legislation and monitoring to ensure a safe working environment for nurses in Turkey.","PeriodicalId":55584,"journal":{"name":"Australian Journal of Advanced Nursing","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2021-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47817120","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: A point prevalence survey was conducted across Western Australia to monitor adherence to evidence-based practices to prevent falls in hospitals. Study design and methods: A state-wide point prevalence survey of patients and their medical records was conducted across 20 hospitals, over 17 days during May 2014. The survey determined rates of: provision of verbal information to patients; completion of a falls risk screening tool and age based cognitive testing. Univariate and multivariate logistic regression was utilised to determine key risks and opportunities to improve. Results: Information was collected from 2,720 patients. The provision of verbal information to prevent falls, as recalled by patients was 60% (hospital range 35–88%). This was significantly higher for patients with a stay of six or more days or involved in rehabilitation care. Perinatal women were three times less likely to be provided with verbal falls prevention information. A falls risk screening tool was completed for 82% of patients (range 28–98%). Perinatal women, and both adult and paediatric patients compared to older adults, were significantly less likely to have a complete falls risk screening tool. Thirty seven percent of patients within the recommended age ranges had cognitive testing (range 0–87%). Short-term patients and those not involved in rehabilitation, were significantly less likely to have been tested. Discussion: The survey identified differences in patient care and supporting processes across all hospitals. The results have highlighted areas for improvement. Conclusion: There were wide variations across all the hospitals in the provision of falls information, completion of falls risk screening tools and cognitive testing. At significant risk of missing out on falls prevention strategies were short stay patients and perinatal women. Five hospitals had significantly low rates of cognitive testing, indicating a hospitalwide issue rather than specific patient cohorts. Subsequently, the importance of ensuring that falls prevention strategies are conducted is vital to reduce preventable inpatient falls in all care settings. Implications for research, policy and practice: This was the first state-wide point prevalence study in WA and it has informed the need for further research into the implication of falls risk inpatients. It was found that falls risk assessment was not conducted for each patient who met the screening criteria. A review of the criteria, and practicability to carry out the assessment may need to be further investigated to determine if the practice should be refined. What is already known about the topic? Falls in hospitals are a frequent and largely considered preventable health concern. Falls that occur in hospitals are associated with an increased length of stay and use of health resources. What this paper adds: This paper offers a comprehensive insight into the variation in hospital falls prevention strategies, from a state-wide
{"title":"Inpatient falls prevention: state-wide survey to identify variability in Western Australian hospitals","authors":"Chantal Ferguson, L. Mason, Portia Ho","doi":"10.37464/2020.381.296","DOIUrl":"https://doi.org/10.37464/2020.381.296","url":null,"abstract":"Objective: A point prevalence survey was conducted across Western Australia to monitor adherence to evidence-based practices to prevent falls in hospitals. Study design and methods: A state-wide point prevalence survey of patients and their medical records was conducted across 20 hospitals, over 17 days during May 2014. The survey determined rates of: provision of verbal information to patients; completion of a falls risk screening tool and age based cognitive testing. Univariate and multivariate logistic regression was utilised to determine key risks and opportunities to improve. Results: Information was collected from 2,720 patients. The provision of verbal information to prevent falls, as recalled by patients was 60% (hospital range 35–88%). This was significantly higher for patients with a stay of six or more days or involved in rehabilitation care. Perinatal women were three times less likely to be provided with verbal falls prevention information. A falls risk screening tool was completed for 82% of patients (range 28–98%). Perinatal women, and both adult and paediatric patients compared to older adults, were significantly less likely to have a complete falls risk screening tool. Thirty seven percent of patients within the recommended age ranges had cognitive testing (range 0–87%). Short-term patients and those not involved in rehabilitation, were significantly less likely to have been tested. Discussion: The survey identified differences in patient care and supporting processes across all hospitals. The results have highlighted areas for improvement. Conclusion: There were wide variations across all the hospitals in the provision of falls information, completion of falls risk screening tools and cognitive testing. At significant risk of missing out on falls prevention strategies were short stay patients and perinatal women. Five hospitals had significantly low rates of cognitive testing, indicating a hospitalwide issue rather than specific patient cohorts. Subsequently, the importance of ensuring that falls prevention strategies are conducted is vital to reduce preventable inpatient falls in all care settings.\u0000Implications for research, policy and practice:\u0000\u0000This was the first state-wide point prevalence study in WA and it has informed the need for further research into the implication of falls risk inpatients.\u0000It was found that falls risk assessment was not conducted for each patient who met the screening criteria. A review of the criteria, and practicability to carry out the assessment may need to be further investigated to determine if the practice should be refined.\u0000\u0000What is already known about the topic?\u0000\u0000Falls in hospitals are a frequent and largely considered preventable health concern.\u0000Falls that occur in hospitals are associated with an increased length of stay and use of health resources.\u0000\u0000What this paper adds:\u0000\u0000This paper offers a comprehensive insight into the variation in hospital falls prevention strategies, from a state-wide","PeriodicalId":55584,"journal":{"name":"Australian Journal of Advanced Nursing","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2021-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47919421","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 factors that can influence implementation of a nurse-led model of care for early medication abortion provision in the primary healthcare setting of regional and rural Victoria, Australia. Background: Global research indicates that an increased involvement of primary healthcare nurses in the delivery of early medication abortion provision has the potential to improve abortion access. In Victoria, access in regional and rural areas is restricted despite abortion being legal. A nurse-led early medication abortion provision model is feasible and can potentially improve the current situation. Study design and methods: An online threeround classic Delphi method was used. This paper reports the qualitative findings. Non-probability sampling techniques were used to recruit a panel of professional experts. Data from the three questionnaires were collected and analysed using thematic analysis. Factors influencing model implementation were categorised into the Capability, Opportunity, Motivation-Behaviour framework. Results: A total of 24 medical and other health professionals participated. They identified a range of factors that can hinder model implementation, including a lack of affordable medication abortion education, no remuneration for nurse-led early medication abortion provision, and concerns related to stigma and support. Discussion and conclusion: Understanding and addressing barriers to model implementation may enable the development of primary healthcare nurses’ role in the delivery of early medication abortion provision to improve abortion access. Impact: To improve abortion access in Victoria’s under-served regions, the potential of nurse-led early medication abortion provision was explored. Barriers to model implementation relate to a lack of medication abortion education and funding, professional support and stigma concerns. The study identified a range of support elements that would enable primary healthcare nurses to develop new roles and responsibilities in the delivery of medication abortion services. What is already known about the topic? Evidence indicates that appropriately trained primary healthcare nurses can provide early medication abortion and associated tasks as effectively, safely and satisfactorily as physicians. Nurse-led early medication abortion provision is a worldwide recognised strategy to overcome the shortage of early medication abortion providers and to improve equity in access to abortion services. The legal climate of Victoria allows qualified registered nurses to independently administer physician-prescribed early medication abortion drugs to women. What this paper adds: The Delphi panellists of this study all endorsed nurse-led early medication abortion provision in regional and rural Victoria and beyond. The study provides a range of model implementation barriers, which are categorised into the components of the Capability, Opportunity, and Motivation Model of Behaviour. Those barriers n
{"title":"Identifying barriers and facilitators of full service nurse-led early medication abortion provision: qualitative findings from a Delphi study","authors":"Caroline de Moel-Mandel, A. Taket, Melissa Graham","doi":"10.37464/2020.381.144","DOIUrl":"https://doi.org/10.37464/2020.381.144","url":null,"abstract":"Objective: To explore factors that can influence implementation of a nurse-led model of care for early medication abortion provision in the primary healthcare setting of regional and rural Victoria, Australia. Background: Global research indicates that an increased involvement of primary healthcare nurses in the delivery of early medication abortion provision has the potential to improve abortion access. In Victoria, access in regional and rural areas is restricted despite abortion being legal. A nurse-led early medication abortion provision model is feasible and can potentially improve the current situation. Study design and methods: An online threeround classic Delphi method was used. This paper reports the qualitative findings. Non-probability sampling techniques were used to recruit a panel of professional experts. Data from the three questionnaires were collected and analysed using thematic analysis. Factors influencing model implementation were categorised into the Capability, Opportunity, Motivation-Behaviour framework. Results: A total of 24 medical and other health professionals participated. They identified a range of factors that can hinder model implementation, including a lack of affordable medication abortion education, no remuneration for nurse-led early medication abortion provision, and concerns related to stigma and support. Discussion and conclusion: Understanding and addressing barriers to model implementation may enable the development of primary healthcare nurses’ role in the delivery of early medication abortion provision to improve abortion access. Impact: To improve abortion access in Victoria’s under-served regions, the potential of nurse-led early medication abortion provision was explored. Barriers to model implementation relate to a lack of medication abortion education and funding, professional support and stigma concerns. The study identified a range of support elements that would enable primary healthcare nurses to develop new roles and responsibilities in the delivery of medication abortion services.\u0000What is already known about the topic?\u0000\u0000Evidence indicates that appropriately trained primary healthcare nurses can provide early medication abortion and associated tasks as effectively, safely and satisfactorily as physicians.\u0000Nurse-led early medication abortion provision is a worldwide recognised strategy to overcome the shortage of early medication abortion providers and to improve equity in access to abortion services.\u0000The legal climate of Victoria allows qualified registered nurses to independently administer physician-prescribed early medication abortion drugs to women.\u0000\u0000What this paper adds:\u0000\u0000The Delphi panellists of this study all endorsed nurse-led early medication abortion provision in regional and rural Victoria and beyond.\u0000The study provides a range of model implementation barriers, which are categorised into the components of the Capability, Opportunity, and Motivation Model of Behaviour. Those barriers n","PeriodicalId":55584,"journal":{"name":"Australian Journal of Advanced Nursing","volume":"38 1","pages":""},"PeriodicalIF":1.4,"publicationDate":"2021-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45992452","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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